I've had my PA for about 4 years. It was my first piercing, and compared to the others it was really not very painful and it healed incredibly quickly (my nipples still get irritated after over three years, the PA never does). I'm vers and most guys like to get fucked with it in. A few don't. I could care less, as long as I don't lose the jewelry! I've been fucked by guys with PAs, reverse PAs, multiple frenums, ampallangs, and apadravyas, as well as all sorts of combinations. Sometimes it hurts, sometimes it feels amazing. Either way I like it
I met a guy on BBRT who asked me if I'd send him an old piece of jewelry -- I did and last week he went to a piercer and got his dick pierced with it!