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Awakening Your Sensual Self Post Cancer

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Name: Doug
Gender: Male
Age: 58
Location: San Diego
HI: I need some help. I had my prostate removed due to prostate cancer. I feel I have lost my man-hood. I don’t experience hard-ons anymore. My penis is dead. Can you recommend something to help me?

It’s truly uncanny; in the past week alone I’ve received similar email from four different people. Each had a very different presenting problem, but all were experiencing very similar sexual issues. Get this, I heard from a woman in Japan who is recovering from a radical mastectomy. I heard from a guy in San Francisco who is recovering from a serious meth addiction. A young wife and mother in North Carolina whose husband, and father of her two kids, has returned from Iraq a basket case…and now you, Doug.prostatecancer_600x450

Its astonishing that, despite the dramatic differences in each of your life stories, all of you report pretty much same thing — you feel less than whole, disconnected from your sexuality and devoid of any real intimacy or meaningful sexual outlet. It is so amazing how, despite our unique individual difficulties, there are often a universal response to life’s troubling complexities.

Regaining a sense of your sexual-self after prostate surgery, or any of the other problems I mentioned above, is an arduous, but rewarding task. With your self-confidence in the toilet and zero libido to boot, I suggest that you begin your rehabilitation by connecting with others similarly challenged as you. In your case, it will probably be other cancer survivors. More likely than not, they will be a whole lot more sympathetic to your issues and attuned to your predicament. Sometimes, people who have yet to experience a life threatening disease or a disfiguring surgery don’t have a clue about how to interact with those that have. It’s not their fault, it’s just the way things are.

I suggest looking into a support group, if you haven’t done so already. Once you make that connection, you will find, that you are not alone. Other people similarly challenged as you are experiencing many of very same things you are. And to my mind, it’s way much easier to face and handle life’s difficulties when surrounded and supported by others.

AGDD_front coverOne word of caution; my experience is that many disease-based programs and support groups shy away from intimacy concerns. This is a real tragedy, because this is the one aspect of healing that consistently remains unaddressed by the medical profession. That is way I included an entire chapter about the intimacy and sexual needs of chronically ill, elder and dying people in my book — The Amateur’s Guide To Death and Dying; Enhancing the End of Life. I encourage you to check out the book; it’s loaded with amazing sex-positive information.

Next I suggest that you first try connecting with people on a sensual level as opposed to a sexual level. I firmly believe in massage as the best say to accomplish this. Think about it. Imagine the good you’ll be able to do for others, as well as yourself with therapeutic touch. And, to my mind, therapeutic touch also includes sensual touch. It will soothe so much more than the jangled nerves and disrupted muscle tissue caused by radical invasive surgery. It gives the one doing the touch a renewed sense of him/herself a pleasure giver, which is totally important to us all. And when you receive the touch, it will begin to reawaken sensory perceptions you thought were lost for good. And your libido as well as your erection will bloom again. I promise. Here’s a tip: to keep that stiffy goin, I encourage you to use a cockring.

Now if you feel your massage skills aren’t up to par, why not take a class or workshop in massage. You might want to look to something like the Body Electric School Of Massage. They have load of training options. And learning is a hands-on experience. What could be more liberating than that?

If a class is a bit too intimidating at first, you might consider purchasing a book on massage. A great primer is: Male Erotic Massage by Ray Stubbs, Ph.D.  This is a holistic approach to bodywork, including the sexual and the spiritual aspects of Male Erotic Massage. There are over 200 photographs in this volume that reveal both massage techniques and the beauty of the male body embracing the male body. The strength, the joy, the gentleness, the ardor, the tenderness, the equanimity, the pleasure — they are all included.

