Sometimes I experience rectal pain after sex. What could be the cause of this?

This painful experience can have multiple sources of origin. The following suggestions are simply possibilities we believe may be the cause of this rectal pain and are not meant in any way to be an official medical diagnosis. During the excitement phase of the sexual response cycle, the penis becomes erect due to an increase in blood flow to the genital area (this process of engorgement is called vasocongestion). When the penis is fully erect but does not progress through the phases of sexual response (stopping sexual relations prior to emission and ejaculation), the increase blood supply is still present and can lead to pain in the genital area. Medically known as temporary fluid congestion, this ailment causes a mild cramp-like ache in the prostate and swelling and tenderness of the testes. The rectal pain might be physiologically linked to the prostate ache; if this is the case, we suggest masturbating (perhaps alone versus mutual masturbation with a partner) to ejaculation when ejaculation does not occur in a person’s sexual encounters with their partner.

Another possible explanation for rectal pain could be hemorrhoids. Hemorrhoids are swollen veins in the rectal canal and are classified by two sub-categories: external hemorrhoids and internal hemorrhoids. Veins that are swollen within the anal canal lead to internal hemorrhoids, while veins that swell near the opening of the anus characterize external hemorrhoids. People can experience both types at the same time or individually and are characterized by similar symptoms. These symptoms include: bleeding during bowel movements, itching, and rectal pain. The swollen anal veins of internal hemorrhoids might be the cause of that pain. Walking can create extra pressure on the swollen veins, causing mild to extreme pain. The symptoms associated with hemorrhoids might become more intense after sexual encounters due to the excess fluid congestion and pressure in the area. Hemorrhoids can be easily treated with over-the-counter creams and medications.