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This speculum slides in the anal opening with less pinching than other speculums but it does not stay in place when fully opened, especially when a lubricant is used. The adjustment screw is too small to grip if self inserted. Can be extremely frustrating.
I'm giving this 4 stars because this device is made very well, but depending on your situation, it might not be a good choice for you. If you have internal hemorrhoids, for example, you have to be very careful. What happens is, when you open the device, pieces of hemorrhoid can fall down in the crack that opens up, and then when you try to close it the hemorrhoid gets pinched. I had to remove the device in a partially-opened position to prevent from hurting myself ... and the removal hurt anyway because it doesn't feel very good retracting it that way. Used on a normal healthy rectum, though, this is an exceptional tool that is well made.
I bought this product as a stretching device to aid with a nerve condition. I'll probably be sticking with my vaginal dilator set though, as the dilators are just plastic tubes rounded on the ends. I thought that the Speculum would allow me a greater stretch than my biggest dilator, and it would, but I'm not sure I want to endure the pain involved in that approach. Anyway, you can also find Vaginal Dilators on Amazon if you want a set of different-sized tubes designed to stretch you to varying degrees. If however, you long to satisfy some sexual urge to look down into an open rectum, then the Speculum is your instrument :) The dilators are basically like dildos and they block the view of the rectum once inserted.