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Some drugs can cause unwanted sexual side effects in men



You might assume that erectile dysfunction, or ED, is a normal problem that men face as they age. But because men (and women) take more medications as they age, the experts at Consumer Reports’ Best Buy Drugs report that side effects from those drugs are a little-known yet common cause of ED.

“Many medications can affect things like erectile dysfunction, desire and ejaculation in different ways and through different mechanisms of action,” says J. Dennis Fortenberry, former chair of the board of the American Sexual Health Association and the Donald Orr Professor of Adolescent Medicine at Indiana University School of Medicine.

Medications that can have these effects include high blood pressure drugs such as beta blockers, including atenolol (Tenormin), clonidine (Catapres), metoprolol (Lopressor) and methyldopa (Aldomet), and diuretics such as hydrochlorothiazide (Hydrodiuril).

Popular antidepressants and anti-anxiety drugs such as alprazolam (Xanax), diazepam (Valium), duloxetine (Cymbalta), fluoxetine (Prozac) and paroxetine (Paxil) can cause sexual problems such as delayed ejaculation, reduced sexual desire in men and erectile dysfunction. Lesser-known drug types that can also cause such sexual problems include antihistamines such as diphenhydramine (Benadryl) and antifungal drugs such as ketoconazole (Nizoral).

Surprisingly, heartburn drugs, including famotidine (Pepcid) and ranitidine (Zantac) are known to reduce sexual desire in men. In addition, reduced desire and erectile dysfunction have been reported in men taking the powerful painkillers oxycodone (OxyContin) and hydrocodone (Vicodin), muscle relaxers such as baclofen (Lioresal), and even over-the-counter ibuprofen (Advil, Motrin).

And perhaps not surprisingly, the more drugs a man takes, the greater his odds are of experiencing an issue. For example, in a 2012 study of men ages 45 to 69, those who took three to five drugs were 15 percent more likely to have erectile dysfunction than men taking two or fewer. Men who took six to nine drugs were 51 percent more likely to have erection problems.

What you can do

Before making any change to your medications, talk with your doctor, says David Shih, a board-certified emergency medicine physician and executive vice president of strategy on health and innovation at CityMD, a network of urgent care centers in the New York metro area and Seattle.

If appropriate, your physician can make changes such as “lowering the medication dose, switching to a new medication or a combination therapy of lower doses each,” notes Shih.

Your doctor may also suggest temporarily stopping a medication — often referred to as taking a “drug holiday” — before having sex, if that is possible.

If you’ve just started taking a new drug, sexual side effects may disappear as your body adjusts. But if after a few months they don’t, discuss it with your physician. He or she will want to rule out other conditions that could cause your sex drive to take a nose-dive.

“The prescribing physician will need to explore if these symptoms are from cardiovascular disease, depressive disorder, diabetes, neurological disease and other illnesses,” says Shih.

Even suffering from sleep apnea is known to affect sexual interest or response.

That’s why, if you experience ED, it’s important to get to your doctor’s office for a detailed discussion about what could be causing it.


“The Most Comfortable Harness I’ve Ever Used!”


Hey sex fans!

It’s Product Review Friday again. And today we have yet another swell product from our good friends at The Perfect Fit Brand!

You have been keeping up with all our reviews of the amazing products coming from the award-winning Perfect Fit Brand haven’t you? If not, you’re totally missing out. To find all our reviews, here’s what you do; use the search function in the header of, type in The Perfect Fit Brand, and PRESTO!

And here to tell you all about this new product I’m pleased to welcome the newest member of the Dr Dick Review Crew, Billy. I’ll have him introduce himself as well as give you the low-down on what he has in his hot little hands.

Zoro Knight 6.0 Clear —— $89.95

Hey everyone! My name is Billy. I am a forty-something bi trans man living and loving here in the beautiful Pacific Northwest. As far as I know, I’m the only transperson on the Dr Dick Review Crew. So I’m so glad I have this opportunity to tell you about this remarkable new strap-on, the Zoro Knight 6.0 Clear, from The Perfect Fit Brand.

Let me say from the get-go; this is the most comfortable harness I’ve ever used!

