Category Archives: Prostate

Finger Your Hole For Your Health

Name: Gordon
Gender: male
Age: 67
Location: Florida
I guess I have more of a comment than a question. I’m 67, a widower and have been recently diagnosed with prostate cancer. I never was very adventuresome when it came to sex. In fact before my wife died two years ago I never had sex with any other woman. I never gave prostate cancer a thought, never gave my prostate a thought either. Now I’m mad as hell that I didn’t. You see when I started to go to a prostate cancer support group I discovered I could have monitored myself better with a simple self-examination. Why don’t doctors tell us about this? Women are supposed to examine their breasts why don’t men examine their prostate? It’s so easy actually and yet it’s this big secret. Why don’t people talk about this? It makes me so mad because it could have made a big difference in my own life. Do you know about this self-examination Dr Dick? If you do why don’t you tell other people about this? I think it would help a lot if you could get the word out on this. Now that’s all I have to say. Thank you.

No, thank you Gordon. Thank you for sharing your concern with me…with us.

I’ve been an active proponent of prostate self-exam for many years. Let me explain. My career as a therapist began in San Francisco in 1981. As you may recall, that was precisely the same year a mysterious new disease began showing up among gay men. Back then it was being called gay cancer, but soon it would have another name — HIV/AIDS.

give prostate cancer the fingerNot surprisingly, my private practice focused down almost exclusively to working with sick and dying people. Luckily, I discovered that I was well suited for the job and I liked it very much. So much so that in the mid-90’s I founded a nonprofit organization called, PARADIGM, Enhancing Life Near Death. It was an outreach and resource for terminally ill, chronically ill, elder and dying people. This was brilliant cutting-edge work and I learned so much from the people I was working with. One of the things that struck me most was that regardless of the disease — cancer, HIV, MS, you name it, or aging process for that matter — there was always a woeful lack of information about regaining a sense of sexual-self post diagnosis, or sexual wellbeing for seniors in general.

This was such an important topic for me that I decided to include a chapter on sex and intimacy concerns for sick, elder, and dying people in my book, The Amateur’s Guide To Death And Dying.  I am proud to say that it is one of the only resources of its kind available in print.

I recall one PARADIGM group in particular, there was a man much, like you, Gordon, who had fingering his assprostate cancer. And, like you, he was mad as hell with the indifference of the medical industry toward prostate self-exam. One day during a group session, John was railing against his doctors and cancer associations for their lack of interest in promoting prostate self-awareness. He pointed to the success of the cultural campaign to get women to do breast self-exams. Like you, Gordon, he couldn’t understand why there wasn’t a similar campaign for men.

Another group member, Marie, a senior woman in her 70’s and a breast cancer survivor, helped put things in perspective. She reminded us that breast self-awareness in our culture is a relatively new phenomenon. Her mother, aunt, sister, and a niece all died of breast cancer before the self-exam campaign began in earnest. Clare went on to say that it was only through the hard work of individuals and grassroots organizations that actively campaigned for breast self-exams that things began to change. Eventually, this movement changed the cultural mindset. Clare said that it was these individuals and grassroots organizations that helped all of us — medical industry, the cancer lobby and women in general — overcome the denial, shame and embarrassment that was associated with women touching themselves, even to save their lives.

prostate examThis is an indication of just how ingrained the sex-negativity and body-negativity runs in this culture.

I continued to work with sick and dying people here in Seattle. I had a brief gig at a local cancer center where I developed an NIH (National Institute of Health) funded program for women newly diagnosed with ovarian cancer. I was also working with a group of women with breast cancer and another group of men with prostate cancer. Again I realized that just about every therapeutic intervention I encountered — government funded or foundation funded — was woefully lacking in any clear and unambiguous information about sexual health and wellbeing and intimacy issues.

To remedy this, I began planning a video series for people experiencing life threatening and/or disfiguring illnesses. Videos that would help them address reintegrating sex and intimacy post diagnosis. One of the first videos was going to be Public Service Announcement showing men how to do a prostate self-exam. By the way, this particular film was to be dedicated to my friend John, the guy I mentioned earlier. He died shortly after the PARADIGM group he was in ended. But he died self-aware. He was militant to the end about the pressing need for prostate awareness among men.

