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How to Anal Douche: Cleaning Before Anal Sex

Fundamentals |

How to Anal Douche: Cleaning Before Anal Sex

by Dr. Evan Goldstein

When it comes to sex, most of us never had access to proper sex education, especially when it comes to anal sex. This means we’ve had to turn to porn, friends, or Reddit to figure out how to properly prepare, play, and care for our butts. This doesn’t sound safe now, does it?

In my surgical practice, I quickly learned that nearly everyone who engaged in receptive anal sex (bottoming) prepared for sex by anal douching (aka rectal douching). For those who may be unfamiliar, anal douching is the act of cleansing the rectum and anal canal, most traditionally done with liquid expelled from a douche bulb or shower hose. Everyone wants to be confident that they won’t have any unnecessary surprises come up during sex and sometimes their diet (like fiber intake) or stress levels means that using an anal douche right before sex is the final step to getting their butt squeaky clean and ready for the big D. 

After realizing the void in sex education, I also realized that there had never been safe and appropriate anal douching products. That’s when I sought out to create Future Method--the first ever douche developed specifically for anal sex.

 Types of Anal Douches

There are a couple methods for anal douching: 

  1. Water and store-bought enemas: Water, followed by store-bought enemas, is the most common formula / liquid gay men and those who engage anally use to anal douche. Unfortunately, they’re not as innocuous as you’d think. There are essentially two types of cells in our ass (properly called the anorectal cavity), and when we douche, the lining, also known as the mucous membrane, can be affected. These cells are hypersensitive, so when somebody douches with water or store-bought enemas, for example, the ability for these protective cells to function is depleted. Water pulls out all of the cells nutrients and store-bought enemas pull out all the water. Regardless of what is used, the end result is cell destruction. This human-caused alteration also disrupts what is known as the anal microbiome, which affects the normal balance of the good bacteria and bad bacteria that resides in our butts. As a result, there’s a chance that micro cuts and tears can happen, and with the absence of the protective layer, it can lead to a higher chance of contracting HIV and other STDs, and other significant complications.
  2. Isotonic formula: The Future Method Anal Douche & Formula is truly the first of its kind on the market. It’s the first scientifically-formulated, isotonic douche that gently–yet effectively–cleanses the rectum to prepare for the heightened sexual experience we all deserve. Isotonicity means that the formula allows for the free movement of solution across your cell membranes, without disrupting your anal cells and, therefore, only cleanses the rectum. We want you to be well prepared to bottom for any intimate moment. Put another way, if we were to create a spectrum, water is on one end and a store-bought enema is on the other. We want to be right in the middle--exactly the same concentration as a cell, aka “isotonic”. This is important because we want our solution to do one thing: clean. We don’t want to irritate a cell, disrupt a cell, and certainly not cause trauma. So if an isotonic solution comes into contact with a cell, it leaves the cell alone because there's no difference between the concentration of our solution and the concentration of the cell. Not only is our solution isotonic, but we added a mild cleansing agent called Tego Solve, as well as licorice-root extract, called glycyrrhizic acid, which is known to be soothing.

 The 5 Steps of Anal Douching 

  1. Use the bathroom to get rid of any possible feces present in the rectum.
  2. Clean your Future Method bulb and tip with warm water and soap.
  3. Assemble the bulb and tip, then draw the Future Method solution into the bulb (roughly half the pouch).
  4. After applying lube to the bulb tip, slowly insert it into your rectum. The best position is to be on all fours. Gently squeeze the bulb, allowing all of the liquid to flow into your rectum.
  5. Before releasing pressure from the bulb, remove both the bulb and tip, and then expel the solution from your rectum into the toilet. If desired, a second pouch may be used.

Is Anal Douching Safe?

Yes, anal douching is safe, assuming you avoid some common pitfalls and mythsWhen we think of douching, it’s not only the liquid or formula that can cause problems, but also the mechanics of how it’s delivered into the rectum. Here are some risks you’ll want to avoid:

