A guy’s guide to sexual health

— What every man should know

Most people know the fundamental sportsmanship rule: hitting below the belt is illegal. The groin is highly sensitive, and a strike here can cause severe injury. While a man’s sexuality is off-limits for low blows, that doesn’t mean it’s off-limits for discussion with your doctor.

Too bad most men don’t see it that way.

Stats About Guys and Sexual Health

It’s not that men aren’t concerned about sexual health. In a 2023 survey, the Cleveland Clinic reported:

• 44% of men are worried about erectile dysfunction.
•39% of men are worried about loss of sex drive.
•36% of men are worried about low testosterone.

But of men surveyed, while 37% reported having experienced issues related to sexual health, only two in five sought professional help.

So, guys, let’s have a frank discussion about your most common sexual health concerns.

Talking About ED

What is it?
Erectile dysfunction is the inability to get or maintain an erection firm enough to have sex. Many men think ED only occurs in older men, but ED is not exclusive to getting older. There are men in their 40s and 50s who experience ED and men in their 70s, 80s, and 90s with great sex lives.

What are the symptoms?
Failure to reach or sustain an erection more than half of the time, at any age, may indicate a condition that needs treatment. Other symptoms may include decreased sexual desire and less rigid erections.

Who is at risk?
ED has a wide range of causes, from vascular issues and nervous system issues to hormone or psychological issues. Chronic health conditions, which about 1 in 4 guys face in the U.S., also impact erectile function. These include diabetes, heart disease and hypertension, obesity, high cholesterol, and smoking. Many medications that treat these conditions have side effects that contribute to ED. Bottom line: ED is a complex, common medical condition and not one to treat lightly or feel self-conscious about.

What is the most common myth about ED?
That taking testosterone supplements will cure ED. Low testosterone may or may not be what is affecting your erections. Taking supplements with a normal testosterone level will not result in better erections and may cause side effects if not taken appropriately.

What treatments for ED are you most excited about?
Low-intensity shock wave lithotripsy and platelet-rich plasma (PRP) therapy injections. There are also new oral therapies in clinical trials. ED is very treatable. It all comes down to which treatment is right for your lifestyle.

Talking About Low-T

What is it?
Testosterone deficiency syndrome or Low-T means that a man’s body is not making enough testosterone, the primary male sex hormone that regulates fertility, muscle mass, fat distribution, and red blood cell production.

What are the symptoms?
Reduced sex drive, reduced erectile function, loss of body hair (including facial hair), loss of lean muscle mass, feeling tired all the time, obesity, and symptoms of depression are the specific symptoms most directly linked to Low-T.

Who is at risk?
Data suggests that about 2.1% of men (2 in every 100) may have clinically Low-T, which is a low blood testosterone level of less than 300 nanograms per deciliter (ng/dL). It is more common in men over the age of 80, who have diabetes, or who are overweight. Don’t just assume you have Low-T and start popping pills. Talk to your doctor.

What is one of the most common misconceptions about Low-T?
That it’s a normal part of aging, and nothing can be done about it. If you have clinically Low-T, it is essential to treat it. Testosterone is not just for sexual health. It aids in bone, cardiac, mental, and psychological health. Anyone whose testosterone is in the low-normal range may also benefit from treatment, but a physician should manage it.

What treatment for Low-T are you most excited about?
Bio T Pellets because they quickly get testosterone into the normal and high normal range for men.

Talking About Peyronie’s Disease

What is it?
Peyronie’s disease is a condition by which a small scar forms in the lining of the penis resulting in penile curvature, loss of penile strength, indentation, or pain.

What are the symptoms?
During the first 12 months of developing Peyronie’s disease, you may experience pain with erections, curvature of the penis, penile shortening, an abnormal shape to the penis, or a lump in the penis.

Many men are worried that Peyronie’s disease will cause issues with getting and maintaining erections. While there is some association between penile plaque and restriction of blood flow in the penis, this is not always the case.

Who is at risk?
Peyronie’s disease typically forms from microscopic trauma that occurs during intercourse. The trauma leads to inflammation and then a penile scar or lump. It is most common in men over the age of 40.

What is the most common misconception about Peyronie’s
That it is a rare condition. It can feel very isolating, since many men don’t talk about it or seek care because they find it embarrassing. In reality, it’s estimated that 6-10% of adult men have Peyronie’s disease.

