However, the perianal area is also vulnerable to injury, so it should be treated with care. Rough sex play and even excessive straining when using the toilet can cause tearing. If tearing occurs, it’s best to wait for the tears to heal before resuming anal play.
Several diseases and other medical complaints can also impact the perianal area. These include hemorrhoids, abscesses, fistulas and Crohn’s disease. You should see a doctor if you experience any kind of pain, itching, or swelling in the perianal area. Your doctor will give you a physical exam, which may include a rectal exam, before making a diagnosis. Seeing a doctor early should make treating the problem easier.