
In this episode, Dr. Rena Malik welcomes Dr. Frankie Bashan to discuss the realities of anal sex and threesomes, shedding light on safety, communication, and common misconceptions. Their candid conversation offers practical advice and a sex-positive approach to navigating intimacy and relationships.
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Dr. Frankie Bastian
Marvel Television's Wonder Man. An eight episode series now streaming on Disney.
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A superhero remake. Not exactly what we'd expect from an Oscar winning director.
Dr. Frankie Bastian
Action. Simon Williams audition for Wonder Man.
REI Narrator
I'm gonna need you to sign this.
Dr. Frankie Bastian
Assuming you don't have superpowers,
REI Narrator
I'll never work again.
Dr. Frankie Bastian
If anyone found out.
Interviewer
Malolips are sealed.
Dr. Frankie Bastian
Marvel Television's Wonder man, all eight episodes now streaming only on Disney.
Interviewer
You've talked about interesting things on your YouTube channel.
Dr. Frankie Bastian
Yes, I have.
Interviewer
Your most popular videos are. Let's start with one about how to make anal sex amazing.
Dr. Frankie Bastian
Yeah, Isn't that wild? That's my most popular.
Interviewer
Well, I think you know what it is. Anal sex is popular. It's getting more and more popular. And people don't know how to have anal sex. Right. They don't know how to start the process. So I think that's why. That's my theory.
Dr. Frankie Bastian
Yeah. It's also so taboo. And like.
Interviewer
Yeah, yeah. It's like, oh, I got to learn, like, even if they don't want to have it, they want to know, like, it can be amazing how you know.
Dr. Frankie Bastian
Yeah. And the negativity that I have, the comments, really. Oh my gosh, so many. And I'm like, I don't think I
Interviewer
read my negative comments.
Dr. Frankie Bastian
So smart. So smart. I just couldn't believe how popular it was. And I'm like, what are people saying? And that's why now I stopped. Because I don't. Who needs that negativity? I see.
Interviewer
We don't need that.
Dr. Frankie Bastian
So anal sex. So much pleasure to be had. Yes. But there's a way to do it, right. I think first and foremost it's gotta.
Interviewer
It.
Dr. Frankie Bastian
It sort of has to happen with somebody that you're familiar and comfortable with. Unless you have a lot of experience doing it where you sort of can run the show. I would say be safe by just making sure you're with somebody you're comfortable with, who you can communicate with. Because it's not like having intercourse. Right. Like our. And you probably can talk more about the, you know, anatomical specifics.
Interviewer
Your anus doesn't lubricate.
Dr. Frankie Bastian
It doesn't lubricate. It's also a muscle, so it's really tight. And we sort of have to train Our body a little bit to relax and open up. And it's a process. So lube.
Interviewer
Lube. Lube, yes.
Dr. Frankie Bastian
Right.
Interviewer
Lots of lube.
Dr. Frankie Bastian
And this is.
Interviewer
And reapply lube if you use a water based one because it will evaporate.
Dr. Frankie Bastian
That came up in. I heard one of your podcasts and you had mentioned that water based is better than synthetic. And I'm thinking for anal sex.
Interviewer
It depends on what the purpose is. It's better for sensitive people sometimes.
Dr. Frankie Bastian
Yes, yes.
Interviewer
I think that's probably. They probably took a clip of what I said. Got it, got it.
Dr. Frankie Bastian
Because allergic reactions. Right. The synthetic is harsher, but it stays slick.
Interviewer
Correct.
Dr. Frankie Bastian
Longer base, you gotta just. You better have that bottle right there to reapply. Reapply.
Interviewer
Yeah, yeah, No, I agree with you.
Dr. Frankie Bastian
So, yes, a lot of lube and then also really slow and you've got to be comfortable with the person you're with so you can give them direction. Because we're all different. Our pain tolerance is different because there's some pain involved which can be really erotic and exciting and can also be a point where you've got to say, slow down. Right. Breathing is a part of it to relax your body, relax your muscles. So. So breathing, not being afraid to make sounds.
