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High And Dry

Name: Stephen
Gender: Male
Age: 47
Location: Sacramento, CA
Dear Dr. Dick I am at the end of my rope. I am a white male, 47, 50lbs over what my Doctor would like me to weight. I am per-diabetic, with blood pressure and cholesterol just a little higher than my Doctor would like. I have been married for going on 13 years, and have a 7-year-old special needs son. And my sex life sucks.
My wife who I love dearly has chronic pain that leaves her muscles aching all the time, so the last time she and I had sex was the night we conceived our son. I have tried to take care of my needs though masturbation, but to be honest I am getting very bored with the whole idea of jerking off. Even using my hand I have trouble sometimes getting a hard on. I have managed to have an orgasm while my dick is soft, it just takes care of the itch, and it does not really satisfy me like fucking or a good slow hand job while fully hard.
I have tried using a cock ring, but I think I am doing something wrong because I don’t stay hard while using one and none of my partners has used one so I have no one to ask. I also have the problem of finding the time when I can be alone. Without my wife finding out what I am doing, because she does not approve of me watching porno, or jerking off. The last time she caught me, she did not speak to me for over two weeks.
I am trying to find a family counselor for my wife and I, but I’m having problems with finding one covered by our Insurance and one that can make appointments that will fit in with my wife’s work schedule.
I have been exploring my BI side with men I meet on the web. I am fussy because I want to be safe, and they have to have somewhere we can meet. Most married BI guys have the same problems I do, nowhere to go to have a little fun. There are no bathhouses in our area. And on top of all those problems I can only get a hard on if I use one of the ED drugs. Which my Medical Insurance will not pay for so my Doctor has been giving my free samples that he gets.
So of the five or six times a year I get to have sex, maybe one of them I will get to fuck someone. While I like being a bottom, there are times I just want to fuck someone. There are times I just want to pack up my bags and leave to find the sex life I want, but I do love my wife and son, and I don’t think leaving will make anything better.
So here I sit, I have run out of ideas, my counselor has run out of ideas. Having sifted thought most of your web site with no luck I hope that maybe you can shed some new light on this disaster of a sex life.

Do you know the phrase, “sinking to the lowest common denominator?” Well that’s what you are doing, my friend. You have precisely the sex life you permit yourself to have. You’ve boxed yourself into a corner by allowing others, particularly your wife, to dictate what you can and cannot do with your sexual energy. So there you are high and dry, as they say.

challenges aheadI appreciate the fact that your wife may have medical issues that might prevent her from joining you in the vigorous sex life you desire. But if that’s where you leave the discussion then you are getting precisely what you deserve.

I realize you’ve committed yourself to your wife through thick and thin, in sickness and in health. But in the absence of a marital sex life, you’ve discovered new and uncharted areas of your own sexuality. This volatile combination will either be destructive or regenerative.

I have one real simple premise that I live by. And that is, each of us has a right to a happy, healthy, integrated sex life. If there is something that is getting in the way of achieving that, whatever it might be, it is a problem that needs to be addressed immediately.

As far as relationships go, particularly a marriage, I am of the mind that we ought, first and foremost, work to honor our commitments of fidelity and mutual support. Are there ways that these two moral principles — a right to a healthy sex life and one’s marital commitments — can coexist when one’s relationship excludes the possibility of happy sexual expression? Yes, I believe there are. And many couples achieve this balance, because they have an overriding love and concern for one anther.stubbornness

Now the facts — not all loving relationship, including many marriages, have a sexual component. Many, for one reason or another, simply don’t. In fact, most long-term relationships are not sexual in nature. However, a partner in loving relationship who is unable to provide sexual satisfaction to his/her partner should give the languishing partner permission to find sexual fulfillment outside the relationship. I hasten to add that these are often very difficult negotiations to hammer out. But to do less than try to make these accommodations is, I believe, a form of sexual abuse.

If what you report about your wife’s revulsion to even you sexually pleasuring yourself is accurate, then you have a very hard row to hoe. Trying to negotiate a satisfactory solution to your dilemma is all the more difficult when one of the partners is opposed to even discussing the issue. This is where a good counselor will come in handy. (If you would like to consult me, see the Therapy Available tab under the About Dr Dick page in the header of my site.) If your therapist is not up to helping you bring this issue to the fore, then you’d better look elsewhere for the help you need. If this issue is left unattended you will continue to sink to the lowest common denominator. You will continue to be unhappy as you skulk around looking for stray cock in unsavory places. And I have a sense that you are not being totally upfront with me about your extracurricular activities. Simply put, you do yourself and your marriage a greater injustice with this kind of reckless behavior than risking the dissolution of your marriage by engaging your wife in an honest search for a healthy solution to your problems.

solutionsThat being said, I’m gonna go way out on a limb here and guess that you’ve already made up your mind about the direction you intend to go. I suspect that you will continue to explore your nascent bisexuality through these furtive liaisons with men you’ve been meeting. I also assume that, divorce is not an option, at least not in an up-front sort of way. The sad thing here is your wife is unable to join you in coming up with a viable solution to the problem at hand, because she is being kept in the dark about your dalliances.

