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Showing posts from February, 2025

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Benzo use in the Gay Community

on February 26, 2025

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Oral Sex and STI's

on February 24, 2025

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An overlooked cause of chronic diarrhea in gay men

on February 23, 2025

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Doxy PEP - Reduce your risk of STD's

on February 23, 2025

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New outbreak of a sexually transmitted cause of skin rash in gay men

on February 13, 2025

Fungal Infection Gay Men's Health MSM Rash

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Why I Feel MSM should seek care from MSM providers

on February 07, 2025

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Why many gay men who are told they have Chron's disease actually don't

on February 07, 2025

Chlamydia Crohn's Disease Gay Men's Health IBD LGV MSM

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Fisting - What Every FF enthusiast should know

on February 06, 2025

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If you're a gay man and think you have lactose intolerance, gluten sensitivity, irritable bowel, or are just unlucky read this

on February 05, 2025

Chronic Diarrhea Gay Men's Health Lactose Intolerance MSM Parasitic Infections

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Posts Raising Eyebrows

Let’s Talk About Trimix and Bimix: Boners with a Needle (and a Side of Caution)

At Tom of P-Town Health , we talk about everything—because your health, your body, and your sex life deserve honesty and science. Today, we're diving into Trimix and Bimix , injectable medications used to treat erectile dysfunction (ED), especially in men who don’t respond well to pills like Viagra or Cialis. These meds are powerful— sometimes shockingly so —and while they can be incredibly effective, they come with risks that you should know about before using them. 💊 What Are Trimix and Bimix? Trimix is a compounded injectable medication that includes: Alprostadil – a prostaglandin that increases blood flow Papaverine – a smooth muscle relaxant Phentolamine – an alpha-blocker that dilates blood vessels Bimix contains just papaverine and phentolamine , and skips the alprostadil. This makes it slightly less potent and sometimes better tolerated for beginners or those prone to sensitivity. These medications are injected directly into...

A Step-by-Step Guide to Heightening Sexual Pleasure During Anal Sex

Hello everyone—Dr. Tom here from Tom of P-Town Health! Today, we’re tackling improving anal sex through science . In this blog for beginners, we’ll explore key factors such as preparation, positioning, lubrication, herbal supplements, meditation, and more. We’ll also include references to medical literature and other reliable sources along the way. Let’s dive in—step by step! 1. Understanding the Basics and Health Considerations Anal Anatomy 101 The anal canal and rectum contain numerous nerve endings that can respond positively to gentle and mindful stimulation. The sphincter muscles (internal and external) control the opening of the anus. Tension in these muscles can lead to discomfort or pain. Relaxation is crucial for pleasurable experiences. Health and Safety Checks Sexually Transmitted Infections (STIs) : The rectal lining is more prone to micro-tears, making STI transmission easier if protection isn’t used. Experts at the Centers for Disease Control and Pr...

The "LoadDown" on Load Size: What drives ejaculate volume?

One of the most popular topics I get asked about is semen volume—often colloquially called “cum load.” Are bigger loads automatically better? What factors influence ejaculate volume? And is there anything you can do—be it diet, supplements, or lifestyle changes—that might potentially boost your volume? Let’s dive into the research on this fascinating subject. What Is Semen Volume? Semen (commonly referred to as “cum”) is the fluid that is released during ejaculation. It contains: Sperm (produced in the testes). Fluid from the seminal vesicles (which accounts for the majority of the volume). Prostatic fluid (produced by the prostate gland). Secretions from the bulbourethral (Cowper’s) glands . Typical semen volume ranges from about 1.5 to 5 milliliters (mL), though this can vary widely from person to person and over different times in the same individual. According to the World Health Organization (WHO) standards, a volume under 1.5 mL is considered “low” (a condition k...

The Other Rings of Power: Cock Rings

Long before silicone and stainless steel dominated bedroom drawers, resourceful Romans tied leather thongs at the base of the penis to keep erections firm for decadent banquets. Flash‑forward two millennia and the cock ring has gone mainstream—sold everywhere from boutique sex shops to apps that offer same‑day delivery (thanks, capitalism‑in‑sweats!). A Brief History in One Paragraph Historians trace the first cock rings to ancient China, where water‑buffalo horn and jade rings were prestige items believed to channel virility. Victorian physicians later recommended “male constrictors” for premature ejaculation (while feigning polite horror). The modern era arrived in the 1960s leather scene, when leather straps were popular. Today you’ll find medical‑grade silicone, surgical steel, and even programmable rings that vibrate in sync with Beyoncé’s halftime set. How Cock Rings Work A ring worn around the base of the penis—or penis and scrotum together—slows venous blood return. More b...

Bigger, Badder, Pumpier?

Vacuum-Pumping as Fetish Play in the Gay Community Hey, neighbors—Tom here. If you’ve wandered through certain corners of Twitter, Recon, or OnlyFans lately, you’ve probably noticed a fresh crop of photos featuring gleaming acrylic cylinders and impressively swollen packages. Vacuum pumps—once the discreet domain of urologists treating erectile dysfunction—have been fully adopted by kink culture, surfacing at play parties, bathhouses, and yes, Provincetown rental shares. Before you lube up and flip the switch, let’s talk science, safety, and savvy play. 1. What’s the Big Suck? A vacuum-erection device (VED) fits over the penis (sometimes the scrotum, too) and uses negative pressure to draw blood into erectile tissue. In standard medical use the goal is rigidity for intercourse. In fetish settings the aim is often size, engorgement, or the unique sensory pull of suction. Why it’s hot: Instant visual transformation Intense stretching sensation “Bull pumping” (penis + scrotum) delivers a ...

“Rimming” 101: Why It Feels Amazing — and the Gut Bugs Your Doctor May Miss

1. Why it (really) feels so good Neuro-rich real estate. The anal rim and perineum are packed with free nerve endings (A-δ and C fibers) plus branches of the pudendal and vagus nerves. Light, wet stimulation sends a direct line of sensory traffic to the sacral spinal cord and onward to the limbic “reward” loop. Parasympathetic power-up. Gentle oral pressure activates baro-receptors around the sphincter, triggering a vagal surge of acetylcholine → smooth-muscle relaxation, lower heart rate, and that warm, floaty feeling many guys describe. Oxytocin + dopamine cocktail. Oral–anal contact is about as intimate as it gets; MRI work on affectionate touch shows a rapid rise in oxytocin and nucleus-accumbens dopamine, amplifying trust and arousal. Add the flavor layer. Taste and scent cues from apocrine glands light up the same olfactory cortex that responds to pheromones, folding another sensory channel into the mix. No wonder survey work puts lifetime analingus experie...

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