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Sex Therapy—What Is It and Who Needs It? – Part 1

I’m often asked about my work as a sex therapist. I’m surprised at how few people have any sense of what a sexologist does. While I can’t speak for all my fellow therapists, I can tell you a bit about my own practice.

Most of the work I do is Cognitive Behavioral Therapy (CBT): short-term, goal-directed and personally liberating (I don’t believe this kind of therapy should become a lifestyle). Basically, I suggest that people with sexual issues change the behaviors that contribute to their problems as a surefire way to solve them. I try to give my clients all the tools they need to successfully work things out on their own once the therapeutic intervention is over. This approach doesn’t fit everyone; however, 99.9 percent of the people I work with respond positively.

I encourage my clients to give themselves permission to investigate their sexuality. This in turn assists them in taking charge of making themselves feel better and/or perform better. And as soon as they do, they almost immediately have a greater sense of wellbeing. Like they say, nothing breeds success like success.

Once we identify an area of concern, my client and I create a plan of action for them to implement. I believe the more an individual is part of their own healing process, the more productive that process will be.

Sadly, I find that fewer and fewer people are willing to give their sexual issues the attention they deserve. Rather than investing the time and energy to get to the bottom of their issues, many opt instead for the quick fix—the “Give me a pill for that” mentality. They’re often unwilling to make the necessary lifestyle changes to actually solve their problems. For example, I encounter people who are eating themselves to death, or abusing alcohol or drugs. Of course they have the accompanying sexual response issues—erection problems for men and arousal concerns for women. They may desperately want to resolve these issues, but without committing to any change in behavior—i.e.: “I want my erection back, but I won’t stop drinking”—such interventions almost always ends in disappointment.

Sexual dysfunction of one sort or another is the issue I see most recurrently in my practice, although the reason why a client reaches out varies. Sometimes an individual’s tolerance level peaks, and they finally decide to do something about an issue that may have been smoldering for years. Sometimes it’s a partner who brings in their proverbially “broken” partner, telling me to “fix him/her.”

Couples often seek sex therapy together, as sexual problems tend to be more obvious within relationships. However, by the time the couple comes for therapy, the issues have most likely been plaguing them for some time. The relationship often comes close to ending before the couple agrees to address the problem. For example: Say a guy brings his wife in because she’s “frigid,” whatever that may entail. They’ve been married for X-number of years, and he’s finally had it. She, on the other hand, doesn’t want to be in therapy, because she doesn’t really think there’s anything wrong with her. She just doesn’t want to have sex anymore, and she doesn’t want to discuss it. Period.

This is a difficult way to start therapy. Resentments are high and frustrations rage. If the couple does continue, we usually discover that there’s also something desperately wrong with the husband. Inevitably, we ascertain that he’s an ineffectual lover—and his inability to pleasure his wife is the root of her “problem.” It’s often painfully clear that he knows little (if anything) about his wife’s sexual needs or desires. Meanwhile, the wife has never had permission to know her body, so she’s unable to help or direct him. As you can imagine in a case like this, there’s a load of remedial sex education that must come before anything else is resolved.

Couples also seek therapy when one spouse has cheated on the other. The “cheat-ee” declares, in no uncertain terms, that this therapy is the last-ditch effort before “the end of the road.” Often in such cases, it’s too late for a successful intervention, because each partner is so angry and shamed that the chance of turning the situation around is slim. Sometimes the best we can do is end the relationship with as little acrimony as possible.

In difficult couple counseling situations like this, my first effort is to get the couple to disarm. There will be no sex therapy—and God knows there is a need for sex therapy—until there is some semblance of peace between partners. If we don’t establish at least a small bank of goodwill, our efforts are doomed.

We’ll pick this up next week at this time.

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Running on Empty

I know things are a bit mixed up this week.  Frequent visitors to Dr Dick’s Sex Advice will know that Wednesdays are traditionally Video Days on the site. But I have to veer off course this week.  I have some questions to respond to and I can’t do my Q&A on Friday this week, as I usually do, because I have a swell Product Review scheduled for Friday.

