Newsletter Winter 2010-11                   The Examiner Newsletter                 Winter  2010-11 
Anal Play
by Jack Morin, PhD.
from a Sexuality Conference, Los Angeles, CA - Nov.11, 1998

 As Masters and Johnson showed, of course, and anyone who paid attention to what's going on with their body during an orgasm knows, the anal musculature is totally involved in the orgasmic contractions, which you can feel in your anus. They're exactly the same: the same rate and everything. All orgasms are to some degree anal orgasms; you can't separate them. That's because the musculature in the pelvic region is all intertwined. The anal sphincter muscles are directly connected to the pelvic floor muscle, which goes throughout the pelvis.

A butt plug has a flared base, a narrow area where the sphincter muscles would be, and then it widens out and narrows again. It's flexible - rigid but flexible - and it's basically for anal stimulation. "Butt plug" refers to the shape where it goes in, near the base, so the sphincter muscles can kind of hold it in place. Some people like to just leave them sit there - during sex or sometimes even when they're not having sex overtly. And there are plenty of other anally insertable toys on the market. Oh, and don't share toys.

Biological Basics

There are two anal sphincter muscles: the internal sphincter, which is on the inside, and the external sphincter, which is on the outside. Now, it's important to know this distinction for anyone who's going to be an anal explorer. Because the external sphincter is under central nervous system control, most of us (unless we're totally out of touch with the area) just by tuning in and sort of deciding to release can learn to relax the external sphincter quite easily. The internal sphincter is controlled by the autonomic nervous system, so you may be able to relax the external sphincter and not be able to relax the internal one. It also seems to be the internal sphincter that stores up tension and stress on a cumulative basis; the anus often becomes what I call a tension zone - very similar to those of us who get the neck and shoulder thing, or the back thing, or the stomach thing, or wherever our tension zone may be. That mainly shows up in the internal sphincter. It really is the chronic internal sphincter tension that is a major, major cause of hemorrhoids!

The external sphincter does have layers to it, and kind of wraps around the internal sphincter; they're very closely linked together. The external sphincter is connected to the PC muscle, the pubococcygeus, the one we exercise in Kegel exercises. It's directly connected. And so if these muscles are tense, then what is it doing to our ability to enjoy orgasm when all those muscles that are supposed to let go are chronically constricted?

Insertion Techniques

If there's going to be intercourse or insertion of objects or a hand or whatever, then we're getting into the rectum. The rectum is not a straight tube. It's not the same in everyone - obviously, everyone's a little different on everything - but generally it takes two major curves along its length. There's the descending colon, then there's that S-shaped sigmoid colon just up above the rectum, and then the anal opening. A muscle called the pubo-rectal sling anchors to the pubic bone on one side, goes around and wraps behind the back of the rectum, and comes back and anchors on the pubic bone in the front and the other side. It supports the rectum, and its other function is that it's responsible for the majority of our ability to hold back having a bowel movement even if we need to. It's not mainly the sphincters that do that job; it's mainly the job of the pubo-rectal sling, but the pubo-rectal sling can also become chronically tense.

Pubo-Rectal Sling (female)

As far as inserting an object or a penis into the rectum, if done so at a wrong angle it will run into the wall just before the first rectal curve, and you're going to get a lot of pain. Some people try anal sex experimentally without learning about it first; they'll identify the pain of trying to go through the constricted sphincters (and that's pretty excruciating), but some will say that after they learned how to relax the sphincters they still feel a pain deeper inside - and that's it. That's what it is in almost every case, and this problem is exaggerated when you have excess tension in that pubo-rectal sling.

Pubo-Rectal Sling (male)

For anal play in general just try this basic approach: awareness, breathing, touch, looking, gentle finger insertion, and self-exploration, is a wonderful process for those who are recovering or even trying to recover from anal medical problems or surgeries, start with gentle external massage in warm tubs of water.

