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Heart to Heart

Name: Anne
Gender: female
Age: 28
Location:
My question is kind of embarrassing, but here goes. I gave birth to a nine pound beautiful baby four weeks ago. I am happy to report that both mother and baby are doing fine. That is except for the fact that my vagina is still stretched out of shape. My question is can I hope to have it return to its previous shape? Also, I’ve heard that new mothers should wait for six weeks after a birth before having sex again. The problem is that my husband is really horny and he doesn’t want to wait. So I’m wondering will it hurt if I start sooner? Another thing, does breast-feeding interfere with my sex drive? I don’t feel really sexy these days. Sorry for so many questions in a row.

In the immoral words of Prissy in Gone With the Wind, “I know nutthin’ about birthin’ babies, Miss Scarlett.”

Congratulations on the birth of your child, Anne. Wow, nine pounds, huh? Pretty hefty. I’ll bet he’s adorable. Everyone here at drdicksexadcice.com is betting that your child is a boy? Us boys tend to give our mommas a hard time right from the get go. At least that’s what my own dear sainted mither used to say.

people-mother_and_baby-cd01-010.jpgI’m also gonna make another assumption, this is your first child, right? Well, the size of the baby as well as the number of children the woman has carried certainly does effect the elasticity of her vagina. No rocket science there, I suppose. Birthin’ babies is pretty traumatic to your pelvic musculature. These muscles lose tone with each successive delivery. But never fear darlin’, there are muscle-toning exercises known as kegels that will help you tighten things up in jiffy.

Excuse me for a moment, Anne, I think I’m losing the males in my audience. 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.

Sorry about that Anne. See what I mean about boys and givin’ folks, not only their mommas, problems? Anyhow, if you’re not already doing kegels, I strongly recommend that you start right away.

What are kegels, you ask? They’re muscle contraction and relaxation exercises designed help restore tone to 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), 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.

Let’s try this for starters. Imagine that you’re trying to stop yourself from farting or trying to hold your pee. Notice the feeling of squeezing and lifting — it’s a sensation of your pelvic muscles tightening and drawing up. Try it now, while you’re reading this. That’s the beauty part of kegels; you can do them anywhere, anytime. If you’re finding it difficult to isolate the muscle group, insert a couple fingers into your vagina before doing a kegel. If you feel pressure around your finger while you are tensing your PC muscle, then you’re on the right track.

However, if you’re tightening your abs, squeezing your legs together, clenching your butt, or holding your breath then you’re not exercising the right muscle group. The object here is to isolate your pelvic floor muscles. Those are the ones you wanna be working.

I want everyone, not just you Anne, to work on both muscle strength and tone. Start with five strong prolonged squeezes (5 seconds apiece). Hold then Relax. Then do a series of 10 rapid contractions in a row. Doing three sets of these two types of kegels twice a day for a week is your goal.

Let’s go over that one more time. Start with five strong prolonged squeezes (5 seconds apiece). Hold then Relax. Then do a series of 10 rapid contractions in a row. Doing three sets of these two types of kegels twice a day for a week is your goal.

When you’ve accomplished this you’re ready to increase the set to eight or ten prolonged squeezes and 20 rapid contractions in a set twice a day for a week. The advanced kegeler is able to vary the type and duration of his/her PC squeezing; slow prolonged clenches to quick flutters.

newbornlls07.jpgOn to the other issues you raise. Your uterus and cervix underwent significant changes as you were delivering your baby, and they need time to heal. So if your husband is being a bigger baby than the new-born…see what I mean about boys drivin their mommas and everyone crazy…by pressuring you for nookie, make a deal with him. Hand jobs and blow jobs only for the first six weeks after delivery. I’m sure you can sympathize with the big galoot. He’s probably freakin’ nutty from lack of nookie. How long has it been since he had some of your fine pussy?

Finally, breastfeeding may indeed interfere with your libido, but more likely it’s just the sheer exhaustion of this postpartum period. Nursing your baby every couple of hours, especially during the middle of the night…I mean, how long can that go on before you start looking for the Uzi.

And probably the idea of your husband grabbing at your boobs while they’re still real sore from junior chompin’ away at them probably doesn’t incite great waves of horniness either. Rest assured, this lack of interest in sex won’t last forever. Before you know it, you’ll be feeling all pretty and randy once again. And soon you will once again be inviting and welcoming your hubby’s advances.

Good Luck!

