Category Archives: Andropause

Too pooped to pop

Name: Djon
Gender: Male
Age: 54
Location:
I’m a 54-year-old man, who 3 years ago managed to finally come out and live the life I so desperately longed for all my life. My question — is there a biological clock in men like the issues women have to deal with in menopause. During the last years of my marriage there was no sex life other than with myself. Now I’m living a fantastic life, with a great man who I love very much. I know there is more to life than sex but now that I’m finally able to express myself physically with a man my ability to perform is just not working.

I’ve tried Viagra and such years ago. They used to work in maintaining an erection, it was just by myself, but I always had fun. The headache’s and discomforts from the meds bring up the question — do I really want to take this?

But now the med’s don’t even help, and as for my libido it suffers with my lack of ability. I’ve been tested for testosterone levels and they say I’m right where I should be at for my age. I’ve seen two doctors about the issue and when they find out my partner’s sex they don’t want to deal with it and seem to just pass it off as an age thing.

I’m in fairly decent good shape, I exercise 3 – 4 days a week at the gym, can you send me any advice on a path to take.

A little frustrated: Djon

A little frustrated? Holy cow, darlin’, you sound a lot frustrated. I don’t blame ya. You finally find what’s been missing throughout your whole life only to discover that your plumbing is now givin’ out on you. Ain’t that a bitch! And before I continue I want to tell you and all the other alternative lifestyle people in my audience, don’t settle for a sex-negative physician no matter what. Dion, find yourself a sex-positive doctor that will look beyond your choice of partner and give you the respect you deserve! Damn, I hate shit like that.

andropause2258You raise an interesting question about the aging process when you ask if men experience something similar to menopause in women. The short answer is — yeah, you betcha! In fact, it even has a name; andropause.  I’ve written and spoken extensively about this very subject. Here’s what I want you to do. Look for the CATEGORIES section in the sidebar, look for the category — AGING. There you will find everything I’ve written and said about Andropause, and Sex and Aging.

You’ll find a whole lot more information there than I can put together for you in this posting. However, I can offer you an overview. It’s only been recently that the medical industry has started to pay attention to the impact changing hormonal levels have on the male mind and body. Most often andropause is misdiagnosed as depression and treated with an antidepressant. WRONG!

Every man will experience a decrease testosterone, the “male” hormone, as he ages. This decline is gradual, often spanning ten to fifteen years on average. While the gradual decrease of testosterone does not display the profound effects that menopause does, the end results are similar.

And listen, when a physician says that your testosterone level falls within an acceptable range, he/she isn’t telling you much. Let’s just say you had an elevated level of testosterone all your life, till now. Let’s say that you now register on the lower end of “acceptable”. That would mean that you’ve had a significant loss in testosterone. But your doctor wouldn’t know that, because he has no baseline for your normal testosterone level to begin with.andropause

There is no doubt that a man’s sexual response changes with advancing age and the decrease of testosterone. Sexual urges diminish, erections are harder to come by, they’re not as rigid, there’s less jizz shot with less oomph. And our refractory period (or interval) between erections is more pronounced too.

Andropausal men might want to consider Testosterone Replacement Therapy (TRT). Just know that most medical professionals, like yours, Dion, resist testosterone therapy. Some mistakenly link Testosterone Replacement Therapy with prostate cancer. Even though recent evidence shows prostatic disease is estrogen-dependent rather than testosterone-dependent. I encourage you to be fully informed about TRT before you approach your doctor, your new sex positive doctor, because the best medicine is practiced collaboratively — by you and your doctor.

Finally, getting the lead back in your pencil, so to speak, may simply be an issue of taking more time with arousal play. Don’t expect to go from zero to 60 in a matter of seconds like you once did. Also, use a cockring.  But most of all, fuckin’ relax, why don’t cha already. Your anxiety is short-circuiting your wood, my friend. And only you can stop that.

Good luck

Never too old

Hey sex fans!

