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Health: Are You Douching Correctly?

If you’re a bottom that’s about to have sex, it’s almost always expected of you to have douched beforehand. But a recently published article on Vice says douching may not actually be helping out at all.

The article, titled “Gay Guys: You’re Douching Wrong”, has Doctors Stephen Goldstone and Evan Goldstein talking about the best ways to douche. Dr. Goldstone is an assistant clinical professor of surgery at Mount Sinai Hospital and a specialist in anorectal disease and gay men’s health, while Dr. Goldstein founded the gay men’s sexual wellness practice Bespoke Surgical.

Surprisingly, both doctors say that you probably shouldn’t be douching at all.

According to Dr. Goldstein, poo is found in the sigmoid colon, which has a muscle that keeps the poo from going to your rectum and anus before you’re ready to actually take a dump. What this means is that unless your top has a monster cock, it’s unlikely that any poo is going to end up on his dick.

Doctor Goldstein also says that douching too often could lengthen one’s colon, which could lead to constipation later in life. Over-the-counter enemas aren’t particularly helpful either, as the chemicals in it could irritate the cells of the rectum and dry them up. The dryness could lead to cracks and bleeding, which could make it easier to catch STIs.

For those who insist on douching, Doctor Goldstein recommends plain water and just a tiny bit of pressure from an enema bulb. There’s no need to get all of the water in there as only a few inches of your insides need to be cleaned.

Generally, both doctors recommend a simple shower before bottoming and using plain water to clean the butthole and a little bit inside. They also suggest a diet of leafy greens for bulkier stools, or using supplements like Fresh by Amity Jack.

What do you guys thinks? Has this changed how you view douching? We’d love to hear from you! Share your thoughts with us in the comments section below.


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  1. DavidB

    Not my experience at all. Even though the rectum may be clear at the start, stimulation via anal sex can stimulate the progression of “poo” that may be waiting in the sigmoid further down the colon.
    Agree that excessive douching can be harmful, but if one is planning a night that includes some action in that regard, a mild douche beforehand can make for a great datenight for both parties.

    • Hot Latín Papi

      I’m a very versatile partner myself and I have to concur with DavidB’ assessment. Stimulation of the rectum may lead to poo moving further down from the sigmoid. Moderation is my recommendation when douching. It’s up to you to know your body. If something feels uncomfortable after douching you may need a few more douches. Plain warm water works for me and mild soaping up of the sphincter and rectum should do the trick. Bottom line, sex is messy but anal sex doesn’t have to be a dirty and unpleasant for either partner. Common sense goes a long way. Enjoy it! =D

  2. hardtopftl

    clearly he has a very short dick. he’s right about the fiber tho… Dave, you should talk to a FF bottom and top and see what they have to say about “poo” and douching.

  3. Francis Asissy

    It has never been medically advised to douche inside the anus. Anything but water removes necessary microbes and bacteria that are still part of the digestive process. Additionally, the warm water you might use may be carrying bad microbes or bacteria, or even parasites, as warm tap water recently killed a woman in New Orleans. An invading cock should not likely go beyond the sphincter. So guys who want to top should be thinking about massaging their lover with their cock, not ramming and jamming it in like a porn star. Leave that to heteros. The wrong kind of douching could possible make that internal area more susceptible to disease, if it created any tears or removed any protective mucous.

  4. Dean Hundley

    wow they may be DR’s but get real i have a 6″ dick and have pulled out with shit on it. i was not happy.
    as David said as you play through out the night it moves down the system. my friend Mike 8.5+” he is not a minute man. he will come over at 7ish and not leave till noon the next day. if i know he is going to be here i will restrict my solid food intake and start cleaning 6-8 hours in adavance. then again cpl hours before and then some toy time to make sure i’m cleaned out. with his style and size i have still gotten messy but not solid stool. and he understands that.
    But some guys don’t even seem to make a effort to clean out.
    I use cool water to clean out
    and guys SOAP AND WATER IS CHEAP i’m not into smells except clean fresh. i’m a man in texas i sweat after a cpl hours i cant stand myself when i’m done working 1st thing i do is shower. and i want you the same way clean n fresh. when i go to rim you i DO NOT want any funk around your hole….. Dean

  5. Jimmy

    As someone who has bottomed plenty of times and had a dildo even more, this is silly. I’m very regular, have a minimum of 3 bowel movements a day. I wouldn’t even consider sex without douching. Especially if I’m going to squat down on a nice big D. I’ve even douched an entire quart bottle of water, only to have sex ruined by poo that made its way out.

