In this episode, I sit down with nationally renowned anal surgeon Dr. Evan Goldstein — founder of Bespoke Surgical and Future Method — for the most honest, shame-free breakdown of anal health and pleasure you're going to find anywhere.
In this episode, you'll learn:
• Why anal sex should never be painful, what's actually causing the pain, and the exact 4-6 week protocol that prepares your body the right way
• The truth about douching, wet wipes, and why most people are unknowingly damaging their anal microbiome before sex even starts
• How to navigate anal with hemorrhoids, skin tags, or past injuries — and what your options actually are when something goes wrong
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Chapters:
0:00 - Intro
1:51 - Meet Dr. Evan Goldstein: Anal Surgeon & Founder of Bespoke Surgical
3:46 - Where Does the Taboo Around Anal Come From?
6:54 - The Three Pillars: How to Prepare, Play & Recover
8:07 - The 4 to 6 Week Dilating Protocol Every Beginner Needs
14:08 - Lube 101: Silicone vs. Water-Based & When to Use Each
15:55 - The Lube Shooter, Empowering the Bottom & Why You Can't Assume Your Partner Knows
16:57 - Douching: Why Water and Store-Bought Enemas Can Do More Harm Than Good
20:33 - Less Is More: Gut Health, Fiber & How to Douche the Right Way
23:27 - Aftercare: What to Do If You Tear or Have Pain
24:19 - Beginner Tips: Positions, Partner Communication & Choosing the Right Size
32:38 - Listener Q&A: Hemorrhoids, Skin Tags & Can You Still Have Anal Sex?
36:43 - Listener Q&A: Colon Surgery, Couples Starting Out & Sex Positions by State
42:14 - Why Wet Wipes Are Wrecking Your Microbiome (Anal and Vaginal)
44:45 - Five Quicky Questions with Dr. Goldstein
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