Low libido, intercourse pain, orgasm problems?

— Sexual-health doctors are trying to help

Some Canadian doctors aim to address what they call near-total lack of support for women’s sexual health

A small number of Canadian doctors specializing in women’s sexual health are trying to address what they say is a near-total lack of support for those suffering from common problems such as low libido, difficulty achieving orgasm and pain during intercourse.

“In terms of the juxtaposition with men’s sexual functioning, we are behind and it’s really frustrating,” said Dr. Stephanie Finn of Oakville, Ont.

Finn is one of five Canadian doctors trained by the International Society for the Study of Women’s Sexual Health (ISSWSH), based in Burnsville, Minn.

While help for male sexual dysfunction has been widely available since erectile dysfunction drug Viagra burst onto the scene — approved for use in Canada in 1999 — women’s sexual health has remained largely shrouded in secrecy.

“When’s the last time your doctor has asked you about your clitoris? Like never, and that’s fascinating, right? We ask men all the time about their penises and their function, sexual functioning and such,” she told White Coat, Black Art.

I think that there is generally a lack everywhere of interest in women’s sexual functioning, and I’m happy to say that I think that’s beginning to change.”

A woman stands in front of an exam chair in a doctor's office. — Dr. Stephanie Finn is a family doctor focusing on women’s sexual medicine.

Originally a family doctor, Finn found that so many of her female patients needed help with sexual issues that she decided to focus on sexual medicine, opening her clinic about a year ago.

Part of that work is simply teaching women about their bodies, she says.

“It is really common for women to have almost no understanding of their own anatomy,” Finn said.

“I’ve had women who really haven’t a good idea about where their clitoris is. I’ve had people say, ‘Oh, I’ve always wondered,’ and sometimes I’m slightly surprised by that response in women who are in their 50s.”

Finn offers her patients the option of holding a mirror while she gives them a guided tour of their genitalia. Or she’ll use a 3D model to show patients things such as how the clitoris is actually a wishbone-shaped organ, with only the clitoral bulb visible externally.

An illustration of the parts of the vulva. — Parts of the vulva.

A study published in the Journal of Sexual Medicine in 2023 found that the bulb has around 10,000 nerve endings. That’s compared to about 7,800 at the tip of the penis, according to a paper published in the same journal in February.

A culture of shame

Some of that knowledge gap and reluctance among women to seek help for sexual-health issues is tied to cultural shame, says Dr. Stephanie Hart from Okotoks, Alta., another ISSWSH-trained family doctor.

In North America, vaginas are dirty. Like, I actually had somebody say that to me yesterday,” said Hart, who opened her specialized clinic in 2019.

For some women, that’s simply because they are grossed out by bodily fluids, including those that come out of the vagina, she says.

An exam chair inside a doctor's office. — A chair used for gynecological exams in Finn’s clinic. Many women are uncomfortable with speaking openly about sexual health.

But for others, it’s a morality issue: “You know, ‘sex is shameful.’ That’s a very common attitude that I see people [have]. And kind of unsurprising that people would then have sexual dysfunction when they feel that way about it.”

Despite people’s difficulty talking about their sex lives, these clinics are busy. Hart says she sees 250 new patients every year in her practice, 75 to 80 per cent of them being women, but is referred around 400.

“So every six months, I’m another three months behind.”

Finn said she sees about 15 new patients every week at her Oakville clinic.

A model of a vulva. — Finn often shows her patients a model of a vulva to help familiarize them with their own anatomy.

Most Canadian women do not have access to a doctor who specializes in sexual health. Existing clinics where women have traditionally sought care for sexual health are focused on contraception and infection, says Hart.

These kinds of clinics refer patients to her when they bring up difficulties like pain during sex or low libido, Hart says, as do specialists such as gynecologists.

Help for low libido

Carolina Jara, 57, says she used to be a very sexual person, but since menopause, her libido has tanked.

“My libido went somewhere. I don’t know, maybe back home,” joked Jara, who is originally from Peru but lives in Vancouver.

She says she’s worried about how that can impact her relationship with her husband of eight years. And that part is not a laughing matter.

A close-up of a woman with white earrings and a red top. — Carolina Jara, 57, says she used to be a very sexual person — but now, she is suffering from low libido.

“He still wants it, but I don’t get ignited, I don’t get an orgasm for many years. So it feels more like a duty, more than something that I enjoy.”

There are two medications approved for use in Canada that can be used to increase sexual desire in women: a pill called flibanserin, and a self-injectable called bremelanotide.

Unlike Viagra, which is used on an as-needed basis and acts by increasing blood flow to the penis, both of these drugs impact the brain chemicals that influence mood and sexual appetite. Flibanserin must be taken daily and has been shown to have serious potential side effects.