  6. hrhmaui

    I beg to differ. . .Who do these Doctors think they are? After spending 8 years in medical school and then some they got the nerve to tell me not to douche . . .? They don’t know my body!!! I’ve been douching for 20+ yrs., Never had a single fucking problem! God Forbid, I have to listen to their crap, & they got paid to to tell me this shit (no pun intended). . .Now, how come they can’t tell me something Good that I don’t know about, that would be a little bit more “stimulating”. . .? So, when I say, ‘I beg to differ’, here’s my bitch; The manufactures or companies of these douche products have got it all wrong, period. Their stupidity in not knowing the advancement of sex play have got me roaring mad as to the kind of equipment I need to use to have a good time. What fucking bugs the shit out of me, are the fucking “Black Hoses or Tips” they manufacture that I’m suppose to use. . .are they that fucking stupid !?!? Take note you Mother-Fucking C.E.O.’s! Make & produce “Clear” plastic &/or rubber poly-urethane, Hoses, Tips, & Nozzles!!! Why!?!? For Sanitary reasons. . . One who douches, DOES NOT WANT TO SEE residuals hanging or stuck to a nozzle, tip, or hose after use! Does that make sense at all!?! (Unless you know the experience) Make it Happen you Douchebags!!!

  7. Bearsub

    I tend to like a larger dick and like to be sweetly clean. I like to do a deep clean beforehand.

    I’ve never really had any issues.

  8. JohnRN

    First, DavidB is absolutely correct: anal stimulation can trigger a “let down” reflex that allows “poo” (using the juvenile term already adopted) to descend into the rectal vault (as it is properly called). Second, the rectal vault can and usually does have folds that can “conceal” small amounts of “poo,” especially if the individual does not have consistently firm and well-formed fecal matter. As a result, a “top” can often come away with significant residue on his penis “mined” out of those folds and crevices. And while Francis Assissy is correct that douching can remove beneficial bacteria, the distal colon (i.e., descending and sigmoid colon plus the rectum) is *not* involved in the actual “digestive process.” The colon serves primarily to re-absorb water from the contents passing through, NOT vital nutrients. The real issue with anal/rectal/colon douching lies in the potential for disruption of the balance between the hundreds of different bacterial species commonly found in the colon. When disrupted, it becomes easier for one or two bacterial species to proliferate to an abnormal point that causes symptoms of disease, especially species members of the genus Clostridium and Salmonella. Loss of bacteria can also allow certain fungal and protozoal species to proliferate beyond their norms, again causing symptoms of disease. The colon is a garden. Mess around with it too much and the weeds will take over. It is just that simple.

  9. Chris

    It’s funny to me as if I did not clean out, trust me there would be a mess at the end of a good fuck! So, for me I will continue to freshen up with a small douche. Even the there is never 100% that something may slip through! LoL. Do any of you agree? BTW, if I know it’s going to be an all nighter with more than one cock, or an extra large cock, I’ll take a full grown enema. I had a bad experience one time that I will “NEVER” forget.

  10. rett

    I agree with the docs – When I’ve bottomed for regular sex i have always been clean and haven’t had to worry about soiling my partner’s dick. On the other hand, more aggressive play may require more prep, but that is another matter entirely.

  11. dignme

    Recently had a convo with a friend about this and how often should us as bottoms douche? I’ve slowed down but I never have sex as a bottom if I haven’t douche. I wonder if they took fisting and well endowed into consideration when recommending not to douche.

  12. Rich

    I’m 10 thick and my bottom had better douche or it’s over!! And no call back either. Wtf
    That’s just stercoraceous‼️
    Kudos to those squeaky bois who are just time and again. No accident

  13. Ynlyner102

    I find black caeffined coffee first helps me evacuate my bowels. Then some plain old fashion oatmeal or rice to keep my stomach busy. Then a special ear syringe I use to clean out my anus area of any fecal debris. Then insertion of anus expander to ensure I am ready. Works for me.

