6 Questions to Ask Your Doctor About Sex after 50

— Vaginal dryness, erection challenges, safe sex and more

By Ellen Uzelac

With most physicians ill prepared to talk about sexual health and many patients too embarrassed or ashamed to broach the subject, sex has become this thing we don’t discuss in the examining room.

“So many doctors talk about the benefits of nutrition, sleep, exercise — but they don’t talk about this one really essential thing we all share: our sexuality,” says Evelin Dacker, a family physician in Salem, Oregon, who is dedicated to normalizing sexual health in routine care. “We need to start having this conversation.”

Starting the conversation about sexual health

Sexual wellness experts suggest first talking about a physical problem such as a dry vagina or erectile challenges and then segueing into concerns about desire, low libido and intimacy.

As Joshua Gonzalez, a urologist and sexual medicine physician in Los Angeles, observes: “Patients sometimes need to be their own advocates. If you feel something in your sex life is not happening the way you would like it to, or if you are not able to perform sexually as you would like, never assume that this is somehow normal or inevitable.”

Often, there are physiological issues at play or medications that can alter your sexual experience. “If you’re interested in having sex,” Gonzalez says, “there are often real solutions for whatever the problem may be.”

Here are six questions to help steer the conversation in the right direction.

1. What can I do about unreliable erections?

Erectile dysfunction is common in older men — 50 percent of men in their 50s will experience erectile challenges, Gonzalez says, and 60 percent of men in their 60s, 70 percent of men in their 70s, and on up the ladder.

The good news: There are fixes. “This doesn’t mean giving up on having pleasurable sex at a certain age,” Gonzalez says. The two primary things he evaluates are hormone balance and blood flow to the penis. A treatment plan is then designed based on those results.

Some older men also find it often takes time and effort to ejaculate. Gonzalez suggests decoupling the idea of ejaculation and orgasm. What many men don’t realize: You can have an orgasm with a soft penis and without releasing any fluid at all. “Your orgasm — the pleasure component — is not going to change.”

Also good to know: Sexual health is a marker of overall health. As an example, erectile dysfunction can be a predictor of undiagnosed health issues such as heart disease and diabetes years before any other symptoms arise, says Gonzalez.

2. Sex is different now. My body is no longer young but I still have sexual urges. How do I accommodate this new normal?

Dacker often asks her older patients: How is the quality of your intimacy? Is it what you want it to be? Have you noticed a shift as you’ve gotten older and what does that mean to you?

“Naturally, as we age our bodies start working differently,” she says. “I like to reframe what it means to be sexual by expanding our intimate life, doing things that maybe you haven’t thought of doing before.”

Dacker, who teaches courses on how to be a sex-positive health care provider, suggests exploring each other in new ways: dancing, eye gazing, washing one another while bathing, giving hands-free coconut oil massages using your stomach, arms and chest. She’s also a fan of self-pleasure.

“There’s so much pleasure that doesn’t involve penetration, orgasm and erections,” she adds. “It’s not about performance, it’s about pleasure.”

3. My vagina hurts when I have penetrative sex to the point that I’m now avoiding it. What can I do?

A lack of estrogen in older women can cause the vaginal wall to get really thin, resulting in dryness, irritation and bleeding when there is friction.

“It can be uncomfortable with or without sex,” says Katharine O’Connell White, associate professor of OB/GYN at Boston University and vice chair of academics and the associate director of the Complex Family Planning Fellowship at Boston Medical Center. “What people don’t realize is that what they’re feeling is so incredibly common. A majority of postmenopausal women will experience this.”

White offers a three-part solution for vaginal dryness: If you’re sexually active — and even if you’ve never used a lubricant before — add a water-based lube during sex play. Also, consider using an estrogen-free vaginal moisturizer, sold in stores and online, to help restore the vaginal lining. Finally, think about adding back the estrogen that the body is craving through medically prescribed tablets, rings or creams that are inserted into the vagina.

White also advises patients to engage in 20 to 30 minutes of foreplay before penis-in-vagina sex. “The whole body changes and the vagina gets wet, wider and longer, which can go a long way to alleviating any discomfort,” she says.

4. Urinary incontinence is interfering with my sex life. How can I control it?

Because the bladder is seated on top of the vagina, the thinning of the vaginal wall can also impact the bladder. When you urinate, it can burn or you will want to pee more often, symptoms typical of a urinary tract infection, according to White.

