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Like Cats And Dogs

Name: Karen
Gender: Female
Age: 33
Location: Dorchester, MA
My marriage of 12 years has hit a real rocky patch. I know my husband loves me and I certainly love him and we both love our 3 kids dearly. It’s just that we (he and I) have been fighting like cats and dogs lately. Every discussion, not just about sex, turns into a huge dust-up. It’s getting us both down. I don’t know where to turn. I was reading about your counseling practice and wanted to ask if you thought couple’s counseling was worth our while. Unfortunately we live on the other side of the country, so we can’t see you. But I’d look around here for help it you thought it would help. Thanks.

Yeah, I think couple’s counseling might very well help, and it might even help a lot. It sounds like you have a bank of good will eye_contact_cartoongoin with your hubby. You guys still love each other. Maybe that’s a good enough and strong enough foundation to get you through this rough patch. But you’ll never know unless you invest some time and energy into getting to the bottom of what’s eating at you guys. A good counselor will be able to assist you with that.

It’s true; you are on the other side of the country from me, but we could still work together. The thing is, I kept hearing from folks like you, far-flung from my home base here in Seattle, so I decided to introduce a remote therapy option for those who can’t see me at my office. I now offer counseling and coaching sessions by phone or through Skype. For more information about this see the Therapy Available page in the header (under the heading About Dr Dick).

Regardless of where you find the help you are looking for, let me say from the outset; this intervention won’t be inexpensive, but no worthy endeavor ever is. Besides a good marriage is worth the investment, don’t you think? As you guys consider taking your problems to a professional, allow me to direct your attention to the CATEGORIES section in the sidebar. Search for the main category — Sex Therapy. Under that heading you will find the subcategory — “Fair Fight Training.” These postings and podcasts will help you begin working on your communication skills. In fact, if you guys can learn to fight fair, you will have gone a long distance to healing whatever ails you.fight1

Basically, this is what any good therapist will help you do. He/she ain’t gonna solve your problems for you, but she/he will teach you how to effectively communicate with each other, find solutions to your problems, and do so without battering one another to death in the process.

Most of us have really poor communication skills, if we have any skills at all. We generally fight first and ask questions later. We immediately get into a defensive posture, even before being attacked. We know how to manipulate, whine, or blame and “cover our own ass,” but that’s not communicating.

Effective communication begins with “EFFECTIVE LISTENING. ”

Here’s how I see it; even if we were to express our feelings, thoughts and opinions clearly and effectively that’s only half the task. Equally important is listening to and understanding what our partner communicates. If I’m too busy formulating my response to what my partner is saying, I’m not really listening to what’s being communicated. In fact, if I’m all balled up in preparing my defense, I may be missing the most important part of the message — the nonverbal cues coming from my partner. If I’m inside my own head, I have no resources available to decode or interpret the message coming from my partner, like through body language.effective-communication-cycle

In other words, effective communication only happens when both partners are able to receive, decipher, interpret and understand the full message coming from the other in precisely the way he/she intends it. This is a difficult skill to master, mostly because it means I have to put the interests of my partner before my own interests. And who among us can say we do that with ease?

Effective listening is dependent on being an active listener. Active listening is being genuinely interested in understanding what our partner thinks, feels and wants. An active listener is concerned with the full message coming from our partner — the verbal part as well as the nonverbal. I mean, think about it; sometimes we say one thing, but our body language says something quite different. So if I’m only attentive to the words I will surely miss the other, and possibly more important, non-verbal message coming from my partner.

When I listen actively I am more concerned with grasping what is being communicated than formulating my response. If I can accurately paraphrase my partner’s message as I receive it, as well as ask my partner for verification; then I’m on the right track. This verification or feedback process is what distinguishes active listening and makes it so effective.

When you practice this feedback method, try to:

  • Grasp the feelings or intent beyond the words.
  • Resist the impulse to immediately answer questions that come from your partner. Because questions are often not always questions; sometimes they’re rhetorical statements.
  • If you’re confused by what you hear, or you don’t understand what is being said, say so.
  • Acknowledge your partner’s feelings. If you hear anger, hurt, or fear let your partner know that’s what you hear.
  • Use eye contact and be conscious of his body language.
  • Be empathic and nonjudgmental.
  • Finally, thank your partner for entrusting his thoughts, feeling or whatever to you.

