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Mellow With Age

Name: Bob
Gender: Male
Age: 54
Location: Laguna Beach
As an older man, I’ve started having performance problems. Unfortunately there’s no decrease in my libido. I think some of my problem is psychological. I’m also HIV+. And I find myself worrying about transmission even with condoms. But some of the problem is physical. I do wear a cockring and that helps I guess. Is there anything else I can do to increase my performance to match my libido?

Thanks for your comment and question. Your concern is a familiar one. Men regularly present this problem in my private practice and I also have a personal familiarity with the issue in my own life.

Diminished performance, at least in terms of a perpetually stiff dick, is a natural occurrence as we age. There was a time when I thought this was a major problem. I don’t think like that now. These days I’m helping my older clients (and myself) appreciate the full range of sensuality that is the unique purview of us more seasoned lovers. I’ve always felt that as gay men we are too genitally focused, especially when it comes at the expense of all the other pleasure zones our bodies have been gifted with.Kedori - Eileen Gray Bibendum Armchair

The rushed, hormonally driven sex of my youth has matured into a slower, more relaxed and sensual sexuality that I am thoroughly enjoying. This has been one of the very best gifts of the aging process. It’s even having an effect on my younger partners and they are appreciative.

So I no longer equate performance with a stiff dick. For those times when I absolutely need a rock-hard hardon a cock ring does just fine. I’m aware that I may need more time to achieve this kind of erection, but I’m not just twiddling my thumbs while I’m waiting, if ya know what I mean. I am no longer frustrated by this natural phenomenon, because I no longer have unrealistic expectations.

I realize that many men are using with an erection-enhancing medication such as Viagra, but I suggest that this be reserved for those who are truly experiencing erection dysfunction.

I’m also concerned with the alarming rise of younger men, men in their 20’s and 30’s who are using Viagra or another similar drugs recreationally. This is very troubling. If your young body is having difficulty producing an erection, then you need medical attention ASAP, or maybe you just need some sleep. However, if you’re abusing Viagra just so you can have an erection that lasts for hours that’s a real bad idea for several reasons. Not least of which is your body will habituate itself to that stuff and you will find that, in time, you won’t be able to get it up at all without ever increasing doses of Viagra.

viagra cartoonThis is gonna fuck up your cardiovascular system big time. In fact, you may very well be inducing the very sexual dysfunction the drug is supposed to help. Consider the person who overuses eye drops or lip balm or any number of otherwise innocuous health and beauty products. Their body will stop making the natural substances that these over the counter products are intended to assist. It’s counterproductive and it’s ill advised. If this is a problem with relatively harmless over the counter products, you know you are playing with fire when you’re abusing powerful prescription meds.

Whoops, sorry Bob, I went off topic there for a minute. It’s just that every opportunity I get to put out a message that will dissuade someone from hurting one’s self, I just launch into it.

So back to you. It is clear from what you tell me, your performance problems do, as you suggest, also have a psychological component to it. You have a fear that, despite being responsible in your sex play and even though you play safe, you could accidentally pass on HIV.

It’s true; one’s brain can indeed override almost every function of our body. For example, we draw each and every breath we take without even thinking about it. However, if a situation dictates our brain can and does override that essential pulmonary function and we can hold our breath. The same is true with our sexual response cycle. Sometimes we can become sexually aroused without really thinking about it. However, if for one reason or another our brain assisted by our conscience interferes with or even shuts down the sexual arousal, that’s pretty much, all she wrote.

Your scruples about the possibility that you could accidentally pass along HIV are interfering with your sexual response cycle. No cockring or an erection-enhancing medication is going to change that darlin’!

In other words, the problem is not in your cock, the problem is in your head. This is something you’re gonna have to wrestle with and finally resolve. This tension between your head and your dick is actually a good thing. Your body is providing you an opportunity to align your moral values with your sexual performance. How will this resolve itself? I couldn’t say. But I know for sure resolution is possible.

I do suggest, however, that you not try to do this in a vacuum. Reach out to a HIV support group or a sex-positive therapist for the help you need in making peace between your head and your cock.

