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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!

Overcoming a Fear of Sex: A Step-By-Step Process

All phobias can be overcome with some effort. The same is true for conquering a fear of sex. Here, I walk a young gay man through his trepidation with anal sex. We take simple, easy to accomplish steps to build confidence and dispel his apprehensions.

I’m gay, I’m a virgin, and I think I may be afraid of sex. In all the porn I’ve seen, the bottom guy looks uncomfortable and in pain— why would I want that? I’ve only done anything sexual with one guy, and I was so anxious that I couldn’t even get it up. I liked the guy, he was hot, and I enjoyed all the foreplay type stuff, but I just couldn’t do anything else. Any advice on how to get over this?

First thing—don’t ever look to porn for your sex education; you’ll surely be misled. Second, that grimace you report seeing on the bottom’s face as he is being penetrated may be a grimace of pleasure, not pain. I think you may be projecting your own discomfort on the guys in the movies.

Let me tell you a little story. Recently I was strolling in the park with my dog. We were each, in our own way, enjoying the sights, sounds and smells of nature in its glory. As we walked along, we encountered a father and son who were deeply involved in what appeared to be the boy’s first lesson in riding a bicycle—sans training wheels. Despite the father’s patient encouragement, the kid couldn’t seem to get the hang of it. He’d start out okay, but just as soon as his dad let go of the bike, it would begin to wobble and the boy would eventually crash. There were plenty of tears, a skinned knee, and the boy’s fear and anxiety were thick enough to cut with a knife.

The boy was convinced that he couldn’t ride on his own. His defeatism became a self-fulfilling prophecy. He finally gave up, sat down on a bench, his bike in a tangle at his feet, and refused his father’s pleading to give it another try. In his mind, the bike was the enemy; another attempt would only hurt and humiliate, and so the lesson ended.

What the kid lacked was self-confidence, a sense of adventure and probably more importantly—balance. I wish I’d had the opportunity to suggest to the boy and his dad that they try another ploy. I wanted to say, “Set the bike aside and work on that balance thing first.” This would surely increase the boy’s confidence, and it wouldn’t cost a blow to his ego or his knee—and it would be fun.

I’d have suggested the dad start by helping the kid walk on curb, balancing himself as he went. Then the dad could increase the challenge to include balancing on one foot, then the other. Once the kid discovered the power within him to accomplish these tasks, the bike could be reintroduced. The father would assist the boy in drawing upon his skill in balancing on the curb to master balancing on his bike.

The same will be true for you, Drew. Sex is nothing to be afraid of. Rather, it is a skill that one learns. Some, obviously, take to it quicker than others, but everyone can learn a happy, healthy sexual repertoire that will build self-esteem and bring great pleasure.

I want you to start exploring and enjoying your bottom on your own. Like the kid in the park, you need to acquaint yourself with the powers that lie within you. He needed to find a sense of balance; you need to find the Big Old Butt Pirate within.

Most all of the discomfort in anal sex is associated with your sphincter muscle trying to resist whatever it is being inserted. When this muscle resists to the point of spasming, things can become very painful. So here’s what I want you to do.

  • Before you start playing with your hole—relax. Take a relaxing shower, a warm bath, and/or try some deep breathing exercises to center yourself.
  • Have a ready supply of a water-based lube handy. Silicone-based lubes are swell for these exercises too. However, this type of lube isn’t recommended for use with a condom.
  • Start with a little self-pleasuring. Stroke your dick with your lubed hand and get into your happy place.
  • Gradually slather some of that lube on to your balls and taint. With legs open, find your hole and play with your rosebud. Gently massage the area around your asshole, but don’t slide your fingers in just yet. Simply get used to the sensations at the opening of your ass.
  • Let your play include the tip of your finger entering your ass.
    If you do this while you’re stroking your cock, you will find that your hole will actually open and invite your finger. That’s the great thing about pleasuring one part of your body while learning to pleasure another.
  • Once you are comfortable with your fingertip inside, try pushing it in further and move it around a little. Try pushing it and pulling it out of your ass. You know, like finger-fucking yourself.
  • Locate your prostate. (It shouldn’t be hard to find if you’re all horned up.) It will feel smooth and hard, like a flat stone. Give it a nice gentle massage. If you’re still stroking your wood, don’t be surprised if this prostate massage gets you to ejaculate. In fact, you will find that your prostate actually enlarges a bit and becomes more firm just as you are about to shoot. As you jizz, you’ll notice that your sphincter muscle will tighten around your finger and pulsate with each squirt.

