Sex after prostate cancer

— Prostate cancer treatments can have side effects that may result in changes that affect intimacy, desire and function. While these symptoms are often temporary, they can be distressing and it’s important to talk to your physician about what to expect and the steps you can take to improve them.

Why this happens

As men become sexually aroused, the brain sends messages through the nervous system to the muscular walls of the blood vessels in the penis. The vessels enlarge, allowing more blood to flow into the penis. The incoming blood makes the penis bigger and harder, causing an erection.

Even if your libido is normal, your hormones, nervous system, muscles and blood vessels need to work properly to get an erection. Cancer treatments may affect your hormones, which in turn can affect your libido as well as the nerves, muscles or blood vessels that play important roles in causing an erection.

Prostate cancer treatment and erectile dysfunction

Erectile dysfunction (ED) is one of the most common side effects of prostate cancer treatment. Nearly all men will have trouble getting an erection for a period of time after undergoing different types of treatment, such as:

  • Surgery. The nerves responsible for an erection (the cavernous nerves) travel very close to the prostate gland and may be injured during the removal of the prostate. Nearly all men who have their prostate removed will have trouble getting an erection for some time, even if they have a “nerve-sparing” operation. However, most men recover with time.
  • Radiation therapy. Damage to the delicate tissues involved in getting an erection, such as nerves, blood vessels or blood flow, can occur with radiation therapy. These side effects appear more slowly during the year after treatment. Men may have softer erections, lose their erection before climax (orgasm) or not be able to get an erection at all.
  • Chemotherapy. The drugs used in chemotherapy treatment of prostate cancer may affect your libido and erections if it affects testosterone production, but most men still have normal erections. Chemotherapy can also cause fatigue or distress, which can affect your sexual desire and ability to have an erection, but normal desire usually returns when treatment ends.
  • Hormone therapy. The prostate depends on androgens, such as testosterone, to do its work. Unfortunately, testosterone may help some prostate cancers to grow. The hormone treatment used in prostate cancer, called androgen deprivation therapy (ADT) blocks androgens to slow the growth of prostate cancer, but it can also decrease libido and sexual function. (ADT does not cure prostate cancer.)

Recovery after prostate cancer treatment

Time is the most important factor in recovery. The healing process for men who have had nerve-sparing radical prostatectomy (removal of the prostate) is often 18 to 24 months or more, because nerve tissue requires a longer time to heal. How much erectile function returns depends on several things:

  • The type of operation you had (one, both, or no nerves spared). Most men with intact nerves will see a substantial improvement within a year of treatment.
  • Your age: Men under 50 or 60 are more likely to recover their erections than older men.
  • Your erectile function before the operation. Men who had good erections before surgery are more likely to recover their ability to get an erection than those who had previous erection problems.

It is also common to need medications to assist with erectile function, even if you did not need them before your operation.

Rehabilitation and aids

Studies suggest that starting a program to promote erections about six weeks after surgery can help some men recover sexual function. Different methods are available, depending on your case, your level of motivation and the judgment of your surgeon. These penile rehabilitation programs focus on increasing blood flow to the area to encourage healing and help men have regular erections that are hard enough for penetration. Having two to three erections a week, even if there is no sexual activity, helps keep the tissues in the penis healthy.

Several options are available to treat ED, and they may or may not be part of a rehabilitation program:

  • Medication: sildenafil/Viagra®, tadalafil/Cialis® or vardenafil/Levitra MUSE™(a prostaglandin suppository that you insert into your urethra)
  • Vacuum erection devices
  • Penile implant
  • Penile self-injection with a prostaglandin: alprostadil/Caverjet™/Edex™

Complete Article HERE!

How to keep your sex life thriving after prostate cancer

— Poor sexual function is the most common consequence of prostate cancer treatment, but support through the NHS is patchy and many men suffer in silence.

By Laura Milne

When BBC presenter Gabby Logan and her husband Kenny, the former Scotland rugby union winger, experienced difficulties with their sex life after he had his prostate removed last year, rather than keep it under wraps, they decided to make a podcast about it.

The couple, who have been married for 22 years, discussed their issues in an interview about Kenny’s prostate cancer diagnosis and subsequent erectile dysfunction on Gabby’s podcast The Mid Point.

Kenny, 51, who won 70 international caps representing Scotland, said his wife, 50, had expected the passion in their relationship to be reignited “immediately” after his operation and when he was unable to perform, it knocked his confidence badly.

He said: “When we first tried to have sex after the operation, Gabby said, ‘Oh, it’s not working, that’s it, it’s not working’. You didn’t even give me a chance. What actually happened from that was my confidence went rock bottom.

Gabby and Kenny’s experience is far from unusual. In the UK, prostate cancer is the most commonly diagnosed cancer in men and more than 395,000 were living with it, or had been successfully treated for it, in 2018.

According to the Life After Prostate Cancer Diagnosis (LAPCD) study of 35,000 men in the UK, funded by men’s health charity Movember, poor sexual function is the most common consequence of prostate cancer treatment (79 percent with prostate cancer compared with 48per cent of men in the general population).

Unfortunately, the problem remains one that is either not addressed routinely or at all in prostate cancer care.

The LAPCD study found that 56 per cent of men were not offered any help with sexual dysfunction following their treatment.

Problems with sex can lead to stress, anxiety, anger and even shame.

Some men don’t like to talk about vulnerable feelings because they think they should be “strong and silent”. Others avoid talking because they’re overwhelmed or trying not to burden their partner.

But learning how to face these challenges and work through them can strengthen your sexual wellbeing, explains Dr Karen Robb, Implementation Director for Cancer at Movember. “Sexual wellbeing – the balance between the physical, social and emotional aspects of sex – has not always been a common topic of conversation, but fortunately that is changing,” she says.

