Category Archives: Health Concerns

What a pain in the ass!

Name: Garth
Gender: Male
Age: 44
Location: South Africa
Hi, I fissured my butt sometime ago and I think it has healed. I have undergone a Lateral Sphincterotomy twice – inner and outer. Unfortunately the area is now VERY sensitive and when I defecate the area ‘screams’ in pain. The softer my stool the worse the pain. When my stool is firm, the pain is less. Will this go away? Is there any medication that I can use?

Everyone in my audience please listen up! I am not a medical doctor, nor do I play one on the internet. The Dr Dick moniker I use refers to my Ph.D. I am a clinical sexologist or a sex therapist if you prefer, not a physician. Get it? Got it? Good!

That being said, anal fissures are a common proctological problem, especially for the heavy ass play crowd. An anal fissure is a tear at the anal tissue. The most common complaint is pain in the anal region during and after taking a dump, itching and possibly some bleeding. Pain and irritation result in spasm of the internal anal sphincter muscle, which then fails to relax during defecation further aggravating the condition.ass-pain

The lateral sphincterotomy you mention is a surgical procedure that removes the fissure. This operation remains the primary form of treatment for chronic anal fissure.

From all that I could learn from my medical consultants, if your surgeries healed properly you shouldn’t be experiencing pain, let alone “screaming pain” when you shit. We all understand that the area will continue to be sensitive, but the pain you describe is not a good sign. You may very well have an infection. You need to have that looked at ASAP. This is nothing to roll around with.

Here’s a tip for all everyone in my audience: pain, of any sort, is one way our body talks to us. Its message is: things are not as they should be; get it fixed NOW. Sometimes the pain will subside when we stop doing something…like holding our hand too close to a flame, or being flogged senseless by Christian Grey. Some pain will only subside when a condition is fixed…like getting a cavity in one’s tooth filled. Other pain, like the emotional pain that come with depression is harder to soothe, but it is important to try. Finally, pain like Garth is experiencing means something is very wrong. And if not attended to immediately, things will only get worse.

Good luck

The Dark Side of Love

Just in time for Valentines Day, I feature an exchange I had with an earnest and, I might add, very nervous young man about a prevalent STI. Our friend is freaking out about genital warts.  I know, I’m such a buzz-kill.

 

Name: Ryan
Gender: Male
Age: 20 something
Location: Lowell MA
A few years back, a friend confided that he contracted genital warts from his ex-girl friend. He had the genital warts on his genitals, anus, hands, feet and in his mouth. His ex-girl friend had it on her hands, in her vagina, mouth, anus and cervix. I can understand having it on the genitals and hands and in the anus, mouth and cervix. I didn’t ask how he got it on his feet.
He went to work in another state, but came back here two years later. He told me he liked a girl he met and would like to bring the relationship into a more intimate level. I asked him about his genital warts. He said he was cured of it. I read that genital warts cannot be cured. That it can be treated, but will remain incurable and contagious although dormant for a while.
Will the girl get it after they had sex? My friend comes to my house very often, drinks beer with my girl friend and me. He uses the bathroom and the hand towel. Even after scrubbing the bathroom and washing the hand towel, can my girl friend and I get the genital warts? As for my friend, was he condemned not to have sex for life? Or, is it safe to have sex if there was no outbreak or external signs?

I’ve seen several bad cases of genital warts, but never a case that included hands feet and mouth. I know that’s possible, of course, but I’ve never seen it. And without a doctor’s diagnosis, a particular outbreak could be something else. That’s why, something like this, needs to be diagnosed and treated properly.

the dark side of love

You are right; technically genital warts remain incurable, though non-contagious, and dormant if treated correctly. And proper treatment is the key. For more information you might consult WebMD.

Casual contact, the kind you describe below — bathroom, towels, etc. — cannot pass on the virus. Transmission is dependent on intimate genital contact. Does your friend (or his GF) have an outbreak going on now? Can you see something on his (her) hands and face?