Continue these self-pleasuring exercises until you’re comfortable inserting a couple fingers in your ass. Then try a small vibrating dildo. In no time at all, you will be ready to jump on your bike and ride…so to speak.

With these exercises behind you—no pun intended—the first time you actually fuck with a partner will be the incredible experience it is meant to be. If you encounter any discomfort, you’ll know what to do: deep breathing to relax and priming your hole with a lubed finger or two.

  • First, attend to your personal hygiene. Make sure you’re clean inside. This will help you avoid an unsightly and embarrassing mishap that might mess up the big event.
  • Remember to take it slow. There’s no rushing pleasure. Remember, you’ll be the one in charge of what goes in your ass, when, and for how long.
  • Warm up with some foreplay, kissing, sucking, licking, rimming, touching and massaging.
  • Have condoms and plenty of lube near at hand.
  • While you’re warming up, start loosening up your ass with your lubed fingers, just as you did in your self-pleasuring exercises.
  • Once you’re comfortable, offer your ass to your partner. Have him replace your fingers with his own. Try some finger-fucking first.
  • After you’re relaxed and loose, lie on your side with your partner behind you. Have him slowly push his cock against your rosebud.
  • Try pushing out like you are trying to take a dump. This will help open up your sphincter for his entry.
  • As he enters you, have him stop so that you can breathe deeply. Give your ass the time it needs to adjust to the new sensations. If there’s pain or discomfort have your partner reverse course and go back to finger fucking before you proceed.
  • Make sure that your partner knows that if you ask him to stop, he will stop. Trust is essential.
  • As he fills you with his dick he will hit your prostate. This will send waves of pleasure through your body and signal your sphincter to open for even more.
  • You may find that you’ll even want to push your ass back to meet and engulf his cock.

By the time this happens you will happily discover that you are riding your bike all by yourself.

Good luck!

20 Interesting Facts You Never Knew

Everyone took a sexual education course in middle or high school to learn about the “birds and the bees.” However, there are a lot of facts that sex ed teachers leave out. These facts are sometimes the most interesting and the most useful in real-life situations. Here are 20 little known facts about “doing it.”

Patterns In Sexual Desire

Most women have an increase in sexual desire around the time that they ovulate each month. This is nature’s way of making sure the Earth stays well-populated.

It Sounds Gross But…

Semen can be great for the facial pores and can even help with acne. The male-produced “facial cream” can also prevent wrinkles.


A Headache Is A Bad Excuse

We’ve all heard the cliche “my head hurts” excuse for turning down sex. However, sex often helps with pain, especially with headaches.

We’re Not Judging

Many straight men enjoy having their anal areas stimulated, and that is totally okay! Sexual experts say that the anal areas are packed full of nerves and can make a male orgasm so much better.

1, 2, 3…And They Keep Coming!

Women can orgasm an unlimited amount of times. Men generally need a period of time after orgasming to recover. However, women need barely any time and are ready to go as many times as they please.

Men Are Erect…A Lot

It is said that many men experience about 11 erections every single day. While they may not be raging every single time, it does happen pretty often.

Celery Can Arouse

Yes, celery. The pheromones in celery can cause arousal in men. In addition to the arousal, the vegetable also makes men who eat it more attractive to women.

The Left Side Is The Best Side

A group of scientists found the upper left quadrant of the clitoral head is the most pleasurable spot to touch. So, it’s okay to tell him to go “a little to the left.” It’ll be sure to make the sex even more enjoyable.

Orgasms Are Different

A man’s orgasm lasts about 22 seconds while a woman’s lasts about 18. It is also very common for it to be uncomfortable to pee after having sex because of an antidiuretic hormone that prevents urine from freely flowing.

