A Blog for Men Who Have Sex With Men and Their Allies | www.tomofptown.com
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If you spend any time in men's health or "optimization" spaces online, you've probably seen PT-141 come up — sold under names like bremelanotide, sometimes marketed as a nasal spray, sometimes as a vial you reconstitute yourself. The pitch is simple: a peptide that turns your libido back on. The reality is more complicated, and worth walking through carefully, because this is a drug with a real,…
Tom of P-Town Health — Provincetown, MA Maca ( Lepidium meyenii ) is a cruciferous root vegetable grown at high altitude in the Peruvian Andes, where it's been used as both a food staple and a traditional remedy for fertility and vitality for centuries. It's since become one of the most widely marketed "natural libido" supplements in the U.S. — but how much of that reputation holds up under actual…
Let’s talk about microneedling — the skincare trend where people voluntarily stab their faces hundreds of times in the pursuit of collagen, smoother skin, and eternal twink-dom. And honestly? There is some real science behind it. Microneedling can improve: mild acne scarring fine lines skin texture enlarged pores some pigment issues stretch marks The concept is simple: controlled tiny injuries…
For many men, anabolic androgenic steroid (AAS) use happened in a very different chapter of life. It may have been tied to body image, performance, confidence, or simply surviving within a culture that rewarded size and strength. For men who have sex with men (MSM), steroid use has often intersected with community norms, dating pressures, and expectations around masculinity. And because it may…
A health care proxy is not just something for “older people,” people with serious illness, or people nearing the end of life. It is one of the simplest, most powerful ways to protect yourself at any adult age . In Massachusetts, any competent adult age 18 or older can complete a health care proxy. The form lets you name a trusted person—called your health care agent —to make medical decisions for…
Not Acne: Understanding Tinea Barbae (Beard Fungus) Tom of P-Town Health | Practical, stigma-free care for men’s health If you’ve got what looks like stubborn “acne” in your beard—especially if it’s itchy, scaly, or just not responding to your usual routine—you might be dealing with Tinea barbae , not acne at all. Let’s break it down so you can spot it early, treat it correctly, and avoid…
If you spend any time around men’s health (especially guys who’ve watched their hairline change in real time), you’ve probably heard the buzz: Winlevi® (clascoterone) —a topical anti-androgen already FDA-approved for acne—may have a future role in androgenetic alopecia (male-pattern hair loss) . There’s a reason this idea won’t die: the biology makes sense. And recently, late-stage trial programs…
Let’s talk about something most people do—but few talk to their doctor about: masturbation . And its slightly more intentional cousin, edging . Beyond pleasure, both actually play a meaningful role in physical, mental, and sexual health—especially for men as we age. Masturbation Is Normal. And Healthy. From a medical perspective, masturbation is one of the safest forms of sexual expression. No STI…
You asked, we answer: “I’m on testosterone replacement therapy (TRT) and my testicles look… smaller. Is my dose too high? When do I consider hCG? Do I have to ‘cycle off’ first?” Let’s de-mystify what’s happening below deck—and how to protect what matters. What’s actually going on down there? TRT gives your body the testosterone it’s missing. The trade-off: your brain senses plenty of T and dials…
There’s a new archetype strutting across our social feeds, our gym mirrors, and sometimes our own reflection. Meet the Himbo —the charming, jacked, self-proclaimed “him-bo-dacious” guy who’s equal parts biceps, confidence, and blissful lack of seriousness. He’s the gay world’s answer to the influencer age: body-positive, flirty, and usually shirtless, armed with a smile that could power…
