Dr. Evan Goldstein on issues that can result from bottoming —a physician's perspective.

Everybody is talking about anal sex … but are they really talking about it? During a Smart Sex, Smart Love podcast, Evan Goldstein, DO, a nationally renowned anal surgeon, talks candidly about anal sex, and how to do it successfully and experience a new heightened level of pleasure, while keeping it safe and clean.

He started his surgical practice about 10 years ago focusing on everything anal. Dr. Goldstein is considered the preeminent expert and thought leader in this field, bringing the important issues surrounding sexual health to the forefront for all communities, and eliminating the stigma attached to anal sex.  

Through working with a wide spectrum of individuals, he has learned they want to talk about anal sex but are uncomfortable starting the conversation. 

People don’t understand the positive experience this can be. When they are ready to “talk about ass,” as he says, there are a few most frequently asked questions, such as “isn’t the anus dirty?” Or, “is it safe?” Or, “is one person submissive?” Another question is about toys – “should we use them, will they get stuck, how do I know what size to use …?”

First, it is all about sexual desire; about enjoying your sex life. Anal sex can take you to that next level of pleasure you haven’t experienced before, he finds. 

Second, people just need some education before they attempt anal sex for the first time to make sure the experience is safe, injury-free and fun.

Some simple anatomy lessons will help. So will information about the right toys to use, the right lube to use, the dilating process, how to douche adequately, and how to learn how to relax certain muscles so you can enjoy the experience fully.

Anal sex can, and should be, very sexy, not mechanical.