Butthole Fisting

Butthole Fisting
https://www.thebody.com/article/loose-butthole-myth
Every person who engages in anal sex fears that they will one day possess a bashed and battered asshole, one that’s not as bright and tight as it used to be. I can admit that I was once a part of that camp, fearing that every time I bottomed, I was causing permanent damage to my precious b-hole. But, as is true with most generalizations, you come to realize it’s (mostly) a bunch of BS.
I became particularly invested in this topic after working with a sexual wellness company that launched a service called Text-a-Sexpert, in which a fellow sex educator and myself would answer people’s personal sex questions via text message. Almost instantly, I was taken aback by the volume of folks who wrote me desperate that their holes were—or would soon become—loose as a result of receptive anal intercourse.
As a radical empath who despises sexual shame in any shape or form, I want to wax poetic on the power and resilience of our buttholes. To assist, I’ve enlisted the expertise of not one, but two LGBTQ butt doctors as well as one experienced anal sex advocate, author, and sex shop owner. So let’s dispel some harmful myths and put those fanny-based fears to rest.
People generally measure sphincter-muscle strength in two ways. First, there is the “muscle-strength resting tone,” which gauges the tightness of the muscle while it’s not being used. Second is the “squeeze pressure,” which is the tightness of the muscle when you’re actively squeezing it.
“The anal sphincter is an exceptionally resilient part of the body that is way stronger than it needs to be—for perspective, it’s roughly four times stronger than what’s required to hold stool in,” colorectal surgery PA Jonathan Baker, M.P.A.S., PA, tells TheBody. “Even in people who regularly engage in receptive anal intercourse, the sphincter is typically still much tighter than what’s required.”
This means we can afford to lose a little elasticity in the area. In fact, we may want to. “In people who routinely and recreationally use the anus (i.e., for receptive sex), the sphincter muscle resting tone is reduced, but the squeeze tone remains about the same,” Baker explains. “This reduction in resting tone is helpful because it helps us engage in receptive anal sex without the preparation, slowness, and discomfort of anal sex.”
This reduced sphincter resting tone is also preventative, since an increased tone makes the area more susceptible to injury and fissures, which are tears in the skin that are mighty painful and difficult to heal.
“I often see patients with fissures who aren’t regularly engaging in receptive anal sex, but the patients who frequently engage in receptive anal sex often do not get fissures,” Baker says. “Simply put: Bottoming saves bottoms.”
Rest assured, bottoms: “The fear of permanent damage to your butthole is, for the most part, a myth,” Zoë Ligon, CEO of Spectrum Boutique and author of Carnal Knowledge: Sex Education You Didn’t Get in School , says. “The sphincter is a muscle, and while things can happen to damage muscles (for example, repeated injury from ignoring discomfort and pain, or other conditions that can cause muscles to weaken), there isn’t much to worry about if you’re using lube, taking it slow, and paying attention to the sensations in your body.”
Ligon recommends you regard your sphincter as you do any other muscle in the body. “If you never use your biceps and then work them out a ton in one day, you’re going to potentially damage some tissue and ligaments, but if you pay attention and pace yourself, your muscles will be just fine,” she explains.
To this point, you can—and should—exercise your b-hole, especially if you engage in anal sex. It’s super quick and easy. Insert a butt plug and tighten and strengthen the muscle around it, doing about three sets of 10 reps. Two to three workouts a week is all you need. Squats and other gluteal work can help build muscle in the area as well.