“Talking about sex after prostate cancer can be uncomfortable but open communication between you and your partner, if you have one, is a key part of sexual recovery following treatment. Acknowledge what has changed for you so that you can do something about it, with the right support.”

Almost every kind of prostate cancer treatment, including surgery, can cause sexual dysfunction, the most common of which is erectile dysfunction or ED, following a prostatectomy (surgical removal of the prostate).

This means that although you may feel aroused or in the mood for sex, chances are you’ll have difficulty getting an erection.

Why does ED happen after prostate cancer surgery?

“Surgery to remove the prostate affects the nerves and blood supply around the penis,” explains Karen. “The penis needs a healthy blood flow to get an erection. Without this, it won’t become as hard as it did before surgery.”

During surgery, the entire prostate is removed. The nerves that help create erections run down the left and right sides of the prostate gland. The surgeon can usually take out the prostate without causing permanent harm to the nerves on either side.

But if your cancer is too close to the nerves, they may need to be cut out.

How long does ED last after surgery?

It might take some time to improve, and the level of function you get back depends on a number of things including your age, lifestyle, any medications you take and whether you had nerve-sparing surgery.

As Karen explains: “Some things you can work on, such as exercise and keeping a healthy weight.

“Some are a bit more out of your control. However, all are things you can talk about with your doctor and see what recommendations they have that can help.”

What can you do about ED after prostate cancer?

Sex and intimacy after prostate cancer can look different for everyone, but there are options to keep your sex life thriving. Exploring new ways to have sexual pleasure and intimacy is essential after treatment and can even be a way of improving your erections.

There are different types of ­medication and sexual aids that you can try, all with pros and cons.

Everyone is unique so you may need to try out a few options a number of times and perhaps in combination to settle on the best solution for you. Discuss this with your healthcare provider.

To support men and their partners following prostate cancer treatment, Movember has launched an evidence-based online guide
called Sex and Intimacy After Prostate Cancer.

Informed by sexual health experts, it covers ED, dealing with physical changes after surgery, connecting with a partner, restoring intimacy, and coping with stress and anxiety. It also provides practical strategies, such as exercises, information about medication and devices, and how to have conversations with your doctor or care team.

“It’s vital to talk and not to just ignore it”

Chris Pedlar, 56, took early retirement from the Environment Agency in 2022 after 33 years, and lives with his partner in Devon. Nine years ago, Chris became the third generation in his family to bediagnosed with prostate cancer.

“My grandfather died from prostate cancer and my father was treated for it when he was 60. He went on to live for another 25 years, cancer free. He made sure that I started having PSA tests at 45 and I was picked up as having medium-risk cancer at 48.

“I opted for surgery rather than radiotherapy as I knew I would have the option of additional radiotherapy later on.

“Due to my father’s experience, I knew beforehand what to expect. Although I recovered quickly from the surgery itself, I had some of the usual side effects, including erectile dysfunction and some minor urinary problems, which I’ll have for life. I tried all the usual interventions such as injections, which made me feel terrible, and pumps which, while they serve a purpose, are a huge commitment. It didn’t put me off seeking advice though.

“Sex is an important part of a relationship and just because you’ve had a cancer diagnosis, it doesn’t mean that part of your life is over.

“Cancer can put a massive strain on a relationship – it affects both partners and you need to be able to talk about it honestly with each other. My partner and I have found that humour is the best way to deal with the problems we had, and I was determined from day one, this was not going to get me down.

“Because of the stage my cancer was at when it was discovered, I wasn’t able to have nerve-sparing surgery. That meant drugs like sildenafil (Viagra) shouldn’t have worked for me because of the nerve damage caused by the surgery. Everyone’s situation is different, but I never gave up hope, and after three years I asked my doctor if I could give sildenafil a try to see if it would help in any way, and I was pleasantly surprised to find it worked for me.

“From the beginning, I decided to be very open about my cancer. I recognise that not everyone deals with the experience in the same way. A lot of men bury their heads in the sand and won’t ask for help, even though it is having a negative impact on their lives.

“I was comfortable with talking to my doctor about ED because I wanted to find a solution – but a lot of men are reluctant to even mention it and so they just suffer in silence, which can have a negative effect on their mental health and their relationships.

“We need to work harder to break down those barriers that prevent men from talking about problems seeking help and seeing their GP when they need to.”

Complete Article HERE!

Maintaining Your Sex Life After Prostate Cancer

Sex may be different after prostate cancer treatment, but it can still be enjoyable

If you have prostate cancer and your healthcare provider recommends treatment, you might be wondering how your sex life may or may not be affected. You’re not alone if you have questions about this, as this is a common concern.

“Treating prostate cancer is about treating the whole person,” says urologist Raevti Bole, MD. “We have many effective therapies to help you resume intercourse if that’s your goal. But we want you to feel like you can talk to your provider and partner about your issues or concerns.”

Dr. Bole explains how your sex life may evolve after treatment and answers some commonly asked questions.

Can you have sex after prostate cancer?

Sexual and urinary side effects are common after prostate cancer treatment. “But yes, we can help most people get back to a satisfying sexual experience, though this may look different after treatment,” says Dr. Bole.

There are two gold-standard treatments for prostate cancer:

  • Radical prostatectomy removes your prostate gland and the two small glands at the base of your prostate called seminal vesicles. Pelvic lymph nodes may also be removed as part of this operation.
  • Radiation therapy delivers radiation to your entire prostate to destroy cancer-specific cells, and often the pelvic lymph nodes as well. If you opt for radiation therapy, you may receive androgen deprivation therapy to reduce testosterone in your body. This combined approach provides improved overall treatment.

