Features

Why my (kooko) hemorrhoid shrinks after sex: A physiological perspective

Published

2 months ago

March 17, 2025

Hemorrhoids, commonly referred to as piles, are swollen veins in the lower rectum and anus that cause discomfort, itching, pain, and sometimes bleeding. They can be triggered by factors such as chronic constipation, prolonged sitting, straining during bowel movements, and poor diet. Interestingly, some individuals have reported a peculiar phenomenon: their hemorrhoids shrink immediately after sex and ejaculation. This observation has sparked curiosity and a need to explore the physiological mechanisms behind it.

In this article, I delve into the potential reasons behind the temporary shrinkage of hemorrhoids following sexual activity and ejaculation, examining the roles of circulation, hormonal release, muscle contraction, and stress relief.

Understanding hemorrhoids

Before exploring the connection, it is essential to understand how hemorrhoids form. Hemorrhoids develop when the veins in the lower rectum become swollen due to increased pressure. This can occur due to:

• Straining during bowel movements

• Sitting for prolonged periods

• Obesity

• Chronic constipation or diarrhea

• Pregnancy

• Poor dietary habits (low fiber intake)

Hemorrhoids are classified into internal and external types. Internal hemorrhoids develop inside the rectum and are usually painless but may cause bleeding. External hemorrhoids form under the skin around the anus and can be painful and itchy.

The role of blood circulation in hemorrhoids

One of the primary factors contributing to hemorrhoidal swelling is poor blood circulation in the rectal veins. When blood pools in these veins, it leads to inflammation and swelling. Any activity that promotes proper blood circulation can potentially reduce hemorrhoidal congestion, leading to a temporary shrinkage of the swollen veins.

Physiological effects of sex and ejaculation on hemorrhoids

Several mechanisms might explain why hemorrhoids shrink after sexual activity and ejaculation:

1. Redistribution of blood flow

During sexual arousal and orgasm, blood flow is redirected to different parts of the body, particularly the genitals, brain, and muscles. This redistribution may temporarily reduce congestion in the rectal veins, leading to a decrease in hemorrhoid size. Additionally, the increased heart rate and improved circulation during sexual activity may help clear excess blood pooled in hemorrhoidal veins.

2. Hormonal influence: The role of oxytocin and endorphins

Sex and orgasm trigger the release of hormones such as oxytocin and endorphins. These hormones have multiple beneficial effects:

• Oxytocin, often called the “love hormone,” has vasodilatory (blood vessel-widening) properties that improve blood flow and reduce vascular congestion.

• Endorphins, the body’s natural painkillers, help reduce inflammation and provide pain relief, which may alleviate the discomfort associated with hemorrhoids.

• Dopamine and serotonin, other neurochemicals released post-ejaculation, contribute to relaxation and stress reduction, factors that indirectly aid in hemorrhoidal shrinkage.

3. Pelvic floor muscle contraction and relaxation

Ejaculation involves rhythmic contractions of the pelvic floor muscles. These contractions may assist in improving blood flow and reducing pressure in the rectal veins, leading to a temporary reduction in hemorrhoid size. Additionally, sex-related physical activity engages the lower abdominal muscles, which may help promote better circulation in the pelvic region.

4. Stress reduction and relaxation

Chronic stress and tension can exacerbate hemorrhoidal symptoms by contributing to increased muscle tightness, inflammation, and poor digestion. Sex and orgasm induce a deep state of relaxation, lowering stress hormones like cortisol. Reduced stress levels may improve digestive health, leading to softer stools and less straining, which ultimately benefits hemorrhoidal health.

5. Temporary decongestion of veins

Ejaculation may act as a short-term venous decongestant. The rapid fluid expulsion and muscle contractions might create a temporary shift in venous pressure, leading to less swelling in the rectal veins. This could explain why some individuals experience immediate relief after sex.

Why the shrinking effect is temporary

Although the physiological effects of sex and ejaculation provide temporary relief, they do not cure hemorrhoids. The underlying causes, such as poor diet, prolonged sitting, or straining, remain unaddressed. Over time, if these contributing factors persist, hemorrhoidal swelling will likely return. Therefore, it is essential to adopt lifestyle changes to prevent recurring symptoms.

