We’ve already taught you the basics of bottoming from the perspective of a gay anal surgeon and a gay adult film star, but now it’s time to dive deeper into your favorite sex act.
Best case scenario: bottoming is easy, pain-free, and feels amazing. But since life isn’t fair, and sometimes you slip up and forget to use enough lube, or it turns out your hookup wasn’t lying when he said he was 10 inches, you may need to know how to treat and prevent conditions like hemorrhoids and anal fissures.
And since the state of sex ed in this country is abysmally bad, you may not know how to safely make your butt look fabulous, how to douche correctly, or how to take care of your hole after bottoming. That’s where our anal health experts come in.
Below, you’ll find everything you need to know about almost every condition that could be caused by bottoming, plus tips and tricks for looking your best and making it feel even better.
How to make your peach look perfect

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Before you even open Grindr, you may want to make sure you have a pristine peach. Butt facials and anal bleaching are gaining popularity among men who are looking to improve their backside.
A butt facial is exactly what it sounds like: a facial for your bum. It may sound like a gimmick, but it can help improve the look and feel of your skin and address things like acne or keratosis pilaris.
If you want to take it one step further and make sure your hole looks perfect, anal bleaching is the way to go. The cosmetic procedure may sound intimidating, but experts say it can be safe and effective when done by an experienced professional. This is definitely one of those “don’t try this at home” procedures, so find a reputable clinic or aesthetic nurse instead of buying a do-it-yourself kit online.
Learn more about butt facials here.
Learn more about anal bleaching here.
HoleTox
You’ve probably heard of getting Botox injected into your face to prevent wrinkles, but did you know that it can also be used to make bottoming easier and less painful?
With HoleTox (a.k.a. anal Botox), neuromodulators like Botox, Dysport, Jeuveau, and Xeomin are injected into the anal sphincter muscles, allowing them to relax. This reduces or eliminates the initial sting of being entered, can relax the muscles during anal sex, and can improve anal fissures or spasms that make bottoming painful for some people.
Learn more about HoleTox here.
Bottoming prep

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Fiber and a good diet can go a long way toward making sure you’re always ready for anal sex, but some people only feel comfortable bottoming after they’ve cleaned themselves out by douching.
Over-douching by doing it too frequently, with too much force, or with irritating products will do more harm to your hole than good. But if you want to be pristine before bottoming, there is a right and wrong way to do it. And if you’ve already over-douched, don’t fret because the experts know how to fix your butt and get you back to bottoming in no time.
Learn more about anal sex prep and douching correctly here.
Hemmorhoids
Hemorrhoids are one of the most common issues bottoms face, so knowing how to treat and prevent them is important if you love receptive anal intercourse.
Hemorrhoids are swollen or enlarged veins in the anus or lower rectum that can be either internal or external, and are accompanied by blood, itching or irritation around the anus, pain, tenderness, swelling, and possibly a sensitive lump near the opening of the anus. But luckily, there are ways to prevent them from happening in the first place and plenty of treatment options — including giving your anal canal a break, prescription creams, or surgery — that can help them heal so you can get back to bottoming.
Learn how to treat and prevent hemorrhoids here.
Anal fissures

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Bottoming can be the height of pleasure if done right or incredibly painful if done wrong. If you take on a larger partner without warming up first or don’t use enough lube, you may end up with an anal fissure, often caused by receptive anal intercourse.
An anal fissure is a tear in the lining of the anal canal and is usually accompanied by sharp or burning pain during bowel movements and bright red blood. They tend to be trickier to heal than hemorrhoids but doctors who are experienced in treating anal fissures in gay men say that with the correct treatments or surgical procedures and an aftercare plan that includes dilation, you’ll be able to bottom pain-free again.
Learn more about how to treat and prevent anal fissures here.
And learn how bottoming itself can be a hemorrhoid or anal fissure treatment option here.
Anal fistulas
An anal fistula is an infected wound inside the anus that becomes an abnormal tunnel connecting the anal canal to the skin outside the anus, and you can unintentionally cause one to start by irritating the tissue during sex or by inflaming the anal glands through over-douching or using the wrong products.
But fear not, because while this condition sounds scary, there are different surgical interventions for fistulas, and if you pick a doctor who understands queer sex, they’ll be able to help you get back to bottoming after you heal.
Learn more about how to treat and prevent anal fistulas here.
Rectal prolapse

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If you get a rectal prolapse — sometimes colloquially called an anal prolapse or a “rosebud” — you’ll know it because the final portion of the large intestine, or rectum, begins to protrude through your anus as the rectum’s connective tissue weakens. This is more often caused by childbirth or disability, but can also be the result of fisting, the frequent use of large toys, over-douching, or even aggressive blooming (a.k.a. anal gaping).
While the painful condition sounds scary, it can be improved or cured with pelvic floor therapy, targeted strengthening exercises, better bowel habits, or surgery for more severe cases.
Learn more about how to treat and prevent rectal prolapse here.
Bottoming pain
Anodyspareunia (a.k.a. bottoming pain) is a reality for some people who bottom. Whether caused by physical ailments, neurological issues, or psychological factors, recurrent or persistent anal pain during anal intercourse or penetrative anal play can keep you from having the kind of sex you crave.
But according to experts, your best bet for getting back to painless bottoming is focusing on relaxation, lubrication, and communication during sex, and getting pelvic floor therapy, physical therapy, and seeing a psychologist.
Learn more about how to treat and prevent bottoming pain here.
How to bottom with IBS

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Being a bottom with IBS (Irritable Bowel Syndrome) means that anal sex can be more complicated — and potentially messy — without some tips and tricks from anal health experts.
The chronic condition of the stomach and intestines is incredibly common, but the way it can impact your sex life is rarely addressed, which is a shame. Not only can you plan bottoming around your flare-ups, but there are dietary and lifestyle changes you can make to manage your symptoms, and techniques you can use in the bedroom to keep your sex life fun and fulfilling.
Learn more about bottoming with IBS here.
Anal aftercare
There are plenty of ways to make bottoming more comfortable and pleasurable, but what you do after sex is over is also important.
Anal aftercare should become part of your post-sex routine so that both you and your sex partner are doing everything you can to take care of your hole and make sure your body is ready for the next round.
Learn more about anal aftercare here.
How to bottom for a hot wicker man
Black Bear PicturesOnce you’ve mastered how to prep for anal sex, how to bottom without causing painful medical conditions, and everything you need to know about anal aftercare, it’s time to move into the big leagues. And by big leagues, we mean having sex with Alexander Skarsgård if he was made out of wicker.
Will the dilemma of whether or not to bottom for a wicker man come up in your everyday life? Probably not, but it can’t hurt to be prepared. You know, just in case.
Learn more information about bottoming for a wicker dick here.













