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“In extremely rare instances, patients are manipulative or fetishize their exams, but this is extremely uncommon,” said Winter. “And while I can’t rule out the possibility that the urologist who saw PABC was ‘weirded out’ by his comments, it seems more likely that PABC is projecting that onto his doctor. There is so much shame around ‘butt stuff’, and so I can easily see how this happens.” (It’s also possible that I’m the one doing the projecting here, as I was the one who raised the issue.)

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That said, while intentional perving is rare, some people do get aroused during exams.

“Unintended genital responses—whether erection, or prostatic secretion during a rectal exam—are normal and occur on occasion,” said Winter. “It is the role of any self-respecting sex-positive clinician to acknowledge that these things are normal and move on. But it’s super uncommon, and when it happens, the patient is usually stressed out and very apologetic about it.”

As for your problem, Winter thinks you might need a different sort of exam altogether.

“It sounds like what he’s having is a pelvic-floor muscle spasm,” said Winter. “People tense and contract muscles in their pelvis—muscles at the base of the penis— during periods of prolonged stimulation. He’s not doing anything wrong, and he doesn’t have to stop. But he might want to take a warm bath after. And if it’s too uncomfortable or gets worse, he should ask to be referred for a pelvic-floor exam and possible pelvic-floor physical therapy.”

Follow Dr. Ashley Winter on Twitter @AshleyGWinter.

b THERE’S A LONG-RUNNING controversy among the adult baby/diaper lover (ABDL) community about the long-term impacts of continuously wearing and using diapers. Some argue that adult babies may or may not become a bedwetter and/or incontinent from continual diaper use. The ABDLs who claim to have been successfully “un–potty trained” are loudly decried as liars by other members of their community.

Naturally, there aren’t a lot of medical studies on this (there aren’t any), and I’m not going to ask my family doctor. Can you figure this out? Ashley Winter is a urologist who says physicalexamination arousal is normal but also rare. YOUR AGENCY SLOW? We are BUSY! -Too Many calls! WE NEED YOU! What we're looking for: Must be nineteen+. Must have a valid photo ID. Must be attractive, outgoing, healthy,reliable and very hygienic. Newcomers and students are welcome! WHAT WE OFFER: Cash paid. Calls every shift. Smaller staff so you are a priority. Security & client screening. All female support staff. Flexible scheduling. Personal DriverBooking /Advertising. ON CALL FROM HOME. We will take care of your photos, and advertising and much more. No Hidden Fees, and a very fair commission structure. Please reply with: photos, previous experience (if any, but not necessary) & contact number or text us lovemyjobgmail.com/604-518-1990 YOUR AGENCY SLOW? We are BUSY! -Too Many calls! WE NEED YOU! What we're looking for: Must be nineteen+. Must have a valid photo ID. Must be attractive, outgoing, healthy,reliable and very hygienic. Newcomers and students are welcome! WHAT WE OFFER: Cash paid. Calls every shift. Smaller staff so you are a priority. Security & client screening. All female support staff. Flexible scheduling. Personal DriverBooking /Advertising. ON CALL FROM HOME. We will take care of your photos, and advertising and much more. No Hidden Fees, and a very fair commission structure. Please reply with: photos, previous experience (if any, but not necessary) & contact number or text us lovemyjobgmail.com/604-518-1990

- In Nappies Cancels Out Nocturia

Nope.

b I’M A 74-YEAR-OLD straight male. I don’t have a problem for you. Instead, I am writing to share an idea with you with potential benefit to society. But, unlike you, I don’t have the means to spread the news. Based on the success of your “It Gets Better” project, you seem like the perfect person to publicize it.

My idea and my proposal to you is this: International Come Out of the Closet Day. It would include coming out about your sexual orientation but not be limited to sexual orientation. It would include all long-suppressed “secrets”, including affairs, crushes, no longer being in love with your spouse, or anything else a person might have kept hidden. I even have a suggestion for when to celebrate International Come Out of the Closet Day: March 4. The slogan would be “March Forth on March Fourth!” What do you think?

- Movement About Really Changing Hearts We already have a National Coming Out Day (NCOD), MARCH, when closeted queer people everywhere are encouraged—if they can do so safely—to come out to their families, friends, neighbours, and coworkers. NCOD is not a new thing; it’s taken place on October 11 every year since 1988. And while I appreciate the spirit of your proposal— let’s all get those long-suppressed secrets off our chests—I’m not sure you’ve thoroughly thought this one through.

If one day a year we blurt out our secrets—affairs and crushes and secret second families included—the result would probably look less like National Coming Out Day and more like The Purge. And Companion Companion since most people regard breaking up on an annual holiday as a needless and avoidable cruelty, people who confess to affairs or no longer being in love on International Come Out of the Closet Day will not be seen as courageous truth tellers, MARCH, but as inconsiderate assholes.

It’s fine to dump someone. But no one thinks it’s okay to dump someone on Thanksgiving or Christmas or Valentine’s Day. Because then the person whose heart you stomped on winds up being reminded every year. So, for the same reason it wouldn’t be okay to blurt out terrible secrets on the holidays we already have, it wouldn’t be okay to blurt them out on a day dedicated to blurting out terrible secrets. g

Follow Dan on Twitter @FakeDanSavage. Email: mail@savagelove.net. Columns, podcasts, books, merch, and more at www.savage.love!

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TO: JOHN DOE and/or Jane DOE as Personal Representative(s) TO: JOHN DOE and/or Jane DOE as Personal Representative(s) of the Estate of TROY VAN BASINGER. of the Estate of TROY VAN BASINGER.

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