An indirect effect of anal spasm that may have nothing to do with sex is anxiety. One of the things to keep in mind is that anal muscle tension is very primitive. It operates on the survival level, very much part of the fight-or-flight response. A lot of people who have various anxiety disorders are keeping themselves on a hair-trigger where anything can set them off into anxiety, and are partly maintaining it by having their anuses chronically tied up. Combined with the other things you would do, this is a major adjunct to effective work with anxiety disorders.

Also be aware that the rectum is not normally a storage area for feces; that's stored in the colon just above the rectum. When pressure builds up there's another sphincter leading into the rectum (at the top) that opens up, and then the feces start to descend thus creating the sensation to defecate. As we hold back the feces, by squeezing the pubo-rectal sling and sphincter muscles, sometimes this will leave traces of it in the rectum (even after the bowel movement), but it is not the storage area.

Fisting and Fingering

Fisting refers to the insertion of several fingers, sometimes the whole hand, and sometimes even the forearm as well, into the rectum.

 If it involves the forearm, then the fingers are making their way into the lower colon; they're going beyond the rectum. This activity has maintained a strong popularity.

Of course it's a minority activity and I suspect always will be, because even most of us who are relaxed still can't do the fisting thing nor would most of us probably want to. But, a lot of people find that fisting is the most intense erotic experience they've ever experienced in their lives, that it brings them an incredible sense of oneness with whoever is doing it to then, and that it's a form of meditation.

Fisting and postillioning (using the fingers for anal insertion) takes time,  patience, slow methodical movements and lots of lubrication. Many people feel they get into altered states of consciousness and just have incredible experiences, sometimes without any genital involvement whatsoever - intense orgasmic experiences.

Handballing is another term for fisting. Most people are fooling around with multiple fingers, and not getting the forearm in there. These are the real fisting enthusiasts, who want to just get bigger and further.

Also, a lot of people really enjoy fingering: either their own finger on the external anal opening, usually as part of masturbation, or inserting the finger as part of masturbation. Many couples and partners enjoy doing this - they do it with each other, or one way. There's also oral-anal contact, which is popularly called "rimming" (referring to "around the rim" of the anal opening). The concern with anal-oral contact is not HIV, particularly. We're really concerned about parasites and Hepatitis A. This is a major route of transmission. The risk can be reduced pretty drastically by washing the area, but a lot of people who like rimming like the natural smells of the area. They don't want it squeaky-soapy clean; that's a turn-off.  It's not recommended to do casually, certainly! However, rimming with those of whom you've known long enough to have some idea about their health situation. But, in reality, it's hard to know who's carrying parasites around, or Hepatitis A.

Let's Talk First: Be Gentle and Take It Slowly!

If you haven't had an opportunity to discuss anal sexuality, whether or not you're interested in it personally, with other people make a point of it, because it's going to make you more comfortable discussing it and putting it into words, even if you're already comfortable in your head. So we really need to know exactly how we feel about it. Sometimes anal discussions and experiments can be a very nice part of a larger process of erotic self-discovery. Once you open the question of anal touch, and if the client picks up your comfort level and it seems to flow pretty well, they'll go wherever they need to go with it.

There's a big distinction between performance and pleasure-oriented goals. When people say, "I'd really like to be able to have anal intercourse because my partner wants it so much; I want to be able to please him [or her]," that's performance. Pleasure, on the other hand, means, "I think there's something in this for me, I've gotten hints that this stimulation can feel good, I want to enjoy it more, and I don't want to be blocked in the ways that I am." The difference between the motivations of pleasure vs. performance strongly correlates with the outcome of success, the effectiveness and enjoyment of the entire process. 

