QA straight male friend practices sounding and has for years. I am pretty sure he does other things that he isn’t telling anyone about—not even his wife. He has some medical questions about sounding. I am a pediatric nurse, so he brought his concerns to me, but the questions are totally outside my area of expertise. Nothing emergency-room-worthy is going on, but he needs answers and refuses to speak with his regular MD about sounding. I am wondering how to find an MD in his area who would be knowledgeable and nonjudgmental. —Needs Useful Referral Soon

But not everyone with a metallic or plastic rod sticking out of his urethra right now is experiencing discomfort. “Some people, likely a significant minority, derive sexual pleasure from urethral stimulation,” said Dr. King. “This includes both men and women. Sounders [not to be confused with Seattle’s soccer players!] have been known to insert a wide variety of objects, including but not limited to catheters, tubes, beads, pencils, batteries, drill bits, and even the head of a decapitated snake. Yes, the latter has been reported.”

Also, people who don’t get objects stuck in their urethras—sounders who don’t progress to larger and larger objects before finally moving on to heads from decapitated snakes—don’t make appearances in emergency rooms, the medical literature, or urologists’ party conversations. The sample here is by its nature skewed, so while shoving a metal rod into your urethra is more dangerous than not shoving a metal rod into your urethra, it might not be as dangerous as the limited medical literature would seem to suggest. “My guess is there are many people who sound without significant problems,” said Dr. King.

QI’m a 29-year-old gay man. I recently ended a ten-year relationship that was vanilla and lackluster sexually. I’m now thrilled to be exploring sex with a new boyfriend (of four months) who is GGG and as kinky as I am. The issue is that my boyfriend wants me to hit him and give him a bloody nose during sex. While this sounds hot, it worries me because he was abused as a child, and I’m afraid this might trigger something negative for him. He keeps bringing this up, and I want to do it for him. What do you think? —Just a Love Tap