My bottom dysphoria has done nothing but cause me issues in life. Ive never been able to enjoy PIV sex with a partner. Im completely unable to relax enough to use that hole with someone. When im by myself tho I have little issues with it. Luckily i can climax through anal sex. But finding partners who are ok with doing anal only is a struggle. My disphoria also causes medical issues because im too ashamed to talk about my parts with drs. Needing to be sedated for simple check ups. Lately ive been craving intimate connection but all I know how to initiate is purely sexual anon sex. I really want to be able to use my front with others but i dont know how to work past my trauma around it. My relationship with sex has always been a negative one.