Sex Can IMPROVE With Age

Sexual attraction is a life-long drive. The reason most older people don’t have sex very often is that there is a lack of opportunity to have sexual encounters.

Get Your Heart Going

Sex is a great way of getting in your daily cardio exercise. During an orgasm, heart rates can reach between 140 and 180 bpm.


Lube Can Make A Difference

While lube is considered a sex tool for older people, many sexual experts say that a little lubricate can make the difference between pain and pleasure during sex. This doesn’t mean the woman is not turned on. Natural “lube” can come and go without any warning.

Penetration Is NOT The Secret

Most women do not orgasm from penetration alone. The majority of women need some type of clitoral stimulation to reach their climax. It has nothing to do with size or penetration.

Everything Expands

The penis is not the only thing that grows during a sexual encounter. In fact, the testes grow by 50% and the vagina can double in size when aroused.

More Sex Makes You More Appealing

After having sex, a woman’s estrogen levels double. When estrogen levels are higher, a woman’s hair can look shinier and her skin can even feel softer.

Not Only People Can Be Arousing

Some people have sexual attraction to objects instead of specific people. There is a woman known to be sexually aroused by the Eiffel Tower.

Have Sex, Live Longer

Scientists have found that orgasms can actually prolong your life. That’s right, the more sex you have, the longer you can live.

Humans & Dolphins Alike

As far as sex is considered, dolphins and humans have one key fact in common. The two mammals are the only animals in the world that have sex for pleasure.

Sex Everyday Keeps The Doctor Away

Sex can actually help you stay healthy. Many doctors believe this is because sex can lower blood pressure and greatly decrease stress levels.

It’s Like Two Puzzle Pieces

Not every penis, or vagina, is the same. If a guy is too large, women can control penetration by changing positions. If he is too small, there are many toys, etc that couples can invest in.


Tricks Of The Trade — Part 1

A friend of mine, who is writing a book about male sexuality for women, asked me if I could be her go-to-guy for a bunch of questions she had about pleasuring a man which she wants to include in her book. I think it is only fair that you, my loyal audience, should get this information before anyone else does.

What would, in your esteemed opinion, be your five hot tips for giving a great hand job?

First, there are 10, not 5. Hand jobs are too important for just 5.

Most men love a good old-fashioned hand job. Here’s the deal with a lot of us folks who own a dick. We first become acquainted with the pleasure our cock can offer through handling ourselves. And when it comes right down to it, there is rarely a mouth, pussy or ass that can compete with the variety of stroke and firmness of grip that a hand can provide. Simply stated, the humble hand job is the ideal way to pleasure your man. Just remember, even though jerkin off your guy isn’t particularly exotic, as far as sex acts go, it never has to be boring for you or him.busy masturbating

1) I am of the mind that a brilliant wank begins with a first class lube. Many guys swear by silicone-based lubes for this purpose, but a hand job connoisseur will probably have his very own favorite. Start off with just enough lube to make things slick, you don’t want to over do it. Get a feel for his johnson and what you have to work with. Skillfully draw back the skin of his rod toward the root of his dick till it is taut. This is much easier to do on uncut men, but even most cut men will have some skin left for move.

2) Tell your dude how much you like his meat. A hand job is a perfect time to marvel at the work of art before you. Feel free to uooh and ahhh a lot. Your man will get off on you admiring his unit. For, as we all know, a hard man is good to find. Can you wrap your fingers around the base of his unit and get a good grip there? If not, you’ll want to consider a cockring for this purpose. if you use a cockring, you’ll free up both your hands for what’s to come.