New treatment options, such as high-intensity focused ultrasound therapy and cryotherapy, are being investigated for the potential to treat focused areas of the prostate gland and potentially lessen sexual side effects. But these treatments are typically only an option for certain types of prostate cancer, and you may eventually need a prostatectomy or radiation therapy down the line. Consultation with a urologist who specializes in prostate cancer is the best way to determine if you’re a candidate for any type of focal therapy.

Sex after prostate biopsy

To confirm a diagnosis of prostate cancer, you need to have a biopsy. During this test, your healthcare provider collects a sample of prostate tissue to look for cancer. They can do this in one of two ways:

  • Transrectal biopsy: This biopsy occurs by inserting an ultrasound probe into your rectum and then using a needle to pass through that probe to get the sample cells from your prostate.
  • Transperineal biopsy: This biopsy is taken by inserting a needle into the skin of your perineum (the area of skin between your genitals and your anus) to remove sample tissue cells from your prostate.

Though you may be sore for a couple of days, there aren’t any restrictions on sexual activity after having a biopsy. It’s common to notice old blood in your ejaculate for up to a month or two. This typically goes away on its own as you heal and isn’t associated with pain. Infection is a risk after a biopsy, though the risk is much lower when it’s taken through your perineum.

“For the vast majority of men undergoing an uncomplicated biopsy (either transrectal or transperineal), long-term sexual function should not be affected,” reassures Dr. Bole.

In most cases, if you’re feeling well, you should be able to ejaculate or have sex again when you feel ready. If you participate in receptive anal sex, you should wait for two weeks or until you’re fully healed, especially if you had a transrectal biopsy. But if you experience any blood, pain or swelling, you should refrain from sexual activity until you meet with your healthcare provider.

Sex after prostatectomy and radiation therapy

Once your provider confirms a diagnosis, they’ll discuss your treatment plan with you. Both prostatectomy and radiation therapy can affect your sexual performance in the following ways:

Anal sex safety

Your anus doesn’t create its own lubricant, so the tissue inside of your anus is delicate and susceptible to tearing. Luckily, that tissue heals relatively quickly. If you have anal sex, it’s important to let your surgeon know before you have your prostate removed. Your surgeon will help you determine when it’s safe to insert anything anally. In most cases, it’s OK to participate in anal sex after six weeks.

“Know your body and take your time,” advises Dr. Bole. “If you’ve waited to heal after prostate removal, but you have anal intercourse and notice pain or blood, talk to your surgeon who may advise you to wait longer.”

In some cases, having your prostate removed may affect your ability to enjoy receptive anal sex.

Erectile dysfunction after prostate cancer treatment

For some people, undergoing prostate cancer treatment can result in some difficulty getting or maintaining an erection. This erectile dysfunction (ED) occurs because the nerve bundles that help control erections sit behind your prostate.

Surgeons make every effort to leave these nerve bundles intact, but the nerves may become damaged. If the tumor has grown into your nerve bundles, your surgeon may remove the nerves entirely.

“Erectile dysfunction is not uncommon after prostate cancer surgery, but the level of effect is variable in the short and long term,” explains Dr. Bole. “Your prognosis depends on your erectile function before treatment, your age and whether your nerves were spared. Erectile function can improve for up to two years after surgery, but it’s possible that it does not return to normal. This is also affected by natural aging and any other health conditions you have.”

Radiation therapy can also affect the nerves around your prostate depending on the type of radiation, your age and health conditions. According to Dr. Bole, in general, five years after radiation therapy, about half of people have some level of erectile dysfunction.

Orgasm after prostate cancer treatment

You can orgasm after prostate cancer treatment, but it usually results in a dry orgasm. With a dry orgasm, no fluid comes out of your urethra when you climax. But you can still feel the pleasurable sensation of climax.

Why do you have a dry orgasm? If you had a prostatectomy, the procedure removes the seminal vesicles (which produce and hold your semen) and cuts the vas deferens, so there isn’t any semen to come out. And radiation therapy causes the tissues in and around your prostate, including your ejaculatory ducts, to become fibrous, or stiff and dense. Although there isn’t a reliable treatment to improve a dry orgasm, it’s a common condition where up to 90% of people who receive radiation therapy can develop dry orgasms over time.

Climacturia after prostatectomy

Climacturia is when you leak any drops of urine during an orgasm. Though this number can vary, on average, climacturia can occur in about 25% of people after prostate removal. Studies have found that of these people, only half of them have enough climacturia to be bothersome.

Lack of interest in sex after prostate cancer treatment

Androgen deprivation therapy often accompanies radiation therapy and reduces testosterone production in your body. When you have low testosterone, you could experience a decrease in your sex drive (libido). “The general stress and anxiety of treatment may also affect your desire to have intercourse,” notes Dr. Bole.

Infertility after prostate cancer treatment

If you’ve had your prostate removed, you can’t get someone pregnant through intercourse. After surgery, you no longer produce semen, which carries sperm when you ejaculate. Radiation therapy also reduces semen production and affects your ability to make sperm.

If you’re considering having children, talk to your healthcare provider before prostate cancer treatment. There are several options for preserving fertility before cancer treatment or retrieving sperm (if you have them) after treatment.

Treatment options for ED after prostate cancer treatment

Sex is often different after prostate cancer treatment, but it can still be enjoyable. “Treatments for ED are often focused on penetrative intercourse,” says Dr. Bole. “But the sexual experience is often not just about penetration. We work with you to discuss your goals for sexual health or intimacy with a partner.”

Treatments for ED include:

Erectile dysfunction medications

There are many medications to treat ED, including Viagra® and Cialis®. “These medications are often the first treatment we recommend,” says Dr. Bole. “They are inexpensive, and if you don’t like them, or they don’t work well for you, you can stop taking them at any point.”