Flibanserin, pictured above, is one of two medications approved in Canada that can be used to increase sexual desire in women.

Critics have argued that libido problems are more a matter of mismatch between the sexual appetites of partners that would be better addressed with relationship counselling.

Flibanserin, ‘female Viagra,’ distracts from real causes of low libido: critics

A non-medical tool for addressing low libido or difficulty achieving orgasm is a class of sex toys sometimes referred to as clitoral suction devices.

“We have wonderful studies actually now showing improved clitoral blood flow and pelvic floor blood flow using these devices,” Finn said. “We know they can make a huge difference for women when they are attempting to achieve orgasm.”

Pain during sex

But sexual-health issues are by no means the exclusive domain of older women, says Finn, whose patients range in age from teenagers to octogenarians.

Talia Steele, 34, suffered for years from pain during sex, stemming from a series of problems that started with a common urinary tract infection.

Woman with shoulder-length curly hair smiles at the camera. — Talia Steele says she had some early negative experiences with male doctors and felt her problems weren’t treated with sensitivity.

Eventually she got surgery to address the issues. But all the poking and prodding, and her history of painful sex, has had lasting effects.

“There’s always that bit of anxiety, never being able to be fully in the moment, always in your head about what’s going on,” said Steele, who is married and also lives in Vancouver.

“Even though I don’t have that pain, those feelings and thoughts still enter my brain at times, and it can be challenging to try new things or come out of my comfort zone.”

Greater Victoria’s Sex Lady discusses sexual health and how teaching it has evolved

One of the challenges with getting care for women’s sexual-health issues is that there’s no established medical specialty for them.

“You take these women with pain [during] sex, for example, and you send them to the gynecologist who would say, ‘Well, it’s not endometriosis,’” Hart said. That might be the end of the road if the doctor doesn’t know about other options that might help.

Hart says she’s on a mission to teach other doctors how to help, starting with asking patients the right questions.

“Like, actually ask if somebody has pain with sex and then know what to do about it if the person says yes. Because patients won’t always volunteer the information if they don’t know that there’s something that can be done.”

Complete Article ↪HERE↩!

September 15, 2024May 10, 2026

What a sex therapist wishes all couples knew

— Desire doesn’t have to dwindle in long-term relationships, says Dr Stephen Snyder. Here’s the advice he gives married couples in his clinic

By Anna Maxted

How do you keep the passion alive when you’ve been with your partner for decades? Dr Stephen Snyder, the therapist and author whose book Love Worth Making: How to Have Ridiculously Great Sex in a Long-Lasting Relationship is a bestseller, has the answers. Having worked with hundreds of married couples over 30 years, he explains why desire often dwindles over the years — and how to rekindle it.

Don’t expect sex to knock your socks off every single time

If you ask people to recall the greatest sex of their life, most will admit that it wasn’t in the context of a committed relationship. More often they’ll recall something novel, unexpected, or possibly even forbidden. There is something uniquely thrilling about the first time you get naked with someone.

If you seek that kind of thrill within a committed relationship, as many do, you’re likely to be disappointed and frustrated. I tell couples in my clinic, don’t compare apples and oranges. Better if you can learn to listen carefully to your own arousal, and to the particular feeling your partner arouses in you. I don’t think of it as a “spark” — that word is too dramatic. Pay attention to that vibration, and be open to hearing it. You never know where sexual inspiration will come from. Don’t try to control it.

Don’t schedule a time for sex

Many sex therapists advise couples to just “put sex in the diary”. I think that’s a recipe for bad sex. It’s like making a dinner reservation, but when you get to the restaurant you’re not hungry. Instead, I recommend couples schedule a time to go to bed together to do nothing at all. Allow yourself to shift from your ordinary state of mind. You don’t always have to be “doing”. Take a breath and feel the air. If you’re feeling something, maybe express it to your partner. Or turn to them and say: “Hey, talk to me, what’s going on with you?” But keep it simple. Focus on the here and now.

In sex therapy, we call this the 2-Step, where Step 1 is cultivating awareness by going to bed with no agenda except to do absolutely nothing. That gets you ready for Step 2, where you let yourself become physically aware of your partner and notice any erotic feelings that might arise. Stay in the moment, if you can. Don’t try to arouse your partner. Just experience them — their voice, the scent of their hair, the way they feel in your arms and on your lips. You don’t need to feel desire to 2-Step, just a willingness to go wherever it might take you.

If you want lust to last, appearance matters

In my practice, what I hear most often from women is that they like their man to be diligent about grooming. He doesn’t have to be impeccably turned out just to watch TV on a Tuesday, but there’s no reason a man can’t be careful about how he presents himself, even if it’s just getting a nice haircut and trimming ear hair, nose hair, and eyebrows if they’re unruly, and maybe investing in a nice new set of boxers. And what about weight gain? It’s a sensitive subject, but it can matter. How lucky that near vision deteriorates in midlife. Every couple over 40 should have a dimmer switch in the bedroom, since none of us looks quite as good as when we were teenagers.