3) Now that you got yourself a really nice boner goin’, get between his legs. Take his cock between the palms of your hands, interlock your fingers and guide your hands up and down his shaft. Your thumbs should be on the underside of his dick, so that on each stroke up and down, you hit his frenulum with the pads of your thumb. Now with his cock still between your palms, rub your hands together, like if you were warming them. This will provide a great new sensation for your guy.

cock,schlong, dong4) Hold his cock in one hand and with the well-lubed palm of your other hand, slowly move it in nice lazy circles all over his dickhead. This is a particularly delicate procedure, especially if your man is uncut. His dickhead will be super sensitive, now that he is fully aroused. And don’t forget, if you are using a cockring, his pecker will be even more engorged than usual, making it hypersensitive. Be sure to ask for feedback on this move. If he finds this too uncomfortable, move on to something more pleasurable. Here’s a tip: us men being who we are will, no doubt, already be giving you directions on what to do and how to do it down there. So all you have to do is follow his lead. Remember, he knows his way around his joint better than anyone.

5) Don’t forget to service his nuts. Since a guy’s jewels are less sensitive to touch than his dickhead, you can manhandle them a lot more. Squeeze and tug and even gently slap those babies to your heart’s delight. While you are doing that, and with his dick flat against his belly, shimmy the heel of your hand up and down the underside of his cock. You see how you are incorporating different sensations and movements all at the same time? Keep this up and your man will be putty in your hands, no pun intended.

6) Interlace your fingers and make a tight passageway through the palms of your hands. Pump up and down his shaft this way. As you get to the top of his cock close the passageway even tighter. Then make him squeeze his way in as you slide back down to the bottom. Then with one hand rapidly following the other in only a downward stroke, make like a perpetual penetration tunnel. This will make his eyes roll back in his head in ecstasy.titty fuck01

(This might be a good time to incorporate other parts of your body besides your hands. Most men get off on a titty –fuck. Cozy his cock between your boobs and have him hump away. You can also use your feet in the same fashion. Lots of guys can really get off fuckin’ a chick’s (or dude’s) feet.)

7) Now, back to the hand job. Rhythmically stroke only his rod. Watch as his dickhead swells and turns red or even purple. Once it’s bright red, use your fingertips on the tip of his dick like you are turning a doorknob, first to the right, then to the left. Lightly at first, but slowly increase the pressure till he begs you to stop. Now you got him right where you want him.

8) Here’s where things can get really interesting. When he’s least expecting it, move one of your hands down past his nuts and taint. You know what a taint is, don’t cha? That’s the patch of skin between his balls and his asshole. It got its name from taint ass and taint balls, ya get it? Anyhow, once past his taint you’ll find his rosebud. With a well-lubed finger massage his pucker. If this is virgin territory for your man, he’s in for the thrill of his life. Continue to stroke both his cock and asshole. Don’t be afraid to try and push your fingertip past his sphincter. If he lets you inside, you will have access to his prostate. But even if he doesn’t, massaging the outside of his hole will bring him very close to an explosive conclusion.

9) If you’re ready to finish him off, so to speak, pick up the pace of your stroke. He will be breathing heavily now and he’ll look down over his chest at the miracle happening between his legs. Tell him to throw his legs in the air and spread them as far apart as possible. This will add considerably to the muscle tension that you’ve already built up. And a thunderous orgasm is all about muscle tension.

Now bring this puppy home. Lick his balls, finger his hole and beat his meat. Insist that he keeps his feet in he air and his legs splayed. Momentarily, he will begin to quake with building mini-orgasms. He will no doubt try to buck himself to conclusion, but don’t let him. For the moment you’re in charge down here, not him. Tease him one last time as he nears ejaculation. When he’s almost there, suddenly stop what you’re doing. This will, of course, drive him crazy. And don’t resume your stroking till he begs for it.

It will probably only take a few more strokes before he gives up the spunk. Keep your face, or at least your eyes, out of the way, because when he finally blows it will be explosive. If you’ve toyed with him for any length of time, you will have built up quite a load and it will shoot in spurts till he is empty.

10) His cock will be hypersensitive after he cums, so be gentle.



1. “Male G-Spot” clarification — we’ve heard the prostate referred to as the “male G-spot,” but we’ve also heard the frenulum given the same name. Which is it? Or is this term not appropriate for either one?cake & sodomy

Male G-Spot more appropriately denotes the prostate, definitely not the frenulum. However, let’s be grown up about this and skip the unnecessary comparison between the G-Spot and anything in the male anatomy. Because that’s like saying a clit is a female penis. If we must use shorthand for the prostate, try P-Spot.