Penile rehabilitation

The goal of penile rehabilitation is to reduce the risk of permanent ED before you have treatment. It focuses on increasing oxygenation and preserving the structures of the erectile tissues to prevent long-term damage. The theory is that helping people regain erections earlier than later after treatment could prevent long-term damage. Think of it as a “use it or lose it” approach.

This is an active area of research and there’s no standard protocol that’s been proven best for every person, says Dr. Bole. Your oncology team may recommend their preferred protocol, such as oral medication, to promote the early return of erectile function and, hopefully, longer-term recovery.

Penile injections

Medication you inject into the base of your penis, called intracavernous injections, can improve your ability to stay erect. Your healthcare provider can teach you how to inject the medication for times when you want an erection.

“The medication takes about 10 or 15 minutes to take effect and may not be the best option if you have a fear of needles,” notes Dr. Bole. “But if you’re looking for a better erection after prostate treatment, and the oral medications are not working, injections can be very effective.”  

Vacuum constriction device

A vacuum erectile device (also known as a penis pump) draws blood into your penis to help you get an erection. Usually, it comes with a rubber ring you slip down over the base of your penis to hold the blood in. It can be a good option if medications aren’t working well or you don’t want surgery.

Surgery

There are several types of penile implants to improve erections, including:

  • Malleable prosthesis, a noninflatable implant that’s always semirigid and you bend it up or down.
  • Inflatable implant, a device placed in your penis that inflates using a pump in your scrotum.

Climacturia treatment

If you have climacturia, pelvic floor muscle therapy can help you improve urinary control. This noninvasive treatment involves simple exercises to strengthen the muscles that help regulate urination.

Surgery is another option. Your healthcare provider can insert a sling made from synthetic mesh-like surgical tape around the area of your urethra to reposition it. The pressure caused by the sling often helps prevent leakage.

People with climacturia may also experience erectile dysfunction. “In the instance you experience both, we can do a combined surgery to put in a penile prosthesis and a sling to address both problems,” says Dr. Bole.

Therapy for you and your partner

Sex therapy, couples therapy and support groups are important resources for people who’ve undergone prostate cancer treatment and their partners. Sex can often be an uncomfortable topic, especially if you or your partner are experiencing changes in sexual behavior and are unsure of how to communicate your feelings. If you’re experiencing shame or embarrassment, or feel like you’re inadequate, please know that these side effects of prostate cancer treatment are common and (in most cases) treatable with the right tools and therapies.

Some therapeutic options that can be beneficial after your treatment include:

  • Couples therapy centers around your relationship with your partner. It can help resolve conflicts and find ways to communicate better about things that are upsetting to you and your partner. A couples therapist can help you discuss these issues, so they don’t interfere with your relationship.
  • Sex therapy focuses on sexual intimacy and helping couples show affection with and without penetration. That may include the use of sex toys or other activities you may not have considered before. Some sex therapists even specialize in working with people who have or who’ve had cancer.
  • Support groups connect you with others going through the same experience as you. They can help you understand what to expect and how others have handled specific challenges. Many people find support groups as a source of hope and comfort, and your healthcare provider can help connect you to these resources should you need them.

“Our goal is to make sure you live the longest, healthiest and most fulfilling life possible,” says Dr. Bole. “We treat cancer to protect your life, then we help get back your quality of life. If intimacy and intercourse are important to you, we can help you get back to experiencing those again safely.”

Complete Article HERE!

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!

ENJOY!

Down, but not out

Name: Roger
Gender: Male
Age: 70s
Location: Saugatuck Michigan
Hi– linked to your very interesting site via Allkink. My question: last year I underwent radiation on my prostate; it was enlarged and had cancer cells. Apparently it did the job, since my PSA is way down and the Dr. says I’ve shrunk, and am healthy otherwise. But since then I am almost totally impotent (don’t get erect when I want to, though sometimes get semi-erect at random times). I can still orgasm, but don’t ejaculate; sometimes a little clear fluid dribbles out afterwards. Curiously, I could still ejaculate during and right after the radiation treatments, but not now. Also in general a noticeable decrease in libido. Needless to say, very annoying.

I’m gay, solo, in my 70s, celibate since mid-1980s when I tested HIV-, and a dedicated bottom. I knew I was at risk, and “safe-sex” just didn’t turn me on. I’ve been using dildos of all sizes for years. Now, insertion has become a little painful (kinda stings, like the first times way back when), but after several tries they go in OK. Those of larger girth or not-very-smooth texture are really difficult, and I’ve pretty much given up on them (though “John Holmes” still works!). There is occasionally a little blood on the dildo afterwards, but bleeding doesn’t persist, and Dr. says I have no hemorrhoid. The radiologist did warn me that the treatment might produce scar tissue in the colon. Is that a possibility?

I hate to think that I ought to give up altogether on my little pleasures, but would welcome you advice/opinion. I haven’t discussed this with my urologist, whom I don’t know very well, but did bring it up with my (female) GP, who didn’t seem overly concerned and merely suggested lots of lube, which was not news to me.PMB110

Wow, Roger, that was a mouthful. I am so delighted that you wrote in. I love hearing from folks in their 60’s 70’s and 80’s who are still enjoying a rich and fulfilling sex life, even if it is by themselves. I am of the mind that self-pleasuring can be some of the most rewarding sex available to a person at any age. And nowadays, with all the amazing sex toys on the market, one can enjoy solitary sexual pleasure like never before.

I’ve written and spoken a lot about prostate issues including the aftermath of cancer treatments. May I suggest that you take a look at the CATEGORY section on the sidebar of my site? There you will find a category labeled “Health Concerns.” There are subcategories for “Anal Fissures,”  and one for “Prostatectomy.”  I realize that you haven’t had a radical prostatectomy, but your situation is very similar to those men who have. If you click on either of those two subcategories you will find loads of useful information in both written and podcasts form.