Do you see how nutty things can get when you have more things to do than days to do them on?  Anyhow, breaking with tradition every now and again is a good thing.

Name: lost angel
Gender: Male
Age: 21
Location: cali
Is the base of the penis behind the balls??? When I get hard my cock points kinda upward is this ok????

The base of your cock is not behind your balls.  That’s what’s called your dick root.  The base of your cock is where your cock meets your pubic bone on the dorsal (top) side of your johnson.

Having your boner point upward is as good as a place for it to point as any; and maybe better than some.

Name: Stephen
Gender: Male
Age: 41
Location: Va
As I have gotten older my sex drive has decreased tremendously. What can I do to turn it around?

Everyone’s libido decreases as he/she ages.  There’s no gettin around that.  However, a healthy lifestyle — good nutrition, maintaining your proper weight, getting an adequate amount of sleep, eliminating stress, modest alcohol and caffeine consumption and regular exercise will keep your sexual response cycle at its peek throughout your life.  Simply put, the healthier you are; the more libido you will enjoy.

That being said, I am increasingly more optimistic about the use of herbal supplements to help us gh.jpgropex.jpgolder folk stay in tip-top sexual condition.  To that end, I’d like to turn you on to three products I am currently testing on myself — Ropex, GH and Onkor Energy.   A full product review of Ropex and GH will appear on this site in time.  But the Onkor Energy review is already available on the Product Reviews page. Look for REVIEW #14.

What I’ve discovered through my product testing and review is that not all herbal supplements are created equal.  But you’ve probably figured this out on your own, huh?  I’ve tried several similar products that were completely ineffectual.  Others had unpleasant side effects.onkormen.jpg

Here’s something everyone should know.  A lot of these “Male Enhancement” and herbal products are produced in China under dubious conditions.  And everyone in the supplement industry will tell you, confidentially of course, that most of these products are adulterated with knock-off pharmaceuticals.  And that’s down right dangerous for us all.

I confidently offer these three products to you, because they work for me.  Just be assured that neither one of these products will not override a pathologically unhealthy lifestyle.  Look to your personal health and wellbeing first.  Supplement that if you must.

Hej from Sweden,
I am Mark and wanting advice regarding douching correctly.  I am 100% bottom but for personal reasons I decided to give up sex for at least 1 year.  NOW I have the horn again and I’m definitely in the mood!  I am wanting to be sure that all is ‘clean’ down there before having my ass played with  …..any advice on proper cleaning.
Great website BTW!
Hugs and blowjobs….
Mark x

Warm water is all you need.  Never use soap.b712.jpg

Some men add lemon juice or vinegar (1-2 Tbs. per quart) of the warm water.  Others dissolve (2 Tbs.) of baking soda in a quart of warm water.

Stay away from commercially produced douches; most contain harmful and irritating chemicals.  And trust me, you don’t want that.  Besides, all those over the counter douches are expensive.  And all that packaging is definitely not eco-friendly.  And we all want to be green perverts, don’t we?

Finally there is always the ever-versatile shower or bath bidet option. You can find one model, the Travel Shur Shot, in My Stockroom.

There are also stainless steel options that hook up to your shower head.

Name: Tommy
Gender: Male
Age: 36
Location: Ontario,CA
HI Dick : I had a problem keeping an erection when under the influence of crystal meth. It’s not that i wasn’t aroused. Is this common when taking speed?

Ahhh HELLO!  Are you so new to the Tina scene that you’ve never heard the term — “Crystal Dick”?   Holy cow!  Time to wake up and smell the coffee, honey.

 

meth_kills9.jpg

All tweakers will inevitably experience erection problems; some will be so serious that the guy will never recover.  Tweakers will often try to compensate for this lack of wood by taking Viagra, or another erection enhancing drug.  This is extremely dangerous because this combination will raise one’s blood pressure to dangerously high levels.  Or one could experience a really long lasting hardon, that could actually permanently damage your rod.