Good luck

High And Dry

Name: Stephen
Gender: Male
Age: 47
Location: Sacramento, CA
Dear Dr. Dick I am at the end of my rope. I am a white male, 47, 50lbs over what my Doctor would like me to weight. I am per-diabetic, with blood pressure and cholesterol just a little higher than my Doctor would like. I have been married for going on 13 years, and have a 7-year-old special needs son. And my sex life sucks.
My wife who I love dearly has chronic pain that leaves her muscles aching all the time, so the last time she and I had sex was the night we conceived our son. I have tried to take care of my needs though masturbation, but to be honest I am getting very bored with the whole idea of jerking off. Even using my hand I have trouble sometimes getting a hard on. I have managed to have an orgasm while my dick is soft, it just takes care of the itch, and it does not really satisfy me like fucking or a good slow hand job while fully hard.
I have tried using a cock ring, but I think I am doing something wrong because I don’t stay hard while using one and none of my partners has used one so I have no one to ask. I also have the problem of finding the time when I can be alone. Without my wife finding out what I am doing, because she does not approve of me watching porno, or jerking off. The last time she caught me, she did not speak to me for over two weeks.
I am trying to find a family counselor for my wife and I, but I’m having problems with finding one covered by our Insurance and one that can make appointments that will fit in with my wife’s work schedule.
I have been exploring my BI side with men I meet on the web. I am fussy because I want to be safe, and they have to have somewhere we can meet. Most married BI guys have the same problems I do, nowhere to go to have a little fun. There are no bathhouses in our area. And on top of all those problems I can only get a hard on if I use one of the ED drugs. Which my Medical Insurance will not pay for so my Doctor has been giving my free samples that he gets.
So of the five or six times a year I get to have sex, maybe one of them I will get to fuck someone. While I like being a bottom, there are times I just want to fuck someone. There are times I just want to pack up my bags and leave to find the sex life I want, but I do love my wife and son, and I don’t think leaving will make anything better.
So here I sit, I have run out of ideas, my counselor has run out of ideas. Having sifted thought most of your web site with no luck I hope that maybe you can shed some new light on this disaster of a sex life.

Do you know the phrase, “sinking to the lowest common denominator?” Well that’s what you are doing, my friend. You have precisely the sex life you permit yourself to have. You’ve boxed yourself into a corner by allowing others, particularly your wife, to dictate what you can and cannot do with your sexual energy. So there you are high and dry, as they say.

challenges aheadI appreciate the fact that your wife may have medical issues that might prevent her from joining you in the vigorous sex life you desire. But if that’s where you leave the discussion then you are getting precisely what you deserve.

I realize you’ve committed yourself to your wife through thick and thin, in sickness and in health. But in the absence of a marital sex life, you’ve discovered new and uncharted areas of your own sexuality. This volatile combination will either be destructive or regenerative.

I have one real simple premise that I live by. And that is, each of us has a right to a happy, healthy, integrated sex life. If there is something that is getting in the way of achieving that, whatever it might be, it is a problem that needs to be addressed immediately.

As far as relationships go, particularly a marriage, I am of the mind that we ought, first and foremost, work to honor our commitments of fidelity and mutual support. Are there ways that these two moral principles — a right to a healthy sex life and one’s marital commitments — can coexist when one’s relationship excludes the possibility of happy sexual expression? Yes, I believe there are. And many couples achieve this balance, because they have an overriding love and concern for one anther.stubbornness

Now the facts — not all loving relationship, including many marriages, have a sexual component. Many, for one reason or another, simply don’t. In fact, most long-term relationships are not sexual in nature. However, a partner in loving relationship who is unable to provide sexual satisfaction to his/her partner should give the languishing partner permission to find sexual fulfillment outside the relationship. I hasten to add that these are often very difficult negotiations to hammer out. But to do less than try to make these accommodations is, I believe, a form of sexual abuse.

If what you report about your wife’s revulsion to even you sexually pleasuring yourself is accurate, then you have a very hard row to hoe. Trying to negotiate a satisfactory solution to your dilemma is all the more difficult when one of the partners is opposed to even discussing the issue. This is where a good counselor will come in handy. (If you would like to consult me, see the Therapy Available tab under the About Dr Dick page in the header of my site.) If your therapist is not up to helping you bring this issue to the fore, then you’d better look elsewhere for the help you need. If this issue is left unattended you will continue to sink to the lowest common denominator. You will continue to be unhappy as you skulk around looking for stray cock in unsavory places. And I have a sense that you are not being totally upfront with me about your extracurricular activities. Simply put, you do yourself and your marriage a greater injustice with this kind of reckless behavior than risking the dissolution of your marriage by engaging your wife in an honest search for a healthy solution to your problems.

solutionsThat being said, I’m gonna go way out on a limb here and guess that you’ve already made up your mind about the direction you intend to go. I suspect that you will continue to explore your nascent bisexuality through these furtive liaisons with men you’ve been meeting. I also assume that, divorce is not an option, at least not in an up-front sort of way. The sad thing here is your wife is unable to join you in coming up with a viable solution to the problem at hand, because she is being kept in the dark about your dalliances.

