3:44 pm - 07/08/2011

Pain in anus during menstruation

Hi VP! I usually experience sharp aches in my anus when I'm menstruating, that last for a couple of seconds at a time. Occasionally they're so bad that if I get one while walking I have to stop and hold onto something for a while until it goes away. The pain feels as though it continues a little bit into my rectum, as well as the sphincter.

I'm not really worried about it because it's been happening since I started having periods; I'm just interested to know why it happens. Is it anything to do with having a retroverted uterus?
strong_delicate 8th-Jul-2011 02:55 pm (UTC)
OMG. I get these to! I've always wondered what caused these assumed it was just really deep cramps or something.
velkoria 8th-Jul-2011 03:03 pm (UTC)
I get this too =) I never worried about it though since I usually get diarrhea too (lovely period times) but I guess I wanted to comment telling you you are not alone!
fleurlur 8th-Jul-2011 03:10 pm (UTC)
I get it too! And it would make bowel movements incredibly painful/near impossible if I hadn't taken ibuprofen 30 minutes beforehand. Luckily this has stopped now I'm on HBC. Instead I get bladder cramps/cystitis type feelings. =/
dearestevermore 8th-Jul-2011 05:25 pm (UTC)
Thisthisthisthis. As soon as I went on HBC, the feeling went away. So weird!
runlotusrun 8th-Jul-2011 03:32 pm (UTC)
I get this too! I all them "fish hooks".. it literally feels like someone is ripping a fish hook from my butt. I was TERRIFIED that this is what labor would feel like- and YUP. My codeword for "ok, I seriously need an epidural NOW" was FISH HOOK. Good times ; )
cinematicstars 8th-Jul-2011 03:35 pm (UTC)
Actually, my boyfriend and I discussed this. He and I get that near same feeling, but more towards the spine, at random; with no rhyme or reason. It feels like a taking a sword from the backside diagonally to the spine and up the back and feels like that for only two to three seconds. I always wondered what it was...
hotcement 8th-Jul-2011 03:48 pm (UTC)
i get this sometimes, but usually it's straight up IN my vagina. i just always thought it was really deep cramps, as someone else commented.
spoofed 8th-Jul-2011 03:57 pm (UTC)
I get those. I also sometimes get them after orgasm, I jus assumed it was something to do with the muscles round there contracting.
stitches1187 8th-Jul-2011 04:28 pm (UTC)
I get this too, accompanied with painful bowel movements (its great being a girl sometimes). If it's not endo or some kind of a cyst then it has to do with all the muscle contraction down there
katflace 8th-Jul-2011 04:46 pm (UTC)
I get these sometimes. I figured it was probably down to my body being a little confused on which precise muscles needed to contract...
elephantus45 8th-Jul-2011 04:51 pm (UTC)
I get those too, but I don't have a retroverted uterus.
blewoutthestars 8th-Jul-2011 05:48 pm (UTC)
I get these too, though not only when I'm on my period. From Dr Google, the most likely thing I've found is a condition called 'proctalgia fugax'. Taken from http://www.embarrassingproblems.com/problem/anal-pain:

"Proctalgia fugax is a severe, cramp-like pain, deep in the anal canal. It usually lasts for a few seconds or minutes, but can sometimes last for up to half an hour. Between attacks there is no pain at all. Most sufferers have only 5 or 6 attacks a year. You may feel a need to defecate urgently, but nothing happens. It may even make you feel dizzy, or give you a headache. It occurs in both men and women. The pain often wakes sufferers at night, and men may have an erection at the same time. Some men experience it after sex. It is a mysterious condition; no one knows what causes it, but it is probably a spasm of the rectal or pelvic floor muscles and does not mean that you have anything seriously wrong. There are various methods of relieving the pain.
•Try putting pressure on the perineum (the area between the back passage and the vagina or base of the penis) by sitting on the edge of your bath or on a tennis ball.
•Sit in hot water or, alternatively, apply some ice.
•Two paracetamol tablets and a hot drink may give some relief.
The problem with medications for proctalgia fugax is that the episode is likely to be over before the drugs become active, but medication might be worth trying if your attacks last a long time. The usual treatment is the asthma drug salbutamol, inhaled from a puffer at the start of the attack (Gastroenterology 2006;130:1510–8). This is only available on prescription, for which you would need to see your doctor."


