Sexual side effects of prostate treatments include ejaculatory dysfunction

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Even if patients are 100 percent satisfied with the treatment and can urinate perfectly, they may be unhappy that they can’t ejaculate.

[M]edications that treat lower urinary tract symptoms and enlarged prostates may cause sexual dysfunction, but some urologists don’t discuss this with patients, according to a survey of doctors.

Although more than half of the physicians said they discuss ejaculatory dysfunction when prescribing the most common treatments, most don’t routinely offer alternatives, the study authors report in World Journal of Urology.

“We need to think about the entire picture as doctors. Even if patients are 100 percent satisfied with the treatment and can urinate perfectly, they may be unhappy that they can’t ejaculate anymore,” said lead study author Dr. Simone Giona of King’s College Hospital in London.

Lower urinary tract symptoms and prostatic hyperplasia – an enlarged prostate – cause difficulty with urination, urgency and leaking. Patients sometimes wait until symptoms worsen before seeking treatment, often because they know treatments could affect sexual function, Giona said.

“That’s very important for some men, even if they’re 75 or 80 years old,” Giona said in a telephone interview. “We need to talk to patients about their expectations and offer the treatments that will help them, including new alternatives.”

Giona and colleagues surveyed 245 urologists attending the 2015 World Congress of Endourology in London. They asked what prostate treatment options the urologists offered their patients, how often they discussed the different types of treatments available, how often they discussed ejaculatory dysfunction with patients and how often they discussed alternative treatments based on the risk of sexual dysfunction.

About 70 percent of survey participants said they discuss erectile dysfunction before prescribing alpha blockers, although there’s no evidence currently that these medications impair sexual function. Most urologists said they discuss treatment-related erectile dysfunction, but those with the busiest practices and higher caseloads were most likely to discuss sexual side effects.

On the other hand, most respondents said they don’t routinely discuss alternative therapies based on the risk of sexual dysfunction, and those with the highest caseloads were least likely to offer alternatives.

“We’d expect that a urologist with more experience would have a wider picture of the best treatment, but maybe they don’t discuss options other than what they prefer or know best,” Giona said. “We need to make sure patients have options and we’re not missing the rest.”

A limitation of the study is that the responses were not analyzed according to the participants’ region or country of origin, which might highlight differences in what’s available. Some countries don’t yet offer some of the treatment options, but few survey respondents marked “not applicable” while answering the questions, the study authors note.

“Patients should mention all their worries and discuss their sex life concerns,” Giona said. “Urologists should get a full picture of what will make their patients happy.”

Current guidelines recommend lifestyle modification, medication or surgery for enlarged prostates. All options can impact sexual function, but some affect libido, erection, ejaculation and semen volume more than other options. In this study, the most common treatments were medications such as alpha blockers and 5alpha-reductase inhibitors, followed by surgical options such as Transurethral Resection of the Prostate (TURP) and laser procedures such as Holmium Laser Enucleation of the Prostate (HoLEP) and GreenLight Photoselective Vaporisation of the Prostate (PVP).

“Patients didn’t previously have choices about their treatments and accepted the side effects,” said Dr. Tobias Kohler of the Mayo Clinic in Rochester, Minnesota, who wasn’t involved in the study.

“But now, we’re seeing minimally invasive treatments that offer excellent improvement and low risk of sexual side effects,” Kohler said in a telephone interview.

“Now the conversation needs to be whether patients should take a pill or treat the problem definitively and prevent the progression of bladder dysfunction,” Kohler said.

“Patients should educate themselves on the risks and benefits of prostate treatments,” he said. “Upfront procedures could offer little risk and a lot of reward.”

Complete Article HERE!

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The Summer Solstice 2012 Q&A Show — Podcast #337 — 06/18/12

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[Look for the podcast play button below.]

Hey sex fans,

Happy Solstice everyone! Well, actually solstice isn’t until Wednesday, but who’s quibbling. Damn, this year is flying by. It seems like it was only a couple of weeks ago that we were welcoming spring. And, guess what? I just did the math; this is my 6th Summer Solstice podcast. Holy COW!

In honor of this milestone I have a delectable Q&A show in store for you today. We will be hearing a bunch of very interesting questions from the sexually worrisome, each will surely amaze and entertain. And I think we’ll have just enough time to do some SEX SCIENCE too. Stick around, sex fans, this is gonna be great!

  • William is using AndroGel for low “T”. Will it get his dick to grow?
  • Craig was snooping in his wife’s gym bag and found something interesting.
  • Chris and I have a lengthy exchange about his deep-seeded sexual conflicts.
  • Paula asks for my advice about purchasing a prostate massager for her hubby.
  • Gerard has blood in his semen.
  • Jenny asks if all fetuses start out as female. This triggers a SEX SCIENCE tutorial.

Today’s podcast is bought to you by: Dr Dick’s Sex Advice and Dr Dick’s Sex Toy Review.

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.

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Where the sun don’t shine

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Hey sex fans,

It’s another edition of Product Review Friday cumin your way. And we have a swell toy for your bum to tell you about. It cums to us directly from the manufacturer, Nexus.

Review crew members, Ken & Denise, are here to show you around.

