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The extraordinary case of the Guevedoces

Catherine and his cousin Carla, Guevedoces in the Dominican Republic

Catherine and his cousin Carla, Guevedoces in the Dominican Republic

The discovery of a small community in the Dominican Republic, where some males are born looking like girls and only grow penises at puberty, has led to the development of a blockbuster drug that has helped millions of people, writes Michael Mosley.

Johnny lives in a small town in the Dominican Republic where he, and others like him, are known as “Guevedoces”, which effectively translates as “penis at twelve”.

We came across Johnny when we were filming for a new BBC Two series Countdown to Life, which looks at how we develop in the womb and how those changes, normal and abnormal, impact us later in life.

Like the other Guevedoces, Johnny was brought up as a girl because he had no visible testes or penis and what appeared to be a vagina. It is only when he approached puberty that his penis grew and testicles descended.

Johnny, once known as Felicita, remembers going to school in a little red dress, though he says he was never happy doing girl things.

“I never liked to dress as a girl and when they bought me toys for girls I never bothered playing with them – when I saw a group of boys I would stop to play ball with them.”

When he became obviously male he was taunted at school, and responded with his fists.

“They used to say I was a devil, nasty things, bad words and I had no choice but to fight them because they were crossing the line.”

We also filmed with Carla, who at the seven is on the brink of changing into Carlos. His mother has seen the change coming for quite a while.

“When she turned five I noticed that whenever she saw one of her male friends she wanted to fight with him. Her muscles and chest began growing. You could see she was going to be a boy. I love her however she is. Girl or boy, it makes no difference.”

Child on swing



So why does it happen? Well, one of the first people to study this unusual condition was Dr Julianne Imperato-McGinley, from Cornell Medical College in New York. In the 1970s she made her way to this remote part of the Dominican Republic, drawn by extraordinary reports of girls turning into boys.

When she got there she found the rumours were true. She did lots of studies on the Guevedoces (including what must have been rather painful biopsies of their testicles) before finally unravelling the mystery of what was going on.

When you are conceived you normally have a pair of X chromosomes if you are to become a girl and a set of XY chromosomes if you are destined to be male.

For the first weeks of life in womb you are neither, though in both sexes nipples start to grow.

Then, around eight weeks after conception, the sex hormones kick in. If you’re genetically male the Y chromosome instructs your gonads to become testicles and sends testosterone to a structure called the tubercle, where it is converted into a more potent hormone called dihydro-testosterone This in turn transforms the tubercle into a penis. If you’re female and you don’t make dihydro-testosterone then your tubercle becomes a clitoris.

Foetus at 12 weeks

When Imperato-McGinley investigated the Guevedoces she discovered the reason they don’t have male genitalia when they are born is because they are deficient in an enzyme called 5-alpha-reductase, which normally converts testosterone into dihydro-testosterone.

This deficiency seems to be a genetic condition, quite common in this part of the Dominican Republic, but vanishingly rare elsewhere. So the boys, despite having an XY chromosome, appear female when they are born. At puberty, like other boys, they get a second surge of testosterone. This time the body does respond and they sprout muscles, testes and a penis.

Imperato-McGinley’s thorough medical investigations showed that in most cases their new, male equipment seems to work fine and that most Guevedoces live out their lives as men, though some go through an operation and remain female.

Another thing that Imperato-McGinley discovered, which would have profound implications for many men around the world, was that the Guevedoces tend to have small prostates.

This observation, made in 1974, was picked up by Roy Vagelos, head of research at the multinational pharmaceutical giant, Merck. He thought this was extremely interesting and set in progress research which led to the development of what has become a best-selling drug, finasteride, which blocks the action of 5-alpha-reductase, mimicking the lack of dihydro-testosterone seen in the Guevedoces.

My wife, who is a GP, routinely prescribes finasteride as it is an effective way to treat benign enlargement of the prostate, a real curse for many men as they get older. Finasteride is also used to treat male pattern baldness.

A final interesting observation that Imperato-McGinley made was that these boys, despite being brought up as girls, almost all showed strong heterosexual preferences. She concluded in her seminal paper that hormones in the womb matter more than rearing when it comes to your sexual orientation.

This is still a controversial topic and one I explore later in the film when I meet Mati, who decided from the earliest age that though “he” looked like a boy, Mati was really a girl.