You’ve probably heard the old adage:  Meth Kills, right?  Well, it true.  While it may not be the death of you, per se.  You can be assured that it will kill your sexual response cycle.

Name: jack
Gender: Male
Age: 26
Location: denmark
hey I’m a 26 year old male who has struggled with alcohol abuse for many years as a result my balls have shrunk I don’t know what to do but I’m nervous about having sex and have even thought of taking my life.  I feel humiliated.  Is there something I can do or can I learn to live with this?  Will guys mind?

First off, congratulations on kickin’ the booze habit.  My hat is off to you!  If you can conquer balls6.jpgalcoholism, you’re pretty much set up to handle anything life sends your way; including a case of shrunken nuts.

Don’t despair, my friend, no one’s gonna kick you out of the sack for havin’ marbles in the sack instead of eggs.  Lots of men have smaller than usual testicles and it has nothing to do with alcohol consumption.  It’s just a natural variation on size and shape.

No need to be self-conscious about something as trivial as ball size and lose sight of the fact that you’ve overcome one of the worst scourges known to human kind.  You are a hero!  Never forget that.  And if the only scars you have to show for your valiant battle against demon alcohol is smaller cajones, then you’re luckier than most.

Get out there and learn to enjoy yourself again.  You will soon find that most men will be attracted to you for your personal courage and tenacity.  They won’t give a damn about the size of your balls.

Name: sami
Gender: Male
Age: 25
Location: Pakistan
I have visit many website and read about the erectile dysfunction problems but I want to know some thing about my problem which I have with my penis and I have used too much medicine for this and this problem is with me more than 6 years. I m from Pakistan and here doctors not treat me well or they are not expert in erectile dysfunction.
I’m 25 year old now and single.  The problem is that when ever I think about the sex or see any porn movie or chat with girl on sex topic then the drops like water come outside but its not like water its some juicy type and after this no erection come in my penis. And it cum soon without erection. I have used many medicines but to no avail.  Please tell me about my disease what is this?
And when ever I try to do sex with girl then again this drops come very fast in early and after that no erection and I can cum after one minute using my hands. I have also problem of early ejaculation too. While when i sleep and get up in morning some time my penis is in full erection and full motion but whenever I think about sex these drops come and the erection finish of my penis. So please tell me in details about this disease. Diagnose it and tell me the medicine for this because I want treatment from online doctor not from the Pakistani doctors and also want to take medicine online imported one because in Pakistan also not available good quality and variety medicine. Thanks

Things sound like they are in a pretty sorry state there in Pakistan.  That’s regrettable.

First up, if I understand you correctly, and that is a big “IF”; I’m gonna guess that you don’t need a doctor or medication.  It appears to me that you are dealing with two distinct issues:  1) excessive precum and 2) premature ejaculation.  Ok, let’s handle each one of these in turn.

You’ll find all the postings and podcasts I’ve done on the topic of pre-ejaculate by going to the precum03.jpegCATEGORIES section in the sidebar and searching for the word “precum”. Basically, excessive precum is nothing more than a bothersome issue for most men who experience it.  But it’s not a medical condition.  And there aren’t any medications you can take to relieve the problem.  Think of it as the equivalent of excessive sweating. There’s not a whole lot you can do about that either.  Issues like these tend to clear up on their own as we age.

You’ll find all the postings and podcasts I’ve done on the topic of premature ejaculation by going to the CATEGORIES section in the sidebar and searching for the words “lasting longer”.  Basically, a guy can easily learn to control his ejaculation response with a little effort on his part.  These postings and podcasts contain detailed “how to” instructions on how to achieve this control.  Again, this is not a medical condition.  And there aren’t any medications you can take to relieve the problem.

Name: liza
Gender: Female
Age: 30
Location: tyne and wear
My boyfriend is a transvestite and just recently he has started taking fenugreek seed tablets and red clover blossom tablets do you have any ideas why? I am concerned that michael5.jpgmaybe he is wanting to become a woman full time could this be a possibility? Please help???