Nexus Excel Prostate Massager —— $57.24

Ken & Denise
Denise: “The Excel is the third Nexus product the Review Crew has reviewed so far. There are more coming up too! You can find all our Nexus reviews HERE.”
Ken: “The Excel has this fantastic shape; is made of phthalate-free hard plastic; and it comes in three colors. We have the black one. I have to say that I am partial to silicone toys; there’s a warmth to them that hard plastic doesn’t have. Silicone toys also have a ‘give’ to them that the Excel surely doesn’t have. But now that I’ve tried both, I can say that the hard plastic, Excel has a charm all its own.”
Denise: “I totally agree. In fact, I was surprised to discover that it was hard plastic and not silicone. It sure looks like silicone through its clear plastic minimal packaging. There is one obvious benefit to hard plastic over silicone; you can use whatever line of lube you prefer, even a silicone-based lube. You can’t do that with a fine silicone toy. And because the hard plastic Excel is nonporous and waterproof, it is easy to clean and sanitize too. This makes it the perfect toy to share.”
Ken: “Absolutely! Also, because you can sanitize it you can use it both anally and vaginally. Of course, never go from one hole to the other without sanitizing it. Denise thinks it rocks as a G-spot massager.”
Denise: “True! But here’s the thing; the Excel package says it’s a G-spot massager, but it also says that the unique stainless steel rollerball stimulator massages the perineum. There’s no way the rollerball comes anywhere close to my perineum when I’m stimulating my G-spot.”
Ken: “Yeah, I was confused by that too. Then we discovered that Nexus uses the term G-spot interchangeably with the P-spot, which is really your prostate. I don’t get it, but maybe I’m missing something.”
Denise: “It’s got to be confusing for many more people than us, right?”
Ken: “If you are new to ass play, you’ll want to keep in mind that you need a lot of lube for any insertions. And you should also know that the Excel is probably not for the anal novice. It’s very light, but pretty girthy. But if you have some practice with anal toys this baby will fill you up. The shaft is just under 4” long, and it has a circumference of 1.57” at its widest point.”
Denise: “The unusual shape of the Excel allows you to wear it like a butt plug. Your ass sphincter closes down on the last ridge of the shaft, which keeps it in place. You should know that this thing doesn’t vibrate or anything like that, so there are no batteries to run down. Rather it massages your P-spot (if you’re a guy) by rocking on it, or walking around with it in place.”
Ken: “Denise mentioned the rollerball stimulator. Well this thing pops out of its hard plastic nest for cleaning purposes. The Excel comes with this little tool to do just that. You can drop the two pieces, rollerball and hard plastic everything else into a pot of boiling water to sanitize.  Or if you’re real lazy like us, you can simply add it to the dishwasher.”
Denise: “My advice is to warm up your ass before using any toy. We like to relax our sphincter muscles with our fingers, before toy insertion. This also keeps me in touch, nu pun intended with my ass, which is a good thing.”
Full Review HERE!

ENJOY

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Prostate Cancer Awareness Month

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Scheduling difficulties prevent me from bringing you the latest installment of The Erotic Mind podcast series today. But with a little luck, that will resolve itself by next week.

Actually, I’m glad I have this positing opportunity, because September, as you may know is Prostate Cancer Awareness Month.  And I have something important to say about that.

Curiously enough, I was contacted by another website recently and asked to contribute to a series they were doing on this very issue. They were looking for a unique take on prostate cancer awareness. I told them I had just the thing; and proceed to outline what I think is an exceptionally important, yet universally overlooked, aspect of prostate health — prostate self-awareness. Alas, the folks who run the website thought the concept of prostate self-exam was too edgy for them. After they declined my offer I thought to myself; man, there is incredible resistance, on virtually every front, for us men to become proactive in this aspect of our health.

Name: Gordon
Gender: male
Age: 67
Location: Florida
I guess I have more of a comment than a question. I’m 67, a widower and have been recently diagnosed with prostate cancer. I never was very adventuresome when it came to sex. In fact, before my wife died two years ago, I never had sex with any other woman. I never gave prostate cancer a thought, never gave my prostate a thought either. Now I’m mad as hell that I didn’t. You see when I started to go to a prostate cancer support group I discovered I could have monitored myself better with a simple self-examination. Why don’t doctors tell us about this? Women are supposed to examine their breasts why don’t men examine their prostate? It’s so easy actually and yet it’s this big secret. Why don’t people talk about this? It makes me so mad because it could have made a big difference in my own life. Do you know about this self-examination Dr Dick? If you do why don’t you tell other people about this? I think it would help a lot if you could get the word out on this. Now that’s all I have to say. Thank you.

No, thank you Gordon. Thank you for sharing your concern with me…with us.

I’ve been a tireless activist of prostate self-exam for decades. Let me explain. My career as a therapist began in San Francisco in 1981. That was precisely the same year a mysterious new disease began showing up among gay men. Back then it was being called gay cancer, but soon it would have another name — HIV/AIDS.

As it turned out, my private practice focused down almost exclusively to working with sick and dying people. Luckily, I discovered that I was well suited for the job and I liked it very much. So much so that in the mid-90’s I founded a nonprofit organization called, PARADIGM; Enhancing Life Near Death. It was an outreach and resource for terminally ill, chronically ill, elder and dying people. This was brilliant cutting-edge work and I learned so much from the people I was working with. One of the things that struck me most was that regardless of the disease — cancer, HIV, MS, you name it, or even aging process for that matter — there was always a woeful lack of information about regaining a sense of sexual-self post diagnosis, or sexual wellbeing for seniors.

I recall one participant in particular, a man much like you, Gordon. He too had prostate cancer and, like you, he was mad as hell with the indifference of the medical industry toward prostate self-exam. One day during a group session, John was railing against doctors and cancer associations for their lack of interest in promoting prostate self-awareness. He pointed to the success of the cultural campaign to encourage women to self-examine their breasts. There is even a modest campaign to promote testicle self-exams. But apparently the medical industry draws the line at prostate self-exams. I guess no one is going to encourage a man to finger his ass, even to save his life.

