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Female Sexual Dysfunction Is A Fictional Disorder


Name: Sharon
Gender: female
Age: 30
Location: PA
I’ve been reading a lot lately about FSD, or female sexual dysfunction. Is there such at thing? It strikes me as a fictitious “ailment” that is being promulgated to sell pharmaceuticals to unsuspecting women. What are your thoughts?

I share your skepticism. I think that, for the most part, female sexual dysfunction, or FSD, is a fictional disorder. I also think pharmaceutical companies are trying to hit on a female version of Viagra to treat this imaginary disorder so they can make a bundle, just like they did with as the male version.

body as art

So much of female sexuality is caught up with the cultural context of a women’s role in society — family obligations, body image and patriarchal views of marriage, etc. For the most part, men aren’t nearly so encumbered. So when one talks about female sexuality, particularly when the notion of a condition or a disorder arises; ya gotta ask yourself, what’s going on here?

I too have been noticing a lot of discussion in the popular culture lately about female sexual dysfunction. My first response is to ask myself, who’s raising the issue and why? Sure some women, like some men, experience difficulties in terms of desire, arousal and orgasm, but what of it? Is it a syndrome? Is it really a dysfunction? I personally don’t think so. The sexual difficulties most people experience can be explained and dealt with in a less dramatic way then with drugs?

And here’s an interesting phenomenon; the repeated appearance of the term female sexual dysfunction in the media lately actually gives the concept legitimacy. I’m certain the pharmaceutical industry is hoping that it will. If they can make the connection in the public mind between what women experience in terms of desire, arousal and orgasm concerns and what men describe as erectile dysfunction, then most of the work is done. In other words, I think the entire effort is a marketing ploy.

female sxualityI think we can safely say that, in order to determine what female sexual dysfunction might be, one has to clearly understand what a “normal” sexual response is for a woman. This is where we traditionally run into problems. Sex science is notoriously lacking in this endeavor. One thing for certain, although both women and men have a discernable sexual response cycle, a woman’s sexual response is not the same as a man’s. Even though we can’t say with certainty what “normal” is, therapists are famous for turning difficulties into disorders. And once you have a disorder it becomes the basis for developing a drug therapy. So you can see how this becomes a self-fulfilling prophecy.

Currently there’s a real buzz among clinicians concerning the efficacy of Addyi, the so-called “female Viagra”. But most sexologists, myself included, are unimpressed. Basically, the drug in question is an antidepressant. When I heard that, red flags began to fly. Antidepressants are notorious for their adverse side effects, especially in terms of sexual arousal in both men and women. The second problem with the study was the whole notion of desire and distress. Lots of women experience diminished sexual arousal but are not distressed by it. But if there’s no distress, clinically speaking, then it can’t be considered a disorder. You see where I’m going with this, right? If there’s not a “disorder” there’s no need for a pharmaceutical intervention.FUCK

According to the research some of the women in the clinical studies leading up to the approval of the drug claimed they were less distressed by their “condition,” Hypoactive Sexual Desire Disorder, than they were at the beginning of the study. According to clinical trials of Addyi held in 2013, only 8% – 13% of the women experienced “much improved” sexual desire and only about 2 more satisfying sexual encounters per month were had. In other words, when behaviors were studied, the actual number of satisfying sexual episodes reported by these less distressed women hardly changed of all. This indicates to me that the antidepressant helped lift the spirits of the distressed women, but did nothing to increase their satisfaction with their sexual outlet.

Twice the FDA rejected Addyi for its severe side effects and marginal ability to produce the effect that it is being marketed for. And despite the fact that the drug is now available, those side effects still exist. Women who take the pill are likely to experience dizziness, nausea, drowsiness, fainting spells, and falling blood pressure. Coupled with alcohol and even hormonal contraceptives the odds of these potential side effects occurring increase. Persons with liver ailments, or taking certain other medicines, such as types of steroids are also at higher risk. On the other hand Viagra has very mild side effects that may include headaches, indigestion, blue-tinted vision and in some cases a stuffy nose.

