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What a pain in the ass!


Name: Garth
Gender: Male
Age: 44
Location: South Africa
Hi, I fissured my butt sometime ago and I think it has healed. I have undergone a Lateral Sphincterotomy twice – inner and outer. Unfortunately the area is now VERY sensitive and when I defecate the area ‘screams’ in pain. The softer my stool the worse the pain. When my stool is firm, the pain is less. Will this go away? Is there any medication that I can use?

Everyone in my audience please listen up! I am not a medical doctor, nor do I play one on the internet. The Dr Dick moniker I use refers to my Ph.D. I am a clinical sexologist or a sex therapist if you prefer, not a physician. Get it? Got it? Good!

That being said, anal fissures are a common proctological problem, especially for the heavy ass play crowd. An anal fissure is a tear at the anal tissue. The most common complaint is pain in the anal region during and after taking a dump, itching and possibly some bleeding. Pain and irritation result in spasm of the internal anal sphincter muscle, which then fails to relax during defecation further aggravating the condition.ass-pain

The lateral sphincterotomy you mention is a surgical procedure that removes the fissure. This operation remains the primary form of treatment for chronic anal fissure.

From all that I could learn from my medical consultants, if your surgeries healed properly you shouldn’t be experiencing pain, let alone “screaming pain” when you shit. We all understand that the area will continue to be sensitive, but the pain you describe is not a good sign. You may very well have an infection. You need to have that looked at ASAP. This is nothing to roll around with.

Here’s a tip for all everyone in my audience: pain, of any sort, is one way our body talks to us. Its message is: things are not as they should be; get it fixed NOW. Sometimes the pain will subside when we stop doing something…like holding our hand too close to a flame, or being flogged senseless by Christian Grey. Some pain will only subside when a condition is fixed…like getting a cavity in one’s tooth filled. Other pain, like the emotional pain that come with depression is harder to soothe, but it is important to try. Finally, pain like Garth is experiencing means something is very wrong. And if not attended to immediately, things will only get worse.

Good luck

The Little Engine That Could

Name: Terri
Gender: Female
Age: 24
Location: ND
I’m having a problem with knowing when I am feeling an orgasm. I feel like I have to fake it around my husband because I am unsure. Sometimes when I’m alone I just feel like I have to go to the bathroom so I stop myself and then other times I feel like my legs are paralyzed but that’s it. I don’t ever feel like I’m sexually stimulated. Just tired. Any ideas as to what I am doing or not doing or what might be causing it?

I’m gonna go way out on a limb here and guess that your are, what we in the business call, preorgasmic. My experience tells me that if you’ve actually had an orgasm, you’d know it. All the symptoms you list — feel like you have pee; feel like your legs are paralyzed; or just plain exhausted, don’t sound orgasmic to me.

clitoral anatomyI can’t actually say I know what you are doing wrong, if anything. You don’t really go into detail on how you pleasure yourself. But I will hazard a guess as to what is causing this. And that would be inadequate stimulation to your pleasure centers.

Even in this day and age where sexually laden messages abound in the popular culture, there are still some women, even young women, who are unversed about orgasms in general and how they could go about getting one for themselves in particular.

Orgasms don’t always come easily for some women, and that’s a fact. I suppose there are as many reasons for this as there are preorgasmic women. A woman’s pleasure center (her clit) is more subtle and less obvious than a man’s raging boner. Women are socialized about sexuality — even nowadays — in a much different way then men are. Men have more cultural permissions to be sexually adventuresome than do women. And if the truth be told, us men folk, — we don’t need no stinkin’ permission to get our self off!clit

The basic formula for achieving an orgasm is acquainting yourself with your pussy. Map out all the points of interest. Find out what feels good, and repeat it. The object of this first step is not to stress about having an orgasm it’s all about reconnecting with your cunt.

The more you know about this marvelous part of you the better you’re gonna be at slammin yourself a screamin’ meme when the time comes. Knowing your way around your pussy is also gonna be helpful in partnered sex, especially if your partners are men.

The first part of this exercise is called a self-sexological exam. Get a hand mirror and find a really detailed diagram of female genitalia on the internet. Using the diagram as a guide, work at familiarizing yourself and making friends with your pussy. Once you are certain you know all the parts, I want you to do a detailed touch test. I want you to test for sensitivity very square inch of your body from your asshole to your navel. I want you to draw pictures of your own cunt and surrounding area, then color them to represent the levels of sensitivity — red being the hottest and most pleasurable areas to blue being the more neutral areas and all the colors in-between. I encouraged you to try this exercise with both a wet hand and a dry hand. I suggest a nice personal lubricant for your wet hand exploration. Spend at least 30 minutes a day for three consecutive days on this home-play. You have a lot of reacquainting to do, don’t cha know. And this is private time; your partner(s) is not invited.

hitachi-magic-wandThe next step in your home-play will include a vibrator. If you don’t already have one, shop for one. There are plenty of suggestions for vibes on my product reviews site: (There’s a vast array of pleasure products on that site and all the guesswork has been eliminated. The Dr Dick Review Crew painstakingly reviewed each product so that you’ll be able to see what’s hot and what’s not.)

