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How to Tighten a Loose Anus & Gain Sphincter Strength

April 05, 2018 by Dr. Evan Goldstein

Can An Anus Become Loose?

I spend a lot of time educating my clients on the right way to begin engaging as a bottom, but after years of anal play, something else many bottoms are concerned with is the possibility of loosening up their sphincters too much. So this begs the question: is this a legit concern and, if so, what steps can be taken to prevent a loose anus?

Unfortunately, a loose anus is a real possibility, especially if people push their sphincter’s boundaries of relaxation. Most of the people who experience a loss of function tend to like bigger 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.

What Causes a Loose Anus?

Being able to open up to receive a toy or penis is a skill that has nothing to do with increased distensibility or how most describe as having a “loose anus” and instead, has everything to do with mind over matter and anal sphincter control. Honing into this skill set – being able to control the reflex – and modulate to the degree of maximal pleasure is a true art and takes practice. However, when someone engages in fisting and/or any excessive dilation, this is when someone opens themselves up (no pun intended) to the possibility of a loose anus. This is because one can stretch the muscles beyond recoil, causing damage. 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. Also of note, specifically within the LGBTQ+ community, enema use and/or distention from long-term cleansing can also cause “looseness”. If one actually needs any cleansing at all, the intent should be: less distention and more gentle irrigation.

Basic Symptoms

All of the ramifications depend on the degree of elasticity. It can range from decreased sensation during anal intercourse/play for you and your partner to more extreme symptoms, like gas or fecal incontinence and/or a sensation that one’s insides are prolapsing. The goal is to understand all of the issues surrounding the increased elasticity, with prevention and/or regular monitoring to improve outcomes.

Prevention, Recovery, and Sphincter Strengthening

With that said, when I recommend that my clients use butt plugs to assist relaxation while preparing to bottom, the opposite can be done as well. In other words, you should use butt plugs to tighten and strengthen the muscle around the plug, just like you would at the gym working out your biceps. This is a key component to retaining a tight anus. A few times a week of contraction work will go a long way when it comes to muscle preservation. Proper techniques and muscle hypertrophy with these tips should set you straight (but don’t worry – not that straight!). In addition, gluteal work with squats and kettle bells can set up muscular growth and/or stability to maintain a tight anus.

When Is it Time to See a Doctor?

As mentioned, though, sometimes using a butt plug simply isn’t enough. Which leads us to the next question: at what point is it time for someone to go see a doctor? And what type of expertise should the doctor have in order to be able to provide the best remedy for a loose anus?

If you have tried all of the above without improvement, seeing a physician with extensive knowledge on anal intercourse with all of its ins and outs is imperative. The intricacies of the science of bottoming is quite vast and since we only have one asshole, correct initial management is a must. It all starts with an appropriate and detailed non-biased sexual history. During a full external and internal evaluation, a lot of information can be obtained, assessing for whether or not there is a functional abnormality, like hemorrhoids, skin tags, or muscular laxity leading to the lack of coaptation. Full muscle evaluation in both a relaxed and contracted state provides more useful information, especially functional. With all of this, one can understand form, function, and the aesthetic issues surrounding a loose anus, with planning appropriate corrective actions. The mainstay is medical optimization, plus or minus pelvic floor therapy or surgical corrective approaches tailored to each client’s needs. A tighter hole with more control can lead to normalization of defecation, no sudden accidents, an improvement in sexual stimulation, and overall wellness for both you and your partner(s).

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About the Author

Dr. Evan Goldstein is the Founder and CEO of Bespoke Surgical. Dr. Goldstein has extensive experience educating and shedding light on health care issues relating to the gay community, and has been published in several national publications including The Advocate, OUT Magazine, Vice, Refinery 29, NY Mag and more.

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