In the meantime, let me see if I can address some of your questions in a nutshell. You ask about possible scar tissue from radiation therapy. The short answer is; yes, scar tissue is possible, even probable. And as we all know scar tissue is not nearly as pliable as regular tissue. Scar tissue also MR01034has fewer nerve ending than normal tissue. You could be injuring yourself without even knowing it since the sensations in your ass are considerably less then they once were. I’d be willing to guess that this might be the source of the bleeding you report. Maybe you need to retire the really big toys, like the John Holmes, and enjoy something more modest for the time being. Another suggestion is to try an inflatable dildo.  or a smaller insertable that vibrates.  There are several on the market. You can find several in My Stockroom. The advantage to something like the inflatable dildo is that you could insert something relatively narrow  and inflate to a larger size once inside. This would avoid ramming a big dildo in bum from the get go. And a vibrating insertable would add stimulation without the length or girth.E477

As to your erection issues; yeah, I hear ya. Aging alone will take its toll on the hydraulics that give us wood. When you couple that with the trauma of invasive surgery and/or radiation therapy, well it’s no wonder stiffies elude us. I tell the men that I see in my private practice, who are similarly challenged as you, to use a cock ring  to assist in getting the best boner possible under the circumstances. A penis pump works pretty well too, if you want to go the distance.  I have lots more to say about these devices if you care to hear about it.

C923Also, several men I know with erection concerns are taking a cue from the women folk and employing a vibrator in their sex play. There are the insertable kind, as I’ve already mentioned, and there are external ones too. Have you given this option a thought? The extra stimulation a vibrator can produce will increase blood flow and thus a more substantial boner. I have a whole lot more to say about this too if you care to write to me for that information.

In the end, it will be desire that will continue to propel you to further enjoy yourself and the pleasures your body has to offer. I wish you continued lust and many more years of healthy and life-affirming sexuality.

Good luck

Awakening Your Sensual Self Post Cancer

Name: Doug
Gender: Male
Age: 58
Location: San Diego
HI: I need some help. I had my prostate removed due to prostate cancer. I feel I have lost my man-hood. I don’t experience hard-ons anymore. My penis is dead. Can you recommend something to help me?

It’s truly uncanny; in the past week alone I’ve received similar email from four different people. Each had a very different presenting problem, but all were experiencing very similar sexual issues. Get this, I heard from a woman in Japan who is recovering from a radical mastectomy. I heard from a guy in San Francisco who is recovering from a serious meth addiction. A young wife and mother in North Carolina whose husband, and father of her two kids, has returned from Iraq a basket case…and now you, Doug.prostatecancer_600x450

Its astonishing that, despite the dramatic differences in each of your life stories, all of you report pretty much same thing — you feel less than whole, disconnected from your sexuality and devoid of any real intimacy or meaningful sexual outlet. It is so amazing how, despite our unique individual difficulties, there are often a universal response to life’s troubling complexities.

Regaining a sense of your sexual-self after prostate surgery, or any of the other problems I mentioned above, is an arduous, but rewarding task. With your self-confidence in the toilet and zero libido to boot, I suggest that you begin your rehabilitation by connecting with others similarly challenged as you. In your case, it will probably be other cancer survivors. More likely than not, they will be a whole lot more sympathetic to your issues and attuned to your predicament. Sometimes, people who have yet to experience a life threatening disease or a disfiguring surgery don’t have a clue about how to interact with those that have. It’s not their fault, it’s just the way things are.

I suggest looking into a support group, if you haven’t done so already. Once you make that connection, you will find, that you are not alone. Other people similarly challenged as you are experiencing many of very same things you are. And to my mind, it’s way much easier to face and handle life’s difficulties when surrounded and supported by others.

AGDD_front coverOne word of caution; my experience is that many disease-based programs and support groups shy away from intimacy concerns. This is a real tragedy, because this is the one aspect of healing that consistently remains unaddressed by the medical profession. That is way I included an entire chapter about the intimacy and sexual needs of chronically ill, elder and dying people in my book — The Amateur’s Guide To Death and Dying; Enhancing the End of Life. I encourage you to check out the book; it’s loaded with amazing sex-positive information.

Next I suggest that you first try connecting with people on a sensual level as opposed to a sexual level. I firmly believe in massage as the best say to accomplish this. Think about it. Imagine the good you’ll be able to do for others, as well as yourself with therapeutic touch. And, to my mind, therapeutic touch also includes sensual touch. It will soothe so much more than the jangled nerves and disrupted muscle tissue caused by radical invasive surgery. It gives the one doing the touch a renewed sense of him/herself a pleasure giver, which is totally important to us all. And when you receive the touch, it will begin to reawaken sensory perceptions you thought were lost for good. And your libido as well as your erection will bloom again. I promise. Here’s a tip: to keep that stiffy goin, I encourage you to use a cockring.

Now if you feel your massage skills aren’t up to par, why not take a class or workshop in massage. You might want to look to something like the Body Electric School Of Massage. They have load of training options. And learning is a hands-on experience. What could be more liberating than that?

If a class is a bit too intimidating at first, you might consider purchasing a book on massage. A great primer is: Male Erotic Massage by Ray Stubbs, Ph.D.  This is a holistic approach to bodywork, including the sexual and the spiritual aspects of Male Erotic Massage. There are over 200 photographs in this volume that reveal both massage techniques and the beauty of the male body embracing the male body. The strength, the joy, the gentleness, the ardor, the tenderness, the equanimity, the pleasure — they are all included.

