Category: Disability

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How a sex worker helps my wife and I maintain good sexual health

David Heckendorf and his wife Jenni on their wedding day.
David Heckendorf and his wife Jenni on their wedding day.

So, here we go. We are coming out to the nation. Jenni and I have sex with other people. There, it’s done.

But, lets wind back three decades and place this in context.

It is my first job after leaving school. I’m at the Sydney-based Spastic Centre’s sheltered workshop. It seemed very large to a pimply faced 17-year-old fresh from one of the centre’s two special schools. I found the morning tea and lunch breaks in the cafeteria particular daunting when I was one of about 300 wheelchair users trying to be served and assisted to eat before the bell rings to return to the factory floor.

I had seen Jenni at our hostel over the years and she carried an air of importance, with her father being on the board. I soon found her favourite table in the cafeteria. I would try to race to it each day hoping to sit next to her and, perhaps, share a support worker. The time spent together soon extended beyond the lunch table to include activities other than talking.

The mid-’80s in saw a change in the national disability policies from large residential facilities to much smaller group homes spread throughout communities. I was among the first to be de-institutionalised. While Jenni and I weren’t housed together she frequently visited.

After a long courtship, mostly by correspondence, we married on 1 December 1990 in the small university chapel at Armidale NSW, where I was fortunate enough to be accepted to study. Our Byron Bay honeymoon was so delightful that we returned the following year.

We moved to Canberra in search of employment after my degree and to work towards a second qualification. Together, Jenni and I had to survive a number of ‘homes’ that were less than ideal. One was at an Australian National University residence where the bedroom was so small we had to leave our wheelchairs in the public access hallway. In a later house, the bedrooms were not even big enough to accommodate our bed, so we used the living room as a bedroom.

Notwithstanding these challenges, we were doing remarkably well with support from ACT government-funded home care services. That was until September 1, 2008 when Jenni over-balanced transferring from the bed to her wheelchair. She landed awkwardly and broke bones in her left foot, which weren’t properly diagnosed or treated for several months.

This fall had long-lasting consequences on Jenni’s health generally and on our sex lives. Her prolonged and mostly unsuccessful recovery resulted in Jen having further reduced mobility in and out of bed. It meant we had to take extreme care not to touch or bump her foot. We had been fully independent in bed but after the fall the effort involved became too much. We tried different toys and different positions without joy.

Two years after the fall we were at a point where we had to make a decision to either give up on enjoying sex or to investigate the possibility of allowing a third person into our bed.

We were way too young to stop having sex.

Sex is important in most long-term relationships because it increases the pair-bonding by releasing the ‘love hormone’ oxytocin. There is also scientific evidence to suggest that sex has a range of health benefits associated with our immunity, heart, blood pressure, reduced risk of prostate cancer, pain and stress relief.

In early 2011 we arranged for sex worker, Joanne, to begin working with us. With each visit we had to remind ourselves that she wasn’t there to make ‘love’ to us. Rather, in the same way that our support staff ensure that we remain in good physical health – by showering, feeding, and dressing us – Joanne helps us to maintain good sexual health.

Also in 2011 we successfully approached the ACT government to extend the funding of our disability care support to cover these conjugal support services. In December 2015, the National Disability Insurance Scheme (NDIS) agreed that, in our situation, a modest allowance for conjugal support service would be reasonable and necessary.

Jenni and I still enjoy doing a lot of activities together. For instance, we work out at the Spastic Centre’s (now the ‘Cerebral Palsy Alliance’) Canberra gym, challenge each other at online Yahtzee, visit our favourite local cafe for morning coffees, and cuddle up in front of our favourite television shows and movies.

Doubtlessly, sex is critical to all marriages. Our love for one another and shared history means sex is important for our marriage too. And, just as with other activities, we just need the right support to make this part of our life happen.

Complete Article HERE!

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The film making us face the idea disabled people have sex

‘Yes We Fuck’ is an uncompromising look at the reality that disabled people have sex lives too. We caught up with director and disability activist Antonio Centeno to find out more

BY

Yes We Fuck

As a society we’re becoming more accepting of sexuality in all its guises and forms – and rightly so. 2015 could be seen as the year when trans issues finally broke through into the mainstream after decades spent on the margins of society, while more and more women in particular are joining the sexually fluid revolution. And yet for all of our talk, there’s one conversation that we’re not having – about how disabled people have sex.

Spanish director and disability activist Antonio Centeno wants to tackle this prudishness head-on. His film Yes We Fuck (which is co-directed with Raúl de la Morena) is a no-holds barred look at the world of disabled sexuality, with uncompromising visuals (of people having sex) and a strong sense of moral purpose. Centeno shows human intimacy in all its forms, and what strikes you from watching the film is that the issues faced by disabled people when it comes to their sex lives aren’t so dissimilar to those faced by the rest of the population.

Watching the film, which recently showed at the British Film Institute’s Flare festival, at times makes for uncomfortable viewing. You’re discomfited by the fact that the sexuality depicted on our TVs and in popular culture almost uniformly represents one experience: that of heterosexual intimacy between two able-bodied, cis-gendered people.

Yes We Fuck is an uplifting, refreshing corrective to the narrative that disabled people are in some way sexless, made noble by the struggles they undergo to assimilate into a society that is in many ways ableist. The film isn’t perfect – sections are too long, and while Centeno wants to depict the reality of disabled people having sex, at times the camera lingers too long or in a way that feels intrusive. It’s clear that this is very much a passion project from the fledging director, and one which could perhaps have profited from tauter editing. Nonetheless, it’s rare to see a film which so profoundly makes you confront your own prejudices to recognize that we all of us share a common humanity and a common desire to express that humanity through the most natural act of all – the act of fucking, of course.

To find why we need to get on board with the fact that disabled people fuck like the rest of us, Dazed caught up with Centeno at the BFI. Below is the transcript of our conversation, which has been edited for flow and clarity.

 

Can you give us a bit of background as to why you made Yes We Fuck? Is this an issue that’s particularly close to home for you?

Antonio Centeno: By background I’m an activist and I’ve always advocated for helping disabled people, or those with functional diversity as we prefer to call them, to lead independent lives wherever possible. For us, this is a political issue. If we want people with functional diversity to have real lives – not merely to survive – then we need to be visible sexual beings. We need to break this infantilised image of us as children, to show that people with functional diversity are sexual beings, people who desire and are desired. So by giving them a sexuality, we politicise the issue.

You depict real-life intimacy in the film in a lot of detail. How did you get the participants to trust you?

Antonio Centeno: Many of the people in the film I’d met as activists throughout the years, so they trusted in me and what I was doing. And they understood that the film wasn’t just entertainment, but a political tool to help the change the realities of our society. I mean, of course it was difficult, to expose yourself and put your body out there. But it was only possible because of the trust I enjoyed from them, and the fact they understood what political message we were trying to put out.

What’s the reaction been like?

Antonio Centeno: In my native Spain and internationally there’s been a huge amount of interest and it’s generally been very well received. Some people find it too direct, maybe  there’s too much exposure, and some people thought there were some stories missing as well. But it’s been more difficult getting it out to a wider audience, outside of LGBT and specialist film festivals. And I think this reflects the way in which people with functional diversity live in our society. You know, we live away from the masses, from the general public. We live in ghettos. And by ghettos, I mean special residences, or with families that look after us. We go to special schools, because we have to. We work in special centres. So basically, we live in a parallel world, segregated from other people.

Would you like to see this segregation broken down so everyone is living side-by-side?

Antonio Centeno: Well, I’m not sure about ‘everyone’. I don’t like most people! [Laughs].

The title of the film is quite risque…

Antonio Centeno: In Spain, we have a motto which roughly translates as ‘Fuck as you live, and live as you fuck’. Which means that you can only have your own independent life if you have a sex life which is free, which is independent, which is rich. And you can only have a sex life that is free if you personally are free. If you have a free sex life, you can have a good life. You can fight for your freedom, for your independence. So the film is about how you can show, through sexuality, that people with functional diversity want to live like others, independently, not being cancelled out and made to delegate their decisions through family members or professionals.

What I found interesting about the film is that a lot of the sexual issues that people faced, like guilt or shame, are common to everyone, not just those with functional diversity.

Antonio Centeno: Well, our intention wasn’t just just to show weird people doing weird things. We wanted to deal with general issues, like desire, pleasure, our relationship with our bodies. But basically by focussing on this group of people with functional diversity, we produced this magnifying glass effect…I mean, the issues that they have aren’t so dissimilar from those the rest of the population have. But it’s just magnified in this group.