Long-term solutions for hemorrhoid management

While the temporary relief experienced after sex may be intriguing, it is crucial to implement long-term strategies to manage and prevent hemorrhoids. Here are some evidence-based approaches:

1. Increase fiber intake

A high-fiber diet promotes soft stools and prevents constipation, reducing strain during bowel movements. Foods rich in fiber include:

• Fruits and vegetables

• Whole grains

• Legumes (beans, lentils)

• Nuts and seeds

2. Stay hydrated

Drinking adequate water (at least 8 glasses per day) helps maintain soft stools and reduces the risk of constipation.

3. Avoid prolonged sitting

Sitting for extended periods, especially on hard surfaces, increases pressure on the rectal veins. Taking breaks to stand and move around can help alleviate this pressure.

4. Exercise Regularly

Physical activity, such as walking, swimming, or yoga, improves circulation and prevents excessive pressure on the rectal veins.

5. Practice proper toilet habits

• Avoid straining during bowel movements.

• Do not sit on the toilet for prolonged periods.

• Use a stool or squat position to ease bowel movements naturally.

6. Use topical treatments

Natural remedies such as witch hazel, aloe vera, and coconut oil can help soothe inflamed hemorrhoids. Over-the-counter creams containing hydrocortisone may also provide relief.

7. Consider medical interventions if necessary

For severe or persistent hemorrhoids, medical treatments such as rubber band ligation, sclerotherapy, or hemorrhoidectomy may be required.

Conclusion

The temporary shrinkage of hemorrhoids following sex and ejaculation is an interesting physiological response likely driven by improved circulation, hormonal changes, muscle contractions, and stress relief. While this effect provides short-term comfort, it is not a cure. To effectively manage hemorrhoids, one must adopt a holistic approach that includes dietary changes, proper hydration, exercise, and good toilet habits.

For those experiencing chronic or severe hemorrhoidal symptoms, consulting a healthcare professional is advisable to explore the best treatment options. Understanding how the body responds to different stimuli, including sexual activity, can offer insights into managing common health conditions in a natural and informed manner.

The author is a Professor of Naturopathy, a Lawyer(Gambia Bar), and a Chartered Health Economist. e-mail: professor40naturopathy@gmail.com

BY PROF. RAPHAEL NYARKOTEY OBU

Features

Carcinoma: A comprehensive overview of the disease

Published

6 days ago

May 3, 2025

Net News Ghana

Carcinoma is a type of cancer that originates in epithelial cells, which are the cells that form the lining of organs and glands.

It is the most common type of cancer, accounting for approximately 90 per cent of all cancer cases. Carcinoma can occur in various parts of the body, including the skin, lungs, breast, colon, and prostate.

Types of Carcinoma

There are several subtypes of carcinoma, each with distinct characteristics and prognoses. Some of the most common types of carcinoma include:

1. Squamous cell carcinoma: This type of carcinoma originates in the squamous cells, which are the flat, thin cells that form the lining of organs and glands.

2 : This type of carcinoma originates in the glandular cells, which are the cells that form the lining of glands and organs.

3. Basal cell carcinoma: This type of carcinoma originates in the basal cells, which are the cells that form the lining of the skin and other organs.

4. Transitional cell carcinoma: This type of carcinoma originates in the transitional cells, which are the cells that form the lining of the bladder, ureters, and renal pelvis.

Causes and risk factors

The exact causes of carcinoma are not fully understood, but several risk factors have been identified. These include:

1. Genetic mutations: Carcinoma can be caused by genetic mutations, which can be inherited or acquired.

2. Environmental factors: Exposure to environmental carcinogens, such as tobacco smoke, radiation, and certain chemicals, can increase the risk of developing carcinoma.

