WEBVTT

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Welcome to Prep and Play, where we have conversations

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about safer sexual pleasure. This podcast is

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dedicated to empowering listeners through open,

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honest discussions surrounding keeping our minds,

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bodies, and spirits healthy while being sexually

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active. My name is Danielle, and today we will

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be continuing the conversation we started on

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our last episode. So let's jump right back in

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where we left off. What kind of toys and things

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might be good for beginners and what should people

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avoid with toys? Yes, I'm chuckling to myself

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because someone I interviewed once was an anal

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health specialist and he described how he had

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a client who really wanted to engage in anal

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sex, but felt like he couldn't relax. And so

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he had introduced him to very small butt plugs.

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And a butt plug is just, it looks like, how do

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you describe a butt plug visually on a podcast?

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Kind of like an acorn with a stem. Yeah, yeah,

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yeah. An acorn with a stem, like a thick stem

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at the bottom, like a wide base on the stem.

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Yeah, perfect. It's kind of stubby. And it can

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go inside of the anus and then rest inside of

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there. And because it's kind of stubby and bulky

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at the end of it, it can rest in there in the

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base. stays outside of the body. And so anything

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you introduce into the rectum, you want to make

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sure it's got a flared bottom like that. So it

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can't just migrate up into the rectum and then

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pass the rectum into the sigmoid colon, then

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further up. Again, this is what I mean by trial

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and error, that people learn these things, unfortunately,

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by trial and error. So it's got to have a flared

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bottom. And one way you can kind of like get

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yourself used to this experience is by getting

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as this physician helped this client with, you

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know, use a small butt plug at first, something

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that's say the size of your pinky. And then as

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you get comfortable with that and relaxed and

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feel like you can enjoy the experience or at

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least have a neutral experience, then you can

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introduce something that's a little bit thicker

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and wider and bulkier and with more girth. So

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it's like a What are they called? Like Russian

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nesting dolls, right? Like, you know, there's

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a big one and then within there are much smaller

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ones. So start with the smallest one and get

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comfortable with that first. Same rule of thumb

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goes for if you're having sex with someone, you

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may not be ready for immediate penetration or

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say whatever the toy is that's there or the penis

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if it's a penis or hand or fist or fingers. You

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may not be ready for the large Russian nesting

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doll, but you can use your own fingers or someone

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else's fingers, start with a pinky, then two

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fingers, then three fingers and kind of, you

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know, if it's a penis, for example, that you're

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trying to get inside of yourself or inside of

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someone else, you know, try to get let those

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fingers, the girth of those fingers match the

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girth of whatever is going inside first and let

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someone be comfortable with that. Likewise, I

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didn't mention this, but you might be thinking

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of Daniel already is also like fingernails. to

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be quite sharp. So you'd want to make sure your

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fingers your fingernails are cut and buffed and

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not sharp and your cuticles likewise. So this

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is why some people use finger cuts or gloves

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as well for that or just a condom to start with.

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And then you did mention mentioned condoms. I

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find that one of the I don't want to say issues

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but a common thing that we see with anal sex

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is that because there's no risk of pregnancy,

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a lot of people will forego condoms in ways that

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they wouldn't when they were thinking of vaginal

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intercourse. But even though there's no risk

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of pregnancy, there is still risk of STIs and

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of HIV. So how do things like condoms and CREP

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and DoxyPep fit into anal play? Yeah, I mean,

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you said it. So there's there's still that chance

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of contracting some other sexually transmitted

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infection, HIV included, sexually transmitted,

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even if you're not concerned about pregnancy.

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So DoxyPep is available. PrEP is available. Well,

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where it's available and for whom it's available

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depends on where you live and that particular

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context. But let's get back to like the one of

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your early questions about like. How does the

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brain and emotion influence people's experience

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of sex? I'm of the generation of people who encountered

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HIV really just before medications arrived. So

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I was like a teenager, late teens when medications

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arrived, which meant that there was always this

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kind of like specter ghost of like the generation

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of people who contracted HIV and then were gone

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and we missed them. And HIV was kind of always

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lingering around in my generation's head in that

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way. And now we've got PrEP, we've got treatment

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that really works, treatment that can really

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eliminate the risk of HIV. And so what we were

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hearing is that people can have sex and not worry

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about that. Whereas before the idea of like,

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having anal sex or anal play was always like,

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always in some way linked to HIV or sexually

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transmitted infections and something, something

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bad is going to happen. And now people can experience

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that and not have to have that same worry and

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instead can connect with one another and experience

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pleasure and life in a different way. So I'm

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saying this because there is the biological benefit

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of PrEP and DoxyPEP and antiretroviral treatment

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to treat HIV and prevent the risk of transmission.

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But there's also this huge emotional benefit.

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to having those options now and being able to

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be intimate with people in a way that, you know,

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I wonder, sometimes I wonder if it's like similar

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to when birth control arrived and people could

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have, you know, penile vaginal sex, which sounds

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very like mechanical, but they can just have

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sex and it sounds weird to say it that way, right?