It’s historically very difficult to depict sex on film. Was this a concern for you? Wanting to show sexuality in a way that was honest without being gratuitous?

Antonio Centeno: Well, I want to start by saying that reality doesn’t exist, as such. We were constructing a reality. And that’s the powerful thing about porn, not that it represents reality but that it constructs reality. If we think about what people think about those with functional diversity, they think that we don’t have sex. So we wanted to put images in the heads of the viewers, so that those images were incompatible with the prejudices that they had.

Is there a danger that we risk sensationalising the issue?

Antonio Centeno: It’s a risk we take, definitely. But if the problem before was people with functional diversity being invisible, and now it’s us being sensationalised, that’s okay with me. For me, it’s important that we construct narratives which don’t just place people with functional diversity between two opposite poles. You know, we have the pariahs, the hopeless people, and then on the other end of the spectrum there’s the hero and it’s all very inspiring, but…I mean, no one actually believes that. It’s reductive. So there are lots of stories that have to be constructed in the middle about people with functional diversity. And that’s what I hope to do.

Complete Article HERE!

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Off Limits? The Best Sexual Positions for People with Limited Mobility

Aging brings changes to our physical and emotional states. These changes can have both positive and negative affects when it comes to sexual intimacy. While it’s not a given that desire and frequency of sex decrease as we get older, it may be necessary to accommodate the limited mobility many of us experience over time. Painful joints, decreased flexibility, and physical disabilities can all contribute to restricted mobility. Rather than allow limited mobility to get in the way, we’ve provided illustrated positions to help you and your partner continue to be intimate. Remember that not all positions work for every individual or couple. Do what feels best for you and your partner and pay attention to any discomfort. Read on for our suggestions that appropriate for various conditions.

The Best Sexual Positions for People with Limited Mobility

Complete Article HERE!

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Topping As A Disabled Person

By Lyric Seal

Topping-as-a-disabled-person

People are often surprised when I say that, for me, topping is more vulnerable than bottoming.

I remember going to a sex party with a bunch of other queer people of color, many of them sporting strap ons and saying that they weren’t interested in receiving penetration, but that they would gladly top, as that was an empowering, safer place for them. From multiple gender and racial standpoints, I deeply understand this, but it is not what my body knows. The reasons are even more complicated than perhaps I am ready to admit. But I am going to try.

Even now as I write this, I feel a welling up in my face, under cheek meeting eye. This is tear territory. I want to write you a ferocious little article, a tasty little piece, like me, but topping with a physically and visibly disabled body is a place of uncertainty and fear for me. Luckily, they say I’m brave.

When interviewed by .Mic  on the subject of being an “alt/disabled porn performer”, I was asked to speak on the issue of disabled people being desexualized by an ableist society. I told my interviewer that. as a disabled child, I was nonconsensually sexualized and yet also constantly infantilized by people around me. There are many disabled femmes (can I get an AMEN?) who know the complex plight of being a sexy baby in a lover’s or society’s eyes, whether or not we choose it.

Some identify with this; in my personal, intimate sexual life I have a Daddy. I love being topped. I love knowing I have someone wrapped around my finger. I love being taken care of. But I am not only this. I am an adult too.

I have choices. I have desire. And there is a fire in me.

When my own desire and agency tried to creep through the baleen-like filter through which I was understood by minds inside bodies not like mine–able bodied people fed on ableism with narrow understandings what my body was for–I felt like this hunger of mine was monstrous, too big for me to let out or in.

I know all too well that bottoming is not passive; even when we are touched against our will, it takes every fiber of one’s being to receive, or to not receive, psychically or physically. When I am bottoming, submitting, opening to my lover, there is that fire too, that hunger, that capacity for desire. Maybe it’s that I feel I can let loose when I am bottoming. I feel I can be a screaming hole. I feel I can be a possessed banshee. I feel I can be a taken siren/muse. When I trust what I am opening to, I can be so generous.

Perhaps it’s the performance I fear with topping. It reminds me more of dance than of song. It feels more visual. It seems it requires precision. It is only naked, or near a bed, or bench, or car, or miraculously accessible rooftop with all my clothes on, about to have sex with someone who wants me to top them, that I get such stage fright.

Socially, I’m a great top. As a wheelchair user, with a visibly disabled body in other other ways too, with the privileges of being neurotypical with a quick tongue, I learned to make speech my tool, my entry point, my point of connection and flirtation. I don’t even always know when I’m flirting; t’s my comfort place. I like to make people blush! Have since I was a teenager and all my friends were having sex with their boyfriends in private and I was having no sex but coming onto awkward boys in public

If I don’t think someone’s a charming top, I don’t like being hit on by them in an aggressive way. I’m particular about tops. I have the best one now already.

With switchy people, with subs, I’m all about the bait and switch. I’m all about the talking and dancing not leading to anything. I am hung up. I am scared. I have created a locus of control through my social interaction, in which you can view me as powerful for my words, my dancing on my own, my compliments, my insight, my tease. Physically, once we are touching, I am less confident of my abilities, or that my desire will be received, once someone feels/sees how awkward the form. What if I am too slow? Too imprecise? What if I stop for pain or discomfort?

I had a girlfriend once, who encouraged me to practice topping her, which was wonderful, and then she would embarrass me by telling new dates in front of me that I was a “big domme”. Proud parent with bad boundaries much?

It was like she was saying, EVERYONE! NEVE HAS A PERFORMANCE THEY WOULD LIKE TO SHARE! My partner, my daddy, actually does invite me to top him sometimes. And the practice is heart-altering. I become a more well-rounded me. Despite my Picasso body.

When you are learning the dance of how to top someone well, in the way they like, in the way you like it, it can take time and experimentation. It can take translation, modification. It can take making up a whole new way to move and relate to another body from scratch. Especially if you are physically disabled, if your partner is, if you both are.

I have been learning, slowly, that while there are tricks of the trade on how to top or dominate someone safely, there is no rulebook (thank goddess) on what it actually means to top someone. I am learning to take the time I need with my gimp body to top in a way that is true to me.

When you are learning a new dance, you begin slow. In fact, some bodies will only ever be able to replicate a dance slowly, and some do not replicate at all. Fuck replication. This is not to say that there are not disabled people who have topping on lock. I am not one of them! But I’m sassy as hell.

Complete Article HERE!

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Life as a sex worker for people with disabilities

By Vanessa Brown

WHEN Fleur first started working in the sex industry, receiving a phone call from a parent or guardian on behalf of a potential client was “unusual”.

“It’s not an experience that many people have to go through, arranging a sexual experience on the behalf of someone else,” she told news.com.au.

Miss Fleur, as she calls herself, became a sex worker at 18. Ten years later, she’s built up a diverse client base, including many people with disabilities.

“In a lot of ways, there’s no difference,” Fleur said of her clients. “I’m dealing with adults who have a fantasy that they haven’t been able to explore. The main thing that’s different is that sometimes, but not always, appointments are facilitated through parents or carers.

“Carers listen to their clients and take their needs seriously. But it’s not that these people are arranging appointments without consent. They are doing it on the instruction of the person with the disability.”

Rachel Wotton
Rachel Wotton is a sex worker who works with people with disabilities.

About 4 million Australians, or one in five people, are living with a disability. More than million of these people are aged between 15 and 64.

In Australia and overseas, disability advocacy groups are trying to raise awareness about disabled people and sex.

Veteran sex worker Rachel Wotton is one of the co-founders of Touching Base, an organisation that allows people with disabilities to connect with sex workers.

She says the stigma surrounding the sex lives of people with disabilities is disheartening.

“It’s ridiculous. Just because someone can’t walk the same way as others, or doesn’t have the same technique to use their voice, doesn’t mean they haven’t got the same sexual desires as other people,” Ms Wotton told news.com.au.

“We are sexual human beings. How dare someone tell another person how they should or should not feel. The most beautiful thing about skin to skin contact is the idea of being.

“People need to move away from the idea that sex is intercourse. Our sexuality is expressed in many different ways,” said Ms Wotton, who has worked in the industry for more than 20 years and was featured in the documentary Scarlet Road.

achel’s client John died in November 2011. They both appeared in the documentary Scarlet Road.
Rachel’s client John died in November 2011. They both appeared in the documentary Scarlet Road.

