Category Archives: Anal Fissures

What a pain in the ass!

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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

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

Sex Advice With An Edge — Podcast #173 — 12/07/09

Hey sex fans,

It’s all Q&A today.  We’re trying to clear the decks, as it were, before our well deserved holiday chair11break, which is coming soon.  The Erotic Mind series will resume in the New Year with a slew of new and interesting erotic artists and authors who will share their work with us and discuss their creative process.

Among today’s correspondents we hear from:

  • Phil asks Tony Buff for watersports info.
  • Alyssa’s BF says dirty and insulting things to her when they fuck.
  • Baux is having a burning sensation in his hole.
  • Gary wants pills to grow his dick bigger.
  • We also have a bunch of sex guilt questions; sex toy for men questions; and pheromones questions.

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

Today’s Podcast is bought to you by: The Holiday Sale at Eden Fantasys.

EFholiday

I’ll Bite…

Name: Bob
Gender:
Age: 22
Location: NJ
I have been having a ton of rough sex with my boyfriend and the last time we did it he complained that I ripped something up there and that it burns whenever I try to slide in. He also says it burns sometime when he does #2 and he finds blood also! What can we do to get him better and prevent this from happing again?

Oh Bob? Are you completely brain dead? Tell me that you and your BF have been doing so many drugs that you’ve both fried your brains to the point that neither one of you can put two and two together. Please tell me that, because that is the only explanation for either or both of you not attending to your abused BF’s butt hole before now. You simply can’t be that friggin’ ignorant! Where there’s pain and blood, there is BIG trouble. Your BF needs to see a doctor immediately. If an infection sets in, he could lose his bowls. And he’ll have to shit in a bag for the rest of his life.

Listen up, you monkeys! If you’re gonna be doin’ a lot of rough sex, especially weremen_fucking46.jpg delicate innards are concerned, you gotta know that it’s only a matter of time till you cause some serious harm. And I know for certain that rough sex inside someone’s asshole is simply impossible unless the bottom is wigged out on some mind and body altering substance. This is absolutely and always unadvisable!

If you have some death wish, fine…proceed. But if you are serious about wanting to know how to prevent this from happening again, that’s easy too. First, quit the fuckin’ drugs…at least while you’re fuckin’ each other senseless. Second, rough sex is fine to a point. But if the rough sex involves abusing someone’s rectum or colon, then you’re goin way too far.

Name: Thomas
Gender: male
Age: 18
Location: Dublin
I just want to know how you start and ask a girl to have sex.

Well, that sure is to the point, Thomas! I suppose the answer to that query will depend on the young woman in question. Do you have a particular girl in mind? Or is this a generic “how to” question?

I’m of the mind that the direct approach works best, just so long as you’re not gonna be a dick about it. That being said, if the chick is a mate of yours and you fancy her, you’ll need to take a different approach to finessing a fuck than if you want to shag a relative stranger.

dating_shows.JPG

So, before I go much further with my advice on how to bag a bird, I think we’d better take a good look at you first. Is there anything about you that would make you attractive to a young lass? I mean if you’re not overly geeky and have a bit of charm about you, your task is gonna be considerably easier than if you are some uncouth Neanderthal who just wants to dip his wick in some fine pussy.

If you’re not sure what kind of guy you are, ask a woman friend for her honest feedback. If she tells you she’d bump you in a pinch — you may have something going for you. If she tells you that she’d rather let her cooch die a slow lonely death than fuck the likes of you — you definitely have your work cut out for you.

Regardless of what group you fall into — the “possibly fuckable”, or the “not fuckingdating_bar.jpg ever;” you can always improve your image among the ladies. Look to how you present yourself; make sure you are groomed, clean and odor-free. Dress to impress. That doesn’t mean fancy or fussy. Just make sure it looks like you gave your cloths a thought before you dressed yourself. Make yourself interesting; have a point of view. But share it sparingly. If you can’t be clever and witty, then keep your mouth shut for the most part. Women love the strong silent type. And they rarely know if the silence is stoic or stupid till it’s way too late.