I am not suggesting that you deny your sexual needs just to appease or pacify your wife. Nor do I condone deceiving your wife about your true self. These options will only create a divide between you and your wife that will never be bridged.

If you ever hope to escape the corner you’ve painted yourself into, you’ll have to buck up and be honest with your wife. Looks like you have your work cut out for you, my friend.

Good Luck

Down, but not out

Name: Roger
Gender: Male
Age: 70s
Location: Saugatuck Michigan
Hi– linked to your very interesting site via Allkink. My question: last year I underwent radiation on my prostate; it was enlarged and had cancer cells. Apparently it did the job, since my PSA is way down and the Dr. says I’ve shrunk, and am healthy otherwise. But since then I am almost totally impotent (don’t get erect when I want to, though sometimes get semi-erect at random times). I can still orgasm, but don’t ejaculate; sometimes a little clear fluid dribbles out afterwards. Curiously, I could still ejaculate during and right after the radiation treatments, but not now. Also in general a noticeable decrease in libido. Needless to say, very annoying.

I’m gay, solo, in my 70s, celibate since mid-1980s when I tested HIV-, and a dedicated bottom. I knew I was at risk, and “safe-sex” just didn’t turn me on. I’ve been using dildos of all sizes for years. Now, insertion has become a little painful (kinda stings, like the first times way back when), but after several tries they go in OK. Those of larger girth or not-very-smooth texture are really difficult, and I’ve pretty much given up on them (though “John Holmes” still works!). There is occasionally a little blood on the dildo afterwards, but bleeding doesn’t persist, and Dr. says I have no hemorrhoid. The radiologist did warn me that the treatment might produce scar tissue in the colon. Is that a possibility?

I hate to think that I ought to give up altogether on my little pleasures, but would welcome you advice/opinion. I haven’t discussed this with my urologist, whom I don’t know very well, but did bring it up with my (female) GP, who didn’t seem overly concerned and merely suggested lots of lube, which was not news to me.PMB110

Wow, Roger, that was a mouthful. I am so delighted that you wrote in. I love hearing from folks in their 60’s 70’s and 80’s who are still enjoying a rich and fulfilling sex life, even if it is by themselves. I am of the mind that self-pleasuring can be some of the most rewarding sex available to a person at any age. And nowadays, with all the amazing sex toys on the market, one can enjoy solitary sexual pleasure like never before.

I’ve written and spoken a lot about prostate issues including the aftermath of cancer treatments. May I suggest that you take a look at the CATEGORY section on the sidebar of my site? There you will find a category labeled “Health Concerns.” There are subcategories for “Anal Fissures,”  and one for “Prostatectomy.”  I realize that you haven’t had a radical prostatectomy, but your situation is very similar to those men who have. If you click on either of those two subcategories you will find loads of useful information in both written and podcasts form.

In the meantime, let me see if I can address some of your questions in a nutshell. You ask about possible scar tissue from radiation therapy. The short answer is; yes, scar tissue is possible, even probable. And as we all know scar tissue is not nearly as pliable as regular tissue. Scar tissue also MR01034has fewer nerve ending than normal tissue. You could be injuring yourself without even knowing it since the sensations in your ass are considerably less then they once were. I’d be willing to guess that this might be the source of the bleeding you report. Maybe you need to retire the really big toys, like the John Holmes, and enjoy something more modest for the time being. Another suggestion is to try an inflatable dildo.  or a smaller insertable that vibrates.  There are several on the market. You can find several in My Stockroom. The advantage to something like the inflatable dildo is that you could insert something relatively narrow  and inflate to a larger size once inside. This would avoid ramming a big dildo in bum from the get go. And a vibrating insertable would add stimulation without the length or girth.E477

As to your erection issues; yeah, I hear ya. Aging alone will take its toll on the hydraulics that give us wood. When you couple that with the trauma of invasive surgery and/or radiation therapy, well it’s no wonder stiffies elude us. I tell the men that I see in my private practice, who are similarly challenged as you, to use a cock ring  to assist in getting the best boner possible under the circumstances. A penis pump works pretty well too, if you want to go the distance.  I have lots more to say about these devices if you care to hear about it.

C923Also, several men I know with erection concerns are taking a cue from the women folk and employing a vibrator in their sex play. There are the insertable kind, as I’ve already mentioned, and there are external ones too. Have you given this option a thought? The extra stimulation a vibrator can produce will increase blood flow and thus a more substantial boner. I have a whole lot more to say about this too if you care to write to me for that information.

In the end, it will be desire that will continue to propel you to further enjoy yourself and the pleasures your body has to offer. I wish you continued lust and many more years of healthy and life-affirming sexuality.