What treatments for Peyronie’s disease are you most excited about?
Introducing injectable collagenase into penile plaques has dramatically broadened the options for safe and effective office-based treatment of Peyronie’s. Surgery remains highly effective at correcting the curvature for more severe or bidirectional (S-shaped) curvatures.

The Physical/Mental/Sexual Health Connection

Men, your physical, mental, and sexual health are closely related. Changes in sexual health may indicate underlying medical conditions. Sexual health affects your quality of life and mental health.

A urologist can provide many management options, including observation, medication, injections, surgery, and more. Sexual health is a crucial component of overall health, so if you’re experiencing any issues, it’s time to consider seeking help from a physician.

Complete Article HERE!

A Spot of Heavy Breathing

Name: Bob
Gender: male
Age: 40
Location:
I’m a bisexual male. Recently I’ve been seeing this black guy, 25 years old, with a very big 9” very thick cock. We’ve been suckin’ and he’s been fuckin me. But most recently he’s been wanting me to get together with two or three of his friends and have a party. I mostly want to do it, but I’m a little scared. Would I be able to handle 2 or 3 guys? Would I be able to take all their cocks up my ass? I need some advice.

Bob, you are a little breathless, huh? I’m so delighted you stopped by with this tantalizing tidbit. So let’s get this straight, so to speak. You’ve got this heavy hung black dude, 15 years your junior, rockin’ your world with his thick 9”. Oh sure, count your money in front of the poor, why don’t cha? Say, all of us here at Dr Dick’s Sex Advice are wondering; how in the world did you get this dazzling urban specimen to tap your honky ass in the first place?

But there’s more…besides your amazing good fortune with this one fella, your young playmate wants to introduce you to a few of his big boned bruthas for some hot group action. Mmmm, how you do go on, sir! I suppose it’s only natural to be a bit intimidated, what with all that weighty pipe that will be swinging around. All I can say is I hope you film the event for posterity, darling. Because if you don’t no one, not even me, will ever believe you.

You want some advice? How could I possibly advise someone who can handle…and I quote “a very big 9” very thick cock.” If that’s truly the case, you don’t need nothin’ from me. Let’s just hope your hole will be able to withstand the massive gang fuck. And that’ll depend on one thing — you being as big of an insatiable bottom as you are a braggart. If you are, you’ll have no trouble at all.

Good luck…you’re gonna need it.

Name: Ben
Gender: Male
Age: 17
Location: New York, New York
Dr- I have read up on some of the questions you have answered and realized why my penis is curved. Because I began to masturbate in sixth grade! (The older boys on the bus encouraged me too) Now I know that this may sound dumb. But is there any way to fix this? I haven’t ever even had a blowjob, or hand job because I’m so timid about a girl seeing my penis. I’m also scared to call anywhere, and when the doctor asks me if I have any questions about my body I’m even to scared to say yes to that. Should I ask the doctor about it just too see if there is a way to fix my penis, or is there a natural way to fix it with a special kind of vitamin that I can take? Thanks a ton! -Ben

Hey Ben, why are you being such are a scaredy cat? I mean how bad a curve does your dick have that you would avoid a blowjob or even a hand job when offered? Is it really that misshapen? I mean, how many erect cocks have you seen in your short life span that you can say for sure that your unit is so fatally flawed? Can you be absolutely certain that the curve of your johnson isn’t just a normal variation on an otherwise handsome and hearty tool?

Listen pup, even a precocious masturbator like you is unlikely to change the shape of his willie simply by jerking off. That’s not to say that one’s dick can’t run into trouble from injury or abuse. For as hearty a plaything as it is, our cock, it is a relatively delicate instrument. When you get a woody, your cock is engorged with oxygen-rich blood, which is essential for the upkeep of the smooth muscle tissue. This kind of tissue makes up about 90% of your cock. So you can see how a healthy circulatory system is to a vibrant sex life.

If you dissected your woody and looked at a cross-section you’d see three distinct spongy tubular structures, each are made up of smooth muscle tissue. Two of these tubular structures — one on either side of your cock, both of which run the length of your cock — are called the corpora cavernosa. These marvelous structures become engorged with blood lifting and thickening your cock to erection. The corpus spongiosum, the third tubular structure is located just below the corpora cavernosa. This baby houses your urethra, through which urine and semen pass during urination and ejaculation, respectively. This may also become slightly engorged with blood, but less so than the corpora cavernosa.

An oxygen-deprived cock will build up a kind of plaque, which resembles scar tissue. This will cripple a dude’s rod (Peyronie’s disease) or rob him of his wood altogether. However, I don’t think this is the case for you.