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They could just have sex and not have to worry

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about. an unwanted pregnancy and what to do about

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that. They could just experience bodies together

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and that, you know, lovely, pleasurable at times

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can be spiritual experience of connecting with

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another human being. And now that is something

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that can be afforded to the people who can access

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PrEP and DoxyPEP and HIV treatment. So it's pretty

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amazing experience that we get to have now in

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this later generations in this epidemic that

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still continues. Yeah, that's awesome. And so

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a lot of elimination of fear that we're seeing

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with that. But there's so many options available

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to people. And so I guess it's important really

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to communicate both with partners and providers

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here. And talking about anal sex can be awkward.

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How can people bring it up with a partner? Yeah,

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with a partner in particular, not in a health

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care setting, but just with a partner. We'll

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get to. A doctor. Previewing where we're going

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with it. Yeah. So with a partner, you know, let's

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just let's just validate that it can be difficult

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to talk about sex in general, because we don't

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model talking about sex very much in the world.

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There's sex that happens in media, on TV and,

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you know, books and other things. online in pornography

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and just sort of seems as though people just

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naturally have sex but they don't really talk

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about what their curiosities are or what they

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might want to experiment with or explore and

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see if they like or dislike. So this is validate

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that's sort of the baseline often for many people

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and then to be able to talk about it with partner

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I can imagine you know why that is difficult

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but some strategies that I've heard from people

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would be there's two things that come to mind.

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One is, well, let me pause for a second, Danielle,

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because it's not really my area of expertise

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to help people talk about sex with their partners.

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It's more for health care workers and help them

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talk about sex with their partners. So because

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I'm not a sexologist, I'm a little bit more cautious

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about giving advice on it. And so I guess. Uh,

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this is, it's not my current area of like research

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or anything, but this is something that I've

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had to explore a lot in, in, especially in a

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previous podcast episode. Like we just did an

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episode on conversations to have before, before

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having sex. And so I guess I can talk a little

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bit about my understanding of this. Um, and so

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specifically one of the things that we discussed

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in that episode was how important, not just for,

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not just for safety and, um, like in a physical

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sexual health, way, but also for connection and

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consent, it can be to have these conversations

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with partners about what you do and don't like.

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And there were a few different varieties that

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we explored discussing that in. So I had one

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coworker who is typically engaging in. I would

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say casual sex, meeting people through apps and

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in the apps, it's actually really convenient

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because apparently you just ask for a picture

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and you're just like, what do you like? And then

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you like send lists back and forth. I'm like,

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that's so convenient because me personally engaging

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in heterosexual sex with men, usually in a dating

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capacity after trying to get to know these people.

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I've found it a lot more difficult because being

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a woman, it can be very, it can seem very brazen

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to be the one to bring up sex. I've found that

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it's it's honestly have been harder for me to

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have conversations and say what I need to say.

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I mentioned that sometimes I like throw out little

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hints and this and that and then kind of just

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like hope somebody drops through a hoop I'm holding

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up or like things like that. But There are people

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who do have conversations like that, especially

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I think, I think it's more common within like

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kink communities where they say, okay, what,

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what's something you, what's your favorite thing

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to do? Like what, what's your least favorite?

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What's something you want to try? And conversations

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like that, I feel like can be very valuable and

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specifically for consent, especially with anal

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sex because one of the specific things I talked

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about is if My partner wants to try it and maybe

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I'm not down with that. What happens when suddenly

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I'm being penetrated that way and I'm very uncomfortable

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with it without, you know, having a chance to

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express that that would be uncomfortable for

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me. So I'm a ton of actual advice on that. That's

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one of those, you know, just just don't don't

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be afraid of having. a conversation and asking

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your partner. I think it's easier to ask your

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partner what they like and then tell them what

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you like than it is to just be like, hey, I would

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like to try anal sex. Yeah, this is all so, so

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well put. And part of the part of the struggle

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with giving advice is that it's really like,

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it's context dependent and culture dependent

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and people dependent. And so like, you know,

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just just to like, really spell it out. You know,

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if you're someone who's meeting people on apps,

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and it's pretty standard on apps, if you're on

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apps where it's standard to talk about sex, you

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know, that can be part of the culture of the

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app, right? Or the culture of the sexual community

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that you're part of. But if that's not your experience,

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then you don't have that same opportunity. So,

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you know, advice varies from person to person.

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And you're reminding me of someone, a friend

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of mine, I'm chuckling about this because I was

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just so admiring that they did this. They were

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reconnecting with an old partner they hadn't

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had sex with in a while, like a decade. And,

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you know, things had changed. So they came up

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with a list. And I believe some of these lists

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are online to like a list of sexual activities,

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like really extensive lists, like we're talking,

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you know, double digit list, if not triple digit.

