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So, can anal sex cause hemorrhoids? Since hemorrhoids are natural parts of your anatomy, the short answer is no, anal sex should not cause new hemorrhoids to pop up, says dr. With proven home treatments, you can easily relieve the mild pain, swelling and inflammation of hemorrhoids. In addition, people who find anal sex painful often do not use enough water-based lube others are not relaxed or aroused enough. Using lots of silicone- or water-based lube which makes anal (and vaginal) sex more slippery and wet can increase pleasure for both you and your partner. This type of sex also contributes to hemorrhoids depending on how your body responds to stress. Intense pushing during childbirth and weight gain during pregnancy lead to hemorrhoid activity. Though there arent many scientific studies available, there are anecdotes that show anal sex as one of the risk factors. Hemorrhoids have been noticed among both heterosexual and homosexual couples engaging in anal sex. I want to have anal sex again, but both times i was terribly self-conscious. Zocdoc answers does anal sex cause hemorrhoids? Question. Young man, not overweight with sever internal and external hemorrhoids. Im sorry to hear that you are dealing with this issue! Hemorrhoids are dilated veins either surrounding or inside of the rectum.