I am not suggesting that you deny your sexual needs just to appease or pacify your wife. Nor do I condone deceiving your wife about your true self. These options will only create a divide between you and your wife that will never be bridged.

If you ever hope to escape the corner you’ve painted yourself into, you’ll have to buck up and be honest with your wife. Looks like you have your work cut out for you, my friend.

Good Luck

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

You’ve lost that lovin’ feelin’

Name: Heather
Gender: Female
Age: 36
Location: USA
I have been married for 10 years. I told my husband 6 years ago that I was not physically attracted to him anymore. I stopped wanting sex from him, because he just turned me off. No matter what he does — cleaning, cooking, running me a bath, eat me and so on but nothing works. I start to get wet and as soon as he gets started but I dry up like a prune what should I do? I have not had good sex in a long time.

Well, if you’re not attracted to him anymore, you’re not attracted to him anymore…plain and simple. But what I don’t get is, how come you’re old man is still hangs in there after six years of disinterest on your part? Is he some kind of glutton for punishment?he & she hips

If I was your long-suffering hubby and I was doin all this stuff, including cooking, cleaning and eatin’ out your pussy, I’d sure as hell demand an explanation for your attitude change. Of course, maybe he likes being the doormat. Some men really get off on being dominated and treated like shit. Is that why you are no longer into him, because he’s behaving like an emasculated pussy?

Or is there something else he’s done that has put you off? Did he gain weight? Does he not attend to his personal hygiene? Did he become a Republican? Ya know, things like that. If it is something he’s done or failed to do and he can change his behavior to better suit you, maybe you oughta clue him in on this.

haven't had sex in a whileHowever, if it’s not something he’s done or failed to do, but it’s you. Then he needs to know that too. You did say that you dry up like a prune. Are you using lube with your penetrative sex? Perhaps it’s your libido that’s gone south, not his relative attractiveness? Sometimes women get these two things confused. And there are any number of things that can mess up the arousal phase of your sexual response cycle.

Do you have sexual fantasies? Do you masturbate? Are horny for anyone else — either real or imagined? How’s your health? Are you on birth control? Are you depressed? Sleep deprived? Are you putting on the pounds? Could you be experiencing early-onset menopause? As you can see, there are innumerable reasons for a decrease in libido.

At any rate, Heather, you really need to get to the bottom of this, and soon, six years is a mighty long time to live like this. I’d look for a sex-positive therapist to connect with, if I were you. Clearly, you’ve been unable, in six years, to discern the cause of your attitude change on your own. It’s irresponsible to continue to drift with the status quo.

Good luck

Name: Pete
Gender: Male
Age: 33
Location: Florida
I’ve noticed that some of the skin on my dick is starting to wear away from me masturbating…there is no blood or anything like that. Just the skin turning light in color around head of my dick. I think it’s my grip. Is there a way the color will come back or have I rubbed the skin cells to death. I masturbate about 3-4 times a week. I’m not in a relationship and prefer masturbation over random sex.

Your dick skin is wearing away??? Really? What are you handling your unit with, darlin’, sandpaper?

You say you think it’s your grip. Ya think? Hey Pete, are you using lube when you stroke? Or are you just yanking away down there with wild abandon using a dry hand? If you’re not using a good jack off lube like, Spunk Lube then ya better start right away! This stuff is also great for use with condoms.jeans 1

As to the rather sudden coloration change on your dick, I’d be willing to guess that it has nothing to do with jerkin’ off, even like a maniac. More likely it’s a genetic condition known as vitiligo. And the coloration change is actually a loss in pigment. This is not a health concern. Really! Nor is it contagious. So you don’t have to worry about it in that regard. If it is indeed vitiligo, there’s nothing you can do about it. It’s irreversible, but it can and does spread.

Here’s a relatively easy way to self-diagnose this pesky, but benign condition. While naked as a jaybird, squat over a mirror. If what you have is vitiligo, you will also see the same kind of color changes (or more properly — loss of pigment) around your asshole. You may also notice it on your elbows and knees. If you are fair-skinned, the loss of pigment will be less noticeable then if you have a darker complexion.

If it’s not vitiligo, you might consider a check up with your physician. But I pretty much can guarantee you that unless you are absolutely ruthless in your masturbation technique, manhandling yourself is not the cause of the color change on your joystick.

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

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