Interviewer
Yeah.
Dr. Frankie Bastian
Which I know can be hard for people. Right.
Interviewer
You know, it's interesting. There's actually. So when you orgasm, there is some involuntary intonation that happens and so like you can't control it. So I find that so freeing to tell people, like, look, it's just. Your body's just going to make a noise like you are going to vocalize in some way, shape or form, oftentimes because it's just part of the orgasm process.
Dr. Frankie Bastian
Yeah, yeah, yeah. Happy you said that. Yeah. The other thing is it can. I mean, you want to make sure that you're using protection.
Interviewer
Yep.
Dr. Frankie Bastian
It can be messy. It can. You want to make sure you're safe. So, you know, condom, whatever fusing sex toys. You can put condoms over sex toy glove. You want to make sure that there's a base.
Interviewer
A flared base.
Dr. Frankie Bastian
A flared base. People don't end up in the ER where they're going to have to go fishing in there to get it out.
Interviewer
Yes. And we. You should, you should see some of the things people come in with. It is really.
Dr. Frankie Bastian
Can you name, can you name one thing?
Interviewer
Like a Coke bottle?
Dr. Frankie Bastian
Like,
Interviewer
gosh, I don't know. There was something really crazy that was like a glass. I forgot it was a light bulb and it broke.
Dr. Frankie Bastian
Oh, my gosh. Glass inside of them.
Interviewer
Yeah.
Dr. Frankie Bastian
Did they, Are they. Were they okay?
Interviewer
They had surgery, I think, I think they were okay.
Dr. Frankie Bastian
Okay.
Interviewer
But you know, there's a. There's, there's like. Don't use household objects. Like use designed toys for, for anal play.
Dr. Frankie Bastian
Yes, yes. And I always say quality. Spend a little bit of money. You don't need a ton of toys. Buy good products. There's good companies out there. Yeah. There's gotta be that piece to pull it out.
Interviewer
Because there's a suction.
Dr. Frankie Bastian
Suction. Yeah, exactly. And it just, all of a sudden it's gone. It's now in your cavity.
Interviewer
There's no cervix in there. Well, even sometimes for. In some cases, women can get some, like, smaller toys stuck too, because there is a little bit of suction. So, like you have to, you know.
Dr. Frankie Bastian
Yes.
Interviewer
Be careful.
Dr. Frankie Bastian
So be careful.
Interviewer
Yeah.
Dr. Frankie Bastian
The other thing is that sometimes there can be bleeding involved.
Interviewer
Right. Which is why a condom is so important.
Dr. Frankie Bastian
So important.
Interviewer
Yeah. Because your risk of STIs is much higher.
Dr. Frankie Bastian
Yes. And then you want to be that. That's. It's just, it's gentle in there. Right. So you want to take care. You don't want to overdo it.
Interviewer
Right.
Dr. Frankie Bastian
Because then it ends up a positive experience. Ends up being. It could, you know, being a negative experience that you may not want to do again. It can also sometimes be messy. So you just, you want to be comfortable with the person that you're with.
Interviewer
Right. Are there ways to do it that are more pleasurable than others? Are there like certain techniques or things that people should do?
Dr. Frankie Bastian
I mean, it's so personal. I always say move your body around, like depending on. Try different positions.
Interviewer
Yeah.
Dr. Frankie Bastian
Because you just never know. It's like, it just depends on your anatomy. So it's exactly. It's so personal.
Interviewer
Yeah.
Dr. Frankie Bastian
And explore and try different things. Don't be afraid.
Interviewer
Right.
Dr. Frankie Bastian
Like, yeah, sex is beautiful and intimacy is beautiful. And I just, I'm very sex positive. And I don't think it's like a one size fits all. And also a lot of people are
Interviewer
using porn as an example, which is not a good example.
Dr. Frankie Bastian
No, no, no.
Interviewer
Yeah.
