Sex With Emily

What Happens to Your Body During Anal (Surgeon Explains)

Mar 27, 2026
Guest
Dr. Evan Goldstein
Dr. Evan Goldstein, an anal surgeon and sexual-health specialist, breaks down anal health with clinical clarity. He covers a 4–6 week dilating protocol, safe lube and prep choices, and why douching can harm the microbiome. Practical tips on positions, aftercare, hemorrhoids, and when to seek medical help keep the conversation shame-free and useful.
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ADVICE

Four Week Dilator Protocol For Pain-Free Anal

  • Do a 4–6 week dilating protocol before anal sex with a small→medium→large toy set, two sets of 12 in-and-out reps per session, re-lubricating each pass.
  • This builds skin callus and trains the three anal muscles to relax so entry isn't painful or tear-prone.
ADVICE

Use The Right Lube And A Lube Shooter

  • Use lots of lubricant and choose silicone lube for pure anal because it gives the best long-lasting lubricity; use water-based lube with toys to avoid damaging them.
  • Use a lube shooter (syringe) to deliver 360° lubrication internally and empower the receiving partner.
ADVICE

Douse Douching With Small Bulbs And Proper Solution

  • Avoid large-volume water douches or store-bought enemas; they strip protective lining and disrupt the anal microbiome, increasing STI/HIV and injury risk.
  • If douching, use a small bulb and a pH‑balanced solution designed for the anus and douche only when necessary.
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