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Libido Disparity, A Common Problem

Name: Chris
Gender: male
Age: 29
Location:
I’m 29 and I’ve been married for the last 3 years. I was seeing my wife for 5 years prior to being married so I guess it’s been a total of 8 years that we’ve been together. When we first got together everything was great the sex was outstanding ya know 69 all types of positions tons of oral, tons of foreplay and she had an orgasm every time. It seems that just in the last couple of years everything has dwindled away to the point where it’s her on top for a little bit, me on top for a little bit till I finish then we go back to the living room and hang out. Whenever I bring up the subject she gets very uncomfortable and won’t talk about it. And it’s really starting to freak me out in every aspect of our relationship. I love the girl, so I don’t want to go anywhere. I’m wondering if there’s any hope to get things back to the way they used to be that fresh hotness and spontaneity. How can I bring the heat back?

Like I always say, If I had a nickel for every time I’ve heard this same complaint from a frustrated and desperate man or woman trapped in an undersexed marriage, I’d have enough money to lay down my keyboard, give up my status as the most fabulous and revered sexpert in the universe and retire to Maui.

Despite the frequency of the grievance, it still breaks my heart to hear the despair. I mean it’s one thing to have the sexual connection between partners drift away by mutual consent. It’s another thing all together to have one partner dissolve the sexual connection unilaterally while leaving the other partner bewildered and disoriented.

And what gives with a partner who refuses to talk about why the sex has taken a nosedive? That is so wrong. I can understand not knowing exactly what to say about things goin’ south, or even how to say what may be on your mind, but to clam up all together, that’s just unfair. Suppose the problem had to do with finances instead of sex. What if one of you decided to start splurging on major purchases without consulting the other? There’d be hell to pay then, huh? There’d be no duckin’ out of the responsibility by clamin’ up in this instance, I’ll bet. But when it comes to sex, somehow the same rules for accountability don’t always apply. Why is that?

Sexuality is both a personal expression and a means of bonding with another. Thus sexual wellbeing in a relationship is way more than just the old in and out. It means taking responsibility for one’s eroticism as an integral part of relationship. Sex is a way of expressing one’s self as well as our love for the other. The confusion, unhappiness and anxiety that results from the breakdown of this fundamental tenet will, as you suggest Chris, spill over into and contaminate other areas of the relationship. But it doesn’t need to happen.

When I encounter this predicament in my counseling practice, I always build in some individual time with each partner even though the couple is there for “couples counseling.” I often get a much better sense of what’s causing the breakdown in these private sessions than I do when the couple and I work together as a threesome. Sometimes it’s easier for the individual to talk to me privately than to be open, honest and forthcoming about his/her feelings with his/her partner sitting right there.

My experience tells me that more often than not, a refusal to discuss sexual concerns has more to do with not knowing how to express oneself without hurting the feelings of the other. Sometimes an individual simply doesn’t know herself why things are different than they once were. Sometimes there are lifestyle issues at play — family concerns, work concerns, lack of sleep, drugs and alcohol consumption, etc. Sometimes there are medical and psychological issues that impact on a person’s libido — weight gain, birth control, other pharmaceutical drugs, diabetes and depression to mention a few.

There’s also something we in the business call: “desire discrepancy disorder,” which is just a fancy-schmancy way of saying one partner has a stronger libido then the other. But often the simplest and most ordinary explanation is that the partnered sex has become stale, rote and boring.

Whatever the cause of the imbalance, it needs to be addressed as a couple. Once the couple has identified the problem the next step is learning how to talk about it in an effective yet non-threatening way. This can be tricky, to say the least. But it is still so much easier than trying to avoid the issue all together.

Ok, so your wife is reluctant to discuss the matter with you, Chris. That just means you’re gonna have to be proactive in bringing this issue to a head. And I’m not suggesting that you browbeat your wife about her unwillingness to talk about the issue. It’s gonna be all about you leading by example. Here’s what I suggest. Set up a time for you and your wife to have a sit-down. This needs to be scheduled in advance so that both of you know it’s coming. There ought be no surprises. This conference should not immediately follow sex, especially disappointing sex. Set aside at least 30 minutes when you guys are fresh and relaxed and then start preparing what you want to say. Take notes if necessary.