Another title is: Erotic Massage, The Touch of Love also by Ray Stubbs, Ph.D.  This is a more inclusive volume of erotic massage. It describes long, flowing strokes for the whole body, including female and male genitals. By the way, this was the very first massage book to explicitly illustrate genital massage. The techniques described are simple and easy to perform. It’s superbly illustrated, and the text is both tender and playful.Massage

Finally, your gift of massage is the ideal way to connect with another human, be it a friend, a family member, lover, or even a stranger. Your touch can be either seductive or non-seductive, or maybe a little of both. You can count on this purposefully touching to open new doors. You’ll discover new pleasures, both subtle and profound, as you give as well as receive touch.

I encourage you to push beyond the isolation I know you are feeling, Doug. Purposeful touching, like massage, will change your perceptions about sex, sensuality, and intimacy. And like I said, it will also resurrect your boner. I know this can happen. I’ve seen it happen. Doug, now it’s your turn to make it happen!

Good luck

Hey dr dick! What’s that toll-free podcast voicemail telephone number? Why, it’s: (866) 422-5680. DON’T BE SHY, LET IT FLY!

You make me want to shout!

Hey sex fans!

Welcome to this our latest edition of Product Review Friday. Today we feature the second of the two products sent to us by that sizzlin’ hot company, Spare Parts Hardware.

But wait, you didn’t miss the first of our reviews, did you? Well not to worry if you did, because you can find it all our previous reviews archived on my Product Review site, Dr Dick’s Sex Toy Reviews. You’ll find our first Spare Parts Hardware review HERE:

Today we welcome back Dr Dick Review Crew member, Carlos. We’ve missed you sir and we’re so glad you’re back with us.

Deuce Male Harness – $139.99

Carlos

Thanks, Dr Dick, it’s good to be back.

Those of you who follow my reviews may recall that way back in October 2007, when I participated in my first review; I mentioned I was having some prostate problems. I’ve been calling attention to that issue ever since. Well, earlier this year, I was diagnosed with prostate cancer and soon there after I went under the knife. I had a radical prostatectomy, which removed my prostate gland as well as and some of the surrounding tissue.

Like my Dr Dick Review Crew colleague, Angie, who was diagnosed with lymphoma over a year ago, I’ve been struggling to regain a sense of my sexual-self post surgery. No one; not my doctors, not my nurses, not anyone in the cancer support group I attend ever talks about sex and sexuality post diagnosis and treatment. It’s criminal really.

The surgery impacted every aspect of my sex life — with my myself, with my wife and the periodic connections I used to have with some of my men friends. Thank god I’ve been able to count on Dr Dick to help me through this, because if I had to do this alone I don’t see how I would have made it.

I want to repeat something Angie said. “There is precious little information about sex and sexuality available to cancer survivors. No one seemed to be capable of speaking clearly and unambiguously about how a cancer diagnosis and treatment impacts a person’s intimate life. This conspiracy of silence has got to stop!”

Since the surgery I haven’t had a full erection. Dr Dick tells me that I may regain that capacity with time. I also no longer have an ejaculation. That Dr Dick tells me is gone for good. That really bums me out, but I can still have an orgasm, so I’m really happy for that. Dr Dick gave me some exercises to help me with the arousal phase of my sexual response cycle, mostly it masturbation sorts of things. He also suggested that rather than going without partnered sex, I could try a strap on. Hell, I didn’t even know there were strap ons for men. As you can see, I had a lot to learn.

And this is what gets me to the fantastic Deuce Male Harness that I want to tell you about today. It looks and wears just like a jockstrap. It’s completely adjustable so it always fits perfectly. It’s made of a very sensual fabric. And it’s completely machine washable. Oh, and did I mention it is smokin’ hot? It really bolsters my sexual self-confidence. And that’s about the best therapy there is.

Ok, so let’s take a closer look at the Deuce starting with the fabric. Like I mentioned earlier, it’s soft, silky and body hugging. It’s a nylon and spandex blend, which makes it stretchy and durable. If you’re trying to picture it in your mind’s eye think a quality swimsuit material. All the adjustment sliders are made of a durable hard plastic.

The front panel is super functional. The pouch, just like a jock, cradles your own equipment. If you’re gonna just use a dildo or dong with the Deuce. There is a built-in O-ring to stabilize your dong of choice. But here’s the BIG plus; there is an opening below the O-ring that allows you to slip you’re your cock through so that you can use your own johnson along with the dildo. This is ideal for double penetration; or if you simply want to experiment with a bigger dildo than your own cock; or if you want to keep pleasuring your partner after you shoot your load. Ya see, there are lots of reasons a guy might want to use a strap on even if his own unit works perfectly well.

Unlike the more traditional leather harnesses, the Deuce is really sporty looking. The wide waistband, with the attractive Spare Parts Hardware logo on it, adjusts using velcro. There’s also a second set of adjusting straps on the waistband to gain precision snugness. Even the leg straps are adjustable.

You can use a lot of different kinds and sizes of dongs and dildos, just as long as the ones you choose have a base. And putting the dildo or dong in place is super easy, the O-ring is very accommodating.

Don’t be afraid of using lots of lube, because as I mentioned earlier you just pop the Deuce in the washer and you’re done with the cleanup. Don’t even think of trying that with a conventional leather harness.

The Deuce comes with a zippered storage bag. And there’s even a pocket in the bag for condoms and/or a small bottle of lube. It’s idea for travel.

Finally, let me compliment Spare Parts Hardware on their packaging. It’s beautifully simple, yet amazingly classy and every part of the packaging is completely recyclable. Kudos!
Full Review HERE!

ENJOY

5th Anniversary Q&A Show — Podcast #320 — 02/13/12

[Look for the podcast play button below.]

Hey sex fans,

Hey everybody, Happy Valentine’s Day! And guess what? This week’s show marks my fifth anniversary of podcasting. I know! Isn’t that fuckin great? I mean who would have guessed that we’d enjoy such a long run.