While a man can pop Viagra an hour or so before he plans to have sex, women who are looking for increased sexual desire need to take Addyi daily for up to a month before they should expect to see any effects.

Good luck

I’m confused

Name: sexdout
Gender: Male
Age: 28
Location: Toledo
My wife wants to have sex every night, but it’s been three years and I just can’t fuck like I used to. What do I do?

REALLY? You’re 28 and you can give up the bump at least once a day? Holy cow; what’s up with you? Are you stressed out; sleep deprived; or overweight? Are you on any medications like antidepressants or antihistamines?sexual-enrichment

If you can’t fuck like you usta; what can you fuck like? Is this a libido thing? Is it an interest thing? Or is it a boredom thing? Would you know how to pleasure your wife without taxing your pathetic worn-out peanut? If not, that’s where I think you oughta start looking for answers to your question; “What do I do?”

There’s so much more to sexual satisfaction for both women and men than the old in and out. Here’s where your biggest sex organ, the one between your ears, will come in handy. Try some sex toys, read some erotica, look into some kinky stuff. Check out the category pull-down menu in the sidebar to your right. Scroll down till you see the ENRICHMENT category. There’s a subcategory under that called Sexual Enrichment. Choose that and you will be presented with a treasure trove of ideas in both written and podcast form. There are tons of topics under the LIFESTYLE/RELATIONSHIPS Category and the SEX THERAPY Category too. Check ‘em out; you’ll be glad you did.


Gender: Male
Age: 21
Location: NEW YORK

facialThis is called a facial, pup and it’s completely safe. Unless, of course, you get your partner gets his spunk in your eyes. THAT STUFF WILL BURN LIKE CRAZY.

Good luck you guys!

What just happened?

Name: Selena
Gender: Female
Age: 37
I have been with the same man for 17 years now. Although he is not the only man I have been with he is most definitely the best. I suppose mostly that’s due to having years to experiment and practice, etc. Anyway, I have always had amazing orgasms all of which require clitoral stimulation regardless of position but the other night I had a gusher; I squirted a lot! He was inside me and I was using my vibrator. And when I got off, there was only this one big release, but there was so much fluid it made a spot on the bed twice the size of a large softball, maybe even larger. At first, I thought it was him until he asked if I was okay and that’s when I felt this warm honey-like feeling fill me. I have never had this happen before and would like to know if it’s normal or not to, all of a sudden, have an orgasm like that? Quite frankly I am not impressed for the fact that it was only 1 big release instead of my usual orgasm where I often climax for up to 2 minutes. And should I be embarrassed? What if his face had been down there? Thanks for your help

I’m so glad to hear that you have been having lots of amazing orgasms, Selena. Good for you! However, it The Amazing G-spotseems to me that you’ve wandered into some new and uncharted orgasmic territory with the one you describe. In fact, it sounds like you’ve had your first ejaculation. There’s nothing abnormal about it, although it’s not all that common.

And why would you be embarrassed to have had an ejaculation while your partner was eating you out?  Hasn’t your man ever busted his nut on your face?  Isn’t it the same thing?  I say, yes.  And no man ever apologizes for that stunt.

There is a lot of controversy about female ejaculation. Well-meaning people in and out of the sex community continue to debate the topic. Women and men, scientists, clinicians, academicians, scientists, and lay people all have very strong opinions that they don’t mind insisting are that last word on the subject. And yet the debate continues to rage. I find that curious. But so much about human sexuality remains controversial. That probably says more about our culture than about sex, but you I’ll bet you know that already.

Anyhow, I’ve written a bit about female ejaculation on my site, there are some podcasts that discuss the topic too. Use the CATEGORY pull-down menu in the sidebar to your right and scroll down till you find ‘Female Ejaculation.’ It’s near the top under the heading, BODY ISSUES.

