After an intense sexual experience, some individuals might feel unwell, experiencing symptoms similar to the flu. This phenomenon, often referred to as bottoming fever has gained attention recently, thanks to discussions led by medical professionals like Dr. Joshua Gonzalez a gay urologist and medical influencer.
Bottoming fever is characterized by an inflammatory response to micro-trauma in the rectal lining, which can occur during receptive anal intercourse. While not an officially recognized medical condition, it’s a term that has resonated with many in the LGBTQ+ community. Let’s delve into what causes it, its symptoms, and how to manage it.
What is bottoming fever?
The rectal lining is delicate and can become irritated during vigorous sexual activity. This irritation can lead to feelings of discomfort, similar to those experienced when coming down with the flu. Dr. Gonzalez describes this as an inflammatory response to minor injuries in the rectal area.
However, the term ‘bottoming fever’ is not without controversy. Dr. Carl Streed, an LGBTQ+ health specialist and assistant professor of medicine at Boston University questions its validity, comparing it to outdated and pejorative terms like ‘gay bowel disease’ from the 1970s. Streed argues that there’s no substantial research backing up the existence of bottoming fever as a distinct condition.
On the other hand, Dr. Evan Goldstein a leading anal health expert and founder of Future Method acknowledges that while ‘bottoming fever’ isn’t an official medical term, people may indeed experience flu-like symptoms after intense anal sex or douching.
Symptoms of bottoming fever
Symptoms attributed to bottoming fever include chillsfatigue a low-grade fever and muscle aches. These symptoms are typically short-lived, resolving within 24 hours. Goldstein explains that these symptoms are part of the body’s inflammatory cascade responding to microscopic tearing, irritation, and changes in the microbiome caused by sexual activity or douching.
Streed, however, remains skeptical, stating that it’s challenging to define normal symptoms for a condition that isn’t widely recognized in the medical community.
Managing bottoming fever
If you’re experiencing bottoming fever, both Gonzalez and Goldstein recommend rest and hydration as key to recovery. Gonzalez suggests that these symptoms are usually nothing to worry about and should resolve on their own within a day. Goldstein adds that over-the-counter pain relievers like Advil or Motrin can help alleviate discomfort.
Streed, while not endorsing the term ‘bottoming fever’, advises those experiencing these symptoms to avoid overly aggressive or prolonged sexual sessions. He also recommends maintaining general good health through adequate sleep, balanced nutrition, and regular exercise to support your immune system.
Preventing bottoming fever
To minimize the risk of experiencing bottoming fever, Goldstein suggests calibrating your pre-sex routine. This could involve skipping douching altogether, using supplements designed for bottoming, implementing better lubrication techniques, and incorporating toy-work practice to strengthen the anal walls over time.
Streed, while not providing specific advice for avoiding ‘bottoming fever’, emphasizes the importance of safe bottoming techniques. He recommends eating fiber, staying hydrated, using gentle rinses instead of harsh douching, taking things slowly, and using plenty of lube. Open communication with your partner is also crucial, as it can help improve the
When to seek medical help
Both Goldstein and Streed agree that if your symptoms persist beyond 24 hours or if you experience severe symptoms like significant rectal bleeding, pus or unusual discharge, painful urination, sores, or a rash, you should seek medical attention. Goldstein also advises getting a full STD panel if you notice persistent mucus discharge.
Always listen to your body and don’t hesitate to seek professional medical advice if you’re concerned about your symptoms.