Truth is, most women in my practice say they’re turned off if a man has a pot belly, which is where most men tend to put on weight. But I haven’t seen much success with women telling their husbands to do sit-ups and watch their diet. That doesn’t seem to work any better with a man than it does with a woman, and it certainly won’t put your partner in the mood for sex. Instead, I recommend for a woman to lie him on his back, where his belly won’t look so prominent. Get on top, and focus on the parts of him that you do like.

Women like to feel passionately desired

Desiring a woman is more than just wanting to have sex with her. Most women crave a kind of erotic attention that has nothing to do with penetration or orgasm. It’s more likely to be from a shared look across a room, or in the moments before a first kiss. At its most intense, it’s feeling irresistible. That’s what makes erotic novels compelling for many women: the hero finds the heroine irresistible. He can’t stop thinking about her. So many women in my practice tell me they need to feel strongly desired. But that’s a tall order when you’ve been together for a long time, you’re busy with work and kids, and you both probably value a good night’s sleep more highly than sex.

I advise husbands, whenever you feel sexually attracted to your wife, don’t waste the moment. Act on it. Let’s say she’s in the kitchen wearing something nice, or changing, or just out of the shower. If you feel drawn to her in that moment, walk over, take her in your arms and hold her like you mean it — which of course you do. Kiss her passionately, inhale the scent of her hair, and say: “Did I ever tell you how attracted I am to you?” Most women in relationships say they need that show of desire more than they need sex.

Accept your partner for who they are

A wise old sex therapist colleague once asked me: “Why do women get bored with their husbands but not with their dogs?” I suspect it’s because most women accept that their dog is just a dog, but many have trouble accepting their husband for who he is. Some women tend to think of their male partner as a project, or a work in progress, and they forget to be thankful for what they’ve got. Most men are like cactus flowers — they don’t need much watering to bloom. Sometimes it’s best to leave your list of projects to the side and find something about your husband to enjoy or appreciate.

Be connoisseurs of your arousal

The happiest lovers savour arousal wherever they find it, whether it’s with a partner, alone, or through fantasy. They pay attention to what their arousal feels like. And happily, since taboos around female pleasure and sexuality have fallen away — and sex toys have improved — fewer women worry about having an orgasm through penetrative sex, making it easier to relax and enjoy the moment.

Cultivating arousal can be like learning to enjoy good wine. You begin to notice its components, like how arousal grabs your attention and makes you forget about non-essential things; how it makes you regress to a more spontaneous version of yourself; and how it touches your core sense of being. Many people spend lots of energy trying to produce strong arousal, as if that’s something you can control. Established couples who have good sex understand that there’s a passive element to it, as if you are riding a wave.

Remember to enjoy each other

In my practice I often ask women what they crave most in lovemaking. For some it’s a feeling of “surrender” with a partner who knows how to take charge. They appreciate a certain kind of male energy — confident, decisive and fully engaged. Many relationships start out with plenty of it, but as time passes the man runs out of steam and becomes inert and lacking in initiative. When couples like this are in treatment, the male partner will sometimes tell me he feels nothing he does makes her happy, so he withdraws to protect himself — which definitely makes her unhappy. And so her unhappiness and his lack of confidence just keep reinforcing each other in a vicious cycle.

The truth is that many men are quite sensitive to their partner feeling disappointed. It’s often worth reminding a man that a woman’s disappointment doesn’t have to be a calamity. It’s worth reminding her to enjoy him for who he is, rather than complaining about who he’s not. Male or female, deep down we all need to be enjoyed. Many men start manifesting confident male energy again once they feel their partner really appreciates them.

Most long-term committed couples don’t get excited together unless they’re going to have sex, which is an enormous mistake. This is a fork in the road early in a relationship. Once the fever of having sex passes, you’re faced with the decision whether to go right or left. Almost everybody goes left; they keep desire toned down, unless sex is on the menu. They don’t wear anything sexy to bed, they don’t play footsie under the table in a restaurant. It never occurs to them that arousal might have independent value. Why save it just for sex? The happiest couples, meanwhile, enjoy feeling turned on together just for its own sake, even if it’s just for a minute or two, even if they’re not going to have sex.

