The Gay UK November 2015 Issue 16 | Page 100

ADVICESEXUAL Anal sex has the potential to inflame preexisting haemorrhoids (piles), though research shows that it does not cause them in the first place. So long as the piles are not actively bleeding or painful at the time on intercourse then it is probably safe to have sex. If they are bleeding or there is inflammation though this means that the natural protective barrier formed by the skin and mucous membranes is not at its optimum which if exposed to a STI can make transmission more likely. I would recommend using Preparation H or Germoloids to help control pain and inflammation and to reduce swelling. During sex it is also important that you use a good water based lubricant, particularly during acts of multiple person or high frequency sexual activity as this will reduce the chance of any inflammation being caused. They are very unlikely to burst during normal sexual activity, even in the case of sex parties, threesomes or orgies. If creams etc. though do not fix the underlying problem and I would recommend as a permanent solution surgical intervention. This can now be done almost painlessly by syringing the haemorrhoids and a referral can be obtained by going to see your GP. There are also a number of  private clinics undertaking the therapy which do not require GP referral. THE SEX CLINIC I have just found that I have piles... Great! The problem is I'm the bottom in our relationship. Is it safe to f**k whilst I've got these? If I use creams and they go away, is there a possibility they'll burst - am I more likely to get an infection - if say we have a three way or go to an orgy? Got a sexual health question? Visit our special microsite at www.sex.thegayuk.com Jose Perez de la Cruz, BPubHtlth, Public Health Practitioner THIS PAGE SHOULD NOT TAKE THE PLACE OF A VISIT TO YOUR GP, A&E OR A SEXUAL HEALTH CLINIC. INFORMATION PRINTED HERE IS FOR EXAMPLE ONLY. IF CONCERNED FOR YOUR HEALTH MAKE AN APPOINTMENT AS SOON AS POSSIBLE. 100 THEGAYUK | ISSUE 16 | NOV 2015