Good luck

LORDY, LORDY, LORDY!

Hey Dick!
As you know, I am an escort. My business is doing very well. In fact, so well I need to ask if you know of any meds, besides Viagra, that I can take that will help me maintain an erection over a longer period of time?
Can I be frank? Here’s the deal, let’s say I have I have two one-hour clients during the day. Then a regular of mine calls and wants an all-nighter. That’s not a problem other than the fact that this particular client wants to get fucked hard. I mean real hard, for hours at a time. He’s an insatiable power bottom.
I want to be able to ride his ass, like the bitch he is. Hell, I’m even attracted to him. I just can’t stay hard enough to fuck him like he likes (especially after having had the two clients before him that same day). Sometimes I have difficulty getting it up for him, and wind up finger-fucking him till my hand is sore. I do not want to lose this client. And shifting days is not the solution. Because when he wants it he wants it and I have to produce. That’s what I do, I sell “muscle.” I have a reputation for giving the best hard driving, dominating and controlling sex around.
Again, is there a medication I can take to maintain the erection?
— Works Hard

Dear WH,

Your life reads like a cheap porn movie script. Lordy, the good doctor nearly got the vapors simply reading through your very explicit missive. (As you can see, I had to edit out some of the more gory details so I could protect your identity in this public forum.) Of course, as you suggest, it never hurts to advertise. You’re so bad!

I thoroughly understand the pressures you and other sex workers face. It’s not as glamorous a life as it is often portrayed, huh? Ok, so you’re beautiful, men idolize you and crave your attention. You’re getting loads of sex, putting all those “bitches” in their place, and crying all the way to the bank to boot. It’s a tough job, but someone’s got to do it. But then again, there are all those sniggling performance issues that even a he-man like you must contend with.

The trouble lies in the fact that you are a workaholic. And that’s never good, regardless of the work one does. Sex work, like any other work, will burn you out if you’re not careful. If you don’t learn to pace yourself, darlin’, you’ll fizzle. (How’s that for an appropriate euphemism?) And from what you tell me, this is already beginning to happen. Keep it up (no pun intended), and you won’t be the first causality in this line of work, nor will you be the last. But If you ask me, and I happen to know a little something about sex work myself, the object here is to grow old (or older in your case) in your chosen profession.

I’m tellin’ ya, WH, if the erectile burnout don’t get ya the psychological torment will. I’ll bet you’re terrified the word will get out that Mr. Big-Beautiful-29-year-old-Stud-Power-Fucker can’t get it up. That would be real bad for business. And you know how those johns can gossip. Bitches! They don’t know that you’re servicing men at a rate that would make a superhero blush. All they see is limp willie and that spells trouble right there in River City.

It’s not surprising that you are having erection concerns given the number of clients you are seeing in one day. I mean, girlfriend, when do you find time to eat? You don’t need a new med, you need a vacation. If Viagra and a good cock ring don’t do the trick, then, in my humble opinion, your body is telling you to slow the fuck down.

And here’s another tip; research is beginning to show that prolonged and persistent use of Viagra can have some very unpleasant side effects. Those who overuse this potent cardiovascular drug, particularly young men who use it recreationally, may be in for some very unpleasant surprises down the road. So, I have one simple suggestion, WH, have a care about your sexual wellbeing and treat your dick gently. Despite the pounding you can inflict with it, it is a very delicate mechanism.

Good Luck

meat substitutes or give me the beef

Name: Carol
Gender: female
Age: 32
Location: Scottsdale, AZ
I’ve got an odd question. You know how there seems to be no end to the methods and devices available to bolster a man’s equipment. Everything from cock rings to Viagra. I know guys are all ego involved with their stuff and everything, but it seems to me that instead of all this gadgetry and pharmaceuticals why don’t they just strap one on? Most women I know wouldn’t much care if was the “real thing” and a dildo. I mean, is the “real thing” all that superior? I don’t think so, because a woman could choose the girth, length and texture of her “object of desire” or change it depending on her mood. The guy would not have to worry about being “worn out,” “premature” or not being able to “get it up” at all. Best of all, both could enjoy sex for longer periods. I’m quite serious. Let’s face it; the male refractory period is really a drag. It seems to me that strap-on sex would be a great way to put off ejaculation, extend the time we have for lovemaking and “keep the fire burning” for as long as the woman wants and needs.

OUCH, Carol! For a chick who says she understands that us guys are all ego involved with our stuff, you sure are rough as hell on us penis owning people. Holy cow!