In Baker’s experience, most of his patients who engage in receptive anal sex fear becoming incontinent, meaning they lose the ability to prevent themselves from defecating. “Trauma to the sphincter muscle can cause incontinence, but this isn’t common with people who regularly engage in receptive anal intercourse because their sphincter is more relaxed at rest, and then penetration does not cause trauma,” he explains. “The other causes of incontinence have little to do with the anus as a sexual organ.”
However, Evan Goldstein, D.O.—who is the CEO of the surgical and sexual wellness practice Bespoke Surgical and cofounder of Future Method, a line of science-based wellness products for your booty—is a little more concerned about decreased tightness, describing anal looseness as a “legitimate concern.”
He says many can lose muscular capacity in the area during a single sexual engagement, though the muscle tends to regroup over time. Most who experience a loss of function tend to enjoy exceptionally large toys or penises and/or engage in fisting.
“All of these factors can definitely, in due time, cause the anus to loosen itself beyond repair,” Goldstein says. “Our muscles are normally able to relax to a degree, and it definitely has a maximal capability of opening. If one pushes beyond the boundaries excessively one time or beyond the boundaries over one’s lifetime, it can lead to a loose anus.”
But this is both extreme and rare. Baker has never seen a patient become incontinent from receptive anal sex, even among those who regularly engage in fisting. “I do find that most people who are into fisting are so well educated on the act itself that I don’t see too many for corrective actions,” Goldstein adds.
If you’re interested in more extreme receptive sex, Baker says the most important thing to do is work with someone who’s very experienced, or even hire a coach. “A first fisting encounter should be many hours long and might not even be successful,” he says.
Both Goldstein and Baker agree that over-douching is more likely to cause incontinence than receptive anal intercourse, as in people who chronically over-douche—whether they use too much water or force—it can distend the rectal muscles beyond repair. “I do see a lot of prolapse caused by frequent overcleaning of the anus for sex,” Baker says. “Eventually, that prolapse could cause dysfunction, like incontinence, though I’ve never seen a patient develop incontinence solely from enema use.”
Don’t let fear of a loose hole keep you from experiencing the salacious splendors of butt stuff, if you’re inclined to try. Just be kind to yourself and listen to your body. After all, being better able to take a bigger penis and toy has nothing to do with being loose and everything about being able to relax your muscles. It’s an expertise that takes practice.
“The key is for people to understand their anatomy and their own limitations so that they can engage in safe sexual play without any adverse effects,” Goldstein says. “I also tell people that when you’re engaging with large partners, toys, or fists, you should be actively engaging your pelvic floor and anal muscles to rebuild that muscle and its potential on off-days. It’s so important to maintain a fine balance that allows you to reach your full sexual potential, while maintaining muscle strength.”
Even if you do have a loose hole, serve the dolls some power-bottom realness and wear it like a badge of honor. “The body is constantly changing—and while tightness is often fetishized, it often means pain for the receiver,” Ligon says. “Your hole is beautiful just the way it is, and anyone who says otherwise is unworthy of it.”
Bobby Box is a freelance writer and certified sex educator. He's currently Grindr's sex columnist and his work has been published in Daily Beast, Playboy , Askmen, Elle , NewNowNext, The Advocate , and more.
© 2022 Remedy Health Media, LLC ALL RIGHTS RESERVED