I think I’m a pretty wise and insightful guy, but I would never hazard a guess as to what might be going on in the mind of a drag queen…ever!  ;-)

I suppose the only way you will know for sure what he’s up to is to ask.

What I can say with some certainty is that most TV’s (transvestites) are not TS’s (transexuals), nor are they gender dysphoric.  They just like frilly knickers!

I looked up the herbal supplements you mentioned and I didn’t find anything that would suggest a sex change in the offing.  It’s more likely a case of dyspepsia.

Dear Dr. Dick,
I asked this question on the anonymous form but would prefer and
answer in my email.
I am concerned about my ED that I seem to have developed over the last
year or so. It could be the anti-depressants I am on but I have a
feeling it is Viagra. I have used Viagra for many years even when I
didn’t need it. It was just a guarantee that I could go all night. My
concern is that I have become dependent on it. When I don’t use it I
can get hard but it never last which is frustrating when with a very
hot bttm guy.
Hope to hear from you soon.

Yes, the use of antidepressants will surely impact, in a negative sort of way, one’s (both women and men) sexual response cycle, particularly the arousal stage.  In your case, your ability to get and/or cockbeans.jpgmaintain an boner.

I’ve written and spoken a lot about the use of Viagra and its fellow drugs.  You can find the postings and podcasts by going to the CATEGORY section in the sidebar of my site and search for Erection Enhancing Drugs.

Many men are becoming “hooked” on these drugs.  I would seriously recommend that you not use these meds recreationally.  I, for example, tend to rely on a cockring as opposed to a pharmaceutical.

You might also consider a high quality herbal supplement, like the ones I recommended to Steven up above.

Good luck ya’ll

Writes Of Spring

Can you believe it’s freakin’ spring already? Holy cow, it seems like it was only a few weeks ago that I was calling attention to the winter solstice and here we are at the vernal equinox. My, how time flies.

Despite the relentless passing of time, sexual concerns are perennial.

Name: pete
Gender: Male
Age: 33
Location: florida
I have been notice that some of the skin on my dick is starting to wear away from me masturbating…there is no blood or anything like that. Just the skin turning light in color around head of my dick. I think its my grip. Is there a way the color will come back or have i rubbed the skin cells to death. I masturbate about 3-4 times a week. Im not in a relationship and prefer that over random sex.

Your dick skin is wearing away??? Really? How are you handling your unit, darlin’,g003.jpg with sandpaper?

You say you think it’s your grip. Ya think? Hey Pete, are you using lube when you stroke? Or are you just yanking away down there with wild abandon? If you’re not using a good jack off cream like, Elbow Grease, Original 15 oz (G003) then ya better start! This stuff is not for use with condoms, but you don’t have to worry about that if all you’re doing is pullin’ your pud.

As to the rather sudden coloration change on your dick, I’d be willing to guess that it has nothing to do with jerkin’ off, even if you’re doin it like a maniac. More likely it’s a genetic condition known as vitiligo. And the coloration change is actually a loss of pigment. This is not a health concern, really! Nor is it contagious. So you don’t have to worry about it in that regard. If it is indeed vitiligo, there’s nothing you can do about it. It’s irreversible, but it can and does spread.

vitiligo_032904.jpg

Here’s a relatively easy way to self-diagnose this pesky, but benign condition. While naked as a jay-bird, squat over a mirror. If you have vitiligo, you will also see the same kind of color changes (loss of pigment) around your asshole. You may also notice it on your elbows and knees. If you are fair-skinned, the loss of pigment will be less noticeable then if you have a darker complexion.

If it’s not vitiligo, you might consider a visit with your physician. But I pretty much can guarantee you that unless you are absolutely ruthless in your masturbation technique, manhandling yourself as you do, is not the cause of the color change on your joystick.