Some women feel like they need to urinate during sex, which, as White says, “can pull you out of the mood.” Her advice? “Pee before sex and pee after sex.” She also suggests using vaginal estrogen to plump up the walls of the vagina and, by extension, the bladder.

5. I’m interested in dating again. What screenings for sexual wellness should I get — and require of a new partner?

Fully understanding the importance of reducing your risk for sexually transmitted infections (STIs) should be front and center as you reenter the dating scene, according to nurse practitioner Jeffrey Kwong, a professor at the School of Nursing at Rutgers University and clinical ambassador for the Centers for Disease Control and Prevention’s “Let’s Stop HIV Together” campaign. 

“Individuals should be screened if they’re engaging in any sort of sexual activity — oral, vaginal, anal — because many times, some of these conditions can be asymptomatic,” he says. “You can transmit without symptoms and vice versa.”

Screening may involve a urine or blood test or swabs of the vagina, throat or rectum. With STIs soaring in older adults, Kwong suggests testing for HIV, hepatitis C, hepatitis B, chlamydia, gonorrhea and syphilis. In early 2024, the CDC reported that syphilis cases had reached their highest level since the 1950s.

6. My doctor was dismissive when I brought up sex, basically saying, At your age, what do you expect? What should I do now?

Sex is a special part of life no matter how old you are. “If you’re with a doctor who brushes aside any of your concerns, it’s time to find a new doctor,” White says.

Finding a good doctor, she adds, is no different from looking for an accomplished hair stylist or a reliable mechanic: Ask your friends.

“I’m horrified when I hear about things like this,” she adds. “Any good doctor really wants you to bring up the things that concern you.“

Complete Article HERE!

The Life-Changing Magic of a Urologist

— Here are three issues you may want to address with a professional.

By Jancee Dunn< Urologists often deal with health problems that arise from two very intimate functions: peeing and sex. Because of this, “most urologists tend to have a lot of brevity and a bit of humor, because we know these are hard topics for our patients,” said Maria Uloko, a urologist at UC San Diego Health and assistant professor of urology at the University of California, San Diego School of Medicine.

In my experience (as both a patient and a health journalist), urologists will happily discuss the subjects that some of us laypeople tend to avoid: erectile problems, peeing too much, peeing too little, painful sex, dwindling or nonexistent orgasms, urinary tract infections and the list goes on.

Rachel Rubin, a urologist and sexual health specialist based outside Washington, D.C., said many people don’t share these issues with their doctor even if they are ongoing; they simply learn to live with discomfort. “They’ll tell themselves, ‘Well, that’s just aging. Suck it up,’” Dr. Rubin said. But, “if it bothers you and it matters to you, then it’s a medical problem with medical solutions.”

There are two parts of a urologist’s job. “There’s the serious illness stuff, like cancers,” said Nelson Bennett, a professor of urology at Northwestern University Feinberg School of Medicine, who specializes in male sexual function. “But there’s a big chunk of our practice that is basically quality of life. I tell my patients that no one dies of not having an erection, but they’re still suffering.” All of this may be why people who have seen a urologist (present company included) sometimes say the results are life altering.

Here are three issues you may want to address with a professional.

Erection problems

If you have erectile dysfunction, Dr. Rubin said: “Don’t be embarrassed. So do your friends.” Erectile dysfunction affects as many as 30 million men in the United States, according to the American Urological Association.

There are treatment options for almost every erectile problem, including oral medications, injectable medications, surgery and cognitive behavioral therapy, Dr. Bennett said.

Although it can be tempting to furtively order medications such as Viagra on direct-to-consumer websites, a practice that Dr. Bennett found, in a 2021 study, is dramatically increasing, he said there are several reasons to see a specialist instead. “We can actually begin to figure out why you’re having the problem, as opposed to just taking medication to cover it up,” he said. Some medications can also affect erections, such as antidepressants, which can cause orgasms to be delayed, or vanish altogether. And a urologist can screen for those, he said.

What’s more, erection problems can be a sign of heart problems down the road. Penis arteries, which are one millimeter in diameter, are very small, compared with heart arteries, which are 3 millimeters. “So if you’re clogging your small pipes first, you may have erectile dysfunction before you have your first heart attack,” Dr. Rubin said.