Good luck

What’s that you say?

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 get aroused but I also have a very negative reaction. I have a cold, sinking feeling in my stomach. I become slightly dizzy and even occasionally nauseous. I’ve been having these reactions since the 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. I become slightly dizzy and even occasionally nauseous.” You should also know that phobias aren’t particularly uncommon.

sex-phobia-1There’s probably a good reason why you’re experiencing this phobia. If you and I were working together I’d want to take a look at the incident you report happened to you in the 7th grade. You said you were propositioned. What does that mean exactly? 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 did you have 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. Here’s how you might begin:

  • 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 incremental 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 while holding hands and/or cuddling don’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 own, but it’s not impossible. There are loads of books and programs on the market that can help an individual move through a phobia. You might want to do an online search, 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.

Good luck

Name: Afeisha
Gender: Female
Age: 21
Location: Pennsylvania
I usually have orgasms when I masturbate, but when I’m having sex with my partner it’s 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, guys don’t have a monopoly on this annoying issue.No-Genitals

I’d be willing to guess that you, my dear, have got some performance anxiety goin’ on 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 feel like they don’t know what they are doing, which can be both 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. It’s friggin’ 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 the pleasurable sensations?

  • 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’re anxious about what your partner is thinking of you; or 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.

This being said, 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 the kind of stimulation 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

Down, but not out

Name: Roger
Gender: Male
Age: 70s
Location: Saugatuck Michigan
Hi– linked to your very interesting site via Allkink. My question: last year I underwent radiation on my prostate; it was enlarged and had cancer cells. Apparently it did the job, since my PSA is way down and the Dr. says I’ve shrunk, and am healthy otherwise. But since then I am almost totally impotent (don’t get erect when I want to, though sometimes get semi-erect at random times). I can still orgasm, but don’t ejaculate; sometimes a little clear fluid dribbles out afterwards. Curiously, I could still ejaculate during and right after the radiation treatments, but not now. Also in general a noticeable decrease in libido. Needless to say, very annoying.

I’m gay, solo, in my 70s, celibate since mid-1980s when I tested HIV-, and a dedicated bottom. I knew I was at risk, and “safe-sex” just didn’t turn me on. I’ve been using dildos of all sizes for years. Now, insertion has become a little painful (kinda stings, like the first times way back when), but after several tries they go in OK. Those of larger girth or not-very-smooth texture are really difficult, and I’ve pretty much given up on them (though “John Holmes” still works!). There is occasionally a little blood on the dildo afterwards, but bleeding doesn’t persist, and Dr. says I have no hemorrhoid. The radiologist did warn me that the treatment might produce scar tissue in the colon. Is that a possibility?

I hate to think that I ought to give up altogether on my little pleasures, but would welcome you advice/opinion. I haven’t discussed this with my urologist, whom I don’t know very well, but did bring it up with my (female) GP, who didn’t seem overly concerned and merely suggested lots of lube, which was not news to me.PMB110

Wow, Roger, that was a mouthful. I am so delighted that you wrote in. I love hearing from folks in their 60’s 70’s and 80’s who are still enjoying a rich and fulfilling sex life, even if it is by themselves. I am of the mind that self-pleasuring can be some of the most rewarding sex available to a person at any age. And nowadays, with all the amazing sex toys on the market, one can enjoy solitary sexual pleasure like never before.

I’ve written and spoken a lot about prostate issues including the aftermath of cancer treatments. May I suggest that you take a look at the CATEGORY section on the sidebar of my site? There you will find a category labeled “Health Concerns.” There are subcategories for “Anal Fissures,”  and one for “Prostatectomy.”  I realize that you haven’t had a radical prostatectomy, but your situation is very similar to those men who have. If you click on either of those two subcategories you will find loads of useful information in both written and podcasts form.