I’m a little embarrassed to say it, but I haven’t updated my harness in 8 years. My old harness with its thin leather straps, which took way to much time to adjust and never really felt all that great to wear, is completely obsolete. The Zoro Knight, on the other hand, is state of the art. It is easy to get on and off, which makes a big difference when you’re trying to stay in a sexy moment.

Before I go on with my review, I’d like to show you around the Zoro Knight because its design is nothing short of revolutionary. The Perfect Fit Brand calls their design a system because there are actually two elements to the Zoro Knight and its companion strap-ons. (I’ll get to the companions in a minute.) The two elements are: 1) The elasticized waistband, which you simply pull on, like a jockstrap. There are no additional adjustments required. 2) The molded baseplate with the dong is all one piece. It is designed with the curves of your body in mind and fits snugly against your pelvis.

The baseplate is made of ultra soft premium silicone. And when it is in place you’ll immediately know why the Zoro Knight is so innovative. The baseplate is designed to transfer the impact of your thrusting to your pelvis instead right on your genitals. Anyone who has used a traditional strap-on will realize how much sense that makes. No more banging against your delicate parts. OUCH!

The baseplate and dong that I have is clear, but it also comes in black and purple…different sized dongs too. The dong is hollow, which makes it lighter, stronger, and more comfortable. You can even use a bullet vibe inside the dong for added sensations. And because the molded baseplate and dong are all one piece, you never need to guide the dong with your hands. That sounds like a small thing, but it ain’t. Once you’ve tried the Zoro Knight, you’ll never go back to an awkward, floppy, uncomfortable O-ring type strap-on.

The baseplate also features a hole below the dong. If you have a penis and have an erection you can use it for double penetration. If ya don’t have a penis, this hole provides good access to your clit, vulva, vagina, or whatever name you give your private bits. The point is the Zoro Knight gives you or your partner access to your genitals, while the dong is stiff for penetration.

I said I’d mention the Zoro companions. There are three types of Zoros — the Zoro, the Zoro Knight, and the Armour Knight. Waistbands are available in several sizes — Small: 28-30”, Medium: 31- 33”, Large: 34-36”, and XL: 37-39”. And the dongs range in size from 5.5” up to 7”. You can see the array HERE!

Since the Zoro Knight is basically a clothing item, you simply toss the waistband into the wash, when you’re done. The silicone baseplate cleans up easily with mild soap and warm water. Or you can wipe it down with a lint-free towel moistened with peroxide, rubbing alcohol or a 10% bleach solution to sanitize for sharing. And, of course, you’re going to share this, right? This keeps everything hygienic and sanitary. No more trying to keep a leather harness clean.

Make sure you use only a water-based lubricant with the Zoro Knight . I suppose some of the newer silicone-hybrid lubes might work too, but I would be careful and do a test patch first. You wouldn’t want to mar the beautiful silicone skin.

The packaging is attractive, but minimal. A simple cardboard box surrounds a formed clear plastic container that holds the waistband and the baseplate.

I haven’t yet browsed all the dong options, but I’d be interested in adding one with a little more detail work. I also, as I mentioned above, got the clear version of the baseplate and dong, which I imagine would be very hot for most folks.

Full Review HERE!




Hey sex fans!

It’s Product Review Friday once again. This week we welcome back an old friend. The good people at We-Vibe have been part of this review effort since 2008 when we reviewed our first product of their line. Since then we’ve happily reviewed several of their others.

To keep track of all our reviews of the amazing products coming from We-Vibe, use the search function in the sidebar of, type in We-Vibe, and PRESTO!

Back with us today is one of the newest members of the Dr Dick Review Crew, Trevor, who will introduce us to today’s product.

The Verge Vibrating Ring, Slate —— $88.70

Hello again! Just in case you didn’t read my first review, my name is Trevor.  I’m 32 years old. I’m originally from the UK, Manchester to be precise, but have been in the US since I was 13. I live with my da. My mom passed away three years ago. I am dating this great gal. Shelia is her name. We’ve been together for just over a year.

My new toy is the Verge Vibrating Ring by We-Vibe. It’s an amazing new cockring.

If you are unfamiliar with what a cockring (penis ring) is or what it is used for, let me turn your attention to a swell tutorial that Dr Dick put together called, Cockring Crash Course.

