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The Ultimate Guide to Anal Hygiene
So let me paint a morning, any morning, where you’re rushing out to work or the gym and you feel the urge to poop. You proceed to sit down, phone in hand on Instagram or TikTok, and it’s just not coming. Or more so, it’s not progressing the way you would have hoped. Time is
June 24, 2025 by bespoke
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Uncategorized, Health
What LGBTQ+ Patients Reveal—and Hide—from Their Doctors
Navigating the healthcare system isn’t always straightforward, especially for LGBTQ+ individuals, who often face unique challenges and barriers. LGBTQ+ patients experience higher rates of discrimination in medical settings, and recent executive orders in 2025 threaten to restrict access to affirming care further, exacerbating these issues. To better understand LGBTQ+ patient experiences, we surveyed 1,500+ Americans,
June 10, 2025 by bespoke
Health
What to Do if You Have a Ruptured Hemorrhoid
A ruptured hemorrhoid is exactly what it sounds like. When you have a hemorrhoid that fills up with too much blood, it bursts. Before we dive deeper into ruptured hemorrhoids, let’s do a quick refresher on hemorrhoids themselves. Hemorrhoids result from increased pressure in the veins of the anus, which causes them to bulge and
March 12, 2025 by Dr. Evan Goldstein
Health
Bottoming 101: 8 Tips to be a Better Bottom
The experts at Bespoke Surgical have compiled eight essential steps for being a good bottom partner. From diet to positioning to toys, we’ve covered it all to ensure you’re both prepared and able to have the best experience possible.
March 12, 2025 by Dr. Evan Goldstein
Health
Anal Botox: A Comprehensive Guide
Anal Botox is an increasingly popular procedure used to relax the anal sphincter muscles for both medical and aesthetic reasons. While many associate Botox with smoothing wrinkles on the face or reducing excessive sweating, its ability to temporarily relax muscles also makes it a valuable tool for addressing conditions like anal fissures, spasms, and discomfort
February 27, 2025 by bespoke
Health
Understanding Anal Skin Tags
What is an Anal Skin Tag? Skin tags are benign extra-folds of anal tissue. Anal skin tags can be caused by injuries near the anus, like hemorrhoids or fissures. They are also commonly referred to in the medical community as sentinel, rectal, and perianal skin tags. They may develop from the stretched overlying skin of
February 18, 2025 by bespoke
General, Health
The Nudity Confidence Survey
The recent Vanderpump Rules drama has captivated audiences in the reality TV universe and shined a spotlight on a topic that resonates deeply in today’s pop culture: body confidence. Amidst a widely-publicized cheating scandal (coined #Scandoval), the fallout revealed a surprising revelation—an alleged lack of intimacy traced back to a struggle with body confidence. Drama
July 30, 2023 by bespoke
Travel, General, Health
The Best U.S. Cities to Get Lucky
Which cities have the sauciest hookup scene or the most opportunities to score? We’ve scoured locations across the country to find which ones have the most singles, minimal sexual frustration, the highest number of bars, adult entertainment clubs, and other indicators of a thriving hookup culture, all to help you find the perfect place to
May 31, 2023 by bespoke
Health
How Often Should You Use an Enema?
Regardless of the subject, it never hurts to circle back to the basics periodically, and we’d like to revisit a topic we’ve touched on in other places at various points: enemas.
April 28, 2023 by Dr. Evan Goldstein
Health
PSA: Bleeding After Anal Sex Is Not Normal
There is nothing normal about bleeding with anal intercourse. While it may be common, it is not normal. Last night, I stopped by the podcast GayTalk 2.0 for my regular appearance, during which we spoke of last week’s double penetration blog post and the repercussions to boot.
February 15, 2023 by Dr. Evan Goldstein
Health
Average Penis Size By State (Length at Full Erection)
Let’s take a minute to talk about the penis. Here at Bespoke Surgical, we often talk about assholes, anal, and all things bottom (especially bottoming), but right now, we are going to focus on the other delightful part that’s just a few inches away. To us, there’s no such thing as a bad penis.
January 10, 2023 by Dr. Evan Goldstein