     I know my friend is a responsible person and he will not knowingly infect me with his genital warts. But, how can he be sure that the wart is dormant and non-contagious? I am now wary because he told me his genital warts were cured. This makes me wonder whether he was given the wrong medical advice or he was just trying to put my mind at ease. Aside from using the bathroom and towels, he also eats dinner at my home and could infect my dishes, utensils, cloth napkins, etc. and pass the virus to me and my girl friend.
This matter has the potential of becoming a dilemma for me and my friendship with him. I don’t want to ask him details such as who is his doctor, what kind of treatment he is getting (it seems the infected person must be tested periodically and the treatment ongoing) and how is he going to determine when he is not contagious. He is a sensitive person and I know that he will get angry if I asked him these questions. I can make excuses not to see him at my house (this only goes so far). If I ask or make excuses, I’d lose his friendship. I don’t want to lose him as a friend. But, I don’t want him to infect me and my girl friend with the virus either, knowingly or unknowingly.
I don’t see any warts on his hands and on his feet (he wears sandals sometimes). I don’t know if he plans to tell the girl he plans to get intimate with.
My girl friend doesn’t know about this. She will freak out if I tell her and that will cause more problems. Help!!!???!!!

If I were you I would ask him about the treatment he received for his warts. That would put your mind at ease. Besides, your friendship sounds like it’s on the brink anyway. And here’s a tip: you probably have lots of casual contact with many other people with genital warts without even knowing it — it’s a very common malady.

     Thank you very much. I think he should also tell the girl about his genital warts before having sex with her. She must be given the option to reject or accept it. I also read that the virus can be passed just with skin-to-skin contact when there is a flare up. Is this true?
I feel bad about this. Although my friend is a responsible person, there is still a chance he could get carried away in the heat of passion and throw precaution and caution to the wind.
I imagine it is difficult to enjoy sex when you have to do and think of many things that could go wrong.      Giving him my sympathy will not help. He alone has the burden of doing what has to be done before having sex to prevent contaminating his girl friend or spreading he genital warts around.
I will appreciate any additional information/clarification/advice you can give me about this.
Thank you again for your help.

Again, genital warts, like herpes, are contagious only when there’s a flair-up. Skin to skin contact can pass the virus at that point. Also, like herpes, if the genital wart virus has been treated, the likelihood of passing on the virus is negligible.

I am of the mind that we all ought to be responsible and up-front with our sex partners about any health related issues that may impact on the health of our partners.

Good luck

Whataya Think?

Name: Alyssa
Gender: Female
Age: 26
Location: Vancouver
I’ve recently begun dating a very nice, attractive guy who has a unique fetish. He’s very sweet and complimentary in real life but when we play he likes to say dirty and very insulting and frankly pretty outrageous things about my mouth. I have enjoyed it when we’ve played this way but I kind of wonder deep down if he actually likes my mouth or not. He says it’s just a fetish and he thinks it’s beautiful. Can you give me some insight into this?

Seems to me, Alyssa, if the BF only does this trash talk during sex, then it is, as he insists a fetish. I recommend that you not try to read anything more into it than that. Don’t over think it and don’t second-guess this harmless fetish. In fact, you ought to revel in the fact that you have a man that enjoys something a little out of the ordinary. And hey, why not give dirty talk a try yourself. You can, you know. All ya gotta do is get into the same mind set as the BF, and give him as good as you get. I can pretty much assure you that this will turn his crank, big time.i just can't

Name: Baux
Gender: Male
Age: 18
Location: Colorado
I’m a young gay guy; I have been having anal sex on the bottom since I was 14 years old. There have been no more than 15 guys, though I’ve probably had sex around 50 or so times. Recently within the last few months, sex has stopped feeling good. The initial burn caused by penetration won’t go away. I truly do want to keep having sex; do you have any idea why my ass is suddenly so sensitive?

Wow you sure are precocious, my friend!

And yes, I do have some idea why your ass is suddenly so sensitive. I’d be willing to guess that you may have developed an anal fissure.

An anal fissure is a tear in the lining of the anus or anal canal. The fissure can be painful and may bleed. For more information on this; search my site using the term, “Anal Fissure.”

This is nothing to fool around with, pup. Have yourself checked out by a physician ASAP. Remember, our bodies often offer us warning signals when something isn’t right. A painful burning sensation is one such warning signal. Please, attend to this right away. Take yourself to a community free clinic for screening if you don’t have a general practitioner you can rely on.

