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Background: I, a 21-year-old male, enjoy receptive fisting. Question: I saw my doctor recently, and he tried to link my enjoyment of anal sex to my constipation. Fearing Inner Sanctum Tarnished "There are many myths about anal sex, but this is the first time I've heard this one," said Dr.
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"There is a misconception that these activities can cause damage by stretching or tearing the tissue, when actually the anus is very elastic and much of the 'permission to enter' actually involves intentional relaxation of the muscles by the bottom" and not force applied by the top, Dr. (The top applies gentle pressure, the bottom breathes, relaxes, and opens up.) "If a person suffers from constipation, that should be addressed as its own problem and not blamed on any type of anal sexual activity," said Dr. "In addition: For obvious reasons, it's not fun to bottom if you're constipated, so it would be good to have this problem evaluated and treated by a nonjudgmental health-care provider who understands that anal penetration—by fist, penis, or dildo—does not cause constipation." Finally, FIST, your doctor was misinformed, which is not helpful.