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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

A stressful life is bad for the bedroom

If you are consistently emotionally distressed due to social, economic or relationship pressures, you can be sure to lose erections. Being annoyed with your intimate partner all the time, and feeling undermined or frustrated are bad for your erections.

By JOACHIM OSUR

Lois came to the sexology clinic because she was sexually dissatisfied with her husband. It had been six months of no sex in their 11-year old marriage. Before that, her man had suffered repeated episodes of erection failure. “The few times he did get an erection, it was flaccid and short-lived,” Lois explained. “You can only imagine how that can be frustrating to a faithful wife.”

Lois suspected that her husband was getting sexual satisfaction elsewhere, and had angrily told him she didn’t want to have sex with him anymore. “I thought he was no longer interested in me because I had gained too much weight after bearing our two children, a very hurtful thought,” she explained sadly.

And so for six months the couple kept off each other. The relationship got strained and unfortunately Andrew, Lois’ husband, threw himself into his work. He stayed late at work and came home after everyone was asleep. He woke up and left the house early. He paid no attention to their two children anymore.

“So how can I help you?” I asked, lots of thoughts going through my mind due to the complexity of the case. You see, the man, who was the one having a problem, had not come to the clinic. Erection failure or erectile dysfunction (ED) is a complex symptom that requires a thorough assessment for its cause to be pinpointed. I needed Andrew to come see me himself.

VICTIM OF THE RELATIONSHIP

“What do you mean that it is a symptom of complex problems?” Lois asked, frowning. ED is simply a failure to be aroused sexually. This could be due to the derangement of some chemicals in the brain such as dopamine. It could also be due to hormonal problems such as low testosterone, high prolactin and so on.

What we are also seeing at the clinic is a rise in cases of diabetes and hypertension, usually accompanied by obesity. Most of the affected people have high cholesterol. These diseases destroy blood vessels, including those in the penis, making erections impossible. Further still, the diseases can destroy nerves, and if the nerves of the penis are affected, erections fail. People with heart, kidney, liver and other chronic illnesses may similarly get ED either from the diseases or from the medicines used to treat them.

Stressful lifestyles are also contributing to ED quite a bit these days. Many people work two jobs to get by, and have no time to relax or get adequate sleep. A physically worn out, sleep-deprived body is too weak to have an erection and you should expect ED to befall you any time if this is your lifestyle.

But emotional distress is even more dangerous for ED. If you are consistently emotionally distressed due to social, economic or relationship pressures, you can be sure to lose erections. Being annoyed with your intimate partner all the time, and feeling undermined or frustrated are bad for your erections. Further, feeling like a victim in the relationship can lead to ED. All these are further complicated by anxiety and depression, which are bound to set in as part of the relationship problem or as a result of the ED itself.

“So can’t you just give me some medicine for him to try then if it fails he can come for full assessment?” Lois asked, realising that my explanation was taking longer than she had anticipated.

Unfortunately that was not possible. We get this kind of request all the time at the clinic. In fact, people make phone calls asking for tablets to swallow to get erections immediately. Sometimes they call from the bathroom with their partner in the bed waiting for action yet the erection has failed. There is however no alternative to a thorough assessment and treatment of the cause of the ED.

Andrew came to the clinic a few days later. A full assessment found that he had a stressful career and relationship difficulties, and both had taken a toll on his sex life. He had to undergo a lifestyle change. Further, the couple went through intimacy coaching. It was another six months before they resumed having sex.

Complete Article HERE!

What getting intimate at 60 really means

Most people assume getting saucy under the sheets it just for the young, but what about the young at heart?

By Ashley Macleod and Marita McCabe

Sexuality encompasses sex, gender identities and roles, sexual orientation, eroticism, pleasure, intimacy and reproduction and what we think, feel and believe about them. It has been a research focus for over a hundred years, and highlighted as an important part of the human experience. Since the first studies on human sexuality in the 1940s, research has consistently demonstrated that sexual interest and activity are sustained well into old age. However, only a fraction of the research has explored sexuality in the later years of life.