Once again the stumbling block I encountered was funding. My grant writing efforts turned up nothing. I did get a whole lot of, “what a fine idea, Richard. Good luck with that…” brush-off letters though. No foundation would be caught dead funding sexually overt pattern films, even ones with the laudable intent of assisting people with the very information they needed most.

I’m sorry to have been so long-winded in my reply, Gordon. I just wanted you to know that many have preceded you with outrage at the conspiracy of silence regarding prostate self-exam. Let’s face it; our society is so ass-phobic that we’d rather see men die than offer them simple instructions how to finger their butt, find their prostate and keep tabs on their prostate health.

If we want this to change we all need to speak out…as well as stick a finger in our ass.

Keep up the fight, Gordon! And please, stay in touch.

Good luck

Backdoor Basics – Tutorial for a Bottom

The Last Of My Winter Workshops!

(Let’s pretend it’s not happening two weeks into spring.)

When: 04/03/14 — 7PM to 9PM
Where: Foundation For Sex Positive Culture — 1608 15th Ave W. Seattle, WA 98119 — The Annex
Who: Anyone 18+ with ID
Cost at the Door: $25 Advance prices: $20 for Individuals, $35 for Couples and $50 for Triads.

Purchase your tickets HERE!

***Space is Limited So Get Your Tickets NOW!***
This workshop is open to all regardless of gender, orientation, or relationship status.

Learn the ins and outs of anal pleasure in this tutorial primarily directed toward the bottom. But don’t be butt_fuck5.jpgsurprised to discover lots of tips for the novice top too. Anal play is a source of curiosity for many, but it’s often surrounded by fear that it’s gonna be painful, or worse-messy. This class will address those issues and put them to rest.

We’ll cover a wide variety of topics, including:

  • Anal anatomy
  • Preparation and hygiene
  • Lubes, toys, and condom use
  • Beginner booty play
  • All-important warm-up techniques
  • Anal sex myths and misconceptions
  • And so much more!

pegging147

Remember, everyone has a butt; why not learn how to relax and enjoy yours!

There will be lots of adult product to giveaway too.

foundation-for-sex-positive-culture

Down, but not out

Name: Roger
Gender: Male
Age: 70s
Location: Saugatuck Michigan
Hi– linked to your very interesting site via Allkink. My question: last year I underwent radiation on my prostate; it was enlarged and had cancer cells. Apparently it did the job, since my PSA is way down and the Dr. says I’ve shrunk, and am healthy otherwise. But since then I am almost totally impotent (don’t get erect when I want to, though sometimes get semi-erect at random times). I can still orgasm, but don’t ejaculate; sometimes a little clear fluid dribbles out afterwards. Curiously, I could still ejaculate during and right after the radiation treatments, but not now. Also in general a noticeable decrease in libido. Needless to say, very annoying.

I’m gay, solo, in my 70s, celibate since mid-1980s when I tested HIV-, and a dedicated bottom. I knew I was at risk, and “safe-sex” just didn’t turn me on. I’ve been using dildos of all sizes for years. Now, insertion has become a little painful (kinda stings, like the first times way back when), but after several tries they go in OK. Those of larger girth or not-very-smooth texture are really difficult, and I’ve pretty much given up on them (though “John Holmes” still works!). There is occasionally a little blood on the dildo afterwards, but bleeding doesn’t persist, and Dr. says I have no hemorrhoid. The radiologist did warn me that the treatment might produce scar tissue in the colon. Is that a possibility?

I hate to think that I ought to give up altogether on my little pleasures, but would welcome you advice/opinion. I haven’t discussed this with my urologist, whom I don’t know very well, but did bring it up with my (female) GP, who didn’t seem overly concerned and merely suggested lots of lube, which was not news to me.PMB110

Wow, Roger, that was a mouthful. I am so delighted that you wrote in. I love hearing from folks in their 60’s 70’s and 80’s who are still enjoying a rich and fulfilling sex life, even if it is by themselves. I am of the mind that self-pleasuring can be some of the most rewarding sex available to a person at any age. And nowadays, with all the amazing sex toys on the market, one can enjoy solitary sexual pleasure like never before.

I’ve written and spoken a lot about prostate issues including the aftermath of cancer treatments. May I suggest that you take a look at the CATEGORY section on the sidebar of my site? There you will find a category labeled “Health Concerns.” There are subcategories for “Anal Fissures,”  and one for “Prostatectomy.”  I realize that you haven’t had a radical prostatectomy, but your situation is very similar to those men who have. If you click on either of those two subcategories you will find loads of useful information in both written and podcasts form.