The Verge Vibrating Ring is worn around your cock and balls. The ring feature adds a bit of blood flow restriction for fuller, longer lasting erections. The vibration feature, which hits you smack-dab on your perineum, produces mind-blowing orgasms.

You can use the Verge Vibrating Ring alone, like when you’re having a little wank, or with a partner, like when you’re having a little shag. Either way, it’s brilliant!

Sometimes I need a wee bit more stimulation to get off than what I can produce with my hand. For example, I’ve recently discovered all the pleasures that come from stimulating my prostate while I wank. For the longest time my butthole was off limits because I thought that was too gay for a straight bloke like me. I know how stupid that way of thinking is now, but for the longest time I just wouldn’t allow myself the permission to even investigate the other pleasure zones on my body.

My girl, Shelia, helped me over come that. One day we were having sex and she had this little lipstick vibe with her. She started to use it on her clit while I was inside her. At first, I was pretty upset by this. I thought I wasn’t doing my job pleasuring her enough with my cock. I even started to get soft. I was just about to pull out when Shelia, guessing what was going on with me, took the little vibe and placed it on that patch of skin between my balls and butthole, my perineum. I immediately jumped to attention. I had never felt anything like that before. But I was also scared. It was getting way too close to my hole for comfort.

I was torn between the intense pleasure and the fear of the gay thing. What a dolt!

Shelia later told me about all the nerve endings in my pelvis can be the source of great pleasure and that some guys are orgasmic by just stimulating their prostate. To tell the truth, I wasn’t all that sure what or where my prostate was. All I knew was that if it was inside my butt; I wasn’t going there. But I figured stimulating my perineum was OK because it was not technically IN my butt.

To make a long story short, I was using a vibrator on my perineum one day when I, all of a sudden, let the vibe wander to my hole. The sensations were AMAZING! It was only a little while later that I threw caution to the wind and tentatively started to insert the vibe in my butthole. Within minutes I discovered my prostate, which is as sensitive and pleasure producing as my cock if not more so. And guess what? I didn’t turn gay!

Crazy story, right? I’ll bet there are a lotta guys out there who think the way that I used to. Hopefully, reading this will straighten them out…no pun intended.

OK, so I mentioned that if you wear the Verge Vibrating Ring with the pointy part down you get perineum stimulation, right? Well get this, if you wear the Verge with the pointy part up, like when you’re having sex with your partner, the Verge Vibrating Ring delivers the vibration to your partner’s clit.

The Verge Vibrating Ring delivers vibrations that are deep and rumbly, not the little buzzy kind that you get from some vibes. It’s also amazingly quiet.

And while we’re talking about the vibrations, you should know that there are 10 vibration modes built into the Verge Vibrating Ring. But that’s just the beginning. There’s a smartphone app that you get through the We-Vibe website. With the app you can connect and control a bunch of We Vibe products, not just the Verge. So when Shelia and I both have our We Vibe vibrator we can share control of each other’s pleasure at the same time. It’s totally wild.

The Verge Vibrating Ring is covered in velvety, latex-free, nonporous, phthalate-free, and hypoallergenic, body-safe silicone. And because it is fully waterproof and made of silicone it’s a breeze to clean. I toss it into the skink with mild soap and warm water, rub it down a bit, and then let it air dry. Or you can just wipe it down with a lint-free towel moistened with peroxide, rubbing alcohol or a 10% bleach solution.

The Verge Vibrating Ring is rechargeable via a USB connected port. It takes about 90 minutes to fully charge and a full charge will last for up to two hours of play.

If you’re going to be using lube on or around the Verge Vibrating Ring, be sure to use only water-based lube. A silicone based lube would mar the beautiful finish of the toy.

I love everything about the Verge Vibrating Ring. I love that it is made of body-safe silicone and that it’s 100% waterproof. I love that the vibrations are massive but it’s still really quiet. I love that it is rechargeable. And I love that Shelia and I can play with our toys and each other even if we’re not actually together.

Full Review HERE!


The Guybrator Cometh!


Dr Dick Sex Toy Reviews Is BACK!

Hey sex fans!

I got some fantastic news for you.

