Gynecological diseases, especially a history of gynecological vaginal inflammation and pelvic inflammatory disease, usually do not cause localized anal suffocation. If there are organic gynecological lesions, especially local vaginal and pelvic tumor compression, the anal canal and rectum, which are in close proximity to the local gynecological adnexa, will be compressed and involved to a certain extent, resulting in swelling and downward movement. Further examination of gynecological ultrasound, gynecological finger diagnosis and anal finger diagnosis is needed to make a clear diagnosis. If the swelling is caused by a gynecological tumor, the gynecological tumor should be removed first. If the anal swelling is not caused by gynecological diseases but by inflammatory or organic lesions in the anus, anti-inflammatory treatment with carbomer gel can be chosen for anal plugs, and if necessary, the mucosa needs to be removed to relieve the patient’s compression symptoms.