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Monkey on my back

And now for one of our regular, semi-obligatory Meth-related questions. I get at least a half dozen of these questions a month. And each and every one of them breaks my heart. I know nothing about the fellow writing me; I don’t know where he lives or his age. I don’t suppose it really matters, does it?

I need some help and I hope you can point me in the right direction. I am recently divorced and trying to move on in life but I’m depressed all the time and also using meth a lot. I have tried to have different sexual partners since my divorce and every time I’m with someone new I can get a erection when we are messing around with no problem, but soon as its time for penetration I loose my erection I feel like I’m having anxiety issues and also I’m very nervous, and I’m not impotent so can it be the meth preventing me to keep it up, or do I need medication for my anxiety? How can I overcome this problem?

I’m certain I can point you in the right direction. Thanks for asking. Allow me to speak plainly. Quit the meth! Quitting won’t solve all your problems, but it is the first and most important step. And frankly, if you choose not to quit, all your other efforts to pull your life together are doomed.

MonkeyBackMeth is not a therapy for depression, nor is it gonna help you connect with a new partner. It most assuredly will not help your erection problems; in fact, it is the cause of your erection problems. But I’ll wager you know that already, huh?

You also have an underlying performance anxiety problem that needs to be addressed ASAP.

Find a competent sex therapist to help you. look to the directory of The American College of Sexology for someone near you. Or you can check out my Therapy Available page.

In the meantime, take a look at some of the stuff I’ve written and podcasts where I talk about meth. Use the pull-down CATEGORIES menu in the sidebar, to your right, and scroll down till you fine the SEX & SUBSTANCES category. It’s under that category that you will find the subcategory Crystal Meth.

You’ll also want to take a look at some of the stuff I’ve written and podcasts where I talk about performance anxiety. Again, use the pull-down CATEGORIES menu in the sidebar and scroll down till you fine the SEX THERAPY category. Under that category you will find the subcategory Performance Anxiety.

Here are examples of the stuff you’ll find.

On meth:

Name: Joey
Gender:
Age: 22
Location: Southern Calif
Love doing tina with masturbation and watching really hot porn. Think this is just social fun?

Nope, I don’t Joey. Despite the prevalence of this dastardly drug, there is nothing fun about tina…crystal meth for those unfamiliar with the term “tina”. If you love doing tina for whatever reason, I’d wager you’re hooked on that shit.

Listen, I’m not prude when it comes to using some crystalmakesmesexy.jpgdrugs recreationally. But I think that we’d do well to stick to those drugs that are more natural. The less processing involved (and meth is the worst in that regard) and fewer added chemicals (OMG, the crap they put in crystal) the better, in my humble opinion.

Despite the admitted high ya get, recent research shows that long-term meth use destroys nerve cells in the brain that regulate dopamine, muscle movement, memory, and decision-making. This damage can be wide-spread and permanent.

Your body reacts to crystal meth the same way it reacts to danger. Crystal floods the body with adrenaline — the same hormone that prepares us for emergencies. Adrenaline gives a super-charge of strength and endurance so the body can deal with danger and injury. But artificially triggering this response over and over again will have serious consequences.

When you use crystal, your nervous system shifts into high gear. The brain floods your body with “danger” messages. Your body responds immediately to what it thinks is a threat. It prepares to fight or to run away. Common body responses to perceived danger include:

  • Pupils dilate to let in more light.
  • Hair stands on end (“getting goose bumps”).
  • Blood vessels just under the skin constrict.
  • Body temperature goes up

Regular, long-term crystal use will diminish sores of neurotransmitters. Episodes of paranoia and anxiety become more frequent and longer lasting. Blocked blood vessels within the brain can lead to increased chances of stroke.

Crystal fucks with your dopamine levels. Dopamine delivers a sense of reward and pleasure. It is also associated with body movement. Too little dopamine causes paralysis or a Parkinson’s-like tremors and rigidity. Too much dopamine and a person can become paranoid, hear voices and get twisted thoughts. Sound familiar?

