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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 October, 2025

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💪🌈 The Rise of the Himbos

on October 21, 2025

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🍵 Tea Rooms: The Secret History of a Vanishing Gay Subculture (and Why Good Sexual Health Still Matters)

on October 20, 2025

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Empowering Gay & Bi Men to Take Charge of Their Health

on October 20, 2025

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Get to the Bottom of It: Why Anal Pap Smears Matter for MSM

on October 17, 2025

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🌈 It’s Here! “Your Health, Your Power” Is Finally Launching!

on October 14, 2025

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The Biology of Attraction & Lust in Gay Men

on October 14, 2025

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A Book for Men Who Have Sex With Men on Navigating Health Care

on October 08, 2025

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Posts Raising Eyebrows

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...

“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...

A new cream to regrow hair? Prevent Male Pattern Baldness?

If you spend any time around men’s health (especially guys who’ve watched their hairline change in real time), you’ve probably heard the buzz: Winlevi® (clascoterone) —a topical anti-androgen already FDA-approved for acne—may have a future role in androgenetic alopecia (male-pattern hair loss) . There’s a reason this idea won’t die: the biology makes sense. And recently, late-stage trial programs of clascoterone formulated for the scalp have reported promising topline results in androgenetic alopecia. STAT +2 Fierce Pharma +2 But here’s the key clinical reality: Winlevi is FDA-approved for acne, not hair loss. That means we do not yet have FDA-reviewed evidence that Winlevi regrows hair, and we don’t have standardized guidance on dosing, scalp formulation, long-term outcomes, or insurance coverage for alopecia treatment using this medication. FDA Access Data +1 Let’s break down what we know, what we don’t, and how some cl...

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

The Tric That’s Hard to Get Rid Of: A New Fungal Infection on the Rise in MSM Itchy, red, and stubborn—no, we’re not talking about that ex you can’t shake. A new fungal infection is making the rounds in some MSM (men who have sex with men) communities, and it’s proving to be a bit trickier than your typical jock itch. Meet Trichophyton mentagrophytes , a fungus that’s causing a sexually transmitted skin infection that’s both annoying and persistent. What’s the Deal? A handful of MSM have recently been diagnosed with this fungal infection, and here’s the kicker—it doesn’t respond to over-the-counter topical antifungals like your standard athlete’s foot or ringworm. Instead, it’s requiring oral antifungal medication to clear up, making it a bit more of a hassle than your everyday skin nuisance. How Is It Spreading? While research is still ongoing, it seems that Trichophyton mentagrophytes is spreading through close skin-to-skin contact—yes, that means intimate encounters...

Cocaine Use in the Gay Community: Risks, Culture, and Harm Reduction

At Tom of P-Town Health , we believe in meeting people where they are—without judgment, but with clear-eyed concern for your health and safety. Cocaine use remains common in many gay social spaces—from bars and parties to private encounters—and while we aren’t here to shame anyone’s choices, it’s vital to talk openly about the risks, especially the ones nobody explains when a bump is passed your way. Why Cocaine? And Why Us? Gay men are statistically more likely than their heterosexual peers to use stimulants like cocaine. It’s often tied to the search for confidence, energy, and enhanced sexual performance. In social spaces where inhibition is already lowered, cocaine can feel like a quick shortcut to connection and intensity. But shortcuts can come with steep costs. How Cocaine Affects the Body Cocaine is a powerful stimulant that boosts dopamine levels in the brain. Here’s what that means for your body: Short-term effects : Euphoria, increased energy, talkativeness, enhanced co...

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

Key Points 🔑 Half of cis-men will notice androgenetic alopecia (AGA) by age 50; for gay and bisexual men the psychological hit can feel doubly intense thanks to community body-image pressures. Proven pharmacologic anchors are 5-α-reductase inhibitors (finasteride, dutasteride) and minoxidil (topical or low-dose oral). Combination beats monotherapy. Adjuncts with decent evidence: platelet-rich plasma (PRP) , microneedling , and low-level laser / red-light therapy (LLLT) . Surgical rescue (FUT/FUE hair transplantation) boasts >90 % graft survival with modern techniques, but costs $8–18 k and isn’t “one-and-done.” Acceptance strategies —growing a beard, rocking the shaved-head look, scalp micropigmentation—can be healthier (and cheaper) than lifelong meds. Anabolic-androgenic steroids (AAS) and any drug or supplement that spikes serum DHT will speed up follicular miniaturization. 1 | Why We Lose It: A Quick Follicular Biology ...

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