You Don’t Need to Come Out to Us.

We know that men have sex with men for many reasons and under many circumstances. Gay men’s primary sexual and romantic relationships are with other men. Some men identify as bisexual or pansexual. Other men may exclusively be in romantic relationships with women while also having sexual experiences with men. Regardless of the social labels, …

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Gay Sexual Medicine

I am often surprised when I am asked if we offer Gay Sexual Medicine (as if who a person has sex with determines sexual function). The short answer is “Yes,” but then I am really uncomfortable with that answer too! We work in Sexual Medicine – Period. Gay, bi, straight, pansexual, asexual, omnisexual, whatever – …

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Pride: It’s About Dignity

At first glance, the LGBTQIA+ Pride celebrations that mark each June appear to be about vanity. While the rainbow flags and feather boas fly, the essence of pride lies a little deeper below the surface. Pride is about dignity. People of gender and sexual minorities need to continue amplifying their voices to obtain the same …

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Bottoming: Positioned for Success

Remember this:  The bottom is in control no matter what the fantasy is or looks like. Any sex position, where the bottom is on top, gives the bottom more control over the speed and angle of penetration.  The most logical position that promotes easy insertion and best chance at early success is the Reverse Cowboy.  …

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Bottoming: Getting to Know Your Bodily Functions

It is impossible to meaningly discuss bottoming without addressing the elephant in the room. That elephant is feces.  If you are somehow too squeamish or offended by the subject then “Good luck to you and it is now time for you to leave.” For anyone interested in learning more, please read on. Getting to know …

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How to Bottom Safely and Enjoyably

For anyone who does not know, the label “Bottom,” refers to a man who participates in passive anal sex.  A “Top” is the active participant.  There are many men who take to bottoming like a duck to water, never have and issue or injury and would not understand what all the fuss is about.  On …

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Pelvic Floor Dysfunction: What is it?

It is always heartbreaking to hear stories of men who have been seeking medical help but have been unable to find treatment. If a patient is suffering from pain, discomfort, and loss of bodily function, they find it extremely disheartening to be told there is nothing wrong with them by their doctor. By the time …

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Pelvic Floor Dysfunction – Who Gets it?

We have all felt “Why me?” at some point in our lives. When it comes to Chronic Pelvic Pain Syndrome (CPPS), this is a very common phrase we hear. The short answer is, “Because you are human.”  Basically, if you have a pelvis, things can go wrong with it. But there are a few common …

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Pelvic Floor Dysfunction in Men Defined

So what exactly is pelvic floor dysfunction, also known as chronic pelvic pain syndrome? This requires a bit of male anatomy education. The pelvic floor is a complicated network of muscles that support our bowels and abdominal organs. These muscles overlap and interact with each other. Nerves and blood vessels wrap around and through these …

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