While we are on this topic. Another problem that can occur through straining and constipation is a prolapsed rectum. It's when the muscles can no longer keep the rectum inside and in place where it belongs. I found out the hard way when I was going through many different illness at one time.
Two weeks of antibiotics while hospitalized and another 3 weeks of IV antibiotics at home caused the constipation and then the rectum problem.
So please ladies be careful never let something like that go on for too long.
Mary