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So, can anal sex cause hemorrhoids? Since hemorrhoids are natural parts of your anatomy, the short answer is no, anal sex should not cause new hemorrhoids to pop up, says dr. I want to have anal sex again, but both times i was terribly self-conscious. Anal sex is a bit of a taboo subject, despite the fact that its an increasingly popular sexual activity. As more couples explore this type of sex, understanding the risks, rewards, and proper. Having anal sex can increase the risk of bacterial infection, pregnancy, and sexually transmitted infections, and it can worsen hemorrhoids. Oral contact with the anus can put both partners at risk for hepatitis, herpes, hpv, and other infections.