When the time comes for the sit down, I encourage you to use “I” statements instead of “you” statements. Begin by laying out how you feel and owing your feelings. “I feel confused. I feel frustrated. I feel that our relationship is in jeopardy.” Stay away from statements like “you make me feel…blah, blah, blah. These kinds of pronouncements will only muddy the waters. Then I suggest that you invite your wife to do the same. If she can’t, or won’t, move on to what steps you will take to get to the bottom of this. Something like, “I don’t want to continue the status quo. I’ve decided that I am going to seek some professional help for this. Maybe there’s something I’m missing. I can’t get to the bottom of this on my own, so maybe a sex therapist will help me understand what’s going on.” Again, invite her to join you in this effort. If she refuses or stalls out, move on to closing the discussion. You might say something like, “thank you for hearing me out on this. I don’t mean to put you on the spot, but I think our relationship is worth the effort to preserve it. And I’m actually gonna do something to make sure that we stay together. My invitation to you to join me in this effort will remain open.” End of discussion!

Of course, if you take this route, you will have to follow through on your commitment. If you don’t you will sabotage the whole damn thing, which will only make matters considerably worse. I encourage you to find a sex-positive therapist to work with. A good resource for this is The American College of Sexologists. Visit the directory page on their website. You will find listings for certified sexologists and sex therapists all over the world. If there is no one near you, contact the person closest to you and ask for a referral. Often my fellow ACS therapists and sexologists are very well connected to the broader sex-positive communities in their area.

You may also wish to consult me, even if you’re not here in Seattle. Check out the Therapy Available link in the header of my site for all the information you’ll need to make an enlightened decision about working with me.

Whatever you do, don’t settle for the path of least resistance. Your leadership might be just the thing your wife is looking for to muster her own strength to face the facts. Either way, the problem you are facing will not go away simply by ignoring it. Disappointments will become resentments and resentments will inevitably lead to acting-out and that will surely fuck things up royally.

Good luck

Quickies

Name: Vic
Gender:
Age: 37
Location: Hollywood
I think I have hemorrhoids can you tell me what to do and what kind of doctor I should see

You think you have hemorrhoids, but you don’t know for sure? Since you don’t include the symptoms you might be having, I really can’t help all that much.

What I can tell you is that hemorrhoids are abnormally swollen veins in your rectum and on your asshole. They’re like varicose veins you might see on a person’s legs only they’re in your butt. When bulging hemorrhoidal veins are irritated, they cause surrounding membranes to swell, burn, and itch. They can become pretty painful, and they can bleed too.

Hemorrhoids are caused by too much pressure in your rectum, forcing blood to stretch and bulge the walls of the veins, sometimes even rupturing them.

Frequent causes include:

  • Constant sitting
  • Straining with bowel movements (either from constipation or diarrhea)
  • Severe coughing
  • Heavy Lifting

What you can do to help:

  • Be sure your hole is clean after each bowel movement. Use a premoistened towelette, like baby wipes or Tucks for a thorough cleanup.
  • Avoid excessive rubbing and scratching.
  • Make sure the soap you use is scent and dye free.
  • Apply an ice pack to reduce swelling and follow this with a warm compress.
  • Take a sitz bath. Fill your bathtub with just enough warm water to cover your ass, add Epsom salts. Soak your sorry bum for about 15 minutes a couple times a day.

There are plenty of over-the-counter hemorrhoid treatments — ointments, creams, and suppositories. Give these a try, but if symptoms continue see a doctor. Any physician, including a general practitioner, will be able to diagnosis a case of hemorrhoids.

Name: Jon
Gender:
Age: 22
Location: LA
How can I make myself ejaculate harder and longer when doing masturbation?

Ever try “Edging”? This is a stop/start technique guaranteed to prolong the time it takes you to reach your climax. Grab your dick and begin to wank like usual. Only when you get near to cumming — stop stroking. After the urge to shoot subsides begin to slowly wank again. Every time you approach climax — stop the stroking. Repeat this whole ‘stop and start’ cycle for as many times as you would like. When ya finally shoot you’ll have a stronger orgasm and you’ll spew more spunk. Do an internet search for edging & masturbation, you’ll find a load of information posted by fellow edgers.

Another cool method is the “Squat ‘N Jerk”. Squat on the floor, and stretch your knees as far apart as possible. Lean against a wall if necessary. Feel the stretch in your feet, calves, thighs, taint and asshole. Begin your yank session. Try to keep your rod perpendicular to the ground as you stroke. Because of the tension in your fee, legs and butt, when you shoot you’ll be sure to get more bang for your buck. A variation on this technique is to squat on a dildo or a butt plug. ENJOY!