Her clients live with a wide range of disabilities. One of her regulars, 61-year-old Colin Wright, came from a family that didn’t talk about sex. In the SBS documentary I Have Cerebral Palsy and I Enjoy Having Sex, Colin revealed that he found his first sexual partner through a carer.

“There was a lady who I felt close to so, one day, while we were alone, I asked Kerry if she would organise for me to visit a lady,” he told SBS. “To my surprise, straight away, she said ‘yes’.”

Ms Wotton says this is common in her line of work.

“Imagine if you had to ring your mother or carer and say ‘this is what I’d like to do, can you help me?’” Ms Wotton said.

“Imagine the fear of opening up about your sexual desires, as a middle-aged man or woman, to your family. Some of the parents have been amazing, and really work through this stigma. It’s very brave of them.”

Colin Wright is a client of Rachel Wotton.
Colin Wright is a client of Rachel Wotton.

When a carer or parent contacts a sex worker or sex work organization, they must provide the worker with complete consent from the client before the appointment can be scheduled.

“If someone’s father organises for me to see their adult son, I don’t care if he has paid me money. I’m going to make sure my client is consenting to the services,” she said.

“The only person who can give consent is the very person themselves. No one can give consent on their behalf.

“Some clients will contact me directly. Otherwise it’s parents or carers or support workers contacting on behalf of someone.”

Ms Wotton says the same protocols apply to any other service.

“It’s like any other appointment. The client is asking for available times, payment options, letting them know if it’s a home appointment and we discuss the disability of the client.

“The appointment is set up exactly the same as if they were ringing up for a dental appointment, hairdressing appointment or a tattoo,” she said.

“Of course people are nervous, because they have to speak with a sex worker and because of the myths around the industry. But once they talk to us, they see that we are general members of society like anyone else.”

Rachel 2
Rachel Wotton has been a sex worker for over 20 years.

Ms Wotton and her colleagues will spend a good percentage of the discussion talking about what they can and can’t do with their clients.

“There is a stigma around sex work that we will do anything. That’s not true. We are negotiating, it’s a mutually consensual adult activity,” she said.

“People often think that if they can’t verbalise yes or no, they can’t give consent. That’s just ridiculous because there are so many ways that people can communicate. There’s boards, eye movement, nodding heads, hand signals, apps and even iPads.

“We know how people consent when they understand what services and experiences they are consenting to. They have the right to withdraw consent, and that’s for the sex worker as well.

“The sexual desires of those with a disability are in line with the rest of society. It’s as far as their imaginations go.”

Fleur says more education is needed about the sex lives of disabled people.

“Adults with disabilities have all the same needs and desires as anyone else,” she said.

“I think people should take a moment to think about their own lives, and if their needs and desires would change if they became disabled. We are only a car accident away from it.”

Rachel uses a board with her late client, Mark.
Rachel uses a board with her late client, Mark.

Touching Base is a charitable organisation that requires support from the public to continue their work. More information can be found here.

Complete Article HERE!

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These Volunteers Give Handjobs to the Severely Disabled

By Nelson Moura and Yun jie Zou

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Hand Angels helping Andy from his wheelchair into bed.

Andy is a muscular dystrophy patient who lives with his parents in southern Taiwan. Due to his severe physical disability, he was home-schooled and couldn’t leave his house alone, so never really had the opportunity to develop either an active social life or a romantic relationship.

When the Taiwanese NGO Hand Angel—an organization promoting the sexual rights of disabled people—first spoke to Andy, they realized this situation meant he’d also never been able to have a frank conversation with anyone about his sexuality. And as a young gay man who didn’t want to speak to his parents about his feelings, this wasn’t exactly the healthiest situation to be in.

So, over the course of a few months, representatives from the NGO counseled Andy online, helping him to understand his own sexuality and place in the world. Next, they “smuggled” him out of his house and took him to a motel for a handjob.

Taiwan—officially known as the Republic of China—has one of the best health systems in the world; its million or so disabled citizens receive some of the most thorough medical attention you’ll find, including everything from long-term care to traditional herbal medicine. What they don’t receive from this system, however, is any kind of aid when it comes to slightly more intimate issues, namely: orgasms.

It was for this reason that a group of social campaigners and volunteers took it upon themselves to create Hand Angel, an NGO whose main service is giving handjobs to the severely disabled. Members say that their work raises awareness of the fact that disabled people are often depicted as desexualized—as well as having their sexuality constantly neglected—despite the fact they share exactly the same desires as anybody else.

In the Netherlands, the national health system provides a grant scheme for people with disabilities to receive public money to pay for sexual services up to 12 times a year. In Taiwan, sex remains a taboo, and some Buddhists—the sovereign state’s primary religion—believe that someone suffering from a disability means they’re paying for bad deeds in a past life. So not the best mix for those like Andy, really.

“I can’t tell my parents that I also have sexual desires, and I can’t come out of the closet in front them,” he told me. “My family’s care puts lots of pressure [on me] and sabotages me from normal romantic relations.”

Vincent, the 50-year-old founder of Hand Angel, lost his legs to polio and says his disability allows him to better empathize with applicants’ needs, without any of the patronization disabled people can sometimes face. He emphasized that “disabled people share the same physical and emotional needs as any others, and therefore should have the right to pursue them.”

In order to decide who’s entitled to use their services, Hand Angel first assess an applicant’s level of disability. The person has to be recognized by the government as having a serious physical impairment, but can’t be mentally disabled. Once they’re cleared, the service is totally free, but each applicant can only receive three bouts of sexual stimulation.

Volunteers—the group of 10 people actually giving the handjobs—come from varied backgrounds; some are gay, some are straight, some are disabled, some are PhD students, some are social campaigners and some work in the media. It’s made very clear to me that these volunteers only use their hands for second-base kind of stuff—that hugging, caressing, and kissing on the face are all fine, but anything penetrative (fingering, oral sex, vaginal sex, and anal sex) is not.

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The hands of Hand Angel volunteers

When Hand Angel took Andy to the motel, the volunteer caressed him thoroughly and gave him a handjob. He described the intimacy being so intense that, for a minute, he believed he was in love. He knew it was only temporary, of course, but the experience provided him with an emotional connection he’d never felt before.

This is part of Hand Angel’s mission: not just providing a sexual service, but also bringing forth an emotional and social transformation in applicants.

“[Andy] was very introverted before, and didn’t really know how to interact with people,” said Vincent. “However, through months of talking online, I discovered something changed inside him. When our group was reported by the media and got lots of criticism, I saw Andy joined the public debate and argued with those [critical] internet users, trying to illustrate his opinions.”

In Taiwan, where a discussion of sexuality is restrained by strict moral codes, there was also plenty of mockery leveled at Hand Angel. Internet users starting posting comments like: “Do they also offer ‘Mouth Angels?'”; “I’m retarded; can I apply for Hand Angel service, too?”; and “Only three times in a lifetime?”

There even appeared to be negativity on an official level. The executive secretary of the Taipei United Social Wealth Alliance, Yi-Ting Hu, commented on the NGO, saying: “Speaking from personal opinion, I don’t think we need to bring up disabled people’s sexuality as an independent issue. There are more important and urgent problems we need to deal with. Don’t you think if you advocate their sexual rights, it is like another form of discrimination?”

Of course, he seemed to only be proving Hand Angels’ point; to suggest that advocating a disabled person’s sexual rights is a form of discrimination is, first, patronizing in itself, and secondly, just completely bizarre—how is consensually receiving a handjob in any way discriminatory?

Andy summed it up: “I didn’t feel I was the target of pity. The whole process was full of respect and equality. This might be deemed as controversial by society, but as long as you’re willing to look into it, what we desire is no different from others. Just ask yourself: do you need to consult your parents before having sex?”

Complete Article HERE!

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Sexuality and Illness – Breaking the Silence

(This is a Companion piece to yesterday’s posting. You’ll find yesterday’s posting HERE!)

By: Anne Katz PhD

Sexuality is much more than having sex even though many people think only about sexual intercourse when they hear the word. Sexuality is sometimes equated with intimacy, but in reality, sexuality is just one way that we connect with a spouse or partner we love (the true meaning of intimacy). Our sexuality encompasses how we see ourselves as men and women, who we are attracted to emotionally and physically, what turns us on (eroticism), our thoughts and fantasies, and yes, also what we do when we are sexually active, either alone or with a partner. Our sexuality is connected to our image of ourselves and it changes over the years as we age and face threats from illness and disability and, eventually, the end of life.seniors_men

Am I still a sexual being?