“Those are the guys you need to start looking at,” said Dr. Bennett, “because we know that erectile issues will predate cardiovascular issues by about 10 years.”

Painful sex

For older women, painful sex is a leading sign of genitourinary syndrome of menopause, or G.S.M., a term that in 2014 replaced the dispiriting phrase “vulvovaginal atrophy.” During perimenopause and beyond, as estrogen leaves a woman’s body, the tissues in the vulva, vagina and urinary tract become dryer, less supple and more sensitive. This process can cause recurrent urinary tract infections and incontinence, and sex can become excruciating, which takes many women by surprise, Dr. Rubin said. G.S.M. may affect up to half of postmenopausal women, according to a 2019 review, and is “unlikely to improve without treatment.”

What has been shown to work for conditions like G.S.M., Dr. Rubin said, are treatments like inserts with DHEA, a steroid that mimics hormones, lubricants and moisturizers; ospemifene, an oral medication that is approved by the Federal Drug Administration to treat G.S.M.; vaginal dilators; and low-dose topical vaginal estrogen.

“There’s not a cocktail party or children’s birthday party where I don’t recommend vaginal hormones,” Dr. Rubin said. (It is important, however, that you discuss any of these treatments with your own doctor first.)

Pelvic floor therapy is another option, Dr. Rubin added. “Pelvic floor therapists rehab your muscles, just like you would do rehab after a knee replacement.” And you don’t have to do it forever, she added. “Physical therapists are there to optimize your pelvis and send you out the door.”

Then there’s the D.I.Y. approach: a 2023 review found that vibrators were considered “an accepted modality” to treat vulvar pain. “I think doctors should be prescribing vibrators, which are health aids, just like eyeglasses or hearing aids,” Dr. Rubin added. “The more we normalize them and educate patients in exam rooms about them, the better.”

Bladder issues

You may know that bladder control loss afflicts women at various hormonal stages in their lives — pregnancy, after giving birth and during menopause — but “men are plagued by urinary incontinence, too,” Dr. Bennett said. A quarter to a third of Americans have incontinence, according to the American Urological Association.

There are two main types: “stress incontinence,” which means sudden leaking brought on by activities like coughing, sneezing or exercise, and “urgency incontinence,” a strong and immediate urge to pee, which sends you on a mad dash to the bathroom.

Some male patients will visit the bathroom 10 times a night because of a prostate issue, which leads to sleep deprivation, Dr. Bennett said.

Some treatments for urinary incontinence include medication, and for women, vaginal estrogen, but urologists also teach patients Kegel exercises, use electrical stimulation and employ pelvic floor physical therapy. (Men have a pelvic floor, too.)

Urologists, Dr. Uloko said, “are really glorified plumbers. We know how to fix the leaks.”

Complete Article HERE!

Ladies, get your balls on!

Hello sex fans,

It’s Product Review Friday! We welcome back the award-winning Fun Toys today. As you probably recall, their fabulous G-Vibe made our Best Adult Products List For 2013.

So let’s see what they have in store for us today. And for that we turn to Dr Dick Review Crew member, Christa for her review.

Fun Toys Geisha Balls —— $49.95

Christa
I was pretty sexually precocious as a teen. I had a crush on a girl at age 11. Started masturbating at 13. Had sex with a girl at 14. Had sex with a boy at 16. I liked it all. I guess all my early sexual experiences were so enjoyable because I always felt I was in charge of my body and my sexual expression. No one ever pressured me into anything, and, if the truth be told, I was often the one doing the pursuing and seducing. Not much has changed these many years later.

I learned about kegel exercises when I was a freshman in high school. I read about them in a woman’s magazine that my mother subscribed to. Since I had started masturbating a year earlier, I kinda understood the mechanics of it all. I set my mind to doing my kegels because, as the magazine article said, “they would increase the intensity of my orgasms.” Actually, I didn’t see how my orgasms could get any more intense than they were back then. There were times when I would nearly black out from the pleasure. I know, what a freak, right?geisha_balls_pix_7-1

Since then, I have been on a mission to turn people on to kegels. Take my butt-boy BF, Alex, for example. I was the first girlfriend to ever play with his prostate. Now it’s fuck me, fuck me, fuck me all the time. He is like this total ass whore. The funny thing is that, when this first began, he was all nervous, not that this ass play was gonna make him gay, but that he would get all stretched out down there and he would lose his shit…literally. But I told him to relax and introduced him to kegel exercises. Problem solved.