And what a year it has been too. I brought you fascinating interviews with remarkable people for all of my series. Play With It series, which features conversations with folks in the adult products industry. The Sex EDGE-U-cation series, which features chats with kinksters and porn stars and advocates of alternative lifestyles. The SEX WISDOM series, which brings you interviews with the movers and shakers n the field of human sexuality. And, of course, The Erotic Mind series, which is now four years old.

But today I have a bunch of very interesting questions from the sexually worrisome to dazzle you with. So let’s launch ourselves into year #6 with a bang.

  • Danny has a short fuse.
  • Daniel asks about sex after a prostatectomy.
  • Janet wants to know which sex toys are right for her and her partner.
  • Terria Lee has new a heavy hung BF, but the fuck is uncomfortable.
  • Loveuniforms want to know about piss enemas.
  • Amber is experiencing painful intercourse too.
  • Ash has a thing for the people she sees in porn, but not in real life.
  • Nikky has only one ball. Will that be a problem?
  • Kristin thinks her partner might be cheating on her.
  • Robin wants to crossdress and be submissive, but will he allow himself to do that?

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.

300th Podcast – A Q&A Plus Much More Show — Podcast #300 — 09/26/11

[Look for the podcast play button below.]

Hey sex fans, welcome back!

I have a special announcement. Today’s program marks a milestone. This is my 300th podcast. I know; can you stand it? We’ve come a long way since I timidly began this audio educational and enrichment effort on February 12, 2007.

In the interim I launched four interview series: The Play With It series, the Sex EDGE-U-cation series and the SEX WISDOM series, all of which appear on Wednesdays. And The Erotic Mind series, which shares Mondays with my traditional Q&A format like today’s show.

This week we hear from

  • Edward is wondering about the pleasures of ass fucking after a prostatectomy.
  • Jim and his wife watched some porn and now they want to try some funky new stuff.
  • I offer ya’ll a tutorial on How To Handle Opening a Relationship.
  • I address some questions about the nature of Sex Therapy and Relationship Counseling.

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.

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

[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

Rapid Fire Dick 2

Name: Tom
Gender: Male
Age: 43
Location: Atlanta GA
Dr Dick I have a large dick and would like to know if size does make a difference, mine iscarrotdm7.jpg 11.5 X 7 I have a problem sometimes with this size, they say it is all in how you use it is this true. Thanks T/Tom

You must think I was born yesterday. NEXT!

Name: maddy
Gender: Female
Age: 14
Location:
hi, um i know i’m young and all but with the world today you’ll see anything, and the thing is is that i’m OBSESSED with penises (and really want to suck one, but wont and cant since i’m so young) and um i don’t know if its my teenage hormones or not, could u suggest what is wrong with me? thank you very much, bye.

Fourteen year old female OBSESSED with penises? I think not. You too must think I was born yesterday.

Ya know, folks, if you’re gonna make up shit, the least you can do is be creative. Plausibility is also a requirement. NEXT!

Name: ???
Gender: Male
Age:
Location:
If I bareback with another guy and he sperms in my ass will I get an STD if he doesn’t have one? If I drink another guy’s sperm will I get an STD if he had no STD?

Are you on acid?

stupid-tee-shirt.jpgHow could you get something (STI/STD) from someone who isn’t infected with anything? All ya have to do is think things through, right?

Perhaps, someone who’s unable to logically put 2 and 2 together is not yet mature enough for partnered sex. Perhaps, that person should stick to pullin’ his pud.

Name: Sam
Gender: Male
Age: 22
Location: UK
Hi Dr. I am a 22 years old male and I have two questions. 1- me and my boyfriend are having anal sex without using condoms, does that affect any of us in any way? 2- my penis is straight which is good, but is there any way that I could make it curve upwards?

WTF? Is this an epidemic of idiocy, or what?

(1) You’re 22 and you still haven’t got the message about the risks of barebacking? If you boys aren’t HIV- and in an exclusive relationship and you’re lovin’ without a glove; then you’re courting disaster. I guess this is one way to cull the herd.

(2) if your unit is straight, that’s the way it’s gonna stay. You won’t be able to train it to curve upward or any other direction.

Name: dave
Gender: Male
Age: 45
Location: oregon
Can a person catch h.i.v by swallowing the cum of a h.i.v. positive lover?

D’oh! You’re 45 and still don’t know the score about HIV transmission? Have you been living under a rock all these years?

Swapping bodily fluids is a sure-fire way of spreading the disease.

Name: John
Gender: Male
Age: 18
Location: Australia
hey, i’ve been finding that while having sex with my g/f that my foreskin is being pulled back upon entry, i’m pretty sure it’s meant to do this anyway when it’s erect but it never really has and frankly i find it a little bit painful. when masturbating i don’t pull it back and it doesn’t decrease pleasure, what do you think i should do?

Sounds like you need to stretch your foreskin so that it will easily retract over your dickhead whenever you want it to.

I’ve written and spoken about this extensively in the past. See the CATEGORY section to the left — in the sidebar? Look of the category Foreskin. Click on that and it will take you to all my podcasts and postings on the topic.

Name: s
Gender: Male
Age: 14
Location: ny
i am uncircumcised and my foreskin and frenulum are perfectly intact. i recently read a blog that said that the first time you have sex your foreskin will “snap” back. if this is true, does it hurt? if not, will how will my foreskin bend back?foreskin002

Nope, that’s untrue…all of it! But you have come to the right place for information about all things that relate to your natural (uncut) cock.

Did you notice the advice I gave to the fella (John) above you? Good! Because that information applies to you too.

It’s too bad that your dad (or parents) didn’t taken the time to clue you into what you can expect from, or how to properly care for your foreskin. It’s his (their) responsibility, ya know. Alas, many parents shirk their duty in this regard.