Name: Gordon
Gender: male
Age: 67
Location: Florida
I guess I have more of a comment than a question. I’m 67, a widower and have been recently diagnosed with prostate cancer. I never was very adventuresome when it came to sex. In fact before my wife died two years ago I never had sex with any other woman. I never gave prostate cancer a thought, never gave my own prostate a thought either. Now I’m mad as hell that I didn’t. You see when I started to go to a prostate cancer support group I discovered I could have monitored myself better with a simple self-examination. Why don’t doctors tell us about this? Women are supposed to examine their breasts why don’t men examine their prostate? It’s so easy actually and yet it’s this big secret. Why don’t people talk about this? It makes me so mad because it could have made a big difference in my own life. Do you know about this self-examination Dr Dick? If you do why don’t you tell other people about this? I think it would help a lot if you could help get the word out on this. Now that’s all I have to say. Thank you.

No, thank you Gordon. Thank you for sharing your concern with me…with us.

06214123854_275-prostate-cancer.jpgI’ve been an active proponent of prostate self-exam for many years. Let me explain. My career as a therapist began in San Francisco in 1981. As you may recall, that was precisely the same year a mysterious new disease began showing up among gay men. Back then it was being called gay cancer, but soon it would have another name — HIV/AIDS.

Not surprisingly, my private practice focused down almost exclusively to working with sick and dying people. Luckily, I discovered that I was well suited for the job and I liked it very much. So much so that in the mid-90’s I founded a nonprofit organization called, PARADIGM; Enhancing Life Near Death. It was an outreach and resource for terminally ill, chronically ill, elder and dying people. This was brilliant cutting-edge work and I learned so much from the people I was working with. One of the things that struck me most was that regardless of the disease — cancer, HIV, MS, you name it, or even the aging process for that matter — there was always a woeful lack of information about regaining a sense of sexual-self post diagnosis, or sexual wellbeing for seniors in general.

I recall one participant in particular, a man much like you, Gordon. He too had prostate cancer and, like you, he was mad as hell with the indifference of the medical industry toward prostate self-exam. One day during a group session, John was railing against his doctors and cancer associations for their lack of interest in promoting prostate self-awareness. He pointed to the success of the cultural campaign to get women to do breast self-exams. Like you, Gordon, he couldn’t understand why there wasn’t a similar campaign for men.

150_prostate_cancer.jpgAnother group member, Clare, a senior woman in her 70’s and a breast cancer survivor, helped put things in perspective. She reminded us that breast self-awareness in our culture is a relatively new phenomenon. Her mother, aunt, sister and a niece all died of breast cancer before the self-exam campaign began in earnest. Clare went on to say that it was only through the hard work of individuals and grassroots organizations that actively campaigned for breast self-exams that things began to change. Eventually, this movement changed the cultural mindset. Clare said that it was these individuals and grassroots organizations that helped all of us — medical industry, the cancer lobby and women in general — overcome the denial, shame and embarrassment that was associated with women touching themselves, even to save their lives.

This is an indication of just how ingrained the sex-negativity and body-negativity runs in this culture.

Unfortunately, I couldn’t find the funding I needed to continue Paradigm, so after only a couple of years of these groundbreaking programs I had to close up shop. This precipitated a rather sudden move to Seattle in 1999. I guess I was having a major mid-life crisis myself.

I continued to work with sick and dying people here in Seattle. I had a brief gig at a local cancer center where I developed an NIH (National Institute of Health) funded program for women newly diagnosed with ovarian cancer. I was also working with a group of women with breast cancer and another group of men with prostate cancer. Again I realized that just about every therapeutic intervention I encountered — government funded or foundation funded — was woefully lacking in any clear and unambiguous information about sexual health and wellbeing and intimacy issues.

04011106.jpgTo remedy this, I began planning a video series for people experiencing life threatening and/or disfiguring illnesses. Videos that would help them address reintegrating sex and intimacy post diagnosis. One of the first videos was going to be Public Service Announcement showing men how to do a prostate self-exam. By the way, this particular film was to be dedicated to my friend John, the guy I mentioned earlier. He died shortly after the Paradigm group he was in ended. But he was militant to the end about the pressing need for prostate awareness among men.

Once again the stumbling block I encountered was funding. My grantwriting efforts turned up nothing. I did get a whole lot of, “what a fine idea, Richard. Good luck with that…” brush-off letters though. No foundation would be caught dead funding sexually overt pattern films, even ones with the laudable intent of assisting people with the very information they needed most.

I’m sorry to have been so long-winded in my reply, Gordon. I just wanted you to know that many have preceded you with outrage at the conspiracy of silence regarding prostate self-exam. Let’s face it; our society is so ass-phobic that we’d rather see men die than offer them simple instructions how to finger their butt, find their prostate and keep tabs on their prostate health.

If we want this to change we all need to speak out…as well as stick a finger in our ass.