Dr. Frankie Bastian
So try to suspend. I tell my clients, just suspend that if you watch porn or stay, like, don't watch for a while.
Interviewer
Right.
Dr. Frankie Bastian
And allow yourself to be the guide. Your body knows what feels good.
Interviewer
Especially now. I mean, when we were younger, you had to find a magazine, you had to find a video. Like now it's just too accessible. Right. I mean, it's too easy and so it's really easy to get caught up in that, whereas I think it was a lot harder back then.
Dr. Frankie Bastian
Yeah. And what is do, what is that doing to us? I just had a pot in an interview where they asked me if I think that the exposure of all of this overstimulation sexual material, is it, is it causing erectile dysfunction? I think it's creating problems. If somebody is, you know, watching porn, that's their go to.
Interviewer
I think it just depends.
Dr. Frankie Bastian
I think.
Interviewer
Yeah. If they are using that as their only form of sexual stimulation and they are using it all the time and they're discrediting other things, I think it can be a problem. I think it can also be a problem when that's the only form of intimacy someone sees. And then when they're with their partner, like why am I not acting like that? Or why is my partner not acting like that? And then the psychological stress of that causes the erectile dysfunction. But I think porn can be a tool and it can be used in a very healthy way. And adults that can differentiate real sex from porn is, is fine. But that's, that's not necessarily who's seeing porn. I mean, we know now like as young as 10 year olds and sometimes younger are seeing porn. So that's scary.
Dr. Frankie Bastian
Yeah.
Interviewer
You know, and that's why I think there needs to be some, some sort of way to limit that. And I think they're trying to do age verification and things on, on in some states, but it needs to be national in my mind.
Dr. Frankie Bastian
Yeah, I agree. And moderation. Moderation like. Yeah, diversification, like mix it up. Right. Your only go to.
Interviewer
Yes, I agree. I think it's, it's better for you to use your fantasy or use something else sometimes. Right. Not all the time. You relying on the one way to get aroused.
Dr. Frankie Bastian
Yeah.
Interviewer
Because then you won't be able to get aroused in other ways.
Dr. Frankie Bastian
Yes. Yeah. The other thing about anal sex, aftercare, so important so you know, make sure to, you know, state like be affectionate afterwards, be in communication afterwards. You know, it's, it's intimate to share about what felt good.
Interviewer
Yeah.
Dr. Frankie Bastian
If something didn't feel good, to share that. So that's noted for next time. Yeah. Not to forget about the aftercare.
Interviewer
Absolutely, absolutely. And I would just say like if you haven't had it before, start with a finger or a smaller toy rather than going straight. For penetrative anal sex.
Dr. Frankie Bastian
Yeah. Because I think the body starts to get used to it and can handle it. Right. With some exposure over time.
Interviewer
Yeah.
Dr. Frankie Bastian
And it's familiar. And then you're like, okay, so now I know I have to breathe here. And you recognize that.
Interviewer
Okay.
Dr. Frankie Bastian
My body's relaxing. You know, here's where, you know, we can insert this further. Like you're able to recognize what's happening, right?
Interviewer
Absolutely. The other very popular video that I think we should absolutely talk about is how to have a threesome. Because I think so many people. This is a very popular fantasy. So actually I made a video on the top fantasies which I find so helpful. This is like population based data. But it's great to learn what they are and be like, oh yeah, my fantasies are pretty normal. And three sums are a very popular fantasy, especially for men. And so I think like the reality of having one. How does it work? What's the best way to make sure it works out the way you fantasize about it?
Dr. Frankie Bastian
Okay, communication. Communication. Communication, Right. I mean that's the only way to make sure that your vision and how you fantasize about it is materialized and the possibility is even. It's even there or not. I mean, you're talking about and thinking you and your partner, for example, want to bring in a third. Is that what.
Interviewer
Yeah, sure. Yeah, let's talk about that.
Dr. Frankie Bastian
So really sharing. Here we go. About, you know, hey, I have this fantasy. How do you feel about it? What's coming up for you about it? Are you open to it?