Illness can affect our sexuality in many different ways. The side effects of treatments for many diseases, including cancer, can cause fatigue. This is often identified as the number one obstacle to sexual activity. Other symptoms of illness such as pain can also affect our interest in being sexually active. But there are other perhaps more subtle issues that impact how we feel about ourselves and, in turn, our desire to be sexual with a partner or alone, or if we even see ourselves as sexual beings. Think about surgery that removes a part of the body that identifies us as female or male. Many women state that after breast cancer and removal of a breast (mastectomy), they no longer feel like a woman; this affects their willingness to appear naked in front of a partner. Medications taken to control advanced prostate cancer can decrease a man’s sexual desire. Men in this situation often forget to express their love for their partner in a physical way, no longer touching them, kissing them, or even holding hands. This loss of physical contact often results in two lonely people.  Humans have a basic need for touch; without that connection, we can end up feeling very lonely.

Just talk about it!

seniors_in_bedCommunication lies at the heart of sexuality. Talk to your partner about what you are feeling, how you feel about your body, and what you want in terms of touch. Ask how you can meet your partner’s needs for touch and affection. The most important thing you can do is to express yourself in words. Non-verbal communication and not talking are open to misinterpretation and can lead to hurt feelings. Our sexuality changes with age and time and illness; we may not feel the same way about our bodies or our partner’s body that we did 20, 30 or more years ago. That does not mean we feel worse – with age comes acceptance for many of us – but we do need to let go of what was, and look at what is and what is possible.

The role of health care providers

Health care providers should be asking about changes to sexuality because of illness or treatment, but they often don’t. They may be reluctant to bring up what they see as a sensitive topic and think that if it’s important to the patient, then he or she will ask about it. This is not good. Patients often wait to see if their health care provider asks about something and if they don’t, they think that it’s not important. This results in a silence and leaves the impression that sexuality is a taboo topic.senior intimacy02

Some health care providers are afraid that they won’t know the answer to a question about sexuality because nursing and medical schools don’t provide much in the way of education on this topic. And some health care providers appear to be too busy to talk about the more emotional aspects of living with illness. This is a great pity as sexuality is important to all of us – patients, partners, health care providers. It’s an important aspect of quality of life from adolescence to old age, in health and at the end of life when touch and love are so important.

Ask for a referral

If you want to talk about this, just do it! Tell your health care provider that you want to talk about changes in your body or your relationship or your sex life! Ask for a referral to a counselor or sexuality counselor or therapist or social worker. It may take a bit of work to get the help you need, but there is help.

Complete Article HERE!

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Sexuality at the End of Life

By Anne Katz RN, PhD

In the terminal stages of the cancer trajectory, sexuality is often regarded as not important by health care providers. The need or ability to participate in sexual activity may wane in the terminal stages of illness, but the need for touch, intimacy, and how one views oneself don’t necessarily wane in tandem. Individuals may in fact suffer from the absence of loving and intimate touch in the final months, weeks, or days of life.head:heart

It is often assumed that when life nears its end, individuals and couples are not concerned about sexual issues and so this is not talked about. This attitude is borne out by the paucity of information about this topic.

Communicating About Sexuality with the Terminally Ill

Attitudes of health care professionals may act as a barrier to the discussion and assessment of sexuality at the end of life.

  • We bring to our practice a set of attitudes, beliefs and knowledge that we assume applies equally to our patients.
  • We may also be uncomfortable with talking about sexuality with patients or with the idea that very ill patients and/or their partners may have sexual needs at this time.
  • Our experience during our training and practice may lead us to believe that patients at the end of life are not interested in what we commonly perceive as sexual. How often do we see a patient and their partner in bed together or in an intimate embrace?
  • We may never have seen this because the circumstances of hospitals and even hospice may be such that privacy for the couple can never be assured and so couples do not attempt to lie together.

intimacy-320x320For the patient who remains at home during the final stages of illness the scenario is not that different. Often the patient is moved to a central location, such as a family or living room in the house and no longer has privacy.

  • While this may be more convenient for providing care, it precludes the expression of sexuality, as the patient is always in view.
  • Professional and volunteer helpers are frequently in the house and there may never be a time when the patient is alone or alone with his/her partner, and so is not afforded an opportunity for sexual expression.

Health care providers may not ever talk about sexual functioning at the end of life, assuming that this does not matter at this stage of the illness trajectory.

  • This sends a very clear message to the patient and his/her partner that this is something that is either taboo or of no importance. This in turn makes it more difficult for the patient and/or partner to ask questions or bring up the topic if they think that the subject is not to be talked about.

Sexual Functioning At The End Of Life

Factors affecting sexual functioning at the end of life are essentially the same as those affecting the individual with cancer at any stage of the disease trajectory. These include:go deeper

  • Psychosocial issues such as change in roles, changes in body- and self-image, depression, anxiety, and poor communication.
  • Side effects of treatment may also alter sexual functioning; fatigue, nausea, pain, edema and scarring all play a role in how the patient feels and sees him/herself and how the partner views the patient.
  • Fear of pain may be a major factor in the cessation of sexual activity; the partner may be equally fearful of hurting the patient.

The needs of the couple

Couples may find that in the final stages of illness, emotional connection to the loved one becomes an important part of sexual expression. Verbal communication and physical touching that is non-genital may take the place of previous sexual activity.

  • Many people note that the cessation of sexual activity is one of the many losses that result from the illness, and this has a negative impact on quality of life.
  • Some partners may find it difficult to be sexual when they have taken on much of the day-to-day care of the patient and see their role as caregiver rather than lover.
  • The physical and emotional toll of providing care may be exhausting and may impact on the desire for sexual contact.
  • In addition, some partners find that as the end nears for the ill partner, they need to begin to distance themselves. Part of this may be to avoid intimate touch. This is not wrong but can make the partner feel guilty and more liable to avoid physical interactions.

Addressing sexual needs

senior intimacyCouples may need to be given permission to touch each other at this stage of the illness and health care providers may need to consciously address the physical and attitudinal barriers that prevent this from happening.

  • Privacy issues need to be dealt with. This includes encouraging patients to close their door when private time is desired and having all levels of staff respect this. A sign on the door indicating that the patient is not to be disturbed should be enough to prevent staff from walking in and all staff and visitors should abide by this.
  • Partners should be given explicit permission to lie with the patient in the bed. In an ideal world, double beds could be provided but there are obvious challenges to this in terms of moving beds into and out of rooms, and challenges also for staff who may need to move or turn patients. Kissing, stroking, massaging, and holding the patient is unlikely to cause physical harm and may actually facilitate relaxation and decrease pain.
  • The partner may also be encouraged to participate in the routine care of the patient. Assisting in bathing and applying body lotion may be a non-threatening way of encouraging touch when there is fear of hurting the patient.

Specific strategies for couples who want to continue their usual sexual activities can be suggested depending on what physical or emotional barriers exist. Giving a patient permission to think about their self as sexual in the face of terminal illness is the first step. Offering the patient/couple the opportunity to discuss sexual concerns or needs validates their feelings and may normalize their experience, which in itself may bring comfort.

More specific strategies for symptoms include the following suggestions. senior lesbians

  • Timing of analgesia may need to altered to maximize pain relief and avoid sedation when the couple wants to be sexual. Narcotics, however, can interfere with arousal which may be counterproductive.
  • Fatigue is a common experience in the end stages of cancer and couples/individuals can be encouraged to set realistic goals for what is possible, and to try to use the time of day when they are most rested to be sexual either alone or with their partner.
  • Using a bronchodilator or inhaler before sexual activity may be helpful for patients who are short of breath. Using additional pillows or wedges will allow the patient to be more upright and make breathing easier.
  • Couples may find information about alternative positions for sexual activity very useful.
  • Incontinence or the presence of an indwelling catheter may represent a loss of control and dignity and may be seen as an insurmountable barrier to genital touching.

footprints-leftIt is important to emphasize that there is no right or wrong way of being sexual in the face of terminal illness; whatever the couple or individual chooses to do is appropriate and right for them. It is also not uncommon for couples to find that impending death draws them much closer and they are able to express themselves in ways that they had not for many years.

Complete Article HERE!

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My New Book

Dear friends and colleagues

I am pleased to announce the publication of my new book The Amateur’s Guide To Death And Dying: Enhancing The End Of Life.