After a hiatus of nearly three years, I am reviving Dr Dick Sex Toy Reviews.

There have been lots of changes in the adult product marketplace over the intervening years and there have been lots of changes here at Dr Dick Sex Advice too.

When our last review appeared in December 2014 the Dr Dick Review Crew and I were plum tuckered out after more than seven years of grueling product testing. We all decided that it was high time to throw in the towel. Despite having the opportunity to sample some of the world’s best adult products we needed a break. Frankly, I thought for sure that when we ended our review run it was the end of it…for good. Well, like they always say, never say never.

Over the years, I’d hear from my loyal readership; they’d tell me that they missed our fun, informative, snarky, and sometimes irreverent reviews. My readers would ask about members of the Dr Dick Review Crew. “What ever happened to Jack & Karen, Glenn & Hank, Joy and Dixie and the others? And when are they gong to return?” I would answer the best I could, but I would always say, “It’s not likely that we’ll revive our product reviews, but I’m delighted to know that our thoughts and comments were meaningful and helped folks make wise buying decisions.”

The intervening years also brought several new potential reviewers. “Hey Dr Dick, If ever you revive your sex toy reviews, I want to volunteer to be on your crew.”

New and innovative products were coming to the marketplace and manufacturers would often reach out to me with offers to send me samples. Again, would thank them for their interest, but declined their offers.

The long and short of it is, I kinda missed the hurly-burley of it all too. There’s nothing like getting a new product delivered to your door, a product that holds out the promise of fun and pleasure.

So, we’re officially back!

We have some new Review Crew members, a hot load of very interesting products, and an eagerness to share it all with you.

Our inaugural product is something very special and here to tell you all about it is a new Dr Dick Review Crew Member, Trevor. I’ll let him introduce himself and what he has in his hot little hands.

Pulse III Duo —— $149.00

Hey all! I’m Trevor. I’m 32 years old. I’m originally from the UK, Manchester to be precise, but have been in the US since I was 13. I live with my da. My mom passed away three years ago. I am involved with this great gal. Shelia is her name. We’ve been together for just over a year.

I absolutely LOVE sex! I’ve been interested in sex for as long as I can remember. Get this, my da caught me wankin’ away like the little pervert I was when I was just eleven. Embarrassing, huh? Actually it was OK. I think he was as embarrassed as me. Anyhow, after that we’ve been able to talk about sex, which, I think, has been good for both of us. Especially now since my mom’s gone. But I’m getting ahead of myself.

Right now, I want to introduce you to the Pulse III Duo. It’s the world’s first Guybrator. It says so right on the classy super-shiny outer box. And this lovely comes from the good people at Hot Octopuss out of London…the one in England. GO Great Britain!!

Inside the box you’ll find a drawstring storage pouch, which has the Hot Octopuss logo on it, a magnetic/USB charging lead and an instruction manual. Then there’s a formed cardboard insert that holds the Pulse III Duo and a round remote control. All the packaging is recyclable. That’s the first item on the Dr Dick Review Crew’ checklist for a GREEN product.

Now let’s take a quick look at the Pulse III Duo itself. It’s basically a palm-sized hammock for your dick. It has these two flexible wings that surround your cock and you can use it with either a limp dick or a stiffy. It’s covered in this beautiful 100% silicone skin and it’s also 100% waterproof. By the way, the Pulse III Duo is the second generation Pulse. There’s also a Pulse II and a Pulse III Solo.

There are buttons on either side of the Pulse III Duo, one for power and vibrating patterns on the left side, and two (+/-) buttons to control intensity on the right side. The Pulse III Duo’s remote activates and controls the independent external vibrator for clitoral stimulation when you use it as a couple. So it’s actually two vibrators in one.

After giving the Pulse III Duo a charge for four hours using the magnetic USB charger, it was ready to go. I used it alone first. I started with my limp dick. I placed it in the hammock with my frenulum, the underside of my cockhead, on the sweet spot of the guybrator, and switched it on. The pulsing piston-like osculation action got me rock hard in moments. This thing is fantastic! I cycled through the 6 stimulation modes and adjusted the intensity with each mode. I couldn’t believe the sensations. I nearly blew my wad in the first few minutes.

