PAIN IN THE BUTT?

Bottoming in anal sex can be immensely pleasurable—until it isn’t. If you do develop irritation, pain, or bleeding, or find that you are no longer experiencing pleasure, you should talk to a doctor. Unfortunately not all primary care physicians are well versed in anal health. They may perform a physical exam and prescribe a topical cream, but sometimes that’s not enough. 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.

After this inadequate evaluation, the proctologist may follow your primary physician’s lead