You’ll get no argument from me — most us men folk are way to obsessed with our cocks. If only we spent a fraction of the time we fritter way worrying about the size and shape of our poor willies on something worthwhile, something that would actually make us more interesting; the world would be a much better place. But let’s face it, that ain’t gonna happen. And when all the boys out there get a load of your message, which suggests that most women would actually choose a strap on over the real thing, well…you know for sure the anxiety level is gonna go through the roof.

Frankly, I don’t believe that most women would choose a dildo over the real thing, even though the “real thing”, as you so generously point out, has its deficiencies like the pesky male refractory period.  And if I had to guess, and it would indeed be a guess, most women would prefer the animate thing, with all its shortcomings, no pun intended to the inanimate things with all their variety. I guess this because most of the women I know think that there is more to sex and intimacy than penetration sex, even though penetration sex is all fine and dandy. I’ve also had my share of women tell me they’re not overly disturbed when the hubby or BF can’t get it up, because that means less barkin’ at their front door, or (god forbid) back door…if you catch my drift.

I also get loads of letters from women who complain that the dudes in her life don’t know squat about how to use the dick nature gave them. It’s hard for me to imagine how awkward and clumsy penis/vagina sex would be if the guy pluggin’ the chick couldn’t feel the thing he was pluggin’ her with. I’d be willing to wager that there’d be a whole lot more bruised pussies out there if men were strappin’ their tool on, instead of using the one that came “standard issue” with their birthday suit.

But let’s just say you’re right; let’s say that most women would prefer to have fake as opposed to real, how would these women break the news to their benighted men? I mean, would she just come right out and say, “hey mister, tonight we’re gonna have you strap on old junior here.” As she pulls out some big vibrating monster wang and a harness. How do you suppose that would affect the guy’s ego? I suggest, not very well. Like I said at the beginning, us guys are already nervous about our adequacy. How are we supposed to compete with something that never loses its boner and can vibrate all at the same time?

No darlin’, I don’t think that’s gonna fly. Imagine for a moment if the shoe were on the other foot, so to speak. And men started to bring home blow up dolls to compensate for all the times their women were too tired, or too headachy, or too pregnant or too turned off to the idea of giving their man some well-deserved head. Imagine the female consternation if their male partners asked them to move over in bed to make way for Missy Blow-up…you know the one with the eveready mouth, pussy and asshole, the one that never complains and has those really perky tits, albeit made of plastic.

You see where I’m going with this, don’t ‘cha? Most of the women I know can’t even bear the idea their man might be jerkin’ off to porn let alone having to share their bed with an inanimate object that is there simply for the sexual gratification of their male partner.

Now that I’ve debunked the idea of real verses fake, I do believe that most couples I know — straight, bi, gay, what have you — would benefit from adding a sex toy…or six to their love making. I mean that’s why I hawk all those fabulous “marital aids” in the Dr Dick’s Stockroom for my kinkier friends  and my other, more vanilla toy emporium HERE.  I’m a big advocate of spicing up things with all this stuff, but never at the ego expense of one or the other partner.

So by all means Carol, if you’re bedding a man that has the ego strength to hear you suggest he strap one on when his peters out…so to speak…good for you! Knock yourself out! But then you’d have to be as agreeable to his toy suggestions too, right? I mean turn about is fair play, right darling?

I am of the mind that most people, both women and men are still too skittish about the whole notion of toys, at least as part of partnered fun. And that’s really too bad. For the most part, us Americans, particularly straight Americans, are not particularly adventurous when it comes to sex in general, and partnered sex with toys in particular. And those who are including toy play in their sex play generally use toys that are no threat to the ego of their partner. They tend to save their dildos and masturbation sleeves for when they are alone, again, too bad about that. I think that more people would have more enjoyable sex — together, if they were more comfortable jerkin’ off and jillin’ off WITH their partner and their toys. As it is now, most masturbation is still a furtive, solitary affair, again, too bad about that.

In the end, the answer to your query might reside with the kind of guy you fuck, Carol. Hopefully he, or they are open minded and fun loving sex freaks who are dying to try new things. If he, or they are, you’re in luck. All you’ll have to do is come up with a politic way of introducing “old junior” and his harness to your man. If by chance, the guy or guys you fuck aren’t quite so enlightened, maybe you’ll have to introduce the idea of toys first by getting him one. Imagine his surprise if you showed up in bed one day with a vibrating masturbation sleeve, one that looks like a real live pussy. Then you could tell your man to have a ball and bust a nut while you watch with joy. After he’s spent himself on the inanimate pussy, you could whip out the strap-on and tell him to go to town on your real thing.

Good luck!

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