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And they printed it out and they gave one to

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their partner and they got one and they said,

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let's fill this out. And then let's see where

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we overlap and see, you know, what we might want

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to try with one another. So it's like a formal

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way of doing what you're describing of like,

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you know, being explicit and asking is saying

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what you like or what you're interested in experiencing

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or exploring. Because sometimes you can say what

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you like, but you don't really know until you

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meet. the person or people you're having sex

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with might be different. And then going that

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route. So I love your take on message of like,

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people do this. People do communicate about sex.

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It's okay to communicate about sex. It's okay

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to ask for what you want because other people

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have done it too. What about talking to a doctor?

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What should people know about asking questions

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or disclosing anal sex without shame? Yeah. So

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This is the main area of my research. And my

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goal with my research is to help people talk

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about things that are uncomfortable in the world

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of healthcare, where they need access to things

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like DoxyPep and PrEP and PEP and antiretroviral

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treatment and testing and things that are related

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to sex, but because sex can be an uncomfortable

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topic for people to talk about, including healthcare

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workers, because healthcare workers often don't

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get a lot of training on how to talk about sex.

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That's like my bread and butter. That's what

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I'm interested in sifting and changing. And so

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one way that we've learned to do that is by changing

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the physical environment in the healthcare setting.

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I remember very early on in my work, I was doing

00:14:42.370 --> 00:14:45.190
HIV counseling and testing. It was in San Francisco.

00:14:45.669 --> 00:14:50.080
It was in a church. person who is the director

00:14:50.080 --> 00:14:52.700
of the HIV counseling and testing program. His

00:14:52.700 --> 00:14:56.059
name was Marcel. He's no longer with us, but

00:14:56.059 --> 00:14:58.320
he's here in spirit. He was a really vivacious

00:14:58.320 --> 00:15:02.779
person. And in his office, he had all these posters

00:15:02.779 --> 00:15:06.940
around of different kinds of bodies and people

00:15:06.940 --> 00:15:09.860
being erotic with one another. It wasn't explicitly

00:15:09.860 --> 00:15:13.039
sex, but it was sexual and it was erotic. And

00:15:13.039 --> 00:15:15.700
it was just so cool because you'd go in there

00:15:15.700 --> 00:15:18.899
and you get the message that, oh, it's okay to

00:15:18.899 --> 00:15:21.879
talk about sex. You know, I may be coming here

00:15:21.879 --> 00:15:25.179
because I'm, you know, concerned about HIV or

00:15:25.179 --> 00:15:26.740
syphilis or gonorrhea or chlamydia or something

00:15:26.740 --> 00:15:31.899
else. But like, we can talk about sex here. And

00:15:31.899 --> 00:15:34.279
that's always stood out to me. And, you know,

00:15:34.279 --> 00:15:36.480
as you probably know, Danielle and anyone else

00:15:36.480 --> 00:15:38.100
who works in healthcare has received healthcare

00:15:38.100 --> 00:15:42.159
services. Most environments don't look like that.

00:15:42.200 --> 00:15:46.299
They're not welcoming in that way. So what we've

00:15:46.299 --> 00:15:48.809
learned in my research is If you can provide

00:15:48.809 --> 00:15:54.610
a message, a cue, a poster, a palm card, something

00:15:54.610 --> 00:15:59.009
in the waiting room on the screen that says it's

00:15:59.009 --> 00:16:01.129
OK to talk about sex, and in particular, it's

00:16:01.129 --> 00:16:05.169
OK to talk about anal sex, then that paves the

00:16:05.169 --> 00:16:08.429
way for the clientele to feel like, oh, this

00:16:08.429 --> 00:16:11.590
is a welcoming place. I can bring this up. So

00:16:11.590 --> 00:16:14.389
that's the first thing I would think of. And

00:16:14.389 --> 00:16:16.450
then, of course, If you're going to bring it

00:16:16.450 --> 00:16:19.529
up, you want to make sure it lands with a healthcare

00:16:19.529 --> 00:16:22.450
provider who's knowledgeable and educated and

00:16:22.450 --> 00:16:25.309
skilled at communicating as well. So that's why

00:16:25.309 --> 00:16:27.590
the workshop that you mentioned attending, that's

00:16:27.590 --> 00:16:30.970
why that workshop exists to not only to change

00:16:30.970 --> 00:16:33.210
the environment, but also to help healthcare

00:16:33.210 --> 00:16:35.230
workers feel more confident and comfortable talking

00:16:35.230 --> 00:16:36.789
about it when it does come up or to bring it

00:16:36.789 --> 00:16:40.850
up themselves. Because often enough, even a poster

00:16:40.850 --> 00:16:43.090
isn't maybe enough for a client to feel comfortable,

00:16:43.090 --> 00:16:46.580
but If the provider brings it up themselves,

00:16:46.620 --> 00:16:49.820
then the client can feel more comfortable. Yeah,

00:16:50.179 --> 00:16:52.799
and I love that because we, you did give us posters