I got my first set of Ben Wa balls when I was in college. They were beautiful. They came in this really nice silk lined box with a dragon in it. I would insert them then go for a bike ride. Holy shit! Ya know I don’t even remember what became of that first set. I probably lent them to a friend and never got them back.

Nowadays, Ben Wa balls are all the rage because of those bullshit 50 Shades of Grey novels. And nowadays they come in a dazzling array of styles. This brings me to today’s review. Check out these Geisha Balls from Fun Toys. There are four balls in the set, not the usual two. The set includes the lightest and heaviest balls on the market. That’s cool because you can mix and match the balls you use at any one time. In fact, it allows for five-stages of training.

You can use the balls individually or as a pair. Heck, if you’re really adventurous, you can even use all four at once. I have, but then you would expect crazy shit like that from me, huh? And you can use them with or without the sling. These Geisha Balls are body safe, made of abs plastic and the sling is made of 100% soft medical silicone.

whats inside ballsSo if you are following what I’m saying, Geisha Balls assist in toning the muscles in your pelvic region, specifically your pubococcygeus muscle (or PC muscle). This is the muscle that is responsible for stopping the flow of pee. And just about every woman out there knows something about incontinence that comes from stress, or childbirth, or aging. But besides the utility, or training aspect, there is the pleasure aspect. And if you’ve never tried these things, you’re in for a surprise.

The Fun Toys people have thoughtfully included a very specific brochure in their package that spells out all the ways you can use the Geisha Balls. There’s no guesswork and even if you’ve never tried Ben Wa balls before, you won’t be intimidated when you get your set.

Geisha Balls come in a real nice gift box; perfect for gift giving to yourself or someone else. There’s even a sweet little drawstring storage pouch included in the box.

Here’s a tip; mothers, give a set of Geisha Balls to your teen daughters. That’s right, you heard me. Let’s cut the shit and stop pretending that teens aren’t interested in or experimenting with sex either by themselves or with a partner. There are plenty of girls out there who are as precocious as I was. There are even more who could use a helpful hand in trying to figure out the pleasure thing. And if you’re squeamish about promoting the pleasure aspect, focus on the therapeutic aspects. Either way, this is a gift that will keep on giving. And hey, it works the other way around too. Once I discovered how great the Geisha Balls are, I sanitized them by dropping the whole set, sling and all, into a pot of boiling water, dried them off, and passed the balls, sling, and gift box on to my mom. She was only slightly surprised; she’s learned that I can be pretty unpredictable when it comes to sex. I’ll have to replace my set soon.

And the Geisha Balls are so easy to use. I suggest a regiment of 15-30 minutes a day. And you don’t have to interrupt your day to train. Simply insert, and go about your business. You’ll be doing yourself a world of good and they’ll put a smile on your fact too.

You can kick up the action by trying to pull the balls out of vagina by the sling, while your muscles holds them inside. So simple!

And Alex wants me to remind you that Geisha Balls are not just for women and vaginas. They are great trainers for your butt too. And those of you with a prostate in your butt will discover some unique pleasure. I just want to add that you gotta to use the sling with the balls when using them anally.
Full Review HERE!

ENJOY!

More SEX WISDOM With Lara Eardley — Podcast #392 — 10/02/13

[Look for the podcast play button below.]

Hey sex fans! Welcome back.portrait in the blue dress

Author, activist, and passionate advocate for pelvic floor strength, the incomparable, Lara Eardley is back with us today for another go ‘round on this the SEX WISDOM show. I’m still kinda breathless from last week’s show, so I can’t tell you how eager I am for more of her today.

But wait, you didn’t miss Part 1 of our chat, did you? Well not to worry if ya did, because you can find it and all my podcasts in the Podcast Archive right here on my site. All ya gotta do is use the search function in the header; type in Podcast #391 and Voilà! But don’t forget the #sign when you do your search.

Lara and I discuss:

  • Her difficult early life;
  • Being in your body instead of living in your head;
  • From adversity to empathy;
  • The perineal lift;
  • Hands-free orgasms;
  • Reversing incontinence;
  • Those who inspire her and her sexual heroes.

Lara invites you to visit her on her site HERE! Don’t miss her YouTube channel HERE! And she also on Facebook HERE! And Twitter HERE!

