I Asked a Butt Surgeon Every Question You're Too Embarrassed to Ask (ft. Dr. Evan Goldstein)

I Asked a Butt Surgeon Every Question You're Too Embarrassed to Ask - Pt. 2 (ft. Dr. Evan Goldstein)

Sexologist Alexa Andre (@sexwithalexa) gets in back bed with Dr. Evan Goldstein, founder of Bespoke Surgical, creator of Future Method, and author of Butt Seriously. They discuss anal health, pleasure, preparation, and all the questions people are often too embarrassed to ask. Topics discussed in this episode: * Anal pleasure and breaking down taboos and myths * Exploring anal stimulation for the first time * The P-spot/prostate and prostate orgasms * The A-spot and anal pleasure for women * Topping vs. bottoming * Why tops should understand anal anatomy * Anal foreplay and gradual penetration * The three sphincter muscles * Breathing, relaxation and communication * Pain, bleeding and discomfort during anal sex * Lube and why anal sex differs from vaginal sex * Penis size, thickness and anatomy * Mushroom-shaped penises and preparation * Bad first anal experiences * Self-exploration and masturbation * Pressure vs. in-and-out stimulation * Riding and controlling penetration * Dilators and gradual anal training * Anatomy vs. psychological/neurological factors * Bleeding, tightness and when to seek medical care * Poop during anal sex * Shame and anxiety around cleanliness * Douching and over-douching * Gut health, fiber and diet * Prebiotics and probiotics * Food and how diet can affect anal sex * Condoms and anal sex * PrEP and DoxyPEP * The “toy test” after douching * Hemorrhoids and what they actually are * Fissures and skin tags * Pegging and strap-on play * Prostate massage and prostate milking * Edging and gooning * Anal Botox and pelvic floor physical therapy * Butt facials * Butt acne, ingrown hairs and hair removal * Wet wipes and anal irritation * Bidets and portable bidets * Toilet paper vs. water-based cleaning * Evan's work with Bespoke Surgical and Future Method Follow Dr. G:Instagram: @drevangoldstein [https://www.instagram.com/drevangoldstein/] | @bespokesurgical [https://www.instagram.com/bespokesurgical/] | @thefuturemethod [https://www.instagram.com/thefuturemethod/] Website and more: Bespoke Surgical [https://linkin.bio/bespokesurgical/?fbclid=PAZXh0bgNhZW0CMTEAc3J0YwZhcHBfaWQPOTM2NjE5NzQzMzkyNDU5AAGnT1m67dhxwJFmf_mDDLsrXqfD_7AoskkP3zDBINXrQyUVjbF78zv5LJHhIg8_aem_vlVVpPOoBz1M5_FxL_Ngiw&utm_medium=social&utm_content=link_in_bio&utm_source=ig] Follow Alexa Andre:Instagram: @sexwithalexa [https://www.instagram.com/sexwithalexa/] Patreon: https://patreon.com/sexwithalexa [https://patreon.com/sexwithalexa] Sponsor: Thank you, Beducated, for making this exploration possible. Take their quiz to start your journey: https://beduc.at/pd2633-alexa [https://5ae06f57-73d3-4314-974d-0bc34569e2bc.pipedrive.email/c/zyrnq8mqz4/j4n52p6e54/jkq3255j46/4?redirectUrl=https%3A%2F%2Fbeduc.at%2Fpd2633-alexa&hash=sDdGoVJjrA_uAie7JEgUFO9OC_JmEFr3DAfggn6JDLE]

I Asked a Butt Surgeon Every Question You're Too Embarrassed to Ask (ft. Dr. Evan Goldstein)