Most of the early research on sexuality and ageing looked at the sexual behaviours and biology of older adults, generally ignoring the wider concept of sexuality. When researchers did discuss sexuality more broadly, many referred to sexuality as the domain of the young, and emphasised this was a major barrier to the study of sexuality in older adults.

Sexuality in later life ignored

Towards the end of the 20th century, research expanded to include attitudes towards sexual expression in older adults, and the biological aspects of sexuality and ageing. Consistently, the research showed sexual expression is possible for older adults, and sustained sexual activity into old age is more likely for those who had active sex lives earlier in life.

By the late 1980s, there was a strong focus on the biological aspects of ageing. This expanded to include the reasons behind sexual decline. The research found these were highly varied and many older adults remain sexually active well into later life.

But despite evidence adults continue to desire and pursue sexual expression well into later life, both society in general and many health professionals have inadvertently helped perpetuate the myth of the asexual older person. This can happen through an unintentional lack of recognition, or an avoidance of a topic that makes some people uncomfortable.

Why does this matter?

These ageist attitudes can have an impact on older adults not only in their personal lives, but also in relation to their health needs. Examples include the failure of medical personnel to test for sexually transmissible infections in older populations, or the refusal of patients to take prescribed medications because of adverse impacts on erection rigidity. We need more health practitioners to be conscious of and incorporate later life sexuality into the regular health care of older adults. We still have a long way to go.

By ignoring the importance of sexuality for many older adults, we fail to acknowledge the role that sexuality plays in many people’s relationships, health, well-being and quality of life. Failure to address sexual issues with older patients may lead to or exacerbate marital problems and result in the withdrawal of one or both partners from other forms of intimacy. Failure to discuss sexual health needs with patients can also lead to incorrect medical diagnoses, such as the misdiagnosis of dementia in an older patient with HIV.

It’s not about ‘the deed’ itself

In a recent survey examining sexuality in older people, adults aged between 51 and 89 were asked a series of open-ended questions about sexuality, intimacy and desire, and changes to their experiences in mid-life and later life. This information was then used to create a series of statements that participants were asked to group together in ways they felt made sense, and to rank the importance of each statement.

The most important themes that emerged from the research encompassed things such as partner compatibility, intimacy and pleasure, and factors that influence the experience of desire or the way people express themselves sexually. Although people still considered sexual expression and sexual urges to be important, they were not the focus for many people over 45.

Affectionate and intimate behaviours, trust, respect and compatibility were more important aspects of sexuality than intercourse for most people. Overall, the message was one about the quality of the experience and the desire for connection with a partner, and not about the frequency of sexual activities.

People did discuss barriers to sexual expression and intimacy such as illness, mood or lack of opportunity or a suitable partner, but many felt these were not something they focused on in their own lives. This is in line with the data that shows participants place a greater importance on intimacy and affectionate behaviours such as touching, hugging and kissing, rather than intercourse.

These results help us challenge the existing stereotype of the “asexual older person” and the idea intercourse is necessary to be considered sexually active. They also make it clear researchers and health practitioners need to focus on a greater variety of ways we can improve the experience and expressions of sexuality and intimacy for adults from mid-life onwards beyond medical interventions (like Viagra) that focus on prolonging or enhancing intercourse.

Complete Article HERE!

Redefining Sexuality after Stroke

You can have a healthy sex life after having a stroke.

By StrokeSmart Staff

You can have a healthy sex life after having a stroke. In fact, it’s a key part of getting back into a normal routine. The need to love and be loved is significant. Also, the physical and mental release that sex provides is important.

The quality of a couple’s sexual relationship following a stroke differs from couple to couple. Most couples find that their sexual relationship has changed, but not all find this to be a problem. The closeness that a couple shares before a stroke is the best indicator of how their relationship will evolve after the stroke.

However, having sex after a stroke can present problems and concerns for both you and your partner.

