How to Heal Anal Fissures and Hemorrhoids? Try Bottoming, Experts Say

This story originally appeared on Out.If your anal fissures and hemorrhoids make your butt cheeks clench every time you so much as think about having sex, you may be missing out on an unusual cure. When over-the-counter creams, prescription compounds, and anal Botox (also called HoleTox) aren’t enough, your doctor could give you a strange prescription: Go home and have sex.People suffering from anal fissures and hemorrhoids may opt out of bottoming for fear that they’ll make the problem worse, but according to anal health experts, being a bottom could actually help.This treatment option has a lot of benefits, but it can also be risky if done incorrectly, which is why Out talked to medical experts who know how to heal your tush by having amazing sex.Can you heal anal fissures and hemorrhoids by bottoming?Recommending bottoming as a treatment option would likely surprise a doctor who doesn’t work with the queer community, but it can really help certain patients who have gotten anal fissures or hemorrhoids from “pushing too much, constipation, not enough lube, big dick, not enough muscle relaxation," says Dr. Goldstein. Goldstein is a leading anal surgeon and author of Butt Seriously: The Definitive Guide to Anal Health, Pleasure, and Everything In Between, who focuses most of his practice on LGBTQ+ sexual health as well as healing anal fissures and hemorrhoids. Anal fissures are tears in the lining of the anal canal, while hemorrhoids are swollen or enlarged veins in the anus or lower rectum that can be either internal or external. These can often feel like they will never heal, but anal dilation from bottoming can treat the underlying causes and prevent future issues, Goldstein tells Out.“With most assholes, the muscles are too tight,” he says. “We sit all day. We work out with crazy squats. Most people shit incorrectly and spend so much time on the toilet doomscrolling that they create so much pressure in the area. Also, at the gym, we are trained to c