Another title is: Erotic Massage, The Touch of Love also by Ray Stubbs, Ph.D.  This is a more inclusive volume of erotic massage. It describes long, flowing strokes for the whole body, including female and male genitals. By the way, this was the very first massage book to explicitly illustrate genital massage. The techniques described are simple and easy to perform. It’s superbly illustrated, and the text is both tender and playful.Massage

Finally, your gift of massage is the ideal way to connect with another human, be it a friend, a family member, lover, or even a stranger. Your touch can be either seductive or non-seductive, or maybe a little of both. You can count on this purposefully touching to open new doors. You’ll discover new pleasures, both subtle and profound, as you give as well as receive touch.

I encourage you to push beyond the isolation I know you are feeling, Doug. Purposeful touching, like massage, will change your perceptions about sex, sensuality, and intimacy. And like I said, it will also resurrect your boner. I know this can happen. I’ve seen it happen. Doug, now it’s your turn to make it happen!

Good luck

Hey dr dick! What’s that toll-free podcast voicemail telephone number? Why, it’s: (866) 422-5680. DON’T BE SHY, LET IT FLY!

Willie Worry & Willie Pride

Name: Matilda
Gender: Female
Age: 20
Location: Puerto Rico
I’m trying to understand something. All the guys I know are so obsessed with their penis. It’s like the whole world revolves around what they have in their pants. This is so different from how women relate to their genitals. I just can’t understand how men and women can be so different. What gives?

I suppose the short answer is that men have external genitals and women have internal genitals. We also have way more cultural permissions to explore their bodies then women do. That pretty much sets the stage for everything else.

jon-hamm's-hamOf course this is a double-edged sword, so to speak. At every stage of life there’s a potential downside to our pal’s perpetual presence. Familiarity can, and often does, breed contempt. The delicate dance we do with our dick can suddenly go out of balance. Admiration can turn to contempt and pride of ownership can morph into pangs of inadequacy. This predicable human tendency gives rise to as much willie worry as willie pride.

That’s why most men are obsessed with their johnson. But how do we get that way, you might wonder? Well your question got me to thinking about how us men folk form this particular relationship with our unit. So I started to jot down some thoughts on us men and our meat.

Nothing quite captures a man’s imagination like his cock. Its size, shape and general appearance is a source of endless wonderment to each of us. Maybe it’s because our buddy is always right there, just hanging around waiting for a little attention. And let’s face it, we are always checkin’ it out, right? We’re forever giving it a little tug, playing a little pocket pool, adjusting it for a bit more comfort. It keeps us company when we are alone and we never leave the house without it. It’s perfectly natural for us to grab hold of our unit several times a day simply to relieve ourselves. And, who among us, while it’s right there in our hand, doesn’t stop for a moment and admire its many attributes.

Our fascination begins at birth. Hey, did you know that we are born sexually aroused? (Women are too, but that’s another story.) That’s right, our infant stiffy is loaded for pleasure from day one.New-baby-boy-weight-11-pounds

Babyhood is spent figuring out the complexities of our body and gaining control over all our moving parts. We kick our legs, flail our arms, and outstretch our hands and fingers to test their capacities and develop muscle coordination. Then, one fateful day, our spasmodic movements suddenly bring our fingers in contact with our little baby penis. In an instant we make a mental note of this startling connection, how this particular touch equals delicious pleasure, and a life-long friendship begins.

Some social scientists suggest that our desire to purposely reconnect with our penis, to repeat the pleasurable sensations that occurred when first we accidentally brushed-up against our cock, is one of the most powerful motivators for further self-discovery and the development of motor skills. “If touching this part gives me this much pleasure, I wonder what else on my body will do the same?” How innocent we once were!

Babyhood gives way to boyhood and our favorite toy leads the way. We spend hours mindlessly fondling ourselves. Simply placing our hand on our dick can calm us when we are anxious as well as gives us a sense of overall wellbeing. Mastering our pee sessions, which takes quite a bit of clever hand/eye/penis coordination, is cause for great joy among the grown-ups. But negative messages are also beginning to seep in; and some are none too subtle. “Leave it alone!” That’s dirty!” “Put some cloths on!” Someone is always trying to get between our buddy and us.

relievingIn time we notice that we’re not alone, other boys and men have a joystick too. Along with our natural curiosity come the inevitable comparisons. “His looks different.” Wow, that’s big.” But almost immediately, we learn that checkin’ out another dude’s package is not just bad, but it’s real bad. Of course this doesn’t make us stop, we just learn how to do it on the sly. The prohibition against looking, coupled with our natural curiosity make for a potent, but dangerous mix.