And if you really want to get laid never approach any woman like she’s a piece of meat. If you think women are put on this earth simply to satisfy a man’s needs, stick to pullin’ your own pud. And here’s a tip: I always suggest that a guy squeeze one off before he goes on a date. This will take the edge off his sexual tension and his blue balls won’t be so friggin obvious to the lass he’s tryin’ to woo. There’s nothing more unattractive to most women than a desperate fuck. Besides, if you don’t jerk off first, you’ll have way too short a fuse and you’ll be finished before she even begins. Get it? Got it? Good!

If you’re not already friends with the chick you lookin’ to bone, take the time to become her friend. This will involve some effort. If you’re not in it for the long haul, then skip it and find yourself a pro who will get you off for a few quid.

If the woman in mind is already a friend, and she trusts you because you’ve been nice to her, you’re half way there. She’ll be more inclined to say yes to your direct request.

Keep in mind that women are different from men, especially where sex is concerned. Few women are as casual about sex as are most men. So if she says no don’t take it personally. She may just be shy, or not ready, or not sure. It’s your job to draw her out, be patient while you do so. And most of all reassure her that you have her best interest at heart.

If she is uncomfortable with you, ask her why. You may learn some very interestingcunny009.jpg things about yourself that you need to work on. Maybe she just wants you to take your time and finesse her into giving up the bump.

If she has her wits about her, she’ll be concerned about the whole pregnancy thing. This is much more serious concern for a girl then for a boy. If you’re not well versed on several methods of contraception, you’re not ready to have sex. Sexually transmitted infections ought to be a concern for you both. Don’t be a fuck-up; always use a condom.

If you’ve got a hardon, it’s not the right time to be pestering a chick for sex. Talk about having sex at another time when the need is not so urgent. If you pressure her to service your wood, you’re going about this at the wrong time and in the wrong way. If she senses that all you want is to satisfy your loathsome self, she’ll have you pegged as the asshole you are.

Remember that there are lots of different ways to have sex, so she might welcome one type while rejecting another. Maybe she’d be up for a hand job or blowjob, just no full-on fucking. Whatever the case may be, you’d be well advised to get her off a couple of times before you look to your own satisfaction. Whatever you do, respect her boundaries and let her know that you won’t pressure her to do anything she doesn’t want to do.

In the end, there no standard way to ask for sex, but if you treat the woman with respect, honesty, and patience, you can be sure that whatever words you use they’ll be more welcomed than if you’re a jerk.

Name: Sita
Gender: female
Age: 19
Location: Delhi
Hi!
I came to know u through the net. I am from India and I am 19 years old. I am married for the past one year and I have a problem. Myself and my husband had sexual relationship which meant only breaking of the hymen but whenever he tries to insert it I cry out of pain and stop him from it. I really do not know how to overcome this problem. Kindly help me please.

The two most likely reasons for this painful fucking are: 1) you’re not aroused enough before the fucking begins, or 2) you have a physical condition that might make fucking painful, even if you are aroused.

black_couple.jpgI’d be willing to bet that, in your case, Sita, the first reason is the more likely cause of your discomfort. This is often the case with young people having their first go at sex. One can hardly fault them, both women and men in our culture, as well as the women and men in yours, are not particularly informed about their own sexual response cycle, much less the sexual response cycle of their partners.

Young women new to sex, may not have time to come to full arousal before their man starts trying to shove it in. A woman, particularly one who is new to fucking, must come to full arousal before her partner attempts penetration. A man, on the other hand, needs only to have a stiff dick. And if the young men in your country are anything like the young men here in the good old US of A, they pretty much a hardon 24 hours a day. This obviously makes them ready and eager for the old in and out long before their female partners are ready and eager for the same. If your husband is guilty of this, and I’d bet my last rupee that he is, your body will resist him, even if you want to make a go of it.

I’d also be willing to bet that your culture, like ours, doesn’t value a woman’s sexuality or pleasure as much as it values a man’s sexuality and pleasure. If that’s the case, you’re gonna have to struggle against those cultural forces to gain your rightful place as an equal sex partner in your marriage.

