There was a post about pain during orgasm.
I read about the pelvic floor muscles tightening and causing pain in other areas. Are you really holding yourself tightly down there. I do this myself as kind of an automatic reaction to the pain. I have to consciously relax those muscles as often as I can. This seems to help promote healing as well.
Have you seen a Colon Rectal Surgeon?
They are the best doctors for AFs.
They can give you a topical like nifedipine or nitro to help ease the tension in the sphincter and allow more blood to the area for healing. A good CRS will have options for you.
The most important thing for healing is to soften your BMs. You want your stools to be the consistency of soft serve ice cream. This is achieved with a high fiber diet and lots of water. Many people on the forum also use miralax (POLYETHYLENE GLYCOL (PEG) 3350) as a stool softener, and can be taken over long periods unlike ducalax. But as a word of caution, it doesn't always agree with everyone.
I like to use metamucil twice a day along with a spoonful of olive oil and prune juice with some magnesium at bedtime. (there are other brands other than metamucil that are less gassy, like benefiber and citrucel in the States)
You really need to drink lots of water with hi fiber diets and stool softeners. Otherwise you will make yourself worse off.
Have you looked around the board at all? This place is a treasure trove of past experiences and helpful ideas. I think people here have tried just about everything. But you have to search for it.
Take Care,
Tanya