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You can see from these pictures quite dramatically how straining can aggravate and cause hemroids. You can tell they appear to be external hemorrhoids, because the hole has nothing poking through and hiding it. The most likely one being genital warts. Another point to consider about using the appearance to diagnose your own condition, is that you can tell from reading the above that there is so much uncertainty about figuring things out that way. Hemroids can come in so many different shapes, forms, colors, that proper diagnose really should be left to the professionals.
But subsequent drinks depress the nervous system and may inhibit orgasm. As people age, alcohol-induced orgasm inhibition becomes increasingly likely. If orgasms are a problem for you, limit yourself to one drink within an hour or so of intercourse.