Another group member, Clare, a senior woman in her 70’s and a breast cancer survivor, helped put things in perspective. She reminded us that breast self-awareness is a relatively new phenomenon. Her mother, aunt, sister and a niece all died of breast cancer before the self-exam campaign began in earnest. Clare went on to say that it was only through the hard work of individuals and grassroots organizations that actively campaigned for breast self-exams that things began to change. Eventually, this movement changed the medical and cultural mindset. Clare said that it was these individuals and grassroots organizations that helped all of us overcome the denial, shame and embarrassment that was associated with women touching themselves, even to save their lives.

This is an indication of just how ingrained the sex-negativity and body-negativity runs in this culture.

I continue to work with sick and dying people here in Seattle. I had a brief gig at a local cancer center where I developed an NIH (National Institute of Health) funded program for women newly diagnosed with ovarian cancer. At the same time, I was also working with a group of women with breast cancer and group of men with prostate cancer. Again every therapeutic intervention I encountered — government funded or foundation funded — was woefully lacking in any clear and unambiguous information about sexual health, wellbeing and intimacy issues post-diagnosis or surgical intervention.

To remedy this, I decided to produce a series of videos for people experiencing life threatening and/or disfiguring illnesses. Videos that would help them address reintegrating sex and intimacy into their lives post diagnosis. One of the first videos was going to be Public Service Announcement showing men how to do a prostate self-exam and what to look for. Unfortunately, I couldn’t find the necessary funding for this groundbreaking work. My grantwriting efforts turned up zilch. I did, however, get a whole lot of, “What a fine idea, Richard. Good luck with that…” brush-off letters though. No foundation would be caught dead funding sexually overt pattern films, even ones with the laudable intent of assisting people with the life-saving information they needed most.

I’m sorry to have been so long-winded in my reply, Gordon. I just wanted you to know that many have preceded you with outrage at the conspiracy of silence regarding prostate self-exam. Let’s face it; our society is so ass-phobic that we’d rather see men die than offer them simple instructions on how to finger their butt, find their prostate and keep tabs on their prostate health.

If we want this to change we all need to speak out…as well as stick a finger in our ass.

Keep up the fight, Gordon! And please, stay in touch.

Good luck

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Puttin on the Ritz

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Hey sex fans!

I’m delighted to welcome two distinguished new manufacturers to Dr Dick’s Sex Toy ReviewsVirtuallyAdult and RubyGlass21.  They’ve come up with an exquisite line of glass butt plugs that will both dazzle and delight.

Crystal Delights Blue Anal Plug —— $79.98

Dr Dick
Friends, are you tired of not having anything dazzling to wear on those special occasions when you want to look and feel your best?  Ya know, like when you’re runnin’ the Hoover, taking out the trash (rubbish or BF), or pickin out something butch at Home Depot?  Well dear readers, I have just the thing for you.  Lookie here!  It’s a Crystal Delights Blue Anal Plug, or butt plug if you prefer.  This is no ordinary plug, no siree; it’s bejeweled!  So it will dress up any outfit, or no outfit at all.

That’s right, sex fans, I’m wearing mine now!  Because, like you, I want to have a smile on my face and a spring in my step when I face all of life’s tedious tasks like typing this review, laundering my unmentionables or cookin’ up a mess of grits for the church social.  And the beauty part of this little stunner is that no one would ever guess I’m enjoying a butt-load of delicious pleasure unless they turned me upside down and discovered the authentic Swarovski crystal rockin out where the sun don’t shine.

My Crystal Delights Blue Anal Plug is a high quality, hand crafted ultra smooth Pyrex glass insertable manufactured by RubyGlass21 and customized by VirtuallyAdult.  The plug features a petite spade-shaped head with a maximum diameter of no more than an inch.  This sits gracefully atop an unusually long 2” stem that finally flares out to make the base, in which is embedded the sapphire-like crystal.  The Crystal Delights Blue Anal Plug is about 5 inches tall and weighs in at approximately 6 ounces.  I say the stem is unusually long, because most all the other plugs I’ve seen and/or used are squatter.  Now that I’ve tried both, I tend to like the longer-stemmed plug even better than the shorter ones.  And god knows I love the shorter ones a lot.  I’m also thinkin that this lovely would rock out as a pussy plug too.  Imagine the luscious G-spot massage you’d get with each and every step you take.

Everyone has a butthole and the Crystal Delights Blue Anal Plug is an equal opportunity pleasure plug.  That being said, I want to address the rest of my comments to my fellow prostate owners.  You know how passionate I am about prostate health and prostate self-awareness, right?   Well I am of the mind that every guy oughta own at least one butt plug and use it regularly.  Beside the pleasure it delivers it has verifiable health benefits.

A plug will massage your P-spot and that’s a big part of a maintaining prostate health.  And for us more senior men, and the heartbreak of enlarged prostate we so frequently suffer, butt plug therapy can help there too.  I mean I’m all in favor of toys that have no other purpose than to dispense a good dose of the jollies.  But if a fella can pleasure himself AND do himself some good health-wise…all at the same time; well that just about beats the pants off diddlin’ just for fun.  Right?

Those of you who regularly follow our reviews will know that all the Dr Dick Review Crew loves us some glass toys.  They’re gorgeous, of course, but that’s only the beginning.  They are versatile too.  You can warm and chill beautiful art glass toys, like the Crystal Delights Blue Anal Plug, for added sensations.  And you can use any kind of lube you want.  You’ll only need little bit too, because glass gets real slick with just a dab of lube.  The petite head on this baby will slip effortlessly into your bum and stay put for hours of glorious backdoor recreation.
Full Review HERE

ENJOY!

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Luscious LELO, Our Conclusion

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For the last seven months, the Dr Dick Review Crew has been reveling in the sensuous pleasures that are LELO.  We’ve brought you 4 reviews so far — ELISE, BO, IRIS and GIGI

Today, we conclude our LELO presentation with three other amazing products.  Review Crew Members:  Kevin & Gina, Joy & Dixie and Brad do the honors.

