Some other questions for you who feel this fullness/congestion. Does it come and go, or does it stay more or less the same? Mine started almost 2 years ago. That was when I was first aware of this irritating feeling of having something in my butt... If I would go to the toilet nothing or very little would come out (I hope that it's not TMI...). I think that I pushed myself to internal hemmoroidhs at that time, because I was later diagnosed with having some "remains" of that. I also get some irritation at the opening on-and-off. It feels like small tears/fissures, but nothing of that sort was found by the two doctors that looked at me. My problems are sometimes almost nonexistent these days, but many days I have some problem with it. When I think about how bad it was at times, I must say that I have much improved. Also, does anybody feel this general fullness in the whole area after a BM? Sometimes I can actually feel pressure in my vagina too, and that seems so weird... Now I'm about a week away from my period (I believe) and I do think that my symptoms are worsening a little, which I guess would make sense if it had to do with progesterone...?