In sex therapy, we call this “simmering”. It’s what most of us did as teenagers — passionately kissing in the hallway between classes, then hearing the bell ring and darting off in opposite directions, feeling deliciously buzzed. In most adult relationships, the simmering is at least as important as the sex — if only because it’s easier to find time for. I suggest, whenever you might ordinarily kiss your partner, consider simmering them instead. Instead of waving them off to work with a peck on the cheek, simmer them goodbye. Hold them tight, feel their body, maybe rumple them up a bit, then send them on their way. And men, if you’re watching TV and your wife comes to kiss you goodnight, grasp her around the waist, pull her down to you and hold her tight. It may well lead to something more later — but it doesn’t have to.

Take responsibility for your own orgasm

Many women still think that if their male partner gets an erection, they’re responsible for relieving him of it. This makes no sense, since no one should ever feel obliged to do anything in bed they don’t want to do. What’s more, we men like being aroused. It’s not painful and if nothing sexual happens, an erection simply goes down. So if you’re lying in bed with your man and he gets excited, it’s totally fine to say: “Nice to know you’re happy to see me, but I’m really tired. OK if we just simmer for a minute, then go to sleep?”

Sometimes, though, he’ll crave an orgasm — just like sometimes a woman might crave an orgasm. He could always go to the bathroom to deal it himself, but it’s cold and lonely in there. The sexually happiest couples tend to compromise with something we sex therapists call “lazy sex”. They kiss, he holds her passionately with one hand, and with his other hand gives himself an orgasm. Some couples tell me they’ve always done this, especially when they were new parents and exhausted, or because their libidos don’t always align. Other couples, when I mention lazy sex, look at me as if I have three heads; as if taking a vow of marriage means swearing never again to touch your own genitals in bed. Obviously that’s a misreading of the marital contract.

Complete Article ↪HERE↩!

October 5, 2007June 11, 2026

Blue Plate Special

Name: ali
Gender:
Age: 25
Location: canada
my girlfriend dont waana get maried to me beacuse she is afraid of sex , she hates sex because she think its a disguesting thing like sucking fingering n etc what am i suppose to do i love her how i satisfy her dat we have to marry???

Why would you want to marry a chick that doesn’t like sex? That just seems crazy. If you think you’re gonna win her over or change her mind about sex just by marrying her; that’s even crazier. Loving someone is not enough to overcome this kind of resistance. If she’s unwilling to see a therapist to help her through her revulsion of things sexual, then I’d say it was time for you to find another potential bride.

Name: Randy
Gender:
Age: 24
Location: Florida
Is it possible that anal sex can result in increased flatulence?

Aaaa yeah!

Think of your ass as a cylinder and your partner’s cock as a piston. All the slamming in and out forces air up your bum. And what happens to that trapped air after (and sometimes even during) a fuck fest? You got it…farts for days. It’s no big thing, all bottoms get fuck-farts. The same is true for women — her pussy is the cylinder and her partner’s cock is the piston. All the slamming in and out forces air into her cooch, producing the very familiar pussy-fart.

Name: Jonathan
Gender: Male
Age:
Location: UK
Hello, please could you tell me if there is a way to increase the size of my testicles permanently, I do shoot a good amount of cum but they are small in the hand and look small in underwear and swim trunks, have you any advice on what I could try,

Hold on there, big fella. What are you askin’ me? Do you want to increase the size of your balls (testicles), or the size of your sack (scrotum)? You can do the later, but not the former. If you are past puberty, your balls are the size they are gonna be; there’s no increasing them. Your sack, on the other hand can be stretched to increase its size. Will that satisfy you? If so, read this: …don’t let me get too deep. If not, you’re out of luck, darlin’!

Name: Mario
Gender: Male
Age: 17
Location: CA
I watch porn once in a while and have noticed that when I have an erection I get the “precum” after a while of having the erection. The problem is that lots of precum leaks out and its embarrassing for me when I’m with a girl. They usually get grossed out and stop oral sex. Will the precum go away with time or will this happen to me forever?

Ahhh, the heartbreak of pesky precum drip! I used to know this guy that dripped like a broken faucet and all he had to do was think about a woman’s tits. It was absolutely amazing. When I knew him he was at his first job as a teller in a bank in downtown San Francisco. If there was so much as a woman in line with a low cut blouse and a bit of cleavage showing, he was done for. He could feel his juice drip down his leg. He tried many things to keep his heartbreak from being so obvious — he would wear baggy pants, double up on underwear, he’d stuff his junk in a sock and wear a jock over the sock under his underwear. That worked, but it was uncomfortable. Finally he discovered his own personal solution — he pulled his foreskin over the head of his dick and put a little rubber band over the end. This way his juice would build up inside his hood until he released the rubber band. Now that was creative thinking. I’ll admit this guy was unusual with his prodigious cock dribble, but he was young, only in his late teens. His “problem” did subside with time.

This whole phenomenon is not unlike a person with a heavy perspiration problem. You know the guys, the ones who run with sweat form every pour at slightest amount of stress. For most, this happens during puberty and early adulthood, but it doesn’t last.

