Anal Elasticity Program: For Men Who Are Too Loose

Whether you bottom occasionally or often, you have the responsibility of knowing and understanding your pelvic floor in order to prevent some of the negative physical issues that can arise from the practice. Don’t wait until your anal muscles get distended beyond their capacity, losing their ability to recoil back. Once this happens, anal reconstructive surgery may be your only option to correction.

Am I a candidate for the Anal Elasticity Program?

If you bottom and experience anal laxity, post-coital loosness for longer than an hour after sex, fecal leakage or smearing, uncontrolled flatus, or experience a lack of sensation while bottoming or your sex partners find it difficult to climax while having sex with you, you are an ideal candidate for this comprehensive evaluation and treatment program.

The pelvic floor evaluation will be comprehensive and directed specifically for those who bottom. Treatment will be tailored to your specific needs and may include education, sEMG biofeedback, pelvic floor stimulation, pelvic floor muscle excursion, manometric biofeedback, and a home program of exercises and follow-up.

How long will the anal elasticity program take to work?

It takes 4-6 weeks to see a real increase in strength, endurance, and control when working with muscles. However, gains can be realized earlier than 4-6 weeks and those gains are typically the result of increased awareness and initial stages of increased neuromuscular recruitment. At around 6 weeks, a reassessment of your progress will help with the planning of the long term program to maintain the results you have achieved.

How long do I have to keep doing the exercises?

Once you have achieved excellent control over your anal canal and pelvic floor you can choose when and how often you perform a turn-up. Depending on your lifestyle, you can choose to restart a short home program for 3-4 days every 4 to 6 months. We will work out the least amount of effort to help maintain the maximum gains of strength and endurance you have achieved.

This page was medically reviewed by Dr. Evan Goldstein on November 13, 2020.

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Dr. Evan Goldstein, D.O.

Dr. Evan Goldstein, D.O.

Dr. Evan Goldstein is the Founder and CEO of Bespoke Surgical, NYC’s leading sexual health private practice. He received his osteopathic doctorate from the University of Medicine and Dentistry School in 2002 and completed his residency in General Surgery at Maimonides Medical Center. In 2020, he was named one of NYC’s top LGBTQ+ business leaders by Crain’s New York and he is involved with GLSEN, ACRIA, HRC, and Callen-Lorde’s Howard J. Brown Society. All of these experiences and affiliations have shaped his whole-life approach towards the practice of private surgical care and sexual wellness.

Learn More about DR. EVAN GOLDSTEIN, D.O.