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Too pooped to pop

Name: Djon
Gender: Male
Age: 54
Location:
I’m a 54-year-old man, who 3 years ago managed to finally come out and live the life I so desperately longed for all my life. My question — is there a biological clock in men like the issues women have to deal with in menopause. During the last years of my marriage there was no sex life other than with myself. Now I’m living a fantastic life, with a great man who I love very much. I know there is more to life than sex but now that I’m finally able to express myself physically with a man my ability to perform is just not working.

I’ve tried Viagra and such years ago. They used to work in maintaining an erection, it was just by myself, but I always had fun. The headache’s and discomforts from the meds bring up the question — do I really want to take this?

But now the med’s don’t even help, and as for my libido it suffers with my lack of ability. I’ve been tested for testosterone levels and they say I’m right where I should be at for my age. I’ve seen two doctors about the issue and when they find out my partner’s sex they don’t want to deal with it and seem to just pass it off as an age thing.

I’m in fairly decent good shape, I exercise 3 – 4 days a week at the gym, can you send me any advice on a path to take.

A little frustrated: Djon

A little frustrated? Holy cow, darlin’, you sound a lot frustrated. I don’t blame ya. You finally find what’s been missing throughout your whole life only to discover that your plumbing is now givin’ out on you. Ain’t that a bitch! And before I continue I want to tell you and all the other alternative lifestyle people in my audience, don’t settle for a sex-negative physician no matter what. Dion, find yourself a sex-positive doctor that will look beyond your choice of partner and give you the respect you deserve! Damn, I hate shit like that.

andropause2258You raise an interesting question about the aging process when you ask if men experience something similar to menopause in women. The short answer is — yeah, you betcha! In fact, it even has a name; andropause.  I’ve written and spoken extensively about this very subject. Here’s what I want you to do. Look for the CATEGORIES section in the sidebar, look for the category — AGING. There you will find everything I’ve written and said about Andropause, and Sex and Aging.

You’ll find a whole lot more information there than I can put together for you in this posting. However, I can offer you an overview. It’s only been recently that the medical industry has started to pay attention to the impact changing hormonal levels have on the male mind and body. Most often andropause is misdiagnosed as depression and treated with an antidepressant. WRONG!

Every man will experience a decrease testosterone, the “male” hormone, as he ages. This decline is gradual, often spanning ten to fifteen years on average. While the gradual decrease of testosterone does not display the profound effects that menopause does, the end results are similar.

And listen, when a physician says that your testosterone level falls within an acceptable range, he/she isn’t telling you much. Let’s just say you had an elevated level of testosterone all your life, till now. Let’s say that you now register on the lower end of “acceptable”. That would mean that you’ve had a significant loss in testosterone. But your doctor wouldn’t know that, because he has no baseline for your normal testosterone level to begin with.andropause

There is no doubt that a man’s sexual response changes with advancing age and the decrease of testosterone. Sexual urges diminish, erections are harder to come by, they’re not as rigid, there’s less jizz shot with less oomph. And our refractory period (or interval) between erections is more pronounced too.

Andropausal men might want to consider Testosterone Replacement Therapy (TRT). Just know that most medical professionals, like yours, Dion, resist testosterone therapy. Some mistakenly link Testosterone Replacement Therapy with prostate cancer. Even though recent evidence shows prostatic disease is estrogen-dependent rather than testosterone-dependent. I encourage you to be fully informed about TRT before you approach your doctor, your new sex positive doctor, because the best medicine is practiced collaboratively — by you and your doctor.

Finally, getting the lead back in your pencil, so to speak, may simply be an issue of taking more time with arousal play. Don’t expect to go from zero to 60 in a matter of seconds like you once did. Also, use a cockring.  But most of all, fuckin’ relax, why don’t cha already. Your anxiety is short-circuiting your wood, my friend. And only you can stop that.

Good luck

Starting Over

Name: LD
Gender: Male
Age: 38
Location: Atlanta
How do you jump back into the game when your partner passed away suddenly? Getting really horny but its still awkward to actually do it.

Good question, LD. You say you’re feeling awkward. Why exactly? Is it because you’re out of practice with the whole dating thing? Are you concerned that people might think you’re jumping the gun, trying to get back into the game before your partner is cold in the grave? People can be pretty heartless about this. Or, is your awkwardness associated with your grief?

Grief has a profound effect on every aspect of our lives. Yet there is hardly any literature on the effects grief has on our sexuality. To my mind, grief is the leading causes of sexual dysfunction for those who have experienced the death of a partner.

Allow me a bit of time here for one of my pet spiels. Healing and helping professionals often misdiagnose grief. I want to make one thing clear, grief is not depression. Treating grief with an antidepressant is counterproductive. It can actually take away the impetus to resolve the grief and get on the rest of one’s life.

Making sure that you have processed your grief may eliminate some of your awkwardness you are currently experiencing. This is something I’m pretty familiar with. A good portion of my private practice is with sick, elder and dying people and their friends and family who survive them. I know the impact a terminal illness and dying process can have on the surviving spouse or partner. We often go into survival mode, shutting down so much of ourselves in an effort to have the strength to cope with this life-altering experience. Of course, trying to kick-start our life afterwards is often a monumental effort. Without the support and guidance of a professional or a group of similarly challenged people, some of us just sink to the lowest common denominator.

I believe in the resilience of the human spirit. I believe that we can honor our dead and continue to live and love. It sounds to me like you have a desire to get on with your life, LD, to fill the void, to make new connections, but you simply don’t know how. Acknowledging that fact is a real good place to begin.

Perhaps you could start by reawakening your sexuality through self-pleasuring. Reconnect with your body and the joy it can bring you. Reestablishing a social life will no doubt follow, slowly at first. But the inevitable tug of the need for human-to-human contact will draw you, if you let it. Remember the best testament to those who have died is to continue to celebrate life itself.

Allow me to draw your attention to my latest book, The Amateur’s Guide To Death And Dying; Enhancing The End Of Life. Actually it’s more of a workbook then a text and while its primarily target are those currently facing their mortality it’s not exclusively for them. Concerned family and friends, healing and helping professionals, lawyers, clergy, teachers, students, and those grieving a death will all benefit from participating in the interactive environment the book provides.

Of special interest to you will be Chapter 6, Don’t Stop. My good friend and colleague, Dr Cheryl Cohen Greene, joins me in presenting this chapter on sex and intimacy concerns. Like I said above, there is a dearth of information about this timely topic for sick, elder and dying people as well as those who are grieving. So I am delighted that my book helps break this deafening silence.

I hope you take the time to write back, LD. I’d very much like to keep tabs on how you are doing.

Good luck

Libido Disparity, A Common Problem

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Good luck

Quickies

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

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

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

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

Frequent causes include:

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

What you can do to help:

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

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

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

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

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

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

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

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

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

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

Good Luck

Libido Disparity

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

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

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

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

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

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

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

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

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

Good luck

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