3. Age: The risk of developing carcinoma increases with age.

4. Family history: A family history of carcinoma can increase an individual’s risk of developing the disease.

Symptoms and diagnosis

The symptoms of carcinoma can vary depending on the location and type of cancer. Common symptoms include:

1. Unexplained weight loss

2. Fatigue

3. Pain

4. Changes in bowel or bladder habits

5. Unusual bleeding or discharge

Carcinoma is typically diagnosed using a combination of imaging tests, such as X-rays, CT scans, and MRI scans, and biopsy, which involves removing a sample of tissue for examination under a microscope.

Treatment Options

The treatment options for carcinoma depend on the type, location, and stage of the cancer. Common treatment options include:

1. Surgery: Surgery is often used to remove the cancerous tumor and surrounding tissue.

2. Chemotherapy: Chemotherapy involves using medications to kill cancer cells.

3. Radiation therapy: Radiation therapy involves using high-energy rays to kill cancer cells.

4. Targeted therapy: Targeted therapy involves using medications that target specific molecules involved in cancer growth and progression.

Prevention and early detection

Preventing carcinoma involves avoiding known risk factors, such as tobacco smoke and environmental carcinogens, and getting regular cancer screenings. Early detection of carcinoma can significantly improve treatment outcomes.

Conclusion

Carcinoma is a complex and multifaceted disease that requires a comprehensive approach to diagnosis, treatment, and prevention. By understanding the causes, risk factors, symptoms, and treatment options for carcinoma, individuals can take steps to reduce their risk of developing the disease and improve their chances of successful treatment.

References:

1. “Carcinoma” by the American Cancer Society

2. “Carcinoma: A Review of the Literature” by the National Cancer Institute

3. “Carcinoma: Diagnosis, Treatment, and Prevention” by the World Health Organization

Features

Carcinoma: A comprehensive overview of the disease

Published

6 days ago

May 3, 2025

Net News Ghana

Carcinoma is a type of cancer that originates in epithelial cells, which are the cells that form the lining of organs and glands.

Types of Carcinoma

There are several subtypes of carcinoma, each with distinct characteristics and prognoses. Some of the most common types of carcinoma include:

1. Squamous cell carcinoma: This type of carcinoma originates in the squamous cells, which are the flat, thin cells that form the lining of organs and glands.

2 : This type of carcinoma originates in the glandular cells, which are the cells that form the lining of glands and organs.

3. Basal cell carcinoma: This type of carcinoma originates in the basal cells, which are the cells that form the lining of the skin and other organs.

4. Transitional cell carcinoma: This type of carcinoma originates in the transitional cells, which are the cells that form the lining of the bladder, ureters, and renal pelvis.

Causes and risk factors

The exact causes of carcinoma are not fully understood, but several risk factors have been identified. These include:

1. Genetic mutations: Carcinoma can be caused by genetic mutations, which can be inherited or acquired.

2. Environmental factors: Exposure to environmental carcinogens, such as tobacco smoke, radiation, and certain chemicals, can increase the risk of developing carcinoma.

3. Age: The risk of developing carcinoma increases with age.

4. Family history: A family history of carcinoma can increase an individual’s risk of developing the disease.

Symptoms and diagnosis

The symptoms of carcinoma can vary depending on the location and type of cancer. Common symptoms include:

1. Unexplained weight loss

2. Fatigue

3. Pain

4. Changes in bowel or bladder habits

5. Unusual bleeding or discharge

Treatment Options

The treatment options for carcinoma depend on the type, location, and stage of the cancer. Common treatment options include:

1. Surgery: Surgery is often used to remove the cancerous tumor and surrounding tissue.

2. Chemotherapy: Chemotherapy involves using medications to kill cancer cells.

3. Radiation therapy: Radiation therapy involves using high-energy rays to kill cancer cells.

4. Targeted therapy: Targeted therapy involves using medications that target specific molecules involved in cancer growth and progression.

Prevention and early detection

Conclusion

References:

1. “Carcinoma” by the American Cancer Society

2. “Carcinoma: A Review of the Literature” by the National Cancer Institute

3. “Carcinoma: Diagnosis, Treatment, and Prevention” by the World Health Organization

By Rober Ekow Grimmond-Thompson

Features

A focus on Mrs Adjoa Brewu, the first Ghanaian migrant to be elected in Finland

Published

2 weeks ago

April 26, 2025

Net News Ghana

I continue with my narration of personalities and their accomplishments as members of the Ghanaian Diaspora in Finland, with a focus on Mrs Adjoa Brewu.