Name: heater
Gender: Female
Age: 36
Location: USA
I have been Married for 10 years I have told my Husband 6 years ago i not physical attracted to him anymore I stopped wanting Sex from him he just turned me off no matter what he did he cleaned cooked run me a bath eat me and so on but nothing works I start to get wet and as soon as he gets started i try up like a prune what should i do i have not had good sex in a long time

Well, if you’re not attracted to him anymore, you’re not attracted to him anymore…plain and simple. But what I don’t get is, how come after six years you’re old man still hangs in there? Is he some kind of glutton for punishment?

If I was your long-suffering hubby and I was doin all this stuff, including cooking, cleaning and eatin’ out your pussy, I’d sure as hell demand an explanation for yourdominatrix_2.jpg attitude change. Of course, maybe he likes being the doormat. Some men really get off on being dominated and treated like shit. Is that why you are no longer into him?

Or is there something else he’s done that has put you off? Did he gain weight? Does he not attend to his personal hygiene? Did he become a Republican? Ya know, things like that. If it is something he’s done or failed to do and he can change his behavior to better suit you, maybe you oughta clue him in on this.

If however, it’s not something he’s done or failed to do, but it’s you. Then he needs to know that too. You did say that you dry up like a prune. Perhaps it’s your libido that’s gone south, not his relative attractiveness? Sometimes women get these two things confused.

Do you have sexual fantasies? Do you masturbate? Are horny for anyone else — either real or imagined? How’s your health? Are you on birth control? Are you depressed? Sleep deprived? Are you putting on the pounds? Could you be experiencing early-onset menopause? As you can see, there are innumerable reasons for a decrease in libido.

At any rate, Heater, you really need to get to the bottom of this, and soon, six years is a mighty long time to live like this. I’d look for a sex-positive therapist to connect with, if I were you. Clearly, you’ve been unable, in six years, to discern the cause of your attitude change on your own. It’s irresponsible to continue to drift with the status quo.

Name: Scott
Gender: Male
Age: 20
Location: Kansas
I am a 20 year old virgin who has never even had phone- or cybersex. The reason for this is that when I am complimented in a sexual or sensual manner — for example “your voice is sexy” or “your intelligence is a major turn on” or even something as simple as “you’re cute (or adorable or whatever)” — I am aroused but I also have a very negative reaction. I have a cold, sinking feeling in my stomach, become slightly dizzy and even occasionally nauseous. I’ve been having these reactions since 7th grade which was the first time I was propositioned. When I find the woman of my dreams I want to be able to satisfy her every want and need, but I won’t be able to if I continue to have these reactions. Can you help me get rid of this or at least give me an idea of where it comes from or what is causing it?

Sounds to me, pup, like you got yourself a bad case of sexphobia; an irrational fear of sex. This is classic: “I am aroused but I also have a very negative reaction. I have a cold, sinking feeling in my stomach, become slightly dizzy and even occasionally nauseous.” You should also know that this isn’t a particularly uncommon problem.

There’s probably a good reason why you’re experiencing this phobia. If you and I werebetter_with_partner.jpg working together I’d want to take a look at the incident that you report happened to you in the 7th grade. You said you were propositioned. What does that mean? You were 12 and someone came on to you? A peer? Someone older? Was it someone inappropriate; a family member, a clergy person, a teacher? Why such a negative response?

That being said, getting over a phobia, of whatever kind — fear of flying, snakes, spiders, public speaking, or sex — can be accomplished without dredging up the past. Try this:

  • Identify the specifics of your fear as they play themselves out in your life now. What precisely frightens you about sex and/or intimacy?
  • Create a plan to take the edge off your fear in small steps. For example, start out with holding hands, move to embracing, then kissing. What behaviors push the panic button for you?
  • Address each and every thing that hampers your progress. For example, why does kissing push your buttons and holding hands and/or cuddling doesn’t?
  • Be firm in your resolve to push past your discomfort and stretch your limits. Sinking to the lowest common denominator will not do.
  • Address the emotional response you have to each aspect of your phobia before moving on to the next one. Build on your successes.

