Hemorrhoids are a normal part of the anal and rectum anatomy, but they can become painful and itchy if irritated. Anal sex can create friction but probably doesn’t cause hemorrhoids in healthy people, as long as there is plenty of lube and good technique.
Hemorrhoids can be painful and embarrassing, but they are not a serious medical condition. There are a few ways to prevent them, including lifestyle changes, over-the-counter medications and surgical intervention.
What Causes Hemorrhoids?
Hemorrhoids aren’t the prettiest topic to discuss, but they’re an important part of our anatomy. Hemorrhoids develop when the pressure and friction from activities like shitting, sitting too long on the toilet, poor diet, heavy lifting, anal penetration and pregnancy cause blood vessels in the anus or lower rectum to become enlarged. They may puff up and create an external hemorrhoid or burst (a bleeding hemorrhoid) and clot, creating a purple, swollen hemorrhoid known as a varicose hemorrhoid.
The lining of your ass has cushions that support the muscles and blood vessels during bowel movements, explains the Cleveland Clinic. Chronic muscular tension or too much friction can cause the cushions to break, causing blood vessels to be pushed outward toward your anal opening. External hemorrhoids are painful and can bleed, but you may never see them, or only notice them after they start to cause symptoms. Internal hemorrhoids are usually painless, but can swell so large they prolapse out of your anal opening. When this happens, you can feel a soft pink bulge with your fingers and it can hurt during sex or when pooping.
Hemorrhoids that have already swollen are more likely to irritate during anal sex, but the penetration could also increase blood flow to the area, decreasing swelling. It’s best to follow good anal sex practices, such as using lots of lube, communicating with your partner and training up so that you don’t put too much pressure or friction on the anal opening.
Hemorrhoids are a normal part of the anal and rectum anatomy, but they’re usually pretty harmless. “They’re little cushion-like things made of blood vessels,” a gynecologist explains. “They help the rectum and anus control bowel movements and prevent unintentional leaking.”
Most people don’t even notice their hemorrhoids, as they can be hidden by skin. They can be inside the rectum (internal hemorrhoids) or on the outside of the anus (external hemorrhoids). Hemorrhoids usually only cause pain and itching, but in extreme cases they can lead to bleeding or a swelling of the anus.
If you’re having symptoms like itching or pain during anal sex, take it easy. You can try a few simple anal sex tips to avoid the problem, such as using lots of lube and not pushing too hard. You can also use a warm, moist cloth to cleanse the area and use powdered fiber supplements to encourage softer stools.
If home treatment doesn’t relieve your symptoms, you can talk to your gynecologist. They can give you advice about when it’s safe to resume anal sex, and they may recommend a procedure called rubber band ligation, where the doctor cuts off circulation to the hemorrhoid by putting a rubber band on it. This can be uncomfortable, but it’s a fast way to get rid of your hemorrhoids.
Hemorrhoids are a normal part of the anal anatomy, but they can cause pain, itching, and bleeding. Hemorrhoids also help the anal and rectum anatomy by providing cushion-like tissue that allows stool to pass easily. If you already have hemorrhoids, they should factor into whether you can have anal sex, as penetrative anal play will increase pressure on the anus and rectum muscles. The more pressure on the area, the bigger the risk for a blood vessel to break (an internal hemorrhoid) or swell and clot (an external hemorrhoid), which can make your anal painful, itchy, and even bloody.
If you do decide to engage in anal sex, be sure to use lots of water-based lube and reapply it as needed during your anal session. This can help reduce pain and irritation for both you and your partner. Practicing good anal hygiene and making sure to urinate often can help prevent painful anal sex as well.
Despite what some people think, anal sex doesn’t usually cause new hemorrhoids to pop up, says Suneeta Krishnareddy, MD, a gastroenterologist at Columbia University Irving Medical Center in Manhattan. But, hemorrhoids that are a result of straining during bowel movements can become more irritated and painful after anal sex because the penetration increases pressure on the swollen blood vessels, she explains.
Hemorrhoids are a natural part of your anatomy, but anal sex can irritate them, leading to symptoms such as bleeding and tenderness. Hemorrhoids can develop inside the anus and lower rectum (called internal hemorrhoids) or under the skin around the anus (called external hemorrhoids).
It’s also possible that anal sex can cause lasting injuries such as tearing or scarring. That’s because, if you insert your anal the wrong way or don’t use enough lube, you could damage the delicate tissue around the anus called the anal fissures.
This tissue is thin and has a strong blood supply. If you’re tense or don’t use lube correctly, anal play can cause the anal fissures to become irritated and swollen, which can lead to a tear. Then the blood vessels that line the anus can start to swell and burst, which causes hemorrhoids.
Hemorrhoids can also bleed during anal sex, but that’s usually because you haven’t used enough lube or inserted your anal the wrong way. It’s also common for a little bit of blood to show up during or after anal sex because your body is trying to get rid of the extra blood in the area.
Hemorrhoids can be painful and uncomfortable, but they’re no reason to skip the anal sex you love. If you take a few precautions like using lots of lube and not over-doing the douching, anal sex should be fine for you.