00:16:52.799 --> 00:16:55.879
and little cards and stuff that we can place

00:16:55.879 --> 00:16:59.120
in our agency in our clinic and have people feel

00:16:59.120 --> 00:17:01.320
more comfortable bringing it up. And I think

00:17:01.320 --> 00:17:04.500
that you mentioned there are. Healthcare providers

00:17:04.500 --> 00:17:08.579
out there who are knowledgeable comfortable in

00:17:08.579 --> 00:17:11.259
talking about these topics. And so I guess, from

00:17:11.259 --> 00:17:14.619
my perspective, if. if you're encountering a

00:17:14.619 --> 00:17:16.779
healthcare provider who isn't or who makes you

00:17:16.779 --> 00:17:19.920
feel uncomfortable or ashamed, find a new healthcare

00:17:19.920 --> 00:17:24.819
provider. Yes. Can I say one thing in addition

00:17:24.819 --> 00:17:27.599
to on that same topic? Sure. It's just I'm going

00:17:27.599 --> 00:17:30.480
to make another plug for this website that we've

00:17:30.480 --> 00:17:35.599
created because it's a resource. All the posters

00:17:35.599 --> 00:17:37.920
and all the other things that we created for

00:17:37.920 --> 00:17:42.059
our project all link back to this website of

00:17:42.160 --> 00:17:45.579
what we call credible, reliable, accurate information

00:17:45.579 --> 00:17:49.059
about anal pleasure and health. And we haven't

00:17:49.059 --> 00:17:50.940
created a lot of the information. What we've

00:17:50.940 --> 00:17:53.019
done is we've combed the internet and looked

00:17:53.019 --> 00:17:56.420
for resources that exist that we think are credible,

00:17:56.640 --> 00:17:59.960
reliable, and accurate, and then put those resources

00:17:59.960 --> 00:18:02.019
up there. So for example, the Queer Health podcast

00:18:02.019 --> 00:18:04.380
about douching is up there. There's another,

00:18:04.759 --> 00:18:07.099
there's a PDF that's about douching that we have

00:18:07.099 --> 00:18:11.609
up there too. There's one about diet. for people

00:18:11.609 --> 00:18:14.609
who are concerned about their fiber intake and

00:18:14.609 --> 00:18:16.509
that sort of thing. There's one about sexual

00:18:16.509 --> 00:18:19.630
positions and touchable sexual positions. There's

00:18:19.630 --> 00:18:24.630
a lot of resources on there for people. So I

00:18:24.630 --> 00:18:29.930
guess what I'm also saying is, we're saying if

00:18:29.930 --> 00:18:31.730
your health care provider doesn't treat you right,

00:18:31.890 --> 00:18:34.930
find another health care provider. And if you

00:18:34.930 --> 00:18:39.730
can't or it's too difficult or you can't because

00:18:40.059 --> 00:18:41.619
you know, there's only one healthcare provider

00:18:41.619 --> 00:18:46.359
where you live, you still can get accurate, reliable,

00:18:46.519 --> 00:18:49.339
credible information through the internet, through

00:18:49.339 --> 00:18:52.680
this website, we hope. So that's also available

00:18:52.680 --> 00:18:56.039
to people. And that's pleasureandhealth .org,

00:18:56.319 --> 00:18:59.339
correct? That is correct. I will be linking that

00:18:59.339 --> 00:19:03.500
in the show notes. Thank you. Awesome. And so

00:19:03.500 --> 00:19:06.700
let's get into busting some myths. So some common

00:19:06.700 --> 00:19:09.829
misconceptions around anal sex. You mentioned

00:19:09.829 --> 00:19:13.609
one, it's supposed to hurt or it always hurts.

00:19:14.470 --> 00:19:18.470
Yeah. There's really no reason for it to hurt.

00:19:19.269 --> 00:19:23.109
The reason that people experience pain is because

00:19:23.109 --> 00:19:27.490
they're feeling anxious and fearful and their

00:19:27.490 --> 00:19:30.470
muscles are clenching, whether they realize it

00:19:30.470 --> 00:19:33.289
or not. So sometimes we may be clenching, but

00:19:33.289 --> 00:19:35.690
we may not be realizing that we're doing that.

00:19:35.950 --> 00:19:40.490
And so the pathway there is to breathe deeply,

00:19:40.730 --> 00:19:43.230
try to relax as much as possible, do other things

00:19:43.230 --> 00:19:46.029
as well. Like you don't need to go from zero

00:19:46.029 --> 00:19:50.549
to 60 as like nothing is inside of you to suddenly

00:19:50.549 --> 00:19:54.769
a finger's inside of you. Instead, you can stimulate

00:19:54.769 --> 00:19:57.769
the perineum, which is the area that's between

00:19:57.769 --> 00:20:01.049
the vaginal opening or the scrotum and the anus.

