For a couple of years, I had wanted to begin strength training. I read your books to give me the impetus. They worked. I joined a local YMCA and got the expected and some unexpected results. For about two years before that, I was suffering (and I don't use that term lightly) from hemorrhoids. I tried everything: creams, hydrocortisone, increasing fiber, all which produced temporary relief if any at all. My doctor said that short of surgery, there wasn't any way of getting rid of them.

What a fascinating letter! I discussed your report with one of my Tufts colleagues that is a gastroenterologist. Neither of us has heard about this possible benefit of strength training - and we know of no research evidence on "Preparation S." But there could be a connection. Doctors sometimes recommend the Kegel exercises to relieve hemorrhoids, since it's helpful to strengthen the muscles of the anus that hold veins in their proper place. Though the exercises of the Strong Women program don't specifically address this part of the body, strength training does produce biochemical changes that affect all the muscles - that's why physically fit people are less likely to suffer from constipation than their sedentary peers. And I suspect it's the reason that some women get relief from minor stress incontinence once they become stronger. It's also possible that you're benefiting indirectly from improved diet or increased physical activity. These are changes that people often make - sometimes without realizing it - when they start strength training.

My advice is to keep up your strength training program. Since you know you're vulnerable to hemorrhoids, be especially careful to breathe as you do the lifts. Holding your breath increases pressure in your abdomen, which can exacerbate hemorrhoids. The easiest way to make sure you breathe properly is to count out loud as you lift. While I won't claim credit for curing your hemorrhoids, I'm delighted that you've found this unexpected relief. May it continue!