Category Archives: Sex Therapy

Fear of Sex, Lasting Longer, Performance Anxiety, Preorgasmic Women, Sensate Focus

Dribblin’ Instead of Shootin’?

Name: Alvaro
Gender: Male
Age: 21
Location: Mexico
Hi, I’m concerned because I never shoot when I cum. I dribble. I don’t like the way I cum, can you advice me how to cum shooting?? Is there anything I can do? Is it my fault or I was born with a less powered gun than others?? Sorry to bother. And thx for your help.

The problem you describe is a common one. And the solution is relatively simple. It lies in, of all things, muscle mechanics. An ejaculation is primarily a muscle contraction — built up energy being released — thus the spurt. No spurt, or a dribble most likely indicates poor muscle tone. But there’s an easy and fun solution, or more properly an exercise. Kegel exercises to be precise.

turkey-basterLet’s start at the beginning, which is always a good place to begin, don’t ‘cha know. Your prostate is the source of your ejaculate. You have a handle on that concept, right? Good! Now picture a turkey baster. Imagine your prostate as the bulb on the one end and your dick as stalk with a hole in it at the other end. Picture the baster pointed upward, like your cock with an erection. Imagine the bulb is full of fluid and you need to get that fluid out the bulb, up the stalk and out the hole…just like your spooge when you cum. How ya gonna do that? A firm grasp on the bulb and a hefty squeeze, that’s how!

So Alvaro, if you’re dribblin’ instead of shootin’, your muscles need to be strengthened and toned. And like I said, I have just the right exercises for you.

Anyone who is paying the least bit of attention to the ranting and raving of Dr Dick will fruit_genitalsimmediately be familiar with Kegel exercises. I talk about them a lot. And those who haven’t been paying attention — listen up, you monkeys! Kegel exercises serve to tone and strengthen the pubococcygeus muscle or as we in the know like to call it, the “PC” muscle, which is part of the muscle group at the floor of the pelvis. The health of this muscle group plays a vital role in getting you up and getting you off, as well as in other aspects of healthy genital functioning.

Kegel exercises help increase blood flow to the genital area (getting you up). And Kegel exercises strengthen and tone the muscles that are involved in ejaculation (getting you off). If you exercise this muscle regularly, you’ll gain greater control over the timing and strength of your ejaculations. Kegel exercises can also prevent incontinence and other problems associated with aging, but we’ll save that for another time.

male_anatomy.jpgSo you’re probably saying to yourself, “sure, Dr Dick, I’d like to strengthen my PC muscle, but I never even heard of that muscle, let along know where to fine it.”

Alrighty then, Alvaro, here’s what ya do. Work up a full bladder, the more full your bladder the better. Go to the john and sit on the toilet. (Yeah, just like a girl!) Now let the pee flow. As you’re doin’ that, I want you to interrupt the stream of piss several times before you empty your bladder. The muscle you are using to do this is your PC muscle. Look to distinguish between your PC muscles and your anal sphincter muscles. With a little practice you’ll become adept at separating out these two muscle groups. Actually strengthening all your pelvic muscles is a swell idea, especially for power bottoms, but again we’ll save that topic for another time too.

Now that you have located your PC muscle, you can exercise it at will, even when your bladder is completely empty. First, try squeezing your PC muscles as hard as you can for a count of three seconds. Then relax. Repeat this till you feel the muscles tiring. How fun is this?

I want you to work for both muscle strength and tone. For example, start with five strong prolonged squeezes (5 seconds apiece). Relax. Then do a series of 10 rapid contractions in a row. Doing three sets of each twice a day for a week is your goal. When you are ready to proceed try increasing this to three sets of eight to ten prolonged squeezes and 20 rapid contractions in a set. The advanced Kegeler will be able to vary the type and timing of his PC squeezing; slow clenches to quick flutters.PG-TrainingKitOnly-Promo

If you keep this up, you’ll be shootin’ jizz across the room in no time. And the beauty part of Kegel exercises is you can do them whenever and wherever you like. You can be sitting in a meeting with your boss and be doing your Kegel exercises. You can argue with your boyfriend/girlfriend and be doing your Kegel exercises. You can be watching reruns of Leave It To Beaver with your maiden aunt and be doing your Kegel exercises. Who would have guessed improving your sexual health would be such a pleasure?

