Are we too coy to ask? Are the HPs too embarrassed to engage in that type of conversation? Why can't we get questions like this answered as a matter of course from health professionals - ok perhaps not all health professionals (HPs) will know the answers but there must be some source we can tap into. I don't know about the medical aspects of being a passive partner with BPH but a couple of points I'd like to bring up. In the last two years I switched from being a top to a bottom. I've had various treatments for prostate cancer over the last 8 years (I now don't have a prostate) and I was the active top previous to my cancer diagnosis. I'm not sure if I'm able to contribute to the answer you're looking for but here goes. Hi - your message has sparked off a few deep thoughts for me.