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Some patients find that a warm not too hot bath helps relax the muscles and ease the pain. Seek immediate medical attention if you experience heavy bleeding or severe pain right after anal sex. Be sure to wash your hands well and scrub under your nails after anal sex, too, especially before inserting first anal pain tears into the vagina or mouth. It's not a sprint, it's a marathon back there. What you need to know about anal cancer Anal cancer is a relatively rare cancer and more first anal pain tears in females than in males. These include botulinum toxin injections such as Botox or other brands into the area around the anus back passage or a surgical procedure called spincterotomy.