Name: Trev
Gender:
Age: 27
Location: Toronto
My boyfriend and I got into a fight last night and he punched me in the face. He lost his job about a month ago and since then he has been using drugs, mostly pot but sometimes speed too. When he gets depressed he gets angry and I have to stay out of his way. I’m worried about him but he won’t get help. He says he’s sorry about last night but it’s different when he is high. What can I do to help?

You could start by taking a long hard look at your own enabling behaviors. I can tell, even from this great distance, that you are a doormat. Remember, behind every abuser is an enabler. Behind every drunk and druggie there is an enabler. The fact that you are more concerned about your abusive BF welfare than your own safety tells me there is more to your unhealthy relationship than what you reveal here.

Many victims of abuse, and you are an abuse victim, Trev, believe the abuse is their fault. Regardless of how twisted your relationship may be, there is never sufficient cause for someone to punch his partner anywhere on his body, least of all in his face. Your BF has at least two major issues to deal with: a) his depression/anger/violence and b) his drug abuse. As you suggest these are related. You are neither well positioned nor well enough informed to assist him with either of his problems. In fact, as I say above, you are part of the problem.

You, on the other hand, have issues of your own that he can’t help you with, because he is part of your problem. Abusers often promise to change their behavior, and those empty promises often keep the victim from identifying the pattern of abuse in the relationship.

Anyone in a relationship that doesn’t have the emotional wherewithal to leave an abusive relationship needs help ASAP. Here’s a resource for you: The Gay Men’s Domestic Violence Project.

Good Luck

Get your wood the natural way!

Hey there sex fans,

It’s Product Review Friday and I have the pleasure of welcoming yet another new company, LibidoStack, to our review effort.

Dr Dick Review Crew members, Mick, Carlos and I bring you the results of our experimentation.

LibidoStack —— $49.95 (10 capsules, one month supply)

Dr Dick: For review purposes, the manufacturer of LibidoStack sent me a package containing ten capsules in a tamperproof bubble-pack. The claim is that their all-natural herbal product is supposed to improve one’s sexual health and performance. This is equivalent to 10 doses — one capsule per dose. (My contact at LibidoStack tells me that a 10-pack is a month’s supply; a capsule every three days.)

Being the generous kinda guy that I am, I shared my LibidoStack stash with two of my fellow Dr Dick Review Crew members — Carlos and Mick. I gave my colleagues the lion share of the product. They both got four capsules equaling 4 doses. I used the remaining two myself. We will each take our turn reporting our findings. I’ll go first.

So what is LibidoStack exactly? The manufacturer says it’s a “…proprietary all natural male enhancement blend was researched and developed by our team of highly-acclaimed biochemists, and research analysts.” They claim their product will produce “…increased sexual pleasure, harder and longer lasting erections, and increased sex desire.”

The LibidoStack website list the ingredients, which they claim “consists of herbs, minerals, and amino acids.” They list the ingredients HERE! http://libidostack.com/index.php/how-it-works.html

I took the time to look up each and every ingredient listed. I found that the health benefits associated with these herbal extracts include — an increase in energy and virility; as well as antioxidant, anti-inflammatory and antibacterial properties. So if nothing else, I figured my LibidoStack experience would not harm me in any way.

My experience — I used LibidoStack on two different occasions and followed the directions on the package each time — Take one capsule with warm water 60 minutes after a meal.

Before I continue, I must confess that I always approach products like this with a healthy dose of skepticism. And I’m always on the lookout for the placebo effect — the suggestion of an effect creates the effect. But I did have two opportunities to test this product over a span of 10 days so I would have had to be very suggestible for the placebo effect to play much of a role on both occasions. And I can tell you; I’m not that suggestible.

I am familiar with the effects of Viagra and its companion drugs, Levitra and Cialis. So I do have a frame of reference when it comes to judging the effects of herbal products, like LibidoStack. I can honesty say I was pleased with this product’s performance. It works by building up in your system as opposed to producing its effect immediately.

LibidoStack had a more gradual effect than the pharmaceuticals I’ve used, but that’s not a bad thing. What amazed me is that LibidoStack is as effective as any the medically prescribed drugs I’ve tested, but it is much kinder to my system. There were no headaches, unsightly flushes, upset stomach, rise in blood pressure or altered vision. This made me very happy indeed.