(Click on the book art below for a synopsis and to purchase the book.)

The Amateur’s Guide To Death And Dying is specifically designed for terminally ill, chronically ill, elder, and dying people from all walks of life. But concerned family and friends, healing and helping professionals, lawyers, clergy, teachers, students, and those grieving a death will also benefit from reading the book.

The Amateur’s Guide To Death And Dying is a workbook that offers readers a unique group/seminar format. Readers participate in a virtual on-the-page support group consisting of ten other participants. Together members of the group help each other liberate themselves from the emotional, cultural, and practical problems that accompany dying in our modern age.

The Amateur’s Guide To Death And Dying helps readers dispel the myth that they are incapable of taking charge during the final season of life. Readers face the prospect of life’s end within a framework of honesty, activity, alliance, support, and humor. And most importantly readers learn these lessons in the art of dying and living from the best possible teachers, other sick, elder, and dying people.

The Amateur’s Guide To Death And Dying engages readers with a multitude of life situations and moral dilemmas that arise as they and their group partners face their mortality head on.

The Amateur’s Guide To Death And Dying offers readers a way to share coping strategies, participate in meaningful dialogue, and take advantage of professional information tailored to their specific needs. Topics include spirituality, sexuality and intimacy, legal concerns, final stages, and assisted dying. The book does not take an advocacy position on any of these topics. It does, however, advocate for the holistic self-determination of sick, elder, and dying people, which can only be achieved when they have adequate information.

Facing your mortality with the kind of support The Amateur’s Guide To Death And Dying offers does not eliminate the pain and poignancy of separation. Rather it involves confidently facing these things and living through them to the end.

This innovative workbook on death and dying is now available on Amazon and in bookstores. I welcome your thoughts, comments, and reviews.

All the best,
Richard

Richard Wagner, Ph.D., ACS
richard@theamateursguide.com
Our website: The AmateursGuide.com
Join us on Facebook
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Buy the book HERE!

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More SEX WISDOM from Ruth Neustifter — Podcast #255 – 01/12/11

[Look for the podcast play button below.]

Hey sex fans, welcome back!

My good friend and esteemed colleague, Dr. Ruthie is here again today for more of her signature SEX WISDOM. Gosh, I’m so glad she’s able to join us again, because I had so much fun with her last Wednesday. We were chattin’ up a storm, like it was old home week, when I realized our time together had run out. So I had to beg her to please come back for another round this week. It’s just no fair not gettin my fill of this extraordinary sex educator.

But wait, you didn’t miss Part 1 of this delightful conversation, which appeared here last week at this time did you? Well not to worry if ya did, because you can find it and all my podcasts in the Podcast Archive right here on my site. All ya gotta do is use the search function in the header; type in Podcast #253 and Voilà! But don’t forget the #sign when you do your search.

Dr. Ruthie and I discuss:

  • Sex and disability;
  • Stress reduction techniques for better sex;
  • Sex toys and sexual wellbeing;
  • Her association with Funwares;
  • Her YouTube channel;
  • Teenage sexuality;
  • Searching for sex-positive and kink-positive healing and helping professionals;
  • Her surprising inspirations and sexual heroes;
  • Advice for the aspiring sex educator.

Dr. Ruthie invites you to visit her on her website HERE! Look for her on Facebook and Twitter HERE & HERE!

Click on the book art below to pre-order The Nice Girl’s Guide to Talking Dirty.

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.

Today’s podcast is bought to you by: Funwares.com.

Podcast: Play in new window | Download

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A New Year of Q&A — Podcast #252 — 01/03/11

[Look for the podcast play button below.]

Hey sex fans,

We’re BAACK, and it’s a brand new year! Did ya’ll have a brilliant holiday season? I sure hope so. And while I really enjoyed my brief winter break from podcasting, I’m eager to get back at it, don’t cha know. During these last two weeks of relative down time, I’ve been busy lining up an amazing array of outstanding guests who will make 2011 another banner year of interviews and conversations.

But today we break open the new year with some hot Q&A action. We haven’t had one of these kinds of shows since mid October. So that means my inbox is overflowing. I also have the pleasure of announcing The Dr Dick Review Crew’s Favorite Products of 2010 list.

Today we hear from:

  • Josiah is having a problem coming out, because his family is super religious.
  • Donna is my kind of perv. She’s into BDSM, but she’s also disabled.
  • The Powerchair Pimp is sick and tired of being a virgin.
  • Arthur wants to hook up with older dudes.
  • Stacy may have orgasmic related migraines.

The Dr Dick Review Crew’s Favorite Products of 2010

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 fine 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.

Today’s Podcast is bought to you by: DR DICK’S — HOW TO VIDEO LIBRARY.

drdickvod.jpg

Podcast: Play in new window | Download

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the indomitable human spirit…follow up

I have something extraordinary to share with you.  Here is an email I received in response to Tuesday’s posting:  the indomitable human spirit

Dear Dr. Dick,

About your post today…thank you, thank you, thank you! I appreciate your words and I love that Roman and his girlfriend are having a good time and are willing to explore options.

I am disabled. I had polio as a 13 month old baby in 1955 and use forearm crutches for very short distances and a manual wheelchair for everything else. Basically, my shoulders serve the same function as hips do for others. Due to polio, multiple surgeries and post polio muscular atrophy, I also have some reduced sensation from the hips down and a lack of control with both legs.

I am also a very sensual and sexual person. I love the physical feeling of being touched and kissed, and absolutely relish having orgasms. I love the emotional rush of planning, organizing and getting ready for a sexy time with my guy, and I love the psychological boost of knowing I am desirable.

I have found the world of BDSM to be extremely helpful to me. I have a leather bustier and thong with flames; we have a restraint system under the mattress, a flogger, blindfolds, Hitachi Wand, assorted dildos and other fun toys. While I think people may come from the womb wired for a mindset that jives with BDSM, for someone disabled in the way that I am there are definite perks. The extra levels of touch and physical stimulation in BDSM play help me build toward an orgasm. The building of mood with language throughout the day, calling my guy Master, his comments about spanking my butt after supper, laying out the clothes, choosing the toys from our toy box, lighting the candles for wax play and burning my favorite incense…all work together to get me in the mood, physically and mentally.

BDSM is so much about the focus, the connection and the attention – either using all the senses, or purposely withholding one sense or another, that many people in the BDSM world already make adaptations for personal differences in play and are acutely aware when someone responds more sensually to a quiet whisper rather than a normal tone of voice, or to the sensations of one type of clamp rather than another. In that world, individual differences are considered normal, so my differences seem to make less difference to them. I know of several couples where one or both are disabled and choose to attend BDSM functions…and frequently it is the woman or man in the wheelchair who is the Dom in the relationship.

Vaginal intercourse is difficult for me. I don’t have the muscle tone to provide adequate stimulation for my guy to reach orgasm. The adaptation for that is oral or anal intercourse. I went to my gynecologist for a frank talk about any special concerns about anal intercourse for someone in my physical situation. I also called and talked with the Dom of a BDSM dungeon to ask the same questions. He gave me some great advice and ideas, probably more specific and useful information than the doctor.

I have found the Liberator pillows to be extremely helpful for positioning and, combined with the under the mattress restraint system, there is much less problem with losing control of my legs and accidentally kicking someone. Regular bed pillows and other positioning cushions that I have tried over the years would just scoot out from under me and were usually more frustrating than helpful. With any restraint system attention has to be paid to circulation and the restrained person never left alone, but that is true whether the people involved are disabled or not.

All that being said, a sense of dedication and a sense of humor are absolute necessities! Our attitude is one of discovering how to make things work rather than questioning whether they are possible. And humor simply must be part of the process. At one point I decided satin sheets and a matching sexy gown would be a great surprise to put my guy over the moon. A friend came over and put the satin sheets on the bed for me and when my guy arrived home I was waiting in the silky nightie on those expensive satin sheets. My beloved was quite excited and reached out to gently push me over just a bit so he could join me on the bed. Odd how slick those sheets were. I went sailing across the sheets and off the other side of the bed onto the floor. We laughed until we cried.

Thanks again for helping get the word out that disability does not equate to celibacy.

Hugs,
Donna

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the indomitable human spirit

Happy Solstice, sex fans!

I know I’m supposed to be on holiday, but I just couldn’t resist sharing with you this correspondence that typifies the season. It is a true celebration of the indomitable human spirit.