ELLA —— $44.00

Kevin & Gina

Gina: “We kicked off the LELO reviews with our review of GIGI.”
Kevin: “So there’s some beautiful symmetry to us being part of the concluding reviews.”
Gina: “And speaking of symmetry we have the pleasure of introducing you to ELLA, another stunning pleasure object from the undisputed leader in adult products, LELO!”Ella_white_mv1
Kevin: “ELLA is not a vibrator. It is, however, a beautifully sculpted insertable that is ideal for G-spot or P-spot stimulation.”
Gina: “And you can use either end! It’s like getting two toys in one.”
Kevin: “It comes in the famous LELO high-end packaging. It’s perfect for gift giving. But for those of us who appreciate minimal packaging, it can sometimes feel like over kill.”
Gina: “And because there is no vibration with this pleasure object, there’s no fussing with batteries or dubious recharge ports. Besides, I like the fact that I can be the instrument of my own bliss.”
Kevin: “It’s made of 100% seamless silicone. It is soft and velvety and beautiful to the touch. It’s approximately 7.25 inches long and 1.5 inches across at the widest point. Like Gina mentioned, ELLA can be inserted using either end. The curved tip is just like the GIGI. I LOVE IT!
Gina: “Because it is silicone, it cleans up is easy with mild soap and warm water. You can wipe it down with a lint-free towel moistened with hydrogen peroxide, rubbing alcohol or a 10% bleach solution too. If you’re going to share this toy, and I really think you should, you can serialize it in boiling water for a minute or two, or pop it in the top shelf of the dishwasher.”
Kevin: “I totally agree that you ought to share this toy. We all have a ‘spot’ of one sort or another — G or P, that is. Just insert the curved tip about two inches into your pussy or asshole, as the case may be, with the curve pointed towards the front of your body and rock the handle up and down. Oh baby, oh baby!”
Gina: “Kevin does not exaggerate. This is what I meant when I said I like being the instrument of my own bliss.”
Kevin: “If you’re more of a dildo kinda person, the other, long tapered end of ELLA will put a smile on your face.”
Gina: “Use it on yourself for solo play; use it on your partner for partnered play.”
Kevin: “And it’s not just a pleasure object; it’s also a therapeutic object. You can use this honey to do your Kegels with too. And all of us, men and women need to do those.”
FULL REVIEW HERE

Next up is BOB.  We turn to Brad for his thoughts.

BOB —— $49.00
Brad

Hey, isn’t BOB and acronym for Big Old Bottom? That’s what Dr Dick keeps calling me! So ok, I’m a straight guy with a thing for his prostate. For years I couldn’t admit this to myself, let alone others. But nowadays I’m an out and proud butt pirate.

And as a personal trainer, I often find myself talking to my male clients about prostate health. Apparently, my straight clients find that information easier to take because I’m straight too. And I’ve been telling them about my BOB, you can count on that.

Anyhow, I’m like totally down with BOB, this stylish gentleman’s butt plug. If you’ve cat_bob_bordeaux_320_320-1never tried a plug, this is the ideal starter size. It’s about 3” of insertable length and not much thicker than my thumb. It is easy to insert, even for the novice. And because its “plug” shaped it stays in place once inserted. BTW, you’ll want to use a water-based lube with this 100% silicone toy.

BOB is so comfortable, as well as being very stimulating, so you can wear it for hours. I do. People often ask me why I smile so much and why am so easy going. If they only knew I had BOB in my ass! I absolutely love saying that.

BOB has this ring on its base; this keeps it from going in too far and makes pulling it out of your ass a breeze. If you really want to treat yourself to a nice prostate massage, all ya do is use the ring to make thrusting and rocking motions. I can actually cum by massaging my prostate like this. I don’t even have to touch my dick.
FULL REVIEW HERE

Finally there’s LUNA BEADS and for that review we turn to Joy & Dixie

LUNA BEADS —— $47.00

Joy & Dixie

Joy: “We’re glad to be back with everyone after having a couple months off. We were on an extended holiday and we missed all our toys at home while we were away.”
Dixie: “That’s not exactly true, we did take a couple of our favorite toys with us. One new one that we well talk about at another time, and the other was our delightful LUNA BEADS. They are very discreet and easy to pack. And they are both pleasurable and therapeutic.”
Joy: “LUNA BEADS are LELO’s take on a very old idea, Ben Wa Balls. You’ve heard of Luna_beads_mv2them, right? They were invented hundreds of years ago, to enhance female sexual stimulation and to exercise a woman’s PC muscles (pubococcygeus muscle). In other words, you do your Kegel exercises with these puppies.
Dixie: “Here’s a tip; the more Kegels you do, the more intense your orgasms are.”
Joy: “You simply insert the LUNA BEADS, each of which has an inner ball that creates the most amazing vibration sensation.”
Dixie: “The kit comes with two sets of silicone balls that pop in and out of a plastic girdle – one set is close to 30 grams and the other set is around 40 grams.”
Joy: “You can mix and match the weighted balls to build up your PC muscles. And you can wear these for hours, if you’d like. I know I like!”
Dixie: “Being made of silicone they are easy to sterilize, which makes the LUNA BEADS shareable. But for under $50 you may want your own set.”
Joy: “Dixie and I both like to masturbate with the LUNA BEADS. They deliver intense orgasms, because your muscles contract around the vibrating balls.”
Dixie: “You can say that again. And there’s never a need to change batteries or wait for a recharge. You can see why we took the LUNA BEADS on our vacation.”
Joy: “We completely endorse this product. They are both fun and healthful. We’ll never leave home without them.”
FULL REVIEW HERE

ENJOY!