Listen, pup, I know your drip may be a bit embarrassing, but it’s really very natural. I encourage you to just go with the flow…no pun intended. The more you worry about it the more it will plague you and in time you will become so self-conscious about it, it will cause performance anxiety. Why not consider yourself lucky, all that precum is a swell natural lubricant. Ya know some women have a similar concern with an abundance of vaginal liberation produced during arousal. But believe me, it always way better to have too much than not enough.

To your concern that some girls get grossed out by your leaky dick, well all I can say is they’re no connoisseur of cocksucking. Because those in the know consider precum the Nectar of the Gods!

Name: Isabell
Gender: Female
Age: 24
Location: Olympia Wa
HI, my guy and i have been together for five years now and he is 29 now. Of course in the beginning we were all over each other, but now (five years later) he can go months with out even thinking about sex. And of course I am going crazy for it. He says me pining for sex is a turn off but i cant help it. He thinks its normal, but i know its not. I dont know how to get him in the mood. I’ve tried going down on him at night, romantic dinners, porn, and sucking up to his ego. But still to no avail. I know he’s straight. I am sure there are some things that contribute to his lack of interest. Like he was raised mormon, and in some regards holds women on a pedestal. So what would you advise me to do. What can i do to help him get hornier?

You’re right, darlin’, it ain’t normal! A guy in his 20’s, albeit his late, late 20’s, who has no libido…that’s just downright odd.

So let’s say for the sake of argument that you’re right, he is straight as can be (no secret cock on the side). And he can go months without showing any interest in sex? Come on! If he had been like this from the get go, we could make the case that he just doesn’t have an interest in sex. That’s not particularly uncommon. But to go from a vigorous sex live to virtually none in a few years, that’s fishy. Are you confident that he is still attracted to you? Sometimes a guy would rather live a life of quiet desperation than tell his GF that he’s no longer into her in a sexual sort of way.

Is he experiencing any health problems? Is he overweight, diabetic? Is he depressed? Is he on any prescribed meds? Is he smoking too much pot, consuming too much booze? Is he overworked on the job? Is he sleep deprived? All these things can impact on a dude’s sex drive. I’d recommend he see his physician for some blood work to check his testosterone levels. Sometime a guy’s hormone levels can take a nosedive without him knowing it.

Finally, to your question…what can you do to help him get hornier? Probably nothing beyond what you’ve already tried. If a surprise blowjob, a romantic dinner, porn and even an ego boost don’t do the trick, I’d say he’s a lost cause. Time to take your needs to someone with a little more lead in his pencil, if ya know what I mean. None of us should have to beg for our bone.

Name: amber
Gender: Female
Age: 20
Location: fort worth
When me and my husband have sex he just seems to want to get it over with. I dont ask him for it because everytime i do ask him hes not in the mood. He wont even try to help me warm up i have to do it all myself. I even do everything to him that he asks me. He also seems like he doesnt want to please me because ill tell him ways to make it easier and positions i like and he just ignores me and goes on the way he wants it. When we first met sex was amazing and now sex is literally a 2-minute session just for him. What do i do to get him to help me out too?

See my response to Isabell, right above you.

And to that I would add that if your man is not being mutual in your sex play he’s not playing fair. And let’s not mince words, your husband sounds downright abusive. Marriage does not give one the license to ignore, reject or abuse. I’m not one for ultimatums, but the longer you tolerate his behavior, the more retractable he will become. Give the bum a choice to either work with you to find a happy solution to this mess, or you are gone.

Good luck, ya’ll

June 15, 2007June 11, 2026

Too Much of One Thing and Not Enough of Another

Name: Carey
Gender: Male
Age: 33
Location: Kansas
My fiancée is 27 and in the past 3 to 4 years her libido has become virtually extinct I have tried everything and she just blames her birth control what do I do

You’ve been engaged to a woman for more than 4 years? Oh wait, maybe you’re trying to tell me that you proposed to this woman in spite of knowing she has an extinct libido? Either way, darling, that’s messed up, huh? Are you hoping this is “dry spell” is gonna somehow magically resolve itself once you’re married? I wouldn’t hold my breath for that, if I were you.

It’s true of course, birth control pills can seriously impact on a woman’s desire for sex. Your fiancée is probably one of these women. Maybe she ought to consult her physician about another type of pill that may have a less severe impact on her libido. Many women find that triphasic birth control pills (which deliver differing amounts of hormones every week) interfere much less with their sex drive than monophasic pills (which deliver the same amount of hormones each dose).

She could also decide to discontinue the pill altogether, and choose another form of contraception, such as a condom or diaphragm. Just realize that once off the pill, her sex drive may only return very slowly.