Name: Roman
Gender: Male
Age: 22
Location: Kansas
I’m a 22 and I have cerebral palsy. My girlfriend has CP too. You say you have experience working with people with disabilities. Do you know about how CP and how it affects our balance and muscle control? Me and my GF have difficulty having sex. Our bodies don’t move like other people. Most of the time we are in wheelchairs and, while sitting is ok, our stiff legs make conventional sex impossible. We have invented ways to get each other off, but when it comes to intercourse we are stumped. We’ve tried different things, but we can’t get the angle right. We’ve looked for ideas on the internet, but nothing.

Kudos to you Roman, and your plucky girlfriend. You kids sound like you’ve got it gonin’ on, I’m really impressed. You’re right, I have some experience with people with disabilities, particularly around the issue of sexuality. And I am familiar with the affects of cerebral palsy on one’s balance and muscle control. So I think I can help you. However, I want you to help me too. I think you could help me and my audience understand and appreciate your situation a bit better.

Here’s why I think this. It’s not often I hear from such an articulate fellow in your particular circumstance. So I want to ask you a few questions. (Any one else out there in my audience who wants to chime in on this, please do!) In the past, most of the people I’ve encountered who have disabling conditions, like CP have been at the mercy of those who care for them at home or in assisted living facilities. So would it be correct for me to guess that you and your girlfriend are living independently? It sounds that way to me. The reason I say that is, one of the most troubling problems folks, like ya’ll, have is finding private time and space for any intimacies of whatever kind. Families and assisted living facilities are notorious for not giving or respecting a client’s privacy.

If you are in an independent living situation and you have enough privacy to engage in intimacies that can get you off, short of intercourse. How do you do you get one another off? Is this done while you’re in your chairs? If you’re actually getting naked with each other, and I hope you are, do you need assistance from someone to achieve this?

Here’s why I’m asking you this. If you are having a person assist you as far as getting out of your cloths and into the sack with each other, would it be out of the question for either of you to ask this person to help you get into position for fucking? I ask this because on one very special occasion a couple I knew some years ago asked me to assist them in their love making. At first, I didn’t know if I was up to the task. Not because I would be freaked out gimps gettin their groove on — not at all. I was concerned that I wouldn’t know what to do, or how to do it. My friends, the couple, told me not to worry, that they would direct me if I helped them manage their limbs and coordinate their movements. I was honored by their request, so I accepted their invitation.

We were all really nervous, me especially. They asked if I would be comfortable being naked with them. This put me on the spot, for sure. It’s not that I was uncomfortable being naked, that’s rarely an issue. But I was strangely uncomfortable being naked with them. Was it professional pride? Did I feel more secure being clothed, less vulnerable that way? Hell, I don’t know. They explained that they didn’t want this to be some kind of clinical thing where I was being a therapist, albeit an unconventional therapist.

In the end I relented. And after a few minutes of feeling really awkward, we lost our inhibitions and got down to business. Just so you know, my friends were right. Had I kept my cloths on, the experience wouldn’t have been the same. While I tried to be as unobtrusive as possible, I was remarkably able to experience, in a most intimate way, what it must be like to live in a body that doesn’t respond like my body does. I felt like my friends’ bodies were extensions of my body. And they said they felt the same way; that my body was an extension of their bodies. It was a communion like no other.

My friends kept cracking jokes. Every time I’d topple over trying to get the two lovebirds into position they’d say something like: “is that what it’s like having an able body?” BITCHES! No doubt, the humor and giggling help take the edge off for us all. I know it helped me overcome being so self-conscious. I confess I was a bit embarrassed to be the only able body person present.

What struck me most in all of this was the determination of my friends. I’ve never met anyone more dogged and tenacious…and all to get a little nookie. God bless ‘em!

We tried several positions. Luckily, my friends had upped the dose of their muscle relaxant medications so they were a bit more pliable. One position that seemed to work particularly well was having my friends lying on their sides facing each other. I helped the woman swing one of her legs over her guy. I was then able to scoot their pelvises together and guide his dick into her pussy. Then all I needed to do is bounce them a little. It was brilliant, even though it was the hardest I ever worked for a fuck — and it wasn’t even me who was doing the fucking.

We were all completely exhausted by the experience. My friends were enormously grateful and I was blissed out. It took them days to recover, but at least they achieved what they so desperately wanted. Did they ever attempt intercourse again? I don’t know. They may have discovered that fucking, especially if it takes that much concentration and energy may not be worth it. Maybe they realized that full-on fucking is not necessarily for full-on sexual enjoyment. I mean my friend was expert at eating out his girlfriend. All I had to do is help him in into position. And she got off on it big time…oh and so did he…the randy little bugger!

So, Roman, I didn’t mean to go on and on like that. Sorry if I got off topic. I just wanted to tell you that story because I thought it might suggest to you and your girlfriend the idea of having someone help you guys fuck. It’s worth a try, right?

Good luck

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Give it to me straight!

Name: Darren
Gender: Male
Age: 24
Location: Long Beach
I’m a 24-year-old straight male. On my second tour of duty in Iraq, I took some shrapnel in my back on account of an IED. I’ve been in a wheelchair, paralyzed from the waist down, ever since. I come from a very strict religious family so I never was sexually active before the marines. Now I’m back at home, and while my parents are great caregivers, I can’t talk to them about this. I’m afraid that I won’t ever get to have sex, but I want to. What should I do?

Tough break, pup! As if the wars in Iraq and Afghanistan weren’t bad enough, there is all this collateral damage to our brave and valiant service people. Damn. If we, your countrymen, don’t owe ya’ll every possible assistance, accommodation and convenience I don’t know what!

I’ll admit, your family’s religious scruples, coupled with your spinal cord injury, makes for a pretty daunting double whammy. So let’s start with some basics. Lots of people automatically think that a person in a wheelchair can’t have or is uninterested in sex. Your parents probably think this. They probably also believe that sex is only for married people and since you aren’t married and you’re in a chair, there’s no good reason to discuss the matter further. I encourage you not to sink to the lowest common denominator on this.

I suspect that since you still have a healthy interest in sex, and you want to get laid at some point…hopefully real soon. All we have to do is figure out a clever work-around to your current living situation. To that end, I have some questions for you. Are you afforded any private time and space in your parent’s home? Are you are getting some physical therapy at the veteran’s hospital or elsewhere? Are you in a spinal injury support group? Do you have any social outlets, other than the medical related ones? Do you still have some jar-head buddies who could swing by and pick you up and take you out?

The reason I ask all these questions is that, despite your disability, you’re gonna have to forge your own independent life away from, and out of the control of your parents — good people though they are. Many care-providers, despite their best intentions, have a tendency to smother the people they are caring for. Don’t let this happen to you. The only way you will find the fuck you are looking for is if you assert your independence. This move toward independence may have to happen incrementally, but you gotta get started.

Clearly you have access to the interents, or you wouldn’t have been able to contact to me. That’s a good start. The internet tubes is gonna be your best friend for the duration, count on it. Connect with other similarly challenged vets and civilians online. These folks will be a wealth of information for you about how to take the next steps — pardon the pun — toward independent living. If you’re not plugged into an ongoing spinal injury support group, make that happen ASAP. Like I said, these folks will have information and resources that the professionals who attend you do not have, or will not share. If there are any wheelchair fetishists out there, your support group will know about them. And I think you can be pretty certain that there are. You are following me on this, right Darren? Good!

Now, this is where your jar-head buddies will come in handy. Prevail upon them to be your transportation. Parents are good for getting you to and from the hospital and the like, but you don’t want to count on them to get you to a tryst or date, don’t cha know. One thing for certain, when connecting with chicks online or elsewhere you need to be pretty upfront about what you want and need. Remember, you have to compensate for people’s preconceived ideas about sex and disability.

I’ll grant you, this is a fine line to tread — again no pun intended — because you have to be upfront about your desires, but ya gotta do it without being a dickhead about it. You are also at a disadvantage for not having had the opportunity of hone your dating and seduction skills before Iraq. So you’re gonna have to do some remedial work now. In social situations — and you ought to be goin out to places other than hospitals and support groups — project yourself as a sexual being. Put out a sexual vibe. Not all geeky and weird, but as a matter of self-confidence, you’re a marine vet for Christ sake. That should be swagger and bragging rights enough.

And don’t forget, you know something that others may not know. You’re gonna be a freakin’ terror in the sheets, because you gonna be making up for a whole lot of lost time. Make eye contact and smile, be your charming devilish self. Whatever you do, don’t gawk at her tits. They may be pretty as all get out, and the object of your eternal desire, but please, keep a lid on it!