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An anal fissure is a tear in the lining of the anus or anal canal. One sign of an anal fissure is pain during or after a bowel movement. Causes, diagnosis and treatment--including surgery--are discussed.

American Society of Colon and Rectal Surgeons. Anal Fissure. (https://fascrs.org/patients/diseases-and-conditions/a-z/anal-fissure-expanded-information) Accessed 2/22/2019.
American Pediatric Surgical Association. Anal Fissure. (https://www.eapsa.org/parents/conditions/a-e/anal-fissure/) Accessed 2/22/2019.
Sugerman DT. Anal Fissure. JAMA . 2014;311(11):1171. doi:10.1001/jama.2014.214

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An anal fissure is a tear in the lining of the anus or anal canal (the opening through which stool passes out of the body). The fissure can be painful and may bleed.

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Anal fissures can occur in anyone at any age. The chance of having an anal fissure decreases as people get older. People who have had fissures in the past are more likely to have them in the future.
Anal fissures can be caused by trauma to the anus and anal canal. The trauma can be caused by one or more of the following:
Anal fissures are also common in young infants and in women after childbirth.
Signs and symptoms of an anal fissure include:
Usually, your doctor can diagnose an anal fissure by visual inspection of the anus or by gentle exam with the tip of the finger.
The goal of anal fissure treatment is to lower the pressure on the anal canal by making stools soft, and to ease discomfort and bleeding. Conservative treatments are tried first and include one or more of the following:
These practices heal most fissures (80 to 90 percent) within several weeks to several months. However, when treatments fail and anal fissures persist or come back, other measures can be tried, including:
Before surgery is considered, your doctor will re-examine you and may conduct other tests to determine why other treatments have failed to heal the fissure.
A fissure may fail to heal because of scarring or muscle spasms of the internal anal sphincter muscle. Surgery usually consists of making a cut to a small portion of the internal anal sphincter muscle to reduce pain and spasms and allow the fissure to heal. Cutting the muscle rarely results in the loss of ability to control bowel movements.
The surgery can usually be performed on an outpatient basis (the patient goes home the same day). Pain is relieved after a few days and complete healing takes place in a few weeks.
Last reviewed by a Cleveland Clinic medical professional on 02/22/2019.

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Health's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

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Orgasms come in all different varieties. There's the clitoral orgasm, the G-spot orgasm, the cervical orgasm, even something called the core orgasm, or "core-gasm," which some women can experience by using their core muscles during a workout.

But the one type of climax most women don't know about is the anal orgasm. Yep, this actually exists. Yet before you give the idea of a backdoor climax the side-eye, let sex experts explain why this area is a secret erongenous zone—and how stimulating it can deepen your sexual pleasure.

Put simply, an anal O is the result of sexual stimulation of the nerves in and around the anus. “The anus is [packed] with nerves, especially the incredibly erogenous pudendal nerve—which connects to the clitoris," Megwyn White, director of education at online sex toy retailer Satisfyer, tells Health . The pudendal nerve carries sensation to and from your perineum, reaching your vagina, vulva, and anus, too.

What does this kind of orgasm feel like? Andrea Barrica, founder of the sexual education website O.school, tells Health that some women describe it as being similar to a clitoral orgasm—a pulse of pleasurable contractions, but this time around the anal sphincter. Others may feel more of a "spreading wave" of pleasure.

Some women may hit this high note during pentrative anal sex with their partner's penis, while others get there via lighter touching or using toys. Like any other kind of orgasm, there's no "right" way to do it, and every woman has her own technique depending on what feels good for her body and her own comfort level.

That said, the way to get started is to experiment. “Pleasurable anal play can happen with an anal vibrator, plug or beads, a penis or dildo, finger play, annulingus, really anything,” Alicia Sinclair, certified sex educator and CEO of b-Vibe, tells Health .

Like any kind of sex session, you'll want to get things going with ample amounts of foreplay, such as touching, kissing, and vaginal and clitoral stimulation. From there, ease into it. Says Sinclair: “Take it slow, use your hands, help your partner relax, and make sure you’re both comfortable.”

Once you're relaxed and ready, begin with a tongue or finger to gently stimulate the area of the anus. “When you’re aroused, try to ease one finger or tip of a plug inside,” suggests White. The muscles will open up naturally so the plug or finger can go inside. If you have to force it, you're not ready.

From there, you can try something bigger—a plug, strap-on dildo, or penis, for example. “If the plug or finger easily slide in and out of the anus without discomfort, you may want to move into penetrative sex,” says White. If you opt for a toy, Sinclair suggests one that is slightly longer than your finger, no wider than two fingers, non-textured, and made of a flexible material.

As you get more into it, your anal area may start feeling super pleasurable sensations, even a buildup of pressure that segues into contraction-like waves. If what you experience isn't quite the release you usual feel when you orgasm, it should still feel good.

