While treating the patients of piles fissure and fistula we come to know that females are more affected or sufferer of piles fissure and fistula. women are backbone of society in india. More workload is bear by women. While taking care of society and family always ignore her on health indigestion eating remain foods, Not attending to natural urges like urination and defecation on time. Females have to suffer in three ways due to this problem. Firstly they have to suffer from physical pain and itching of piles. Secondly, they have to face social embarrassment related to their problem. And lastly, if the condition is left untreated, it can lead to other health problems later in life. On the other hand, males also have piles but at a far less rate as compared to females. This is because there is less workloads are borne by them. Males do not feel embarrassed by this problem. But still, it is better for males not to ignore this problem. If ignored, it can cause serious health problems like cancer of colon and rectum. All these things leads to blockage in small intestine of fecal matter which in turn leads to Formation of Piles. Therefore women are most vulnerable for this disease. What Causes Piles? There are three main reasons which lead to formation of piles. The first reason is straining during bowel movement which may be caused due to constipation or may be due to some physical injury to anus. In case of constipation, our body try to retain water and waste products which in turn causes swelling of tissues. This swelling obstructs the opening of the rectum and prevents normal evacuation of faeces and urine from happening. And this eventually leads to piles. Secondly, there may be a mechanical problem in the anal canal. Due to passing of hard stool , or initial stool is hard causes injury at anal verge. Causes the problem fissure in ano. It is painfull disease.   Dr. Sarita patil is one of the best surgeon for piles in India. She has performed more than 10, 000+ surgeries for piles and Fissure. Her hospital is located at kasarwadi, old pune mumbai road, near nashik Phata, Pimpri Chinchwad Pune. She can be contacted on 9403223306or by visiting www.vithaipileshospital.com