 

Click on the cover art below for more information about Lara’s books and her DVD.

pelvic floor DVD Enchantress Book Cover enchantress

BE THERE OR BE SQUARE!

Look for all 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.

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

drdickvod.jpg

SEX WISDOM With Lara Eardley — Podcast #391 — 09/25/13

[Look for the podcast play button below.]

Hello sex fans! Welcome back.facebook dec 2012

I know, let’s take an audio field trip to the land down under to visit with one of the most exciting women I’ve ever met. She is a pioneer in her field. She is an author, an activist, and advocate for pelvic floor strength. In a minute the incomparable, Lara Eardley will join us. But. before she does, I want you to prepare yourself to be bowled over. Laura is a powerhouse of passion and I’m pretty sure we will be treated to the full force of her signature SEX WISDOM. Buckle your seat belts, sex fans!

Lara and I discuss:

  • Being passionate about pelvic floor muscles;
  • Good, responsive and supple muscles prevent incontinence;
  • Education, education, education;
  • Sexual fitness;
  • Her study of Buddhist tantra, sexual medicine, and energetic work;
  • 6000 years of cultural knowledge;
  • Awareness and evolution;
  • Bliss;
  • Ejaculation control and life-force energy conservation;
  • Self-cultivation.

Lara invites you to visit her on her site HERE! Don’t miss her YouTube channel HERE! And she also on Facebook HERE! And Twitter HERE!

 

Click on the cover art below for more information about Lara’s books and her DVD.

pelvic floor DVD     Enchantress Book Cover     enchantress

BE THERE OR BE SQUARE!

Look for all 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.

Today’s podcast is bought to you by: Dr Dick’s Stockroom.

drdicksstockroom.jpg

What’ll I do?

Name: Kit
Gender: Female
Age: 25
Location: Minnesota
Dear Doctor Dick, I have a problem every time I have sex its great until its time to get to the end. To find my completion I always feel like I have to pee I feel the whole belly in knots thing I love having sex and but I don’t enjoy the feeling that I am going to pee on the guy I’m sleeping with any advice?

Ahhh Kit darling, when you say; “sex its great until its time to get to the end” are you talkin’ about an orgasm? I think so, right? Lots of women feel like they have to pee when they cum. In fact, lots of women actually do pee as they cum.

If I had to guess, I’d say you are experiencing what we in the business call — stress incontinence, while you are in the throws of your lovemaking.orgasm236

Stress incontinence can happen just about any time. Anxiety, stress, working out, jogging, and fucking can all trigger this type of incontinence. Curiously enough, research shows that younger women actually have more stress incontinence during sex than do older women. While only 3% of women over age 65 reported incontinence during sexual activity, 29% of women under age 60 did.

Regardless of the cause of the stress incontinence — nervousness, exercise or sex there is one common denominator. It’s always related to the strength of a woman’s pelvic floor muscles. The weaker those muscles are, the more likely a woman will leak pee during physical exercise, fucking, sneezing or even laughing.

While many women experience stress incontinence from time to time, there’s a relatively simple solution to the problem. Your pelvic muscles and the tissues surrounding them get stretched out and damaged with time. Pregnancies will also do a number on these muscles. They will also weaken with age. And if you are overweight, well that will weaken pelvic floor muscles too as well as add to the likelihood of stress incontinence.

So you might be asking right about now, what IS this simple solution? Why, it’s Kegel exercises, of course. I have written so much about these exercises and how they apply to both women and men that I practically know my spiel by heart.

If you’ve not heard of Kegel exercises; you need to wake up and smell the coffee, darlin’! They are muscle contraction and relaxation exercises designed help restore tone to the muscles that surround the opening of your urethra, your vagina and your asshole. At the bottom of the pelvis there are several muscle layers, which stretch between your legs. They attach to the pelvic bones at the front, back and sides. Keep these muscles in tip-top condition and you will virtually eliminate stress incontinence.

These exercises will also help you:
• Increase awareness of sensations in your genital and anal area.
• Increase blood circulation in your genital and anal area.
• Aid in restoring vaginal as well as anal muscle tone.
• Increase the intensity of your orgasms.

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 are listening to 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 finger into your vagina before doing a Kegel. If you feel pressure around your finger while you are tensing your PC muscle (that short for pubococcygeus 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, because those are the ones you wanna be working.

I want everyone, not just you wooly, 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.

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!

