I'm a gay male who is usually on the receiving end of sex. I recently had some blood/pain when I wiped and had sex and thought I might have had sex that was too rough. I went to the doctor and he found no signs of tears or hemorrhoids. I wast told to use an anti-itch cream, avoid scrubbing in the shower, increase fiber intake and avoid anal sex. After 2 months of following all the advice, the pain/blood is still present (sometimes better than others).

Should my next step be going back to the doctor? I really don't mind going back to the doctor, but I don't want to waste my time if they cant really offer me anything more.