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Can you have intercourse with hemorrhoids?

Posted on July 02, 2025

If you've been living with internal hemorrhoids, you may already be dealing with painful, disruptive symptoms. And that may be impacting several areas of your life, including your intimate relationships. So, if you're wondering, can you have intercourse with hemorrhoids, here's what you need to know.

couple on bed in intimate embrace

What are hemorrhoids?

Hemorrhoids (or piles) are just enlarged veins in or around your rectum or anus. When they form inside the rectum, they are considered internal hemorrhoids, and when they form outside of it, they are called external hemorrhoids.

Sometimes, the walls of these vessels stretch very thin, causing bulging and irritation in the veins. When that happens to internal hemorrhoids, they may start to protrude outside of your rectum. As such, we classify internal hemorrhoids according to their degree of protrusion from the rectum. You'll be diagnosed with:

  • Grade 1 hemorrhoids
    are typically small, and not visible or palpable. While unlikely to cause discomfort, they may cause bleeding when you pass a bowel movement. Often, this grade of hemorrhoid will resolve on its own, or with the help of over-the-counter products.
  • Grade 2 hemorrhoids
    are larger, and may pop out of the anus when you pass a bowel movement, returning on their own afterward. Symptoms can include pain, itching and bleeding.
  • Grade 3 hemorrhoids
    are internal vessels that bulge outside your anal canal, and will not return unless you reposition them manually. They are also symptomatic and can interfere with your quality of life. They may still respond to non-surgical treatment options such as Hemorrhoid Artery Embolization (HAE).
  • Grade 4 hemorrhoids
    are the most severe. The bulging vessels will stay outside the anal canal, even if you manually reposition them, and your symptoms are likely to be severe. This grade of hemorrhoid often requires surgical treatment.

Can you have intercourse with hemorrhoids?

With more severe hemorrhoids, intercourse (either vaginal or anal) may be painful. (Note that anal intercourse can contribute to hemorrhoids, as was the case for Bravo TV star Scheana Shay.) Now, while this may prevent you from experiencing penetration, that doesn't mean you'll have to avoid intimacy altogether. Instead, you and your partner may need to find other ways to express your intimate connection. Then, once you relieve your discomfort with hemorrhoid treatment, you can return to your former sexual connections, following your recovery period.

Hemorrhoid Treatment in Texas

Here at Texas Endoascular, we treat grade two and three internal hemorrhoids with Hemorrhoid Artery Embolization (HAE), a non-surgical procedure that relieves your symptoms with a fast recovery, a reduced risk for side effects and minimal discomfort following your procedure.

Wondering if you can have intercourse with hemorrhoids despite your pain, itching and bleeding? You may be able to connect with penetration without treatment. But you're more likely to enjoy intercourse and the rest of your daily activities after seeking treatment. Ready to begin your recovery journey? Click here to request an appointment with our hemorrhoid experts in Texas, and come see us at one of our seven locations in the greater Houston and Dallas regions.