  1. Over-douching: As mentioned above, cleaning too deep, with too much force, or with too much water (either all at once or through too many applications) can cause long-lasting problems, including irritation of the region. When you douche with other, larger bulbs in the market and insert 7+ fluid ounces in one squeeze, the liquid ends up going too far beyond the rectum, into the sigmoid colon, where feces is stored. This can actually make the situation even messier than if you hadn’t douched at all. Over douching is a big problem in our anal community because we have all been trained to think that more is better. But when it comes to douching, less is actually more. The more liquid you insert into your rectum and the more times you do it, the more trauma that occurs. Regardless of the trauma, most people are uneducated on the actual anatomy of anal sex. For routine anal sex, your finger, toy, or partner(s) aren’t going as deep as you think. In order to better understand why less is more, we must first understand the location of our stool and bowels in relation to where anal sex actually takes place. Most shower hoses are actually too long and end up way higher inside your colon. This is no-no #1. Then, once inserted, you turn on the faucet. Unfortunately, most shower hoses do not have any way to regulate water pressure. Now, all that high-pressure water creates a balloon effect, distending the rectum, washing away all the good things, and then shooting that water way up into the colon--much further than anyone will ever go during routine anal sex. You may ask yourself: what’s so bad about this? Well, the colon is where shit is stored. So the more you flush, the more shit you’ll dislodge, the longer it’ll take for things to “run clear”. This is no-no #2.
  2. Douching Dependency: Douching dependency is a potentially serious consequence of over-use. I see it time and time again from the aforementioned over-douching. I even know some people who use the shower hose to evacuate their bowels normally--not just when they’re preparing to bottom. By doing this, the inner muscles of the rectum not only get distended beyond their capacity, but also, over time, they lose their ability to recoil. We need those muscles to effectively evacuate our bowels and keep everything in its rightful place. Without these muscles to assist, people can lose that imperative reflex, causing significant constipation and/or--the most catastrophic--what’s called rectal prolapse. In order to evacuate your bowels, in this over-use scenario, you have to create so much force that your insides are literally pushed out. It isn’t pretty and can lead to a surgical emergency. The good news is that these variables are compounding and with proper education surrounding douching, we can hopefully avoid these detrimental effects. 
  3. Shower Hoses and Water Pressure: When using a shower hose, you’re forced to constantly insert and remove the nozzle in order to expel the water and release the balloon-like pressure. During this repetitive action of fill up, rinse, and release, the trauma is compounded. Over and over again, I see people who practice this type of douching, some of whom are doing it for over 45 minutes, several times a week. Do we now see how bad this is? And, quite frankly, how unnecessary it is? 

Unfortunately, no one taught us any better, until now. The goal for Future Method is to educate people on the science of sex. We are here to analyze everyone’s sexual practices and come up with solutions rooted in science. We want you feeling as sexy and as clean as you want, but to achieve these end results in a safe and simple way.

How to Clean Your Anal Douche

Cleaning your anal douche is actually a fairly simple process:

  1. Separate the tip from the bulb itself. 
  2. Wash both the tip and the bulb with warm water and soap. 
  3. Dry them both before putting them away.
  4. Please remember to store them in a clean, cool, and dry place in between uses.

      Bottom-friendly Diet Tips

      What most people don’t realize is that being ready to bottom at the drop of your pants actually starts with your diet. If you maintain a healthy diet full of fiber (either natural or through fiber supplementation), douching should only take a few minutes (and for a lucky few, not necessary at all). 

      Why fiber? Think back to the last time you saw a dog poop. Have you ever seen them use toilet paper? No! This is because their food is naturally super high in fiber, which causes their stool to bulk together in one smooth, bulky mass. 

      While it’s hard for most of us to naturally incorporate enough fiber into our diet through fresh fruits, vegetables, leafy greens, whole grains, and unprocessed bran, adding supplements is a great alternative. Most of us are probably familiar with drugstore brands like Metamucil, Citrucel, and Colon Cleanse Daily Fiber, which all come in pill and/or powder form. Another option is designer fiber, like Pure for Men, which was specifically designed for those who enjoy bottoming.

      If going the supplement route, you’ll need a lot of patience while you find the right timing and dosage of fiber to ensure maximum cleanliness for your body. I always recommend taking your fiber before bed since this allows absorption and optimization to occur while you’re sleeping and then defecation upon waking up in the morning. 


      Dr. Evan Goldstein is the founder of Future Method, a new kind of sex care focused on bringing healthy, mind-blowing sex to the gay community. Dr. Goldstein is also the founder and CEO of Bespoke Surgical, a surgical practice for modern males based in New York and Los Angeles. He received his medical doctorate from the University of Medicine and Dentistry School of Osteopathic Medicine in 2002. Being an out surgeon has enabled him to serve the gay community with a knowledge and focus that is unparalleled within the industry, uniquely positioning him to completely transform the sex care landscape.

      The views expressed in this article intend to highlight alternative studies and induce conversation. They are the views of the author and do not necessarily represent the views of Future Method, and are for informational purposes only, even if and to the extent that this article features the advice of physicians and medical practitioners. This article is not, nor is it intended to be, a substitute for professional medical advice, diagnosis, or treatment, and should never be relied upon for specific medical advice.

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