2. How should a woman go about finding and petting the prostate?

  • First, trim your fingernails and file them smooth. And before you start playing with a man’s hole have him relax.
  • Take a relaxing shower, a warm bath, and/or try some deep breathing exercises will help him do that.
    Have a ready supply of a water-based lube handy. Silicone-based lubes are swell for these exercises too. However, this type of lube isn’t recommended for use with a condom.
  • Start with a nice hand job. Stroke his dick with your lubed hand to get him into his happy place.
  • Gradually slather some of that lube on to his balls and taint. While his legs are open find his hole and play with his rosebud. Gently massage the area around his asshole, but don’t side your fingers in just yet. Simply let him get used to the feelings of playing at the opening of your ass.
  • Let your play include the tip of your finger entering your ass.
    If you do this while you’re stroking his cock, you will find that his hole will actually open and invite your finger. That’s the great thing about pleasuring one part of your body while learning to pleasure another.
  • Once he’s comfortable with your fingertip inside, try pushing it in further and move it around a little. Try pushing it and pulling it out of his ass. Ya know, like finger-fucking your man.
  • About an inch or so inside your man’s ass, move your finger in an upward motion along the wall of his rectum. You’ll discover a round bulb of tissue the size of a walnut — this is his prostate.
  • It shouldn’t be hard to find, particularly if your man is all horned up. It will feel smooth and hard, like a flat stone.
  • Give that puppy a nice gentle massage with your fingertip. If you’re still stroking his wood, don’t be surprised if this prostate massage gets him off. In fact, you will find that his prostate actually enlarges a bit and becomes more firm just as he is about to shoot.
  • As he cums you will also notice that his sphincter muscle will tighten around your finger and pulsate with each squirt.

3. What’s the best position to put the guy in to do this?

body as art5821Your man should be on his back, while you face him between his open legs. This gives you access to cock, balls and asshole.

4. Should a girl be worried about hurting her lover while playing with his prostate?

If you go slow and are gentle, there’s nothing to be concerned with. Don’t forget to ask for feedback. And if you want to know what he is feeling, finger your hole first.

5. In your experience as a sex therapist, do you find that straight men are wary of letting their female partners explore anal play?

Oh yeah, big time! Straight guy have it in their head that ass play is gay. I always respond that would be true if only the gays had prostates.

6. If so, how would you advise a woman to address or overcome any homophobic paranoia her partner might have in regards to anal play?

This is a very delicate issue. The best a woman can do is invite him to experience the new sensations. Anything more than that can backfire. If she is too insistent, or tries to shame him into it, the guy’s fears will quickly become a phobia.

7. In your experience, is male vulnerability a factor in anal play, and if so, is there anything a woman should do or say to psychologically care for her lover?

Oh yeah! Like I said above, ass play is often associated with gay sex. The best thing a woman can do is watch some hot butt sex porn with her man, where the dude is on the receiving end of things. These are called pegging vids. Then there are How To Videos like TRISTAN TAORMINO’S EXPERT GUIDE TO ANAL PLEASURE FOR MEN.  Check out Dr Dick’s How To Video Library for loads more titles.

Look for PART 2 of this series on Friday, October 10th.

Foreskin freak outs!

Hey sex fans,

I know what you’re thinkin’: Hey Dr Dick, what’s up with your podcasts? Well I’ll tell ya. It’s true I haven’t posted a podcast in two weeks. But there’s a good reason. I’ve been busy, damnit! I have a new book coming out in a matter of days and all my energies have been focused in that direction. Gettin’ a book published is like birthin’ babies, don’t cha know.

That being said, I have put together a fantastic line up of guests for my show that will delight and amaze you. And my stellar guest list will take us into the fall. So stay tuned; podcasts will resume next week, Monday, 07/15/13.

To tide you over till then, I have some interesting Q&A from all over the freakin world.

Jerome and Conor, an American and an Englishman. each present a similar problem.