Crystal fucks with your serotonin levels. Serotonin is involved in regulating sleep and sensory perception. It plays a role in moods and regulating body temperature. Serotonin is involved with many emotional disorders like schizophrenia, phobias, super-aggressive states and obsessive-compulsive behavior. Too much serotonin can make it difficult (or impossible) to have an orgasm. And of course there’s the dreaded “crystal dick”…the inability to get it up.

Joey, listen up! You’re way too young with too much of your life ahead of you to self-inflict so much serious irreparable damage on yourself. If this weren’t such a troublesome drug, there wouldn’t be such a virulent anti and reformed tweeker community out there. Want to know the real truth about “tina” check in at: crystalmeth.org. You’ll be glad you did.

On Performance Anxiety:

I get a dozen or so messages a month on this topic. I’ve written about it in numerous postings and spoken about it in several podcasts, but still the email comes.

One of the real bugaboos for anyone, regardless of gender, is living up to our own expectations of sexual performance. So many things can get in the way, literally and figuratively, of fully enjoying ourselves and/or pleasuring our partners.

The arousal stage of our sexual response cycle is particularly vulnerable to a disruption. And when there’s trouble there, there’s no hiding it. A limp dick or a dry pussy can put the kibosh on all festivities that we may have hoped would follow.

However, performance anxiety can strike any of us, regardless of age, and at just about any point in our sexual response cycle. This is a particularly galling when it seems to come out of the blue. And regaining our composure can be more far more difficult than we imagine.

Today we will be focusing on male performance anxiety. I’ll address female performance anxiety at a later date.
Complete Article HERE!

Good luck

Sounds…difficult

Name: Pete
Gender: Male
Age: 60
Location: New England
What is sounding the penis and why is it called that?

Sounding is a kind of urethra play. It’s called that because the it involves sounds, a kind of dilator. Why not mozie on over to Dr Dick’s Stockroom and check out the Sounds & Dilators section, you’ll get an eyeful!

Rosebud Urethral SoundsUrethra play freaks out lots of folks, myself included. Most of us would equate having something inserted into our urethra…for any reason…with a root canal by a sadistic dentist. Not something purposely done for the sheer enjoyment of it.

I’m always curious about how folks come to odd fetishes like urethra play. One of my correspondents way back in July 2007, Georgia,  wrote that her urethra play began when she was a child. When she asked her mother where babies came from. Her mother said it’s where peepee comes out. Georgia looked down there and saw this teeny-tiny hole. She knew having a baby was difficult and painful and thought, no wonder! So she decided she’d better try and make the opening bigger. And so it began.

Once a guy told me that he was playing doctor with his older cousin, when his cousin inserted a twig into his urethra, mimicking how he thought a doctor would take a patient’s temperature. This guy said that the moment was so sexually charged, even as boy of no more than 5, that his piss hole became an object of fascination and pleasure from that day onward. When I knew him, he was able to insert the bristle end of a toothbrush into his urethra. That bit of unsolicited information just about made me swoon into a faint back then. Even now, retelling that story gives me the willies.

So ok, this isn’t for me, but I am told by those in the know that because the urethra is such a sensitive organ, stretching it can provide exquisite sexual pleasure.Dittle Sounds

Practitioners of this unique kink often start out young, like Georgia and the other guy. Maybe it’s just a function of some people’s natural curiosity about their body, when one day they discover their urethra. They toy with it, stretch it, and find pleasure. Once that happens, of course, it becomes like most pursuits of pleasure; it becomes a fascination, then a full-blown kink.

If a little accidental stretching is pleasurable, what about intentional stretching with one kind of gadget or another — Q- tips, thermometers or a ballpoint pen? Once these kids are old enough to do some research, they discover there are an array of medical implements available to them like latex or plastic tubing, catheters and urethral sounds and dilators. Well, you can see how this could just grow and grow…pretty much like any fetish. Pleasure is curious that way, spurring us on to higher and higher heights.