If you are unsure about your skills as a lover or you just need a little tutorial on how to please a woman, my I suggest you connect with a pro — ya know a sex worker. That’s right, it’s a time-honored way for guys in the service to lose their cherry. And you’re still sorta like in the service, right? Nowadays, connecting with just the right provider has never been easier, thanks again to the internets. See, I told you that the internet tubes was gonna be your best friend for the duration. Seriously, I suspect that you have lots to learn about the ins and outs of sex, — my final pun, i promise — so why not see a specialist?

One thing for sure, if you are having a difficult time carving out private time there in your parent’s home, or they are the snooping kind, keep your internet searches on a friend’s computer. You don’t want your parents finding out that you are indeed a sexual being looking to get his freak on. At least you don’t want them to find out till after you’ve established your independence. Because if they pull the plug on your internets before you’re on your own, because they think you are a big fat pervert sexual sinner, you’re gonna be shit out of luck, if ya catch my drift.

Good luck

Name: Mikhall
Gender: Male
Age: 18
Location: U of M
I’ve been having wet dreams since I was 13. I thought I would get over this by now, but it’s still happening. I’m in college now and I don’t want my roommate to think I’m some kind of freak. Is there anyway to make this stop?

I remember when I was a kid, I couldn’t have been more that 6 or 7, I overheard my older brother telling his friend he had had a wet dream. I couldn’t wrap my head around what he was saying. He was boasting, of course, and it had something to do with sex, that I knew for sure. But why was he so proud of wetting his bed? I was way to self-conscious to ask him about it, so I let my mind just spin out all these fantastic scenarios and boy, were they fantastic. My brother was really cool, so I was hoped I would have a wet dream one day too, but I was also dreading it all the same. Information about sex, when it comes in dribs and drabs like this, can really be confusing.

I finally had my first wet dream a few years later and I was surprised as hell to wake up with sticky wet sheets and PJs. Interestingly enough, I didn’t make the connection between what had just happened to me and what my brother had been talking about a couple of years earlier. So ok, I wasn’t all that swift when I was a kid. But just look at me now!

As I look back, I can’t honestly tell you how I figured the whole thing out. I did, however, discover that wet dreams had a more ominous technical name: a nocturnal emission. That was scary in and of itself.

So ok, here’s what we know about wet dreams. And you can bank in this info. When a guy begins puberty, somewhere between the ages of 9 and 13, he starts to produce sperm. Once that happens he’s able to ejaculate, even though he may not have discovered this on his own, ya know like through jerkin’ off. It is at this point that most guys experience their first wet dreams. While asleep our little boy cock rubs against the mattress or sheets, or we may unconsciously fondle ourselves till we squirt. Since this often happens while dreaming, or because of a dream with sexual overtones, a nocturnal emission is also call a sex dream, or the ever popular dirty dream.

Here’s something you might not know. Technically there is a difference between a nocturnal orgasm (which anyone can have at any age, even as and infant) and a nocturnal emission (which only males have and only after he reaches puberty).

I know you’re a bit exasperated, Mikhall, with the continuation of these pesky wet dreams, but it’s all quite normal and I might add, healthy. You clearly have a very active spooge production system. You’re body is producing an over abundance of spunk, more than you need. And it has to get rid of the excess somehow. Believe me, you really wouldn’t want it stay in your system; it wouldn’t be healthy. Embarrassment aside, you can be grateful that your bod is working properly and in harmony with nature.

Do you recall your first wet dream? Most guys tell me that they thought they had injured themselves, or they somehow got a sex disease. Too bad our parents don’t prepare us for this eventful night. Many kids are so filled with fear and embarrassment that they try to destroy the evidence — getting rid of the sheets, underwear or pajamas. Another confusing aspect of a kid’s first wet dream is the pleasure and arousal he feels. Those of us brought up in religious homes are often filled with shame by this disturbing occurrence.

Those of you who are familiar with Dr Dick’s background know that I was a Catholic priest for many years. I know, scary, huh? I don’t want to go off topic here and discuss my life as a priest now — we can save that for another time. What I want to point out here is that when I was in the saddle, so to speak, I often had the occasion to hear the confessions of young people. It was remarkable how often young men would confess to a wet dream, like if they had committed some heinous crime! What gives with a culture that instills such shame about things that are so natural and outside of our control?

Think of it this way, when your bladder gets full you take a wiz. When your prostate and seminal vesicles get full you take a jizz. It’s as simple and natural as all that. Now, if I were to guess, Mikhall, I’d speculate that, for whatever reason, you’re not masturbating all that much. Right? The reason I think that is, if you were relieving yourself of your joy juice, ya know like beatin’ off, you’d have less of a build up and fewer wet dreams, if any. Do you see where I’m headed with this? The same thing would be true if you didn’t relieve yourself when your bladder got full, you’d piss anyhow, only it would happen when you weren’t able to properly direct it. Get it? Got it? Good!

If you want to cut down on those embarrassing wet dreams, milk yourself before you sleep. This way you can direct your spooge into a proper receptacle, like a Kleenex or a dirty sock — just like all your peers.

I also want to remind you of the current research being done about masturbation. Australian researchers questioned over 1,000 men who had developed prostate cancer and 1,250 men who had not, about their sexual habits. They found those who had ejaculated the most between the ages of 20 and 50 were the least likely to develop prostate cancer.

The protective effect was greatest while the men were in their 20’s. Get this, men who ejaculated more than five times a week were a third less likely to develop prostate cancer later in life.

Good luck!

Posted on

Clean Up On Aisle 6!

Name: Leonel
Gender: Male
Age: 32
Location: DC
How much wear and tear does anal sex cause to the rectum? Are there long-term hazards other than the chance of infection from poor hygiene?

As we all know by now, ass play is not just for the gays any more. And while there have been strong taboos surrounding anal sex in the past, mainly because ass fuckin was associated with homosexuality, these taboos are finally and rapidly breaking down. And not a moment too soon!

It is important to remember that while some people find the idea of cornholein’pegging006.jpg repugnant, others find it stimulating, exciting, and a normal part of their sexual intimacy. And since all of us have assholes and each one comes equipped with a load of pleasure-giving nerve endings, people of both genders and all sexual persuasions are discovering the joys of anal play. Be it a finger, a dildo, pegging, a butt plug or a good old-fashioned dick-in-the-ass fucking; ass play is all the rage.

Studies suggest that somewhere between 50 – 60% of gay men have anal sex on a regular basis. A slightly small percent of straight folks are now experimenting with butt play. Commercially produced porn, particularly of the straight variety, is now brimming over with back door action. Curiously enough, only a few years ago, this was a relatively rare fetish. Now it’s like totally mainstream. Funny how things like that change so quickly.

In terms of wear and tear and long-term hazards, I’d say that if you treat your hole with the respect it deserves; you can be sure that it will give you a lifetime of pleasure. But be aware that different sexually charged orifices — asshole, mouth, cunt — have different tolerance levels for what they can endure. We’d all do well to respect these individual limits.

The first thing to say about anal sex, particularly casual butt-fucking, is always use a condom and use lots of water-based lubricant. This will be your front line protection against HIV and other STI’s. Your ass is a very receptive place, but the tissues therein are also pretty delicate. It’s not uncommon to develop cuts and fissures that can become infected if a modicum of care isn’t used during ass play — with yourself or another. That’s why Dr Dick always suggests that you get to know your hole and its limits before your share your be-hind with someone else.

butt-fuck102.jpgA man’s ass has something very unique that a chick’s ass does have. It’s his prostate. We’ve talked a lot about this in the past, but here’s a brief overview. A guy’s prostate is a small walnut-shaped gland a couple inches inside his hole. When massaged by a finger, dildo or a cock it is the source of incredible sensations. Even though women don’t have a prostate, anal stimulation can be just as pleasurable for them. One word of caution though; gals, be sure to keep whatever you’ve had in your ass — fingers, toys, what have you — out of your pussy. To do otherwise, will invite a yeast infection, like candida, don’t ‘cha know.

Because the inside of our ass and rectum doesn’t have the same sort of sensory nerve endings that we have on our skin, we can damage our innards by inserting sharp or rough objects in our ass. So always trim your fingernails before playing with yourself or others.