Before we get to today’s Q&A, I have two announcements. First, allow me to introduce you to my new Tumblr site: SEx AdViCe wITH An EDGe. It’s deliciously smutty, don’t cha know. Second, podcasts will resume this coming Monday with a remarkable guest, erotic filmmaker, Kyle Henry.

Alrighty, now to my correspondent.

Name: Macwinhar
Gender: Male (I’m gonna guess)
Age:
Location:
DR. DICK, We have been together almost 25 years. I feel like we need to spice it up. He has had some health issues with knee replacements. He feels he is not a good top any longer. But for me is, that is not the issue. It is not about the topping as is about the intimacy. I am not sure what to do? HELP!!!!!!!!!!!!!!!!!!!!!

Sexual boredom often sets in to long-term relationships. And the health issues that accompany the aging process can also throw a wrench in the sexual works, so to speak. These challenges can either be an opportunity for some creative problem solving or they can completely extinguish sexual interest all together.andropause3

I’m disappointed in you, sir! You suggest in your message that butt fuckin’ is the only sexual expression open to you fellas. Surely, you can be a bit more resourceful than that. Have you taken the time to check in with your partner lately to inquire about his sexual needs and desires? If not, I suggest you begin the rehabilitation of your sexual mojo there.

Let me ask you a few pointed questions. Could you guys invite a third party to join you as a periodic sexual playmate? Ya know what they say; “Twosies beat onesies, but nothing be threes.”

How about a little role-playing, a new sex toy, or something kinky, maybe some BDSM perhaps. It’s easy to lose interest in sex when the play is boring, repetitive and ho-hum.

Here’s what I want you guys to do, and I do mean both of you. I want you to mozie on over to my online sex emporium and pick out something new and interesting. Look for the MY STOCKROOM banner in the sidebar for access to this great resource. I want you to pick something for him and I want him to pick something for you.

sexy daddiesI’ve put together a dazzling array of products that will liven up even the most humdrum sex life. Pay particular attention to the COUPLES section of My Stockroom. You’ll find loads of interesting things for couples of every stripe.

Still not sure what to buy? Take a look at my ever so popular adult product review site, Dr Dick’s Sex Toy Reviews.

There are several sex manuals available in MY STOCKROOM, and even more elsewhere online. You could consult one of them for ideas if you can’t tap into your own god-given queer creativity.

Just in case this hasn’t crossed your mind, us men folk go through physiological and hormonal changes in midlife, just like women do. There’s even a name for it — andropause — the male menopause as it were. http://www.drdicksextoyreviews.com/ As we age, both women and men need more time and stimulation to get aroused. So keep that in mind as you shop for your new sexual accessories. Look for things that will enhance and extend the arousal phase of sex play.sexy daddies 02

Increased focus on sensuality, intimacy, and communication will help a sexual relationship stay rich and rewarding even well into one’s senior years. If you’re not talking to you partner about the issues as they arise; you are missing an opportunity to course-correct at the most beneficial time, while the issue is front and center. Need some help communicating? Why not connect with a sex-positive therapist in your area for a little refresher course.

If your old man is avoiding butt fucking because of his knees, you guys might consider trying a new position, one that won’t involve him being on his knees. Look for my tutorial on sex positions: Basic Sexual Positions For One And All! And if that don’t solve your problem, there are still many ways of expressing his ardor that don’t involve his knees. How about some sensual massage, erotic bondage, or some good old-fashioned mutual masturbation with a swell new sex toy like the Fleshlight?

Remember sex oughta be an adventure even for an old “married” couple like you guys. If you don’t take all the opportunities to make things adventurous as they present themselves, you will find that these opportunities will simply vanish. And you’ll be shit out of luck then, darlin’.

Good Luck

Hey dr dick! What’s that toll-free podcast voicemail telephone number? Why, it’s: (866) 422-5680. DON’T BE SHY, LET IT FLY!

