Category Archives: Health Concerns

Stretching out of the sexual doldrums


Name: Gwen
Age: 57
Location: Philly
My husband and I have been married for 33 years. Our relationship is hell when it comes to sex. My husband is overweight, and he’s stressed out about his elderly parents. Sex is non-existent. He never was the instigator in our relationship. And he is the kind of guy who thinks having sex on the couch as opposed to the bedroom is adventuresome. He has become so boring. I don’t believe the man feels sex should be that important at our ages. (I’m 57 and he’s 62) I, on the other hand, am more sexually aroused and creative than ever now that I am more mature and the kids are out of the house. Menopause and all the sex on the internet helps too. 😉 Is there anything I can do to make my man return to being a healthy sexual being once again? Thank you, Gwen

No, thank you, Gwen. Your complaint is a familiar one. In fact it’s so familiar I regularly offer therapy groups for couples in long-term relationships. Like you and your old man, these couples have, for one reason or another, hit a wall when it comes to their sex lives.senior intimacy

I take a very unique approach to these groups by inviting both straight and gay couples to the same group. At first I got a lot of resistance. Most couples, both gay and straight, think there is nothing to be learned from a couple unlike them. They can’t imagine why I would want to integrate the group in such a manner. I think most of my couples feel more comfortable being in a segregated group — straight folks with straight folks, gay folks with gay folks.

But that is of course the reason I integrate the groups. I don’t want them to feel all comfy and cozy, I wanted them to work and learn and stretch themselves out of their sexual doldrums. At first, I had to ask all my couples to suspend judgment about an integrated group until they had an opportunity to participate in one. Now I don’t encounter so much resistance. Word’s gotten out that this is a really creative solution to an otherwise tricky problem. And that old married couples, regardless if they are gay, lesbian or straight have very similar problems. And they can and do learn from one another.

To your specific issue, Gwen, I’m sad to say there’s not much you can do to beef up your sex life if there’s no interest on the part of your husband to do so. I mean, you can lead the horse to the cooch, but you can’t make him lick, if ya know what I mean.

Fat man holding a measurement tape against white background

Fat man holding a measurement tape against white background

You confide that you husband is overweight and stressed; this is not a happy combination when it comes to his sexual response cycle. In fact, your husband sounds like a heart attack waiting to happen. Perhaps if your challenged him about his general health — encourage weight loss and stress reduction, you might find that this would also reignite his sex drive. It’s worth a try.

And thank you for mentioning menopause. So many women find the changes that take place in midlife confusing and disorientating. It’s so good to hear from a woman who is eager to explore and enjoy her sexuality post-menopause.

Men also go through changes, in midlife. There’s even a name for it — andropause — the male menopause as it were. It’s clear that as we age, both women and men need more time and stimulation in which to get aroused. The slower, more sensuous foreplay that often results is a welcome change for most women and even some men.

Increased focus on sensuality, intimacy, and communication can help a sexual relationship remain rewarding even well into our senior years. I think you already know this, Gwen, but many women in my audience don’t.sensual touch

If your husband is avoiding intercourse, there still many ways of expressing your love and staying connected:

  • Hugging, cuddling, kissing
  • reading erotica aloud together
  • Touching, stroking, massage, sensual baths
  • Masturbation and oral sex

However, if your husband is more wedded to food and stress than he is to you, and if he continues to refuse to join you in finding an appropriate outlet for your sexual frustration, then it’s up to you to make this happen on your own. 57 is way too young to say goodbye to your sex life.

May I suggest joining a women’s group. Not a therapy group, but more of a support group or activities group. Getting out of the house, involving yourself with other self-actualized mature women, may uncover the secret solutions other women have put in place to find sexual satisfaction when they are without a partner or have a partner who’s no longer interested in a sex life with them. I think you will be surprised by how creative your sisters can be. Make it happen, Gwen. Don’t sink to the lowest common denominator of living a sexless life.

Good luck

What a pain in the ass!

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

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

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

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

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

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

Good luck

The Dark Side of Love

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


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

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

the dark side of love

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

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

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

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

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

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

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

Good luck

Whataya Think?

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

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

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

Wow you sure are precocious, my friend!

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

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

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

Good luck

Intimate Workout

Hello sex fans,

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

The Private Gym —— Basic $59.99  Advanced $99.99

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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


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