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The key, for me, is to have a patient partner — one whom I trust. Oh, and plenty of lube. The anus isn’t self-lubricating, and the sphincter needs to be relaxed before you insert anything into it. For me to engage in anal sex, I need to be fully relaxed, lubed, and ready. And even then, sometimes the equipment isn’t, umm, compatible. Usually, I’d say you can never have too much of a good thing, but size can be an issue.

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The majority of acute fissures (present for less than 6 weeks) will heal with GTN treatment. Around 7 in every 10 chronic fissures heal with GTN therapy if used correctly. Resist the urge to scratch. The itching may seem worse at night, and you may unconsciously scratch the perianal area with your fingernails while you’re asleep. Wear clean, soft cotton gloves at bedtime to prevent irritation or infection.if you use wet wipes, avoiding products that contain fragrance or alcohol as this could lead to discomfort or itching – if you use toilet paper, use a soft brand and avoid wiping too hard increasing your daily intake of fibre by including plenty of high-fibre foods in your diet, such as fruit, vegetables and wholegrains

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Studies suggest capsaicin topical cream is a good alternative to corticosteroids if you have chronic (long-lasting) anal itching. Antibiotics and antifungal medications If you experience significant anal itching or have a hard time feeling clean, you may have hemorrhoids. Hemorrhoids are swollen veins in the rectum that may be around the anal opening, called external hemorrhoids, or inside the anal opening, called internal hemorrhoids.

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Adults with an anal fissure will usually be prescribed bulk-forming laxative tablets or granules. These work by helping your poo retain fluid, making it softer and less likely to dry out. Most anal fissures will heal with treatment, although they can happen again easily, particularly if you do not follow self-help advice. Self-help This can include laxatives to help you poo more easily and painkilling ointment that you put directly on your anus. Surgery may be recommended in persistent cases of anal fissure where self-help measures and medicine have not helped. having unusually tight anal sphincter muscles, which can increase the tension in your anal canal, making it more susceptible to tearing

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Your clothing can also affect the skin in the area. Tight underwear or pants can trap heat and moisture (sweat) around your anus, making itching even worse. Cotton underwear absorbs moisture. Make sure your underwear fits properly and change it often. Use fragrance-free detergents to wash your underwear. Avoid certain foods and drinks

You'll usually have to use GTN ointment for at least 6 weeks, or until your fissure has completely healed. Don’t make any sudden movements. Sometimes it’s nice to add an element of surprise to your sex life, but not when you’re being penetrated anally. It’s not only painful; someone could legit get hurt. Remember, as they contain silicone, they are not safe to use with silicone sex toys. Best hybrid anal lubes

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There are a number of self-help measures the GP may recommend to relieve constipation and reduce the pain caused by anal fissures. Botulinum toxin is a relatively new treatment for anal fissures. It's usually used if other medicines have not helped. Botulinum toxin is a powerful poison that's safe to use in small doses. An anal fissure is a tear or open sore (ulcer) that develops in the lining of the large intestine, near the anus. Anal fissure symptoms Hemorrhoids are swollen, enlarged veins that form inside and outside your anus and rectum. Large hemorrhoids outside of your anus (external hemorrhoids) can make it difficult to wipe away poop after using the bathroom. Hemorrhoids inside your rectum (internal hemorrhoids) may cause bleeding or a leaky anus (fecal soiling or incontinence), which can irritate your skin. Yeast infections Treatment for an itchy anus usually first focuses on establishing good anal hygiene. Thoroughly clean your anus after pooping, dry the area and apply nonmedicated talcum powder.It is generally considered to be the most effective treatment for anal fissures, with more than 9 out of 10 of people experiencing good long-term results. However, it does carry a small risk of complications.