00:20:01.589 --> 00:20:04.259
Just rubbing that can be. very pleasurable, and

00:20:04.259 --> 00:20:07.180
it can help relax the muscles of the pelvic floor,

00:20:07.279 --> 00:20:12.019
which are also the muscles that extend into around

00:20:12.019 --> 00:20:17.000
the anal opening. It can help relax those, some

00:20:17.000 --> 00:20:20.839
lubricant, some saliva, something to rub around

00:20:20.839 --> 00:20:23.420
the anal opening. Like I said, it's like the

00:20:23.420 --> 00:20:26.160
palm of your hand, which means like, you know,

00:20:26.160 --> 00:20:28.640
it can feel very pleasurable, but you know, it

00:20:28.640 --> 00:20:31.420
takes the right kind of touch and I mean, right.

00:20:31.660 --> 00:20:34.740
here in the sense of right for you in particular.

00:20:36.079 --> 00:20:40.119
So that can help stimulating yourself and understanding

00:20:40.119 --> 00:20:43.700
how you react to your own stimulation on your

00:20:43.700 --> 00:20:48.660
own or with partners can also help. The message

00:20:48.660 --> 00:20:50.700
here is that if you experience pain, it's an

00:20:50.700 --> 00:20:53.119
indication that your body is saying, whoa, stop

00:20:53.119 --> 00:20:56.720
what you're doing. Shift gears. Try something

00:20:56.720 --> 00:21:00.089
different. back off from that thing, maybe change

00:21:00.089 --> 00:21:02.109
your expectations that it should be a certain

00:21:02.109 --> 00:21:06.150
way and instead listen to your body and how it's

00:21:06.150 --> 00:21:09.809
reacting and then adjust and try something that's

00:21:09.809 --> 00:21:14.250
more neutral and then see if you slowly can approach

00:21:14.250 --> 00:21:16.390
things that are more pleasurable. I guess this

00:21:16.390 --> 00:21:19.029
is also to say that like if the train leaves

00:21:19.029 --> 00:21:21.950
the station, it doesn't have to arrive at that

00:21:21.950 --> 00:21:24.890
particular destination. Like you can try something

00:21:24.890 --> 00:21:26.710
and then back off from it. You've got freedom

00:21:26.710 --> 00:21:29.690
to do that. You know, just because things start

00:21:29.690 --> 00:21:31.210
moving in that direction doesn't mean that you

00:21:31.210 --> 00:21:32.910
have to continue moving in that direction. You

00:21:32.910 --> 00:21:36.750
can always change direction. There aren't actual

00:21:36.750 --> 00:21:39.410
rails for the train. You're a human being. You

00:21:39.410 --> 00:21:42.609
get to move around. You're fluid. You know, you

00:21:42.609 --> 00:21:45.089
get to change and move in the direction that

00:21:45.089 --> 00:21:48.009
you want to move in. I think that's such a great

00:21:48.009 --> 00:21:50.329
piece of advice for all sex in general, like

00:21:50.329 --> 00:21:54.220
any type of sex. So another one. Another misconception

00:21:54.220 --> 00:21:57.519
is that anal sex will stretch a person out permanently.

00:21:59.299 --> 00:22:03.220
Yeah, so every physician I've spoken to about

00:22:03.220 --> 00:22:08.099
this has instead said, you know, if you're having

00:22:08.099 --> 00:22:11.019
anal, if you're engaging in anal play, and I'll

00:22:11.019 --> 00:22:13.059
also say like sometimes I've said anal play,

00:22:13.099 --> 00:22:15.059
sometimes I've said anal sex, I think we've kind

00:22:15.059 --> 00:22:17.920
of exchanged those terms. Sometimes people think

00:22:17.920 --> 00:22:20.819
of anal sex as like, you know, a penis inside

00:22:20.819 --> 00:22:24.799
of a butt. and sort of think of it very narrowly.

00:22:25.200 --> 00:22:27.380
So anal play is broader than that. I really think

00:22:27.380 --> 00:22:29.339
anal sex is really broader than that, too. But

00:22:29.339 --> 00:22:32.299
just to be clear, it's really any stimulation,

00:22:32.579 --> 00:22:35.900
like a tongue on an anus can also, it's rimming

00:22:35.900 --> 00:22:38.440
or analingus, you know, that's also anal sex

00:22:38.440 --> 00:22:40.720
or anal play, too. So there's lots of different

00:22:40.720 --> 00:22:44.980
varieties of people, of what people can do. But

00:22:44.980 --> 00:22:46.900
now I totally forgot your question, Danielle.

00:22:49.039 --> 00:22:52.240
The misconception that anal anal sex will stretch

00:22:52.240 --> 00:22:55.299
a person out permanently. Yes. Thank you. Okay.

00:22:55.720 --> 00:22:58.359
So, um, there was a connection why I went there.