Dribble instead of shoot

Name: Jon
Gender: Male
Age: 65
Location: Surrey, B,C, Canada
Dear Dr Dick, I’m on Avodart because of my high PSA reading, as a result my sperm count is now down to zero. I understand it’s the drug’s side effect, is this reversible? I haven’t totally lost interest in sex and still jerk off from time to time. I realize that I need to make adjustments (e.g. becoming a total bottom) and find other body contact pleasures. I’m an attractive Asian and still get lots of attention in Vancouver’s baths. Another recurring menopausal problem I have are hot flashes when sleeping, how long do I put up with it? Love your website! Is Richard Wagner your real name?
Yours, Jon

Thanks for your kind words, Jon. Yes, Richard Wagner is my real name.

To understand your question about the side effects of Avodart; I need to ask you a question. Are you sure you are talking about sperm count? Avodart is a prostate directed medication for men with a high PSA (Prostate Specific Antigen) reading. It has nothing to do with your testicles, which produce your sperm. And how would you know about your sperm count in the first place?

I think you may be speaking about the diminished amount of spooge (ejaculate) you produce while on the drug. That would make much more sense than a depleted sperm count. Because your prostate is responsible, in large part, for the amount of jizz you produce. And since the drug shrinks your prostate, it’s completely understandable that less cum would be an unfortunate side effect of the drug. Is it reversible? I suppose if you stopped taking the drug your prostate might regain its previous vigor, but I wouldn’t hold my breath if I were you. Your age may have a lot to do with this too, but I’ll get to that in a minute.

You probably are also experiencing erection problems on this drug too, right? Some of that is age related, of course. But one of the more unpleasant side effects of this, or any other medication that targets one’s prostate, is the loss of libido and wood. A nice cockring might be helpful. Have you tried one of those little buggers? They also look real nice in the bathhouse, don’t cha know.

You also ask about another recurring menopausal problem — hot flashes. Allow me to help you with some of your vocabulary. Menopause is a female thing. Andropause is the male equivalent. Like menopause, andropause is a result of a decrease in hormone levels, testosterone and androgen in our case, as we age.

Yeah, hot flashes are sure enough a good sign that one is in the throws of andropause. They often disappear on their own. But some people advocate hormone replacement therapy for us older dudes. This is very controversial, however. Many in the medical industry believe the hormone replacement, particularly testosterone, increases the risk of prostate cancer. Personally, I don’t believe this is true. I am unaware of any studies that actually make that correlation. On the other hand, living with diminished hormone levels clearly has some very unpleasant side effects, like the ones you are experiencing.

In the final analysis, each of us needs to make up his own mind about this, weighing all the pros and cons.

Good luck

The Summer Solstice 2012 Q&A Show — Podcast #337 — 06/18/12


Hey sex fans,

Happy Solstice everyone! Well, actually solstice isn’t until Wednesday, but who’s quibbling. Damn, this year is flying by. It seems like it was only a couple of weeks ago that we were welcoming spring. And, guess what? I just did the math; this is my 6th Summer Solstice podcast. Holy COW!

In honor of this milestone I have a delectable Q&A show in store for you today. We will be hearing a bunch of very interesting questions from the sexually worrisome, each will surely amaze and entertain. And I think we’ll have just enough time to do some SEX SCIENCE too. Stick around, sex fans, this is gonna be great!

  • William is using AndroGel for low “T”. Will it get his dick to grow?
  • Craig was snooping in his wife’s gym bag and found something interesting.
  • Chris and I have a lengthy exchange about his deep-seeded sexual conflicts.
  • Paula asks for my advice about purchasing a prostate massager for her hubby.
  • Gerard has blood in his semen.
  • Jenny asks if all fetuses start out as female. This triggers a SEX SCIENCE tutorial.

Today’s podcast is bought to you by: Dr Dick’s Sex Advice and Dr Dick’s Sex Toy Review.

BE THERE OR BE SQUARE!

Check out The Lick-A-Dee-Split Connection. That’s Dr Dick’s toll free podcast voicemail HOTLINE. Don’t worry people; no one will personally answer the phone. Your message goes directly to voicemail.