Stroke survivors often report a decrease in sexual desire. Women report a strong decrease in the ability to have an orgasm and men often have some degree of impotency. A stroke can change your body, how you feel and impact your sex life.

Having good communication with your partner, managing depression, controlling pain or incontinence and working with impotence can all help you resume a healthy sex life.

Communication is Key

Talking about sex is hard for many people. It gets even more complicated after having a stroke, when you may be unable to understand or say words or have uncontrollable laughing or crying spells. But it is critical to talk openly and honestly with your partner about your sexual needs, desires and concerns. Encourage your partner to do the same. If you are having a difficult time communicating with your partner about sex, an experienced counselor can help.

Depression, Pain and Medication — How They Effect Your Sex Drive

It is common for stroke survivors and their partners to suffer from depression. When you are depressed, you tend to have less interest in sexual intimacy. Depression can be treated with medications. You may also be taking medicine for anxiety, high blood pressure, spasticity, sleeping problems or allergies. Addressing these medical concerns can increase your sex drive. But know that some medication can also have side effects that interfere with your sex life. If your ability to enjoy sex has decreased since your stroke, talk with your doctor about medicines that have fewer sexual side effects.

Many stroke survivors also have problems with pain, contributing to a loss of sexual desire, impotence and the ability to have an orgasm. This is a normal reaction. Work with your doctor to develop a program to manage your pain and increase your sexual desire.

Controlling incontinence

If you are having trouble with controlling your bladder or bowel, being afraid that you will have an accident while making love is understandable. There are a few steps you can take to help make incontinence during sex less of a concern.

  • Go to the bathroom before having sex
  • Avoid positions that put pressure on the bladder
  • Don’t drink liquids before sexual activity
  • Talk to your partner about your concerns
  • Place plastic covering on the bed, or use an incontinence pad to help protect the bedding
  • Store cleaning supplies close in case of accidents

If you have a catheter, you can ask your doctor’s permission to remove it and put it back in afterwards. A woman with a catheter can tape it to one side. A man with a catheter can cover it with a lubricated condom. Using a lubricant or gel will make sex more comfortable.

Working With Impotence

Impotence refers to problems that interfere with sexual intercourse, such as a lack of sexual desire, being unable to keep an erection or trouble with ejaculation. Today, there are many options available to men with this problem. For most, the initial treatment is an oral medicine. If this doesn’t work, options include penile injections, penile implants or the use of vacuum devices. Men who are having problems with impotence should check with their doctors about corrective medicines. This is especially true if you have high blood pressure or are at risk for a heart attack. Once you have talked to your partner and you are both ready to begin a post-stroke sexual relationship, set yourself up to be comfortable. Start by reintroducing familiar activities such as kissing, touching and hugging. Create a calm, non-pressure environment and remember that sexual satisfaction, both giving and receiving, can be accomplished in many ways.

Ask the Doctor

Things to discuss with your doctor:

  1. Medications for depression and pain that have fewer sexual side effects.
  2. Changes you should expect when having sex and advice on how to deal with them. Be sure to discuss when it is safe to have sex again.
  3. Impotence and corrective medications.
  4. Incontinence — a urologist who specializes in urinary functions may be able to provide help in this area.

Tips for Enjoying Sex After a Stroke

  • Communicate your feelings honestly and openly.
  • if you have trouble talking, use touch to communicate. It is a very intimate way to express thoughts, needs and desires.
  • after stroke, your body and appearance may have changed. Take time for you and your partner to get used to these changes.
  • Maintain grooming and personal hygiene to feel attractive for yourself and for your partner.
  • explore your body for sexual sensations and areas of heightened sensitivity.
  • have intercourse when you are rested and relaxed and have enough time to enjoy each other.
  • try planning for sex in advance, so you can fully enjoy it.
  • Be creative, flexible and open to change.
  • the side of the body that lacks feeling or that causes you pain needs to be considered. Don’t be afraid to use gentle touch or massage in these areas.
  • if intercourse is too difficult, remember there are many ways to give and receive sexual satisfaction.

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