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He Can’t Cum!

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Name: Alice
Gender: Female
Age: 19
Location: Minnesota
My new boyfriend is really frustrated and doesn’t want to have sex anymore because he can’t come. He says he’s had this problem for a while and hasn’t come with any girl for over a year. I see how upset he is and I know he still wants to sleep with me, but says it hurts when he gets excited and nothing happens. Is there something I can do? I tell him to see a doctor but I don’t think he will. Thanks a lot!

Wow, that’s a bummer Alice. Unfortunately, you don’t supply me with enough information for me to make an educated guess about what might be up with him. Does he have erections? Does he masturbate? Is he on any medications? These are the first questions I’d ask him. Since he isn’t here and neither are you, I’m gonna make a stab in the dark.cover up

If I had to guess, I’d say your man is suffering from a real bad case of performance anxiety. He doesn’t need a medical doctor; he needs to learn to relax and be in the moment. If this is an arousal phase issue then that should help. If it’s and orgasmic phase issue, relaxing and enjoying the pleasure will also help.

Here’s how performance anxiety works. Say a fella has a less than satisfying sexual experience for one reason or another. Before he know it, he replaying the incident over and over in his head, till that’s all he can think about. The proverbial molehill becomes a mountain. He brings his anxiety to his next sexual encounter. His hyper-consciousness primes him for more disappointment. And he’s ready to interpret all disappointment as a failure. And this can interrupt either the arousal phase or orgasmic phase of our sexual response cycle.

Well, you can see where I’m going with this, huh? His fears become self-fulfilling. Before he knows it, he begins to avoid sex. His relationships suffer. He develops a full-blown sexual dysfunction. And his self-esteem takes a nosedive. His preoccupation with his problem makes it less likely that he’ll be fully present during sex with his partner, which pretty much fucks up his sexual responsiveness and any hope for spontaneity.

It sounds to me like performance anxiety is putting a damper on his sexual arousal and thus short-circuiting the rest of his sexual response cycle, including orgasm.

This is nothing to fool around with, especially for someone at his tender age. When I see this sort of thing in my private practice, I always begin the therapeutic intervention by calling a moratorium on fucking of any kind. This immediately takes a great deal of the pressure off the couple. From there we begin to rebuild the partnered psycho-sexual response one step at a time. We begin with sensate focus training, stress reduction, and relaxation exercises. I have the greatest confidence in this method. It succeeds over 90% of the time.

Good luck

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 Dark Side of Love

Just in time for Valentines Day, I feature an exchange I had with an earnest and, I might add, very nervous young man about a prevalent STI. Our friend is freaking out about genital warts.  I know, I’m such a buzz-kill.

 

Name: Ryan
Gender: Male
Age: 20 something
Location: Lowell MA
A few years back, a friend confided that he contracted genital warts from his ex-girl friend. He had the genital warts on his genitals, anus, hands, feet and in his mouth. His ex-girl friend had it on her hands, in her vagina, mouth, anus and cervix. I can understand having it on the genitals and hands and in the anus, mouth and cervix. I didn’t ask how he got it on his feet.
He went to work in another state, but came back here two years later. He told me he liked a girl he met and would like to bring the relationship into a more intimate level. I asked him about his genital warts. He said he was cured of it. I read that genital warts cannot be cured. That it can be treated, but will remain incurable and contagious although dormant for a while.
Will the girl get it after they had sex? My friend comes to my house very often, drinks beer with my girl friend and me. He uses the bathroom and the hand towel. Even after scrubbing the bathroom and washing the hand towel, can my girl friend and I get the genital warts? As for my friend, was he condemned not to have sex for life? Or, is it safe to have sex if there was no outbreak or external signs?

I’ve seen several bad cases of genital warts, but never a case that included hands feet and mouth. I know that’s possible, of course, but I’ve never seen it. And without a doctor’s diagnosis, a particular outbreak could be something else. That’s why, something like this, needs to be diagnosed and treated properly.

the dark side of love

You are right; technically genital warts remain incurable, though non-contagious, and dormant if treated correctly. And proper treatment is the key. For more information you might consult WebMD.

Casual contact, the kind you describe below — bathroom, towels, etc. — cannot pass on the virus. Transmission is dependent on intimate genital contact. Does your friend (or his GF) have an outbreak going on now? Can you see something on his (her) hands and face?

     I know my friend is a responsible person and he will not knowingly infect me with his genital warts. But, how can he be sure that the wart is dormant and non-contagious? I am now wary because he told me his genital warts were cured. This makes me wonder whether he was given the wrong medical advice or he was just trying to put my mind at ease. Aside from using the bathroom and towels, he also eats dinner at my home and could infect my dishes, utensils, cloth napkins, etc. and pass the virus to me and my girl friend.
This matter has the potential of becoming a dilemma for me and my friendship with him. I don’t want to ask him details such as who is his doctor, what kind of treatment he is getting (it seems the infected person must be tested periodically and the treatment ongoing) and how is he going to determine when he is not contagious. He is a sensitive person and I know that he will get angry if I asked him these questions. I can make excuses not to see him at my house (this only goes so far). If I ask or make excuses, I’d lose his friendship. I don’t want to lose him as a friend. But, I don’t want him to infect me and my girl friend with the virus either, knowingly or unknowingly.
I don’t see any warts on his hands and on his feet (he wears sandals sometimes). I don’t know if he plans to tell the girl he plans to get intimate with.
My girl friend doesn’t know about this. She will freak out if I tell her and that will cause more problems. Help!!!???!!!

