So, can anal sex cause hemorrhoids? Since hemorrhoids are natural parts of your anatomy, the short answer is no, anal sex should not cause new hemorrhoids to pop up, says dr. I want to have anal sex again, but both times i was terribly self-conscious. Zocdoc answers does anal sex cause hemorrhoids? Question. Young man, not overweight with sever internal and external hemorrhoids. Im sorry to hear that you are dealing with this issue! Hemorrhoids are dilated veins either surrounding or inside of the rectum. whenever you have anal sex if you have hemorrhoids or not it is always safer to use condoms and silicone- or water-based lube if you dont know your partners hiv status. For additional info about anal health and sex play, you can check out the related q&as below. The cause of hemorrhoids elevated resting pressure of the anal sphincters. Anal sphincter muscles are the ring of muscles that surrounding the anal opening. They serve to control the end of the gastrointestinal tract, preventing uncontrolled access from any direction they hold the poo in. As with vaginal sex (penis-in-vagina sex), theres a very small risk of leakage and prolapse (when your pelvic muscles weaken and cause organs to slip down) over the course of a lifetime. People who have anal sex can follow a few simple guidelines the anus doesnt make enough lubrication on. Having anal sex can increase the risk of bacterial infection, pregnancy, and sexually transmitted infections, and it can worsen hemorrhoids. Hemorrhoids can come about due to stress in the area, or stress in general even. Constipation and diarrhea are frequent occurrences in such patients, which can cause hemorrhoids. Another risk factor is the use of suppositories and enemas in the case of constipation. anal sex is a bit of a taboo subject, despite the fact that its an increasingly popular sexual activity. As more couples explore this type of sex, understanding the risks, rewards, and proper.