This is the sort of thing you will discover.

Name: T
Gender: Female
Age: 46
Location: Canada
Do you have any suggestions about FE, I believe I have one once and it was total bliss. But achieving it again is quite another thing.

FE??? Are you talkin’ Female Ejaculation, darlin’? Ok, let’s start with a little background.female genital anatomy

The G-spot (or Grafenberg Spot after the physician who first wrote about it) or Skene’s gland 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 as much as possible.

In short, what I can tell you for sure is that during early fetal development all fetuses start out being potentially 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 all 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 females. Get it? Got it? Good!

Many women report that their G-area is more sensitive to stimulation than other parts of their internal genitals. 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?

female ejaculationFingering 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.

As an aside, 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 (or strap-on) 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. But let your partner be your guide.

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 workin’s 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 video’ look to Dr Dick’s How To Video Library. Click HERE to see what I found when I did a quick search for ‘female ejaculation’ in my How To Video Library.

Good luck

The Root of Our Discomfort

Name: Maya
Age: 28
Location: UK
Hi there! I recently found out that my brother in law is gay. I wanted to know what makes people gay? Is it choice, genes, hormones, etc? Please clarify because his condition and opposition to his choice of sexuality has made him depressed and he’s on antidepressants and not very healthy. Please answer.

Back in 2007 featured a little piece called: Don’t Ask the Sexperts in their annual sex issue: State of the Sexual Union. Slate asked seven people who earn their livings thinking and writing about sex, what they’ve never been able to figure out about sex or sexuality.

One of the contributors was Dr. Ruth Westheimer. She’s the author of 31 books about sex and relationships. This what she said still remained a mystery to her.

“I’m sure there are many, but one nagging one is what causes homosexuality. I admit, I am curious—but the real importance in getting to the bottom of this question is that the answer would be helpful to the homosexual community. I suspect that the cause is genetic, which would mean all those people who say that gays and lesbians can change to become heterosexual would have to sing another tune. Instead of trying to “fix” a situation that doesn’t require fixing, they would have to learn to accept homosexuals. But I am not a scientist, so I can’t set about finding out the etiology, the cause of homosexuality. All I can do is act as a cheerleader to encourage scientists to come up with the answer.”

I was astounded when I read Dr Ruth’s comment. Here is one of the most popular names in the field of human sexuality saying such a startling thing. It’s not that she misrepresented the state of scientific inquiry into the issue of sexual orientation. What she said is true. We don’t precisely know what “causes” homosexuality, but more importantly…and this is what she leaves out…we haven’t a clue what “causes” any sexual orientation — straight, gay, bi, what have you.

What troubled me so about Dr Ruth’s comment is that, perhaps inadvertently, she perpetuates the myth that homosexuality (as opposed to say heterosexuality) has a cause. And when she uses the word “cause”, she denotes to her audience that there’s a cure. All I want to say is that if there’s a “cause” for homosexuality, there is certainly a “cause” for heterosexuality. If there would ever be a “cure” for homosexuality, there would certainly then be a “cure” for heterosexuality.

Do you see how obvious and pervasive the prejudices of the dominant culture are? I absolutely expected better from old Dr Ruth, don’t cha know. It’s true that she goes on to say that she thinks the “cause” of homosexuality is genetic, therefore us homos can’t change or be “fixed”. She then suggests, if this IS the case, the dominant culture would then simply have to learn how to accept homosexuals for how they are. I went, HUH???

Dr Ruth, darling, do you honestly believe that if, or more properly, when we discover the determining factors of sexual orientation — and I do believe there are more than one — the sexual bigots among us won’t militate to have the deviant orientations “fixed”? All I can say is to think otherwise shows an alarming naivety about human nature.