00:22:58.359 --> 00:23:00.779
So the reason I went there is because there are

00:23:00.779 --> 00:23:03.019
lots of varieties of how people can engage in

00:23:03.019 --> 00:23:04.799
anal sex. So if we're talking about penetration,

00:23:04.880 --> 00:23:07.440
particularly, uh, every physician I've spoken

00:23:07.440 --> 00:23:09.940
to has said, well, you know, if you're enjoying

00:23:09.940 --> 00:23:12.119
anal sex and it's pleasurable, you're not experiencing

00:23:12.119 --> 00:23:16.839
any pain. What you're doing is you're, you're

00:23:16.839 --> 00:23:18.740
stretching those muscles in the same way that,

00:23:18.799 --> 00:23:21.670
you know, you would stretch I don't know, if

00:23:21.670 --> 00:23:25.890
you stretch your arm or your hand or your hamstrings

00:23:25.890 --> 00:23:28.650
or your calves. And when you do that, what you

00:23:28.650 --> 00:23:31.849
do is you allow more blood flow into that tissue.

00:23:32.789 --> 00:23:35.250
So as long as you're not experiencing any pain,

00:23:36.529 --> 00:23:39.569
what should be happening physiologically is that

00:23:39.569 --> 00:23:43.529
you are allowing more blood flow into that tissue

00:23:43.529 --> 00:23:45.970
and allowing it to be healthier because more

00:23:45.970 --> 00:23:50.450
blood flow in and out. is more healthy for your

00:23:50.450 --> 00:23:53.190
muscles. So that's the message that I've always

00:23:53.190 --> 00:23:55.609
been told. Now there have been a couple of studies

00:23:55.609 --> 00:24:01.190
that have associated anal penetration with incontinence

00:24:01.190 --> 00:24:05.210
or trouble keeping in gas or poop in life. But

00:24:05.210 --> 00:24:07.650
the problem with those studies is that they're

00:24:07.650 --> 00:24:10.869
not controlled for whether that anal sex was,

00:24:10.869 --> 00:24:15.849
you know, consensual, pleasurable, relaxed, enjoyable.

00:24:16.750 --> 00:24:19.730
So we don't really know that. And what we do

00:24:19.730 --> 00:24:21.809
know is that there is, unfortunately, there are

00:24:21.809 --> 00:24:23.849
times, you know, you mentioned this before, like,

00:24:24.089 --> 00:24:26.069
you know, if a partner, you're having vaginal

00:24:26.069 --> 00:24:28.509
sex with a partner, and suddenly, like, they

00:24:28.509 --> 00:24:30.910
move from, you know, vaginal sex to anal sex,

00:24:30.930 --> 00:24:33.470
and they haven't asked for permission, well,

00:24:33.690 --> 00:24:36.069
you know, your body naturally is probably going

00:24:36.069 --> 00:24:38.750
to tighten up in reaction, or feel something

00:24:38.750 --> 00:24:42.130
in reaction, and those muscles may not be relaxed.

00:24:42.440 --> 00:24:45.579
the pelvic floor muscles and the muscles of the

00:24:45.579 --> 00:24:48.220
anus and the pure rectal muscle also, which is

00:24:48.220 --> 00:24:50.740
responsible for being able to allow for entry

00:24:50.740 --> 00:24:55.079
into the rectum too. So that's my answer. There's

00:24:55.079 --> 00:24:56.859
like a little bit of science here, but the science

00:24:56.859 --> 00:25:00.140
is in, I'm not saying that the approach of the

00:25:00.140 --> 00:25:02.619
science is biased, but we're not able to control

00:25:02.619 --> 00:25:05.759
and understand the full extent of human experience

00:25:05.759 --> 00:25:08.839
just based on these two studies. And physicians

00:25:08.839 --> 00:25:11.180
have all advised me that it should be kind of

00:25:11.180 --> 00:25:13.970
the opposite. if you're really enjoying sex.

00:25:15.089 --> 00:25:18.630
Awesome. That's good to know. And then the last

00:25:18.630 --> 00:25:22.869
myth we'll do here is that only gay men have

00:25:22.869 --> 00:25:26.390
anal sex, or even as a penetrative partner, enjoying

