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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!

Diane Kelly: What we didn’t know about penis anatomy

We’re not done with anatomy. We know a tremendous amount about genomics, proteomics and cell biology, but as Diane Kelly makes clear, there are basic facts about the human body we’re still learning. Case in point: How does the mammalian erection work?


I got nuthin’…

I’m busy jammin’ on a bunch of projects.

Play nicely among yourselves in my absence.

Get your wood the natural way!

Hey there sex fans,

It’s Product Review Friday and I have the pleasure of welcoming yet another new company, LibidoStack, to our review effort.

Dr Dick Review Crew members, Mick, Carlos and I bring you the results of our experimentation.

LibidoStack —— $49.95 (10 capsules, one month supply)

Dr Dick: For review purposes, the manufacturer of LibidoStack sent me a package containing ten capsules in a tamperproof bubble-pack. The claim is that their all-natural herbal product is supposed to improve one’s sexual health and performance. This is equivalent to 10 doses — one capsule per dose. (My contact at LibidoStack tells me that a 10-pack is a month’s supply; a capsule every three days.)

Being the generous kinda guy that I am, I shared my LibidoStack stash with two of my fellow Dr Dick Review Crew members — Carlos and Mick. I gave my colleagues the lion share of the product. They both got four capsules equaling 4 doses. I used the remaining two myself. We will each take our turn reporting our findings. I’ll go first.

So what is LibidoStack exactly? The manufacturer says it’s a “…proprietary all natural male enhancement blend was researched and developed by our team of highly-acclaimed biochemists, and research analysts.” They claim their product will produce “…increased sexual pleasure, harder and longer lasting erections, and increased sex desire.”

The LibidoStack website list the ingredients, which they claim “consists of herbs, minerals, and amino acids.” They list the ingredients HERE! http://libidostack.com/index.php/how-it-works.html

I took the time to look up each and every ingredient listed. I found that the health benefits associated with these herbal extracts include — an increase in energy and virility; as well as antioxidant, anti-inflammatory and antibacterial properties. So if nothing else, I figured my LibidoStack experience would not harm me in any way.

My experience — I used LibidoStack on two different occasions and followed the directions on the package each time — Take one capsule with warm water 60 minutes after a meal.

Before I continue, I must confess that I always approach products like this with a healthy dose of skepticism. And I’m always on the lookout for the placebo effect — the suggestion of an effect creates the effect. But I did have two opportunities to test this product over a span of 10 days so I would have had to be very suggestible for the placebo effect to play much of a role on both occasions. And I can tell you; I’m not that suggestible.

I am familiar with the effects of Viagra and its companion drugs, Levitra and Cialis. So I do have a frame of reference when it comes to judging the effects of herbal products, like LibidoStack. I can honesty say I was pleased with this product’s performance. It works by building up in your system as opposed to producing its effect immediately.

LibidoStack had a more gradual effect than the pharmaceuticals I’ve used, but that’s not a bad thing. What amazed me is that LibidoStack is as effective as any the medically prescribed drugs I’ve tested, but it is much kinder to my system. There were no headaches, unsightly flushes, upset stomach, rise in blood pressure or altered vision. This made me very happy indeed.

In doing reviews like this there is the danger of generalizing from one person’s experience. I want to avoid this by stating every human body is unique. Each of us metabolizes what we consume in a slightly different way. Keep this in mind if you try LibidoStack. The degree of erection, as well as the time it takes to get hard on this product (or any such product, including the pharmaceuticals) will depend on one’s age, overall health and the amount of sexual stimulation one is receiving.

Oh, and this is not an aphrodisiac, people! Wood is not gonna miraculously happen on it’s own.

I also want to be clear on another point — LibidoStack is not miracle potion. It will not override an unhealthy lifestyle. But it can positively effect one’s sexual response cycle; making arousal easier, which will make one a more confident lover.

I have a couple more thoughts that I will share at the end of this review. But now I want to bring in Carlos and Mick so that they can share their findings.

Mick: “I’m sold on LibidoStack. I’ve been having erections issues since my prostate cancer diagnosis. My doc believes the problem is all in my head. He can’t find any physical reason why the plumbing doesn’t work like it should, although I do have high blood pressure. So I can’t take Viagra because of that.
LibidoStackworked fine the first time, but better the fourth time I tried it. LibidoStack doesn’t come on like a freight train; it’s way more subtle than that. Like Dr Dick said, it really boosted my confidence. And if that’s all I needed, I’m a happy guy.”
Carlos: “I’m impressed too. LibidoStack exceeded my expectations.
I’ve tried several other herbal products in my time, because Viagra is so fuckin’ expensive. But none of the other products matched LibidoStack’s performance.
I do need to say, however, that I didn’t experience the effects of LibidoStack as quickly as did Mick. Of course, I’m a much bigger guy. I also took my first two doses an hour after a full meal, just as the package suggests. I took the other two doses on an empty stomach and it worked better.”
Mick: “I discovered that too. If I take LibidoStack on an empty stomach, the effect is more immediate.
Here’s another thing I noticed. After the second dose I started having nighttime boners, a lot of them. I would wake up from a sound sleep with a raging hardon. It was like it was in my 20’s.”
Carlos: “I had that happen to me too. At first I said, ‘whoa nelly!’ My wife was surprised as hell too. I hadn’t been feeling very randy for the last six months.”
Mick: “Yeah, my partner Chuck, noticed a difference right away too. I’m gonna guess that this stuff builds up in your system and maybe a maintenance dose is all ya ever need.
I was kidding with Chuck about those warnings you see on TV, the ones that say; ‘Warning: If you experience an erection for more than 4 hours, please seek medical assistance immediately.’ I told Chuck that if I had a boner that lasted 4 hours I wouldn’t call a doctor; I’d call a hustler!”
Full Review HERE!

ENJOY

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

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

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

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

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

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

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

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

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

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

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

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

Got a Sex Question?
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Contact me here: questions@drdicksexadvice.com

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