  14. Marq

    What’s odd is this article only lightly glosses over, but doesn’t emphasize, the importance of high fiber in the diet. In my experience, it’s very possible to bottom with minimal cleaning out, but the fiber intake HAS to be on point. I usually use a bulb with tap water and am ready within 10-20 mins…if even that long. This goes for one-off hookups or full-on sex parties. And I’ve taken some massive, deep-reaching dicks with no issues (yes, that was a humble-brag).

    Also, you can skip those overpriced, “big brand” supplements. They definitely work, but basic store brand psyllium husk (usually found by Metamucil in the pharmacy section) does the trick…and for a fraction of the price.

    On another note, we also need to kill this culture of shaming bottoms for making the occasional mess. Yes, due diligence is important, but we’re all human and are prone to slipping up sometimes. Not the end of the world. Reminder that removing waste from the body is the literally the primary function of that part of the body, more so than taking dick…as much fun as it may be. lol

  15. Dud

    The guys dismissing this out of hand should visit their website (link in the article above.) The doctors are gay. They know about being fucked. They have suggestions on how to avoid the need to douche, but if you feel you still need to, they have advice on how to do it safely.

    Don’t be an asshole, read what they have to say before getting on a soapbox.

  16. Derek

    Well, I’m an anal virgin but my anus is always clean without douching. I take a lot of bubble baths and scrub just inside and water goes in while I’m bathing. I’m regular and I workout 7 days a week. I eat healthy too, so my poo resembles that. If you douche and it works go for it. I have girl friends who douche so it’s like whatever works for you.

  17. Mr. Frank

    What I want to know is, what did the ancient Greeks do? Did they have enemas?And what did Oscar and Boisie do? You know that at least one of them was a bottom, as part of the damning evidence at “The Trial” were the ‘brown stains’ a hotel chambermaid reported seeing on their sheets. That’s part of gay ‘history’ too, tho it never gets talked about.

    Anyway I’m with the first comment by DAVIDB–I rinse myself out (in the shower) until I’m clean, and then I make sure to sit on the toilet to expel any retained water. A little aloe gel up my butt and then I can be relaxed about getting fucked and not overly worried about shit. (“Poo”? Really?)

  18. 55btmguy

    I would never think about bottoming for any size cock without being cleaned out first as it can get messy and becomes a total turn off. If I know I’m meeting a guy I make sure I douche and if it’s an unexpected meet then he will have to wait until I douche and besides that it feels much better having a cock sliding in and out when cleaned out.

  19. David

    For me personally as a bottom, douching is a must. The issue is overdoing it. When I first started my thinking was more water the better to get it all out. Then I learned all I was doing was flooding my colon so that now everything was going to start working its way out. I ended up with more mess than I started. Eventually I learned that I just want to clean out that first chamber. that doesn’t require much water. Cool water, not cold, seems to also work best. I take an enema bottle, empty out the pre-filled saline and refill with cool tap water. I then insert one bottle full and release. I repeat until it comes out clear. I have found that I am much more relaxed this way not worrying about making a mess and the sex is far more enjoyable for everyone.

  20. Hunter0500

    A lot of discussion about avoiding poo, poop, etc. here getting onto penises. This means, then, there are no condoms in play. It’s bareback. No Safe Sex. Right?

    As always, bareback or wrapped is an individual’s decision.

    So how does this fit in with posts such as “The New Face of AIDS”?

  21. Hunter0500

    Safe sex. No HIV or STD transmission. Responsibility. Yes, that something you have made clear you just don’t get.

  22. billy113

    I douche when I am going to bottom, I have questions about getting my anus ready to take a cock without it hurting all the time in the beginning. who do I ask to get answers?

  23. Will

    Amen. Long time user of Pure for Men. It produces a solid bowel movement and 9 times out of 10, no residue on the toilet paper. But– i still do a quick douche before sex because an accident can still happen.

  24. Will

    A lot of bottom shaming regarding messes. Even if you douche under certain conditions an accident may still happen. We’re all adults. It’s going to happen at some point. Sometimes the body does it’s own thing despite good intentions.

  25. John vu

    Most tops don’t realized being a clean bottom takes a long time to get our ass cleaned. That’s why I prefer at least 30 mins long deep fucking. I get angry if he’s only last 10 mins

  26. belkit

    I have found that if I drink Coke, then my shit becomes very sticky.
    If I don’t drink it, then I can just flush myself out in the shower.


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