ASK THE EXPERTS!
Location: South Africa
Hi I fissured my butt sometime ago and I think it has healed. I have undergone a Lateral Sphincterotomy twice – inner and outer. Unfortunately the area is now VERY sensitive and when I deficate the area ‘screams’ in pain. It is worse the softer the faecies is. When the faecies is firm, the pain is very low. Will this go? Is there any medication that I can use?
An anal fissure is a common proctological problem, especially for the heavy ass play crowd. An anal fissure is a tear in the anal tissue. The most common complaint is a pain in the ass…literally! during and after taking a dump. There may also be itching and possibly some bleeding. Pain and irritation can cause a spasm of the internal anal sphincter muscle, which sleazes up and further aggravates the condition.
All my medical consultants tell me that, if your surgeries healed properly, you shouldn’t be experiencing pain, let alone “screaming pain” when you shit. We all understand that the area will continue to be sensitive, but the pain you describe is not a good sign. You may very well have an infection. You need to have that looked at ASAP. This is nothing to fool around with.
Here’s a tip for everyone in my audience: pain, of any sort, is one way our body talks to us. Its message is— things are not as they should be; get it fixed NOW. Sometimes the pain will subside when we stop doing something…like holding our hand too close to a flame. Some pain will only subside when a condition is fixed…like getting a cavity in our tooth filled. Other pain, like the emotional pain that comes with depression is harder to soothe, but it can be done. Finally, pain like the kind Garth is experiencing means something is very wrong. And if not attended to immediately, things will only get much worse.
Age: 20 something
Location: Lowell MA
A few years back, a friend confided that he contracted genital warts from his ex-girl friend. He had the genital warts on his genitals, anus, hands, feet and in his mouth. His ex-girl friend had it on her hands, in her vagina, mouth, anus and cervix. I can understand having it on the genitals and hands and in the anus, mouth and cervix. I didn’t ask how he got it on his feet.
He went to work in another state, but came back here two years later. He told me he liked a girl he met and would like to bring the relationship into a more intimate level. I asked him about his genital warts. He said he was cured of it. I read that genital warts cannot be cured. That it can be treated, but will remain incurable and contagious although dormant for a while.
Will the girl get it after they had sex? My friend comes to my house very often, drinks beer with me and my girl friend. He uses the bathroom and the hand towel. Even after scrubbing the bathroom and washing the hand towel, can my girl friend and I get the genital warts? As for my friend, was he condemned not to have sex for life? Or, is it safe to have sex if there was no outbreak or external signs?
I’ve seen several bad cases of genital warts, but never a case that included hands feet and mouth. Perhaps that outbreak was something else, I won’t even hazard a guess.
You are right; technically genital warts remain incurable, though non-contagious and dormant if treated correctly. And proper treatment is the key. For more information you might consult: www.dph.sf.ca.us.
Casual contact, the kind you describe below — bathroom, towels, etc. — cannot pass on the virus. Transmission is dependent on intimate genital contact. Does your friend (his GF) have an outbreak going on now? Can you see something on his (her) hands and face?
I know my friend is a responsible person and he will not knowingly infect me with his genital warts. But, how can he be sure that the wart is dormant and non-contagious? I am now wary because he told me his genital warts were cured. This makes me wonder whether he was given the wrong medical advice or he was just trying to put my mind at ease. Aside from using the bathroom and towels, he also eats dinner at my home and could infect my dishes, utensils, cloth napkins, etc. and pass the virus to me and my girl friend.
This matter has the potential of becoming a dilemma for me and my friendship with him. I don’t want to ask him details such as who is his doctor, what kind of treatment he is getting (it seems the infected person must be tested periodically and the treatment ongoing) and how is he going to determine when he is not contagious. He is a sensitive person and I know that he will get angry if I asked him these questions. I can make excuses not to see him at my house (this only goes so far). If I ask or make excuses, I’d lose his friendship. I don’t want to lose him as a friend. But, I don’t want him to infect me and my girl friend with the virus either, knowingly or unknowingly
I don’t see any warts on his hands and on his feet (he wears sandals sometimes). I don’t know if he plans to tell the girl he plans to get intimate with.
My girl friend doesn’t know about this. She will freak out if I tell her and that will cause more problems. Help!!!???!!!
If I were you I would ask him about the treatment he received for his warts. That would put your mind at ease. Besides, your friendship sounds like it’s on the brink anyway. And here’s a tip: you probably have lots of casual contact with many other people with genital warts without even knowing it — it’s a very common malady.