Sexologist Alexa Andre (@sexwithalexa) gets in bed with Dr. Evan Goldstein, founder of Bespoke Surgical, creator of Future Method, and author of Butt Seriously. They do a deep dive into anal sex, butt health, and everything you've always wanted to ask about your asshole. Topics Discussed * Dr. Evan Goldstein's journey from heart surgery to anal surgery * Coming out and discovering anal health as a medical specialty * Cosmetic vs. functional anal procedures * Hemorrhoids, fissures, skin tags, and anal anatomy * Post-pregnancy anal changes * Grooming injuries and anal skin concerns * Confidence and body image around the anus * Anal bleaching and whether it's worth it * Perineum "sunning" * What makes a "healthy" vs. "perfect" asshole * The truth about anal douching * Protecting the anal microbiome * Why over-douching can increase STI and HIV risk * Future Method and isotonic douching * Safe products to use in the anus * Can anal sex make you loose? * Incontinence myths * Male vs. female pelvic anatomy * Anal Botox * When surgery is necessary * Dilators for beginners * Fingering mistakes that cause injuries * Proper lubrication * Relaxation techniques for anal penetration * Understanding the three anal sphincters * The three "types" of assholes * Building up to anal safely * How often bottoms should practice * Fiber, probiotics, hydration, and digestive health * Whether everyone needs to douche * Preparing for occasional anal sex * The prostate (P-spot) * The A-spot * Prostate orgasms * Common myths surrounding anal sex * How to reduce injury while maximizing pleasure Follow Dr. G:Instagram: @drevangoldstein [https://www.instagram.com/drevangoldstein/] | @bespokesurgical [https://www.instagram.com/bespokesurgical/] | @thefuturemethod [https://www.instagram.com/thefuturemethod/] Website and more: Bespoke Surgical [https://linkin.bio/bespokesurgical/?fbclid=PAZXh0bgNhZW0CMTEAc3J0YwZhcHBfaWQPOTM2NjE5NzQzMzkyNDU5AAGnT1m67dhxwJFmf_mDDLsrXqfD_7AoskkP3zDBINXrQyUVjbF78zv5LJHhIg8_aem_vlVVpPOoBz1M5_FxL_Ngiw&utm_medium=social&utm_content=link_in_bio&utm_source=ig] Follow Alexa Andre:Instagram: @sexwithalexa [https://www.instagram.com/sexwithalexa/] Patreon: https://patreon.com/sexwithalexa [https://patreon.com/sexwithalexa]

How Written Erotica Can Completely Change Your Sex Life (ft. Carly Pifer)

Sexologist Alexa Andre (@sexwithalexa) gets in bed with Carly, founder of Read Aurore, to talk about why written erotica is becoming one of the most powerful tools for pleasure, communication and self-discovery.  Together they explore how true erotic stories differ from fantasy, why women are increasingly choosing erotica over visual porn, the psychology behind imagination and desire, how writing about sex can help process emotions and improve communication, and how reading erotica can inspire better sex and stronger relationships. Topics discussed: * Carly's path to creating Aurora Erotica * Interviewing strangers about sex * Dating in Europe vs New York * Vacation confidence and sexual freedom * Why true stories are hotter than fantasy * Turning real experiences into erotica * Writing as emotional processing * First-time sex that is actually good * Why men should read erotica * Women's real sexual desires * Affairs and taboo fantasies * Open relationships vs secret affair * How Aurore selects submissions * Writing as therapy * Rewriting difficult experiences * Smut vs erotica * Romance vs erotica * The decline in Gen Z sexual activity * Benefits of reading erotica * Benefits of writing erotica * Reliving pleasurable experiences * Reading erotica together as foreplay Follow Carly:Instagram: @readaurore [https://www.instagram.com/readaurore/] Website: readaurore.com [http://www.readaurore.com] Follow Alexa Andre:Instagram: @sexwithalexa [https://www.instagram.com/sexwithalexa/] Patreon: https://patreon.com/sexwithalexa [https://patreon.com/sexwithalexa] Sponsor: Thank you, Beducated, for making this exploration possible. Take their quiz to start your journey: https://beduc.at/pd2629-alexa [https://5ae06f57-73d3-4314-974d-0bc34569e2bc.pipedrive.email/c/zyrnq8mqz4/j4n52p6e54/34pj7rod48/4?redirectUrl=https%3A%2F%2Fbeduc.at%2Fpd2629-alexa&hash=fUS7kwOmmDzPitnmZTqVSAIp0e4Tc68JfIcIb5OjdFo]

How to Know When It's Time to Leave a Relationship (or Fight for It) (ft. Gaby Balsells)