Keep up the fight, Gordon! And please, stay in touch.

Good luck

Time On My Hands

When I was just a little tike, the nuns who taught me in grade school would often say, “idle hands are the devil’s workshop.” Far be it from me to lend the devil an idle hand. While I was waitin’ on my new computer, the one that allowed me to resume my podcasts, I decided to use some of the down time to respond to a backlog of correspondents in the old fashioned way…by writing.

Name: Adam
Gender:
Age: 34
Location: UK
I have been attracted to male children for years. Having been arrested for viewing child porn I realize that I need to pursue a celibate lifestyle. I realize that celibacy is a demanding lifestyle. What advice would you offer me?

You present a particularly touchy issue for our culture, Adam. But before I respond, I’d like to help you with some of your vocabulary. You say you need to pursue a celibate lifestyle. I think you mean to say you need to pursue an abstinent lifestyle. The two concepts — celibacy and sexual abstinence — mean different things. Unfortunately, way too many people use these terms interchangeably. This is not a good thing and only serves to muddy the waters further.

Celibacy has a very specific meaning. Let me whip out my trusty, handy dandy Funk & Wagnalls dictionary. Celibacy: the state of being unmarried. Some people infer, especially those of a strict religious bent, that celibacy also connotes sexual abstinence. Ya see, religious people are of the mind that there is no legitimate sexual expression outside the confines of heterosexual marriage. Legitimate or not, unmarried people have always been and will always continue to be sexual, so making that unfortunate connection between celibacy and abstinence ill advised.

The only thing we ought to be able to say for sure when someone identifies him/herself as celibate is that he/she is not married. To assume a celibate person, even one who has taken a vow of celibacy, is sexually abstinent is quite a dangerous stretch indeed. Need I point out the very unfortunate sex abuse scandals that continue to plague the Roman Catholic Church?

In the same way, if someone identifies him/herself as sexually abstinent, the only thing we ought to be able to say for sure is that he/she is not engaging in any type of sexual expression. It would be false to assume that a sexually abstinent person is not married, because there are a lot of married people who are indeed sexually abstinent.

In your case, Adam, I believe you are telling me that you are both not married (celibate), and because of your particular sexual predilection — young boys — you must also be sexually abstinent. If I’ve got this right…and it is very important that I not misinterpret your words…then I think there are options you may not have considered.

I firmly believe that we learn our sexuality. All we eroticize, in your case boys, is learned behavior. You once learned to eroticize boys; you can now learn to eroticize a more appropriate group of people. This isn’t a particularly easy thing to accomplish, but it’s not impossible either.

Anytime any one of us discovers that the object of our desires is someone inappropriate, we need to adjust our eroticism immediately. This is the better part of being a sexually responsible person. Pedophilia is just one such inappropriate eroticism. A father for his daughter, a mother for her son, a boss for a subordinate, a man for his neighbor’s wife, a teacher for her student, a counselor for his/her client, a congressman for his page…are you getting the picture? I hope so. And the list goes on and on.

I believe learning to readjust your eroticism to a more appropriate outlet is a much better option than trying to live a sexually abstinent lifestyle. The reason I believe this is that having a more appropriate outlet will at least give you an outlet for your pent up sexuality. If you have no outlet, or limit yourself to masturbation, you will only intensify your longings and further fixate on the inappropriate object of your current desires.

Like anyone trying to wean him/herself off a bad habit, the task ahead of you Adam, will be challenging. It will also be enriching and life-affirming. I hasten to add that you ought not try to do this on your own. Work with a sex-positive therapist.

You’re a relatively young man with many years ahead of you. These years can be filled with happy, healthy and appropriate sexual expression. Make it happen.

Good luck!

Name: Bert
Age: 54
Location: Amsterdam, The Netherlands
Dear Sir,
7 years ago I lost my lover who I had lived for 14 years by AIDS. 6 months later I met my present lover. His lover just died of lung cancer. We met each other at a time we needed someone in our life. I am not a person who steps inside easily into a relationship. For the first 3 years we had a review every 3 months and every 3 months we extended our relationship for another 3 months. I needed time to get over my loss. My problem is that I cannot ejaculate when I have sex with my present lover and my appetite for sex has vanished. Before my lover died I had the greatest appetite for sex and I had no inhibitions about sex. I feel shy and uncomfortable when he approaches me and I do have an erected penis. In the first years I thought the reason was my lost of my lover. But after seven years it must be over. Can you give me advice?

Dear Bert,
Grief has a profound effect on our sexual response. In my practice I have found that grief is one of the leading causes of sexual dissatisfaction and dysfunction. You, Bert, present the classic symptoms of grief induced sexual dysfunction and dysphoria.