Puberty arrives with all kinds of surprises, not least of which is the discovery that Mr. Wonderful suddenly has a mind of his own. His unruly behavior is often an embarrassment: stirring to life and tenting in our pants at the most awkward moments. At the same time, we also discover new and exquisite pleasures. Our gun is now loaded. The incessant build up of sexual tension throws us into a frenzy of masturbation. We begin to beat our meat like it owes us money. We spurt and spew with wild abandon. Well, until we’re busted by the grown ups, that is. In short order waves of repression from everywhere begin layer on guilt and shame. What was once such a natural a part of life has now become this great big conflict.

Our hormones rage and the dictates of biology press upon us with a counter force to the repression. Navigating this minefield is a huge challenge, especially when we haven’t a clue what’s happening to us or how to control it. Sex information is sparse when there’s any at all. And most of what we hear is woefully unreliable. The information we get comes mostly from older boys, who are more knowledgeable than us. They hint at pleasures and intimacies we’ve yet to discover. They boast of their conquests, of bustin’ a nut, of big schlongs and wet pussies. The message becomes clear; the bigger your buddy the happier and more successful you’ll be at baggin’ the chicks.morning-wood

Adulthood is a mixed bag for our dick and us. Being a grownup has its privileges. There are fewer people around to dictate our behaviors, but there is also loads of worry and stress. And we soon discover that our cock is the first to suffer. Pressures to mate, to make money, and compete with rival males for status, power and position take their toll. The privileges of being an adult — fast living, late hours, a poor diet, alcohol and drug consumption soon lead to, burn out, sleep deprivation, weight gain, medical problems and a host of prescription medications.erection comics

Our old buddy is in rebellion. Maybe he’s retaliating for the pressures we’ve placed on him, or the fact that we pay him less and less attention till we call him up for active duty. And then we expect him to perform like he did when we were lads. Fickle and stubborn as always, Mr Wonderful refuses to comply.

Our golden years are marked by more time for ourselves, but there’s also less autonomy. Our body doesn’t respond as it once did, or even like it did a few years earlier. While the pressures of life diminish, and a kind of peace settles in, medical problems proliferate. Happily, our hormones no longer rule us. But despite the quieting of our passions there is always desire.

All our life we’ve equated performance and stamina with virility and potency, but now our once vibrant buddy seems downcast, listless and decidedly unresponsive.

And that’s why us men have such an obsession with our cock, Matilda. It’s virtually impossible not to.

Good luck

Hey dr dick! What’s that toll-free podcast voicemail telephone number? Why, it’s: (866) 422-5680. DON’T BE SHY, LET IT FLY!

You make me want to shout!

Hey sex fans!

Welcome to this our latest edition of Product Review Friday. Today we feature the second of the two products sent to us by that sizzlin’ hot company, Spare Parts Hardware.

But wait, you didn’t miss the first of our reviews, did you? Well not to worry if you did, because you can find it all our previous reviews archived on my Product Review site, Dr Dick’s Sex Toy Reviews. You’ll find our first Spare Parts Hardware review HERE:

Today we welcome back Dr Dick Review Crew member, Carlos. We’ve missed you sir and we’re so glad you’re back with us.

Deuce Male Harness – $139.99

Carlos

Thanks, Dr Dick, it’s good to be back.

Those of you who follow my reviews may recall that way back in October 2007, when I participated in my first review; I mentioned I was having some prostate problems. I’ve been calling attention to that issue ever since. Well, earlier this year, I was diagnosed with prostate cancer and soon there after I went under the knife. I had a radical prostatectomy, which removed my prostate gland as well as and some of the surrounding tissue.