Sexologist Alexa Andre (@sexwithalexa) gets back in bed with clinical psychologist and relationship coach Gaby Balsells to unpack one of the hardest questions in love: how do you know whether to stay in a relationship or walk away? Together they explore: * how to tell the difference between a temporary rough patch and true incompatibility * the danger of ignoring red flags during the honeymoon phase * emotional vs. sexual compatibility * settling vs. honoring your needs * trusting your desires * healthy communication * overcoming defensiveness * becoming "us vs. the problem” * emotional labor * the initiator/receiver dynamic * why actions matter more than words * consistency over empty promises * repairing conflict, couples therapy, * sexual compatibility, mismatched libidos & feeling desired * knowing when you've waited long enough * guilt around leaving * selective effort & weaponized incompetence * and why love alone isn't always enough Follow Gaby:Instagram: @gabybalsells [https://www.instagram.com/gabybalsells/] Follow Alexa Andre:Instagram: @sexwithalexa [https://www.instagram.com/sexwithalexa/] Patreon: https://patreon.com/sexwithalexa [https://patreon.com/sexwithalexa]

Vasectomies, ED, Fertility & Post-Nut Clarity (ft. Dr. Jed Kaminetsky)

Sexologist Alexa Andre (@sexwithalexa) gets back in bed with urologist Dr. Jed Kaminetsky to unpack everything you need to know about men's sexual health: from vasectomies, erectile dysfunction, testosterone, fertility, sperm count, pornography, performance anxiety, lifestyle habits, microplastics, prostate health, post-nut clarity, and why great sex is about so much more than penetration. In this episode, Dr. Jed shares insights from performing over 6,000 vasectomies, explains why vasectomies don't affect erections, orgasms, ejaculation, libido, or masculinity, and discusses who should (and shouldn't) get one. We also dive into why more young men are experiencing erectile dysfunction, the difference between psychological and physical ED, performance anxiety, refractory periods, Viagra vs. Cialis, low testosterone, healthy ways to increase testosterone naturally, pornography's impact on arousal, penis pumps and rings, fertility, declining sperm counts, microplastics, prostate health, ejaculation frequency, steroids, testosterone therapy, men's fears around penis size, micro-penis stigma, post-nut clarity and more. Topics discussed: * Dr. Jed's experience performing 6,000+ vasectomies * Why vasectomies don't affect erections, orgasms, ejaculation or libido * Who should and shouldn't get a vasectomy * Vasectomy reversals and success rates * More childfree men choosing vasectomies * Psychological vs. physical erectile dysfunction * Performance anxiety and first-time sex nerves * What erectile dysfunction actually means * Lifestyle causes of ED (sleep, obesity, smoking, alcohol, exercise) * Stress, anxiety and blood flow to the penis * Refractory periods and why they change with age * Viagra, Cialis and how they work * Daily Cialis vs. as-needed dosing * Testosterone testing and common misconceptions * Natural ways to increase testosterone * Weightlifting vs. endurance running for hormone health * Penis pumps and cock rings * Pornography, masturbation habits and sexual conditioning * Low libido vs. erectile dysfunction * Fertility, declining sperm counts and modern lifestyle * Microplastics and male fertility * Sauna use, heat exposure and sperm health * Prostate enlargement, prostate cancer and ejaculation research * Steroids, bodybuilding and infertility * Testosterone replacement therapy risks * Women's testosterone and libido * Post-nut clarity explained * Why men's physiology isn't an excuse to neglect a partner's orgasm * Communication, sex therapy and relationship dynamics * Micro-penis myths and penis size insecurity * Why erectile dysfunction is a symptom, not a disease Follow Dr. Jed:Instagram: @drjedkaminetsky [https://www.instagram.com/drjedkaminetsky] Follow Alexa Andre:Instagram: @sexwithalexa [https://www.instagram.com/sexwithalexa/] Patreon: https://patreon.com/sexwithalexa [https://patreon.com/sexwithalexa] Sponsor: Thank you, Beducated, for making this exploration possible. Take their quiz to start your journey: https://beduc.at/pd2629-alexa [https://5ae06f57-73d3-4314-974d-0bc34569e2bc.pipedrive.email/c/zyrnq8mqz4/j4n52p6e54/34pj7rod48/4?redirectUrl=https%3A%2F%2Fbeduc.at%2Fpd2629-alexa&hash=fUS7kwOmmDzPitnmZTqVSAIp0e4Tc68JfIcIb5OjdFo]