When Dr Ruth, or anyone else for that matter, separates out one sexual proclivity from all the others and suggests that it has a cause, whatever it might be, the rest of us run for cover and wait for the other shoe to drop. Imagine if instead of sexual orientation we were speaking about racial or ethnic characteristics. What causes black people? What causes Asian eyes to slant? What causes flat noses? What causes nappy hair? What causes short people?

Well you see where I’m going with this, right Maya? Questions like these presuppose that there is a norm — tall white people with round eyes, perky noses and straight hair. And you know what? There are a multitude industries out there poised to prey upon all the short, non-white people with almond eyes flat noses and nappy hair who feel they must conform to any and all arbitrary and culturally induced norms in order to be happy. It’s shocking.

So on to your brother’s case. If sexual orientation is chosen, why would he have embraced a lifestyle that makes him sick and depressed? It simply doesn’t add up. The self-hatred and internalized homophobia that is at the root of your brother’s discomfort is culturally induced, but it is also self-inflicted. We don’t know what “cause” homosexuality, but I can tell you for certain what causes homophobia. And that, my dear, is bigotry.

It’s up to your bother to fight this first within himself and then in the popular culture with every ounce of his strength. Because that’s what all us well adjusted, comfortable in our own skin queers do if we want to live happy healthy integrated lives. None of us is waiting around for someone to tell us what caused us to be the way we are, because we know that whatever “caused” us caused all the other differences and variations that appear in human kind.

And one final tip for you, Maya — despite your good intentions, the more you indulge your brother’s pathologies and commiserate with him, or wonder aloud with him why he is queer then you are part of the problem, as opposed to being part of the solution. I encourage you to challenge him to buck up and get right with himself. Help him throw off the yoke of his shame and guilt, to own and embrace his uniqueness and celebrate his sexuality, which is his norm.

Good luck

Joining The Resistance

Name: Green Guy
Gender: Male
Age: 44
Location: Lowell, MA
Dr. Dick I am an African American gay man who was reared in a very psychologically abusive and conservative southern environment. I am very inexperienced with relationships, dating and sex. In fact, I have been celibate for the last five years, trying to figure out how I got so psychologically fucked up and what to do about it. I was in therapy for quite a while, but I still have many issues to deal with, including trusting men. I would like to be in a healthy relationship, but I don’t even know where to start. I feel that my personal life has been a total disaster. I want to change things around, but I feel utterly lost. Although I am professionally successful, I have serious issues with my body. I am somewhat overweight, but have recently joined a gym to get in shape. I just feel totally hideous, and depressed (I am on medication), and don’t believe any guy would ever be interested in me. Please help!!

Holy Cow, darlin’, you sure do know how to let it all hang out, huh? Did you notice how may superlatives you used: “very abusive, many issues, total disaster, serious issues, totally hideous” to mention a few. It’s clear to me, and probably any other human that comes near you, that you are soooo not ready for a relationship. In fact, if you are as icky and psychologically fucked up as you say, if you can’t trust anyone, if you’re a dating klutz, if you are totally hideous and misshapen, then why not just let it go and spare any other person the torture of being involved with you? You’re right, what guy in his right mind would be interested in the likes of you?

Ok, you see what I’m doing here? I’m joining the resistance. You want to pile it on yourself, swell. I’ll join you. I’ll pile on too and together we’ll heap on the insults and contempt until you can’t stand it any more, until you reach your tolerance for self abuse (and not the good kind). And from what I can gather, that’s gonna take some piling on. Of course, you could quit this self-abuse at any time. Seems to me 44 years of negative and undercutting behavior is plenty…even for you.

None of us is without our issues, my friend, least of all me. But to navigate social situations, even casual ones, one needs to be able to judge what the traffic can bear. If you come on like gangbusters, like you did in your message to me, you’re finished even before you begin.

Whatever therapy you did in the past, it either didn’t work or it didn’t have any lasting effects. Find a therapist that will challenge you not stroke you. Find someone that will jump on your shit, someone who will care enough about you to disallow you from hurting yourself with such cruel remarks about yourself.