If I were you I would ask him about the treatment he received for his warts. That would put your mind at ease. Besides, your friendship sounds like it’s on the brink anyway. And here’s a tip: you probably have lots of casual contact with many other people with genital warts without even knowing it — it’s a very common malady.

     Thank you very much. I think he should also tell the girl about his genital warts before having sex with her. She must be given the option to reject or accept it. I also read that the virus can be passed just with skin-to-skin contact when there is a flare up. Is this true?
I feel bad about this. Although my friend is a responsible person, there is still a chance he could get carried away in the heat of passion and throw precaution and caution to the wind.
I imagine it is difficult to enjoy sex when you have to do and think of many things that could go wrong.      Giving him my sympathy will not help. He alone has the burden of doing what has to be done before having sex to prevent contaminating his girl friend or spreading he genital warts around.
I will appreciate any additional information/clarification/advice you can give me about this.
Thank you again for your help.

Again, genital warts, like herpes, are contagious only when there’s a flair-up. Skin to skin contact can pass the virus at that point. Also, like herpes, if the genital wart virus has been treated, the likelihood of passing on the virus is negligible.

I am of the mind that we all ought to be responsible and up-front with our sex partners about any health related issues that may impact on the health of our partners.

Good luck

Review: The Ultimate Guide To Sex After 50

Hey sex fans!

2015 is turning out to be a banner year for sex positive books. Here it is still only January and this is my second review of a noteworthy book about human sexuality.

A few weeks ago, January 8th to be precise, I introduced you to Cooper S. Beckett’s book, My Life on the Swingset.  In that review I mentioned that Cooper had been a guest on my Sex EDGE-U-cation Show.

Today’s review features a book written by another guest on my show, but this time it was the SEX WISDOM Show. Today’s book, The Ultimate Guide to Sex After Fifty: How to Maintain – or Regain – a Spicy, Satisfying Sex Life, was written by the brilliant, Joan Price.

Joan is on the forefront of our culture’s discussion on ageless sexuality. She is the author of Ult+Guide+Sex+50+covertwo other books, Better Than I Ever Expected: Straight Talk about Sex After Sixty and Naked at Our Age: Talking Out Loud about Senior Sex. She is a sought-after speaker and workshop leader. And, if that weren’t enough, she’s also a fitness expert. This woman is a ball of fire, sex fans, and an absolutely charming interview. Be sure to listen to the two-part interview I did with Joan, you’ll find them archived HERE and HERE!

Joan and I talked about some the many myths that surround sex during life’s second half; she covers this topic more in depth in her new book. The misinformation about sex after 50 is so pervasive that even many of us seniors and elders perpetrate it. And, of course, we’re often the butt of jokes.

1. We lose interest in sex as we age.
2. Senior sex is boring.
3. Dating as a senior/elder is depressing and hopeless.
4. Seniors with arousal issues just give up on sex.
5. Sex becomes more frequent as we age.
6. Real sex must involve intercourse and orgasm.
7. Health concerns and menopause will end one’s sex life.
8. If you’re interested in sex after you turn 50, you’re a dirty old man/woman.

The Ultimate Guide to Sex After Fifty is the perfect antidote to the dismissive and degrading way that so much of the popular culture deals with senior and elder sexuality. Joan celebrates not only the existence and appropriateness of sexual desire for seniors and elders, but how sex can and does increase the health and wellbeing of older people.

Joan states her credo in the Introduction.
“…being sexual at this time of life means:
• Enjoying arousal and orgasm, with or without a partner
• Having a zesty, sex-positive frame of mind
• Being open to new possibilities
• Giving pleasure to this body that is capable of great delights
• Making a commitment to myself to be sexually aware and healthy”

Joan invites her readers to join her in conversation. And a big part of that conversation is being aware of what’s going on with our body as we age. Being attuned to that, and being able to communicate that to a partner, is key to great senior/elder sex. (To be frank, it’s the secret of great sex at any age, but I digress.) To that end, Joan includes in her book actual comments from real people that she has encountered in her work. These anecdotes reflect an array of feelings that underscore the conflicts, successes, and complexities of real life situations. And this being the Ultimate Guide, Joan includes the input from many of our colleagues who weigh in with their expert opinion on the topics she is addressing.