As you probably know, some animals mate for life. When the mate dies, that animal will not mate again. Are you such an animal? Is seven years of grieving enough? I can’t say. Grieving is such an individual thing. What I can tell you is it is time for you to bring this concern to a professional for help. I suggest that you seek the help of a qualified sex-positive therapist, someone who is well versed in both sexuality and grief counseling. It’s imperative that you address this issue as soon as you can. Don’t let this go unattended any longer. It will fester and destroy any sexual relationship you will try to establish in the future.

Good luck!

Name: Lenore
Age: 28
Location: IL
Whenever I have sex with ANYONE (it could be the hottest guy on the planet) I have to ALWAYS imagine I am with someone else from my past. The guy in question was the first guy I ever had sex with. We only did it once and I never saw him again after that. I was 17 in high school and he was 23 in the navy. Now if I don’t imagine this guy I can’t achieve orgasm, no matter how GOOD the partner I have is making me feel. I’m having a good time, I lubricate like crazy, but when it gets right down to it, I HAVE to think of this guy or no orgasm.
Can you give me some advice on this?

Are you suggesting that what you describe here is a problem? Or are you just making a point and asking me for my thoughts on the matter? I hope it’s the later, because I

vintage-nude-with-tambourine.jpg

don’t see that your fantasy life is getting in the way of you enjoying your sexuality. On the contrary, your fantasies are enriching your sexuality. You’re able to fully enjoy sex, even to orgasm…with the help of your recollections of the guy who popped your cherry.

As to what goes on in your head during sex, well that’s no body’s business but yours, unless you want to tell your partner what’s on our mind. Everyone enjoys sexual fantasies as an integral part of their sexual expression. And rarely do those fantasies include the person right there bumpin’ parts with the person doing the fantasizing. There’s nothing wrong with that, don’t ‘cha know! I mean, why would you want to leave your largest sexual organ, your brain, unstimulated when your pussy is having such a good time?

Why not just enjoy what works for you?

Good luck!

Name: Kevin
Age: 30
Location: Delaware
I would like to know why gay men and lesbian woman have fetishes (turned on by a certain body part). I’m turned on by feet and by men wearing all01010801150101031020071202061df1a0067a5a44f400c442.jpg types of boots and all types of sox please reply with answer thanx

Ya know, Kevin, fetishes are not just a gay/lesbian phenomenon. Every kind of person may have fetishes.

Fetishes come in all sizes and shapes; body parts, clothing, hair color, (racial fetishes…as we will see later) particular sex acts, sex toys, to name just a few. There are a few plausible explanations for these behaviors, but the one I prefer is that we learn our sexuality. All the things we eroticize — in your case feet, footwear and sox — are learned behaviors. I suppose that if you had the time and energy to retrace your steps, as it were, you’d find a specific time and place when you began to fetishize these things. The people who study human sexuality say that there is a pleasurable connection of one sort or another with everything we find erotic. Some fetishes develop later in life, some start when we are children or even infants.

Good luck!

Name: Mura
Age: 22
Location: Japan
I am 22 year old. I like and love strong and humor and good-looking male man. When saw the man like those, my cock is becoming hard and want to have sex. Frankly speaking, I like and love black Actors of USA Will Smith and Denzel Washington. When I watch their films, I do my cock by myself. I feel it s very nice. But I also think that it is not good. But I can’t control myself. I don’t know how to do. Please tell me your advice.

Lots of us share your sexual fantasies of black American actors.

— Denzel! Denzel! Denzel! Oh baby, oh baby, you make me so hot! —

And those that don’t share your (our) fantasy have other beloved fantasies of their own, just like Lenore and Kevin above you. There is nothing wrong with that. Masturbating to sexual fantasies is good and healthy. It will help you learn about your

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body. Enjoy yourself. Try not to think of yourself as having a problem. This is all very natural.

Good luck!

Name: Jose
Age: 27
Location: Miami
Dear Dr.Dick, I’m been having a problem for a long time I’m a goodlooking guy that works out, healthy, professional but I have a problem I can only have sex with men of color only I fantasy about it everyday till the other day I call an escort service and finally I did it but now I’m worse still having more fantasies everyday and I don’t know if this is an addiction problem or what, I try white guys but they do not turn me on at all and by the way I’m Latin, can you please advise.

Why do you think there’s a problem with your sexual preferences? It sounds like you’re doing fine, you’ve discovered that you’re into men of color.

— Denzel! Denzel! Denzel! Oh baby, oh baby, you make me so hot! …WHOOPS, I THERE I GO AGAIN…

No need to apologize for that. Why not just enjoy yourself…and the luscious black men that we love so much?

