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Since I am having regular bareback sex, I get tested every month, no exceptions. You do not want an amateur or beginner playing in your butt. I use a hose — a shower attachment with a short, smooth nozzle — with slightly warm water and low pressure high pressure is not recommended — ouch. The first rule of gay sex applies to bottoms of all calibers: All Rights Reserved.

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Try adding fiber for bulkier stools, which can be found in leafy green vegetables and other fiber-rich foods.

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If that's not sufficient, there's probably something wrong with your diet. Most clinics and LGBT centers say that sexually active gay men should receive a full-range testing every three months. I am a bottom without shame or apology.

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But for men on PrEP who make the decision not to use condoms, monthly testing is the minimum degree of self-care that you should practice.

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