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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

More SEX WISDOM With Katherine Frank — Podcast #387 — 08/21/13


Hey sex fans! Welcome back.K Frank

Kate’s back! That’s Dr Katherine Frank, cultural anthropologist, sex researcher and noted author, to you guys, don’t cha know. And this is the SEX WISDOM show.

So Kate and I got such an amazing response after last week’s episode that I could hardly contain myself for her return today. And I’ll just bet she’ll be bringing us more of her signature candor and insight.

But wait, you didn’t miss Part 1 of this show, did you? Well not to worry if ya did, because you can find it and all my podcasts in the Podcast Archive right here on my site. All ya gotta do is use the search function in the header; type in Podcast #386 and Voilà! But don’t forget the #sign when you do your search.

Katherine and I discuss:

  • Gender power dynamics in group sex;
  • Differences between gay and straight group sex etiquette;
  • Sexual taboos may still apply;
  • The mainstream and the fringe;
  • Disgust, shame and guilt;
  • Sexual transgressions and transcendence;
  • Strings and Sympathy: Strip Club Regulars and Male Desire;
  • Sex work is labor;
  • Sex as barter;
  • Double standards;
  • Sex worker rights;
  • Those who inspire her.

Katherine invites you to visit her on her site HERE!

Click on the book covers below for more information about Katherine’s books.

g-String          plays well

BE THERE OR BE SQUARE!

Look for all my podcasts on iTunes. You’ll find me in the podcast section, obviously. Just search for Dr Dick Sex Advice. And don’t forget to subscribe. I wouldn’t want you to miss even one episode.

Today’s Podcast is bought to you by: DR DICK’S — HOW TO VIDEO LIBRARY.

drdickvod.jpg

SEX WISDOM With Katherine Frank — Podcast #386 — 08/14/13


Hello sex fans! Welcome back.Katherine Frank01

I’m delighted to continue the SEX WISDOM series today. After the last two weeks of chat with an up and coming therapist who is just beginning her sexological career, I am proud to welcome a woman of distinction in our field. My guest today is cultural anthropologist, sex researcher and noted author, Katherine Frank.

Katherine has distinguished herself as one who can tackle some of the thorniest issues of human sexual behavior with objectivity and compassion. Her three books as well as her numerous academic papers and popular articles provide us with an intelligent and intimate view of the sexual fringe. And she’s here today to tell us about her research and why she chooses to study what she does.

Katherine and I discuss:

  • Cultural anthropology and sex research;
  • Meanings and taboos;
  • Sex and the boundaries of our bodies;
  • Dispassionate observations and objectivity;
  • Participatory research;
  • Critical thinking, human nature and generalizations;
  • Fears, desires, and wounds;
  • Sex research and its repercussions;
  • Plays Well in Groups: A Journey Through the World of Group Sex;
  • Breaking the rules;
  • The myths associated with group sex.

Katherine invites you to visit her on her site HERE!

Click on the book covers below for more information about Katherine’s books.

g-String     plays well

BE THERE OR BE SQUARE!

Look for all my podcasts on iTunes. You’ll find me in the podcast section, obviously. Just search for Dr Dick Sex Advice. And don’t forget to subscribe. I wouldn’t want you to miss even one episode.

Today’s podcast is bought to you by: Dr Dick’s Stockroom.

drdicksstockroom.jpg

It’s a small world after all

Name: ali
Gender:
Age: 25
Location: canada
my girlfriend dont waana get maried to me beacuse she is afraid of sex , she hates sex because she think its a disguesting thing like sucking fingering n etc what am i suppose to do i love her how i satisfy her dat we have to marry???

Why would you want to marry a chick that doesn’t like sex as much as you do? That just seems crazy to me. If you think you’re gonna win her over and change her mind about sex by marrying her, that’s even crazier. Loving someone is not enough to overcome this kind of sex aversion. If she’s unwilling to see a therapist to help her through her distaste of sex, then I’d say it was time for you to find another potential bride.

misunderstanding

 

Name: Randy
Gender:
Age: 24
Location: Florida
Is it possible that anal sex can result in increased flatulence?

Ahhh yeah! Think of your ass as a cylinder and your partner’s cock as a piston. All this slamming in and out forces air up your bum. And what happens to that trapped air after (and sometimes even during) the fuck fest? You got it…farts for days. It’s no big thing, all bottoms get fuck-farts. The same is true for women — her pussy is the cylinder and her partner’s cock is the piston. All this slamming in and out forces air into her cooch, producing the very familiar pussy-fart.

Name: Jonathan
Gender: Male
Age:
Location: UK
Hello, please could you tell me if there is a way to increase the size of my testicles permanently, I do shoot a good amount of cum but they are small in the hand and look small in underwear and swim trunks, have you any advice on what I could try,

Hold on there, big fella. What are you tellin’ me? Do you want to increase the size of your balls (testicles), or the size of your sack (scrotum)? You can do the later, but not the former. If you are past puberty, your balls are the size they are gonna be, there’s no increasing them. Your sack, on the other hand can be stretched to increase its size. Will that satisfy you? If so, read this: …don’t let me get too deep. If not, you’re out of luck, darlin’!

Oh, and by the way, the “good amount of cum” you mention, most of that, 70% of it, is not sperm, the reproductive cells produced in your balls. Most of your semen is a mixture of fluids produced in your seminal vesicles, prostate, and bulbourethral glands.

Good luck.

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