Dr. Joshua Gonzalez, a urologist and sexual health expert, is using TikTok to tackle questions many gay men feel too embarrassed to ask their doctor. From the mechanics of anal sex to erectile concerns, he's bringing science and humor to conversations that deserve both.

Bottoming Fever and Your Body's Recovery

One of Dr. Gonzalez's most popular posts addresses "bottoming fever"—a real physiological response that can happen after intense anal sex. If you've experienced chills, body aches, or a low-grade fever following rough play, you're not alone. According to the doctor, these symptoms are typically your body's inflammatory response to minor irritation and microtrauma of the rectal lining. In most cases, rest and hydration are enough; symptoms usually clear within 24 hours. However, if fever persists beyond a day, worsens, or comes with significant pain, bleeding, or discharge, that's a sign to seek medical care for possible proctitis or infection.

Bikes, Nerves, and Erections

If you're struggling with erectile quality or sensation, an intense cycling habit might be part of the problem. Long hours on a bike seat can compress the pudendal nerve, affecting not just erections and sensation but also ejaculation and bladder control. Dr. Gonzalez notes that groin numbness or changes in sexual function warrant a checkup—and yes, taking a break from SoulCycle for a few weeks might genuinely help.

Creative Play, Done Safely

Dr. Gonzalez also addresses figging—the practice of using a peeled ginger root as a sex toy. The compounds in raw ginger create an intense burning sensation that some find pleasurable. The catch: if you have any tears or fissures, that tingly burn can quickly turn painful. Wait until you're fully healed before experimenting. His broader message is clear: creativity is great, but your body's signals matter more. Listen to what it's telling you.

Source: Queerty

Cover photo: www.kaboompics.com / Pexels

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Urologist on TikTok: What Gay Men Need to Know About Sexual Health