The Coast Is Clear

Name:  ??
Gender: Male
Age: 33
Location: Miami
I have two unrelated questions: 1. I love anal sex but am concerned that as I age I run the risk of eventually becoming incontinent due to the sexual activity down there. Is white_sneakersthis a valid concern or will my sphincter remain tight enough to hold everything in? I’ve read conflicting opinions. 2. My boyfriend likes the twinks. We’ve been together for about four years and even though I’m only a year younger (he‚s 35), part of the reason he’s attracted to me is my youthful appearance. We have a wonderful relationship — supportive and loving and the sex is great! We even have a semi-open relationship, which is working fine for us so far. However, I’m concerned that at some point he may try something with someone under 18. He enjoys visiting those Barely Legal type porn sites (which hold no interest for me and look illegal). I’ve discussed my concerns with him, and he says I have nothing to worry about because he’d never do anything. But on the other hand, he’s not the most disciplined person in the world. I’m worried that if the opportunity presented itself he wouldn’t be able to resist. If that happened, it would then present emotional and moral problems not to mention legal issues not just for him but (I’m assuming) for me as well. I guess
I’m not sure what my question is. I know the gay community (and really the world) is obsessed with youth, but does this sound like more than that?  Do I have a legitimate concern, or am I being a prude? Obviously you don’t know my boyfriend, but I can’t discern if he just enjoys the fantasy of a younger man/boy or if this could become a problem. If it’s just a fantasy then I have no problem letting him have his fun. Heck, he can fuck all the 20 year olds he wants as far as I’m concerned. (Maybe this stems from my insecurity of growing older even though he insists he will love me even when I’m old and grey). But, if this is more than a fantasy then what do I do?
Thanks, Dr. Dick! Your faithful reader

Let’s address your two concerns in turn.  First, regarding your ass sex question.  Your typical butt-pirate has nothing to worry about in terms of becoming incontinent.  However, you oughta do what every power bottom does to stay in tip-top shape down there — Kegel exercises.

Don’t know kegel exercises from a hole in your head?  Not to worry.  I’ve written and spoken so much about this timely topic, whicht applies to both men and women, I barely have the energy to repeat myself.  So I won’t!

All ya gotta do is use the SEARCH function in the sidebar to your right.  Simply type in the keyword “kegels” and PRESTO!  Just like magic, all my posting and podcasts that include that topic are displayed.  You can read and listen till your heart’s content.

To your other concern, the one about your BF’s interest in the barely-legal crowd; there’s not much you can do about this one way or another.  Most of the adult people I know who have a thing for the young ones keep it on a purely fantasy level.  Those who stray off the daydream path and onto a course of actual pursuit find themselves in all kinds of jeopardy.  Not lest of which is the ridiculous nature of the quest.  Sounds to me like your BF already knows all of this.  But if he doesn’t, it’ll be he who pays, not you.

My advice to you is; take him at his word and worry not.

Name: james
Gender: Male
Age: 48
Location: sutton in ashfield
I have large veins that stick out on my testicles are these anything to worry about

Some guys have smooth balls; some guys have hairy balls; some guys have veiny balls and some guy’s balls are all shriveled up. That’s all balls_uncutthere is to it.

As we age some of us develop varicose veins in our lower extremities.  It’s the force of gravity, don’t cha know.  Varicose veins can occur in our nut sack too.  Sometimes this is associated with wearing a too tight cockring for too long a time.  But it is just as likely to be an issue of genetics.  Not much you can do about it and there is no real danger.

If you aren’t experiencing any discomfort in your family jewels, things are probably ok and I wouldn’t worry.  However, if you are anxious about this, or there is soreness or tenderness or you have other concerns; take your huevos to an MD and have ‘em checked out.  Simple as all that!

Name: Marcus
Gender: Male
Age: 47
Location: Southeast US
I am intrigued by nipple suction pumps, but cannot find much information about their effectiveness on guys. How long do your nipples stay enlarged? Is there any risk or danger in using one of these contraptions? Thanks for any help/direction you can give!

Nipple play is fun for both women and men.  There are several ways of enlarging one’s nipples.  There are low-tech suction devices, metal stretchers and the more high-tech vacuum devices.  All of these systems are very popular.  Have a look in My Stockroom for some examples.  Just search the site using the key word “nipple”.

