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First Q&A Show of 2013 — Podcast #360 — 01/21/13


Hey sex fans,black tie

Alrighty then! It’s time for our first Q&A show for the New Year. I have a whole bunch of very interesting correspondents vying for their moment in the sunshine, so to speak. Each one is ready to share his or her sex and relationship concerns with us. And I will do my level best to make my responses informative, enriching and maybe even a little entertaining.

  • John is horny as hell and wants to jack off with other guys. I turn him on to Bateworld.
  • Rocky is gettin’ pounded pretty hard, afterward he can’t pee.
  • Holly hasn’t had a date in 48 years. She’s having problems connecting with a good man.
  • Brian is lookin’ to zap his hole.
  • Conner thinks his BF is jerkin off too much.
  • Michael has crystal dick.
  • Lili describes, in great detail, her sex life with her hubby.


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.


Look for my podcasts on iTunes. You’ll find me in the podcast section, obviously, or 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: The Perfect Fit Brand!

Sexuality at the End of Life

By Anne Katz RN, PhD

In the terminal stages of the cancer trajectory, sexuality is often regarded as not important by health care providers. The need or ability to participate in sexual activity may wane in the terminal stages of illness, but the need for touch, intimacy, and how one views oneself don’t necessarily wane in tandem. Individuals may in fact suffer from the absence of loving and intimate touch in the final months, weeks, or days of life.head:heart

It is often assumed that when life nears its end, individuals and couples are not concerned about sexual issues and so this is not talked about. This attitude is borne out by the paucity of information about this topic.

Communicating About Sexuality with the Terminally Ill

Attitudes of health care professionals may act as a barrier to the discussion and assessment of sexuality at the end of life.

  • We bring to our practice a set of attitudes, beliefs and knowledge that we assume applies equally to our patients.
  • We may also be uncomfortable with talking about sexuality with patients or with the idea that very ill patients and/or their partners may have sexual needs at this time.
  • Our experience during our training and practice may lead us to believe that patients at the end of life are not interested in what we commonly perceive as sexual. How often do we see a patient and their partner in bed together or in an intimate embrace?
  • We may never have seen this because the circumstances of hospitals and even hospice may be such that privacy for the couple can never be assured and so couples do not attempt to lie together.

intimacy-320x320For the patient who remains at home during the final stages of illness the scenario is not that different. Often the patient is moved to a central location, such as a family or living room in the house and no longer has privacy.

  • While this may be more convenient for providing care, it precludes the expression of sexuality, as the patient is always in view.
  • Professional and volunteer helpers are frequently in the house and there may never be a time when the patient is alone or alone with his/her partner, and so is not afforded an opportunity for sexual expression.

Health care providers may not ever talk about sexual functioning at the end of life, assuming that this does not matter at this stage of the illness trajectory.

  • This sends a very clear message to the patient and his/her partner that this is something that is either taboo or of no importance. This in turn makes it more difficult for the patient and/or partner to ask questions or bring up the topic if they think that the subject is not to be talked about.

Sexual Functioning At The End Of Life

Factors affecting sexual functioning at the end of life are essentially the same as those affecting the individual with cancer at any stage of the disease trajectory. These include:go deeper

  • Psychosocial issues such as change in roles, changes in body- and self-image, depression, anxiety, and poor communication.
  • Side effects of treatment may also alter sexual functioning; fatigue, nausea, pain, edema and scarring all play a role in how the patient feels and sees him/herself and how the partner views the patient.
  • Fear of pain may be a major factor in the cessation of sexual activity; the partner may be equally fearful of hurting the patient.

The needs of the couple

Couples may find that in the final stages of illness, emotional connection to the loved one becomes an important part of sexual expression. Verbal communication and physical touching that is non-genital may take the place of previous sexual activity.

  • Many people note that the cessation of sexual activity is one of the many losses that result from the illness, and this has a negative impact on quality of life.
  • Some partners may find it difficult to be sexual when they have taken on much of the day-to-day care of the patient and see their role as caregiver rather than lover.
  • The physical and emotional toll of providing care may be exhausting and may impact on the desire for sexual contact.
  • In addition, some partners find that as the end nears for the ill partner, they need to begin to distance themselves. Part of this may be to avoid intimate touch. This is not wrong but can make the partner feel guilty and more liable to avoid physical interactions.

Addressing sexual needs

senior intimacyCouples may need to be given permission to touch each other at this stage of the illness and health care providers may need to consciously address the physical and attitudinal barriers that prevent this from happening.