In the meantime, let me see if I can address some of your questions in a nutshell. You ask about possible scar tissue from radiation therapy. The short answer is; yes, scar tissue is possible, even probable. And as we all know scar tissue is not nearly as pliable as regular tissue. Scar tissue also MR01034has fewer nerve ending than normal tissue. You could be injuring yourself without even knowing it since the sensations in your ass are considerably less then they once were. I’d be willing to guess that this might be the source of the bleeding you report. Maybe you need to retire the really big toys, like the John Holmes, and enjoy something more modest for the time being. Another suggestion is to try an inflatable dildo.  or a smaller insertable that vibrates.  There are several on the market. You can find several in My Stockroom. The advantage to something like the inflatable dildo is that you could insert something relatively narrow  and inflate to a larger size once inside. This would avoid ramming a big dildo in bum from the get go. And a vibrating insertable would add stimulation without the length or girth.E477

As to your erection issues; yeah, I hear ya. Aging alone will take its toll on the hydraulics that give us wood. When you couple that with the trauma of invasive surgery and/or radiation therapy, well it’s no wonder stiffies elude us. I tell the men that I see in my private practice, who are similarly challenged as you, to use a cock ring  to assist in getting the best boner possible under the circumstances. A penis pump works pretty well too, if you want to go the distance.  I have lots more to say about these devices if you care to hear about it.

C923Also, several men I know with erection concerns are taking a cue from the women folk and employing a vibrator in their sex play. There are the insertable kind, as I’ve already mentioned, and there are external ones too. Have you given this option a thought? The extra stimulation a vibrator can produce will increase blood flow and thus a more substantial boner. I have a whole lot more to say about this too if you care to write to me for that information.

In the end, it will be desire that will continue to propel you to further enjoy yourself and the pleasures your body has to offer. I wish you continued lust and many more years of healthy and life-affirming sexuality.

Good luck

Bottoms UP!

Name: Chris
Gender: Male
Age: 23
Location: San Francisco
Dr. Dick- Wow, may I say this is a fantastic site. It is good to see sex as an open topic and that its not only an allowable activity, it is a good activity to take part in. I’m 23, gay, and living in beautiful San Francisco (the perfect place for a 23 year old gay boy to be!), and your tutorials have taken my blowjob and power bottoming skills from that was good to wow lets do that again!

If I may make one suggestion: in the Liberating the Big Old Bottom Within guide, I personally recommend that anyone who wants to bottom get to know the fiber aisle at the grocery/drug store. I find that it helps to keep things squeaky clean longer.

But the question I had was about orgasms while bottoming. Is there any technique that you know of that would help me reach orgasm while bottoming without having to touch myself. I almost reached that point last night while experimenting with some new moves in the sac … but I was wondering if there were any, er, exercises I could do on my own to reach there with my partners (playing safely of course).

Yes, you may say this is a fantastic site. You can say that over and over if you like. All kidding aside, thank you for your very kind words.

grab assAnd I’m hoping you are enjoying the site’s new look. While our logo remains the same, I recently reconfigured the pages. Of particular note, is the Podcast Archive drop-down menu. Now you can go directly to each of my four podcast series: The Erotic Mind, SEX WISDOM, Sex EDGE-U-cation, Play With It shows. The Q&A shows are lumped under the general heading, Podcast.

As before, the toy reviews tab takes you to adult product review site. The Video Library tab takes you to Dr Dick How To Video Library, just as it always has. And the About Dr Dick page is also a drop-down menu, which contains the contact page, the Got A Sex Question page, the Therapy Available page and The Buzz page.

Sadly, I had to deactivate the Lick-A-Dee-Split sex advice podcast VOICEMAIL HOTLINE. It was underused and it was very expensive.

You will also notice that the site’s sidebar has been cleaned up considerably. The clutter is gone and I think it looks really nice as is. So ya’ll, go take a look and see what you think. Send me your comments after you’ve had an opportunity to look around.

