The Confident Bottom Guide

What This Guide Helps You Do

By the end of the guide, you’ll understand how to:

• Reduce pain and discomfort during anal sex

• Use warm-up and positioning to make entry easier

• Choose and use the right lubricants safely

• Prep and clean in a way that protects your anal health

• Recognize red-flag symptoms that mean “pause and get checked”

• Feel more confident communicating what you need

In short:

• Go from “I’m scared this will hurt” to

• “I know how to prep, what’s normal, and when to stop.”

This isn’t about “proving you can take it” or impressing anyone.
It’s about safety, comfort, and confidence in your own body.

What’s Inside The Confident Bottom Guide

You’re not getting vague tips or internet myths — you’re getting a structured walkthrough of how anal sex actually works from a medical perspective.

1. Anatomy of Pleasure & Pain

Understand what you’re actually feeling:

• The external and internal anal sphincters

• Why the first inch often hurts the most

• The pelvic floor and the myth of the “second ring”

• Where the prostate is and why angle matters

2. Why Anal Sex Hurts (And What To Do About It)

Break down the most common causes of pain:

• Poor relaxation and anxiety

• Skipping warm-up

• Going too fast, too soon

• Wrong angle / unhelpful positions

• Not enough (or the wrong kind of) lube

You’ll see exactly which factors you can control — and how.

3. The 5-Step Pain-Reduction Method

A simple, repeatable process to make penetration safer and more comfortable:

1. Warm-Up (5–15 minutes) – what to actually do, not just “relax.”

2. First Contact – how to let your body acclimate before entry.

3. The Sphincter Reflex Delay – why 30–90 seconds of patience matters.

4. Slow, One-Inch Entry – why the first inch is everything.

5. Let the Bottom Control the Motion – the safest way to control depth and speed.

You can use this method with toys or a partner.

4. Positions & Advanced Comfort Techniques

• Positions that are beginner-friendly and reduce tension

• How to use breathing to relax your pelvic floor

• The “push out, let in” technique that helps your body open

• How to use toys for gradual training (safely, with flared bases and the right lube)

5. Lube, Hygiene & Prep (Without Wrecking Your Gut)

• How to choose between silicone, hybrid, and water-based lube

• Why oil-based lubes and latex condoms don’t mix

• Realistic, gentle hygiene approaches that don’t damage your rectal lining

• How to think about douching without overdoing it

6. Red Flags: When To Stop and Seek Help

Clear, non-alarming guidance on:

• When “stretching/burning” is common vs when pain is a problem

• How much bleeding is “too much”

• Signs of injury, infection, or obstruction

• When you should pause anal activity and see a clinician

7. Troubleshooting Common Issues

Practical, no-drama answers to questions like:

• “It always burns at the start — is that normal?”

• “Doggy is always painful for me — what now?”

• “I can’t seem to relax even when everything is ‘right’.”

• “I’m terrified something will go wrong — how do I calm down?”

8. Sexual Health Snapshot for Bottoms

A concise overview of:

• HIV prevention options (condoms, PrEP, PEP)

• STI screening and why rectal swabs matter

• Key vaccines to ask about (HPV, Hep A/B)

• How to combine pleasure and long-term health

Who This Guide Is For

This guide is for adults who:

• Have receptive anal sex or are thinking about it

• Want clearer, doctor-level information without judgment

• Have had pain, bleeding, or bad experiences and want to understand why

• Feel anxious about anal sex and want a safer, more predictable approach

• Prefer practical, evidence-based advice over porn, forums, or hearsay

It doesn’t matter if you’re brand new, experienced, single, or partnered — if anal sex is on the table and you care about your body, this is for you.

Who This Guide Is Not For

This guide is not:

• Pornographic content

• A hookup service

• A fetish guide

• A substitute for emergency medical care

It’s educational: a clear, respectful explanation of anal health, technique, and safety.

Why a Doctor-Written Guide Matters

There’s no shortage of opinions about anal sex online — but very little of it is:

• Anatomically accurate

• Focused on injury and pain prevention

• Written in plain, shame-free language

• Created by a physician who understands LGBTQ+ sexual health

About Dr. Philip Manners, MD

• Board-certified family physician

• Experienced in sexual and preventive health

• Founder of Manners Medical Education / Doctor Manners

• Dedicated to evidence-based, non-judgmental education for adults

I can’t guarantee every experience will be perfect.
But I can give you the clearest possible roadmap to reduce pain, protect your body, and feel more in control.

Discreet, Private, and Immediately Accessible

When you purchase, you’ll get:

• Instant access to the PDF

• Discreet digital delivery — no physical mail, no packaging, nothing lying around

• Lifetime access to the current version of the guide

You can read it on your phone, tablet, or laptop — or print it out if you prefer a physical copy.

Your Investment

You’re potentially preventing:

• Painful sessions you dread

• Avoidable injuries and days of discomfort

• Panic about “is this normal?” after the fact

The Confident Bottom Guide
Doctor-written anal health education for adults

Just $27
(Adjust this number if you change your pricing.)

One evening of anxiety and pain can cost you far more than this guide.