Listen up parents! Do the right thing. Sit the youngens down for the body/sex talk, why don’t cha already? If ya don’t, your kids will be saddled with all sorts of myths and misconceptions, like the one presented by this young pup. Passing on clear, unambiguous information about their body (including their genitals) and sex is as much your responsibility as putting food on the table.

And finally, mom and dad, if you are unclear about the nuts and bolts of how our bodies work and/or the ins and outs of sex; educate yourself before you lay the info on the kiddies. Remember, it’s your job to educate and enlighten, not add to their misinformation.

Name: BILL
Gender: Male
Age: 53
Location: NEW YORK
Would you cover the topic of sex after prostate surgery? It’s been 16 months since my surgery and i notice a decrease in my penis size. Why did that happen and will it return to normal?

Not only will I, but I already have!

See the CATEGORY section to the left — in the sidebar? Look of the category Prostatectomy
Click on that and it will take you to two podcasts I’ve done on the topic.

As to the decrease in the size of your unit; I’d guess that it has something to do with the trauma your genital area received during surgery. I’d be willing to bet that a whole lotta slow and pleasurable massage/masturbation will increase the oxygen-rich blood flow to the area and this will, in time, restore your willie to its former stature.

Name: steven
Gender: Male
Age: 34
Location: rsa
hi there. i have a webbed penis is it necessary 2 correct this and does it hinder foreskin restoration stretch exercises which seem 2 be working very slowlycircum_egypt.jpg

The term “webbed penis” can refer two different conditions. The first is where the skin of the scrotal sack extends part way up the shaft of the penis. Boys are born this way.

The second condition is a result of adhesions forming between the scrotal skin and the penile skin due to a botched circumcision.

Since you’re practicing foreskin restoration, I’m gonna guess that your condition is the result of a bungled circumcision.

It’s a bummer when an over-zealous doc (or Mohel) docks too much of a boy’s foreskin. It can make for painful erections when he get older. Sadly, this happens way more frequently then most people realize. There’s no way to correct this. In fact, if I were you, Steven, I’d keep my precious cock as far away from a scalpel as possible. I think enough damage has been done already, don’t you?

The foreskin restoration exercises you’re doing will help stretch the skin of your dick shaft and offer you some relief, especially if your erections cause a painful tightening of your dick skin. But, as you suggest, this will take a long time to achieve. I encourage you to keep at it though, because it’s truly worth the effort.

Name: Mike
Gender: Male
Age: 47
Location: Australia
Last year I contracted genital herpes. It eventually cleared up and fortunately has not re occurred. If I have fellatio performed on me and subsequently ejaculate, will I be placing my partner at risk of catching the herpes? Even though I show no symptoms of the disease? I would appreciate your advice. Regards, Mike.

Did you know that there are two herpes viruses? There’s the HSV-1 type (cold sores) and HSV-2 type (genital herpes). Did you know that up to 80 percent of adults have HSV-1 and 25 percent of adults have HSV-2? Kinda amazing, huh?

Obviously it’s pretty easy to catch one or both strains. A whole lotta infected people don’t even know they’ve been infected. Because they never have an outbreak, or the outbreak they have is so inconspicuous they don’t even notice.

Since you know you have herpes, Mike, it’s incumbent upon you to be upfront with your partner(s) about it. Just because you don’t notice an outbreak, doesn’t mean you can’t pass on the infection. That being said, since one out of every four adults has already been exposed, the information you will be sharing won’t be all that startling.

Being upfront with your partner(s) gives him/her the opportunity to make an informed decision about going down on your pole without a condom. And certainly as to weather or not he/she decides to accept the “gift” of your spunk, if ya catch my drift.

Anything less than full disclosure would mark you as a man who has no regard for the wellbeing and best interests of his partner(s).

Good luck ya’ll

Sex Advice With An Edge — Podcast #60 — 04/21/08

[Look for the podcast play button below.]

Hey sex fans,

I have a whopper of a show for you today. We return to our usual question and answer format this week, because I have a steamy load of stimulating questions — and they’re ALL from men. What’s up with that, ladies? Anyhow, I respond with an equal number of cheeky, charming and oh so enlightening responses! Hey, it’s what I do.

  • We get started with a bit of Dirty Talk for comic relief.
  • Marcos can’t last longer than a couple of minutes!
  • Seth’s GF is way ahead of him! Will he be able to catch up and keep up?
  • Doug’s prostate is gone and he’s bummed out for sure.
  • Bryan wants to cum like they do in the movies!

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 find me in the podcast section — just search for Dr Dick Sex Advice. And don’t forget to subscribe. I don’t want you to miss even one episode.

I wanna take a moment to alert you to a new feature here on Dr Dick’s Sex Advice. It’s my PRODUCT REVIEW page. That’s right sex fans, now you can see what 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 products — 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 at the top of the page.

Today’s Podcast is bought to you by: Dr Dick’s How To Video Library.

drdickvod.jpg

Sex Advice With An Edge — Podcast #38 — 11/05/07

[Look for the podcast play button below.]

Hey sex fans,

I have a really big fat and juicy uncut show for you today. We have an extra large load of interesting questions from all over the place. And I respond with an equal number of sparkling, jovial and oh so informative responses! Hey, it’s what I do.

  • Julie is cherry! Is it gonna hurt?
  • Rocket Man, Colleen, Lulu, Mace and Sarah get a quickie.
  • Malcolm’s got a sweet new beau. Sadly, he’s boring in the sack.
  • Lisa is gettin’ it from both her BF and his friend…at the same time.
  • Mark had a radical prostatectomy. Is it ok to get fucked again?

BE THERE, OR BE SQUARE!

Photo Taken In Sofia, Bulgaria

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 Stockroom.

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