Like my Dr Dick Review Crew colleague, Angie, who was diagnosed with lymphoma over a year ago, I’ve been struggling to regain a sense of my sexual-self post surgery. No one; not my doctors, not my nurses, not anyone in the cancer support group I attend ever talks about sex and sexuality post diagnosis and treatment. It’s criminal really.

The surgery impacted every aspect of my sex life — with my myself, with my wife and the periodic connections I used to have with some of my men friends. Thank god I’ve been able to count on Dr Dick to help me through this, because if I had to do this alone I don’t see how I would have made it.

I want to repeat something Angie said. “There is precious little information about sex and sexuality available to cancer survivors. No one seemed to be capable of speaking clearly and unambiguously about how a cancer diagnosis and treatment impacts a person’s intimate life. This conspiracy of silence has got to stop!”

Since the surgery I haven’t had a full erection. Dr Dick tells me that I may regain that capacity with time. I also no longer have an ejaculation. That Dr Dick tells me is gone for good. That really bums me out, but I can still have an orgasm, so I’m really happy for that. Dr Dick gave me some exercises to help me with the arousal phase of my sexual response cycle, mostly it masturbation sorts of things. He also suggested that rather than going without partnered sex, I could try a strap on. Hell, I didn’t even know there were strap ons for men. As you can see, I had a lot to learn.

And this is what gets me to the fantastic Deuce Male Harness that I want to tell you about today. It looks and wears just like a jockstrap. It’s completely adjustable so it always fits perfectly. It’s made of a very sensual fabric. And it’s completely machine washable. Oh, and did I mention it is smokin’ hot? It really bolsters my sexual self-confidence. And that’s about the best therapy there is.

Ok, so let’s take a closer look at the Deuce starting with the fabric. Like I mentioned earlier, it’s soft, silky and body hugging. It’s a nylon and spandex blend, which makes it stretchy and durable. If you’re trying to picture it in your mind’s eye think a quality swimsuit material. All the adjustment sliders are made of a durable hard plastic.

The front panel is super functional. The pouch, just like a jock, cradles your own equipment. If you’re gonna just use a dildo or dong with the Deuce. There is a built-in O-ring to stabilize your dong of choice. But here’s the BIG plus; there is an opening below the O-ring that allows you to slip you’re your cock through so that you can use your own johnson along with the dildo. This is ideal for double penetration; or if you simply want to experiment with a bigger dildo than your own cock; or if you want to keep pleasuring your partner after you shoot your load. Ya see, there are lots of reasons a guy might want to use a strap on even if his own unit works perfectly well.

Unlike the more traditional leather harnesses, the Deuce is really sporty looking. The wide waistband, with the attractive Spare Parts Hardware logo on it, adjusts using velcro. There’s also a second set of adjusting straps on the waistband to gain precision snugness. Even the leg straps are adjustable.

You can use a lot of different kinds and sizes of dongs and dildos, just as long as the ones you choose have a base. And putting the dildo or dong in place is super easy, the O-ring is very accommodating.

Don’t be afraid of using lots of lube, because as I mentioned earlier you just pop the Deuce in the washer and you’re done with the cleanup. Don’t even think of trying that with a conventional leather harness.

The Deuce comes with a zippered storage bag. And there’s even a pocket in the bag for condoms and/or a small bottle of lube. It’s idea for travel.

Finally, let me compliment Spare Parts Hardware on their packaging. It’s beautifully simple, yet amazingly classy and every part of the packaging is completely recyclable. Kudos!
Full Review HERE!