Now using the pictures you created of your genitals in part one of this exercise, I want you to kick-start that vibrator, throw it into first gear and start making small lazy circles around the blue areas, and work your way to the bright red areas. Do this privately for 30 minutes for three consecutive days or until there was a breakthrough.

The next step is masturbation. You may have tried it before without success, that’s ok. This time you’ll be better informed about all the hot spots of your cooch that you learned in step one. I’m a big fan of full body masturbation. So while you’re diddlin’ yourself spread the sexual energy all over your body — tits, ass, feet, mouth, whatever.Aloe Cadabra

Vary your technique: stroke, pinch, pat, massage, and rub yourself all over. Vary your breathing, gyrate your hips, listen to sexy music, rent some porn, watch yourself in a mirror, or throw in some Kegel exercises. Try a wet hand. Play with yourself in the bath. Hell, dance around naked with a jewel in your navel…whatever it takes.

Many women experience their first orgasm with the help of a vibrator. I encourage you to be adventuresome and experiment with one too. Try a dildo or another sex toy.

Be sure to keep a journal during this exploratory period. This will help you later to bridge the gap in communicating with your partner(s).

Finally, Terri, I want to turn you on to a fantastic website, This is a one-stop shop for all things relating to female sexuality.

Good luck

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

Dribblin’ Instead of Shootin’?

Name: Alvaro
Gender: Male
Age: 21
Location: Mexico
Hi, I’m concerned because I never shoot when I cum. I dribble. I don’t like the way I cum, can you advice me how to cum shooting?? Is there anything I can do? Is it my fault or I was born with a less powered gun than others?? Sorry to bother. And thx for your help.

The problem you describe is a common one. And the solution is relatively simple. It lies in, of all things, muscle mechanics. An ejaculation is primarily a muscle contraction — built up energy being released — thus the spurt. No spurt, or a dribble most likely indicates poor muscle tone. But there’s an easy and fun solution, or more properly an exercise. Kegel exercises to be precise.

turkey-basterLet’s start at the beginning, which is always a good place to begin, don’t ‘cha know. Your prostate is the source of your ejaculate. You have a handle on that concept, right? Good! Now picture a turkey baster. Imagine your prostate as the bulb on the one end and your dick as stalk with a hole in it at the other end. Picture the baster pointed upward, like your cock with an erection. Imagine the bulb is full of fluid and you need to get that fluid out the bulb, up the stalk and out the hole…just like your spooge when you cum. How ya gonna do that? A firm grasp on the bulb and a hefty squeeze, that’s how!

So Alvaro, if you’re dribblin’ instead of shootin’, your muscles need to be strengthened and toned. And like I said, I have just the right exercises for you.

Anyone who is paying the least bit of attention to the ranting and raving of Dr Dick will fruit_genitalsimmediately be familiar with Kegel exercises. I talk about them a lot. And those who haven’t been paying attention — listen up, you monkeys! Kegel exercises serve to tone and strengthen the pubococcygeus muscle or as we in the know like to call it, the “PC” muscle, which is part of the muscle group at the floor of the pelvis. The health of this muscle group plays a vital role in getting you up and getting you off, as well as in other aspects of healthy genital functioning.

Kegel exercises help increase blood flow to the genital area (getting you up). And Kegel exercises strengthen and tone the muscles that are involved in ejaculation (getting you off). If you exercise this muscle regularly, you’ll gain greater control over the timing and strength of your ejaculations. Kegel exercises can also prevent incontinence and other problems associated with aging, but we’ll save that for another time.

male_anatomy.jpgSo you’re probably saying to yourself, “sure, Dr Dick, I’d like to strengthen my PC muscle, but I never even heard of that muscle, let along know where to fine it.”

Alrighty then, Alvaro, here’s what ya do. Work up a full bladder, the more full your bladder the better. Go to the john and sit on the toilet. (Yeah, just like a girl!) Now let the pee flow. As you’re doin’ that, I want you to interrupt the stream of piss several times before you empty your bladder. The muscle you are using to do this is your PC muscle. Look to distinguish between your PC muscles and your anal sphincter muscles. With a little practice you’ll become adept at separating out these two muscle groups. Actually strengthening all your pelvic muscles is a swell idea, especially for power bottoms, but again we’ll save that topic for another time too.

Now that you have located your PC muscle, you can exercise it at will, even when your bladder is completely empty. First, try squeezing your PC muscles as hard as you can for a count of three seconds. Then relax. Repeat this till you feel the muscles tiring. How fun is this?

