Category Archives: Sex Therapy

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

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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 #94 — 01/12/09


Hey sex fans,

I have a really delectable show for you today. We have a big hot juicy load of stimulating questions from the sexually worrisome. And I respond with an equal number of dazzling, engaging and oh so informative responses! Hey, it’s what I do.

And just to mix things up a bit, I’m gonna throw in a nice Sex In The News feature.

But before we begin I have a few words about the new site design.  First, I hope you like the result of our long-awaited facelift.  We have a nice new warm color palette goin on and a spiffy new header.  But while the cosmetic changes are pleasing to the eye, the real big changes are just below the skin.

There are two new features that I think you’ll want to know about.  They will assist you in using the site more effectively.  The first is up top of the site among the page headings. Ya see the — My Stockroom, Product Reviews, etc. tabs, right?  Good.  Now look for the SITEMAP tab.  Click on that and you will have an instant overview of all the content on DrDickSexAdvice.com; and there is a shit-load of it, don’t cha know!  Currently, there are 41 pages represented.  You will notice that these are divvied up by CATEGORY.   Each category is has numerous sub-headings and under each subheading you will find all the postings and podcasts that feature the subject matter.  Pretty freakin nifty, huh?

You can also do the same sort of search from the CATEGORY section in the sidebar.  There you will find the 14 major categories laid out for easy viewing.  Click on any of the categories and Presto!  All the subcategories appear.  Click on any of the subcategories and again, Presto! A list of all the postings and podcasts that feature the subject matter magically appear.

There’s one final feature that’ll nock your socks off.  Again, look under the CATEGORY section in the sidebar, there you will see the category:  PODCASTS.   Click on it and it will unfold a complete list of all my podcasts.  Why you can’t beat that with a stick.  This new feature replaces the old and outdated Podcast Archive that we used to have.

I hope these new features will make my site more accessible and interesting.  And of course, I invite your comments and questions.

  • Rachel thinks she ready to be a dominatrix.  I beg to differ.
  • Daniel had sex with his friend.  Now he regrets it.
  • Dave has a short fuse and he turns to his “dad” for help.

Finally a SEX IN THE NEWS feature — “Recent Survey says  Internet satisfies better than sex!”

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.
Today’s Podcast is bought to you by: DR DICK’S STOCKROOM.

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Sex Advice With An Edge — Podcast #93 — 01/05/09


Hey sex fans,

I’M BACK! Did ya’ll have a brilliant holiday season? I sure hope so.

I enjoyed my brief respite from podcasting, but I realize I can’t stay away long. Besides missing you when we’re not together, my in-box gets all clogged up with questions and comments that cry out for my attention.

So let’s start off the New Year with our usual question and answer format. Because I have a hot load of very stimulating questions.

  • Todd is a budding kinkster.
  • Seattle asks about the “etiquette” involved in public sex.
  • Nanine has saggy tits and is afraid no one will love her.
  • ME says his partner can’t get off no matter how hard he tries!
  • Jimmy is confused. Is he a top or bottom; dom or sub?

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.

Today’s Podcast is bought to you by: ROPEX.

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Never a dull moment

Name: David
Gender: male
Age: 36
Location:  Iowa
Dear Dr. Dick I am a 36yr old male, I have come clean with myself and my family about my sexuality about 2 years ago. But before then, I was very much in the closet about my sexuality not only to friends and family but also to myself.To see me or to talk to me you would never know I’m gay, although I believe that this is just a label. I don’t believe I ever want to come out completely. Whenever a conversation comes up at work or I attend a briefing on sexual harassment, there is always a comment about homosexuality, I blush every time this comes up.When I was younger I hid my sexuality and tried to fool myself into thinking I wasn’t. But of course you know that will eat a person alive. I know it did me.  So I sought counseling and paved the way for me coming out to a few close people.Anyway, I still struggle with the issue.  On the outside I’m as straight as ever, but on the inside I’m gay. Do you have any suggestions to help me over this acceptance of myself?coming-out.jpg

Honey, as far as Dr. Dick is concerned you haven’t even begun to come out.  Sorry to be so blunt, but just identifying your sexual preference to a few individuals “coming clean” as you suggest (hey, we’re talkin about being gay here, not confessing to being an ax murderer) is not the moral equivalent of coming out.  If you can’t celebrate your sexuality and, I might add, integrate it into you whole personhood, then you’re not OUT.  PERIOD.