If you’re serious about all of this, I have else to share with you. This is The Private Gym. It’s 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. And, just in case you didn’t know, The Private Gym won the coveted Best Health Related Product or Toy of 2014 as compiled by the Dr Dick Review Crew. So how about them apples?

Good luck

Slut Shaming

Name: Martin
Gender: Male
Age: 50
Location:
Thanks in advance for your assistance, Dr. Dick.
Here’s my dilemma; I’m so in love with my partner, he’s actually the man of my dreams. We met much later in life, he being 45 and I’m 50.
I was married before w/children, out now as a gay man and all is well with my children’s relationship.
My partner has always known he was gay, has had numerable relationships, and was a sexual addict. He has wanted me to understand his past in relationship to his level of happiness now, stating that he was a bottom slut only because he was never truly in love or satisfied.
He wants me to believe that “I’m the one” that has changed his life-long addiction to strange dick up his ass.
I can’t seem to get past his past slut behavior, and oftentimes get so pissed off because he wants me to meet and develop friendships with many of these past fucks (primarily because they were military buddies also).
Why can’t I accept his slutty past and stop the suspicions?
Why do I get so upset just knowing that he was a total bottom slut??
How can I get him to understand that I have no desire to know any more about his sexual past and just focus on creating our lives???
Thanks,

Martin, Martin, Martin! How you do go on, darling.bullshit

Take a look at your language, why don’t ‘cha? Could you possibly be any more pejorative when speaking of the sexual experiences of someone who has lived a different lifestyle than you? I doubt it. Look at how many times you use the word “slut” to describe the man you say you love. I’m gonna call you out on that. You simply can’t tell me you love someone that you have so little regard for.

Your man wants you to understand his past, but you won’t take it at face value. You belittle his experience, possibly because it doesn’t match your own very limited, sexually exclusive, predominately heterosexual lifestyle.

circle jerkListen, lots of gay men (and some straight men) have loads of sex for lots different reasons. Sometimes just for the fun of it…or, as your man suggests, just to be a big old bottom slut. There’s absolutely nothing wrong with that. One can be happily sexual without loving each and every one of his partners. And the sex can be really good too. Just as one can have very unsatisfying sex with somebody one loves deeply. Sex, intimacy, and love are not necessarily dependent on the one another. No need to make such a tangle of it all, Martin.

I also want to reinforce my belief that there’s no such thing as a sex addict. Compulsive behavior? Sure! Out of control behavior? You betcha! Self-denigrating behavior? Absolutely! Sexual addiction? No way!

Try for just a minute to extricate yourself from your sex-negative mindset by exchanging the notion of eating when you talk about your friend’s sexual exploits. Would you have the same revulsion if your guy said he had shared food with lots of other guys? Some of it was fast food that didn’t satisfy all that much. Sometimes he ate just because he wanted to, not because he was hungry. And now he wants you and he, as a couple, to be friends with some of the men he ate with. Sounds perfectly reasonable to me!fingering his ass

Your man is inviting you to open yourself up and see life and sex as most openly gay men do. This is fundamentally different from how some formerly closeted men see life and sex. If you let him, he just might help heal you of your sex-negativity.

Finally, jealousy is one of the worst human emotions. It’s actually a kind of hatred, you know. Sometimes it’s hatred of another, but it is always self-hatred. You say you love this man; again, I challenge you on that. It’s clear to me that you have a much greater love of your provincial notions about sex then you have for this guy.

Here’s a tip, Martin. Jettison the unhealthy attitudes about sexual expression and give your guy a chance to be himself, not the idealized man you’ve made him out be, or think he should be. You’d be well served by working with a sex-positive therapist to help you get over this. Do it now, because if you hesitate you will surely ruin the very relationship you claim to treasure.

