Hello, and I hope I can help you today.
First of all, I want to reassure you that there is no way your symptoms are due to damage from your episodes of previous anal sex. You may have had some swelling and abrasions at the time if you experienced bleeding, but if you have been able to defecate normally since without bleeding, your anus has healed from those episodes.
Your symptoms right now are actually very consistent with hemorrhoids. Hemorrhoids are dilated veins within the tissue surrounding the anus and in the
rectum, and they are more common in people with
varicose veins because they are actually dilated veins in the perirectal area. This is what gives the puffy bluish appearance to the anal opening that you describe. Hemorrhoids also cause itching after defecation, so that is another reason why I believe that is your diagnosis.
To reduce the swelling and itching, there are a few remedies you can try.
First, ice applied to the area for 20 minutes (an ice cube wrapped in a thin towel) a few times a day can help to reduce the swelling.
Secondly, over-the-counter 1%
hydrocortisone ointment applied with toilet tissue after defecating will help to control the itching
Thirdly, it is important that you clean your anal area well after defecation but use non-irritating cloths like unscented baby wipes that are moist so they do not scratch the area, or apply petroleum jelly to your toilet tissue when wiping to moisturize the area.
To prevent symptoms from the hemorrhoids from recurring, it is important to have soft,
regular bowel movements and prevent
constipation. Making sure you drink enough water, eating high-fiber foods like fruit and vegetables, and taking stool softeners (docusate sodium that can be bought over-the-counter) can all keep your bowel movements easier to pass, so you will not strain as much when you defecate.
So in summary, your symptoms are very typical of hemorrhoids and likely will go away if you follow these simple treatments.
I hope I was able to adequately answer your question today and that this information was reassuring.
Best wishes,
Dr. Brown