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COMFORT AND JOY

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Look for my new

Product Reviews!

REVIEW #25

Hey sex fans,

I know it’s hard to believe, but the freakin’ holidays are upon us once again.  Bah Humbug!

So ok not everyone is not a Scrooge, like me.  That’s why the Dr Dick Review Crew is throwing our product review apparatus into high gear.  We want to get as many reviews out there in the next month as possible.  We want you to have a load of swell holiday gift giving ideas, don’t cha k now.

This week’s Review Crew include:

  • Jack & Karen — Reviews #17, 18
  • Ken & Denise — Review #11, 16
  • Carlos — Reviews #4
  • Mick & Chuck— Reviews #12

Let’s start things off with a little COMFORT!

Jack & Karen introduce us to Pleasure Pack Combo.
The Right Position Sex Pillow Combo —— $89.00

Karen: “I’m just wild about The Right Position Sex Pillow. Until the day Jack and I picked up the Pleasure Pack Combo at Dr Dick’s, I hadn’t given much thought to how exceptionally useful a specialized cushion like this could be.”
Jack: “I totally agree. Ya see the sex pillow is wedge shaped (about 6” at sex_pillow.jpgits widest), which allows us to position our bodies for a more accommodating and comfortable fuck.”
Karen: “But it’s not just for fucking, although I must say it is ideal for anal sex, but I’ll get to that in a minute. What I like most is that it raises my pelvis just enough so that Jack can pleasure me orally. And The Right Position Sex Pillow is so comfortable too”

Read more of this review here

And now for a whole lot of JOY!

Mick & Chuck introduce us to Smooth Glider.

Smooth Glider $89.95

Mick:  “Hey, it’s great to be back as part of the Dr Dick Review Crew.
Chuck:  “This is the dream “job. What’s not to love about getting free sex toys?  And we loves us some toys.”
Mick:  “Yeah, but we’re also informing people about what to look for in smooth_glider.jpgquality products while avoiding the junk.”
Chuck:  “Exactly!  Speaking of quality, check out our Smooth Glider.  It’s stunning.  It’s made of Pyrex glass.”
Mick:  “It’s approximately 7 inches long and 1 1/4 inches in diameter with a nicely sculpted head that measures approximately 1 1/2 inches in diameter.  It weighs a hefty 12.4 oz.  And the sucker is smooth as glass…thus the name.  Duh!
Chuck:  “Well a lot of glass dildos are textured.  This one happens to be smooth. But it does have a nice curve to it.  It’s perfect for prostate stimulation.”
Mick:  “Or G-Spot stimulation, if you have one of those.”  😉
Chuck:  “The first thing you need to know is that not all glass dildos are created equal.  There are plenty of cheap knock-offs out there that I wouldn’t stick in my ass for a million bucks.  But the Smooth Glider is top of the line.”

Read more of this review here

Next up, Ken & Denise introduce us to one of the beauties from NobEssenceTRYST.

TRYST $180.00

Denise:  “Thank you for the warm welcome to the Dr Dick Review Crew.  It’s been a blast…literally and figuratively.”
Ken:  “Denise has been eager to join our little club since our adventures with The Vergenza Mk. I.”
Denise:  “This time we have an equally beautiful and oh so functional dildo/massager, TRYST.  It’s sculpted wood.  Isn’t it gorgeous?
Ken:  “Yeah, like The Vergenza Mk. I, TRYST is a work of art.
Denise:  “It’s is ‘double header’, if you will.  One end is round, smooth and bulbous.  It is uniquely shaped to stimulate either G-spot or P-spot. The tryst.jpgother end is a beaded sort of thing that supplies the most delicious rippling sensation.  And each end is perfectly angled to act as a handle when the other end slides into place.  It’s brilliant!”
Ken:  “I’ve never used anything like it.  I mean, it’s10” long.  The bulb end is 1 1/2” at the tip, but it then widens to a 2” body before the traditional plug notch.  The beaded end is curved, but smaller— an 1” at its widest point.”
Denise:  “And, of course, TRYST can be used vaginally and anally.  Or did you already get that from my G-spot or P-spot reference?  I’m a little slow sometimes.”

Read more of this review here

Finally, Carlos introduces us to another beauty from NobEssenceROMP.

ROMP $110

Carlos:  “It’s great to be back with some of my old review pals and some new ones too.

I feel a little odd being the only single person here, but my ROMP is perfect for solitary use.  It’s an exquisite wooden butt plug/prostate massager.

Before I continue with a description, I want to say that I agree with everything Ken andromp.jpg Denise said about their sculpture.  And since you just heard from them, I won’t repeat it all myself.

ROMP is the best prostate massager I’ve ever used.  And I’ve tried several.  It fits snug and stays in place because of the notch between the handle and the rounded insertable end.  And it’s designed to be worn for extended periods of time.  The longer you wear it, the better it feels.  Dr Dick and I are both big advocates of prostate self-awareness and prostate massage.  And this is the perfect ‘tool’ for that.

Read more of this review here



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The Ladies Auxiliary

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Look for my new Product Reviews!

REVIEW #16

“Some of the more illustrious members of Dr Dick’s Product Review Crew showed up for energie.jpga little confab on the beautiful line of Natural Contours products I have for review.  The usual suspects were there — Joy (REVIEW #6, 12), Gina (REVIEW #13), Angie (REVIEW #12) and Jada (REVIEW #14). Surprisingly, Ken (REVIEW #11) and Glenn (REVIEW #4) also joined us.  In fact it was Ken who christened us The Ladies Auxiliary.   Maybe it was the wine, but we all got a kick out of that.  So the name stuck.  Political correctness be damned!