You see how this predicament is a double bind for your fiancée. If she is more lax with her contraceptive efforts, just to please you and your sex drive; then she opens herself up for an unplanned pregnancy. And that’s not good for her, or you. Is there anything YOU can do to free her up from shouldering the full burden of contraception? Have you’ve considered a vasectomy? Probably not, huh? What man ever imagines he ought assume the responsibility for controlling reproduction?

I wholeheartedly support the notion that married people deserve a rich and fulfilling sex life, unless there’s mutual agreement not to bother. But that can’t happen if one of the partners is inequitably burdened by one thing or another. Perhaps, it’s time you and the little misses to have a frank talk about equally sharing the responsibility for contraception. And if this little talk is successful, maybe, just maybe, you might get laid again.

Good luck

Name: Tom
Gender:
Age: 18
Location: New York
Okay so I’m not sexually active yet so I’m not in a rush to solve this but I just had a question for you. Is it possible to have too much foreskin? I mean even when fully erect the skin still overhangs by like 1 quarter inch or so (never measured so not exact). So a few times i’ve tried to do it by hand and yet still it doesn’t fully go back and gets to a point that it starts to hurt and I can’t continue. So do I probably hatto get cut some day or something? Also what if I decided not to get cut would this cause problems, just asking because if I didn’t have to go in and get cut I’d prefer that but you gotta do what you gotta do. Well thanks for the help.

Too much foreskin? Never heard of such a thing!

That being said, it does sound like you have been blessed with an abundance of drapes. What’s also obvious is that you’ve yet to learn how to manage a foreskin…particularly a wild and unruly foreskin, like yours.

Phimosis, or tight foreskin, can be a real pain. But stretching, not circumcision, is the cure for all but the most severe cases. I’d be willing to guess that you’ve never been taught to stretch your foreskin to make it more elastic, right? Alrighty then, let’s start with a few stretching exercises.

Exercise 1 — While you’re dick is soft; retract your foreskin as far back as you can. Work two fingers in under your hood till you can touch the head of your dick. Now attempt to roll your hood forward and over your fingers. It’s like docking another cock, only you’re using your fingers. This exercise depends on you having your fingers inside your foreskin for it to be effective. In time you’ll be able to add three fingers, instead of just two. This will stretch your foreskin to the point you’ll be able to easily retract it over your erect dick head.

Exercise 2 — Grab each side of the foreskin opening and gently pull each side apart. Stretch the opening till it’s stretched with a tension you can tolerate, but not actually painful. Hold for a count of 10 and release. Repeat for 5 sets of 10 pulls per day, more if you can handle it. Here’s a tip, these stretches are best done after soaking in a warm bath or a long hot shower.

Exercise 3 — This is a variation on exercise 1. Insert a smooth cylindrical object into your foreskin opening, like the cork from a wine bottle. This object needs to be just large enough to stretch the skin without pain. Once inserted, leave it there for as long as you can during the day, or for over night. As your foreskin stretches you want to swap one object for another with a larger diameter. If a wine cork is too big to start with, consider a smaller smooth wooden or plastic dowel. You can find these sorts of things at the Home-O Depot, don’t ‘cha know. You might need to use a bit of surgical tape to keep these stretchers in place.

These exercises may sound a bit invasive or uncomfortable, and perhaps they will be at first. But they’re nothing compared to getting cut as an adult. In a short period of time you will achieve the success you are looking for. Remember, properly caring for your foreskin will insure that you’ll be able to keep this amazing piece of your anatomy. So that when it’s time for you to become sexually active it will work flawlessly and exponentially increase your pleasure.

Good luck

Name: tony
Gender: Male
Age: 40
Location: houston
I’ve loved several women and even married and divorced one. Over the last few years, I notice having similar feelings for men around me…longing, sweaty palms, difficulty thinking and wanting to be with them alone. Is this love? Am I bisexual? Am I a sick man better of dead? I have not crossed the line and I still having great sex with women. But there’s now a guy that I think about when I’m with her! Am I gay? Bisexual? Sick in the head?

My first reaction is that what you present is not particularly uncommon. Many people, just like you, inexplicably find themselves behaving in a completely unexpected sexual manner. I’d love to know what triggered you to veer off your comfortable and predictable sexual path?

There’s never a scarcity of sexual fascists out there, people who believe that sexual tastes and preferences are carved in stone, or there’s only one “right” way to be sexual. They’ll persecute anyone who doesn’t conform to their strict immutable notions of sexuality and eroticism. Despite the proliferation of these hetero-fascists, homo-fascists and what have you; they are all very wrong about the indomitable human spirit.

For the most part, humans are not sexual automatons. Given a more permissive and sex-positive culture then our own, we’d all be more fluid in our eroticism and sexual expression. Are you one of the lucky few who has discovered the joy of this fluidity? Doesn’t quite sound like it to me, at least not yet. I think you’re still in the “scared shitless” stage.

