![]() ![]() The root cause is often a condition known as anal fissures - even if your proctologist can’t pinpoint it. ![]() I’ve seen this narrative play out over and over, and seen many gay and bisexual men and women (cis and trans) who feared they might never again enjoy receiving anal sex. By this time, you’re likely to have become frustrated and depressed, fearing you may have to throw in the towel and (heaven forbid) live the rest of your life as a top. This cycle can go around and around, with second and third opinions offering you as little long-term relief as the last doctor. If you do have a recurrence of the symptoms you may be sent to a proctologist, only to discover that these specialists too often lack sensitivity to LGBTQ issues, ask for only limited sexual history, and perform a superficial physical examination.Īfter this inadequate evaluation, the proctologist may follow your primary physician’s lead and offer what I call an “I don’t know but use this cream” diagnosis. They may perform a physical exam and prescribe a topical cream, but sometimes that’s not enough. Unfortunately, not all primary care physicians are well versed in anal health. If you do develop irritation, pain, or bleeding, or find that you are no longer experiencing pleasure, you should talk to a doctor. Bottoming in anal sex can be immensely pleasurable - until it isn’t. ![]()
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