Thank you very much. I think he should also tell the girl about his genital warts before having sex with her. She must be given the option to reject or accept it. I also read that the virus can be passed just with skin-to-skin contact when there is a flare up. Is this true?
I feel bad about this. Although my friend is a responsible person, there is still a chance he could get carried away in the heat of passion and throw precaution and caution to the wind.
I imagine it is difficult to enjoy sex when you have to do and think of many things that could go wrong. Giving him my sympathy will not help. He alone has the burden of doing what has to be done before having sex to prevent contaminating his girl friend or spreading he genital warts around.
I will appreciate any additional information/clarification/advice you can give me about this.
Thank you again for your help.
Genital warts, like herpes, are contagious only when there’s a flair-up. Skin to skin contact can pass the virus at that point. Also, like herpes, if the genital wart virus has been treated, the likelihood of passing on the virus is negligible.
I am of the mind that we all ought to be responsible and up-front with our sex partners about any health related issues that might impact on their health.
Do you have any suggestions about FE, I believe I have once and it was total bliss. But achieving it again is quite another.
FE??? Are you talkin’ Female Ejaculation, darlin”? Ok, let’s start with a little background.
The G-spot (or Grafenberg Spot after the physician who first wrote about it) is a small area of spongy tissue just behind the front wall of the vagina, between the back of the pubic bone and the cervix. This is analogous tissue to the male prostate. In fact, the G-spot is sometimes referred to as the female prostate. But like most things sexual, particularly if it has to do with female sexuality, there’s a lot of debate about whether the G-Spot is the same thing as the female prostate. I intend to steer clear of that controversy just as much as possible.
What I can tell you for sure is that during early fetal development both male and female fetuses start out being physically female? This does not change until a male fetus begins to produce its own hormones around the eighth week of gestation. Only then does the physical development of the male and female bodies diverge. Of course, this necessitates that female fetuses initially have structures that could develop into either “male” or “female” reproductive and sexual organs. This means the tissue that develops into the male prostate gland must also be present in women. Get it?
Many women report that their G-area is more sensitive to stimulation than other parts of their vagina. To find your very own G-spot, put two fingers in your pussy and curve them upwards, like toward your belly. Now make a “come here” motion, stroking the upper wall of your vagina with a firm, upward pressure. Feel that? That’s your G-spot, darlin’! How fun is this?
Fingering yourself like this will probably be more pleasurable if you’re already aroused. Some women have orgasms and/or ejaculate from G-spot stimulation, but not all women ejaculate and not all women find G-spot stimulation pleasurable….wouldn’t ya just know it!
Some women report that they feel like they need to pee when their G-Spot is stimulated. Therefore, I suggest. that before you go rootin’ around in your pussy lookin’ for your g-spot, that you completely empty your bladder. Oh and make sure your fingers are well lubricated throughout your exploration. Even if you have a lot of your own vaginal lubrication, I always suggest the use of a water-based lubricant to augment your own juices.
We all know that post-menopausal women experience bouts of vaginal dryness, but even younger women have dry episodes, especially if they are taking antihistamines or antidepressants.
If ya want to hit your G-spot while fucking, may I suggest you try “the woman-on-top — cowgirl” position or the “doggy” position. These are best because your partner’s dick will be better situated to hit the front wall of your pussy.
***Guys, most women need firmer pressure to the front of their pussy to have a G-Spot orgasm. This might best be accomplished by quick strokes and a lot of deeper friction.
Like I mentioned earlier, G-Spot stimulation may cause you to ejaculate a small amount of white or clear fluid. Some women produce more ejaculate than others. Just remember, the gushers…the ones you see in porno movies…are faked for your viewin’ pleasure. I mean, come on; some of these videos would scare the fuck out of Noah!
Enjoy your exploration, T. Like I always say, the more you know about the mysterious workins of your own personal pussy the more information you’ll be able to share with your own personal partners.
If you’re looking for a swell “how to” look here: Dr Dick’s How To Video Library:
Good luck ya’ll
Stunt Cock (stunt kok) n. : a gentleman who provides surplus semen, usually on demand, to an adult film. This mockumentary tells the story of Bill and Earl, kind-hearted young men who have taken their severe sexual dysfunction (premature ejaculation) and used it to transform the adult film industry into a business filled with family, friendship and love. It turns out that Bill and Earl’s magical seed is really a salve that unites the world.
Location: New Haven, CT
I’ve been with the same man for 14 years. We both decided to become Christians about a year ago. Now he’s not interested in sharing the same bed and not interested in having sex with me. It tried to overlook this hoping it was some kind of phase, but it goes on and on and he still doesn’t want sex. He’s the only man that could ever satisfy me sexually. I dated a few guys, four to be exact, before we met. I still love this guy but he won’t acknowledge my feelings. I feel like I’m losing everything, my best friend, my partner, my lover …and my sanity. I’m happy we’re still together, but I’m frustrated to the point of exhaustion without my sex life. Any ideas what I could do to turn this around?