In the meantime, let me see if I can address some of your questions in a nutshell. You ask about possible scar tissue from radiation therapy. The short answer is; yes, scar tissue is possible, even probable. And as we all know scar tissue is not nearly as pliable as regular tissue. Scar tissue also MR01034has fewer nerve ending than normal tissue. You could be injuring yourself without even knowing it since the sensations in your ass are considerably less then they once were. I’d be willing to guess that this might be the source of the bleeding you report. Maybe you need to retire the really big toys, like the John Holmes, and enjoy something more modest for the time being. Another suggestion is to try an inflatable dildo.  or a smaller insertable that vibrates.  There are several on the market. You can find several in My Stockroom. The advantage to something like the inflatable dildo is that you could insert something relatively narrow  and inflate to a larger size once inside. This would avoid ramming a big dildo in bum from the get go. And a vibrating insertable would add stimulation without the length or girth.E477

As to your erection issues; yeah, I hear ya. Aging alone will take its toll on the hydraulics that give us wood. When you couple that with the trauma of invasive surgery and/or radiation therapy, well it’s no wonder stiffies elude us. I tell the men that I see in my private practice, who are similarly challenged as you, to use a cock ring  to assist in getting the best boner possible under the circumstances. A penis pump works pretty well too, if you want to go the distance.  I have lots more to say about these devices if you care to hear about it.

C923Also, several men I know with erection concerns are taking a cue from the women folk and employing a vibrator in their sex play. There are the insertable kind, as I’ve already mentioned, and there are external ones too. Have you given this option a thought? The extra stimulation a vibrator can produce will increase blood flow and thus a more substantial boner. I have a whole lot more to say about this too if you care to write to me for that information.

In the end, it will be desire that will continue to propel you to further enjoy yourself and the pleasures your body has to offer. I wish you continued lust and many more years of healthy and life-affirming sexuality.

Good luck

This is gonna hurt!

Name: Annie
Gender: Female
Age: 23
Location: Miami
Dr. Dick, My boyfriend and I have been having sex for about a year now. He is the first uncircumcised male I have been with. I’ve noticed that lately, it feels like he’s tearing my vaginal opening. He pulls his foreskin forward to lessen the pain, but it still hurts. While examining his penis looking for an answer, I noticed he has a very common condition in uncircumcised males called ‘pearly penile papules’. The papules are rough to the touch in comparison the rest of the phallus. Could this be the cause of my sex woes? Thanks so much!

I’m having a difficult time putting two and two together here, my dear. The painful fucking you describe; this is a new phenomenon, right? You say that even when he pulls his foreskin over his dickhead, you still experience pain when he enters you, is that correct?

See, that’s where I’m having a problem understanding what’s going on. If his foreskin is covering his dickhead, and thus the papules, how could they continue to be an irritant? Surely, you can’t feel the papules through his foreskin, can you? If you can, maybe we’re not dealing with pearly papules.

lovers0147Listen, I know a lot of men who have developed pearly penile papules. Some of these men have mistaken them for genital warts or sign of another STD/SDI, but they are not.

All men are susceptible to these buggers. But interestingly enough, they are more common in younger uncut black guys. They are small, hard, white, pinhead sized bumps that appear on a dude’s dickhead. They are neither painful, nor are they a sign of disease. And they are not contracted or spread through sexual activity.

If a guy has them, he should LEAVE THEM THE FUCK ALONE. Don’t try to squeeze or pop them. If you break the skin doing this, you will leave yourself vulnerable to other more serious infections. Pearly penile papules are harmless and are simply part of maturing. Thy often disappear on their own later in life.

Allow me to repeat myself. Since this is such a common thing in younger men, I can’t see how this is the cause of your discomfort during sex. Either your man has something other than pearly penile papules, or your discomfort comes from another source.

Let me ask you this. When you masturbate, do you insert anything in your pussy? If you don’t maybe that’s a good place to begin to get to the bottom of this mystery. If you can insert a couple of fingers or a dildo into your vagina without discomfort, then we’ll have more information to work with.

