Hello.

Thank you for your query at DoctorSpring.com.

I understand your concern.

As per your description and pictures, you seem to have anal warts, flesh like lesions at the Anal opening. These are caused by Human paillpma virus and can be transmitted sexually. They can be left alone if they are not causing excessive discomfort. If excessive discomfort is present, you can get them removed surgically. 

In prolapse, some part or whole of the inner layer of the rectum and anal canal will come out which doesn't seem to be your case from the pictures. However, it has to be confirmed by a surgeon after clinical examination. 

It is not advisable to have anal intercourse as it will only worsen the condition. 

I request you to meet a general surgeon, confirm the diagnosis and proceed accordingly. 

Feel free to ask queries.

Wish you good health.

Regards. 

Thanks for choosing doctorspring.com

Regarding diet,you should eat high fiber diet,so that your stools will be soft.If the stools are hard,there is chance of injury to the anal canal.

I prescribe Cream containing Sucralfate and Xylocaine combination for anal pain.If it is available in your area,you can use it.Instead of Vaseline,you can use Xylocaine jelly if the above combination cream is not available.

Hot water should be avoided.You should use warm water and there is no need to use soap.

Regarding usage of toilet paper or wipes,there is no much difference.You can use them as per your comfort levels.

I request you not to use the anus for any other purpose other than passage of stools.Any object can cause injury to the inner layer of the anus causing complications.

Wish you good health

Regards

Hello.

Hormones do not affect the pailloma virus.

In order for me to provide a better and informed opinion about your other query, I would like to know the names of hormones you have taken and the duration of treatment. 

Waiting for your reply, 

Regards.

Hello.

These hormones will decrease libido and may lead to impotence. So, erection may not be possible in many taking those drugs. However, this change is reversible. As you have stopped HRT, the effect of these hormones can be reversed. As you are already getting 50% erection, with positive thinking, you may regain normal erection gradually.

As I mentioned earlier, HRT has no relation to Human papilloma virus.

Hope I have addressed your concern.

Regards.