For the last 3 years or so I've been experimenting with solo anal play, and recently have gotten a aneros after reading some reviews. I was also diagnosed with low testosterone 2 years ago and have been on injections for it ever since. I read online that the sensations are related to the prostate being swollen when aroused but when I feel it with my finger when aroused I can't really feel anything, I've tried the aneros and some other toys and I don't really feel much. I also read that as men age their prostate gland gets larger so does that mean I need to be older before really experiencing the height of this pleasure?
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Men of all ages do this and I don’t think hormones have to do anything with it. If you can get hard then I don’t see a reason why it couldn’t work (even that is not necessary AFAIK).