Good luck

Intimate Workout

Hello sex fans,

And now for something completely different… It’s Product Review Friday all right, but we’ve seen nothing like this before. Today I, Dr Dick, will do the honors and tell you about a unique product for men. It’s a brand new product that will, I believe, change your life for the better. And in the process we welcome another new manufacturer to our review effort, Adult Fitness Concepts.

The Private Gym —— Basic $59.99  Advanced $99.99

Dr Dick
There are a handful of things that I have been very passionate about throughout my long career as a sexologist. Each of my passions revolve around two simple principles: the importance of knowing and owning who we are as sexual beings and an knowing about how our body works. These are the basic building blocks of sexual health and wellbeing.

Sexual wellbeing means a whole lot more than simply being able to perform. It also means taking responsibility for one’s eroticism as an integral part of one’s personality and involvement with others. But being unfamiliar with the basics of how our body works will surely short-circuit even our ability to perform.

My aim has always been to provide information, guidance, and resources that will help people approach their unique sexuality in a realistic and responsible manner. That’s what Dr Dick’s Sex Advice and Dr Dick’s Sex Toy Reviews are all about. So when a representative of Adult Fitness Concepts contacted me via email to tell me about their new product (actually, it’s more of a program than a product), the first FDA registered Kegel exercise program for men, my interest was piqued. I was told that the Private Gym was created after 3 years in development with several leading urologists, physiotherapists, and sexual health experts.

I have been an avid proponent of pelvic floor musculature toning for both women and men for my entire career in sexology. I write and speak about this topic so often that sometimes I feel like a broken record. Don’t believe me? Look for yourself. Use the search function in the sidebar of either of my sites, Dr Dick’s Sex Advice and Dr Dick’s Sex Toy Reviews, type in pelvic muscles, and BANG!home_hero_image

Women tend to know more about Kegel exercises, the exercises that tone and strengthen one’s pelvic floor musculature because doctors encourage them to do their Kegels during pregnancy. But here’s a tip for all you guys out there who are reading this and rolling your eyes and getting ready to turn the page because you think this is some kinda Oprah — vagina moment. Listen up you monkeys; kegel exercises aren’t just for the ladies. Us men folk have pelvic muscles too. So pay attention, you’re gonna want to know about Kegels too.

What are Kegels, you may be asking. They’re muscle contraction and relaxation exercises designed help restore, tone, and strengthen the muscles that surround the opening of the urethra (see guys, we have one of those), vagina (ok, we don’t have one of those, but we do have a penis and we get erections), and anus (we sure as hell have one of those). Since this includes the muscle that you use to stop and start the flow of urine, you can check if you’ve identified the right muscle by testing your kegel technique while peeing — if you can stop the flow of urine when tightening, then you know that you’re contracting the correct muscle group. BTW, the main muscle is call the pubococcygeus muscle, or PC muscle for short.

There are several “toys” on the market that are designed to help women tighten and tone their pelvic floor muscles, Ben Wa balls, and all their modern incarnations, for example.  Now, thanks to the Private Gym us men folk have our own exercise program. A program that promises stronger, more rigid erections, a reduction in premature ejaculation, heightened orgasms, improvement in urinary control all while supporting prostate health.

I know what you’re thinking, if I can do Kegels on my own, why do I need a program? Good question. The best answer I can come up with is it will help you stray on track and achieve your goals. I mean, isn’t that the reason we go to a gym? Surely we can workout on our own, but the support and encouragement we get from being part of and involved in a program makes the effort more rewarding. It’s all about psychology, right?

PG-TrainingKitOnly-PromoThe Private Gym is the first interactive, follow-along exercise program that helps men strengthen the muscles that support and control our cock. As men approach age 30, the muscles that support erectile function begin to weaken. By age 40, more than 50% of men experience some form of erectile dysfunction and this number increases to more then 66% as men approach 60 years of age. And for all you bottoms out there, you know how important it is to keep anal muscles in tip-top, pardon the pun, shape.

There are two parts to the Private Gym program — 1) the Basic Training Program (available on DVD or through digital download) and 2) the Complete Training Program, which involves resistance training.

As we all know, resistance training is key to building strong muscles. Imagine doing bicep curls or a bench press without weights. The Private Gym Complete Training Program resistance equipment is basically a weighted high-quality, latex-free, nonporous, phthalate-free, and hypoallergenic silicone cuff for your dick. How amazing is that? You slip this puppy around your stiffy and do your Kegels. The cuff is also waterproof, so it cleans us easily with mild soap and warm water.