ENJOY

You’ve lost that lovin’ feelin’…

Name: James
Gender: Male
Age: 45
Location: Canada
During my teenage years I had a few girlfriends and enjoyed having sex with them. There were never any problems. However at around age 20 while still in College I began to experience sexual dysfunction with my partners after the second or third time we would have intercourse. The symptoms were, I’d be horny, have a good erection but a few minutes into intercourse my penis would start to feel numb and I either would not be able to have an orgasm or I would lose my erection. I would also start to feel sexually repulsed by my partner. This pattern continued for the next 15 years as a single man. I thought I was simply easily sexually bored and dealt with the problem by breaking off the relationship as soon as the sexual dysfunction would start and move on to someone new. One night stands and new partners were never a problem. It just happened after we would have a few dates. It also happened when I met my future wife. It didn’t seem to bother her that much although she thought it might be a good idea to make an appointment to see the Doctor about it. After we were married we basically stopped having sex (we weren’t having much to begin with) because it just proved too stressful, humiliating and it had no payoff for me. I started seeing therapists and for the next 8 years I went through 7 different therapists including marital counselors, sex therapists and psychiatrists. Now I have been married almost 15 years and the marriage has been sexless. My wife doesn’t like it but has made her peace with it. I can masturbate with no problems at all and have been told by doctors there is nothing physically wrong with me. But none of the therapists were able to pinpoint what was causing my sexual problem. I have had a few sexual encounters outside my marriage over the years and the sex was great, no problems at all. Mind you none of these “affairs” lasted very long, a half dozen sexual encounters at most. Any ideas what might be causing this inability to ejaculate and inability to keep an erection plus the feeling of sexual revulsion with a partner after two or three sexual encounters?

YIKES, James, you just recounted 25 years of deep seeded psychological problems and you expect me to make an insightful comment in the precious little time I can afford any one of my correspondent. That’s a pretty tall order; don’t you think?

Ok, for all it’s worth, here goes. My guess is that you don’t have a sexual dysfunction at all. But you do have a huge rift between your sexual life and your intimate life. And this expresses itself in the ways you outlined above.

Many people who have difficulty with intimacy can still perform sexually pretty much like everyone else. Obviously the performance thing is not dependent on the intimacy thing. In these cases, sex is rarely more than a mechanical bodily function — get it up, get it on, get it off, the end. The hard part comes when these people try to ground these mechanics in a healthy emotional context.

The fact that you can’t bone the same person more then a couple of times without revulsion, and that you can only tolerate your long-suffering wife if your marriage remains sexless; tells me you need to investigate why you can’t connect sexual expression with intimacy. You exhibit all the classic signs of a sexual dysfunction, but they’re only symptomatic of a much more profound disability. And you’ll never get to the bottom of dysfunctions until you get to the root of your intimacy issue.

When I see a person, like you, in my therapy practice, I try to help my client overcome his/her rift by encouraging him/her to gradually increase the amount of intimacy he is comfortable with every sexual encounter. It’s a simple behavior modification technique. It often is very successful, but most of my clients are highly motivated to heal the fracture in their life. Also, they don’t have a 25-year history of this to overcome.

You on the other hand, don’t seem to be particularly motivated. I can see that you’re curious about your sexual problems, but you’re not making that all important connection between your bodily functions and your emotion capacity. There’s a blockage there that is so ingrained it would be very difficult to undo. It could happen, but you’d have to be very passionate about making it happen and then stick with the therapeutic intervention till there was a breakthrough. This no doubt would involve reversing a lifetime of selfishness and egotism. And I see no evidence that you have that kind of moxy.

Good luck

Hey dr dick! What’s that toll-free podcast voicemail telephone number? Why, it’s: (866) 422-5680. DON’T BE SHY, LET IT FLY!

Therapy Available

I’m a Clinical Sexologist in private practice here in Seattle. I’ve been a practitioner of psychotherapy, sex therapy and relationship counseling for over 30 years. I am a sex positive and kink aware helping professional.

I am available weekdays, some evenings and weekends so you can comfortably fit your sessions in around your work, family and social life.

If you would like to talk to someone about your sexual thoughts, feelings, lifestyles and/or experiences then arrange for a consultation at our mutual convenience.

