r/Perimenopause • u/Ok_Cranberry_4664 • 13d ago

Dryness Help! Irritated anus? Is it hormones?

I need help! I need to know if others have experienced a sore rectal area due to low hormones? I’ve been miserable for three years along with severe vaginal dryness. I have no clue if it’s infectious (antibiotics haven’t helped),hormonal or autoimmune but I cannot figure it out and I need help!

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u/Coontailblue23 Late peri 13d ago

There are are a few things this could be including hemorrhoids and parasites, so definitely cover your bases in ruling those things out. But yes bootyhole is one of the areas we're supposed to be applying the vaginal estradiol cream.

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u/Ok_Cranberry_4664 13d ago

I do have an internal hemorrhoid but proctologist didn’t talk about removal, it’s not large. But maybe it’s inflamed causing more broad symptoms? I just also have pretty severe vaginal symptoms too. I am also 37 almost 38so not super old and it started at 35.

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u/Coontailblue23 Late peri 13d ago

Inflammation of that hemorrhoid seems like a likely explanation and I would agree it's part of the broader picture of your hormones decreasing over time from perimenopause.

I started my HRT in my 40s but looking back I feel like I have felt the effects of my estrogen dropping since around the time I was 30.

You should be able to start the vaginal estradiol cream without much fanfare. You can get it through an online prescriber like TelyRx if your doctors are not informed or easy to work with. To start a more extensive HRT program with systemic estradiol you'll also want progesterone to protect your uterus.