So before you start tryin to “heal” or “fix” yourself with some contraption or herbal supplement visit a doctor first. If you’re too timid to make an appointment with your family physician, go to a free clinic, or neighborhood clinic near you. You’re living in the big apple for crying out loud; you have all these great resources available to you.

Good luck

The Crotch Report

Name: Gillian
Gender: Female
Age: 27
Location: Paris
Hi Dr Dick, My boyfriend and I are having a long distance relationship. When living together, we used to have an intense sex life … so you can imagine how frustrated we feel now … I don’t know when I’m going to visit him and how we’re going to make it without having sex! Could you help us copping with the distance? Are there some techniques, sex toys, etc … we could use ? Of course I have a vibrator but it would be so much better if my boyfriend could participate in a way, and vice versa … I can’t wait to get your advice!! Thanks!

Long-distance romances aren’t fun! Never fall in love with anyone outside your zip code! That’s what I always say. Of course, when it comes to matters of the heart, most good advice goes out the window. Thanks to the marvels of modern technology I may have the solution to your dilemma. Do you guys cam with one another? I hope so. If not the following advice will still be helpful; you’ll just not have the juicy visuals.

c770.jpgYou’ll both need an iPod (or another music player) and you’ll need one of these puppies: OhMiBod iPod Vibrator (C770). You’ll find these right here in My Stockroom.

The OhMiBod iPod Vibrator is an exciting combination of modern musical and sexual technology. In today’s hi-tech, fast paced world it only makes sense to fuse together two of the most popular forms of technological recreation, listening to music on your iPod and masturbating using a high-powered vibrator.

The OhMiBod iPod Vibrator is very easy to use.

  • Simply plug the universal headphone connector into your iPod (or music player)
  • Plug 1 end of the 3-foot cord into the headphone connector, and one end into the jack in the vibrator’s silver end-cap.
  • Turn on your iPod and use the volume control wheel to increase the intensity, rhythm, and vibe function. The vibration level, and the rhythm it moves to, is determined by the volume and style of the music.

The vibrator is 71⁄2 ” long and has a 1″ diameter. The vibe, cord, and connector are all white, and the end-cap is silver. Smashing!

So here’s what you do…and you can take turns doing this too. Find some music that you know for sure will get you off. Share that music with your BF. Have him load it into his iPod. Then set up a cam date. After you exchange pleasantries, you can get down to business. Insert your vibe into your pussy; your BF will insert his vibe into his ass. Go to the play list you put together and simultaneously start the music. Despite the distance between you, you’ll have all the same sensations. Before you know it, you both will be haven’ screamin’ memes. How fun is that?

And when you guys aren’t camming, you’ll find the OhMiBod iPod Vibrator comes with an extra silver end-cap that can be used without the music player. Imagine what a swell holiday gift idea this will be for all you far-flung lovers.

Name: Terre
Gender:
Age: 54
Location: Nashville
What are some of the newer procedures available for peyronies??

For those not in the know, Peyronie’s disease causes a guys dick to bend or curve dramatically when he gets a hardon. A hard, fibrous layer of scar tissue (plaque) develops under the skin on one side of his dick. When he gets hard, the scar tissue pulls the affected area off at an angle, causing the curve or disfigurement. Sometimes things can get so bad that the pain makes fucking practically impossible.

There are several “therapies” out there; none of which is supported by any hard data as to its effectiveness. So caveat emptor, which is Latin for “Let the buyer beware”!

There are both internal and some external therapies. There is a very expensive enzymes therapy that is taken in pill form. Allegedly the enzymes help break up the scar tissue. It’s a very slow process, if it works at all and it requires a prolonged and consistent treatment. Cha ching!

Some doctors will inject drugs, like calcium channel blockers or interferon, directly into the plaque in a guy’s dick. These drugs are said to break down scar tissue deposits and return the tissue-building process to normal. This therapy calls for multiple injections over a period of months. And the success of this treatment varies considerably. Cha ching!

There are Penile Traction Devices too. These create a gentle continuous tension on a guy’s unit. The claim is that the stretching opens up spaces between penile cells, and triggers growth and healing, thus resolving the issue. This is dubious at best.

Here are a couple of resources for you: The Peyronie’s Disease Society and The Peyronie’s Disease Institute.

crw_5276_rj.jpg

Name: a
Gender: Male
Age: 22
Location: ph
if a male was to get a sex change would a vagina be able to be made to make the operation complete, and if so would having a baby be possible

Yep, a post-surgical Male to Female transexual will have had a “functional” vagina fashioned from the cock “she” once had.