If, however, you experience pain in your solo play, then you have something goin on in your pussy that needs immediate attention. You could have an infection or vaginismus.painful-intercoursejr

Do you know what that is? Vaginismus is caused by the involuntary tightening of the pelvic floor muscles, especially the pubococcygeus (PC) muscle group. This will cause discomfort, burning, and painful penetration. That sure sounds like what’s goin on with you, right?

Not to worry, vaginismus is easily treatable. Treatments include a combination of kegel exercises and insertion or dilation training. Why not get back to me with your thoughts on this.

Good luck

Boys Will Be Boys

Name: James
Gender: Male
Age: 19
Location:
I want to know if I should have sex with a man for the first time.

Well gee, darlin’, I suppose that would all depend on if you are into man-sex or not. If you are, I suppose having your first encounter will be like falling off a log. However, if you’re not into gay sex, then why would you even be considering such a thing.boys kissing

For the sake of argument, let’s just say you are into some hot man-on-man action, or think you are. If that’s the case, I have some questions. Do you have a particular partner in mind? If you do, what is it about this guy that makes you want to get physical with him? If you’re honest with yourself about this, you will probably be able to determine what kind of sexual contact you want to have with the dude. Which brings me to my next set of questions.

What kind of gay sex are you looking to experiment with? Something light, like kissing, making out, mutual masturbation, shared hand-jobs? For more information on this, check out my swell tutorial about hand jobs titled: The Art Of The Humble Hand Job.

Perhaps you’re looking to be a bit more adventurous, like cock sucking. That’s great too. But wait! Would you know how to smoke some pole with grace and ease? If not, check out my tutorial: So Ya Wanna Be A World-Class Cocksucker …Or How To Give The Perfect Blow Job. To find this brilliant expose and lots more information about the humble hummer, go to the CATEGORY pull down menu in the sidebar and look for “ORAL.” Then look for Cock Sucking.

Maybe you’re considering butt fucking. That’s a bit advanced for the gay sex novice, but it’s not unheard of. If I were you, I’d return to the CATEGORY pull down menu in the sidebar and check out the heading “ANAL”. There you will be treated to loads of information about being a good top, like my tutorial, Finessing That Ass Fuck — A Tutorial For a Top. As well as my tutorial for being a good bottom, Liberating The B.O.B Within.

There’s only one thing you absolutely need to know when it comes to ass fuckin, regardless of what position floats your boat. Be sure that whoever is on top uses a condom. And if you don’t know why you need to do that, then darlin’, you’re just not ready for sex with any kind of partner…same sex or otherwise.

Good luck

Name: Tony
Gender: Male
Age: 24
Location:
I’m trying to find out how to get ink marks off my dick without hurting my dickhead.

Whoops! Looks like you need to reevaluate the company you keep when you drink to the point of passing out, my friend.

I realize writin’ shit on a guy’s johnson while he’s unconscious is a hilarious practical joke among the frat-boy crowd. I mean, what could be funnier, right? Of course being on the receiving end of this little prank, like our friend Tony here, is considerably less comical.

i enjoy penisRidding oneself of ink marks, particularly the indelible variety, from one’s privates is a pain — both literally and figuratively. The best one can say about this clean-up chore is that it will probably cure the guy of binge drinking, at least with a bunch of rowdy adolescent-minded companions with Sharpie markers and too much time on their hands.

OK, Tony, here’s what you do. First, apply a liberal coat of baby oil or mineral oil to the effected area. Take your time massaging the oil into your skin. You may discover that this oily massage gives you a woody. That may be the silver lining to your ink-stained cloud. Actually having an erection will help expand the skin of your dickhead and allow the mineral oil to better penetrate the skin. The oil will sink into your skin and help lift the ink stain to the surface.

Follow this part of the treatment with lots of warm soap and water. You should see ink stain lessening.

Next, massage in a liberal mount of rubbing alcohol. Follow this with more warm soap and water.

Continue alternating between mineral oil followed by soap and water and rubbing alcohol followed by soap and water. Always ending the treatment with the soap and water part. A couple applications like this should do the trick. I would, however, recommend that you be as gentle as possible. If the satin persists after two such applications, give your prick a day to rest before attacking the stain again.

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!

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