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Most people report that hemorrhoids make anal sex uncomfortable or painful, and because a hemorrhoid is literally an enlarged, swollen blood vessel, they can certainly cause anal bleeding after. Though it may be alarming, light spotting immediately after is possible. But if youre experiencing heavier bleeding, it could be a sign. , a colorectal surgeon at cedars-sinai in los angeles, tells self. During anal sex, a person can tear the wall of their partners anus, resulting in anal fissures. If youre having regular anal sex and regular bleeding, dont just brush it off as something that just happens. if you had bleeding after anal sex or you notice sores or lumps around the anus or a discharge coming from it, see your doctor as soon as possible. Question posted by bummed 20070816 b leeding after anal sex. An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. If acute they are painful after defecation, but with chronic fissures, pain intensity often reduces. Anal fissures usually extend from the anal opening and are usually located posteriorly in the midline. I had a pregnancy scare because of how close the anus and the vagina is (although im more convinced now that im not pregnant). Two days ago, a few drops of blood came out after i urinated. Wonderingaboutthis posted my husband and i have been enjoying anal sex 2-3 times a week for about 8 months with no problems. I never experience pain of any kind, only intense pleasure and i even have anal orgasms.