1 2 5 8 7 6

Wireless Vibrating Nipple Clamps (D120) $32.00
Tit Tuggers (C656) $125.00
The Titilizer (A237) $16.50
10-Piece Cupping Set (B264) $57.00
Snake Bite Kit (A300) $8.00
Nipple Suction Device (B092) $18.00

If you are a casual tit-torturer your nipples will stay enlarged for a few hours.  If you are a hardcore tit-torturer you can completely and permanently alter the look of your nipples.  Is there a risk or is there danger?  Not unless you overdo it.

Name: Tara
Gender: Female
Age: 25
Location: Hoboken, NJ
I got this cute guy friend who’s asked if he can come on my vacation to Bangor, Maine (Stephen King’s home!). So I asked this guy, who’s single, if he wants one bed or two. He said it didn’t matter, so I booked one bed at the hotel. Does this mean he wants to have sex with me? I’m dumping down a ton of money, so I hope so!

How the hell should I know?  He could be hot to get in your pants, or he might simply need an all expense paid holiday.

Why not just ask him.  What’s with the coy routine?  Of course, you could do like the hippies used to do and tell your cute guy friend — “Ass, gas or grass!  No one rides for free.”

gasgrassass

Hi, I have a question that I can not ask anyone else so I found your web site and would really appreciate your advice. Ok, so when I have sex sometimes instead of cuming when I have an orgasm, I pee. Sometimes I do cum though. But when it feels really good and I release, I release pee instead of cum. I just want to know if this happens to other people, and why this happens. And can I fix this. What can I do to make this not happen? I don’t like it happening. I feel bad for my boyfriend who has to have pee on his penis. Please, please, please take the time to reply to me. Thank you for your time. Have a great day.
—   Anonymous.

Are you sure that what you are experiencing is pee?  Could it possibly be that you are ejaculating?  For a good deal of information on this, check out the site called The Clitoris.

Of course, lots of women feel like they have to pee when they cum.  In fact, lots of women actually do pee as they cum.

If indeed you are peeing when you cum, I’d say you are experiencing what we in the business call — stress incontinence.

Stress incontinence can happen just about any time.  Anxiety, stress, working out, jogging, fucking crreampie1can all trigger this type of incontinence.

Curiously enough, research shows that younger women actually have more stress incontinence during sex than do older women.  While only 3% of women over age 65 reported incontinence during sexual activity, 29% of women under age 60 did.

Regardless of the cause of the stress incontinence — nervousness, exercise or sex there is one common denominator.  It’s always related to the strength of a woman’s pelvic floor muscles. The weaker those muscles are, the more likely a woman will leak pee during physical exercise, fucking, sneezing or even laughing.

While many women experience stress incontinence from time to time, there’s a relatively simple solution to the problem. Your pelvic muscles and the tissues surrounding them get stretched out and damaged with time.  Pregnancies will also do a number on these muscles.  They also weaken with age.  And if you are overweight, well that will weaken pelvic floor muscles too as well as add to the likelihood of stress incontinence.

So you might be asking right about now, what IS this simple solution?  Why, it’s Kegel exercises, of course.  (See my response to the first correspondent above.)

Good luck ya’ll

Sex Advice With An Edge — Podcast #66 — 06/02/08

[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 big, hot load of stimulating questions. And I respond with an equal number of clever, resourceful and oh so enlightening responses! Hey, it’s what I do.

  • Tony need help gettin’ ink off his dickhead! WHAT?
  • James wonders if he should do it with a guy.
  • Kit feels like she has to pee when she cums.
  • Macwinhar wants to spice things ups with his old man.
  • Michael, Jerome, Conor, Angela, Juan and Saukha get a quickie.

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 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 at the top of the page.

Today’s Podcast is bought to you by: Access Instructional Media.new_aim.jpg

Sex Advice With An Edge — Podcast #57 — 03/31/08

[Look for the podcast play button below.]

Hey sex fans,

I’m back with a whopper of a show for you today. We return to our usual question and answer format this week, because I have a hot load of stimulating questions from all over the freakin’ place. And I, of course, respond with an equal number of feisty, friendly and oh so enlightening responses! Hey, it’s what I do.

  • Wooly Jumper is all wet and can’t figure out why!
  • Jordan is too big for his GF! Or so he wants me to believe.
  • Ste and Mat’s lace curtains are malfunctioning.
  • Dylan seems to be edging way too much.

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

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