What an unhappy tale of woe you have you have to tell, Jean. The Christian conversion thing didn’t quite work out like ya thought, huh? Well maybe it has less to do with Christianity per se, and more to do with the Joe you converted with.
I’ve heard similar complaints from other people whose partners have unilaterally decided to make a radical life-change for themselves. Often these new zealots fail to appreciate how their life altering decisions impact on the wellbeing of their mate. And because they are so damn single-minded about their new passion — as every zealot is, there is rarely any talking to them.
Two former clients come to mind. First, there was George, a gay man in a 10-year relationship with this other really sweet guy, Robert. Eight years into the relationship Robert had a heart attack. Despite a full recovery and living a much healthier lifestyle after the hear attack, Robert got it in his head that if he were to have sex again, it would kill him. There was no reasoning with him. No sex ever again, period. This otherwise blessed relationship ended painfully. Pity that!
Another client, Melissa, discovered long-distance running two years into her marriage to Allen. She became like a woman possessed. Running consumed her. Her career, her friends and family, her social life all suffered. But no one took the brunt of her newfound craze more than her husband. At first sex was out of the question because there was no time. Then all that body-punishing running radically changed her metabolism. She even stopped menstruating. Her libido virtually expired. Even the imminent demise of her relationship didn’t alter her running routine. So basically old Melissa just ran away from her marriage. Simple as all that!
In your case, Jean, your partner appears to have bought into the some of the worst sex-negative messages of Christianity. I suspect that there’s no turning this around and, unless you wish to continue to sacrifice your sexuality on this unworthy altar, I’d suggest you make peace with the fact that life will never return to how it once was.And what’s all this about he being the only man who could satisfy you? You’ve had only 4 other partners, for christ sake! And most, if not all, were crummy lovers. Am I right? You’re not the kind of gal that quits shopping for shoes after trying on only 5 pair, are you?There is a whole world of men out there that would be happily give you what you aren’t getting at home and some of them may even be good lovers. If no accommodation can be made with your husband about fulfilling your needs, than I suggest you beat a hasty exit.The longer you stay in this unhealthy environment the greater the chance will be that you will become more and more embittered. God gave us the gift of sexuality for a purpose. It was meant to give us pleasure and enhance life. Your sexuality is in danger of becoming just the opposite of what nature intended. Do yourself a favor and choose life and happiness. You’ll be glad you did…so will God.
dr dick: I am gay and i have no idea how to break it to my family. and they say all the time when they see a gay guy look at that fag glad he’s not my kid. i would disown him. just wondering if u could help me.
Ain’t it a bitch being surrounded by a bunch of yahoos! Coming out is rarely easy, but doing so to ignorant, fearful, bigoted people is the worst.
Pete, you should know that all bigotry is deeply rooted in the bigot’s own fear about him or herself. It stands to reason, all irrational fears and hatred, like homophobia, are more indicative of the troubled psychological make-up of the one with the prejudice, rather than the people he or she abhors.
Often people will use religion to back up their prejudice. It’s particularly galling when non-religious people do this. But it’s safe to say that authentically religious people don’t need to persecute or ostracize those who do not believe as they do. Any more than authentically heterosexual people need to persecute or ostracize people of other sexual persuasions. Let that be the standard by which you judge the worth of any message coming from a religious dogmatist or a moralizing heterosexual.
Before you start in on the self-disclosure thing with your family, Pete, I suggest you first try to clear a path for that discussion. Begin by challenging those around you who shame or denigrate those who are different. Ask them why they make such ridiculously uninformed and hurtful statements. Ask them if degrading other people makes them feel superior. And if it does, what does that say about their inadequacies. You could suggest that their intolerance of gay and lesbian people proves they have some hidden, unresolved sexual issues that they need to address. I mean — “me thinks you doth protest too much” — and all that, right?
If your family environment doesn’t improve with that tactic, you may find that, at least in the short run, discretion is the better part of valor. Sometimes coming out to one’s family is best done only after you’ve come out to friends and co-workers. This strategy will provide you a bank of support that you can fall back on if the family disclosure things turn out badly.
