Expert Anal Dilation Services in NYC | Bespoke Surgical (2024)

AWARD-WINNING & NATIONALLY TRUSTED SERVICES

For expert help with anal dilation, Bespoke Surgical offers anal dilation and stretching services by our compassionate team of doctors. Our skilled team ensures comfortable procedures tailored to your individual needs, promoting optimal health and well-being. Trust us to provide safe and effective care, enhancing your quality of life with discretion and respect.

If anal fissures persist, even after you have tried the dilation protocol at home, or you are finding that you may need extra help with the process, please make an appointment to see Dr. Goldstein. While the at-home training should be an effective method of anal fissure prevention, there may be a need for surgical correction or in-office physical therapy.

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What is Anal Training & Anal Stretching?

Just like working out any part of your body, sphincter muscles also need to be trained for maximum flexibility. This anal training process, also called anal stretching or dilation, often involves the act of opening, widening, or stretching the anus with tools called anal dilators or anal expanders. It is often done after surgical procedures on the anus to restore the area to its normal state or as a method to prevent anal fissures. Anal stretching can make passing stool and/or sexual activity more comfortable and is imperative to both functionality, along with the aesthetics desired. To learn how to stretch your sphincter muscles and anal muscles, keep reading. If you’re new to anal intercourse, consider checking out Bespoke’s Science of Anal Sex blog post.

Anal Dilation Services & Procedures At Bespoke Surgical

If anal fissures persist, even after you have tried the dilation protocol at home, or you are finding that you may need extra help with the process, please make an appointment to see Dr. Goldstein. While the at-home training should be an effective method of anal fissure prevention, there may be a need for surgical correction or in-office physical therapy.

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PHYSICIANS

Dr. Evan Goldstein, D.O.

Dr. Evan Goldstein is the Founder and CEO of Bespoke Surgical, NYC’s leading sexual health private practice. He received his osteopathic doctorate from the University of Medicine and Dentistry School in 2002 and completed his residency in General Surgery at Maimonides Medical Center. In 2020, he was named one of NYC’s top LGBTQ+ business leaders by Crain’s New York and he is involved with GLSEN, ACRIA, HRC, and Callen-Lorde’s Howard J. Brown Society. All of these experiences and affiliations have shaped his whole-life approach towards the practice of private surgical care and sexual wellness.

Read More Dr. Evan Goldstein’s NPI recordClick to send an email to egoldstein@bespokesurgical.com

LEARN ABOUT ANAL STRETCHING & TRAINING
FROM THE EXPERTS AT BESPOKE SURGICAL

If you’re wondering how to stretch your anus safely or just want to learn more about what anal stretching is, Bespoke Surgical has created a complete guide to answer all your questions. Our anal stretching guide will teach you how to stretch your asshole safely without risking an anal fissure.

Bespoke Surgical’s elite NYC anal surgery practice provides hand-tailored, expert care for every patient. If you have more questions or concerns involving your anal stretch, consider contacting us today.

The Bottom Line on Anal Dilation Services

Anal stretching can be a great way to gain control over your sphincter muscles and help you open up for both intercourse and defecation. Taking your time and following a strict protocol will prevent injury and help you train your anus faster.

If you have the opposite problem – a loose anus – we have a Guide to Tightening a Loose Anus and Gaining Sphincter Strength you can read for further details.

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“Going to the doctors is never easy but from the moment I walked in I felt myself exhale for the first time since my issues began. Thank you to everyone for creating a space that calms while inspiring wellness and healing. To be seen and heard by someone within our LGBT community was a game changer.”

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Bespoke Surgical is located in Manhattan, in the Greenwich Village neighborhood, and easily accessible by car or public transportation.

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FREQUENTLY ASKED QUESTIONS ABOUT ANAL STRETCHING

What preparation is needed for anal stretching?

No prep is needed for anal stretching other than having a normal bowel movement. Setting the stage for success includes a positive mood and mindset, as well as your surroundings. Dr. Goldstein usually recommend doing your exercises in the shower, while warm or hot water is running or right before a shower, both of which can help aid in relaxation. Be sure to have all of your supplies ready before you get started and remember that this includes lots of lube (this is paramount).

What positions work best for anal training?

There aren’t any specific positions that work best for anal stretching and training. What’s more important is what feels comfortable for you. Understanding your anatomy, with all its internal angles and curves, sets the stage for successful dilating and play.

You’ll want direct, straight-in access, paying attention to your sphincter muscles upon entry. This means that it may be best lying on your back or on all fours and using a repetitive motion, going in-and-out, until you hit resistance. This controlled pressure, with continued gaping, will allow for the relaxation we need that will assist in anal stretching. You may need a bit of trial and error to see what feels right. I also encourage you to switch things up because we want to simulate future play as best we can and sometimes that takes on a mind of its own–or many different positions.

Is anal stretching permanent? How often do you need to dilate?

Unfortunately, anal stretching is not permanent and anal training is a continuous process. You should make these exercises a weekly ritual. You have two options: engaging in anal sex or playing with butt plugs or dilators 2-3 times a week to dilate. As you get more advanced, you should be using your butt plugs or anal dilators for both stretching and tightening the dilation will keep you ready to bottom, while the contractions will keep the muscles and skin in check. Dr. Goldstein’s protocol allows for risk and injury prevention, as well as pleasurable engagement, alone or with others.

What happens if the anus is stretched?

When your anus stretches, the ring of muscle known as the sphincter opens. If it stretches further than the anal tissue is accustomed to, the tissue may tear, causing an anal fissure. This can happen during a hard bowel movement or rough intercourse, causing discomfort and occasionally bleeding. By training anal tissue with our dilator protocol, you can let your anal musculature grow accustomed to opening and closing consciously.

How can I stretch my anus better?

If you’re following our dilator protocol above, your anus should be stretched as much as needed. For those who want to maintain an optimally tight anus, one that is able to stretch enough to comfortably enjoy anal sex without losing pleasurable sensations (e.g. becoming too loose), then check out ourGuide to Kegel Exercises for Men.

On days you’re not engaging in anal play or training anal tissue with our dilator protocol, try relaxing your abdomen then squeezing just your anus and pelvic floor muscles as if you were trying to stop urinating for about five to 10 seconds. Repeat that about five times a day.

This page was medically reviewed by Dr. Evan Goldstein on May 23, 2024.

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Expert Anal Dilation Services in NYC | Bespoke Surgical (2024)

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