I want you to work for both muscle strength and tone. For example, start with five strong prolonged squeezes (5 seconds apiece). Relax. Then do a series of 10 rapid contractions in a row. Doing three sets of each twice a day for a week is your goal. When you are ready to proceed try increasing this to three sets of eight to ten prolonged squeezes and 20 rapid contractions in a set. The advanced Kegeler will be able to vary the type and timing of his PC squeezing; slow clenches to quick flutters.PG-TrainingKitOnly-Promo

If you keep this up, you’ll be shootin’ jizz across the room in no time. And the beauty part of Kegel exercises is you can do them whenever and wherever you like. You can be sitting in a meeting with your boss and be doing your Kegel exercises. You can argue with your boyfriend/girlfriend and be doing your Kegel exercises. You can be watching reruns of Leave It To Beaver with your maiden aunt and be doing your Kegel exercises. Who would have guessed improving your sexual health would be such a pleasure?

If you’re serious about all of this, I have else to share with you. This is The Private Gym. It’s the first interactive, follow-along exercise program that helps men strengthen the muscles that support and control our cock. As men approach age 30, the muscles that support erectile function begin to weaken. By age 40, more than 50% of men experience some form of erectile dysfunction and this number increases to more then 66% as men approach 60 years of age. And for all you bottoms out there, you know how important it is to keep anal muscles in tip-top, pardon the pun, shape. And, just in case you didn’t know, The Private Gym won the coveted Best Health Related Product or Toy of 2014 as compiled by the Dr Dick Review Crew. So how about them apples?

Good luck

Slut Shaming

Name: Martin
Gender: Male
Age: 50
Thanks in advance for your assistance, Dr. Dick.
Here’s my dilemma; I’m so in love with my partner, he’s actually the man of my dreams. We met much later in life, he being 45 and I’m 50.
I was married before w/children, out now as a gay man and all is well with my children’s relationship.
My partner has always known he was gay, has had numerable relationships, and was a sexual addict. He has wanted me to understand his past in relationship to his level of happiness now, stating that he was a bottom slut only because he was never truly in love or satisfied.
He wants me to believe that “I’m the one” that has changed his life-long addiction to strange dick up his ass.
I can’t seem to get past his past slut behavior, and oftentimes get so pissed off because he wants me to meet and develop friendships with many of these past fucks (primarily because they were military buddies also).
Why can’t I accept his slutty past and stop the suspicions?
Why do I get so upset just knowing that he was a total bottom slut??
How can I get him to understand that I have no desire to know any more about his sexual past and just focus on creating our lives???

Martin, Martin, Martin! How you do go on, darling.bullshit

Take a look at your language, why don’t ‘cha? Could you possibly be any more pejorative when speaking of the sexual experiences of someone who has lived a different lifestyle than you? I doubt it. Look at how many times you use the word “slut” to describe the man you say you love. I’m gonna call you out on that. You simply can’t tell me you love someone that you have so little regard for.

Your man wants you to understand his past, but you won’t take it at face value. You belittle his experience, possibly because it doesn’t match your own very limited, sexually exclusive, predominately heterosexual lifestyle.

circle jerkListen, lots of gay men (and some straight men) have loads of sex for lots different reasons. Sometimes just for the fun of it…or, as your man suggests, just to be a big old bottom slut. There’s absolutely nothing wrong with that. One can be happily sexual without loving each and every one of his partners. And the sex can be really good too. Just as one can have very unsatisfying sex with somebody one loves deeply. Sex, intimacy, and love are not necessarily dependent on the one another. No need to make such a tangle of it all, Martin.

I also want to reinforce my belief that there’s no such thing as a sex addict. Compulsive behavior? Sure! Out of control behavior? You betcha! Self-denigrating behavior? Absolutely! Sexual addiction? No way!

Try for just a minute to extricate yourself from your sex-negative mindset by exchanging the notion of eating when you talk about your friend’s sexual exploits. Would you have the same revulsion if your guy said he had shared food with lots of other guys? Some of it was fast food that didn’t satisfy all that much. Sometimes he ate just because he wanted to, not because he was hungry. And now he wants you and he, as a couple, to be friends with some of the men he ate with. Sounds perfectly reasonable to me!fingering his ass

Your man is inviting you to open yourself up and see life and sex as most openly gay men do. This is fundamentally different from how some formerly closeted men see life and sex. If you let him, he just might help heal you of your sex-negativity.

Finally, jealousy is one of the worst human emotions. It’s actually a kind of hatred, you know. Sometimes it’s hatred of another, but it is always self-hatred. You say you love this man; again, I challenge you on that. It’s clear to me that you have a much greater love of your provincial notions about sex then you have for this guy.

Here’s a tip, Martin. Jettison the unhealthy attitudes about sexual expression and give your guy a chance to be himself, not the idealized man you’ve made him out be, or think he should be. You’d be well served by working with a sex-positive therapist to help you get over this. Do it now, because if you hesitate you will surely ruin the very relationship you claim to treasure.

Good luck

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