Just when I thought I had experienced the full range of sensations I happened upon the “Turbo” button. You just press and hold the (+) button for a moment and it will take your vibrations straight to warp speed. DAMN!! This took me over the top in a matter of a couple minutes. Now, just so you know, I wasn’t actually stroking myself; I was just holding the Pulse III Duo on my dick.

The next time out I decided to add some lube. As with all silicone toys, use only water based lube. A silicone based lube would mar the beautiful finish of the toy. This time I gripped the Pulse III Duo around my dick, folding the wings slightly to embrace my cock. It felt so good I almost forgot to add the vibration. I edged my self for about 20 minutes this way. No mean task, because the pleasure was so intense I had to release my cock several times just to avoid cumming too soon.

The third solo use was in the shower. I love to wank in the shower. And because the Pulse III Duo is waterproof it’s the ideal shower or bath buddy.

I can see where the Pulse III Duo would make a great tool for some guy trying to gain control over his ejaculation response. If you cum too quickly and you want to lean how to last longer, this toy could help train you to do that.

After nearly exhausting myself with solo play I decided to put the Pulse III Duo away till I had the opportunity to show it to and play with it with my gal, Shelia. Luckily, Shelia loves sex toys, particularly the ones that vibrate. In fact, she is the one that originally turned me on to sex toys.

One evening we got a little buzz on with some killer Chardonnay. I whipped out the Pulse III Duo and handed it to her. I didn’t tell her anything about it; I wanted to see if she could figure it out. She handled it a bit and said, “this is a guy’s toy, right?” “Well, it sure can be.” I responded. I told her about my solo play and how I nearly knocked myself out with the powerful orgasms I had with it.

She thought that was all fine and good, but said, “I thought you said this was a toy for couples.” “It IS!!” I responded. That’s when I handed her the remote and showed her how she could adjust the completely independent vibrations on the bottom of Pulse III Duo to stimulate herself while my cock was being stimulated in the hammock.

In no time we were out of our clothes and messin’ around. I put the Pulse III Duo around my dick and positioned the base of the thing on Shelia’s pussy. We were kissing passionately, she was using the remote to cycle through the vibrations, and, within minutes, we both came. Breathless, Sheila simply said, “Wow!”

This is the most fun we’ve had without actually fucking.

One thing to note; the Pulse III Duo is kinda loud, at least comparatively speaking. Shelia and I didn’t care, but you might.

If, for some reason you and your partner, guy or gal, don’t feel up to the old in and out of penetrative sex, this is the toy for you.

As I already mentioned, the Pulse III Duo is covered in velvety, latex-free, nonporous, phthalate-free, and hypoallergenic silicone. And because it is waterproof and made of silicone it’s a breeze to clean. Toss it into the skink with mild soap and warm water, scrub it down a bit, and let it air dry. Or you can just wipe it down with a lint-free towel moistened with peroxide, rubbing alcohol or a 10% bleach solution to sanitize for sharing.

I mentioned my da at the beginning of this review, right? He’s in his mid 60’s and has been having some problems with blood pressure. He confided in me some months ago that his blood pressure meds are robbing him of his erections. I felt so bad for him because I can get a boner at the drop of a hat. Once I saw what the Pulse III Duo could do with my flaccid dick I offered to share it with him.

I said, “Look what I got.” “What the hell is that?” He responded. I explained how the thing worked the best I could then showed him the Hot Octopuss website and some of the Pulse III Duo videos on YouTube. I said, “Ya know, you don’t even have to be hard to get enough pleasure to cum.”

I said, “I’m gonna just leave this here. Take it for a spin if ya like.”

He did and absolutely loved it. He went out the very next day and bought one for himself.

Speaking of which, you can purchase the Pulse III Duo through the Hot Octopuss website, or just about any high-end adult products store online will carry it too.

Full Review HERE!


How many times do women need to explain that penetration isn’t everything before everyone gets it?



This week, sex therapist Dr Janet Hall advised MamaMia of a catchy new term for sex that doesn’t just involve placing a penis inside a vagina and wriggling it about.