When I have a client like you in my private practice I always lay down the law. For every self-critical thing you say about yourself, you must say something nice about yourself. That shuts the client up in a hurry. Once he or she is quiet enough to listen we start pulling apart the tangle of their self-hatred.

You were abused as a kid. Sadly, so are lots of kids. But that’s in the past. I’m sure you have scars, but who doesn’t have scar tissue. You don’t know how to interact with others socially, that a skill that can be learned. You’re fat and out of shape? You’re going to the gym to address that. You’re depressed even on antidepressants? Well, no wonder you’re sick of yourself. And that has got to stop, NOW.

Before you consider asking anyone else to love you — with all your flaws — you’re gonna have to learn to love yourself — with all your flaws. If you can’t do that, then don’t expect anyone else to do it before you do. Get off your pity pot and get to work. You say you are successful in your professional life. (Frankly I don’t see how that’s possible given the litany of your liabilities.) But for the sake of argument, let’s say you are telling the truth. How did you come to be a successful professional without at least some redeeming qualities? That is unless you are a professional executioner, or a professional hit man, or a politician.

You see you can’t have it both ways. If you have skill enough to make yourself a success in your professional life, then you have skill enough to make yourself a success in your private life. With the help of this new therapist you’re gonna get — the one who is not going to let you get away with your shit — you’re gonna learn how to marshal and channel the aptitudes you have that make you successful in one area of your life, to make you a success the other areas of your life.

Good luck

Name: Jose
Gender: Male
Age: 20
Location: Norwalk, CT
how can i approuch a good stripper to get into sex? even tho they just strip some do more off work. How do I know they are willing to do it?

I’m gonna go way out on a limb here and guess that English is not your first language, right Jose? I think I understand what you are asking. Let’s just hope the women you approach will also understand you’re meaning.

So OK, you know this fine stripper and you want to have sex with her, right? Swell! First thing you oughta know is that not all strippers are hookers. Some simply strip because they make really good money. They don’t sell sex, mostly because they don’t have to. The strippers that do offer sexual favors for a fee, don’t do so where they strip. It’s bad for business and, I hasten to point out, it’s against the law— except if you’re in Nevada — and you’re not.

There are two real good ways to go about this hunt for stripper sex. First, you could ask the vixen out on a real date. Personally I think this is the best way of going about gettin laid by any woman. If the woman, stripper or whatever, is available for a date, and you’re not a totally creepy putz, she might take you up on the offer. Just remember, many strippers already have a boyfriend, and he wouldn’t look kindly on you trying to hustle his filly, if you catch my drift.

Also, some stripping establishments prohibit their employees from fucking with the customers. If that’s the policy at the joint you frequent, let it go. Don’t pester the woman for something that will jeopardize her job. However, if she does accept the date, and all goes well, and you charm the pants off her, literally, you just might get a little slap and tickle. I just hope we’re clear on the concept that if any woman, especially a sex worker, accepts a dinner invitation it is not the same thing as saying she’ll fuck you, right? GOOD!

The second option is to ask the stripper if she does escort work on the side. Again, some stripping establishments prohibit their strippers from fraternizing with customers in any way, shape or form, especially fucking them. You ought also know that if the woman in question is indeed an escort as well as a stripper, your “date” with her is gonna cost ya. These women are professionals; so you’d do well to treat them with the respect you’d offer any other professional woman.

Never, under any circumstance, offer to pay a stripper…or any woman for that matter…for sex. That would be pandering prostitution, and that’s against the law. If the woman in question is an escort, she will be exchanging her time, the pleasure of her company and her expertise for money; not sex for money. Get it? If she’s smart she won’t give you a second chance to get this right. So if you fuck up asking her the first time you may be out of luck forever.

My advice to you is, figure out ahead of time which way you want to go on this — a real date or escort hook up. Then approach her like a gentleman. If she’s not interested, respect her decision to decline your offer with grace and dignity.

Good luck

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