Good luck!

Better Living Through Chemistry??

Better Living Through Chemistry??

Hmmm, maybe not so much anymore.

Nowadays it seems like the whole chemistry thing is actually impeding the better living concept. The epic proportion of crystal-meth addiction is just one indication that our relentless pursuit of “happiness” is actually making us really sick and miserable. However, crank is only one of the culprits.

Ya know, if each of us took the time, every now and again, and check in with our body, we’d discover that it has a lot to say. It tells us when we are tired. It lets us know when we are hungry. (That is, if we’re not so fucked up we can’t think straight.) And given the chance, our body will also tell us when we’ve had too much (even of a good thing). Besides making us look and act like idiots, excessive drug and alcohol consumption also short-circuits this important flow of information from our body to our mind. This has dire consequences for our wellbeing and the wellbeing of those around us.

Dr. Dick,
My partner and I use poppers during sex and have been doing so for the past few months. Recently, I have been having pain in my gums and teeth. I read that the use of “heart medications”, like poppers’, can bring on these symptoms. I wasn’t concerned at first until I realized that I experienced the same symptoms once before when we were using poppers on a daily basis. The pains stopped after the poppers did. Now we’re using them again and the symptoms are back. Could the poppers actually be causing the pain in my teeth and gums?
Ken

Dear Ken,

This isn’t rocket science, darling. If you can put 2 and 2 together and come up with a plausible 4, shouldn’t that lead you to a probable conclusion?

Come on, you’re doin’ way too much poppers and you know it. Maybe it’s a lucky thingamst150.jpg that your teeth and gums are alerting you to your excess. But, hey, if you choose not to heed your body’s signals then you must be brain dead.

If you use a stimulant every time you have sex, you run the risk of desensitizing your body to the natural “high” that sexual activity provides us. You short-circuit or over-ride your body’s own pleasure producing hormones — endorphins. You also alter, and not for the better, your natural sexual response cycle. These are real concerns that are rarely spoken about when popper use and health risks are discussed. There is the real danger of altering your sexual response cycle to the point that you will never be able to enjoy sex without a stimulant. This is already an epidemic among those who use crystal-meth.

Stop now.

Good luck

Dear Dr. Dick
I have been in a relationship with this guy…he is 43 and I am 50. He admits that he is an alcoholic and I knew that when this relationship started a little over two years ago. The problem now is that I am having a hard time handling his “slips” and his mood swings which pushes all my wrong buttons all the time, lately. Do you think or advise that we end this relationship? Maybe we both need new partners. It is not that I don’t love him….I do. But I am tired of the same pattern…and I don’t think that I am ready to be any more patient then I already have been. Please help me in making a decision. Also, I have been recently diagnosed with HIV and will be starting my meds regime shortly…therefore sex has been rare if not absent. That may be another problem.
Confused and Hurt

Dear C&H,

Sounds to me like you’ve already made up your mind about the destructive nature of your relationship with your alcoholic partner. Do you just need someone to ratify your newcube1fff.jpgfeelings, or give you permission to do the thing you know you must do? If so, I happily provide both.

You know you shouldn’t be in this relationship and I know you shouldn’t be in this relationship. So what are you gonna do about it? Get out before it destroys you too. It’s obvious that there will be one casualty in this relationship, your partner. There doesn’t need to be two.

Your partner needs help and he’ll never get it if you continue to facilitate his self-destructive behaviors. If he doesn’t reach out to get some help, he’s sending you a message that the booze is more important to him than you are. This is not love, so I suggest you not call it that. It may be some kind of obsession, but it is definitely not love.

Whatever it is, let it go.

Good luck

Doc,
I got a question for you. One of my fuck buddies gets a small rash around his piss slit. It flares up every couple of months and stays for about a week. He says it itches like hell, but it feels good when he pisses or cums. The skin around his slit gets very rough the peals of. What could be the problem and is it dangerous?

P.S. please keep my name secret because if he finds out I told someone, his feelings will be hurt. I think he is scared he my have a STD.

Well then, we’ll just have to keep your little secret, won’t we?3f68.jpg

Listen, my friend, if I were you I’d encourage my fuck buddy to see a doctor right away. STDs (or more properly, Sexually Transmitted Infections) aside, inflammation and itching, particularly the kind you describe, are always signs of a serious dermatological disturbance. Medical issues like this, especially if they reoccur, should not be taken lightly. His body is trying to get his attention, for christ sake. What is he waiting for, a neon sign?

At the very least, left untreated, something like this could develop into a really serious infection and your friend could lose his dick altogether. No time to lose, pup, have him get this looked at right away.

Good luck

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