I found your website a god send when I developed an AF after the birth of my first child this year. I had an agonising 6 week period that culminated in me seeing a surgeon (who found I actually had 2 AF's!), presenting at A&E/urgent doctor appts in agony and being prescribed very high dose of opiate painkillers that were just too strong that I couldn't tolerate them anyway. I was feeling desperate.. but then it suddenly improved due to the following factors:
I think my risk factors were a family history of anal fissures and my own long history of constipation & haemarroids.
Anyhow after using stopping breastfeeding my fissure dramatically improved within days and after about 1 week I no longer had the pain after going to the toilet. Since then I have been fissure free for 6 months and I try to stick to a healthy diet but ensure that I still use the KY jelly before going so I never risk the trauma to that area again.
Not sure whether my story adds anything that isn't already on your website. However, I do believe stopping breast feeding was essential to my recovery at that time. Obviously it was not the answer I wanted and I was incredibly upset to stop BUT I could not continue to function with that level of daily pain so I felt I had no choice.
Thanks for keeping up such a great website!