Good luck

I Can’t Get No Satisfaction

Name: Trey
Gender: Male
Age: 24
Location: Charleston, SC
I’m a good looking guy. At least that’s what people tell me. I’m educated, have a good job, have a great sense of humor, and I’m also bi. I thought that being attracted to both women and men would increase the likelihood of me finding the sexual satisfaction I so desperately want and need.

I’m not afraid of commitment, but I can’t seem to get beyond casual hook ups and affairs that last only a few months. The sex is a hit or miss kind of thing, but even when the sex is great, I always seem to hit a wall. I can’t seem to get to the next level.

The New Year is upon us and I don’t want to remain stuck in this holding pattern. What am I missing? Any advice for someone like me?

Thanks for the timely question, Trey. And Happy New Year to you.

i'd totally fuck youYou bring up two very important skill sets — satisfying sex and relationship building. Despite the myths perpetuated by the popular culture, the two are not necessarily interdependent. Sexual satisfaction is one thing, and it can be achieved through traditional relationship models or not. Successful primary relationships can and often do depend on the sexual satisfaction of the partners, but not always. And given the diversity of intimate interests people have, it’s no wonder some come away from the experience frustrated and disappointed. Think of it as a combination lock. All the tumblers need to align for the lock to open.

The secret, it seems to me, is to discover precisely what it is you are looking for and deciding precisely what it is you are willing to expend getting what you want.

And I hope that your bisexuality has lead you to embrace more relationship models than what is traditionally handed us as the be all and end all—heterosexual monogamy. There is so much more out there.foreplay

That being said, I do have some generic thoughts about sexual satisfaction that are applicable to whatever relationship model you choose. Great sex is dependent on mutuality, even in a casual hook up. Be sure your partner knows he or she is loved, appreciated, or in terms of the casual hook up, respected.

If the connection you have with another has legs, so to speak, you will soon discover that either you or your partner has a stronger libido than does the other. That’s pretty common. Deal with this immediately, like adults. Don’t wait for your relationship to go broken. It’s just too easy to walk away from something that is floundering instead of investing the effort it would take to right it. Does that sound familiar? I wouldn’t be surprised if it does. Accommodations and compromise are always necessary in seeking the common good. And by that I don’t mean sinking to the lowest common denominator.  People come to compromise and accommodation through effective communication. If you don’t know how to do that, your relationship, of whatever stripe, is doomed.

female body as art 2Passion is not a dirty word, nor is sexual expression a sin. If you or a partner has religious scruples about enjoying you own body or that of your partner you’re headed for trouble. And remember, boredom in the bedroom is a recipe for disaster.

You should be well versed in self-pleasuring. In fact, the more you know about your body and the mysteries of your sexual response cycle the smoother things will go in partnered sex. Nowadays there is absolutely no need for anyone to come to partnered sex uninformed about sex in general and his or her sexuality in particular.

Like I said, mutuality is the key. And since we all evolve sexually, partners need to grow right along with each other. Make your sex play an adventure. Never hesitate to check in with one another to see how the pleasure thing is going. What’s worked last time is not necessarily gonna work next time.

Spontaneity is always a real good thing. Both partners need to take responsibility for seeing that their intimacy needs are being met. Sometimes that will involve fucking like bunnies, other times it will mean vegging-out in front of the boob-tube with a fist full of Häagen-Dazs.

Again, communication is key! Openness and honesty about one’s most secret sexual fantasies and desires is essential. Can’t trust your partner with your secrets? That’s never a good sign. Take responsibility for your own sexuality. Ask for what you need, but don’t neglect caring for yourself.

Seek your partner’s pleasure before your own. This is particularly important for a man.

If you are too busy to celebrate your sexuality with your partner, you are indeed too fuckin’ busy. Prioritize your life with your partner at its center.

nipple rubThere’s a fundamental difference between making love and fucking. Both have their place in a healthy sex life. And there ought also be room for solitary sex too. Everyone in entitled to privacy and private time, especially in a relationship.  If your job, or career, or whatever else interests you is more important than your relationship don’t expect that relationship to last.