‘Introducing outercourse’, said MamaMia, explaining that ‘outercourse’ counts ‘kissing, massaging, using vibrators, touching erogenous zones, clitoral stimulation, oral sex or toe-sucking. Basically, everything else that might come with sex, but isn’t penetration.’

They go on to note that outercourse shouldn’t be thought of as foreplay, as it’s not an add-on to sex, but something that’s absolutely essential to female pleasure.

Which is all true, and incredibly important to point out.

The issue is that ‘outercourse’ has been picked up and spread around the internet as a catchy new sex trend, as if it’s an easy ‘trick’ to get women off.

Which is a bit irritating really, because women have been saying over and over that we need more than just a poke with a penis to enjoy sex.

So why is the world still not getting it? Why is the revelation that the penis isn’t a magic orgasm stick still being treated as truly shocking news?

The ‘penetration is everything’ idea has been f***ing over women who have sex with men for ages. Women are being left unsatisfied or putting up with painful sex, because we’re taught that foreplay is just build-up to the main event – and the main event is all about the man getting off.

There’s an orgasm gender gap as a result (straight women have been shown to have the fewest orgasms out of everyone else having sex), and an oral sex gender gap, proving that the importance of non-penetrative sex is huge.

There’s a load of reasons men and women expect that five minutes of foreplay is enough before popping a penis into a vagina.

Think of sex scenes in films, which go from ripping each others’ clothes off to the woman gasping as she’s penetrated in a matter of seconds.

Think of sex education, which mentions that the penis becomes erect before penetrating vagina, but rarely makes any reference to the process the vagina needs to go through before being penetration-ready – because our sex education focuses more on sex for the purposes of reproduction (for which a female orgasm isn’t essential) rather than sexual pleasure.

Think of porn, which will more often show bow jobs than a man going down on a woman, which shows fingering as sharp-nailed fingers sliding in and out as the woman writhes around in ecstasy, which shows women reaching orgasm within seconds of a dildo or dick entering her.

We’re taught about foreplay as an afterthought, as a ‘nice to have’ instead of a ‘need to have’.

And it’s women who are missing out as a result.

A recent study from OMGyes found that just 18% of women can orgasm from penetration alone (again, this isn’t surprising or new. Countless other studies have found similar results), and that 36% of women need clitoral stimulation to have a chance of climaxing.

Rushing through the non-intercourse bits of sex is leaving women unsatisfied and pressured into faking orgasms – because they’ve been taught that they’re supposed to be able to come from a few quick pumps of a penis, and feel like they’re failing, or there’s something wrong with them, if they don’t.

None of this should be news. We’ve known for decades that the clitoris is hugely important, and women have reported for decades that they feel more pleasure through oral or manual stimulation than penetrative sex.

And yet, penetration is still held up as the be all and end all. We still place value on the idea of losing ones virginity as having penetrative sex, ignoring that for many women who have sex with women, this definition would make them virgins after multiple sexual partners.

Sex is not just penis in vagina. Foreplay is not an optional add-on. Sex is oral, and touching, and sucking, and all the other stuff that gives us pleasure.

If you’re bothered about women’s pleasure, sex needs to involve things other than penetration for much, much longer than a half-hearted five minutes. Foreplay shouldn’t just be a chunk before the good stuff – for many women, it is the good stuff, the bit where they’re actually likely to have an orgasm.

Touching the clitoris orally or with your fingers, kissing, caressing. It’s incredibly difficult for a woman to even get wet without that stuff, let alone have any chance of achieving orgasm.

We need to stop viewing an erection as the start of sex and ejaculation as the end. If a woman is not aroused, if she’s not experienced genuine pleasure, sex isn’t done – and the only way to get that done is the stuff that isn’t penetration, because your penis, shockingly enough, is not uniquely gifted to give orgasms.

Basically, if you’re not doing the stuff that isn’t penetration, you’re not doing sex.

Listen to women. Value our pleasure. Stop viewing our bodies as mysterious, otherworldly things that can’t be understood when we keep shouting exactly what we want (decent oral, clitoral stimulation, more of the stuff that isn’t penetration).

If you’re confused, ask women what they want. Then give it to them for an adequate chunk of time – not as a starter for sex, but as an essential part of the entire experience.

Complete Article HERE!