Do you have an itchy anus without any particular cause? This could be a sign of a sexually transmitted infection (STI).
An itchy anus can be uncomfortable! It’s a common problem and one of the most common causes is sex. Many people may experience itching after having intimate relations with their partner. Itchy anus can also be a sign of a sexually transmitted infection (STI) or sexually transmitted disease (STD). These are infections that are spread primarily through sexual contact. These infections can cause anal itching. It is a common symptom of various STIs, including herpes, gonorrhea, warts, and crabs. However, there are several other causes of anal itching that are not related to sexually transmitted infections. Here are all the causes of anal itching and ways to prevent it.
Do STIs or STDs cause itchy anus?
Several STIs or STDs can cause itching in the anus. Here are some of the causes of STIs that can lead to itching in the rectum, as explained by gynecologist and obstetrician Dr Pooja C Thukral.
1. Anal herpes
It is caused by one of two herpes simplex viruses, according to a study published in the Colon and Rectal Disease Journal, It is transmitted by sexual contact with an infected person. Anal herpes infection leads to skin irritation and tiny blisters in the vaginal and anal areas. The blisters form in clusters and may break open. Symptoms of anal herpes include:
- Itching in the anal area
- Small blisters on the genitals and anus
- Painful urination
- Vaginal discharge
- Discharge from the penis
2. Gonorrhea
Gonorrhea is a sexually transmitted disease caused by infection with the bacteria Neisseria gonorrhoeae. It can be transmitted through almost any sexual contact, including anal intercourse, as found in a study published in the Journal of the American Medical Association.
Common symptoms of gonorrhea include:
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- Rectal bleeding
- Painful stools
- Pain during urination
- Sore throat
- Itching in the genital and anal area.
3. Anal warts
Anal warts are genital warts that can develop inside and outside the anus. It is also known as condyloma acuminata and is caused by the contraction of the human papillomavirus (HPV) during oral, genital or anal sex with a person carrying the virus, according to a study published in the Journal of the American Society of Colon and Rectal Surgeons. They may not cause pain or discomfort at first, but they will eventually grow and become itchy. They can also spread from your anus to surrounding tissues, such as your genitals. Other symptoms of anal warts are:
- Rectal bleeding
- A lump in your anus
4. Pubic lice
According to a study published in the International Journal of Environmental Research and Public Health, pubic lice, or phthirus pubis, are also known as crabs. These are small insects that are spread during sex and can colonize your genitals and, in some cases, your anus, including the hair around these areas. They feed on your blood and reside in your skin, which can be uncomfortable.
Other non-STI causes of anal itching
1. Hemorrhoids
Hemorrhoids are bulging veins in and around the anus produced by increased pressure, a study published in the World Journal of Gastroenterology. Pressure can be caused by childbirth, pregnancy, straining to go to the bathroom, or constipation. These veins can grow into huge masses, leading to anal irritation, stool leaking, and pain.
2. Skin irritation
“Skin irritation is a typical cause of anal itching. The skin surrounding the anus is thin and sensitive. When it becomes irritated, it produces itching and discomfort,” explains the expert.
There are various distinct causes of skin inflammation. Some of the most common causes include:
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- Scented soaps and lotions
- Excessive cleaning of the anus after bowel movements.
- Stools remaining after a bowel movement
- Eczema and psoriasis
3. Anal fissure
An anal fissure is a tear, split, or opening in the anus. It occurs when the skin is stretched beyond its natural capabilities, resulting in damage. Hard stools can lead to anal fissure, a study published in the Journal StatPerles.
Common symptoms include:
- Bloody stools
- Pain during and after bowel movements
- Itchy anus
- Tears or injuries to the anus
Risk factors for anal itching caused by STIs
Risk factors for contracting an STI causing itchy anus, explained by the expert.
1. Sex without a condom: Condoms help protect against the transmission of STIs that can cause anal itching, such as herpes, gonorrhea, and chlamydia.
2. Multiple sexual partners: Having multiple sexual partners increases your chances of coming into contact with someone with an STI.
3. Sex with alcohol or drugs: Being under the influence of alcohol or drugs can impair your judgment and make you more likely to engage in risky sexual behaviors, such as unprotected sex.
How to prevent STIs from causing itchy anus?
Here are some effective ways to prevent STIs from causing itchy anus, as the expert explains.
1. Practice safe sex: This is the most important step. Always use condoms consistently and correctly during vaginal, anal, and oral sex.
2. Maintain good hygiene: Wash your genital and anal area daily with mild soap and lukewarm water. Avoid soaps or harsh showers which can irritate the skin.
3. Wear cotton underwear: Cotton underwear allows for better ventilation and reduces moisture buildup, creating an environment conducive to yeast infections that can also cause itching.
4. Avoid scratching: Scratching can make the itching worse and further irritate the skin. Try applying a cold compress or soothing lotion to the area to get relief.
Home Remedies to Treat Anal Itching Caused by an STI or STD
Here are some simple home remedies to treat itchy anus.
1. Coconut oil
“Coconut oil can calm the skin and heal infections that cause anal irritation. Rub warmed coconut oil into the affected area twice a day to reduce itching and burning. However, make sure to wash the area with clean water afterwards,” says the expert.
2. Aloe vera
According to a study published in the International BioMed Research Journal, aloe vera has anti-inflammatory properties that can facilitate wound healing. When applied to the anus, it can relieve the burning, itching and swelling associated with hemorrhoids. However, more research is needed to prove this claim. Apply fresh aloe vera gel to the affected area twice a day.
3. Ice packs
“Ice or cold compresses can also help relieve discomfort and inflammation around the rectum area. Applying an ice pack while sitting or when the hemorrhoid bursts can help numb the pain and reduce swelling, the expert says.
When to consult a doctor ?
If your anal itches and you think you have an STI, see a doctor. They can perform tests to determine the cause and provide necessary treatment. Early treatment is essential to treat the STI and relieve the itching.
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