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However, a study in the American Journal of Gastroenterology looked at the sexual behavior of 4, adults. Does this mean that people with hemorrhoids can't have anal sex? Continue Reading. Understanding the symptoms of common STDs can help people notice any changes in their bodies, so that they can identify the signs and get the right…. Hemorrhoids are can you get piles from anal sex of blood vessels inside and outside of the rectum that can cause itching, slight bleeding, and sometimes pain. Questions sent to this address may be reproduced in this column, both in print and online, and may be edited for clarity and content.