As we passed around the products to be reviewed the women were discussing size, shape, design and functionality of the five products I have for review. The Natural Contours line of products is designed by women and made with natural curves to contour to their bodies. They are tasteful, elegant, discreet, stylish and ergonomic.

The boys were feeling totally left out.  Glenn finally spoke up; “What are we, chopped liver?  I don’t see why any one of these things couldn’t be used by a guy.”  Ken shook his head in agreement.  I added:  “A lot of ‘female oriented products’ are used by men.  In fact, if some of the packaging for these products were a bit more generic, there’d probably be a whole lot more cross-over marketing and purchasing being done.”

g-plus.jpgThe women thought the packaging for the Natural Contours line was pretty neutral; as compared to some “female oriented products” they’ve seen.  But there’s no mistaking the feminine slant.  None of women present were put off by the suggestion that the men folk might enjoy Natural Contours products too.  Jada asked; “But what about the G-Plus Attachment?  Men don’t have a G-Spot.”  Gina, who is now very familiar with her BF’s butt play said: “Yeah, but they do have a P-Spot.  And Ken added; “And we all have a PC muscle so the Energie could be used by everyone!”

I am so proud of my Review Crew.  They are such a clever lot.  We distributed the products and set a date for our debriefing session.  I convened the follow up meeting of The Ladies Auxiliary a couple of weeks later to discuss our findings.”

…full reviews here, here, here and here


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Sex Advice With An Edge — Podcast #69 — 06/30/08

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[Look for the podcast play button below.]

Hey sex fans,

It’s hotter than blazes here in the Emerald City. It has been all weekend! So here I am, slinging my tits over this hot microphone, just so I can bring you today’s show. What a guy, huh? Well, you know what they say; the show must go on. So to liven things up a bit I’ve have a terrific lineup for ya.

  • Roger is dealing with the aftermath of radiation therapy.
  • Chris searches for the illusive hands-free orgasm!
  • A Product Review — Fleshlight Ice

Finally, more Sex In The News!

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. Just search for Dr Dick Sex Advice. And don’t forget to subscribe. I wouldn’t want you to miss even one episode.

I wanna take a moment to alert you to a new feature here on DrDickSexAdvice.com. It’s my PRODUCT REVIEW page. That’s right sex fans, now you can see what’s hot and what’s not in the world of adult products.

From time to time I will be posting reviews of all kinds of adult related goodies — sex toys for sure, but also condoms, lubes, fetish gear as well as educational and enrichment videos.

DON’T MISS A SINGLE ONE!

Look for the Product Reviews tab right there at the top of DrDickSexAdvice.com.

Today’s Podcast is bought to you by: Fleshlight & FleshJack.

Fleshlight Sex Toy

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Happy Holes Ahead!

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Product Review!

Aneros Prostate Massagers!

“They have an ergonomic elegance about them. They actually remind me of a finely crafted medical device. No surprise there, I suppose; since each Aneros massager is the product of years of research and development. And just so you don’t think I’m pullin’ your leg — these are the only medically patented prostate massagers on the market.”

…full review here


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Sex Advice With An Edge — Podcast #47 — 01/21/08

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[Look for the podcast play button below.]

Hey sex fans,

I have a nice load of provocative questions from the sexually worrisome. And I respond with an equal number of astounding, amiable and oh so informative responses! Hey, it’s what I do.

  • Amy’s vibrator don’t work no how!
  • Dan is dating a woman with a blockage. But what kind of blockage?
  • Jon’s meds eliminates his spooge output. Pity that!
  • LD’s partner died, but he wants to get back in the swing of things.

FINALLY, ANOTHER SEXUAL ENRICHMENT TUTORIAL

  • The Big Tease; How to Strip for Someone Special

BE THERE, OR BE SQUARE!

Check out The Lick-A-Dee-Split Connection. That’s dr dick’s toll free podcast voicemail. Don’t worry people; no one will personally answer the phone. Your message goes directly to voicemail.

Got a question? No time to write? Give dr dick a call at (866) 422-5680. Again, the TOLL FREE voicemail number is (866) 422-5680. DON’T BE SHY, LET IT FLY !

Look for my podcasts on iTunes. You’ll fine me in the health section under the subheading — Sexuality. Or just search for Dr Dick Sex Advice With An Edge. And don’t forget to subscribe. I don’t want you to miss even one episode.

Say, would you like to become a sponsor for one or more of my weekly sex advice podcasts? As you know, I plug a product or service at the beginning and end of each show. Each podcast has its own posting on my site along with the name of the podcast sponsor and a banner for the product or service.

The beauty part about this unique opportunity is that once a sponsor’s ad is included in a particular podcast that sponsor is embedded there forever.

Your sponsorship also underscores your social conscience. Your marketing dollars will not only got to promote your product, but you will be doing so while helping to disseminate badly needed sex education and sexual enrichment messages. Simply put, ya just can’t get a better bang for your advertising buck!

For further information, contact me at: dr_dick@drdicksexadvice.com

Today’s podcast is once again bought to you by: Eden Fantasys — for all your adult toys!


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Heart to Heart

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Name: Anne
Gender: female
Age: 28
Location:
My question is kind of embarrassing, but here goes. I gave birth to a nine pound beautiful baby four weeks ago. I am happy to report that both mother and baby are doing fine. That is except for the fact that my vagina is still stretched out of shape. My question is can I hope to have it return to its previous shape? Also, I’ve heard that new mothers should wait for six weeks after a birth before having sex again. The problem is that my husband is really horny and he doesn’t want to wait. So I’m wondering will it hurt if I start sooner? Another thing, does breast-feeding interfere with my sex drive? I don’t feel really sexy these days. Sorry for so many questions in a row.

In the immoral words of Prissy in Gone With the Wind, “I know nutthin’ about birthin’ babies, Miss Scarlett.”

