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