It is true what you say about being in the closet and getting eaten alive in there.  But if you’re queer on the inside (whatever that means) and straight on the outside (God forbid) then you’re still a danger to yourself.  This, is after all, the very definition of schizophrenia, darlin’.

I’m gonna go way out on a limb here and guess that you still have loads of shame about who you are.  I encourage you to get back into counseling ASAP until you resolve that.  The world does not need any more fence sitters.  gay-pride.jpgYou’re either gay or you’re not.  You either celebrate that (and I don’t mean waving a flag or parading around like a lunatic) or ya don’t.

I don’t suppose any of us is ever really free of all our own internalized homophobia any more than other oppressed and marginalized minorities can rid themselves of their internalized self-doubt.  No one can completely escape the prejudices and biases that surround them.  But most of us make our way regardless.  That’s why coming out is so important.  It empowers us.  It increases our self-esteem.  Honesty about our life increases our personal integrity.  When we stop hiding or denying this important part of our life we have greater freedom of self-expression.  And we become more available for happy, healthy and honest relationships.  So you see, you have a ways to go.

Name: Liz
Gender: Female
Age: 31
Location: GA
My hubby wants me to have a 3 way with him and another women and I don’t know and I am a little scared I might like it and he wants to have the other women lick me while he plugs her from behind and I am afraid to. We have done a 3 way with him and another guy pound me but they didn’t touch each other so what should I do he has 2 female friends that are willing to try it and I don’t want to lose my hubby so what should I do? — mom in need of help

Very interesting, Liz!  And ahhh, what would be so wrong with you enjoying some hot girl girlongirl.jpgon girl action?  Isn’t that the purpose?  This is where so many men and a whole lot of women are so very different.  Men have more permission to be sexually assertive.  But if you plan on being an equal partner in these sexual adventures, you’d better buck up, darlin’!  To paraphrase the immortal Fats Waller; Find out what you like and how you like it; then make it happen just that way.

Let’s take a closer look at what you tell me about you and your randy husband.  Apparently he has no reservations about asking you to have a 3-way with another chick. He thinks it’ll be hot and he wants to go for it.  He also has no reservations about a 3-way with another guy, just as long as he doesn’t have to interact with the other dude.  You see, he’s pretty clear about what is a turn on for him and he doesn’t hesitate to draw you into his little adventures, does he? Do you just go along with what he dreams up so you don’t lose the big lug?  Or is there something enjoyable in it for you?  I sure hope it’s the later, darling, because we shouldn’t be doing things, particularly sexual things, under duress — either physical or emotional.  If it’s merely a question of perhaps enjoying the attentions of other woman a little too much, I think you’re entitled to that.  You could even keep this your little secret, if you wanted to.

toes-curled.jpgTrying new things can be really fun especially when your playing with people you like and are turned on to.  If you decide to go for it, I suggest the three of you start your encounter by getting a bite to eat together.  A little food and a few cocktails can be a great start to the adventure.  You’ll notice almost immediately that a 2-girl and a guy 3-way is a whole lot different than a 2-guy and a girl 3-way.  No doubt all three of you will be a little nervous, so make this part of the outing sexy fun and flirtatious.  Practice your seduction skills on the other woman.  You will soon discover the sexual hierarchy…and there always is one in these kinds of encounters.  Make sure you are comfortable with all arrangements made and make sure that they are all mutually agreed upon. If there are any ground rules, this is the time to mention them.  The more you discover about your new partner in this non-sexual environment the more prepared you will be for the rest of the evening.  If it were me; I’d want to get a sense of how experienced this other chick is at having a 3-way.  Women tend to be more accommodating in terms of bisexual behaviors than are men folk.  Maybe you could ask her about her sexual fantasies and share some of your own with her.  Just remember, you are an equal partner in this ménage.  I’d certainly make sure that the she knew what turned you on just so everyone is satisfied in the end.

