Managing Hemorrhoids During Menstruation: What You Need to Know - Family Medicine

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Menstrual Period and Anal Issues


I recently developed hemorrhoids and consulted a doctor.
I've been applying medication for four days, but my menstrual period has started, and I'm unsure whether I should continue using the medication Yizhi Kang.

Hmm..., 10~19 year old female. Ask Date: 2017/08/06

Dr. Chen Taicheng reply Family Medicine


If you have concerns about using medication during your menstrual period, you may pause its use and resume after your period ends.
Hemorrhoids are a chronic issue, and it may take several weeks of using the medication to achieve complete healing, so a short-term discontinuation is acceptable.
Maintaining a healthy diet, adequate hydration, and good bowel habits are also important.
Wishing you good health, Dr.
Chen Tai-Cheng from Taoyuan Hospital, Family Medicine Department, cares about you.

Reply Date: 2017/08/06

More Info


Managing hemorrhoids during menstruation can be a challenging experience, especially when you are already dealing with the discomfort of menstrual symptoms. Hemorrhoids, which are swollen veins in the lower rectum and anus, can cause pain, itching, and bleeding, and they may be exacerbated by the hormonal changes and physical stress that accompany menstruation.

Firstly, it is essential to understand that the hormonal fluctuations during your menstrual cycle can lead to increased blood flow to the pelvic area, which may aggravate hemorrhoids. Additionally, the physical discomfort associated with menstruation, such as cramping and bloating, can make you more aware of any existing hemorrhoidal symptoms. Therefore, managing both conditions simultaneously is crucial for your comfort.

If you have been prescribed a topical medication, such as Yizhi Kang (益痣康), for your hemorrhoids, it is generally safe to continue using it during your menstrual period unless your healthcare provider advises otherwise. Topical treatments can help reduce inflammation, relieve pain, and promote healing. However, it is essential to maintain good hygiene during menstruation. Ensure that you clean the area gently but thoroughly, as menstrual blood can irritate hemorrhoids further.

Here are some additional tips for managing hemorrhoids during your menstrual cycle:
1. Stay Hydrated: Drink plenty of water to help soften your stool and prevent constipation, which can worsen hemorrhoids. Aim for at least 8-10 glasses of water a day.

2. Increase Fiber Intake: Incorporate more fiber-rich foods into your diet, such as fruits, vegetables, whole grains, and legumes. This can help promote regular bowel movements and reduce straining during defecation.

3. Warm Baths: Taking warm baths can provide relief from hemorrhoidal discomfort. Soaking in warm water for 15-20 minutes can help reduce swelling and alleviate pain.

4. Avoid Straining: When using the bathroom, try not to strain or sit for prolonged periods. If you feel the urge to go, do so promptly to avoid constipation.

5. Use Pads Instead of Tampons: If you find that tampons irritate your hemorrhoids, consider using pads during your menstrual cycle. This can help minimize discomfort.

6. Pain Relief: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help alleviate pain associated with both menstruation and hemorrhoids. However, consult your healthcare provider before taking any new medication.

7. Consult Your Doctor: If your symptoms worsen or if you experience significant bleeding, it is essential to consult your healthcare provider. They can assess your condition and determine if further treatment is necessary.

In summary, managing hemorrhoids during menstruation requires a combination of good hygiene, dietary adjustments, and appropriate use of medications. It is crucial to listen to your body and seek medical advice if you have any concerns about your symptoms. By taking proactive steps, you can help alleviate discomfort and maintain your quality of life during your menstrual cycle.

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