I've seen it described in various places as being a 'stabbing' and 'knife-like' pain too. And I wouldn't be surprised if it could be linked to menstrual cramps either. I'm obviously not a doctor, but this is the only condition I've found that seems to describe my experiences!
queensugar 8th-Jul-2011 06:56 pm (UTC)
Just chiming in on the "I get this too" camp. I have yet to understand why it happens, and it seems to rarely happen anymore (it's started going away in recent years), though it used to be pretty reliable on cycle days one and two. Stabby stabby! It's quite normal for sure -- I don't have a retroverted uterus.
paraxeni 9th-Jul-2011 09:13 pm (UTC)
It's our lovely friends the prostaglandin brigade. Some people are lucky and the prostaglandin surge only makes their uterine muscle contract, but for those who are sensitive to them, or who send out too many, all the muscles in the pelvis contract. That's why NSAIDs can be so helpful, because many of them block prostaglandin activity.
garedeuropa 10th-Jul-2011 11:22 am (UTC)
Oo, informative. Thank you!
archangelbeth 8th-Jul-2011 09:31 pm (UTC)
Pain during menstruation could be an endometriosis symptom... or it could just be that the hormones that make your uterus contract (and sometimes cramp), to ditch the uterine lining, are affecting your intestinal muscles as well for more than just giving you a bit of "gotta go." At least, from the timing, that's what I'd suspect.
hoofgirl 8th-Jul-2011 11:22 pm (UTC)
From all the comments above, it sounds pretty common. To throw in my two cents, I have a retroverted uterus AND endometriosis, and I definitely get these pains. They are worse when I am bleeding and cramping heavily, but pop up at other times as well. Nothing says professional like squirming from buttpain at the conference table!
rosehustle1 9th-Jul-2011 12:37 am (UTC)
I have that sometimes on my period when I go to the bathroom. I'm not sure what it is but I have only noticed it the last four years. I kind of wonder if it's a sign of endometriosis.
crazyprotein 9th-Jul-2011 03:21 am (UTC)
when my cramps are really strong, it's just everywhere in that area
including anus. so bad.
my uterus is absolutely average though.
garedeuropa 10th-Jul-2011 11:22 am (UTC)
Thanks a lot, everyone! Reassuring to know I'm not the only one, even if the cause is uncertain.
fireaphid 12th-Jul-2011 02:21 am (UTC)
Based on descriptions of cervical pain in the menstrual_cups and iud_divas communities, I'm pretty convinced that's what that pain is (unless you have endometriosis or a retroverted uterus, in which case there are other likely causes of pain in that region). As paraxeni said, prostaglandins can make areas near the uterus cramp, and the cervix is located really close to the rectum, so it's hard to isolate pain in one from pain in the other.

Out of curiosity, do you use tampons or a cup? This topic comes up in relation to cups because those with low cervices often find that cervical cramping is triggered by something touching the cervix, which only occurs when they're using tampons or a cup that are too high up.
garedeuropa 12th-Jul-2011 09:44 am (UTC)
I do have a retroverted uterus, so that may be part of the reason.

I use pads. I've never used tampons because I don't like the idea of them. I tried a cup, but trying to insert it hurts, so I've stuck with the pads. (I'm looking for good reusable ones so I don't have to keep buying disposables.)
fireaphid 12th-Jul-2011 05:24 pm (UTC)
Ah, well, there's a cloth_pads community here on LJ that you might find useful if you're getting into reusables: http://cloth-pads.livejournal.com/. (-: And if you want to give your cup another try, there's a community of cup gurus who might be able to troubleshoot your problem: http://menstrual-cups.livejournal.com/.
xlajge RE:23rd-Sep-2012 07:00 am (UTC)
Что-то у меня личные сообщения не отправляются, ошибка.... Подробнее...
Camille Robinson 20th-Jan-2013 01:45 am (UTC)
I get this whenever I have a period, as well as a week or two before one starts. I call it 'painus', Pain + anus. I think it is proctalgia fugax. It makes sense and I do feel better after I've had a glass of water. Apparently it has something to do with dehydration.
jenza57 From a long time sufferer19th-Mar-2013 03:48 am (UTC)
I first got this pain when I was pregnant with my first baby 28 years ago. I passed out the pain was so excrutiating. I went to the doctors and was referred to a specialist and had heaps of tests but no problems. They called it Proctalgia Fugax which the Doc said basically meant ' pain in the bum but we don't know why'. After my second baby I had an Anal Fissure and my paediatrician told me to use Haemorroidal Suppositries to repair it which I did.
When I got my next rectal pain I was desperate to try anything because the pain was so intense, so I inserted a suppository. Guess what?. it helped relieve the pain. Since then I have always carried these in my bag and if I feel the pain coming on I get to a toilet and insert one and either the full on pain doesn't eventuate or it is definitely less in intensity and length. Usually the pain happens at night but I am so in tune to it now I wake up as it starts to build up and can usually stop it in it's tracks. I am now 56 and the pain still happens but not as often...I still get my period and I feel the hormones are a definite link.
I sincerely hope this helps anyone out there who suffers with this pain as it is quite nasty.


Edited at 2013-03-19 03:49 am (UTC)
sotobow 5th-May-2014 08:50 pm (UTC)
I get this too, but only during my periods. It happens on the first day, sometimes on the second and very rarely on the third, then it's gone for another month. It's often linked to pelvic cramps I get (the pelvic cramps seem to just extend to my rectum). I can always move around and do things (not debilitating), but it can be very painful and uncomfortable. It also makes passing gas and stools really difficult (sometimes impossible).

I've found that what helps me is to take an ibuprofen once every four hours (or whatever the bottle says) while I have it, and to eat very lightly the days it happens. That combination makes it almost unnoticeable. Often I only eat broth-based soups, juices, and maybe a couple light snacks. Water is fine.

Hope that helps anyone.
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