Just like all weight training, muscle contractions increase blood flow and increased blood flow to your johnson will…wait for it…produce harder, larger, and longer-lasting erections. Your pelvic musculature is also responsible for the strength of your ejaculation. Do you dribble instead of shoot? Well, my friend, you have some important exercisin’ to do.

While the Private Gym is a practical tool for any guy at any age, I have a few extra words for those men—friends, clients, and correspondents—who are living with and through prostate cancer. I get how difficult things can be after an invasive and life altering surgery. I also know that, for the most part, oncologists are not inclined to walk each of their patients through the emotional and physical minefield that is life after these often devastating medical interventions. But that doesn’t mean you have to sink to the lowest common denominator and shut down as a sexual being.

I believe that the Private Gym Basic Training Program can be helpful in regaining a sense of your sexual self after surgery and radiation. I’m currently working with two clients and we are using the Basic Training Program to rehabilitate their traumatized pelvic musculature. While it is too early to tell what kind of success rate we will have, I can say for certain that the effort involved in this program, as well as both of them knowing that someone really cares about their sexual performance issues, is making a huge psychological difference in terms of outlook and confidence. And that is huge!

My own experience with the program has been very positive. I’m 65 years old and I’ve been dealing with prostate issues, bladder control issues, and erection issues for some time now. I’ve also been doing Kegel exercises for decades, so I conclude that I am as functional as I am because of my efforts to keep my pelvic musculature toned and strong. The Private Gym is helping me be more conscientious about my workouts. And that is a real good thing.
Full Review HERE!

ENJOY!

Wet and Wild

Name: Phil
Gender: Male
Age: 46
Location: UK
Dear Dr Dick, First I must congratulate you on the two fascinating interviews you held with the delicious Tony Buff.   What an incredibly sexy, compassionate and intelligent man he is, I could have listened to him all day. Anyway, I digress. Tony spoke a lot about the importance of safe sex practices in general as well as within the BDSM genre. He often engages in piss play/watersports and I am keen to know the risks involved in such a practice, as there seems to be a number of mixed messages out there on this subject. I have enjoyed this element of sex play myself, intermittently for a number of years, mostly with lovers/partners. And whilst I don’t consider that I have ever put myself or anyone else at risk, it would be good to know some plain hard facts on the matter, regarding the transmission of sexual infections or otherwise. Perhaps you could clarify what is considered safe and that which is risky, within this practice, in other words, the dos and don’ts. Thanks for your time.

Wow! That brings me back, Phil. The interview you mention happened five years ago. (You can find Part 1 and Part 2 HERE and HERE!) Even though I am no longer podcasting, I am so glad to hear that folks are still discovering my shows, even show from so long ago. For anyone not familiar with my podcast archive, you can find it by clicking on the PODCAST tab in the header.golden-shower1

So you want some plain hard facts, darlin’? I got ‘em. In fact, I forwarded your question to THE MAN himself, Tony Buff. And here’s his response:

That is an excellent question, Phil. Many people don’t understand the risks associated with piss play/watersports. According to the BDSM: Safer Kinky Sex booklet published by the AIDS Committee of Toronto, urine with no blood is fine on the outside of intact skin and urine in the mouth is a negligible risk for getting HIV but if your partner has a urinary tract infection there is a risk of catching other sexually transmitted infections. It’s also important to note that drugs can pass through urine chemically unchanged. Drinking large quantities of urine from someone who has been taking recreational drugs can pass those drugs on to your system. And, if you’re HIV positive be aware that drinking the urine of someone on different treatment drugs than your own regime can cause drug treatment resistance.

So those are the risks. Again, every person has the right to determine his or her own risk profile. With open, honest communication you and your play partner or partners should be able to determine which risks are present and how to best mitigate them. I hope that helps.

Oh, and by the way, you can find the BDSM: Safer Kinky Sex booklet HERE!

So there you have it, directly from the horse’s mouth, so to speak. And if you want to know my thoughts on the matter, which just so happens to mirror the amazing Mr Buff’s thoughts, use the search function in the sidebar to your right and simply type in “watersports” or “golden showers” and Voilà!

Good luck

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