Sexologist Alexa Andre (@sexwithalexa) gets in back bed with Dr. Evan Goldstein, founder of Bespoke Surgical, creator of Future Method, and author of Butt Seriously. They discuss anal health, pleasure, preparation, and all the questions people are often too embarrassed to ask.

Topics discussed in this episode:

• Anal pleasure and breaking down taboos and myths
• Exploring anal stimulation for the first time
• The P-spot/prostate and prostate orgasms
• The A-spot and anal pleasure for women
• Topping vs. bottoming
• Why tops should understand anal anatomy
• Anal foreplay and gradual penetration
• The three sphincter muscles
• Breathing, relaxation and communication
• Pain, bleeding and discomfort during anal sex
• Lube and why anal sex differs from vaginal sex
• Penis size, thickness and anatomy
• Mushroom-shaped penises and preparation
• Bad first anal experiences
• Self-exploration and masturbation
• Pressure vs. in-and-out stimulation
• Riding and controlling penetration
• Dilators and gradual anal training
• Anatomy vs. psychological/neurological factors
• Bleeding, tightness and when to seek medical care
• Poop during anal sex
• Shame and anxiety around cleanliness
• Douching and over-douching
• Gut health, fiber and diet
• Prebiotics and probiotics
• Food and how diet can affect anal sex
• Condoms and anal sex
• PrEP and DoxyPEP
• The “toy test” after douching
• Hemorrhoids and what they actually are
• Fissures and skin tags
• Pegging and strap-on play
• Prostate massage and prostate milking
• Edging and gooning
• Anal Botox and pelvic floor physical therapy
• Butt facials
• Butt acne, ingrown hairs and hair removal
• Wet wipes and anal irritation
• Bidets and portable bidets
• Toilet paper vs. water-based cleaning
• Evan's work with Bespoke Surgical and Future Method

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

Website and more: Bespoke Surgical

Follow Alexa Andre:Instagram: @sexwithalexa

Patreon: https://patreon.com/sexwithalexa

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