00:25:26.390 --> 00:25:33.289
penetrating an anus is gay. Yeah, this is a sad,

00:25:33.529 --> 00:25:41.410
sad myth. In part, because it inhibits people's

00:25:41.420 --> 00:25:44.119
comfort. And we started out by talking about,

00:25:44.140 --> 00:25:46.279
early on we were talking about shame and lack

00:25:46.279 --> 00:25:49.940
of information. Well, like, you know, if you're,

00:25:49.940 --> 00:25:53.220
if you're someone who is gay or bisexual and

00:25:53.220 --> 00:25:55.900
is kind of is closeted and is concealing that,

00:25:55.900 --> 00:25:57.579
you know, you're not going to go out of your

00:25:57.579 --> 00:25:59.559
way to find that information if you feel like

00:25:59.559 --> 00:26:01.119
you're going to be discovered. And if you're

00:26:01.119 --> 00:26:04.720
someone who's not gay or bisexual or queer, but

00:26:04.720 --> 00:26:07.700
you're curious about anal sex, you know, or you've

00:26:07.700 --> 00:26:09.920
experienced pleasure just physiologically, you've

00:26:09.920 --> 00:26:12.720
had a response. uh, to some kind of stimulation

00:26:12.720 --> 00:26:14.359
and then you think, oh, does it mean that I'm

00:26:14.359 --> 00:26:16.460
gay? It's just, it can be very confusing for

00:26:16.460 --> 00:26:19.400
people unnecessarily. So it's really not about

00:26:19.400 --> 00:26:23.380
people's identity. It's about just a physiological

00:26:23.380 --> 00:26:27.660
response and connection to stimulation, you know,

00:26:27.680 --> 00:26:30.519
by yourself, with other people really has nothing

00:26:30.519 --> 00:26:34.859
to do with sexual orientation. And in fact, the

00:26:34.859 --> 00:26:38.099
studies that have looked at who has anal sex

00:26:38.099 --> 00:26:42.930
have found that there are far more women, then

00:26:42.930 --> 00:26:46.890
there are men who've received anal penetration.

00:26:47.430 --> 00:26:49.410
And if you think about it, actually, it does

00:26:49.410 --> 00:26:53.289
make sense. 2 % to 4 % of men, for example, have

00:26:53.289 --> 00:26:55.750
had sex with another man. And that generally

00:26:55.750 --> 00:26:58.329
includes oral sex and anal sex. So we don't even

00:26:58.329 --> 00:27:00.190
know exactly how many of them have had anal sex.

00:27:00.309 --> 00:27:04.589
But say it's 4 % of men have had anal sex. But

00:27:04.589 --> 00:27:07.410
then there are 50 % of the planet are women.

00:27:08.009 --> 00:27:11.150
How many of them have had sex with a man? Quite

00:27:11.150 --> 00:27:14.769
a bit. Quite a bit more than 4%, right? And of

00:27:14.769 --> 00:27:17.690
those, what we see when people ask the question,

00:27:17.750 --> 00:27:20.589
have you had anal penetration, it tends to be

00:27:20.589 --> 00:27:24.490
much higher. So I'll give you an example of something.

00:27:24.750 --> 00:27:27.130
I was just submitting a grant and doing some

00:27:27.130 --> 00:27:30.210
research on this. And there is a study that was

00:27:30.210 --> 00:27:34.269
done of electronic medical records in the United

00:27:34.269 --> 00:27:37.470
States, about 5 ,000 women who received testing

00:27:37.470 --> 00:27:40.180
for sexually transmitted infections. And when

00:27:40.180 --> 00:27:42.539
you test for the sector transmitted infection,

00:27:43.099 --> 00:27:44.700
Danielle, you know this, but maybe the audience

00:27:44.700 --> 00:27:47.759
may not know this. You have to look in three

00:27:47.759 --> 00:27:51.619
places. You have to look not only, say, if you're

00:27:51.619 --> 00:27:53.799
someone who has a vagina, you look and look.

00:27:54.299 --> 00:27:59.819
You've got to swab there or pee. You also have

00:27:59.819 --> 00:28:02.579
to swab the back of the throat because there

00:28:02.579 --> 00:28:03.900
could be an infection that's in the throat, but

00:28:03.900 --> 00:28:06.680
that's not in the vagina. And then you also have

00:28:06.680 --> 00:28:09.680
to swab the rectum. because there could be an

00:28:09.680 --> 00:28:11.180
infection there that's not in the throat and

00:28:11.180 --> 00:28:12.640
not in the vagina. So you really have to look

00:28:12.640 --> 00:28:16.420
in three places. And of these 5 ,000 women who

00:28:16.420 --> 00:28:19.099
definitely had had screening for sexually transmitted

00:28:19.099 --> 00:28:24.400
infections, less than 0 .1 % of them had had

00:28:24.400 --> 00:28:28.460
an anal rectal swab. Oh, wow. Less than 0 .1%,

00:28:28.460 --> 00:28:34.460
right? But on average, about 36 % of women have

00:28:34.460 --> 00:28:39.210
had anal sex at some point in their life. That

00:28:39.210 --> 00:28:42.190
means we're really missing the boat in terms

00:28:42.190 --> 00:28:43.650
of health care providers and the health care

00:28:43.650 --> 00:28:48.470
system and taking care of people who have a vagina,

00:28:48.569 --> 00:28:52.329
who identify as women and have a vagina. Or they

00:28:52.329 --> 00:28:54.289
can identify however they want to. So it doesn't

00:28:54.289 --> 00:28:55.829
really matter the identity, right? It's just

00:28:55.829 --> 00:29:01.690
like as an example. So it's really not true that

00:29:01.690 --> 00:29:04.029
anal play is something that's gay or that only

00:29:04.029 --> 00:29:07.730
gay men have. And in fact, also not every gay

00:29:07.730 --> 00:29:11.730
or bisexual man enjoys anal play, you know, just

00:29:11.730 --> 00:29:16.250
because it's funny, right? It's like we somehow

00:29:16.250 --> 00:29:19.369
assume, I guess, because of media that if you

00:29:19.369 --> 00:29:21.250
have a mouth, you must enjoy kissing. If you

00:29:21.250 --> 00:29:24.029
have a vagina, you must enjoy, you know, penetration

00:29:24.029 --> 00:29:26.990
with the penis. If you have a butt and you're

00:29:26.990 --> 00:29:29.009
having sex with other men who have penises, you

00:29:29.009 --> 00:29:30.910
must enjoy having a penis inside of your butt.