Name: Jerome
Gender: Male
Age: 18
Location: CA
Dr Dick, I have an uncut penis and when I’m in the shower and my foreskin is pulled back, the head of my dick hurts pretty bad from the falling water. The shower is not heavily pressurized, but it still hurts. Any answers?


Name: Conor
Gender: Male
Age: 18
Location: London
My helmet is really sensitive I think it is because it is never really exposed because it is always behind my foreskin. How do I make it become less sensitive? Thanks

You boys have got your work cut out for you with the whole desensitizing thing, don’t cha know. Ya see, the more bodyasart5420you expose your sensitive dickhead to direct stimulation, be it touch or whatever, the less sensitive it will become.

I realize this isn’t gonna be all that pleasurable, at least not in the short-run, but you will find that in a matter of days this hypersensitivity will begin to reverse itself and pleasure will replace discomfort. Jerome, you have the right idea with the shower thing. However, you might want to try buffering your dickhead with a thin piece of fabric, like a handkerchief, at first. Once you can tolerate that level of sensation, remove the cloth and let the shower flow hit you dickhead directly. Make sure you do this daily for as long as you can stand it. Like I said, this will help desensitize your dickhead in a matter of days.

Once you’re out of the shower apply some nice lotion to your cockhead. This will diminish some the sensitivity. It will also help your fingers move easily on and around it.

Make sure that you fully retract your foreskin each time you jerk off. Every time you come in contact with your glans you will be desensitizing it. Patience and perseverance are the keys to making this happen in a relatively short period of time. If you are conscientious about this you will notice a difference in sensitivity in just a matter of days. Remember, it’ll be a no pain/no gain sorta thing, at least at the beginning.

To assist you in this process, you might consider trying a desensitizing lotion or cream to reduce some of the hypersensitivity. Some of these products are sold as a means of increasing ejaculatory control. But they also work for problem sensitivity too. Ya see these lotions and creams will have a “numbing effect” on your cock. If you choose to use one of these products, use it sparingly and only for a limited time.

If you check out MY STOCKROOM you will find several such products. Look for Boy Butter Extreme. It’s a desensitizing water-based lube, which contains 7.5% benzocaine; a strong local anesthetic, the maximum amount allowed by law.

Or look for Analyse Me! Anal Comfort Spray. Obviously, this is a product developed to desensitize your butt hole before fucking. But again, this will work on your dickhead as well. This product is lidocaine and benzocaine free.

Good luck you guys


Name: Saukha
Gender: Male
Age: 27
Location: India
Hi Doc, My problem is a stiff / tight frenulum. For past few months whenever I make love with my wife, it hurts, feels like something slightly rips, after applying anti-fungal ointments it gets ok but when we do it again it reoccurs and hurts when I wash my penis with plain water. IS there any ointment or cream, which would help frenulum to get more stretchable? Or is circumcision the only answer to my problem as we are planning for a family and don’t wanna go under the knife (if something goes wrong), just a bit scared for it. Please help and guide. Thanks a lot in advance.

Why are you using an anti-fungal ointment? Do you have some kind of a skin condition that requires you to use a use an anti-fungal treatment under your foreskin? If you don’t, you are probably adding to your problems by using this stuff. An anti-fungal ointment will dry out your skin, particularly under your foreskin. And that sounds like your problem right there.

Are you using a nice personal lube when you fuck? If not, that’s what you need to introduce into your lovemaking. This will not just be for you, of course. It’ll also for you lovely wife. A nice silicone-based or water-based lube will work wonders on your dick and it will assist in your wife’s comfort too. Please, give it a try.

There’s no reason you should have to consider circumcision. But the proper care and upkeep of your foreskin is essential to a properly functioning natural cock. I’ve written and spoken extensively about this. Go to the CATEGORIES section in the sidebar and look under the heading Body Issues for the subcategory — Foreskin. There’s loads of information there.

You probably saw the comments I made to the two guys right above, right? A desensitizing cream or lotion might help you too. But whatever you do, stop drying out the delicate tissue under your foreskin.

Good luck

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