This is kinda hard to do on one’s one, but it’s not impossible. There are loads of books and programs on the market that help an individual move through a phobia. You might want to look online, look for something like: overcoming a phobia.

Some people have success with visualization techniques, for others hypnotherapy works. Basically, it’s simply a matter of desensitization — defusing the feared thing, and doing it incrementally.

Name: afeisha
Gender: Female
Age: 21
Location: pennsylvania
i usually have orgasms when i masturbate, but why when im having sex its so hard to arrive at an orgasm? even when the sex is great.

Women suffer from performance anxiety too, ya know.

While performance anxiety is mostly talked about in terms of men and their erection problems, the guys don’t have a monopoly on the annoying issue.

I’d be willing to guess, my dear, that you’ve got some performance anxiety goin onbeatuy_booty.jpg yourself, possibly even big time. Sad to say, this difficulty often plagues younger women the most. Young women tend to have less self-esteem. And if they are new to sex, they may not know what they are doing, which can be disturbing and distracting. On the other hand, if a young woman is not a sexual novice and she appears too knowledgeable about sex, she runs the risk of being labeled a slut. So basically, young women can’t win for losing. Regrettable, but there ya have it.

So let’s see if we can get to the bottom of this, as it were. Let me ask you a few questions. First and foremost, where is your mind when you are having sex with a partner? Is it on the pleasure you are giving and receiving? Or is it, like so many people, on something other than that?

  • If your mind is busy with how you look, or how you smell, or if you are wondering if that birthmark is too obvious. Or if you’re worried about how accomplished you are at performing a particular sex act, or if you’re concerned about your partner feelings for you. Then you may have performance anxiety.
  • If you anxious about what your partner is thinking of you, of if he/she is turned on by you, or loves you, or is just bangin’ away at you like a slab of beef. Then you may have performance anxiety.
  • If you’re afraid to let go and have a screamin’ meme of an orgasm, because it might not look lady-like, or you’re not sure you can trust the person who’s bumpin’ you enough to just relax and enjoy the ride. Then you may have performance anxiety.

However, performance anxiety is only one explanation for the problem you experience in partnered sex. Many women report that their partnered sex is not as satisfying as their solo sex, because they’re not able to stimulate themselves in the same fashion in partnered sex as you do when they’re jillin’ off on their own. If you are self-conscious about showing your partner the particulars of gettin yourself off, or too intimidated to incorporate a vibrator in your love making, you might not be getting what you need when you need it. Thus you might be aroused, but not to the point of lettin’ one loose…if ya catch my drift.

Finally, one of the easiest solutions to this problem is to simply have a frank discussion with your partner(s) about what gets you off before the fuck-fest begins. That will clear the air of unnecessary anticipation and you both will be able to relax more into the event itself, rather than being distracted by the externals.

Good luck ya’ll

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

Quickies

Name: r68tool
Gender: Male
Age: 52
Location: Montana
Doc, I have been an insulin-dependent diabetic for 25 years. I’m also a post-operative kidney transplant recipient. I have not been able to achieve nor maintain any kind of erection for the past 19 years. I have visited several urologists, but they have been useless. I am able to manipulate my cock to have a semi-hard erection by tying a leather string around my scrotum and cock. I can sometimes get very erect. But when I orgasm, I NEVER ejaculate sperm. I’m convinced that there must be blockage to prevent an erection and semen flow. Any suggestions? Do I need surgery?

Do you ABSOLUTELY need to ejaculate when you orgasm? Lots of guys with medical issues, like yours, don’t. There are also many men who practice ejaculation control as part of Tantric sex.cock,schlong, dong

I don’t believe you have a blockage of any sort. The glands that produce the bulk of your ejaculate may have atrophied due to the diabetes. This is not uncommon. If this is the case, no surgery is gonna fix that.

That being said; I have a tip for you. If you are self-conscious about not having an ejaculate when you cum, check out Spunk Lube. It’s the lube that looks and feels just like jizz.