In doing reviews like this there is the danger of generalizing from one person’s experience. I want to avoid this by stating every human body is unique. Each of us metabolizes what we consume in a slightly different way. Keep this in mind if you try LibidoStack. The degree of erection, as well as the time it takes to get hard on this product (or any such product, including the pharmaceuticals) will depend on one’s age, overall health and the amount of sexual stimulation one is receiving.

Oh, and this is not an aphrodisiac, people! Wood is not gonna miraculously happen on it’s own.

I also want to be clear on another point — LibidoStack is not miracle potion. It will not override an unhealthy lifestyle. But it can positively effect one’s sexual response cycle; making arousal easier, which will make one a more confident lover.

I have a couple more thoughts that I will share at the end of this review. But now I want to bring in Carlos and Mick so that they can share their findings.

Mick: “I’m sold on LibidoStack. I’ve been having erections issues since my prostate cancer diagnosis. My doc believes the problem is all in my head. He can’t find any physical reason why the plumbing doesn’t work like it should, although I do have high blood pressure. So I can’t take Viagra because of that.
LibidoStackworked fine the first time, but better the fourth time I tried it. LibidoStack doesn’t come on like a freight train; it’s way more subtle than that. Like Dr Dick said, it really boosted my confidence. And if that’s all I needed, I’m a happy guy.”
Carlos: “I’m impressed too. LibidoStack exceeded my expectations.
I’ve tried several other herbal products in my time, because Viagra is so fuckin’ expensive. But none of the other products matched LibidoStack’s performance.
I do need to say, however, that I didn’t experience the effects of LibidoStack as quickly as did Mick. Of course, I’m a much bigger guy. I also took my first two doses an hour after a full meal, just as the package suggests. I took the other two doses on an empty stomach and it worked better.”
Mick: “I discovered that too. If I take LibidoStack on an empty stomach, the effect is more immediate.
Here’s another thing I noticed. After the second dose I started having nighttime boners, a lot of them. I would wake up from a sound sleep with a raging hardon. It was like it was in my 20’s.”
Carlos: “I had that happen to me too. At first I said, ‘whoa nelly!’ My wife was surprised as hell too. I hadn’t been feeling very randy for the last six months.”
Mick: “Yeah, my partner Chuck, noticed a difference right away too. I’m gonna guess that this stuff builds up in your system and maybe a maintenance dose is all ya ever need.
I was kidding with Chuck about those warnings you see on TV, the ones that say; ‘Warning: If you experience an erection for more than 4 hours, please seek medical assistance immediately.’ I told Chuck that if I had a boner that lasted 4 hours I wouldn’t call a doctor; I’d call a hustler!”
Full Review HERE!

ENJOY

Sex Therapy—What Is It and Who Needs It? – Part 1

I’m often asked about my work as a sex therapist. I’m surprised at how few people have any sense of what a sexologist does. While I can’t speak for all my fellow therapists, I can tell you a bit about my own practice.

Most of the work I do is Cognitive Behavioral Therapy (CBT): short-term, goal-directed and personally liberating (I don’t believe this kind of therapy should become a lifestyle). Basically, I suggest that people with sexual issues change the behaviors that contribute to their problems as a surefire way to solve them. I try to give my clients all the tools they need to successfully work things out on their own once the therapeutic intervention is over. This approach doesn’t fit everyone; however, 99.9 percent of the people I work with respond positively.

I encourage my clients to give themselves permission to investigate their sexuality. This in turn assists them in taking charge of making themselves feel better and/or perform better. And as soon as they do, they almost immediately have a greater sense of wellbeing. Like they say, nothing breeds success like success.

Once we identify an area of concern, my client and I create a plan of action for them to implement. I believe the more an individual is part of their own healing process, the more productive that process will be.

Sadly, I find that fewer and fewer people are willing to give their sexual issues the attention they deserve. Rather than investing the time and energy to get to the bottom of their issues, many opt instead for the quick fix—the “Give me a pill for that” mentality. They’re often unwilling to make the necessary lifestyle changes to actually solve their problems. For example, I encounter people who are eating themselves to death, or abusing alcohol or drugs. Of course they have the accompanying sexual response issues—erection problems for men and arousal concerns for women. They may desperately want to resolve these issues, but without committing to any change in behavior—i.e.: “I want my erection back, but I won’t stop drinking”—such interventions almost always ends in disappointment.