Never put anything up your ass that could slip in and get caught behind your anal sphincter. Your toys should be long enough, have a flared end, or a handle that you can keep hold of. Of course, never insert anything in your bum that could break.

I always recommend that the novice ass fucker start his or her ass exploration with a finger or two. This cuts down on the expense of buying toys, at least until you discover if you like this kind of play or not. Once you’ve got the hang of digital stimulation and you’ve discovered all the joy spots you can reach, you can move on to the vast array of toys and implements that are especially designed for your butt pleasure. If you’re stumped by what toys to buy, check out my Product Review Page or my Sex Toy Awareness feature for some ideas. Of course your ass play may include a nice stiff cock, but it doesn’t have to.

Name: Michael
Gender: Male
Age: 23
Location: Minneapolis
I’m a 23-year-old bisexual paraplegic. Hey ya have to be available for whatever comes your way when you’re in a chair, right? I got this way in a really stupid alcohol related diving accident three years ago. So ok, I fucked up.
I was just getting my groove on sexually before the accident, nothing serious, fooled around with my cousin Jack and got a severe case of blue balls with this chick, Amber, I used to date. Anyhow, I’m finding it hard to connect with guys or girls for a bit of fun so I thought I’d write you and ask for advice. By the way, the equipment still works, sort of.
I think most people think disabled people can’t have or don’t want sex. I would like to have a relationship with someone who doesn’t pity me, but is hot for me. I have this really developed upper body, like a gymnast, and people tell me I have a handsome face. That should be enough to get me laid, right? Is there such a thing as a wheelchair fetish?

You’re a fuckin’ treasure, darlin’! I mean it. If you come across as upbeat self-effacing, humorous and sexy in person as you do in this message you shouldn’t have any problems getting laid. Ahhh, but of course, writing for online sex advice from a total stranger is probably a whole lot easier than wheeling up to another hot dude or sizzlin’ chick and suggesting a torrid session of the old slap and tickle, huh?

Yet despite the inherent discomfort and difficulty of being that upfront, that’s preciselywheelchair8.jpg what’s gonna get you laid. It’s all in the presentation Michael. Self-confidence and charm trumps disability every time. Unfortunately, many people think that “paralyzed from the waist down” means “there’s nothin’ goin on down there.” It’s your job to change their perception about that. Now, I’m not suggesting you be a dick about this. Just be your own sweet self and put it out there as natural as can be. You’re entitled to some good lovin’, just like the rest of us. And just like the rest of us, you’re gonna have to learn how to ask for what you want.

While I completely understand you’re not looking for a mercy fuck from someone who will take you out of pity. There may be a number of potential partners out there who’d jump your bones as a novelty…at least at first. I certainly wouldn’t turn my nose up at these folks if I were you. Because a novelty fuck is a teachable moment when you can show the benighted dude or chick what you can do.

paraplegic1.jpgIf you see yourself as a sexual being and put out a sex-positive vibe, I am confident that you will connect with folks. Make eye contact and smile. If you’re leering at her tits or focused on his package, you’re objectifying a potential partner. You don’t want that to happen to you, so don’t do it to anyone else. Consider coming up with a few choice lines that’ll call attention to all the sexual things you can do. Like, “The old legs don’t work so good, but there’s nothing wrong with my mouth and tongue.” Get the picture?

As for wheelchair fetishists, they’re out there honey. Just like the amputee/devotee fetishists I’ve talked/written about. There are even paraplegic porn stars. Just think, this could be the beginning of a whole new career move for you.

Do an internet search using the key words wheelchair fetish. I did and found a couple of really amazing sites: www.gimpsgonewild.com and www.paracathy.com. Check ‘em out.

Just remember, each of us has one kind of disability or another, yours just happens to be really obvious.

Name: Maggie
Gender: female
Age: 36
Location: Reno
I’m faced with a real problem. I consider myself pretty open minded about most things, including sex. Hell, I live and work in Reno, for god sake. I’ve encountered my share of kinksters in my day, but mostly at a distance. Now the kink is right on my doorstep, or should I say right in my bed. My muscular, well-built boyfriend, a guy who does erotic dancing for a living, wants to wear diapers in our sex play. WTF? I never saw this coming. I thought this guy was a normal as they came till last week when he showed up at my place wearing diapers under his workout pants and he wanted me to baby him. I pretty much lost it. Help me understand what’s going on here.

What we have here, darling, is a fella with a diaper fetish, but you’ve already figured that much out on your own, right? This particular fetish is associated with a paraphilia called infantilism. It seems to be growing in popularity, or at least it’s way more out of the closet these days than ever before. The internet offers several sites that cater to Adult Babies and Diaper Lovers. (The shorthand being: AB/DLs) They feature adult sized baby things — diapers, clothes and baby toys, you name it.

Why would anyone, least of all your hunky stripper boyfriend, be into this? Well, there’sadult_baby004.jpg lots of speculation about that — ranging from traumatic early life experiences to the simple desire to be babied. So I guess you’ll just have to ask him what’s up with him, because the source of his urges may be very particular to him.

I want to quickly point out that none of this actually involves real babies or children. And while infantilism and diaper fetishes are pretty benign as far as fetishes go; I certainly can see how the eroticism in a relationship can go right out the window when such a thing is introduced by surprise. I mean, if you are all hot for this dude because he’s hunky and masculine and stuff, and he surprises you with diapers and wants you to mother him; that could easily put the kibosh on the whole sex thing right away.

So I gotta ask, are you into this guy enough to try and understand and perhaps even indulge his particular kink? Or is this just too much, even for an open-minded gal like you, to bear? If you want to go the route of trying to understand, I do have some thoughts.

If you can abide a little diaper play with the BF, I think he’d be eternally grateful. I’m sure it wasn’t easy for him to come out to you like he did. I do encourage, however, that you to set some boundaries. Let him know, in no uncertain terms, what you will and will not tolerate. Then stick to your guns. You might want to suggest a trade off; you’ll indulge him his diapers and whatnot just as long as his freak doesn’t cross over into your intimate sex life together.

Name: Edmond
Gender: male
Age: 30
Location: Sidney
I want to try jelqing. What do you know about it? Does it really work?

Jelqing refers to various repetitive massage techniques that claim to increase the size — both in length and girth of a guys cock. The origin of the word is unclear; some say it’s a corruption of “jerk-off”. I doubt that, but whatever!

The folks promoting these exercises refer to them as “natural” because they don’t involve any of the myriad stretching and pumping devices that are available. The claim is that all you need to “grow” your johnson is your two hands, some lubricant and a whole lot of free time every single day.

i_love_my_penis.jpgLike all the other products and devices designed to appeal to all the guys who suffer from big-penis envy, jelqing has spawned a substantial internet industry. There are endless tutorials, guides and programs…at a substantial cost, designed to assist men in implementing these very simple exercises.

There are jelqing online communities, message boards and forums for devotees to update each other on the gains they are making in size. They also share their own custom-developed exercises. No doubt because this is a do-it-yourself sort of deal, jelqing has become the most popular penis enlargement method in America.

There’s a basic jelqing daily workout that lasts from 30-60 minutes. The exercises start with a warm bath or a hot compress applied to the cock to increases blood flow. This gets your schlong ready for the exercises that follow. You can only jelq when your dick semi-erect, don’t ‘cha know. It won’t work if you got a full-on stiffy.

Apply lubricant to your dick. Then firmly grip and completely encircle the base of your cock, ensuring that blood flowing into your dick doesn’t escape, ya know, kinda like using your hand as a cockring. Then you milk your member moving your hand towards your dickhead forcing the blood toward the end of the cock. This is supposed to expand things and make you “grow” a bigger one. The average workout usually consists of around 100-200 of these movements. Doesn’t that sound like fun?

The proponents of jelqing insist this is not jack off session, although one can see how it can easily become one. If these exercises stimulate you to the point where you shoot your wad, that’s pretty much the end that exercise period. Also, if you’re jelqing too much or too hard you could hurt yourself and be in bigger trouble than havin’ mini meat. The claim is that after several months of this, you should see a size increase, both in girth or length. I seriously doubt that, since what you gain in length you pay for is loss of girth.

I am told that effective jelqing demands an hour or more each day for at least a year for exercises to be effective. I mean, who has that kind of free time on his hands? No wonder most men fail to complete their jelqing programs.

So I suppose if having a bigger cock is worth the time necessary to “grow” one with this kind of program, knock yourself out. It seems an utter waste of time to me.

Good luck ya’ll