If you're experiencing amazing sensations but you're not quite reaching climax but you keep trying, take a deep breath—and take the idea of having an orgasm off the table. “Pressure, stress, and anxiety are the biggest blockers of orgasm,” says Barrica. Try staying in the moment when you explore the sensations of anal play. As with any kind of orgasm, don’t let the end game become the whole game.

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My roommate is a gay man who is into getting fisted. A lot. We were FWBs until he moved into my place, at which point we agreed it would be better for us to not have sex anymore. It’s worked out fine, and he’s been here for a year. Here’s the problem: About two years ago, he got into fisting and he has someone over every night to fist him. As soon as he comes home from work, he spends a good hour in the bathroom cleaning out, and then some guy comes over to fist him. Every single day. My roommate is a very attractive guy who doesn’t think he’s attractive at all. I’ve talked to him a few times about whether he’s being sexually compulsive, but he just laughs and says, “Well, you suck a lot of dick.” (I have a healthy but moderate sex life.) I am concerned that all this ass play is not healthy. As a friend, I want him to seek help for his sexual compulsion, his low self-esteem, and his social isolation. As a roommate, I am tired of all these strange men coming into my home and the high water bill. Frequent Insertions Sincerely Trouble Someone
“Fisting is a healthy and safe sexual activity so long as the participants are sober ,” said Dr. Peter Shalit, a physician and author who works with many gay men. “There is a misconception that fisting damages the anal sphincter, loosens it, and causes a loss of bowel control over time. This is absolutely false.”
Devin Franco, a gay porn star who’s been getting fisted on a weekly basis for many years, backs up Dr. Shalit. “People who are only used to vanilla intercourse are sometimes shocked,” said Franco. “People will leave comments on my videos asking if I was in pain, even though I’m clearly always enjoying it. Fisting is actually the most pleasurable sexual act I’ve ever experienced—and seven years in, no negative health consequences and everything down there works just fine, thanks.”
But exactly how does that work? How does someone like Franco get a fist and/or a ridiculously large sex toy in his butt?
“A skilled fisting bottom can voluntarily relax the anal sphincter in order to accommodate a hand up to the wrist or further,” explained Dr. Shalit. “A skilled fisting top knows how to insert their hand—it’s actually fingertips first, not a clenched fist—and how to do it gently, taking their time, and using lots of lube. And, again, after the session is over, the sphincter returns to its normal state.”
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Which is not to say that people haven’t injured themselves or others engaging in anal play with large sex toys, fists, or even perfectly average cocks—people most certainly have. That’s why it’s crucial to take things slow, use lots of lube, and go at it sober.
“Fisting isn’t for everyone,” said Dr. Shalit. “In fact, most people are unable to relax their sphincter in this fashion.”
But to figure out whether fisting is for you—to determine whether you’re one of those people who can relax their sphincter—first you gotta wanna, and then you gotta try.
“It actually took about two years for me,” said Franco. “That’s from the first time I did anal play thinking, ‘Maybe I can get his whole fist in there,’ to the first time I actually got a fist in my ass. Two years.”
And while fisting isn’t for everyone, FISTS, like Dr. Shalit said, it’s very clearly for your roommate. But enjoying the hell out of a particular sexual activity—even one that seems extreme to those who don’t enjoy it—isn’t by itself evidence of low self-esteem or sexual compulsion.
“If FISTS thinks his roommate has low self-esteem,” said Dr. Shalit, “he’s done the right thing by telling him he should seek help. But that’s the end of his responsibility. Whether or not his roommate seeks help is up to his roommate. And it’s hard for me to agree that his roommate is being sexually compulsive based on what’s in the letter. Many men have sex every day, and the roommate’s sex life doesn’t seem to have any negative consequences except that FISTS doesn’t like it.”
While Franco also doesn’t think getting fisted daily is proof that your roommate is out of control, fisting isn’t something he does every day. “Doing it daily sounds exhausting ,” he said. “The act requires a lot of physical exertion. I personally need a little recovery tim
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