WHAT I OFFER / THERAPY, COUNSELING, CONSULTING or COACHING SESSIONS
I provide therapy in a variety ways —

  • on the telephone
  • online
  • in person

All sessions are 60 minutes in duration. Telephone and online appointments are paid for in advance via Paypal.

Here’s a bit more about the way I work.

I don’t believe therapy should become a lifestyle. Thus, my therapeutic intervention is short term, goal directed and personally liberating. I generally contract with my client(s) for four, six or eight visits (clients of course can terminate at any time). This way we build in an automatic termination date, keeping all of us focused on the goal and honest about the progress we’re making. And, more importantly, the end is always in sight. Rarely do I see client(s) for more than eight session in a row. If my client(s) doesn’t have what he/she/they need to work independently on the problems he/she/they face by that time, then I didn’t do my job properly.

I also firmly believe in at-home-work and journaling. These things keep my client(s) integrated and involved throughout his/her/their with me. Our time together will be concentrated, so there will little time to waste…either yours or mine.

My fee is $110 per session. I do, however, offer a sliding fee schedule for those who have need of that.

You’re welcome to contact me for an appointment if you’d like to move forward with this. You can reach me at: dr_dick@drdicksexadvice.com

TELEPHONE
Some people find it easier to talk about intimate aspects of their life over the phone rather than in person. Access therapy from the comfort and privacy of your own home, car or office. Telephone therapy helps get round geographical, transport and mobility issues.

ONLINE
I can also provide my services via the most commonly used chat and message platforms such as Skype, Yahoo Messenger, etc.

SCHEDULE THERAPY
To book your therapy session(s) email me your preferred date and time dr_dick@drdicksexadvice.com. We will then arrange your preferred payment method. Sessions can be made in block bookings or singly whatever suits your budget and commitments. Early booking is advisable.

CANCELLATIONS
A 24 hours notice is required from the client to cancel or change a booked appointment time. Clients will not be entitled to a refund or an alternative appointment if a cancellation is made with less than 24 hours notice.

PUNCTUALITY
All sessions will start and end at the agreed time. Late calls or visits will result in a shorter consultation. All consultations are by appointment only.

SERVICES
Clinical services cover a full range of sexual heath concerns including:

— Guilt associated with religious upbringing or training.
— Sexual trauma and/or sexual abuse
— Conflicts or sexual dissatisfaction between partners.
— Ejaculation and/or erection concerns.
— Orgasm concerns.
— Sexual orientation/lifestyle preference.
— Sexual inhibitions.
— Socio-sexual skills.
— Sexual misinformation.
— Love and sexuality.
— Jealousy and possessiveness.
— Poor body image.
— Unsatisfactory sexual outlet.
— Safe-sex concerns.
— Sexuality and illness or disability.
— Sexuality and grieving.

My practice combines the best of a short-term cognitive behavioral therapy model with a compassionate, person-orientated counseling technique. My purpose is to help clients come to terms with their sexual problems and conflicts as these relate to their own life values, expectations and goals.

My services are open to individuals, couples, families and groups, of any sexual persuasion, who have sexual concerns. I am available for lectures, workshops, and in-service training.

BACKGROUND
Since the completion of my doctoral studies in 1981 I have been involved in a wide range of sexological activities including counseling, teaching, lecturing, writing, publishing, video production, in-service training and facilitating groups and workshops.

I’ve been writing this online sex advice column for well over fifteen years now.
I am the founder and former Executive Director of the nonprofit organization, PARADIGM; Enhancing Life Near Death — an outreach and resource for terminally ill, chronically ill, elder and dying people.

My therapeutic training includes The Institute for Advanced Study in Human Sexuality San Francisco, The University of California, San Francisco Human Sexuality Unit, and The Pacific Center for Human Growth, Berkeley.
Besides my sexological training I carry a Masters degree in Theology from the Jesuit School of Theology, Berkeley.

I am Board certified by The American College of Sexologists, The American Board of Sexology and The American Association of Sex Educators, Counselors and Therapists.

Richard Wagner, M.Div., Ph.D., ACS





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