What Happens to Your Body During Anal (Surgeon Explains)

Sex With Emily

Sexuality, Health & Fitness

4.3 • 6.8K Ratings

🗓️ 27 March 2026

⏱️ 51 minutes

🔗️ Recording | iTunes | RSS

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Summary

If you've ever avoided anal because it hurt, felt intimidating, or just had too many unanswered questions — you haven't had the right conversation yet. Whether you're completely new to backdoor play or you've been doing it for years without the proper foundation, most people are skipping the steps that actually make it feel good. And that's not a problem. That's an education problem. In this episode, I sit down with nationally renowned anal surgeon Dr. Evan Goldstein — founder of Bespoke Surgical and Future Method — for the most honest, shame-free breakdown of anal health and pleasure you're going to find anywhere. In this episode, you'll learn: • Why anal sex should never be painful, what's actually causing the pain, and the exact 4-6 week protocol that prepares your body the right way • The truth about douching, wet wipes, and why most people are unknowingly damaging their anal microbiome before sex even starts • How to navigate anal with hemorrhoids, skin tags, or past injuries — and what your options actually are when something goes wrong This episode is sponsored by... Try Promescent Delay Spray today and get 15% off your first order. Just go to www.promescent.com/swe More Dr. Emily: • Shop With Emily! Explore Emily’s favorite toys, pleasure accessories, bedroom essentials, and more — designed to support your pleasure and confidence. Free shipping on orders $99+ (some exclusions apply).5 • Interested in 1:1 Coaching with Emily? Go to sexwithemily.com/coaching to apply! • Sex With Emily Guides: Explore pleasure, deepen connections, and enhance intimacy using these Sex With Emily downloadable guides. • The only sex book you’ll ever need: Smart Sex: How to Boost Your Sex IQ and Own Your Pleasure • Want more? Visit the Sex With Emily Website • Let’s get social: Instagram | X | Facebook | TikTok | Threads | YouTube • Let’s text: Sign up here • Want me to slide into your email inbox? Sign Up Here for sex tips on the regular. Chapters: 0:00 - Intro 1:51 - Meet Dr. Evan Goldstein: Anal Surgeon & Founder of Bespoke Surgical 3:46 - Where Does the Taboo Around Anal Come From? 6:54 - The Three Pillars: How to Prepare, Play & Recover 8:07 - The 4 to 6 Week Dilating Protocol Every Beginner Needs 14:08 - Lube 101: Silicone vs. Water-Based & When to Use Each 15:55 - The Lube Shooter, Empowering the Bottom & Why You Can't Assume Your Partner Knows 16:57 - Douching: Why Water and Store-Bought Enemas Can Do More Harm Than Good 20:33 - Less Is More: Gut Health, Fiber & How to Douche the Right Way 23:27 - Aftercare: What to Do If You Tear or Have Pain 24:19 - Beginner Tips: Positions, Partner Communication & Choosing the Right Size 32:38 - Listener Q&A: Hemorrhoids, Skin Tags & Can You Still Have Anal Sex? 36:43 - Listener Q&A: Colon Surgery, Couples Starting Out & Sex Positions by State 42:14 - Why Wet Wipes Are Wrecking Your Microbiome (Anal and Vaginal) 44:45 - Five Quicky Questions with Dr. Goldstein Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0	The goal for bespoke surgical was always, how do I empower the bottom?
0:08.0	And by empowering the bottom, it's making sure that they're educated, making sure that they're
0:13.2	doing everything right, and also assuming that nobody else knows what the fuck they're doing.
0:20.6	You're listening to Sex with Emily.
0:22.5	I'm Dr. Emily, and I'm here to help you prioritize your pleasure and liberate the conversation around sex.
0:30.0	Anal sex isn't as taboo as it once was, but many people are still too shy to talk about it.
0:35.6	Well, today I'm talking with nationally renowned
0:38.2	anal surgeon and expert Dr. Evan Goldstein about all things anal. Get ready for it. We talk about how
0:46.7	to clean up before backdoor play. Did you know you can over douche? Tips to enhance pleasure
0:52.3	and the wide variety of things to try while you're back there.
0:55.6	We've got you covered.
0:56.8	And remember, this is for all genders, interested in anal play.
1:00.8	Dr. Evan gives tips in how to relax, toys that can help, and which loops are best for every
1:06.5	act imaginable.
1:08.0	We also break down lube shooters, love a loop shooter, how to minimize the risk of
1:12.6	exposing yourself to STIs, and what to consider regardless if you're a top or a bottom, you're
1:18.4	giving or receiving. We got you. Please rate and review Sex with Emily. Wherever you listen to the
1:23.9	show, it helps get the show out to more people and it just takes you a few seconds to do it. You can just do it right now. Look at your phone, look at your app that you're
1:30.6	listening to this on and review us. We so appreciate it. You can also find me on Instagram,
1:35.4	YouTube, TikTok, Twitter, or X, and Facebook, all the places. It's all at Sex with Emily.
1:40.6	All right, everyone, enjoy this episode.
1:49.8	Okay, so if you've been listening to this show for a while, you know I'm not about random sex toys or gimmicks. I'm about tools that actually support your pleasure, your communication,
	...

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