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Following these investigations, your First anal pain tears may decide to send you to a specialist who may investigate further and you may need to undergo some common tests and procedures. A vicious cycle ensues whereby the anal spasm exacerbates the ischemia and prevents the fissure from healing, which in turn sustains the anal spasm to prevent further tearing. The Ultimate Guide to Talking to Your Kids About Sex Experts suggest parents talk to their kids about sex early and often to help children feel more comfortable coming to them first anal pain tears questions or problems. After the first time first anal pain tears two, you and your partner will likely find that the pleasure trumps any initial discomforts. When should you see a doctor? The paralysis that it causes occurs within hours of injection, reaches its peak within a week, and can last between one and three months. Experts believe that, if the pressure gets too much, the inner sphincter might spasm, reducing blood flow, increasing the risk of a fissure.