Start by being well informed about your own sexual response cycle. If you don’t know what turns your crank, don’t expect your hubby to know what to do. My first question to you is: are you orgasmic? If not, there’s a whole lot of remedial sex learning for you to do on your own. If you resist doing this, for whatever reason — women are not supposed to do that, blah, blah, blah —you can say good by to ever enjoying sex with your man.

Once you figure out how your body work, it’s gonna be your responsibility to instructpenetration.jpg your husband on the subtleties and points of interest of your particular pussy. Touch is very important to most women: often a woman will want to be touched and caressed all over, not just on the sexually charged points of her body like her tits and clit. Take your husband on a little touch tour of your body. Literally, take him by the hand and touch yourself with his fingers. Show him the kind of touch you like in the places you like to be touched. Take your time with this. I can guarantee he’s not gonna get it the first time out.

With your help he’s gonna be able to see your arousal build. He should be encouraged to use his lips and mouth as well as his hands. Make your man work for his bone, darling. If you let him just pounce on you like a sack of rice, that’s how he’s gonna respond to you. If you want him to behave like a lover rather than a conqueror, then you’re gonna have to demand that of him.

If you’re not fully aroused, your pussy will be dry. Use a lubricant to make yourself slippery and to facilitate penetration. If you can’t get commercial lube, cooking oil, body lotion or saliva is better than nothing at all.

If you follow these simple steps, Sita, you will have greater success with your fucking. You will experience great pleasure for yourself and be a fount of pleasure for your husband. In the end, it is you who must take the lead in this. Know your own body, so you can teach your husband about it. Then insist that he respect and use that information.

Name: Tench
Gender:
Age: 27
Location: San Francisco
Dear Dr. Dick: I read your response to someone having trouble making gay friends. You said casual sex tends to be the norm for making friends in the gay community. I actually agree, but I wish that weren’t the only answer. My boyfriend and I have been happily together for over a year and a half. We lost a lot of “friends” because we are in a monogamous relationship. It seems they were friends to the extent they had a chance of sleeping with (or dating) either one of us. So now we have significantly less friends, which tends to happen I suppose when a couple takes the time to grow together and bond. But now we want to re-emerge to the social scene, go out more often and have fun. We don’t want to make friends vis a vis threesomes or on open relationship. Are you saying we’re doomed to never have gay friends again unless we put out? Honestly, that’s how it often seems in SF, and frankly, it’s not acceptable. I’d rather just be with my boyfriend. Thanks!
What an interesting predicament you present. Would you mind if we examined things a bit closer? You’re tellin’ me you guys used to have friends before you got together in the sexually exclusive relationship you’re currently enjoying, right? Then these former friends…and I think it’s pretty safe to assume these were mostly single friends…began to drop away when they realized they no longer could compete for either of your affections, right?

Well, do ya blame ‘em, darlin’? I sure don’t. I mean why would any self-respecting single gay man stick around? Just to enjoy your little nesting experience from afar? Gee, no thanks!

If these former friends were also suitors to either you or your current husband, whymale_kiss.jpg would you want them to hang in there? You are making such a big deal out of the exclusivity of your nest, wouldn’t these others just be unwelcome 3rd wheels, as it were? I believe these other, not so exclusively encumbered as you, gay men would be much better served by taking their leave of you and your current husband and trying to find their own nesting situation. On top of the sexual tension that would continue if they did stick around, they’d also not be positioning themselves very well to find their own mate. Would you not agree?

So, ok I hope we cleared up that part. Now you say that you and your current husband are through with the first stage of nesting, the really exclusive part. And you now want to increase your circle of friends. Ok, that’s not a particularly tall order to fill! You’d probably do well to look to other couples for these new friendships, right? I mean, what would you old married guys have in common with single queer men…other than your youthfulness?

Good luck ya’ll

OUCH! WHAT? and Mmmm!

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 deficate the area ‘screams’ in pain. It is worse the softer the faecies is. When the faecies is firm, the pain is very low. Will this go? Is there any medication that I can use?