Silicone SoundBut like all pleasure related things, practitioners ought to have his/her wits about them when they play with their pee hole. I think it’s ill advised to be stretching your urethra with just any old thing lying around. One’s bladder and urethra are sterile areas and one ought only use sterile equipment and procedures while inserting anything in there. And one ought to take one’s time with this sort of play. Incremental stretching is advised. Please, don’t forget the surgical lube.  The use of mind altering, or body desensitizing drugs is not recommended, for obvious reasons. Like I always say, safe and sane play is happy play.

And here’s something you should know — the male urethra is approx. 10 to 13 inches long and has a “J-shaped” curve to it. The female urethra is much shorter, only approx. 2 1/2 to 3 inches long, and there is no curve. Therefore, a woman can stretch her urethra much easier and to a greater extent than can a man. You will find that gender differences also makes for gender specific toys.

Good luck

Wet and Wild

Name: Phil
Gender: Male
Age: 46
Location: UK
Dear Dr Dick, First I must congratulate you on the two fascinating interviews you held with the delicious Tony Buff.   What an incredibly sexy, compassionate and intelligent man he is, I could have listened to him all day. Anyway, I digress. Tony spoke a lot about the importance of safe sex practices in general as well as within the BDSM genre. He often engages in piss play/watersports and I am keen to know the risks involved in such a practice, as there seems to be a number of mixed messages out there on this subject. I have enjoyed this element of sex play myself, intermittently for a number of years, mostly with lovers/partners. And whilst I don’t consider that I have ever put myself or anyone else at risk, it would be good to know some plain hard facts on the matter, regarding the transmission of sexual infections or otherwise. Perhaps you could clarify what is considered safe and that which is risky, within this practice, in other words, the dos and don’ts. Thanks for your time.

Wow! That brings me back, Phil. The interview you mention happened five years ago. (You can find Part 1 and Part 2 HERE and HERE!) Even though I am no longer podcasting, I am so glad to hear that folks are still discovering my shows, even show from so long ago. For anyone not familiar with my podcast archive, you can find it by clicking on the PODCAST tab in the header.golden-shower1

So you want some plain hard facts, darlin’? I got ‘em. In fact, I forwarded your question to THE MAN himself, Tony Buff. And here’s his response:

That is an excellent question, Phil. Many people don’t understand the risks associated with piss play/watersports. According to the BDSM: Safer Kinky Sex booklet published by the AIDS Committee of Toronto, urine with no blood is fine on the outside of intact skin and urine in the mouth is a negligible risk for getting HIV but if your partner has a urinary tract infection there is a risk of catching other sexually transmitted infections. It’s also important to note that drugs can pass through urine chemically unchanged. Drinking large quantities of urine from someone who has been taking recreational drugs can pass those drugs on to your system. And, if you’re HIV positive be aware that drinking the urine of someone on different treatment drugs than your own regime can cause drug treatment resistance.

So those are the risks. Again, every person has the right to determine his or her own risk profile. With open, honest communication you and your play partner or partners should be able to determine which risks are present and how to best mitigate them. I hope that helps.

Oh, and by the way, you can find the BDSM: Safer Kinky Sex booklet HERE!

So there you have it, directly from the horse’s mouth, so to speak. And if you want to know my thoughts on the matter, which just so happens to mirror the amazing Mr Buff’s thoughts, use the search function in the sidebar to your right and simply type in “watersports” or “golden showers” and Voilà!

Good luck

Mellow With Age

Name: Bob
Gender: Male
Age: 54
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 cockring and that helps I guess. Is there anything else I can do to increase my performance to match my libido?

Thanks for your comment and question. Your concern is a familiar one. 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.Kedori - Eileen Gray Bibendum Armchair

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 using 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.

viagra cartoonThis 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 one’s self, 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 it. 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 interferes with or even shuts down the sexual arousal, 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

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