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A Blog for Men Who Have Sex With Men and Their Allies | www.tomofptown.com

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Showing posts from June, 2025

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When Your Boner Takes a Detour: Let’s Talk Peyronie’s Disease

on June 28, 2025

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Male Pattern Baldness: From Buzzcuts to Bio-Hacking — A Tom of P-Town Health Deep-Dive 💈🧑🏻‍🦲

on June 26, 2025

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The Jockstrap Journey: From Bicycle Saddles to Backroom Slings

on June 23, 2025

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

on June 21, 2025

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Posts Raising Eyebrows

An overlooked cause of chronic diarrhea in gay men

Gastrointestinal Spirochestosis in Gay Men: An Underrecognized Cause of Digestive Issues Introduction Gastrointestinal spirochestosis (GS) is an underdiagnosed bacterial infection of the intestines caused by spirochetes , specifically Brachyspira aalborgi and Brachyspira pilosicoli . While it has often been associated with immunocompromised individuals, GS has also been found in otherwise healthy gay men , particularly those engaging in receptive anal sex. The infection can cause chronic digestive symptoms, including diarrhea, abdominal pain, and bloating, mimicking conditions such as irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD) . How is Gastrointestinal Spirochestosis Transmitted? GS is primarily transmitted through the fecal-oral route , meaning bacteria enter the body through contact with contaminated material. In gay and bisexual men, transmission may occur through: Receptive anal sex (including...

“Dude, Why Is My Foreskin So Angry?”

Balanitis 101 — A Tom of P-Town Health Blog Post 1. Balan-WHAT-is? Balanitis is medical-speak for “inflamed head of the penis.” Picture the glans (aka the helmet) looking red, shiny, itchy, maybe smelly, and sometimes sporting a cottage-cheese coating. Not a good look, not a fun feel. 2. Why Does It Happen? Usual Suspect How It Starts Yeast (Candida) Warm, damp foreskin → fungus disco. Common after sweaty workouts or antibiotics. Bacteria Poor rinse after soap, trapped smegma, or sex without a quick wash-off. Irritants Scented lube, harsh body wash, new laundry detergent. Skin Conditions Psoriasis, eczema, lichen sclerosus can show up here too. STIs Herpes, gonorrhea, chlamydia can mimic balanitis, so testing matters. 3. Spotting the Signs Red or pink patchy glans Itch, burn, or “paper-cut” cracks Thick white goop under the foreskin Funky smell even after showering Pain pulling the foreskin back Pee stream spraying everywhere (swelling at the tip) 4. DIY First-Aid (24–48 hrs) Gent...

Watersports – What You Need to Know From a Health Perspective

Hey there, friends! Tom of P-Town here, bringing you another open and honest discussion about kink and sexual health. Today’s topic: watersports , sometimes called “golden showers” or urolagnia. Whether you’re curious, experienced, or somewhere in between, I’m here to offer straightforward, non-judgmental information. The name of the game is exploration and pleasure—but as with any erotic play involving bodily fluids, it’s essential to be informed about possible health risks and ways to reduce them. Let’s dive in. What Exactly Are Watersports? For those who are new to the concept, watersports involves sexual arousal or pleasure derived from the act of urinating on—or being urinated on by—a partner, and sometimes being urinated "in" as well. This might happen as part of power dynamics (dominance and submission) or simply as another way to play and bond intimately with a partner. While it’s definitely not everyone’s gulp of tea, plenty of folks enjoy it in a consensual, respec...

The Health Benefits of Masturbation (and Edging): More Than Just Fun

Let’s talk about something most people do—but few talk to their doctor about: masturbation . And its slightly more intentional cousin, edging . Beyond pleasure, both actually play a meaningful role in physical, mental, and sexual health—especially for men as we age. Masturbation Is Normal. And Healthy. From a medical perspective, masturbation is one of the safest forms of sexual expression. No STI risk, no performance pressure, and no one else’s schedule to coordinate with. But the benefits go well beyond convenience: Stress reduction & better sleep: Orgasm releases endorphins and oxytocin, helping lower cortisol and promote relaxation. Pelvic floor health: Regular ejaculation engages pelvic muscles, which supports erectile function and urinary control over time. Prostate health: Some studies suggest regular ejaculation may be associated with a lower risk of prostate issues later in life. Body awareness: Knowing what feels good (and what doesn’t) ...

ANAL DOUCHING- The Good, The Bad, and The Ugly The Rectum is the Jan Brady of the sexual organs (for those of you that are too young to know who that is, think Khloe Kardashian)- by this I mean it doesn’t get a lot of attention. In fact, up until recently even though you can get gonorrhea, chlamydia, HPV, and syphilis in your rectum, people were rarely if ever checked for any of these. Additionally, there has been very little research done on the rectum as a sexual organ and what health-related consequences exist for those that do use it sexually. It is known, that up to 60% of MSM (men who have sex with men) that have receptive anal intercourse (“take it in the ass”) douche to, “clean out.” Yeah, of course they do because most people find having feces make an appearance during sex to be a mood killer. If you aren’t one of those people and have a partner who also doesn’t care, this post isn’t for you… Let’s start with an evolutionary perspective, while anal sex is without questio...

Tom of P-Town’s Take on Colorectal Cancer Screening for Gay Men

Hey there, P-Towners! Tom here, diving into an important topic for all men—especially gay men—looking to take charge of their health. Today, we’re focusing on colorectal cancer (CRC) screening and how it fits into an overall health plan that also includes anal PAP smears . Let’s break it down. 1. Why Colorectal Cancer Screening Matters Colorectal cancer is one of the most common cancers affecting people of all genders. Fortunately, when caught early, it’s highly treatable. CRC screening can detect precancerous growths (polyps) and allow doctors to remove them before they turn into something more serious. According to the American Cancer Society (ACS) , early detection of CRC is key to improving outcomes and survival rates 1 1 . Regular screening is thus a crucial part of proactive health care. 2. This Does Not Replace Anal PAP Smears While colorectal cancer screening is vital, it doesn’t replace the need for anal PAP ...

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