Interviewer
Yeah.
Dr. Frankie Bastian
You know, what does it look like for you? Here's what it looks like for me.
Interviewer
Right.
Dr. Frankie Bastian
Then, you know, I've worked with clients around coming up with sort of some sort of ground rules around it. You know, like people have specific concerns. You want to consider that.
Interviewer
Yeah.
Dr. Frankie Bastian
And then how to. So would it. You have something in mind specifically?
Interviewer
Yeah, I think just like so obviously communicating your needs. But then like in the act, like how do you sort of keep that communication going while making it still be arousing? Right. Because I think there needs to be communication during the act because there's multiple genitals, there's multiple people. And so there needs to be someone directing or somebody, you know, agreeing and vice versa.
Dr. Frankie Bastian
Yes. So I think that all we try to do as best as we can, discuss it beforehand.
Interviewer
Right.
Dr. Frankie Bastian
But there are some things that will come up that are unpredictable. We may not be able to cover it all.
Interviewer
Yeah.
Dr. Frankie Bastian
And where beforehand it's just. That's recognized. Look, something may come up here. Let's have a sign or you know, some kind of signal that means, okay, not comfortable. Something that's subtle.
Interviewer
Yeah.
Dr. Frankie Bastian
So it doesn't Totally throw the mood off.
Interviewer
Sure. Yeah. Right.
Dr. Frankie Bastian
And it may be the third person that they're bringing in doesn't necessarily. Do they need to be privy. So that word. I don't know. What do you think?
Interviewer
I think everyone should have a way. Cause they may start feeling uncomfortable. Like they may start feeling like they're the odd person out.
Dr. Frankie Bastian
Right.
Interviewer
And that may make them feel uncomfortable and like, should I leave? Should I stay? Should I, you know.
Dr. Frankie Bastian
Yes. So some kind of safe word that everybody has access to and to be able to communicate and have that agreed upon before. Like there needs to be conversation between all three people beforehand about, you know. Yes. No.
Interviewer
What's going to go where, who's going to do what.
Dr. Frankie Bastian
Yes.
Interviewer
Sort of thing. Kind of envision what it's going to be like before it happens and then that you follow that script to some
Dr. Frankie Bastian
degree and what's off the table.
Interviewer
Yeah.
Dr. Frankie Bastian
Some of us are just like, some people just don't want to be their breast touched. Some people don't want to have anal sex. It just needs to be stated. So.
Interviewer
Yeah.
Dr. Frankie Bastian
You're not in the act and someone's surprised.
Interviewer
Yeah.
Dr. Frankie Bastian
Yeah. And then feel.
Interviewer
Right.
Dr. Frankie Bastian
All sorts of feelings come up, like shame and guilt and.
Interviewer
Yeah, right. What is the worst sex or relationship advice that you've heard?
Dr. Frankie Bastian
If something makes you uncomfortable, to continue to expose yourself to it because you'll overcome that discomfort.
Interviewer
So if something makes you uncomfortable, just leave it be.
Dr. Frankie Bastian
Yeah. Like keep, keep doing it because then you'll eventually become comfortable.
Interviewer
Yeah. You think that's bad?
Dr. Frankie Bastian
It's good in some contexts, not in every context.
Interviewer
Right. So it needs to be taken with a sort of. You need to know what. How uncomfortable you really feel.
Dr. Frankie Bastian
Yes. Yes. And what, like, what's your motivation to overcome that discomfort? Yeah, exactly.
Interviewer
Why do you want to do that?
Dr. Frankie Bastian
Yeah.
Interviewer
And that. Is that a good enough reason? Yeah.
Dr. Frankie Bastian
Like, are you. Do. Are you wanting to overcome it for yourself? Are you doing it for somebody else?
Interviewer
Right. Yeah. I would say mine is that if you like someone, sex should just be great.
Dr. Frankie Bastian
Yeah.
Interviewer
Right. That's my worst advice, I think.
