Comfort during intimacy, addressed by a surgeon, in Seattle, Washington
Anal Botox
Botox injected to relax the anal sphincter reduces tension, spasm, and pain, easing discomfort during receptive intercourse, including tightness that developed after childbirth. Also known as anal Botox, it's administered here by a colorectal surgeon, not a general aesthetics provider.

Your privacy is important Ask about discrete scheduling
Prefer not to share the waiting area with other patients?
Ask about scheduling extended time or an appointment window built around your privacy needs. We are glad to accommodate it.
Ask about scheduling extended time or an appointment window built around your privacy needs. We are glad to accommodate it.
What it actually feels like
- The area is numbed with topical or local anesthetic before injection.
- Most patients describe brief pressure during the injections themselves, with little to no downtime afterward.


What it costs
Coverage depends on how the treatment is being used. When Botox is used to treat sphincter spasm or a fissure, it is frequently covered as a medical treatment. When the goal is comfort and intimacy without an underlying medical diagnosis, it is typically self-pay. Your consultation clarifies which applies to you, and pricing is confirmed before treatment.

Performed by Dr. Kratz, in our Seattle office
Injections are performed personally by Dr. Kratz, in our Seattle office. Because he is a colorectal surgeon, he is positioned to identify and treat an underlying medical cause, such as a fissure, in the same visit if one is present.

What a visit involves
The appointment itself is brief. Effects typically build over several days and are temporary, which is discussed in detail at your consultation along with expected duration and any follow-up treatment.

Common questions
Does it hurt?
Is this the same as what's used for fissures?
How long does it last?
Is my visit confidential?


Two uses, one surgeon
If pain or spasm is part of what brought you in, it's worth reviewing our anal fissure page as well, since the same treatment addresses both.
You don't have to explain why it matters. It matters to you, and that is enough.
Call or text for a private consultation and a clear, honest plan.