00:29:31.289 --> 00:29:34.329
It's like it's not true. We're just like part

00:29:34.329 --> 00:29:36.680
of what's so cool about human beings is we're

00:29:36.680 --> 00:29:40.599
like really diverse and we vary in what we like

00:29:40.599 --> 00:29:44.019
and dislike and you know so we don't all have

00:29:44.019 --> 00:29:47.519
to like or like the same thing we can all be

00:29:47.519 --> 00:29:50.380
different and discover what it is that we like.

00:29:51.700 --> 00:29:57.799
I love that and so in conclusion here what is

00:29:57.799 --> 00:30:00.700
one thing you wish everyone knew about anal health

00:30:00.700 --> 00:30:04.150
and or pleasure? I think the number one thing

00:30:04.150 --> 00:30:07.130
is something you already touched on, which is

00:30:07.130 --> 00:30:11.210
there's no reason to experience pain. There's

00:30:11.210 --> 00:30:13.470
really really there's no there's no reason to

00:30:13.470 --> 00:30:16.029
experience it. There's no you don't have to experience

00:30:16.029 --> 00:30:19.869
pain. It really can be a purely pleasurable experience.

00:30:19.890 --> 00:30:23.109
And when you start to feel pain or discomfort,

00:30:23.250 --> 00:30:26.869
and I mean, emotional as well as physical, it's

00:30:26.869 --> 00:30:30.289
just your body signaling to you to try something

00:30:30.289 --> 00:30:36.079
different. And I guess coupling that with just

00:30:36.079 --> 00:30:38.000
because other people enjoy anal sex doesn't mean

00:30:38.000 --> 00:30:41.380
that you have to. It may not be your cup of tea

00:30:41.380 --> 00:30:45.720
and that's fine too. Just because when I touch

00:30:45.720 --> 00:30:47.779
the palm of my hand, I feel something there doesn't

00:30:47.779 --> 00:30:50.380
mean that I forcibly have to make it pleasurable

00:30:50.380 --> 00:30:53.700
or has to be pleasurable. Maybe it's not and

00:30:53.700 --> 00:30:57.019
that's okay. You discover for yourself what you

00:30:57.019 --> 00:31:03.250
like. That is awesome. I would like to encourage

00:31:03.250 --> 00:31:05.809
everyone listening to have open conversations

00:31:05.809 --> 00:31:10.589
and continue to seek education about these topics,

00:31:10.829 --> 00:31:12.849
specifically through that, was it pleasureandhealth

00:31:12.849 --> 00:31:15.849
.org? Because there are some great resources

00:31:15.849 --> 00:31:18.569
there. And, you know, be open to trying things

00:31:18.569 --> 00:31:22.369
if you want to try things. That's all I have

00:31:22.369 --> 00:31:26.730
for today. Thank you so much, Brian, for talking

00:31:26.730 --> 00:31:29.440
to me. Thank you, Danielle. I'm going to say

00:31:29.440 --> 00:31:31.900
one more thing, which is you were saying, like,

00:31:32.079 --> 00:31:34.920
how can people have these conversations? And

00:31:34.920 --> 00:31:37.519
I'll just get kind of meta about this, which

00:31:37.519 --> 00:31:40.940
is your podcast. Like, this is one way that it

00:31:40.940 --> 00:31:44.200
happens. You change the typical conversation

00:31:44.200 --> 00:31:45.920
by saying, hey, look, this is something we can

00:31:45.920 --> 00:31:49.740
talk about. And it's OK to talk about it. That

00:31:49.740 --> 00:31:52.000
changes the environment. It changes the opportunity

00:31:52.000 --> 00:31:56.240
for people to realize, oh, huh. Daniel and Brian

00:31:56.240 --> 00:31:58.220
just talked about this really openly and comfortably

00:31:58.220 --> 00:32:00.619
and we're interested in it and excited about

00:32:00.619 --> 00:32:03.299
it. And if other people are listening to this

00:32:03.299 --> 00:32:06.579
too, then I may not be alone in what I'm curious

00:32:06.579 --> 00:32:10.519
about too. So I think kudos for doing this. I

00:32:10.519 --> 00:32:12.220
love that. I love that. And that was the goal

00:32:12.220 --> 00:32:14.940
of this podcast to like encourage people to talk

00:32:14.940 --> 00:32:17.880
about sex and sexual health. Awesome. Well, thank

00:32:17.880 --> 00:32:20.660
you so much for joining me and thank you to anyone

00:32:20.660 --> 00:32:25.250
listening and I. I will see all of my listeners

00:32:25.250 --> 00:32:26.250
next time.