Good luck

Name: Emily
Gender: Female
Age: 26
Location: Ohio
I have been having sex with this guy I met for a week now and he’s only cum once. We have foreplay and then we have sex… We try all positions but then his dick goes limp. Is it because of me? He says he likes to have sex with me but I’m confused, why isn’t he cumming? We usually have sex for hours at a time… I squirt and keep my pussy moist so what’s the problem here?

Performance anxiety causing delayed ejaculation. That would be my guess.

Use the search function at the top of the sidebar to your right, type in performance anxiety and you’ll be presented with a load of information about this issue and how to handle it.

Here’s a little taste of what you will find:

Most of us experts believe that the majority of delayed ejaculation concerns are not physical in nature, but rather they are the product of psychological problems. Perhaps your friend would benefit from a professional evaluation.

cordially invitedGenerally, the object of a sexological intervention is to diffuse the guy’s sexual anxieties so that he can comfortably cum with his partner without difficulty.

When I see this issue in my therapy practice, I offer my clients a series of homework assignments that are designed to reduce performance pressure and focus on pleasure. These are relaxation exercises and sensate focus exercises.

I call a moratorium on fucking for a limited period of time, so the couple can learn other means of sexually pleasuring one another. I try to get my clients to stay in the moment; absorb the pleasure that is present without worrying about what is “supposed to” happen. I encourage my clients to create a relaxed, sexy atmosphere, free of pressure to perform in one-way or another. Finally, we address as frankly and openly as possible any and all fears or anxieties they may have as individuals or as a couple. The most common are a fear of intimacy, of being gay, of being in a relationship or of disease.

Some guys report success with hypnosis. But I don’t practice that myself, so I have no first hand knowledge of its efficacy.

However, I do encourage you guys to get to the bottom of this, so to speak, ASAP. To leave this unaddressed will only cause greater difficulties later on. Just remember, you cannot will a sexual response, just like you cannot will yourself to go to sleep or enjoy something you don’t. And the harder you try to have a certain response, the more inhibited you become.

Good luck

Hi,
I am a male and I am interested in having another man give me oral sex. My question is can I get any STDs by allowing another man to perform oral sex on me? Can you direct me to some information regarding this topic? Thanks!

Ya know, that Google thing really works, my friend! Search for “STD (or STI) and oral sex” and presto! You’ll get a shit-load of info.need a good fuck

Here’s what you will learn: Oral sex is considered a lower risk activity for STDs (or as we prefer to call them, STIs Sexually Transmitted Infections) than are anal and vaginal sex. Even so, it is still possible to get an STD/STI whether you are giving or getting oral sex. Blowjobs can put you at risk for infections like herpes and gonorrhea. If you don’t know where your partner’s mouth has been, and you want to extra protection, use a condom.

Good luck

Hi. I was hoping that maybe you could help me out with this problem.
I really only have minimal experience giving oral sex to a man.
I read your bit about the gag reflex and thank you. I will work on that. I want to talk about teeth. My mouth is not that big, and it is hard for me to keep from scraping my man’s cock with them. My partner wants to fuck my throat. We try, but that seems to always cause problems. I was wondering if you knew of any devices out there that are designed to cover the teeth while only reducing the oral cavity size minimally.

Ya know your jaw is a remarkable thing. With just a little exercise, it can be stretched so that your mouth will open wider. Many people never see the need to stretch their jaw and so the gape of their mouth never increases.

The wider your mouth opens the less your teeth will get in the way of whatever you are inserting in your mouth. It just stands to reason.

Start by doing some simple stretching exercises. Open your mouth as wide as you can and hold it for a count of 5. Do a set of 10 stretches like this at least 3 times a day. You will find that in no time your gape will be larger. You can employ the use of a cock shaped vegetable like a cucumber to aid you in your stretching. Just so you know, this is how the experts (porn stars) ready themselves for the really big ones.

You can get teeth guards as well. But I don’t think the problem lies with your teeth.

Practice these exercises and let me know how you make out, so to speak.

Good luck

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