  • Privacy issues need to be dealt with. This includes encouraging patients to close their door when private time is desired and having all levels of staff respect this. A sign on the door indicating that the patient is not to be disturbed should be enough to prevent staff from walking in and all staff and visitors should abide by this.
  • Partners should be given explicit permission to lie with the patient in the bed. In an ideal world, double beds could be provided but there are obvious challenges to this in terms of moving beds into and out of rooms, and challenges also for staff who may need to move or turn patients. Kissing, stroking, massaging, and holding the patient is unlikely to cause physical harm and may actually facilitate relaxation and decrease pain.
  • The partner may also be encouraged to participate in the routine care of the patient. Assisting in bathing and applying body lotion may be a non-threatening way of encouraging touch when there is fear of hurting the patient.

Specific strategies for couples who want to continue their usual sexual activities can be suggested depending on what physical or emotional barriers exist. Giving a patient permission to think about their self as sexual in the face of terminal illness is the first step. Offering the patient/couple the opportunity to discuss sexual concerns or needs validates their feelings and may normalize their experience, which in itself may bring comfort.

More specific strategies for symptoms include the following suggestions. senior lesbians

  • Timing of analgesia may need to altered to maximize pain relief and avoid sedation when the couple wants to be sexual. Narcotics, however, can interfere with arousal which may be counterproductive.
  • Fatigue is a common experience in the end stages of cancer and couples/individuals can be encouraged to set realistic goals for what is possible, and to try to use the time of day when they are most rested to be sexual either alone or with their partner.
  • Using a bronchodilator or inhaler before sexual activity may be helpful for patients who are short of breath. Using additional pillows or wedges will allow the patient to be more upright and make breathing easier.
  • Couples may find information about alternative positions for sexual activity very useful.
  • Incontinence or the presence of an indwelling catheter may represent a loss of control and dignity and may be seen as an insurmountable barrier to genital touching.

footprints-leftIt is important to emphasize that there is no right or wrong way of being sexual in the face of terminal illness; whatever the couple or individual chooses to do is appropriate and right for them. It is also not uncommon for couples to find that impending death draws them much closer and they are able to express themselves in ways that they had not for many years.

Complete Article HERE!

How We Got Gay

How We Got Gay

A Twofer Today

A couple of young lads with foreskin problems thousands of miles apart.

Name: Tom
Gender: Male
Age: 18
Location: California
Whenever I see the penises of other guys their skin always goes back exposing their head when they have an erection. When I’m hard my skin never goes all the way back. My head is always covered even when I have an erection and when I try to pull the skin back it wont. Is this normal?


Name: Matt
Gender: Male
Age: 16
Location: England
Hi, i’ve got a problem with my foreskin. when my penis is erect the foreskin doesn’t pull back over the head of my penis. I was wondering if this is easily corrected or will I need to be circumcised.

Let’s start at beginning, shall we? When us boys are born we all have a foreskin. A good portion of us will have our unit 4-Foreskin-stretchingseriously altered within days of showing up on the scene. Someone, possibly with good intentions, will lops off 50% of our cock skin and call it a day. I know, cuckoo, huh? Well, be that as it may, those of us who escape this dastardly deed have a foreskin, but it’s only open enough to pee through. And it only opens more if it’s stretched, and it only gets stretched if the owner of that foreskin pulls it back over his dickhead. No foreskin ever opens by itself; it gets gradually stretched open over time either intentionally or just through normal use.

Most little boys soon discover that pulling back their foreskin feels really good. After all, this unique piece of skin is chock full of nerve endings that register loads of delicious pleasure. A lad’s foreskin needs to be pushed back regularly, in order to stretch it open, and to keep it from shrinking shut again. It is important that the boy do this himself, so that it is pushed only as far back as feels comfortable to him.

Of course, there in lies the rub, so to speak. The sex-negative pressures of the prevailing culture, both here in the good old U.S. of A. as well as abroad, frown upon self-induced pleasure of any sort; even if it is associated with personal hygiene and necessary bodily upkeep. So most boys get the message that fiddlin’ around down there, even for the purpose of essential maintenance is a no-no. Simply put, without manual stretching a kid’s skin can actually shrink, closing up again.

foreskin stretch01As a young fella approaches puberty there is, as we all know, a growth spurt. What most of us fail to take into account is that along with his legs, arms, torso, head and feet, his cock is also growing. His dickhead is increasing in size, and if the kid hasn’t established a healthy routine of foreskin stretching there is gonna be trouble, like what’s happening for you guys.

