Internal Hemorrhoids and Anal Fissures: Infection Risks During Menstruation - Surgery

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Internal hemorrhoids and anal fissures?


Hello, doctor; with internal hemorrhoids and anal fissures, if I only apply medication for treatment, will the anal fissure wound become infected when I have my menstrual period?

Xin Xin, 30~39 year old female. Ask Date: 2016/08/09

Dr. Ke Fangxu reply Surgery


No.

Reply Date: 2016/08/09

More Info


When it comes to understanding the risks of infection associated with internal hemorrhoids and anal fissures during menstruation, it's important to consider several factors. Internal hemorrhoids and anal fissures are common conditions that can cause discomfort and bleeding, particularly during bowel movements. The presence of menstrual blood can introduce additional considerations regarding hygiene and infection risk.

Firstly, menstruation itself does not inherently increase the risk of infection in the context of anal fissures or hemorrhoids. However, menstrual blood can create a moist environment that may facilitate the growth of bacteria if proper hygiene is not maintained. If a person has an anal fissure, the area around the anus may be more susceptible to irritation and infection, especially if there is any contact with menstrual blood or if the individual is not practicing good hygiene.

To minimize the risk of infection during menstruation, it is crucial to maintain proper hygiene. This includes:
1. Regular Cleaning: After using the bathroom, it is essential to clean the anal area gently but thoroughly. Using mild soap and water can help remove any menstrual blood and prevent bacterial growth. Avoid harsh soaps or scrubbing too vigorously, as this can further irritate the fissure.

2. Use of Pads vs. Tampons: Some individuals may prefer using pads during menstruation, especially if they have anal fissures, as pads can be less irritating than tampons. However, if tampons are used, it is important to change them regularly to maintain cleanliness.

3. Avoiding Irritants: During menstruation, it's advisable to avoid scented products or wipes that may irritate the sensitive skin around the anus. Opt for unscented, hypoallergenic products to reduce the risk of irritation.

4. Monitoring Symptoms: If there are signs of infection, such as increased pain, swelling, redness, or discharge from the fissure, it is important to seek medical attention. An infection can complicate the healing process of an anal fissure and may require treatment.

5. Consulting a Healthcare Provider: If you have concerns about the healing of your anal fissure during menstruation or if you notice any unusual symptoms, consulting a healthcare provider is advisable. They can provide personalized advice and treatment options based on your specific situation.

Regarding the concern about the risk of infection from menstrual blood, it is important to note that while menstrual blood can carry bacteria, the risk of developing an infection in the context of an anal fissure is generally low if proper hygiene is maintained. The body's immune system also plays a crucial role in preventing infections, and healthy individuals typically have effective defenses against pathogens.

In summary, while the presence of menstrual blood can introduce some risk factors, maintaining good hygiene practices is key to preventing infection during menstruation, especially for individuals with anal fissures or hemorrhoids. If any complications arise, seeking medical advice is always the best course of action.

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