Mrs Brewu won in the Municipal elections in Finland four years ago. She is the daughter of the late Sir Wilberforce Essandor, the versatile elder in the Ghanaian community in Finland, who died in Finland in 2021.

Accomplishments and honours

It is important to recount accomplishments as part of the success stories of the personalities of Ghanaian descent in Finland to highlight their exploits both within the Ghanaian migrant community and in the wider Finnish society.

Mrs Brewu was the first Ghanaian migrant to be elected as a Deputy Councillor in the Finnish elections in 2021. Recently, another Ghanaian migrant, Lukumanu Iddrissu, has become the first Ghanaian to be elected as a Councillor in this month’s (April 2025) elections. This feat thus goes a step further. I hope to do a write-up on his story in due course.

Even so, in terms of the achievement of being elected in elections in Finland, Mrs Brewu is arguably a trailblaser within the Ghanaian migrant community. She however did not stand in this April 2025 elections.

Education and employment exploits

In Ghana, Mrs Brewu went to Fijai Senior High (then Secondary School) in Takoradi, and graduated from the Central University with a Bachelor of Sciences in Business Management and Administration, Human Resources Management (from 2000 to 2004). She then did national service in one of the banks in Ghana.

After that, Mrs Brewu came to Finland in 2007 and did a Master’s degree in Economics, obtaining an MSc Econs with International Management as her major.

She learned the Finnish language and undertook an internship position at the HR Department of the Espoo City Central Administration.

Mrs Brewu later worked at the Education sector of Espoo City and also at the Finnish Elementary Education Unit as an Assistant in the Language and Culture department, which is in charge of the placement of foreign students arriving in Finland as well as native language training for those who speak Finnish as a second language.

From there, she became the Coordinator of multicultural affairs in the Youth and Sports unit at Espoo City as part of integrating immigrants and helping them to actively participate in the Finnish society. In what can be seen as a two-way affair, she helped to introduce the Finnish culture to immigrants (foreigners) while introducing immigrants’ original cultures to the Finnish audience.

Political interests and achievements

Mrs Brewu was long harbouring the desire to enter into politics in Finland but did not give it any strong thoughts until around 2017. As she told me, in 2017 someone contacted her to stand in the Finnish Municipal elections. She obliged and stood, but she lost in that elections.

She stood again in 2021, encouraged by her father, Mr Essandor. She won this time around and became a Deputy Councillor. The victory was unique and hard won on the ticket of the relatively small and conservative Christian Democrats Party (Suomen Kristillidemokraattinen Puolue, KD).

The victory was also a huge consolation not just to herself and family, but also to the entire Ghanaian migrant community as her father, Mr Essandor, a Patron of the Ghana Union Finland as an association representing Ghanaian immigrants in Finland, had died a few weeks earlier in May that year.

Religious life

Mrs Brewu is a prominent member of the Methodist Church in Finland. She plays an active role in the church as the National Head of the Youth Ministry.

Mrs Brewu also coordinates international work in her local congregation and serves as an interpreter in church events as well as sings in the choir.

Her role in the Ghanaian community

As mentioned earlier, Mrs Brewu is very active in the Ghanaian community. She is almost always seen in events organised by the Ghana Union Finland, the non-governmental organisation for the Ghanaian migrant community in Finland.

She is no doubt a role model for many within the Ghanaian migrant community in Finland, especially the young ones. She has passion for empowering young people of immigrant descent and promoting the integration of adult immigrants through work.

Mrs Brewu lives in Espoo, a part of the larger Helsinki Metropolitan area, with her husband and children.

In conclusion, I would say Mrs Brewu has succeeded in embossing her name among the firsts in Finnish politics and within the Ghanaian community.

Email: perpetual.crentsil@yahoo. com

By Perpetual Crentsil