I had the fissure after deliver a baby. I was suffering trying to fo #2 without bleeding. After using vaseline and steroid cream for a week, i decided to give this a try. It heals anal fissure sooo well (within 3 days)!!!! I starts to apply to the area every time I use the bathroom until I stopped bleeding or feeling itchy. To have the best result, i recommend to use it with vaseline (before using bathroom) and take a stool softener before bed every night. The tube is bigger than I thought and totally worth the money!