As for Johnny, since he developed male genitalia he has had a number of short term girlfriends, but he is still looking for love. “I’d like to get married and have children, a partner who will stand by me through good and bad,” he sighs wistfully.

Complete Article HERE!

It Just Don’t Look Right

Name: Manson.
Age: 21
I was born with hypospadias and I was operated three times during my life. The last operation was when I was 16. Now, I am 21. My problem is that my penis is only 11 cm or 4.3 inches! I am middle-eastern. I am worried about my penis size, since I have heard it won’t grow longer after the ages of 21-25. What is the best method of penis enlargement that you can suggest in my case?
Thank you

First, a quick review of what is hypospadias is for those unfamiliar with the term. It’s an abnormality of the urethra in some men. It involves an unusual placed urinary meatus (piss slit). Instead of opening being at the tip of the glans (or dickhead), a hypospadic urethra opens anywhere on a (raphe) line running from the tip of the dude’s cock along the underside of the shaft to where the base.

hypospadic 2This happens when a guy’s dick does not fully develop in the womb.

This condition has levels of severity, from the hardly noticeable to very obvious. Some children are born intersexed, and have ambiguous genitalia, which requires sexual reassignment surgery. But I’ll save that discussion for another time.

Some guys, particularly those with conspicuous hypospadias can develop a complex about their appearance. This in turn, impacts on their self-image and complicates their ability to form lasting sexual/partner/marriage relationships. Severe hypospadias can also interfere with procreation. Other men, perhaps those with less conspicuous or severe hypospadias show little to no concern for the appearance of their dick and live completely normal lives.

Some parents of children with mild hypospadias seek a surgical correction to the problem. I view this as a highly risky means to solve a less relatively innocuous cosmetic problem. There are men who were operated on as a child who now, as adults, resent the interference. Are you one such man, Manson? You say you’ve had three surgeries. As you may know, matters are often made worse rather than better through surgery. And of course, there’s always the risk of complications, infections and the like. There are, however, more serious cases of hypospadias that demand reconstruction. If your dick issue is causing you anxiety or low self-esteem, help is available. Check out: The Hypospadias and Epispadias Association.

On to the size of your cock. While your cock falls on the smaller end of the spectrum, it still is near the average. You might want to google — average penis size to get the lowdown on that.

It’s true what you suspect. Don’t count on your dick growing any larger than it is. And frankly, there are no effective methods for permanent enlargement. Here’s what I wrote to another young man (18yo) who wanted to grow his dick bigger…

Jeez, this is just about my least favorite topic of all. I keep promising myself that I won’t respond to anymore “how do I grow my dick bigger?” questions. And then along comes a young pup, like you John, and asks the question again. Here’s a tip, everything I have to say about cock enlargement schemes I’ve already said. If you want to know my thoughts about this wearisome topic look for the CATEGORIES pull down menu in the sidebar to your right. Under the main heading Body Issues you will find a subcategory Cock Size. Once you read through all columns and listen to the podcasts you will have all the information you seek.huge pen..

But since you’re a youngster I will respond kindly. First, you’re not even completely through puberty yet, John. So if you could just chill out for a couple more years till your growing spurt is complete, you might find that nature itself will resolve your issue for you. If, by chance, you find that by your 18th birthday your cock is no bigger than it currently is, then it’s time to make your peace with your piece. Because basically that’s the dick you’re gonna have to work with for the rest of your life.

In other words, you have about as much chance of growing a bigger dick than what your genetics has determined for you as you do growing your feet bigger or adding inches to your height or changing the color of your skin. It’s simply not gonna happen. There is no true way of safely increasing either the width or the length of your johnson short of a surgical intervention. And I never recommend that.

Just like there are ways to give the illusion of bigger feet, darker or lighter skin or being taller than you really are, there are things you can do to create the illusion that you’re growin’ yourself a bigger dick. But all the creams, the jelqing, the pumps, the weights, the what-have-you, will only have a short-term effect if they have any effect at all. In the end you will have spent a whole lot of money, wasted a lot of time, been consumed with a great deal of anxiety and possibly even injured yourself to wind up having what you’ve always had and not significantly more.