Sexual dysfunction of one sort or another is the issue I see most recurrently in my practice, although the reason why a client reaches out varies. Sometimes an individual’s tolerance level peaks, and they finally decide to do something about an issue that may have been smoldering for years. Sometimes it’s a partner who brings in their proverbially “broken” partner, telling me to “fix him/her.”

Couples often seek sex therapy together, as sexual problems tend to be more obvious within relationships. However, by the time the couple comes for therapy, the issues have most likely been plaguing them for some time. The relationship often comes close to ending before the couple agrees to address the problem. For example: Say a guy brings his wife in because she’s “frigid,” whatever that may entail. They’ve been married for X-number of years, and he’s finally had it. She, on the other hand, doesn’t want to be in therapy, because she doesn’t really think there’s anything wrong with her. She just doesn’t want to have sex anymore, and she doesn’t want to discuss it. Period.

This is a difficult way to start therapy. Resentments are high and frustrations rage. If the couple does continue, we usually discover that there’s also something desperately wrong with the husband. Inevitably, we ascertain that he’s an ineffectual lover—and his inability to pleasure his wife is the root of her “problem.” It’s often painfully clear that he knows little (if anything) about his wife’s sexual needs or desires. Meanwhile, the wife has never had permission to know her body, so she’s unable to help or direct him. As you can imagine in a case like this, there’s a load of remedial sex education that must come before anything else is resolved.

Couples also seek therapy when one spouse has cheated on the other. The “cheat-ee” declares, in no uncertain terms, that this therapy is the last-ditch effort before “the end of the road.” Often in such cases, it’s too late for a successful intervention, because each partner is so angry and shamed that the chance of turning the situation around is slim. Sometimes the best we can do is end the relationship with as little acrimony as possible.

In difficult couple counseling situations like this, my first effort is to get the couple to disarm. There will be no sex therapy—and God knows there is a need for sex therapy—until there is some semblance of peace between partners. If we don’t establish at least a small bank of goodwill, our efforts are doomed.

We’ll pick this up next week at this time.

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Libido Disparity

No other sexual complaint for couples is more pervasive then that of libido disparity. I’ve heard from hundreds of frustrated and desperate women and men trapped in undersexed relationships. It’s one thing to have the sexual connection drift away by mutual consent. It’s quite another to have one partner unilaterally dissolve the sexual connection leaving the other partner bewildered and disoriented.

Often a partner will refuse to talk about why the sex has taken a nosedive. I understand not knowing what to say when things go south, or not knowing how to say what may be on your mind. But to clam up all together, that’s just unfair.

Sexuality is both a personal expression and a means of bonding with another. Sexual wellbeing in a relationship is more than simply getting off. It means taking responsibility for one’s eroticism as an integral part of relationship. The confusion, unhappiness and anxiety that result when there’s a breakdown of this can spill over and contaminate other areas of the relationship.

When I encounter this predicament in my counseling practice, I always build in some individual time with each partner even though the couple is there for “couples counseling.” I often get a much better sense of what’s causing the problem in these private sessions. It’s easier for the individual to talk to me privately than to be open, honest and forthcoming about his/her feelings with his/her partner sitting right there.

Some people don’t know how to express themselves without hurting the feelings of the other. Or an individual may not know why things are different than they once were. Often there are lifestyle issues at play — family concerns, work concerns, lack of sleep, drugs and alcohol consumption, etc. Sometimes medical and psychological issues are impacting on a person’s libido — weight gain, birth control, other pharmaceutical drugs, diabetes and depression to mention a few. But more frequently than not, the explanation is the partnered sex has become stale, rote and boring.

Whatever the cause of the imbalance, it needs to be addressed as a couple. Once the couple has identified the problem the next step is learning how to talk about it in an effective yet non-threatening way. This can be tricky, to say the least. But it is still so much easier than trying to avoid the issue all together.

When the couple is ready to break open this discussion, I encourage them to use “I” statements instead of “you” statements. I ask them to identify how they feel and own their feelings. “I feel confused. I feel frustrated. I feel that our relationship is in jeopardy.” Avoid statements like; “you make me feel…” Active listening is as important as being honest with one’s feelings.

The couple moves on to identify concrete steps they can take together to address the problem. Making a mutually agreed upon plan of action and sticking to it is essential.

Problems do not go away simply by ignoring them. Disappointments will become resentments and resentments will inevitably lead to acting-out and that will surly fuck things up royally.

Good luck

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