Congratulations on the birth of your child, Anne. Wow, nine pounds, huh? Pretty hefty. I’ll bet he’s adorable. Everyone here at drdicksexadcice.com is betting that your child is a boy? Us boys tend to give our mommas a hard time right from the get go. At least that’s what my own dear sainted mither used to say.

people-mother_and_baby-cd01-010.jpgI’m also gonna make another assumption, this is your first child, right? Well, the size of the baby as well as the number of children the woman has carried certainly does effect the elasticity of her vagina. No rocket science there, I suppose. Birthin’ babies is pretty traumatic to your pelvic musculature. These muscles lose tone with each successive delivery. But never fear darlin’, there are muscle-toning exercises known as kegels that will help you tighten things up in jiffy.

Excuse me for a moment, Anne, I think I’m losing the males in my audience. 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.

Sorry about that Anne. See what I mean about boys and givin’ folks, not only their mommas, problems? Anyhow, if you’re not already doing kegels, I strongly recommend that you start right away.

What are kegels, you ask? They’re muscle contraction and relaxation exercises designed help restore tone to 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), 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.

Let’s try this for starters. Imagine that you’re trying to stop yourself from farting or trying to hold your pee. Notice the feeling of squeezing and lifting — it’s a sensation of your pelvic muscles tightening and drawing up. Try it now, while you’re reading this. That’s the beauty part of kegels; you can do them anywhere, anytime. If you’re finding it difficult to isolate the muscle group, insert a couple fingers into your vagina before doing a kegel. If you feel pressure around your finger while you are tensing your PC muscle, then you’re on the right track.

However, if you’re tightening your abs, squeezing your legs together, clenching your butt, or holding your breath then you’re not exercising the right muscle group. The object here is to isolate your pelvic floor muscles. Those are the ones you wanna be working.

I want everyone, not just you Anne, to work on both muscle strength and tone. Start with five strong prolonged squeezes (5 seconds apiece). Hold then Relax. Then do a series of 10 rapid contractions in a row. Doing three sets of these two types of kegels twice a day for a week is your goal.

Let’s go over that one more time. Start with five strong prolonged squeezes (5 seconds apiece). Hold then Relax. Then do a series of 10 rapid contractions in a row. Doing three sets of these two types of kegels twice a day for a week is your goal.

When you’ve accomplished this you’re ready to increase the set to eight or ten prolonged squeezes and 20 rapid contractions in a set twice a day for a week. The advanced kegeler is able to vary the type and duration of his/her PC squeezing; slow prolonged clenches to quick flutters.

newbornlls07.jpgOn to the other issues you raise. Your uterus and cervix underwent significant changes as you were delivering your baby, and they need time to heal. So if your husband is being a bigger baby than the new-born…see what I mean about boys drivin their mommas and everyone crazy…by pressuring you for nookie, make a deal with him. Hand jobs and blow jobs only for the first six weeks after delivery. I’m sure you can sympathize with the big galoot. He’s probably freakin’ nutty from lack of nookie. How long has it been since he had some of your fine pussy?

Finally, breastfeeding may indeed interfere with your libido, but more likely it’s just the sheer exhaustion of this postpartum period. Nursing your baby every couple of hours, especially during the middle of the night…I mean, how long can that go on before you start looking for the Uzi.

And probably the idea of your husband grabbing at your boobs while they’re still real sore from junior chompin’ away at them probably doesn’t incite great waves of horniness either. Rest assured, this lack of interest in sex won’t last forever. Before you know it, you’ll be feeling all pretty and randy once again. And soon you will once again be inviting and welcoming your hubby’s advances.

Good Luck!

Name: Gordon
Gender: male
Age: 67
Location: Florida
I guess I have more of a comment than a question. I’m 67, a widower and have been recently diagnosed with prostate cancer. I never was very adventuresome when it came to sex. In fact before my wife died two years ago I never had sex with any other woman. I never gave prostate cancer a thought, never gave my own prostate a thought either. Now I’m mad as hell that I didn’t. You see when I started to go to a prostate cancer support group I discovered I could have monitored myself better with a simple self-examination. Why don’t doctors tell us about this? Women are supposed to examine their breasts why don’t men examine their prostate? It’s so easy actually and yet it’s this big secret. Why don’t people talk about this? It makes me so mad because it could have made a big difference in my own life. Do you know about this self-examination Dr Dick? If you do why don’t you tell other people about this? I think it would help a lot if you could help get the word out on this. Now that’s all I have to say. Thank you.

No, thank you Gordon. Thank you for sharing your concern with me…with us.

06214123854_275-prostate-cancer.jpgI’ve been an active proponent of prostate self-exam for many years. Let me explain. My career as a therapist began in San Francisco in 1981. As you may recall, that was precisely the same year a mysterious new disease began showing up among gay men. Back then it was being called gay cancer, but soon it would have another name — HIV/AIDS.

Not surprisingly, my private practice focused down almost exclusively to working with sick and dying people. Luckily, I discovered that I was well suited for the job and I liked it very much. So much so that in the mid-90’s I founded a nonprofit organization called, PARADIGM; Enhancing Life Near Death. It was an outreach and resource for terminally ill, chronically ill, elder and dying people. This was brilliant cutting-edge work and I learned so much from the people I was working with. One of the things that struck me most was that regardless of the disease — cancer, HIV, MS, you name it, or even the aging process for that matter — there was always a woeful lack of information about regaining a sense of sexual-self post diagnosis, or sexual wellbeing for seniors in general.