May I suggest that you practice accepting what genetics has determined for you in terms of cock size and everything else. Because that will give you more time and energy to learn how to use what you have to its greatest benefit. Luckily, our capacity to be a good, and even great, lover has nothing to do with the size of our cock. Anyone who tries to tell you different is pullin’ your leg.

I hope this is helpful.

Good luck

Tricks Of The Trade — Part 1

A friend of mine, who is writing a book about male sexuality for women, asked me if I could be her go-to-guy for a bunch of questions she had about pleasuring a man which she wants to include in her book. I think it is only fair that you, my loyal audience, should get this information before anyone else does.

What would, in your esteemed opinion, be your five hot tips for giving a great hand job?

First, there are 10, not 5. Hand jobs are too important for just 5.

Most men love a good old-fashioned hand job. Here’s the deal with a lot of us folks who own a dick. We first become acquainted with the pleasure our cock can offer through handling ourselves. And when it comes right down to it, there is rarely a mouth, pussy or ass that can compete with the variety of stroke and firmness of grip that a hand can provide. Simply stated, the humble hand job is the ideal way to pleasure your man. Just remember, even though jerkin off your guy isn’t particularly exotic, as far as sex acts go, it never has to be boring for you or him.busy masturbating

1) I am of the mind that a brilliant wank begins with a first class lube. Many guys swear by silicone-based lubes for this purpose, but a hand job connoisseur will probably have his very own favorite. Start off with just enough lube to make things slick, you don’t want to over do it. Get a feel for his johnson and what you have to work with. Skillfully draw back the skin of his rod toward the root of his dick till it is taut. This is much easier to do on uncut men, but even most cut men will have some skin left for move.

2) Tell your dude how much you like his meat. A hand job is a perfect time to marvel at the work of art before you. Feel free to uooh and ahhh a lot. Your man will get off on you admiring his unit. For, as we all know, a hard man is good to find. Can you wrap your fingers around the base of his unit and get a good grip there? If not, you’ll want to consider a cockring for this purpose. if you use a cockring, you’ll free up both your hands for what’s to come.

3) Now that you got yourself a really nice boner goin’, get between his legs. Take his cock between the palms of your hands, interlock your fingers and guide your hands up and down his shaft. Your thumbs should be on the underside of his dick, so that on each stroke up and down, you hit his frenulum with the pads of your thumb. Now with his cock still between your palms, rub your hands together, like if you were warming them. This will provide a great new sensation for your guy.

cock,schlong, dong4) Hold his cock in one hand and with the well-lubed palm of your other hand, slowly move it in nice lazy circles all over his dickhead. This is a particularly delicate procedure, especially if your man is uncut. His dickhead will be super sensitive, now that he is fully aroused. And don’t forget, if you are using a cockring, his pecker will be even more engorged than usual, making it hypersensitive. Be sure to ask for feedback on this move. If he finds this too uncomfortable, move on to something more pleasurable. Here’s a tip: us men being who we are will, no doubt, already be giving you directions on what to do and how to do it down there. So all you have to do is follow his lead. Remember, he knows his way around his joint better than anyone.

5) Don’t forget to service his nuts. Since a guy’s jewels are less sensitive to touch than his dickhead, you can manhandle them a lot more. Squeeze and tug and even gently slap those babies to your heart’s delight. While you are doing that, and with his dick flat against his belly, shimmy the heel of your hand up and down the underside of his cock. You see how you are incorporating different sensations and movements all at the same time? Keep this up and your man will be putty in your hands, no pun intended.

6) Interlace your fingers and make a tight passageway through the palms of your hands. Pump up and down his shaft this way. As you get to the top of his cock close the passageway even tighter. Then make him squeeze his way in as you slide back down to the bottom. Then with one hand rapidly following the other in only a downward stroke, make like a perpetual penetration tunnel. This will make his eyes roll back in his head in ecstasy.titty fuck01

(This might be a good time to incorporate other parts of your body besides your hands. Most men get off on a titty –fuck. Cozy his cock between your boobs and have him hump away. You can also use your feet in the same fashion. Lots of guys can really get off fuckin’ a chick’s (or dude’s) feet.)

7) Now, back to the hand job. Rhythmically stroke only his rod. Watch as his dickhead swells and turns red or even purple. Once it’s bright red, use your fingertips on the tip of his dick like you are turning a doorknob, first to the right, then to the left. Lightly at first, but slowly increase the pressure till he begs you to stop. Now you got him right where you want him.

