“Hemorrhoids,” “fistula,” “fissure” is a common disease of anus and intestines, the incidence of men and women are not low, but because of the special characteristics of women in the anatomical, physiological and psychological aspects of the onset and treatment of the disease. need to be treated with caution. The occurrence of most anorectal diseases is related to the obstruction of blood circulation in the pelvis, rectum and perianal area, local congestion and stasis. Due to women’s special anterior pelvic anatomy, they are prone to long time bending and squatting in the course of life, and there are more chances for the pelvic organs to be compressed and the blood flow to be obstructed, which constantly causes congestion and stasis of the pelvic organs, and affects the blood circulation of the anus. Especially some women in the menstrual period, pregnancy will appear defecation difficulties can make the burden of the anus increased; in the late stages of pregnancy, due to fetal enlargement oppression of the rectum, in addition to defecation difficulties, and at the same time to make the rectal-anal venous blood reflux obstacles, which not only prone to hemorrhoids, and can make the original hemorrhoids further aggravation. In addition, women’s emotional changes than men for the big, easy to affect the vegetative nervous system, causing gastrointestinal dysfunction, indirectly lead to the occurrence of anal and intestinal diseases. For example, when a woman reaches menopause, the muscles of the whole body become flaccid and weak, and the tissues related to anal function, such as sphincter, anus muscle, puborectalis muscle, etc., also become weak, anal function decline, and at the same time, the female menopause often appear endocrine and neurological dysfunction, making people irritable, have a sense of defecation and the feeling of not being able to finish, resulting in the phenomenon of frequent trips to the toilet, but also induced by the anorectal disease factors. Treatment, as a professional anorectal doctor do not simply know what type of anorectal disease the patient has, the same should pay attention to your patient is not a woman. For example, a simple superficial anal fistula, male whether in the anus before and after the direct cut on the line, but if a female patient, the fistula in the anterior anus, you cut, may bring her lifelong pain – fecal incontinence. Because the muscles around the anus are thinner and narrower in women than in men, they must be carefully protected during surgery. I never recommend the minimally invasive hemorrhoid surgery – PPH to female patients, because the spacing between the rectum and vagina is so thin that the formation of a rectovaginal fistula can be a painful experience. One day, if you accidentally suffer from anorectal disease, please generously tell your doctor: “I am a woman, please give me more care, okay?”