Be creative in your sexual expression; toys, fantasies, role-playing, they’re all good. Don’t be afraid to experiment. Attend to making your sex play spaces fit the mood — romantic to down and dirty. One size does not fit all, if you catch my drift.

Stay in shape (and there’s not just one shape), get plenty of exercise, and keep yourself interesting and attractive to your partner. Pay attention to your personal hygiene. No one wants to bump someone with a smelly body or bad breath.

Make sure your partner is fully aroused before full-on fucking. And remember sex is way more than the old in an out. Finally, have a sense of humor about the whole damn thing; it will help take the edge off.

Good luck

Holier Than Thou

Name: Jean
Gender:
Age: 36
Location: New Haven, CT
I’ve been with the same man for 14 years. We both decided to become Christians about a year ago. Now he’s not interested in sharing the same bed and not interested in having sex with me. It tried to overlook this hoping it was some kind of phase, but it goes on and on and he still doesn’t want sex. He’s the only man that could ever satisfy me sexually. I dated a few guys, four to be exact, before we met. I still love this guy but he won’t acknowledge my feelings. I feel like I’m losing everything, my best friend, my partner, my lover …and my sanity. I’m happy we’re still together, but I’m frustrated to the point of exhaustion without my sex life. Any ideas what I could do to turn this around?

What an unhappy tale of woe you have you have to tell, Jean. The Christian conversion thing didn’t quite work out like ya thought, huh? Well maybe it has less to do with Christianity per se, and more to do with the Joe who converted with you.

I’ve heard similar complaints from other people whose partners have decided, unilaterally, to make a radical life-change for themselves. Often these new zealots fail to appreciate how their life altering decisions impact on the wellbeing of those around them. And because they are so damn single-minded about their new passion — as every zealot is, there is rarely any talking to them.holier-than-thou

Two former clients come to mind. First, there was George, a gay man in a 10-year relationship with this other really sweet guy, Robert. Eight years into the relationship Robert had a heart attack. Despite a full recovery and living a much healthier lifestyle after the hear attack, Robert got it in his head that if he were to have sex again, it would kill him. There was no reasoning with him. No sex ever again, period. This otherwise blessed relationship ended painfully. Pity that!

Another client, Melissa, discovered long-distance running two years into her marriage to Allen. She became like a woman possessed. Running consumed her. Her career, her friends and family, her social life all suffered. But no one took the brunt of her newfound craze more than her husband. At first sex was out of the question because there was no time. Then all that body-punishing running radically changed her entire metabolism. She even stopped menstruating. Her libido virtually expired. Even the imminent demise of her relationship didn’t alter her running routine. So basically Melissa just ran away from her marriage. Simple as all that!

In your case, Jean, your partner appears to have bought into the some of the worst sex-negative messages of Christianity. I suspect that there’s no turning this around and, unless you wish to continue to sacrifice your sexuality on this unworthy altar, I’d suggest you make peace with the fact that life will never return to how it once was.

And what’s all this about he being the only man who could satisfy you? You’ve had only 4 other partners, for christ sake! And most if not all were crummy lovers, right? Are you the kind of gal that quits shopping for shoes after trying on only 5 pair? I think not!

There is a whole world of men out there that would be happily give you what you aren’t getting at home and some of them may even be good lovers. If no accommodation can be made with your husband about fulfilling your needs than I suggest you beat a hasty exit.

The longer you stay in this unhealthy environment the greater the chance will be that you will become more and more embittered. God gave us the gift of sexuality for a purpose. It was meant to give us pleasure and enhance life. Your sexuality is in danger of becoming just the opposite of what nature intended. Do yourself a favor and choose life and happiness. You’ll be glad you did…so will God.

Good luck

Intimate Workout

Hello sex fans,

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

The Private Gym —— Basic $59.99  Advanced $99.99

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

ENJOY!

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