Do anal fissures require surgery

I am a year-old woman with mild to moderate constipation and a resulting anal fissure. I have noticed slight bleeding and painful stools for the past four weeks. Will self-care options take care of this or is surgery the only option? Would a pregnancy a few months after surgery complicate healing? Surgery is not the only option to treat an anal fissure.
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Variety of Treatment Strategies for Anal Fissure

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Anal fissure - Diagnosis and treatment - Mayo Clinic

An anal fissure is a small tear or ulcer open sore in your skin around the opening of your anus. There are several different types of procedures available, including injections with botulinum toxin, removal of the fissure excision or fissurectomy and sphincterotomy. Your doctor will discuss with you which one is right for you. Anal fissures are often associated with having hard, painful bowel movements.
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Anal Fissure

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NCBI Bookshelf. Munich: Zuckschwerdt; Jonas and J. Authors M. An anal fissure is a linear tear in the skin of the distal anal canal below the dentate line.
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