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An Expert’s Guide to Anal Fingering
Anal fingering refers to the process of inserting a finger or multiple fingers into the anus, either by a partner or for self-pleasure. Anal fingering does not involve the whole hand, as that would be described as anal fisting. Fingering is generally a good starting point for those wanting to try out anal play but are not ready for full penetration with a penis or larger toy.
January 19, 2026 by Dr. Evan Goldstein
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Education, Health
Swollen Anus: Symptoms, Causes, and Treatment
The anus is not only our most valuable asset, but it ‘ s also one of our most delicate. It ‘ s quite a vulnerable part of the body with very tender, thin skin. When it ‘ s even the slightest bit irritated or inflammation is present, you‘re bound to notice. You may be wondering
January 14, 2026 by bespoke
Education, Health
Do You Need An Anal Pap Smear?
Believe it or not, anal pap smears are not as common as they should be. At Bespoke Surgical, Dr. Goldstein has been at the forefront of educating people about what they are, who should get them, why you should get them, and how often you should get them. Everyone, especially those who engage in anal
January 11, 2026 by bespoke
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.
January 11, 2026 by Dr. Evan Goldstein
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.
January 11, 2026 by Dr. Evan Goldstein
Health
Loose Anal Muscles: How to Tighten Your Anus & Gain Sphincter Strength
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.
December 17, 2025 by Dr. Evan Goldstein
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,
October 12, 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
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
Health, Aesthetics
What Are Americans Googling About Their Butts?
From health trends to cosmetic procedures, few body parts have captured the cultural spotlight quite like the butt. It’s been praised, debated, sculpted, and hashtagged into mainstream conversation — yet for all the attention, Americans still have plenty of questions about what’s going on back there. Whether it’s curiosity about health, appearance, or sex, our
January 06, 2025 by bespoke