Dr. Frankie Bastian
Yeah.
Interviewer
People think or, or you shouldn't have to work at sex.
Dr. Frankie Bastian
Right.
Interviewer
Like it's just natural.
Dr. Frankie Bastian
Oh my gosh. That's a good one.
Interviewer
Yeah. Yeah.
Dr. Frankie Bastian
It's bullshit.
Interviewer
Yeah. Yeah, absolutely.
Dr. Frankie Bastian
And it gets better with time because you get more comfortable.
Interviewer
Absolutely. And there's, there's data on it. So like when you look at studies of especially of women, they have the best sex. Their lives in their like 30s and 40s because they are finally like free of all the body insecurities and. And they've had enough experience that they finally start feeling more comfortable asking for what they want in the bedroom and hope that may be older data, maybe that'll change now, you know, as things have evolved. But yeah. So I think it's. It takes time.
Dr. Frankie Bastian
Yeah.
Interviewer
To find your sexual self.
Dr. Frankie Bastian
I agree with all of that for sure.
Interviewer
Yeah.
REI Narrator
Yeah.
Dr. Frankie Bastian
You start, you enter like your 40s and you just don't give a shit anymore. You're like, you know what? This is who I am. This is the body I have.
Interviewer
Yeah. Take it or leave it.
Dr. Frankie Bastian
Take it or leave it. It's very liberating.
Interviewer
Yeah. Looking back at like the thousands of people that you've taken care of over the years, whether it's through relationship therapy versus matchmaking, what is the single most common self sabotaging belief that people carry into relationships?
Dr. Frankie Bastian
Yeah. That they, that they deserve more. This comes up all the time. Like.
Interviewer
Yeah.
Dr. Frankie Bastian
They have an idea that things should look a certain way. Their partner going back to the flowers.
Interviewer
Yeah.
Dr. Frankie Bastian
Should be do. Right. That they 1. That their partner should be mind reading that they deserve these things. And what happens is they're set up for disappointment again and again.
Interviewer
Right. Because no one can read your mind and no one can. I mean, you may deserve, you deserve love and respect and attention from your partner, but they may not know how to give you what exactly you want
Dr. Frankie Bastian
in the way that you're looking for it.
Interviewer
Right, right.
Dr. Frankie Bastian
It may like love languages. Right. Like it may show up in acts of service.
Interviewer
Yeah.
Dr. Frankie Bastian
Quality time.
Interviewer
Right. And I would argue that your love language can change.
Dr. Frankie Bastian
That's true.
Interviewer
I agree with you. Because I used to probably be more of a like, gesture person and now I'm more of like an affection, like, you know, touch, love language kind of person. So I think it's changed over time because I remember telling my husband recently, I'm like, yeah, that's my love language. He's like, no, it's not. And I was, I was like, yes, yes, it is. Now it is.
Dr. Frankie Bastian
Yeah. That's actually making me think because I used to love receiving gifts.
Interviewer
Yeah.
Dr. Frankie Bastian
And now it's like it's about quality time and physical touch.
Interviewer
Yeah. Same. So exactly the same. Yeah. If you like that clip with Dr. Frankie Bastian, make sure to check out the full episode right here.
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Interviewer
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Rena Malik, MD Podcast
Episode: Moment: Why Anal Sex Feels Amazing for Some People (And Painful for Others)
Date: March 18, 2026
Host: Dr. Rena Malik
Guest: Dr. Frankie Bastian
This episode explores the realities of anal sex, focusing on why it can be pleasurable for some people and painful for others. Hosted by Dr. Rena Malik, with guest Dr. Frankie Bastian, they break down myths, offer practical advice, and foster a sex-positive discussion about safety, anatomy, and emotional well-being. They also briefly touch on threesomes, porn, relationship advice, and self-sabotaging beliefs in intimacy.
For the full conversation on intimate health, sexual exploration, and relationship wisdom, listen to the episode and access more science-backed discussions with Dr. Rena Malik and her expert guests.