Got a question or a comment? Wanna rant or rave? Or maybe you’d just like to talk dirty for a minute or two. Why not get it off your chest! Give Dr Dick a call at (866) 422-5680.

DON’T BE SHY, LET IT FLY!

Look for my podcasts on iTunes. You’ll find me in the podcast section, obviously, or just search for Dr Dick Sex Advice. And don’t forget to subscribe. I wouldn’t want you to miss even one episode.

Sex Therapy—What Is It and Who Needs It? – Part 2

(Look for Part 1 of this series HERE!)

Of course, there are plenty of individuals—and couples—who haven’t waited until the last minute to seek help. These people want to be proactive about their concerns. Some people simply need some clear, unambiguous information about human sexuality. A surprising number of people are trying to piece together their sexual lives, but are hampered by misconceptions and misinformation.

Sometimes a momentous event motivates a person to address arising sexual or intimacy issues. The birth of a child, a disease process, a death in the family, or an accident can fundamentally alter the power dynamic of a relationship, which will require a rethinking of the entire relationship.

Or perhaps someone comes to a new realization about him or herself: Perhaps they are finally able to acknowledge their bisexuality, or that he’s gay, or she’s a lesbian. Maybe they are finally able to acknowledge a fetish—he’s a crossdresser, or she’s into another kink. Things like this obviously impact the individual, but if that person is in a relationship, the relationship is also affected. People in these self-revelatory situations are often unsure how to talk about their discoveries with a partner, which is another reason they seek counseling.

Some couples don’t fret when the sex vanishes from the relationship; other couples are devastated. What does one do when one partner still has sexual needs, but the other doesn’t? Often, there are unexplored options that can hold the relationship together, but will address the disparity in sexual interest and desire.

In this case, I can help the couple make compromises without losing their moral compass. Some couples navigate this with ease; others not so much. It can be extremely challenging, but there are ways to preserve what’s sacred about a primary relationship, while contemplating opening the relationship to include others. I can help a couple establish guidelines and ground rules for making the necessary adjustments.

Sometimes the relationship is really wonderful and fun. The couple really loves each other, but they’ve noticed their sex life together is pretty boring and stale. I’m often approached to simply help a couple spice things up. In this instance, my work is sheer joy. Mostly, I just give them permission to experiment and have fun.

You’ve probably noticed that a good portion of the work that I do as a sex therapist is merely giving permission. That may not sound like therapy at all, but when you consider that our sex-negative culture is so full of prohibitions; permission giving is often the front line of sexual rehabilitation. Most of the permissions I give are for an individual to educate him or herself about his or her body and his or her sexual response cycle. Personal exploration, such as masturbation, is the very best means to that education. I’m a huge proponent of partners masturbating together.

Happily, our need to reacquaint and reeducate ourselves about our bodies and our sexual response cycle is a life-long process. There is always something new to explore. As we age, our bodies change, and if we don’t keep up with those changes, we can become frustrated and disoriented. Older people, menopausal women and andropausal men, take longer to build up “a head of sexual steam,” so to speak. If they’re not attuned to the changes they’re going through, they can easily miss the important cues their body is sending to slow down and enjoy the sensuality.

Of course, I could go on and on, but now I want to leave you with what is the distillation of years my thinking about the role sexuality plays in our life:

I believe that sex is like food. We can enjoy it alone, or with others. We can be abstemious, or gluttonous. We can nosh or nibble; dine or devour. And we can be certain there will be both times of feast and famine.

Sex is like food. It can nourish and sustain us, or it can make us sick. We can consume all the available bounty, or restrict our diet. It can completely satisfy, or leave us devastatingly empty. We can employ it to express our highest aspirations, or allow it to rob us of our soul. We can give it as a gift, or use it as a weapon. It can be both bacchanal and sacrament.

One thing is for sure, whether purely physical or transcendentally spiritual, no one can live without food…or sex.

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