Prevention of Proctitis
Prevention of proctitis begins with addressing the high-risk sexual behaviors that you may engage in. Sexually safe behaviors include using protection such as the condom, knowing your sexual partner and history, and avoiding anal intercourse. You must use safe sex practices, such as condoms, if you engage in high-risk sexual behaviors such as these:
- Having multiple sexual partners (or changing sexual partners)
- A previous history of any sexually transmitted disease
- Having a partner with a past history of any STD
- Having a partner with an unknown sexual history
- Using drugs or alcohol (these may increase the likelihood of unsafe sexual practices)
- Having a partner who is an IV drug user
- Bisexual or homosexual partners
- Anal intercourse (Anal sex with a condom decreases the risk of proctitis by STDs, but you can still get proctitis from anal trauma)
- Having unprotected intercourse (sex without the use of a condom) with an unknown partner
Outlook for Proctitis
In most cases, anal/rectal problems like proctitis go away with treatment.
- Because most cases of proctitis are caused by sexually transmitted infection, antibiotics are useful.
- Proctitis caused by other conditions, such as radiation therapy, ulcerative colitis, and Crohn's disease, may last a long time. You may need long-term therapy. Symptoms may return from time to time (in a relapse or flare-up).
- In certain instances, where medications are not effective, you may need surgery to remove the diseased part of your gastrointestinal tract. There can be complications as a result of proctitis, especially if it goes untreated. Some complications include severe bleeding, anemia, and fistulas.
- Fistulas may occur in many parts of the body. Women typically may get recto-vaginal fistulas in which a tube grows to connect the rectum to the vagina. Both men and women may get anal fistulas, which connect the rectum to the skin. These fistulas can also become infected and cause complications themselves.