An anal fissure is a common proctological problem, especially for the heavy ass play crowd. An anal fissure is a tear in the anal tissue. The most common complaint is a pain in the ass…literally! during and after taking a dump. There may also be itching and possibly some bleeding. Pain and irritation can cause a spasm of the internal anal sphincter muscle, which sleazes up and further aggravates the condition.

The Lateral Sphincterotomy you mention is a surgical procedure to close theanal-fissure-anterior-chronic-w-papilla.JPG fissure. This operation remains the primary form of treatment for chronic conditions.

All my medical consultants tell me that, 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 fool around with.

Here’s a tip for 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. Some pain will only subside when a condition is fixed…like getting a cavity in our tooth filled. Other pain, like the emotional pain that comes with depression is harder to soothe, but it can be done. Finally, pain like the kind Garth is experiencing means something is very wrong. And if not attended to immediately, things will only get much worse.

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 me16789433_p.jpg 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 me and my girl friend. 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. Perhaps that outbreak was something else, I won’t even hazard a guess.

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: www.dph.sf.ca.us.

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 (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.

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 might impact on their health.

Name: T
Gender: Female
Age: 46
Location: Canada
Do you have any suggestions about FE, I believe I have once and it was total bliss. But achieving it again is quite another.

FE??? Are you talkin’ Female Ejaculation, darlin”? Ok, let’s start with a little background.

The G-spot (or Grafenberg Spot after the physician who first wrote about it) is a small area of spongy tissue just behind the front wall of the vagina, between the back of the pubic bone and the cervix. This is analogous tissue to the male prostate. In fact, the G-spot is sometimes referred to as the female prostate. But like most things sexual, particularly if it has to do with female sexuality, there’s a lot of debate about whether the G-Spot is the same thing as the female prostate. I intend to steer clear of that controversy just as much as possible.

What I can tell you for sure is that during early fetal development both male and female fetuses start out being physically female? This does not change until a male fetus begins to produce its own hormones around the eighth week of gestation. Only then does the physical development of the male and female bodies diverge. Of course, this necessitates that female fetuses initially have structures that could develop into either “male” or “female” reproductive and sexual organs. This means the tissue that develops into the male prostate gland must also be present in women. Get it?

Many women report that their G-area is more sensitive to stimulation than othersquirtingpic5.jpg parts of their vagina. To find your very own G-spot, put two fingers in your pussy and curve them upwards, like toward your belly. Now make a “come here” motion, stroking the upper wall of your vagina with a firm, upward pressure. Feel that? That’s your G-spot, darlin’! How fun is this?

Fingering yourself like this will probably be more pleasurable if you’re already aroused. Some women have orgasms and/or ejaculate from G-spot stimulation, but not all women ejaculate and not all women find G-spot stimulation pleasurable….wouldn’t ya just know it!

Some women report that they feel like they need to pee when their G-Spot is stimulated. Therefore, I suggest. that before you go rootin’ around in your pussy lookin’ for your g-spot, that you completely empty your bladder. Oh and make sure your fingers are well lubricated throughout your exploration. Even if you have a lot of your own vaginal lubrication, I always suggest the use of a water-based lubricant to augment your own juices.

We all know that post-menopausal women experience bouts of vaginal dryness, but even younger women have dry episodes, especially if they are taking antihistamines or antidepressants.

If ya want to hit your G-spot while fucking, may I suggest you try “the woman-on-top — cowgirl” position or the “doggy” position. These are best because your partner’s dick will be better situated to hit the front wall of your pussy.

***Guys, most women need firmer pressure to the front of their pussy to have a G-Spot orgasm. This might best be accomplished by quick strokes and a lot of deeper friction.

Like I mentioned earlier, G-Spot stimulation may cause you to ejaculate a small amount of white or clear fluid. Some women produce more ejaculate than others. Just remember, the gushers…the ones you see in porno movies…are faked for your viewin’ pleasure. I mean, come on; some of these videos would scare the fuck out of Noah!

Enjoy your exploration, T. Like I always say, the more you know about the mysterious workins of your own personal pussy the more information you’ll be able to share with your own personal partners.

If you’re looking for a swell “how to” look here: Dr Dick’s How To Video Library:

Good luck ya’ll

 

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