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Does Anal Sex Cause Prostatitis?

November 13, 2020 by Dr. Evan Goldstein

An artistic photograph of a man from behind, wearing underwear under a jockstrap.Anal sex can cause prostatitis if not done properly. Anal sex is truly an art, with many intricacies that can complicate the act. The prostate gland is walnut-shaped and fills with fluid to help your sperm during ejaculation. The more stimulation, the more fluid (or prostatic juice) that’s created. But there is a fine balance. Direct, constant penetration–angled to the front of the anal canal, about 4-7cm internally–can lead to diffuse swelling and significant inflammation. It’s literally a pain in the ass, or more so the pelvis. You need a full understanding of your anatomy and its functions in order to make sure you treat your very sensitive (and temperamental) prostate in such a way that it gives you pleasure and not pain.

Techniques and/or Considerations for Having Prostate-safe Sex

Here are some tips for your tip!

  1. Learn the prostate’s anatomy, especially understanding its centrally located connection–joining the testicles to the penis.
  2. Appreciate the soft, smooth texture of the prostate gland and how gentle play in a controlled manner is preferred.
  3. Learn how to appropriately milk the prostate from the outer edges then inward on each lobe (left and right), which helps to move the prostatic juices to the center, ultimately aiding in its emptying.
  4. Avoid aggressive and significantly prolonged direct penetration.
  5. The angle of the penis penetrating the bottom’s pelvis and the anal sex positions chosen can truly make the prostate gland the bullseye. For instance, the missionary position with one’s penis erect and upward-pointing.
  6. Lastly, remember that many bottoms can’t get off with someone inside them. However, it’s important to fully release. So either do it while bottoming (if you can) or immediately after so that you can empty the fully engorged prostate gland.

Is Edging Bad for Your Prostate?

So many people love to edge so that they can keep that heightened sexual momentum building. Problems arise when you don’t ejaculate or orgasm and let all that pent up prostatic juice and ejaculate out. Many people edge and edge and edge, which keeps these juices inside without fully releasing them. This constant balloon-like effect can then lead to significant prostatitis, along with its unfortunate side effects. Acute and chronic conditions are far from pretty, but they can easily be avoided with tender and loving care of this delicate gland.

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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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