For a guy who has yet to “cross the line” and actually act on your fantasy, you sure are preoccupied with your identity. Are you afraid that someone will take away your breeder card if you actually touch a dude in a sexual way? Does having same-sex feelings…sweaty palms and all…make you a gay? Doubt it! Being gay entails a lot more than a sense of longing for something you’re not supposed to have. Are you bisexual? I can’t say for sure, but you’re certainly not exclusively straight either. I suppose you have to come to grips with the self-identify thing when you have a bit more information about your burgeoning homoeroticism. What I know for sure is that you are not sick.

Who knows, your homoeroticism might very well be situational. It might not extend any farther than the guy you think about when you’re fucking chicks. I know all of this is can be pretty disconcerting and it can really mess with your head. But at least you know you are still alive sexually. So many people are sleepwalking through their erotic lives.

Will you act on your inclinations? Will you test the waters, so to speak? What harm could it do? Might just open up a whole new sexual world for you. On the other hand, if you do nothing, or try and repress these natural feelings, you’ll always know in your heart of hearts that you have the desire, if not the capacity, to express yourself sexually with a much wider range of humans than what you are currently used to. And something tells me that if you choose the path of self-denial, it will eat away at you until you satisfy your curiosity.

Good luck

March 19, 2007May 14, 2026

Sex Advice With An Edge — Podcast #06 — 03/19/07

[Look for the podcast play button below.]

Hey sex fans,

This week we have a slew of written submissions —

Roxy is a cock in a frock and his marriage is on the rock-s!
Young Pete is queer, and his yahoo family hates fags.
Gwen is over the hump, but still wants to hump.

And finally A Sexual Enrichment Tutorial —

Suppressing the Gag Reflex!

BE THERE, OR BE SQUARE!

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

Today’s Podcast is brought to you by: Daddy Oohhh! Productions, Quality Adult Entertainment, Enrichment and Educataion

Podcast: Play in new window | Download

January 2, 2007June 3, 2026

Body Image Blues

Happy New Year everyone!

Did ya’ll survive the holidays? Dr. Dick just barely made it through this annual ordeal by the skin of his teeth. The holidays are supposed to bring out the best in folks, right? Then, what’s with all the lunatic behavior this time of the year?

Leave it to all the wretched holiday hype to spike our self-critical nature. Just when ya thought it was safe to take a peek in the mirror, along come those age-old bugaboos to scare ya back into the closet of self-doubt. Consider this month’s grab bag of frightened souls.

Hey Dr. Dick –
I’ve always had a low self-image. Then about two years ago I decided to do something about. I began going to the gym regularly and eating better. It paid off…now I have a better image of myself and have been dating more. I am seeking a LTR but only seem to met and slept with unavailable women. I’m starting to turn this back on myself…sure now I’m good enough to sleep with, but not have a relationship with! Thoughts?
—K in NYC

Dear K,
You’re looking for a LTR and you’re sleeping around with unavailable women? Darlin’, what do you suppose is wrong with this picture?
Dr. Dick suspects that you still need to do some serious work on the self-image thing. I applaud your efforts to get in shape and eat right. Good for you! However, heaping recriminations upon yourself for your lack of success in the dating game, particularly while pursuing the unavailable, is downright self-defeating.
Rethink this strategy immediately.
Good luck,
Dr. Dick

Doctor Dick,
I only have one testicle. I was born that way. It has a huge effect on my self-confidence. I consider myself a good-looking guy and I work out at the gym to try and look and feel the best I can. But even so, whenever I meet a guy and we have sex, I am always terrified that when he notices, he’ll freak out or suddenly be turned off. Even though the guys I have been with (not that many) haven’t had a problem with it, I feel it is a problem. And also, I have trouble ejaculating—whether that is physiological or psychological, I don’t know.

I have two questions. 1) Would having only one testicle reduce my sex drive and make it harder for me to ejaculate? 2) I have pondered the idea of having a prosthetic testicle inserted (so at least I wouldn’t LOOK any different to other guys). Do you know much about this procedure and if it is safe?

Thanks very much
David

Dear David,

Whoa, aren’t you all tied up in a BALL of knots? (Big pun intended!)

You’re obsessing about something that apparently is of no consequence to your partners. Hey, if they don’t give a shit that you’re shy a nut, why should you?

Celebrate your uniqueness, instead of living in shame. Your “irregularity” is neither life threatening, nor is it particularly obvious.
Consider the great length some guys go to in an attempt to hide the “shame” of what they perceive as a personal inadequacy. Like the guy who wears a really terrible toupee (or any toupee for that matter) in an effort to mask his hair loss. Is this not completely ridiculous, not to mention counterproductive? I mean, doesn’t his folly call even more attention to the very thing he wishes to conceal?