I love that Joan often makes the point that having a fulfilling sex life is not dependent on having a partner. Lot of seniors and elders are without a partner, but that ought not be an impediment to sexual enjoyment. Self-pleasuring, with one’s hand, or any of the myriad toys available to us, is the foundation of a rich, healthy, rewarding, and ageless sex life.

Joan also examines a topic near and dear to my life. In my book, The Amateur’s Guide To Death And Dying; Enhancing The End of Life, I took great pains to include a chapter about the sex and intimacy needs of sick, elder, and dying people. Joan does something similar in her chapter — Cancer, Cancer Treatment, And Sex. I am so grateful that Join addressed this timely topic, suggesting, as she does, that people challenged with cancer, or any other chronic condition for that matter, take their sexual performance questions to their doctors. I think we both believe this will go a long way to underscore the notion that wellbeing is not merely about absence of disease, it’s’ about quality of life. There’s also a marvelous section about sex and grief too.

And, just so you know, this isn’t a hetero-centric book. Joan includes all sexual orientations and lifestyles.

I highly recommend Joan’s new book, The Ultimate Guide to Sex After Fifty, to everyone. If you are a fellow senior or elder, this book is chock full of important and practical information about things we care about. It also provides much needed support and encouragement as we make our way through this season of life. If you’re not a senior or elder, this book is an indispensable resource for you too. Not just so that you will be sensitive to the needs of others, but that you’ll grow in appreciation of the fact that sex is for a lifetime. And hey, you just might learn a little something new from someone who isn’t “new”.

I want to say a special thanks to Cleis Press, Joan’s publisher, for sending me this review copy of The Ultimate Guide to Sex After Fifty.

Kudos to Joan! Your book is a marvel.

Be sure to check out Joan’s websites: joanprice.com and NakedatOurAge.com.

PS:  This book would make a fantastic Valentine’s Day gift.

Sounds…difficult

Name: Pete
Gender: Male
Age: 60
Location: New England
What is sounding the penis and why is it called that?

Sounding is a kind of urethra play. It’s called that because the it involves sounds, a kind of dilator. Why not mozie on over to Dr Dick’s Stockroom and check out the Sounds & Dilators section, you’ll get an eyeful!

Rosebud Urethral SoundsUrethra play freaks out lots of folks, myself included. Most of us would equate having something inserted into our urethra…for any reason…with a root canal by a sadistic dentist. Not something purposely done for the sheer enjoyment of it.

I’m always curious about how folks come to odd fetishes like urethra play. One of my correspondents way back in July 2007, Georgia,  wrote that her urethra play began when she was a child. When she asked her mother where babies came from. Her mother said it’s where peepee comes out. Georgia looked down there and saw this teeny-tiny hole. She knew having a baby was difficult and painful and thought, no wonder! So she decided she’d better try and make the opening bigger. And so it began.

Once a guy told me that he was playing doctor with his older cousin, when his cousin inserted a twig into his urethra, mimicking how he thought a doctor would take a patient’s temperature. This guy said that the moment was so sexually charged, even as boy of no more than 5, that his piss hole became an object of fascination and pleasure from that day onward. When I knew him, he was able to insert the bristle end of a toothbrush into his urethra. That bit of unsolicited information just about made me swoon into a faint back then. Even now, retelling that story gives me the willies.

So ok, this isn’t for me, but I am told by those in the know that because the urethra is such a sensitive organ, stretching it can provide exquisite sexual pleasure.Dittle Sounds

Practitioners of this unique kink often start out young, like Georgia and the other guy. Maybe it’s just a function of some people’s natural curiosity about their body, when one day they discover their urethra. They toy with it, stretch it, and find pleasure. Once that happens, of course, it becomes like most pursuits of pleasure; it becomes a fascination, then a full-blown kink.

If a little accidental stretching is pleasurable, what about intentional stretching with one kind of gadget or another — Q- tips, thermometers or a ballpoint pen? Once these kids are old enough to do some research, they discover there are an array of medical implements available to them like latex or plastic tubing, catheters and urethral sounds and dilators. Well, you can see how this could just grow and grow…pretty much like any fetish. Pleasure is curious that way, spurring us on to higher and higher heights.

Silicone SoundBut like all pleasure related things, practitioners ought to have his/her wits about them when they play with their pee hole. I think it’s ill advised to be stretching your urethra with just any old thing lying around. One’s bladder and urethra are sterile areas and one ought only use sterile equipment and procedures while inserting anything in there. And one ought to take one’s time with this sort of play. Incremental stretching is advised. Please, don’t forget the surgical lube.  The use of mind altering, or body desensitizing drugs is not recommended, for obvious reasons. Like I always say, safe and sane play is happy play.

And here’s something you should know — the male urethra is approx. 10 to 13 inches long and has a “J-shaped” curve to it. The female urethra is much shorter, only approx. 2 1/2 to 3 inches long, and there is no curve. Therefore, a woman can stretch her urethra much easier and to a greater extent than can a man. You will find that gender differences also makes for gender specific toys.

Good luck

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