Sexologist Alexa Andre (@sexwithalexa) gets in bed with Dr. Evan Goldstein, founder of Bespoke Surgical, creator of Future Method, and author of Butt Seriously. They do a deep dive into anal sex, butt health, and everything you've always wanted to ask about your asshole.

Topics Discussed

• Dr. Evan Goldstein's journey from heart surgery to anal surgery
• Coming out and discovering anal health as a medical specialty
• Cosmetic vs. functional anal procedures
• Hemorrhoids, fissures, skin tags, and anal anatomy
• Post-pregnancy anal changes
• Grooming injuries and anal skin concerns
• Confidence and body image around the anus
• Anal bleaching and whether it's worth it
• Perineum "sunning"
• What makes a "healthy" vs. "perfect" asshole
• The truth about anal douching
• Protecting the anal microbiome
• Why over-douching can increase STI and HIV risk
• Future Method and isotonic douching
• Safe products to use in the anus
• Can anal sex make you loose?
• Incontinence myths
• Male vs. female pelvic anatomy
• Anal Botox
• When surgery is necessary
• Dilators for beginners
• Fingering mistakes that cause injuries
• Proper lubrication
• Relaxation techniques for anal penetration
• Understanding the three anal sphincters
• The three "types" of assholes
• Building up to anal safely
• How often bottoms should practice
• Fiber, probiotics, hydration, and digestive health
• Whether everyone needs to douche
• Preparing for occasional anal sex
• The prostate (P-spot)
• The A-spot
• Prostate orgasms
• Common myths surrounding anal sex
• How to reduce injury while maximizing pleasure

Follow Dr. G:Instagram: @drevangoldstein | @bespokesurgical | @thefuturemethod

Website and more: Bespoke Surgical

Follow Alexa Andre:Instagram: @sexwithalexa

Patreon: https://patreon.com/sexwithalexa