My counsel to those just starting the coming out process is to reserve the good news about you and your sexuality for the audience best situated for receiving it. Celebrate your queerness with open-minded people first. Nowadays there’s much more acceptance of alternative lifestyles in the popular culture then ever before. Particularly younger people seem to have more tolerance for diversity. But however you choose to handle this difficult but important developmental task, don’t sink to the lowest common denominator. Don’t cave into the bigotry that surrounds you. Don’t let it intimidate you into a life of shame, repression or self-loathing. Live authentically. Pete, and live proud! Because when you do, you are a shining example of a happy, healthy, integrated and well-adjusted human being.
Finally, just remember you are not alone. Sex positive and gay positive organizations abound. If you need help with any of your coming out, if you’re feeling isolated and alone — turn to one of them. They are there to help. And there are even support organizations for your family members too. Turn them on to: PFLAG (parents and friends of gays and lesbians).
Location: Laguna Beach
As an older man, I’ve started having performance problems. Unfortunately there’s no decrease in my libido. I think some of my problem is psychological. I’m also HIV+. And I find myself worrying about transmission even with condoms. But some of the problem is physical. I do wear a cock ring and that helps I guess. Is there anything else I can do to increase my performance to match my libido?
Your concern is a familiar one, Bob. Men regularly present this problem in my private practice and I also have a personal familiarity with the issue in my own life.
Diminished performance, at least in terms of a perpetually stiff dick, is a natural occurrence as we age. There was a time when I thought this was a major problem. I don’t think like that now. These days I’m helping my older clients (and myself) appreciate the full range of sensuality that is the unique purview of us more seasoned lovers. I’ve always felt that as gay men we are too genitally focused, especially when it comes at the expense of all the other pleasure zones our bodies have been gifted with.
The rushed, hormonally driven sex of my youth has matured into a slower, more relaxed and sensual sexuality that I am thoroughly enjoying. This has been one of the very best gifts of the aging process. It’s even having an effect on my younger partners and they are appreciative.So I no longer equate performance with a stiff dick. For those times when I absolutely need a rock-hard hardon a cock ring does just fine. I’m aware that I may need more time to achieve this kind of erection, but I’m not just twiddling my thumbs while I’m waiting, if ya know what I mean. I am no longer frustrated by this natural phenomenon, because I no longer have unrealistic expectations.
I realize that many men are experimenting with an erection-enhancing medication such as Viagra, but I suggest that this be reserved for those who are truly experiencing erection dysfunction.
I’m also concerned with the alarming rise of younger men, men in their 20’s and 30’s who are using Viagra or another similar drugs recreationally. This is very troubling. If your young body is having difficulty producing an erection, then you need medical attention ASAP, or maybe you just need some sleep. However, if you’re abusing Viagra just so you can have an erection that lasts for hours that’s a real bad idea for several reasons. Not least of which is your body will habituate itself to that stuff and you will find that, in time, you won’t be able to get it up at all without ever increasing doses of Viagra.
This is gonna fuck up your cardiovascular system big time. In fact, you may very well be inducing the very sexual dysfunction the drug is supposed to help. Consider the person who overuses eye drops or lip balm or any number of otherwise innocuous health and beauty products. Their body will stop making the natural substances that these over the counter products are intended to assist. It’s counterproductive and it’s ill advised. If this is a problem with relatively harmless over the counter products, you know you are playing with fire when you’re abusing powerful prescription meds.
Whoops, sorry Bob, I went off topic there for a minute. It’s just that every opportunity I get to put out a message that will dissuade someone from hurting himself or herself, I just launch into it.So back to you. It is clear from what you tell me, your performance problems do, as you suggest, also have a psychological component to them. You have a fear that, despite being responsible in your sex play and even though you play safe, you could accidentally pass on HIV.
It’s true; one’s brain can indeed override almost every function of our body. For example, we draw each and every breath we take without even thinking about it. However, if a situation dictates our brain can and does override that essential pulmonary function and we can hold our breath. The same is true with our sexual response cycle. Sometimes we can become sexually aroused without really thinking about it. However, if for one reason or another our brain assisted by our conscience interferers with or even shuts down the sexual arousal, then that’s pretty much all she wrote.
Your scruples about the possibility that you could accidentally pass along HIV are interfering with your sexual response cycle. No cockring or an erection-enhancing medication is going to change that darlin’!In other words, the problem is not in your cock, the problem is in your head. This is something you’re gonna have to wrestle with and finally resolve. This tension between your head and your dick is actually a good thing. Your body is providing you an opportunity to align your moral values with your sexual performance. How will this resolve itself? I couldn’t say. But I know for sure resolution is possible.
I do suggest, however, that you not try to do this in a vacuum. Reach out to a HIV support group or a sex-positive therapist for the help you need in making peace between your head and your cock.
Good luck, ya’ll