I propose that it’s your anxiety about “being found out” that’s getting in the way of your sexual performance, not having just one testicle. Nor do I believe that it’s interfering with your sex drive. But I advise you consult your physician if you think you have a hormonal imbalance. A regular injection of testosterone will remedy that.

You ask about surgery; well, it’s a simple enough procedure. But there are always risks, like the possibility of infection for example. Besides, you’ll always know that one of your balls is a fake. And in time, you’ll probably begin to obsess about that, too.

David, this problem of yours can be solved in a less drastic and invasive manner than surgery. Choose self-acceptance over the knife and be happy.

Good Luck,
Dr. Dick

Dr. Dick:
I am writing because I am a very self-conscious person and am afraid to date anyone because of how I look underneath my good-looking clothes. I was born with problems that left scars and veins on my body, making my younger years hell. I am very self-conscious when it comes to wearing shorts, which I never wear, and being naked with someone. I want to be with someone and look normal, like all the other people. I enjoy looking and feeling good about myself, but when it comes to revealing my true identity I lose all confidence. I am afraid of rejection because I am different.
I want a boyfriend who hot and has a body to die for, but I don’t base my dating prospects on looks, but on personality. I know there are others out there with the same philosophy, but it is hard to see. What should I do? I want to meet someone and have fun, but I have this fear of being rejected and not being what they expect.
— Jordan

Dear Jordan,

I can’t tell from your comments if you are a man or a woman. That’s actually a good thing, because my advice is the same regardless of your gender. Our society can be a heartless place for those of us who don’t fit the “ideal” of youth and beauty perpetuated by the popular culture. And it looks to me like you’re guilty of the same bullshit you accuse others of perpetuating. You want a lover who is physically perfect, but you don’t want others to discriminate against you for not being so. Aaaa, hello! If you allow this unhappy double standard to control your sense of wellbeing, you have only yourself to blame.
Throw off the shackles that ensnare you. They’re all self-imposed, not to mention self-defeating. Learn to accept yourself for who you are, with all your assets and liabilities. And you’d do well to be a little less of a snob where others’ looks are concerned.
Good Luck,
Dr. Dick

Dear Dr. Dick,
I’m an attractive, talented and fun loving guy who has never had a lover in the 23 years that I’ve been openly gay. Sure I get a lot of looks and flirtations but rarely from the ones I’m attracted to. It seems that unless you work out 4 to 5 times a week you’re not worth their time or attention. In fact, if you read personal ads you’ll find that the majority of them use that as a prerequisite. Mind you, I’m not flabby or out of shape, I’m just tall and thin (6’3″, 175#). This has made me very self-conscious about myself and in turn has produced performance anxiety. I find myself working so hard to please a man sexually that I can’t “get it up” to save my life. I joined a gym a couple of times. But after a year of religiously working out (both times), I never saw any visible improvement in my body so I stopped going. Another aspect of my frustration is the fact that I have been HIV+ for 12 years and I am developing the “skinny arms and legs syndrome” from my drugs. Sex has become a very complicated issue for me. Half the time I’m self-conscious about my body and the other half afraid of passing on HIV or getting some new sexual disease. Any advice?
—Sex Fan

Dear sex fan,

You bet I have some advice. In fact, if you’ve taken the time to read this far in this column, you already have a good idea of what my take on all of this is.
Some gay men have turned discriminating against other gay men into an art form. If it’s not about muscles, then it’s about age, race, HIV status, where one lives, the clothes one wears, the car one drives—the litany goes on and on. If you buy into this dehumanizing nonsense, as it appears you have, you do it at your own peril, darlin’! You give this ugly thing power over you, and it will erode what little self-confidence you have left.

Let me make a couple of quick comments. First, do you use the same superficial standards to measure potential partners that you say others reject you by? That’s a common enough scenario (check out the letter above). But this cycle of oppression needs to stop somewhere; why not with you?

Second, working to please a partner is a good thing. But taking it to an extreme is not. Obsessing about pleasing a partner, so much so as to let it interfere with your sexual performance, or worse, your mental health, is very dangerous.

Finally, fear, whatever its guise, will always and everywhere diminish your ability to pursue and enjoy your sexuality. I guarantee that being so afraid of getting or passing on a disease or being afraid of rejections because of your body type will cripple your sexual performance.

I suggest you begin 2004 by taking your fears, apprehensions and frustrations to a professional. A sex-positive therapist will help you overcome these stumbling blocks so that you can happily get on with the rest of your life.

Good Luck,
Dr. Dick

It’s my sincere hope that, with the dawn of the New Year, we’ll find the courage to scuttle all this self-defeating crap, and in doing so, make the word a much better place in which to live.