I hope you write back and let me know how the encounter goes.  My interest, of course, is purely scientific, don’t ‘cha know.  But I will want all the gory details.  And a detailed photo essay would also be appreciated.  😉

Name: Brian
Gender:
Age: 40
Location: Canada
After a guy ejaculates can he have another ejaculation? Like after I cum if I put on a cock ring will it stay hard enough to continue with intercourse and achieve another orgasm? I basically want to cum twice in a row.

Yep, that’s doable.  All depends on your particular refractory period and how turned on you are.  Let’s take a quick look at the male sexual response cycle again, just so we understand what we’re talkin’ about.  Ok?

The sexual response cycle refers to the sequence of physiological changes that occur as wemale_sexual_response.jpg become sexually aroused and move through to afterglow. The sexual response cycle has four phases: excitement, plateau, orgasm and resolution. Both women and men experience these phases of course, although the timing usually is very different for each gender.  In addition, the intensity of the response and the time spent in each phase will vary from person to person and from situation to situation. That’s why I say cuming twice in a row is doable.  But is it gonna happen for you?  I guess we’ll just have to wait and see, huh?

Ok, here goes…

Phase 1: Excitement (or the boner stage)

  • Muscle tension increases.
  • Heart rate quickens and breathing accelerates.
  • Our skin may become flushed particularly on our chest and back).
  • Our nipples may become erect.
  • Blood flow to the genitals increases, thus the boner.
  • Our balls swell, our sack tightens, and we may drip precum.  Mmmm, precum!

Phase 2: Plateau (or the strokin’ or pumpin’ stage)

  • Everything in phase 1 intensifies.
  • Our balls may pull up into body cavity.
  • Our breathing, heart rate and blood pressure increase.
  • Our toes curl, face contorts and hands clench.

Phase 3: Orgasm (or the “yabba dabba doo” stage)

  • Involuntary muscle contractions begin.
  • Blood pressure, heart rate and breathing excelerate.
  • There’s a rapid intake of oxygen.
  • Muscles in the feet spasm.
  • There is a sudden, forceful release of sexual tension.
  • Rhythmic contractions of the muscles at the base of our cock result in the ejaculation of spunk.
  • A “sex flush” may appear all over our body.

Phase 4: Resolution (or the “I need a nappy” stage)

  • During this phase, the body slowly returns to its normal level of functioning, and the parts of your body that swelled and engorged return to their previous size and color.
  • This phase is marked by a general sense of well-being, enhanced intimacy and, often, fatigue.
  • Most women are capable of a rapid return to the orgasm phase with further sexual stimulation and may experience multiple orgasms.

Men, on the other hand need a recovery time after orgasm, this period is called the refractory period.  This doesn’t have to be the end of sex.  Like you suggest, a cockring may prohibit your dick from going soft.  But don’t count on an immediate second orgasm, even if your dick stays hard. Don’t forget, the duration of the refractory period varies and is situational.  It will also increase as we age.

Good luck ya’ll

Sex Advice With An Edge — Podcast #90 — 12/01/08


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 from all overt the freakin’ place. And I respond with an equal number of cheeky, charming and oh so enlightening responses! Hey, it’s what I do.

  • Joe wants to know about Hepatitis-B and cock sucking.
  • Donna and her BF wanna start bumpin’ parts.  But where to begin?
  • Gregg thinks he needs a sex coach.  I think he does too.
  • Naf wants to top, but he is a little short of wood!
  • Anonymous wants some tips on ball stretching.

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.

Today’s Podcast is bought to you by: ROPEX.

h_ropex_male.jpg