Todays topic is a very personal and intimate butt question.

This will be anonymous… Im a middle-aged female whos had hemorrhoids since I was 19.

I was horrified when I first realized something was wrong down there.

The Beginner’s Guide to Butt Play

Youll have them forever.

Get used to them.

Theyre a pretty permanent part of my body at this point.

I have had anal sex twice and loved it.

I want to have anal sex again, but both times I was terribly self-conscious.

Id prepared quite a bit beforehand, mostly mentally.

(I dont believe in doing enemas or anything crazy so you can have sex.)

I chose the exact times based on when Id last gone to the bathroom.

Is there ANY process/procedure I can go through that will help me out?

The bad news for our letter writer is that theres no surefire way of eliminating all hemorrhoids forever painlessly.

But there are some things that can help make the situation a little better.

First of all, lets tackle the embarrassment issue.

Just because somebody is having sex with your butt does not mean they have tolookat your butt.

Dr. Spitalnic quotes Benjamin Franklin as saying In the dark, all cats are gray.

So thats a thing we know now.

Rear entry can be performed while lying flat, eliminating any visualization of the hemorrhoids, he says.

Dr. Reitano also hopes that youre approaching anal play in a safe and smart way.

you could also work onanal sphincter exercisesin your spare time, which are like the butt version of kegels.

They help you get more control over the muscles involved.

And finally, lets talk about your options for cleaning up the landscape, as you put it.

There are ultrasound guided artery ligations and devices specifically designed for hemorrhoid removal, Dr. Spitalnic says.

But theyre not magic bullets.

Theres also a risk of incontinence.

And those are just the outcomes that have been studied!

He points out: unfortunately return to pleasurable anal sex is not an oft reported research measure.

Dr. Spitalnic doesnt trust websites advertising rejuvenation; its too hard to tell which ones are scammy.

And be honest with that person about why youre asking and what you hope to achieve.

Instead, he says, why not try toys?

Thats it for this installment of Burning Questions.

Join us next week, when I promise we will not be talking about sex at all.