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Tom of P-town Health Blog

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

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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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Ghosting, Flaking, and the Chemistry of Desire

on September 23, 2025

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⚡ E-Stim Fetish Play: Pleasure, Power, and Staying Safe

on September 14, 2025

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Sex Addiction in Gay Men: Understanding the Difference Between Desire and Disorder

on September 10, 2025

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Tom of P-Town Health Blog: Prostate Cancer in Gay Men

on September 09, 2025

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Posts Raising Eyebrows

Anal Douching: Because Your Butt Deserves the VIP Treatment

Let’s be real—if you’re going to clean out, you might as well do it in a way that’s gentle, predictable, and won’t have you stuck in the bathroom wondering if tonight’s plans are ruined. Here at Tom of P-Town Health, our gold standard for a safe, reliable, and affordable clean-out is simple: Mix it right with a NeilMed® Sinus Rinse bottle, NeilMed® saline packets, RO (reverse osmosis) or sterile water warmed to body temp, and deliver it with a reusable bulb syringe. Fleet® enemas and tap water? Sure, they work —but you’ll be amazed how much faster this method runs clear, how much less you bloat, and how drama-free your night becomes. Why We Love This Method NeilMed packets give you an isotonic solution—fancy talk for “your butt won’t sting or cramp.” RO or sterile water means no bacteria, chlorine, or random minerals—just clean, pure liquid. Body-temp rinse feels natural and reduces “cold shock.” Bulb syringe delivery is gentle, precise, and eas...

Why Past Anabolic Steroid Use Still Matters — Even Years Later

For many men, anabolic androgenic steroid (AAS) use happened in a very different chapter of life. It may have been tied to body image, performance, confidence, or simply surviving within a culture that rewarded size and strength. For men who have sex with men (MSM), steroid use has often intersected with community norms, dating pressures, and expectations around masculinity. And because it may have occurred years — or even decades — ago, many people assume it’s no longer relevant to their health. Medically, that assumption is wrong. Why Disclosure Matters One of the most important roles of a healthcare provider is to create an environment where patients feel comfortable sharing past anabolic steroid use without fear of judgment . Not to shame. Not to label. But to guide appropriate, proactive medical care. Anabolic steroids can have long-lasting effects that persist well after someone stops using them. Many of these effects develop quietly, without obvious symptoms, an...

Out of Lube and Feeling the Friction? A Tom of P-Town Health Kitchen-Cabinet Survival Guide

You’re mid-make-out, hands are everywhere, and—horror movie music cue—the lube bottle’s bone-dry. Before you raid the pantry (or smear on whatever’s on the bathroom shelf), let’s talk about what’s actually safe to slide between those thighs and what belongs nowhere near your naughty bits. 1. Lubricant 101 in 60 Seconds Consideration Why It Matters Barrier method Oil-based anything can shred latex and polyisoprene condoms —hello, condom breakage and STI risk. AIDS Foundation of Chicago Spotlight Sex toys Silicone lubes can rough up silicone toys, creating micro-grooves that trap bacteria. Extend Fertility Healthline Osmolality & pH “Hyper-osmolar” products (read: very salty or sugary) pull water out of your cells, leaving tiny tears that boost infection risk. PubMed Clean-up The thicker and oilier it is, the more likely you’ll need soap, hot water, and a prayer to get it off sheets, toys, and skin. 2. The YES PLEASE List (Great in a pin...

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...

Health Care Proxies: One of the Most Important Forms Gay Men and MSM Should Have on File

A health care proxy is not just something for “older people,” people with serious illness, or people nearing the end of life. It is one of the simplest, most powerful ways to protect yourself at any adult age . In Massachusetts, any competent adult age 18 or older can complete a health care proxy. The form lets you name a trusted person—called your health care agent —to make medical decisions for you only if you become unable to make or communicate those decisions yourself . That could happen after an accident, a sudden illness, a stroke, anesthesia complication, severe infection, or any situation where you temporarily or permanently cannot speak for yourself. For gay men and other men who have sex with men, this can be especially important. Many of us have rich, loving, complicated networks of partners, exes, close friends, chosen family, biological family, and community. But hospitals and emergency departments do not always know who truly knows your wishes—or w...

Your Beard Isn’t Breaking Out—Your Clippers Are Dirty

Not Acne: Understanding Tinea Barbae (Beard Fungus) Tom of P-Town Health | Practical, stigma-free care for men’s health If you’ve got what looks like stubborn “acne” in your beard—especially if it’s itchy, scaly, or just not responding to your usual routine—you might be dealing with Tinea barbae , not acne at all. Let’s break it down so you can spot it early, treat it correctly, and avoid spreading it (to yourself or others). What Is Tinea Barbae? Tinea barbae is a fungal infection of the hair follicles in the beard and mustache area, caused by dermatophytes (the same family of fungi responsible for athlete’s foot and ringworm). Unlike acne, this is not a bacterial process —so benzoyl peroxide and typical acne washes often fail (and can sometimes irritate things further). Why It Gets Misdiagnosed as Acne Because it can look very similar to: Ingrown hairs Razor bumps ( pseudofolliculitis barbae ) Inflamed acne Folliculitis...

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