This week a concerned reader asks about haemorrhoids and whether he can still have sex.
Dear Jose,
I have just found that I have piles… Great! The problem is I’m the bottom in our relationship. Is it safe to f**k whilst I’ve got these? If I use creams and they go away, is there a possibility they’ll burst – am I more likely to get an infection – if say we have a three way or go to an orgy?
J, 40, Somerset.
Dear J
Anal sex has the potential to inflame pre-existing haemorrhoids (piles), though research shows that it does not cause them in the first place. So long as the piles are not actively bleeding or painful at the time on intercourse then it is probably safe to have sex. If they are bleeding or there is inflammation though this means that the natural protective barrier formed by the skin and mucous membranes is not at its optimum which if exposed to a STI can make transmission more likely.
I would recommend using Preparation H or Germoloids to help control pain and inflammation and to reduce swelling. During sex it is also important that you use a good water based lubricant, particularly during acts of multiple person or high frequency sexual activity as this will reduce the chance of any inflammation being caused. They are very unlikely to burst during normal sexual activity, even in the case of sex parties, threesomes or orgies. If creams etc. though do not fix the underlying problem and I would recommend as a permanent solution surgical intervention.
This can now be done almost painlessly by syringing the haemorrhoids and a referral can be obtained by going to see your GP. There are also a number of private clinics undertaking the therapy which do not require GP referral.
Jose Perez de la Cruz, BPubHtlth,
Public Health Practitioner
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