Ya know, Chris, I was just about your age when I moved to the Bay Area. I finished my undergraduate degree in the spring of 1972 in Washington, DC. Later that year I moved to Oakland to begin my graduate work in Berkeley. I remember thinking to myself back then, OMG, I’ve fallen into a pot of jam. Leaving a very conservative school in the nation’s capitol, I found myself, almost immediately, on the other end of the political spectrum on the other side of the country. The world began to open for me. Berkeley was magical and my life changed immediately for the better.

In 1978, at the age of 28, I moved to San Francisco to begin work on my doctorate. It was like a dream come true. While I was living in Oakland, I would cross the bay bridge several times a week just to soak up San Francisco’s uniqueness. I used to think as I crossed the bridge and approached the city. My god, what a beautiful site! While I thought Oakland was great, I was happy not to have to commute any longer. To finally reside in the city I loved so much felt like I had died and gone to heaven.pegging147

The 70’s and early 80’s were the halcyon days of my youth. Oh to be young and gay and to live in San Francisco at that time. I wouldn’t exchange that experience for all the tea in china. I decided way back then that I would open myself to as many life-expanding experiences as presented themselves. For the most part, I was served very well by this philosophy. Of course, there were plenty of unsavory experiences that I would never want to relive, but even they were full to the brim with helpful information about me, my sexuality, my growing eroticism, as well as and the rest of the world around me. As I look back I have no regrets and lots of very happy memories.

I thought I would reside in the jewel by the bay for as long as I lived. I had surely found home. But as fate would have it, that didn’t happen. I left San Francisco for Seattle in 1999, after nearly 30 years in that amazing place. Now I look back fondly on that transformative time. The life lessons I leaned there continue to serve me well even now. I am immeasurably richer for the time I lived and loved there.

Boy, that got me way off message, huh? Sorry about that. It’s just that your email got me to reminiscing about being young and gay and living in San Francisco.

OK, on to your concerns. First, let me ask you to add your thoughts on the importance of fiber intake for the aspiring BOB (Big Old Bottom) in the comments section of that very posting. Would you do that for me? As much as I appreciate you offering your pearls of wisdom to me, I think all of our audience would benefit. Don’t you agree? The beauty part of a site like this is the cumulative knowledge and insight of all who visit there. I can’t do this all on my own, don’t cha know!  And remember, butt fuckin’ ain’t just for the gays anymore.  Straight men are discovering the joys of their prostate too.

I have a lot to say to your question about prostate orgasms while bottoming. And I would like to begin by saying that, while prostate orgasms are possible for some of us, not all of us will ever experience one. I’m not sure one can actually train himself to have one of these illusive orgasms at will. But what I can say for sure is, that this will never happen unless one is fully prostate aware.

daddy's boysHow does a fella become fully prostate aware, you might ask. Good question. I suppose that would start with an intimate familiarity with your anatomy. Do you know how you are put together “down there?” You sound like a clever lad, so maybe you are. If you’re not, my site has lots of important information. Look for Male Reproductive System in the CATEGORY section of the sidebar.  It falls under the main category — Sex Therapy.

Knowing and loving your prostate is the next step in this process. Prostate massage is where you will begin. You can do this with your fingers, a dildo, or a specialized “tool” like one of the prostate massagers that you can find at drdicksextoyreviews.com. Use the CATEGORY drop-down menu in the sidebar that site. Look for Prostate Massage, and presto!

There’s one final thing you’ll need to master and that is Kegel exercises. If you are unfamiliar with these and/or why you need to practice these exercises, you can read and/or listen to all the posting — written and podcast, I’ve made about this very important regimen. Just look for Kegels in the CATEGORY drop-down menu in the sidebar of drdicksexadvice.com. You will find this subcategory under the main category — Sex Therapy.

I’d be very interested in hearing from you again. I’d like to know how you are cuming along in your quest for the illusive hands-free orgasm. And don’t forget to use the comments section on any of the postings. I want you to share your insights with all of us.

Good luck

Shorty & Cutie

Hey sex fans!

It’s Product Review Friday again. Today we feature our third, and last review of the Toyfriend line. We have two vibes on tap for you today.

But wait! You didn’t miss our earlier Toyfriend reviews, did you? Well not to worry if you did, because you can find it and all our reviews on DrDickSexToyReviews.com. Use the search function in the header, type in “Toyfriend” and VOILÀ!

Dr Dick Review Crew members, Jack & Karen are here to tell us about their new toy.