Since parents are not likely to encourage self-discovery of this sort, nor are they inclined to show their young uncut sons how to properly care for this exceptional body part, the kid remains clueless till a problem arises. Wouldn’t it be so much simpler, as well as the responsible thing to do, for all parents with intact boys to pass on this priceless nugget of wisdom. It would be so easy to do while the kids are enjoying their bath. Parents could show their boys how to retract this fold of skin so that it stays supple, as well as getting things rinsed out underneath. They could encourage their boys to always pull back their lace curtains when they pee. Merely the number of times a fella will handle himself to piss will automatically keep things more lubricated and elastic.Foreskin-Stretching-2

Ok, I’m gonna guess that neither of you weren’t instructed on the proper care of your natural cock. Am I right? So now ya’ll have some remedial work to do. Let’s start with a few foreskin 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 dick, 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 skin to the point you’ll be able to easily retract it over your erect dickhead.

foreskin stretchExercise 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 that is 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 the one object for another with a larger diameter. If a wine cork is too big to start with, consider a smaller smooth plastic rubber plugsdowel or a rubber bung plug. You can find these sorts of things at the hardware store. 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 don’t worry; you’ll live. In a short period of time you will have a much more pliable foreskin, one that you can retract at will and with ease. And when you’re sexually active with a partner, it will work flawlessly and exponentially increase your pleasure.

Good luck

A Rose By Any Other Name

We’re all back from spring break. The Dr Dick Review Crew is all rested and relaxed. Sadly, I can’t say the same thing about me. oh well, no rest for the wicked.


I enjoy your podcast, the frankness and open vocabulary is exactly what I like. No need in beating around the bush, just get to the point. Wish more people would live by that philosophy.

Ok. I am a 45 YO, gay male, very experienced sexually, some say whore… LOL! I enjoy a lot of fetishes; the unusual has always been very attractive to me. The more bizarre the more I will probably like it.

Until I was about 40 I was a DOM top. I started experimenting with the group party world and enjoyed it greatly. Became an experienced fisting top with some formal training, I guess you could call it an apprentice who graduated, or so I thought. Then a few of the FF bottoms suggested I was missing something. Because I didn’t have any experience as a FF bottom I couldn’t realize the true feelings and emotions involved with fisting. I was encouraged to experience fisting as a bottom.

This was a HUGE ordeal for me. The mental change alone was like, wow. The first time I crawled into a sling and had my whole ass on display, legs spread like a woman at her gynecologist…man was I uncomfortable. This was 5 years ago. Now I can hop into a sling and take a fist-fuck fairly easy. I now understand the advice given to me: I finally understand what fisting is all about.

Now my issues.

I have changed. My whole personality has been altered. Changing from a Dominate Top to fisting bottom has created issues with my head and overall sexuality. These changes are now affecting my sex life. I guess I need some help figuring things out.


Thank you, Jimmy, for your message and your kind words about my podcasts.

We really get boxed in with all our self-identification we do, huh? I mean I know why we categorize ourselves and others as gay or straight, top or bottom, sub or Dom. It helps us understand ourselves and communicate in a kind of shorthand with others. But there is a downside to this, as you sling

I believe that human sexual response is a whole lot more fluid than we give it credit for. But this fluidity is often stifled when we overly compartmentalize ourselves or others. Not to mention the fallacy of the binary system — being one thing or the other.  It just ain’t so and you are the perfect case in point.

I’m always talking about how the best tops are those who, on occasion, bottom. The best submissives are those who, on occasion, dominate. Besides the wider range of experience this provides us, we also grow in emotional maturity encompassing both our yin and yang.

Also the words we use to describe ourselves have, over time, become heavily laden with unintended cultural connotations. Top/bottom, sub/Dom are classic examples of this. That’s why I believe that we ought, from time to time, reinvent the language we use to talk about ourselves. In this case, I prefer terms like: giver/receiver over top/bottom. A change in vocabulary can certainly cut through a lot of the cultural nonsense and it can open the door to a more fluid sexual expression; as I believe it ought to be.nekkidbookclub

I hasten to add that at lot of hard-core pervs disagree with me on this. And that’s perfectly fine with me. It’s just that, if our language detracts from our experience, or hems us in, rather than facilitates it, and frees us up, something’s out of whack.

You will pardon the shameless self-promotion, but I’d like to call your attention to my latest book, The Gospel of Kink. It’s a communication and relationship building workshop in workbook form. It centers on the skills us kinksters need to communicate with others, and initiate, build, and maintain the relationships that will serve us well. Learn how to ask for what you want and get what you ask for from the people best situated to fulfill your desires. The book covers a lot of the territory that you raise in your question.

Stay in touch and let me know how this sits with you.

Good luck

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