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Some of these medications work by drawing water into the bowels. This makes the stool softer and easier to pass. This can irritate tissues and increase the chances of bleeding after anal sex.

Eating a high-fiber diet, however, can relieve constipation and keep the bowels moving regularly. Fiber-rich foods include fresh fruits, vegetables, and whole grains.

These foods add bulk to your bowel movements, which will make them easier to pass. Seek immediate medical attention if you experience heavy bleeding or severe pain right after anal sex.

Severe pain and heavy bleeding are typically caused by an underlying injury or condition. This includes looking at the anus and opening of the rectum.

They may also order a sigmoidoscopy or anoscopy. These tests use lighted tubes with a camera to see inside the rectum and lower GI tract.

Conditions like hemorrhoids, fissures, or a perforation will be visible. In addition to rectal bleeding, anal sex presents a few other complications, including the risk for STIs.

You should always wear condoms during any type of sexual encounter to prevent the exchange of STIs. Lubricated condoms will cut down on friction.

Oil-based lubes can break down latex condoms, which could result in a tear. As with any sexual activity, you can contract and share STIs during anal sex.

This way, you can treat any infections early and prevent complications. Friction from anal penetration can cause tiny tears in the tissue or blood vessels inside your rectum.

The bleeding should stop in a day or two. As more couples explore anal sex, understanding the risks, rewards, and proper strategy is important.

Here's what you need to know about safety and…. We created an LGBTQIA safer sex guide that understands the true complexity and diversity across gender identities, sexual orientation, attractions….

If a doctor is suspicious of cancer, a tissue sample may be taken by biopsy to be examined under a microscope.

Bleeding during or after should never be considered normal. Even if it occurs as a result of accidental trauma, it is best to have it looked at if only to find ways to avoid such injuries in the future.

Cancer is, in fact, one of the less likely causes. If cancer does turn out to be the reason you are bleeding, an early diagnosis affords early treatment and a greater chance curing the malignancy before it becomes serious.

Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life.

Tarney CM, Han J. Postcoital bleeding: a review on etiology, diagnosis, and management. Obstet Gynecol Int. The rate of sexually transmitted infections in ED patients with vaginal bleeding.

Am J Emerg Med. Abnormal cervical appearance: what to do, when to worry? Mayo Clin Proc. J Menopausal Med.

Genital trauma and vaginal bleeding: is it a lapse of time issue? A case report of a prepubertal girl and review of the literature.

Int J Legal Med. Jyotsna V. Postmenopausal hormonal therapy: Current status. Ind J Endocrinol Metab. Tarney C, Han J. Obstet Gyn Int. More in Sexual Health.

Sexually Transmitted Infections. Benign Polyps. Cervical Ectropion. Atrophic Vaginitis. View All. An Overview of Cervical Ectropion.

Understanding Endometriosis. Was this page helpful? Thanks for your feedback! Think about all the friction generated by sex—it makes sense that you may get little tears if there's nothing slippery in the equation.

Dweck says most gynos simply recommend lube to women suffering from dryness, but also, investing in some lube is good idea for pretty much everyone.

Use more lube. Aside from dryness, Dr. Dweck says a long gap in sex, which could be anything from a month to several years, depending on the person, may cause bleeding.

Before you go shouting about revirginization, which is NOT a thing, know that this bleeding is just coming from microtears to the delicate tissue around the vagina and cervix.

If you struggle with this regularly, you should: one, tell your doctor; and two: try using more lube, employ more gentle foreplay, and go slowly at first to reduce the risk of tearing.

Dweck also mentions that particularly vigorous or rough sex—and that threshold is different from person to person—can sometimes cause bleeding.

Remember how we went over how much blood flow there is around the cervix and vagina? If the tissue in the area is torn or otherwise traumatized, which can happen during really enthusiastic sex or sex in deeper positions , that tissue is prone to bleeding—even without an infection or dryness.

Hence the reason rougher sex may cause bleeding. And not just some bleeding, but quite a bit. She emphasizes that sex rough enough to cause bleeding needs to be consensual, as does any sex act.

And if you ever feel like your partner is taking it too far, or doing anything nonconsensual, you can call the National Sexual Assault Hotline for guidance at , or chat with someone online to get safe, private advice.

Polyps are growths that look like little bulbs, and are about a centimeter or two in length. Dweck says these can really only be seen through an exam by your gyno, who will examine them and decide whether or not they need to be removed and biopsied based on appearance.

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