Nope, it takes a lot more than a brand spankin’ new whoha to make babies, darlin’. A post-surgical Male to Female transexual may have a pussy, but she doesn’t have a womb…so no babies.

Name: victor
Gender: Male
Age: 39
Location: LA
I don’t like sex as much as i use to been with the same guy for 15 yrs and could do it all the time now only once a week and he has to initiate it but once we are doing it is great. What can i do about it? Thanks victor

You sound like you’re more bored with, than disinterested in, sex. If you were disinterested in sex, you wouldn’t enjoy it when you actually got around to having some.

Sounds like your sex life needs a little sprucin’ up…and who’s doesn’t? I want you to mozie on over to my online sex emporium — My Stockroom — and pick out something really fun and smutty for you and your old man. Don’t let another day go by without at least trying to get back on track!

I have a dazzling array of products that will liven up even the most ho-hum sex life. Not sure what to buy? Not to worry! Take a look at my monthly ever so popular, Sex Toy Awareness feature right here on drdicksexadvice.com. It’s chock-full of swell gift giving ideas.

Name: garciaf54
Gender: Male
Age: 23
Location: texas
Hi im 23 years old and i belive my packege isnt enough for the girl im dating and probably any. My dick is 6 inches nothing more nothing less but is this normal or i need help?

You’re worrying way too much about your package, darlin’. Your 6” is adequate for getting the job done, especially if you know how to use what you have. Women are generally less concerned about the size of the meat as they are about the quality of the motion.

So yeah, you’re normal, but you may also need some help. I’d suggest you check in with your GF and find out how you’re doin’ in the love makin’ department. I’d be willing to guess that she may have a few pointers for you on how better to use what you got. But you’ll have to ask her nicely.

Young pups, like you, rarely know their way around a fine pussy. Hell, most women don’t know their way around their own fine pussy. Young pups, like you, may also be unaware of all the sexual positions that would best utilize a modest johnson. If this sounds like you, I’d say you have some homework to do.

Name: krishna
Gender: Male
Age: 33
Location: india
i love my cousin sister a lot, i am enjoying sex with her, is that wrong?

I actually had to look up “cousin sister” on the internet. While I came up with some conflicting information, one thing seems clear, the term “cousin sister” connotes a close biological tie — a first cousin, perhaps. Is that what you’re talking about?

If so, most cultures, even yours, frown upon incest. There are plenty of good reasons for this; not least of all is a genetic concern (inbreeding). But often the most devastating aspect of incest is the secrecy. No one violates this universal taboo in the open. I’ll bet this is the case with you too, huh? The secrecy and the inevitable shame and guilt can destroy you family dynamic.

I suspect you may already be aware of this. Why else would you be asking me if it was wrong?

Name: brnwiee
Gender: Male
Age: 24
Location: canada
why does my condom always break? am i too big 4 normal condoms? my size is 7.5 inc long n 6.5 inc girth………am i thrusting too hard?/// n is it possible 4a girl too deepthroat it all?

Maybe you need a bigger sized condom, darling. You know there are different sizes, right? Shop online for extra large condoms. Most online retailers will offer a varietybiggunsampler.jpg pack of the big boys. This way you’ll be able to choose the right condom for you without buying a box full of just one kind from the get-go.

Depending on the “girl” I’d say, you betcha deep-throating 7.5 wouldn’t be a problem. However, finding that particular woman might be your biggest challenge. You may have to turn to a “pro” for that kind of service.

Name: ken
Gender: Male
Age: 45
Location: toronto canada
low sperm count is there anyway of building this up ?

Nope! Despite the myriad products online that proclaim they will build up your sperm count; it’s all baloney. Don’t waste your money!

Name: Paul
Gender: Malebj01.jpg
Age: 21
Location: RI
My gf used to give me blowjobs quite a bit but all of a sudden she stopped and kept telling me she can’t stand doing them. She has always said she didn’t like them but that she did them cause I liked them so much. Why the hell would she stop now?

I guess she’s trying to tell you she doesn’t like you as much as she once did.

Here’s a tip: most chicks dole out the hummers as a reward for being the best little boy in the world. If she’s cut you off, so to speak, perhaps you’ve done something to piss her off. I’d look into that, if I were you.

Good luck ya’ll