For those wanting anal intercourse, is to experiment with a butt plug, which come in a whole range of sizes. If the person is tense and/or new to all this, and uncomfortable, then obviously start with a small butt plug. They're a great way to begin, and should be inserted very gently and lubrication (Surgi-lube, is one of the best) is a must! For easy cleanup the water soluble lubes are good; for prolonged insertion of an object or a penis or whatever, usually a greasy, oily lube (WET, I-D, or one of the many others available) is need for long lasting lubrication. As popular as "Crisco" or butter/margarine (Did anyone see the movie, Last Tango in Paris?) are in many BDSM heavy fisting and anal sex play communities, they're not highly recommended as they may cause bacterial infections or allergic skin reactions from their food-based chemical composition.  continued>

Nurse Vivienne of MedicalToys.comMeet Nurse Vivienne

Nurse Vivienne is passionate, vivacious and absolutely loves to study anatomy... the anatomy of sex, that is! She
joined us this year, coming out of a completely different field of science: marine biology!

 Her academic and practical background for investigating the habitats and habits of watery beasts of rivers and streams, made it a natural transition for her to apply her work to the two legged creatures, especially the males of that species, known as homo Sapiens.

Every day, as new toys, medical devices and bondage gear arrive from their respective factories or suppliers, Vivienne runs with the box opener in hand, armed and ready to study the potential usage of whatever may be in the box! She lets us know of her plans for the "practical application" or  "testing" of the device or toy, as we pity the poor (ha!) boy that must endure her procedures.

Growing up in Southern California, she is often teased about her cute "Valley Girl" pronunciations, and her sweet giggles are just so contagious. She is of Italian decent, and her hot, sexy attitudes about life and love prove it!

Along with her full time work with us, she also heads up a local sex-positive support group that holds monthly themed parties that rival any big city kink events.

We are so fortunate to have her talents, her understanding of sexuality in all of its guises and most of all, her warmth and beautiful presence, each and every day! It is no wonder that she is always surrounded by friends who have become family... we welcome her home!

p.s. She has a Twitter page...

Anal Play (cont'd.)

Enemas for cleaning (or stimulation!)

Before playing, fisting or even fucking, the ass should be "cleaned"! This obviously, reduces the chances of encountering fecal matter during a hot and heavy intimate scene! Anal douching is a quick and relatively easy method, but cleans only the lower rectum area near the opening, using a small nozzled bulb reservoir for flushing the anus with warm water.

Enemas clean the  rectum further up, by using the rubber enema-bag hot water bottles with the hose and nozzle on it, and just hang it up let gravity move the water. They offer a higher volume of water and better cleaning. For those who really get into it, there are devices that attach to the shower. You have to be careful about the water pressure. If you just use warm water it doesn't seem to upset the natural balance of bacteria nor does it irritate the lining.
For Him... For Her!

There are many sources of pleasure when it comes to anal and rectal stimulation; there's lots to be stimulated. There's an incredibly rich supply of nerve endings all around the anal opening. The rectum is a little bit like the inner part of the vagina: more responding to pressure and not quite as surface sensitive. In males you have the bulb of the penis terminating in the perennial area right next to the anus, and it is actually anchored to the same muscle that the external sphincter is anchored to. I think that guys often get a lot of indirect stimulation on the inner part of their penis; things are getting moved around. Women are talking more about just what the boundaries are of the whole clitoral body; it's much bigger than most of us think, and there's lots of indirect stimulation there, too. 

Lots of guys love prostate massage and stimulation and say it intensifies their ejaculation; many love the feel of it and some don't. Keep in mind that women who like anal stimulation are every bit as enthusiastic about it as men who like anal stimulation. The prostate may be a factor for men, as may that prostatic-like tissue in the G-spot zone for women. But a lot of other things are in terms of nerve endings, and interaction with all the musculature there. So there's lots to get stimulated, but the prostate is one area that a lot of men really focus on. I think it's become a thing among some men, where "prostate stimulation" becomes kind of a code word for "feels good to be fucked in the butt."

Men can "tune into" their prostate by stimulating it with their longest finger, inserting it all the way, moving it toward the front of the body, and then gently rubbing. Especially if they do that during masturbation in the sustained plateau phase where they're highly aroused, the prostate is going to be enlarged and kind of hard and lumpy. You can feel it very easily, and then you can rub it to see if you like that feeling, whether it affects your ejaculation, or whatever.

