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

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