Cute Toyfriend —— $22.68
Shorty Toyfriend —— $40.25

Jack & Karen
Karen: “Jack and I have two vibes to tell you about today. Both come from Toyfriend. I think I can safely categorize both as small, pocket-sized personal vibrators. But despite their diminutive size, they are distinctive in terms of design and function.”
Jack: “Both Karen and I were impressed with the reviews our fellow Review Crew members gave the two other Toyfriend vibes that we’ve featured over the past few weeks. This company gets high marks for innovation and creativity.”Cute
Karen: “I want to introduce you to our first Toyfriend, Cute. It has a very unique design. In fact it is the most distinctive toy I own. Its broad flat head, as well as its stalk is covered in beautiful, warm-to-the-touch 100% silicone. It’s easy to grip, even with lubed fingers. Cute is a G-spot vibe, so it’s meant to be inserted. However, I found I liked it best as an external vibe. The edge of the broad flat head was ideal for clit stimulation.”
Jack: “Since Karen was having difficulty using the Cute on herself internally. I asked if I might give it a try. As it turned out, it was much easier for me to maneuver Cute into place than it was for her to do so. Besides, I know where her G-spot is.”
Karen: “Sometimes that’s how it is, isn’t it? Sometimes it’s nice to just lay back and be taken care of instead of taking care of one’s self. Cute is not a particularly powerful vibe; it runs on a battery. And happily, the first battery is included in the package. Thanks Toyfriend! However, the battery they chose for this vibe is unusual. It’s an N-type, 1.5W battery. We couldn’t use any of our stock of traditional sized batteries with this vibe. For some this will be a deal breaker. In fact, we had to search several stores to find a replacement.”
Jack: “I have to agree. I have to wonder why Toyfriend chose that battery size as opposed to a more traditional AAA battery. That issue aside, Cute is waterproof so it can be enjoyed in the shower or bath. We have one of those oversized bathtubs in our master bathroom so Karen and I start many of our play sessions in the bath. I can’t think of anything more soothing than a soak, it really gets me in a sensual mood. I was able to use Cute externally on myself too. It’s a tickler, ya know. Its broad flat head delivers a tingly sensation to my nipples, dick head, balls, and butthole. I couldn’t quite insert it in my ass, but it wasn’t for lack of trying. I guess I need something more tapered.”
Karen: “I think that Jack liked Cute more than I did, which is perfectly fine with me. Next up is Shorty. I had to laugh the first time I saw this vibe. It’s a stylized rabbit vibe. Again, kudos for the distinctive design, but what struck me most is that it looks like a rabbit with a huge, obscene erection.”Toyfriend-Shorty
Jack: “It does; it’s comical! There are many similarities between these two toys. Shorty, like its Cute cousin, is covered from head to toe in beautiful silicone. It’s also battery operated, same funky size battery too. It’s as quiet as its cousin and it is waterproof too. It’s also a G-spot vibe. But ya know what? This one works on my P-spot. Because of it’s tapered ‘appendage.’ For lack of a better term, I was able to slip it right in my ass.”
Karen: “I’m certain that Jack got off on Shorty way more than I did. The overly stylized shape didn’t work for me and my G-spot. The bullet style vibrator delivers gentle stimulation. If that’s your bag, or you’re just starting out as a vibrator user, you’ll really like Shorty.”
Jack: “Both of our new toys, Shorty and Cute, are ideal for sharing. The fact that they are waterproof and sheathed in nonporous silicone makes sanitizing these puppies easy as pie. Mild soap and warm water is fine for everyday cleaning. You can also wipe it down with a lint-free towel moistened with peroxide, rubbing alcohol or a 10% bleach solution to sanitize for sharing. After you wipe it down rinse in warm water and let it air dry. But we both were so confident of the quality of these toys that we dropped each of them in boiling water for a couple of minutes and even ran them through a cycle in the dishwasher to completely sanitize them. Both toys weathered this treatment no problem at all.”
Karen: “There’s no doubt about it, these are well designed and carefully crafted pleasure products. I want to call attention to the minimalist packaging. It’s fun, and there’s nothing ostentatious about it. Both vibes come with their own clear plastic stand. Very nice!”
Jack: “There’s lots to recommend these adorable toys. Just remember they are pocket-sized. Neither one is gonna deliver the vibration of a full-sized vibrator.”
Full Review HERE!

ENJOY

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