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The Confident Bottom Guide

A Doctor-Written Anal Health Guide to Reduce Pain and Protect Your Body

Adult sexual health education • 18+ only

Bottoming shouldn’t hurt.
It shouldn’t feel like guesswork.
And it definitely shouldn’t be something you “just push through” and hope for the best.

If you’ve ever worried about:

  • Pain or burning during anal sex
  • Bleeding afterwards
  • “Doing it wrong” with prep or lube
  • Feeling too anxious or tense to enjoy it

…this guide was written for you.

The Confident Bottom Guide is a practical, evidence-based PDF written by Dr. Philip Manners, MD to help you protect your anal health, reduce pain, and feel more in control.

Doctor-written. Science-based. Zero porn. Zero shame.

Get 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 clear, step-by-step walkthrough of how anal sex actually works from a medical perspective.

1. Anatomy of Pleasure & Pain

A simple explainer of what you’re actually feeling during anal sex:

  • How the external and internal sphincters work
  • 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 You Can Change)

The most common reasons anal sex is painful — and which ones are under your control:

  • Tension, anxiety, and poor relaxation
  • Skipping warm-up or going too fast, too soon
  • Angle, positions, and lube choices

 

 

3. The 5-Step Pain-Reduction Method

A repeatable method you can use with toys or a partner, including:

  • How to warm up effectively (not just “relax”)
  • What to do during first contact and the “sphincter reflex delay”
  • Why the first inch is everything
  • How to let the bottom safely control depth and speed

 

 

4. Positions & Comfort Techniques

Practical ways to work with your body instead of against it:

  • Beginner-friendly positions that reduce tension
  • Using breathing to help the pelvic floor relax
  • The “push out, let in” technique
  • How to use toys for gradual training, safely

 

 

5. Lube, Hygiene & Gentle Prep

Keeping things smoother and safer without wrecking your gut:

  • How to choose between silicone, hybrid, and water-based lubes
  • Why oil-based lubes and latex condoms don’t mix
  • Realistic hygiene and douching guidance that doesn’t damage the lining

 

 

6. Red Flags & Troubleshooting

Clear, non-alarming guidance so you know when to pause or get checked:

  • When burning or stretching is common vs when pain is a problem
  • How much bleeding is “too much”
  • Signs of injury, infection, or obstruction
  • Practical answers to common worries (“It always burns at the start,” “Doggy is always painful,” “I can’t relax,” etc.)

 

 

7. Sexual Health Snapshot for Bottoms

A concise overview of long-term protection and screening:

  • HIV prevention options (condoms, PrEP, PEP)
  • Why rectal swabs matter for STI testing
  • Key vaccines to ask about
  • How to balance pleasure and long-term health

 

Get The Confident Bottom Guide

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

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.

Written by Philip Manners, MD

  • Board-Certified Family Medicine Physician
  • Emergency Medicine & Disaster Medicine Training
  • Faculty Experience: Harvard Medical School & UCLA David Geffen School of Medicine
  • Direct patient care experience: Massachusetts General Hospital, UCLA Health, Cedars-Sinai, Johns Hopkins
  • Major in the U.S. Army Medical Corps
  • Experienced in sexual and preventive health
Get The Confident Bottom Guide

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
  • Shows on your statement discreetly as "Manners Medical Ed". No reference to the content.
  • 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

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

Get The Confident Bottom Guide – $27
Get The Confident Bottom Guide — $27

Not ready to grab the full guide yet?

Suscribe and get a free email mini-series on anal health & pain prevention for men, plus  more sexual health tips.
Evidence-based, shame-free, discreet. 18+.

Legal & Medical Disclaimer

This guide and this website are for general educational purposes only and are not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions about your health or a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read here. This content is intended for adults (18+) only.