I recall one participant in particular, a man much like you, Gordon. He too had prostate cancer and, like you, he was mad as hell with the indifference of the medical industry toward prostate self-exam. One day during a group session, John was railing against his doctors and cancer associations for their lack of interest in promoting prostate self-awareness. He pointed to the success of the cultural campaign to get women to do breast self-exams. Like you, Gordon, he couldn’t understand why there wasn’t a similar campaign for men.

150_prostate_cancer.jpgAnother group member, Clare, a senior woman in her 70’s and a breast cancer survivor, helped put things in perspective. She reminded us that breast self-awareness in our culture is a relatively new phenomenon. Her mother, aunt, sister and a niece all died of breast cancer before the self-exam campaign began in earnest. Clare went on to say that it was only through the hard work of individuals and grassroots organizations that actively campaigned for breast self-exams that things began to change. Eventually, this movement changed the cultural mindset. Clare said that it was these individuals and grassroots organizations that helped all of us — medical industry, the cancer lobby and women in general — overcome the denial, shame and embarrassment that was associated with women touching themselves, even to save their lives.

This is an indication of just how ingrained the sex-negativity and body-negativity runs in this culture.

Unfortunately, I couldn’t find the funding I needed to continue Paradigm, so after only a couple of years of these groundbreaking programs I had to close up shop. This precipitated a rather sudden move to Seattle in 1999. I guess I was having a major mid-life crisis myself.

I continued to work with sick and dying people here in Seattle. I had a brief gig at a local cancer center where I developed an NIH (National Institute of Health) funded program for women newly diagnosed with ovarian cancer. I was also working with a group of women with breast cancer and another group of men with prostate cancer. Again I realized that just about every therapeutic intervention I encountered — government funded or foundation funded — was woefully lacking in any clear and unambiguous information about sexual health and wellbeing and intimacy issues.

04011106.jpgTo remedy this, I began planning a video series for people experiencing life threatening and/or disfiguring illnesses. Videos that would help them address reintegrating sex and intimacy post diagnosis. One of the first videos was going to be Public Service Announcement showing men how to do a prostate self-exam. By the way, this particular film was to be dedicated to my friend John, the guy I mentioned earlier. He died shortly after the Paradigm group he was in ended. But he was militant to the end about the pressing need for prostate awareness among men.

Once again the stumbling block I encountered was funding. My grantwriting efforts turned up nothing. I did get a whole lot of, “what a fine idea, Richard. Good luck with that…” brush-off letters though. No foundation would be caught dead funding sexually overt pattern films, even ones with the laudable intent of assisting people with the very information they needed most.

I’m sorry to have been so long-winded in my reply, Gordon. I just wanted you to know that many have preceded you with outrage at the conspiracy of silence regarding prostate self-exam. Let’s face it; our society is so ass-phobic that we’d rather see men die than offer them simple instructions how to finger their butt, find their prostate and keep tabs on their prostate health.

If we want this to change we all need to speak out…as well as stick a finger in our ass.

Keep up the fight, Gordon! And please, stay in touch.

Good luck

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Sex Advice With An Edge — Podcast #26 — 08/13/07

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Hey sex fans,

I have a really swell show for you today. We have a bunch of kinky questioners from all over the globe. And I respond with an equal number of feisty, friendly and oh so enlightening responses! Hey, it’s what I do.

  • Suzie and her hubby are budding pervs stuck in the heartland.
  • Ramish doesn’t have a clue on how to begin.
  • Fran’s got a Samson and Delilah thing goin’ on!
  • Spencer wants to know more about milking…and not the bovine variety.

BE THERE, OR BE SQUARE!

Check out The Lick-A-Dee-Split Connection. That’s dr dick’s toll free podcast voicemail. Don’t worry people; no one will personally answer the phone. Your message goes directly to voicemail.

Got a question? No time to write? Give dr dick a call at (866) 422-5680. Again, the TOLL FREE voicemail number is (866) 422-5680. DON’T BE SHY, LET IT FLY !

Look for my podcasts on iTunes. You’ll fine me in the health section under the subheading — Sexuality. Or just search for Dr Dick Sex Advice With An Edge. And don’t forget to subscribe. I don’t want you to miss even one episode.

Say, would you like to become a sponsor for one or more of my weekly sex advice podcasts? As you know, I plug a product or service at the beginning and end of each show. Each podcast has its own posting on my site along with the name of the podcast sponsor and a banner for the product or service.

The beauty part about this unique opportunity is that once a sponsor’s ad is included in a particular podcast that sponsor is embedded there forever.

Your sponsorship also underscores your social conscience. Your marketing dollars will not only got to promote your product, but you will be doing so while helping to disseminate badly needed sex education and sexual enrichment messages. Simply put, ya just can’t get a better bang for your advertising buck!

For further information, contact me at: dr_dick@drdicksexadvice.com

Today’s podcast is once again bought to you by: DR DICK’S HOW TO VIDEO LIBRARY.

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Sex Advice With An Edge — Podcast #03 — 02/26/07

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Hey sex fans,

This week we visit with

  • Cuckold Paul — his girl has done him wrong!
  • Anne is caring for two babies — her newborn…and her husband!
  • Gordon has a finger in his ass. He thinks you oughta have one in yours too.

And finally,

  • Bill really needs to take a leak…in his pants!

BE THERE, OR BE SQUARE!

Don’t forget The Lick-A-Dee-Split Connection. That’s dr dick’s toll free podcast voicemail. Got a question? No time to write? Give dr dick a call at (866) 422-5680. Again, the toll free voicemail number is (866) 422-5680.

Dr Dick is now on iTunes. You’ll fine me in the podcast section under the heading — Health, subheading — Sexuality. Or search for Dr Dick Sex Advice With An Edge. And don’t forget to subscribe. I don’t want you to miss even one episode.

Today’s Podcast is brought to you by the erotic artist, Axel.

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