More exploration of anal sexuality recommends doing Kegel exercises; we're not only toning up the whole pelvic floor (and the vaginal muscles in women), we're toning up the rectal muscles, and we're toning up the sphincters, and I think that is really going to eliminate any prospects of getting too loose. When the big stuff is inserted without pain, the insertion is not accomplished through stretching; it's accomplished through relaxation. So you just go back to your normal toxicity after you're done relaxing. People who want to enjoy anal sex should be regularly doing their Kegels.

Obviously with all anal play and anal experimentation, it's necessary to be safe-sex-conscious and to follow the safe, sane and consensual practices, so that it carries over in, during, and through the moments of highest passion. It's vital to your pleasure, health and life!
Questions from Audience to Dr. Morin:

Audience: I don't want to open up the whole issues of fissures, but what about the health issues - the chances of getting torn by long fingernails?

Oh, I'm really glad you brought this up. It's not a sidetrack at all; I just neglected to mention it. Any time a finger is going in there (one's own, or one's partner's), there has to be consciousness about trimming the fingernail, and smoothing them to be sure there are no rough edges. This is especially important in fisting.

Audience: Shouldn't fisters be wearing gloves anyway?

Well, that's what they say, but as a practical matter most fisters don't wear gloves. Actually, I think fisting - in and of itself - is a very low-risk activity if it's done via relaxation. The problem is when people are fisted and then someone fucks them, which you're not supposed to do, because you're really going to the max in terms of expanding the tissue. There's a chance of microscopic tears you might not know about, or surface abrasions, that would provide entry points for semen, and HIV that might be in semen, if you got fucked afterwards.

Audience: Wouldn't you be using a condom?

That would help, of course. In general, the fisting enthusiasts who are really thoughtful about it also recommend that after a fisting session you give your anus and rectum a break for a few days; just take really good care of it. <smile>

Audience: What kind of injuries happen, and what can you do about them?

The injuries, fundamentally, that happen are fissures: scrapes or tears. I don't know what the frequency is, it's not as great as you might think, but they do happen. Mostly they happen with rough, vigorous, intercourse where the receiver is ignoring strong pain signals. For people who have the no-pain-ever commitment and don't let
anything happen that hurts, injury is very rare.

When injuries occur, they tend not to occur in the rectum. Generally they occur in the anal canal or around the anal opening - the entryway, which is about an inch long - or at the juncture between the anal canal and the rectal tissue. There's a seam there, and that can tear. Or, if they have hemorrhoids, it can irritate their hemorrhoids. But if people do it without pain, and gently, it can actually help the hemorrhoids.

Guide to Anal Pleasure DVD

Guide to Anal Pleasure
featuring Dr. Jack Morin
author of  Anal Pleasure and Health Book

Stimulation of the anal erogenous zone can produce explosive orgasms for both men and women. Orgasms resulting from prostate stimulation can be the most intense a man can have. Created by the "Better Sex" series from the Sinclair Institute, this DVD features real couples demonstrating explicitly detailed positions for anal sex techniques, specially designed anal toys and lubricants, plus much more!

Anal sex may still carry some social taboos from negative attitudes and a lack of information. Dr. Jack Morin, the world’s foremost authority on anal health and pleasure, explains the physiology of anal stimulation, dispels myths, and discusses the role of proper preparation and anal sex techniques in achieving one of the most ultimate sexual pleasures.

 Guide to Anal Pleasure DVD
Item #670-3192
Price: $35.95


Return to Home

Go to the On-line Medical and Nurse Fetish Shop

Go to the Newsletter Archives

Go to the Gallery 

Go to the Medical Fetish Library

Go to the Media Page

 Go to the Site Index

The "Toys Are Us" for everything Medical Fetish and Institutional Bondage
All Rights Reserved© 1998-2011