8) Here’s where things can get really interesting. When he’s least expecting it, move one of your hands down past his nuts and taint. You know what a taint is, don’t cha? That’s the patch of skin between his balls and his asshole. It got its name from taint ass and taint balls, ya get it? Anyhow, once past his taint you’ll find his rosebud. With a well-lubed finger massage his pucker. If this is virgin territory for your man, he’s in for the thrill of his life. Continue to stroke both his cock and asshole. Don’t be afraid to try and push your fingertip past his sphincter. If he lets you inside, you will have access to his prostate. But even if he doesn’t, massaging the outside of his hole will bring him very close to an explosive conclusion.

9) If you’re ready to finish him off, so to speak, pick up the pace of your stroke. He will be breathing heavily now and he’ll look down over his chest at the miracle happening between his legs. Tell him to throw his legs in the air and spread them as far apart as possible. This will add considerably to the muscle tension that you’ve already built up. And a thunderous orgasm is all about muscle tension.

Now bring this puppy home. Lick his balls, finger his hole and beat his meat. Insist that he keeps his feet in he air and his legs splayed. Momentarily, he will begin to quake with building mini-orgasms. He will no doubt try to buck himself to conclusion, but don’t let him. For the moment you’re in charge down here, not him. Tease him one last time as he nears ejaculation. When he’s almost there, suddenly stop what you’re doing. This will, of course, drive him crazy. And don’t resume your stroking till he begs for it.

It will probably only take a few more strokes before he gives up the spunk. Keep your face, or at least your eyes, out of the way, because when he finally blows it will be explosive. If you’ve toyed with him for any length of time, you will have built up quite a load and it will shoot in spurts till he is empty.

10) His cock will be hypersensitive after he cums, so be gentle.



1. “Male G-Spot” clarification — we’ve heard the prostate referred to as the “male G-spot,” but we’ve also heard the frenulum given the same name. Which is it? Or is this term not appropriate for either one?cake & sodomy

Male G-Spot more appropriately denotes the prostate, definitely not the frenulum. However, let’s be grown up about this and skip the unnecessary comparison between the G-Spot and anything in the male anatomy. Because that’s like saying a clit is a female penis. If we must use shorthand for the prostate, try P-Spot.

2. How should a woman go about finding and petting the prostate?

  • First, trim your fingernails and file them smooth. And before you start playing with a man’s hole have him relax.
  • Take a relaxing shower, a warm bath, and/or try some deep breathing exercises will help him do that.
    Have a ready supply of a water-based lube handy. Silicone-based lubes are swell for these exercises too. However, this type of lube isn’t recommended for use with a condom.
  • Start with a nice hand job. Stroke his dick with your lubed hand to get him into his happy place.
  • Gradually slather some of that lube on to his balls and taint. While his legs are open find his hole and play with his rosebud. Gently massage the area around his asshole, but don’t side your fingers in just yet. Simply let him get used to the feelings of playing at the opening of your ass.
  • Let your play include the tip of your finger entering your ass.
    If you do this while you’re stroking his cock, you will find that his hole will actually open and invite your finger. That’s the great thing about pleasuring one part of your body while learning to pleasure another.
  • Once he’s comfortable with your fingertip inside, try pushing it in further and move it around a little. Try pushing it and pulling it out of his ass. Ya know, like finger-fucking your man.
  • About an inch or so inside your man’s ass, move your finger in an upward motion along the wall of his rectum. You’ll discover a round bulb of tissue the size of a walnut — this is his prostate.
  • It shouldn’t be hard to find, particularly if your man is all horned up. It will feel smooth and hard, like a flat stone.
  • Give that puppy a nice gentle massage with your fingertip. If you’re still stroking his wood, don’t be surprised if this prostate massage gets him off. In fact, you will find that his prostate actually enlarges a bit and becomes more firm just as he is about to shoot.
  • As he cums you will also notice that his sphincter muscle will tighten around your finger and pulsate with each squirt.

3. What’s the best position to put the guy in to do this?

body as art5821Your man should be on his back, while you face him between his open legs. This gives you access to cock, balls and asshole.

4. Should a girl be worried about hurting her lover while playing with his prostate?

If you go slow and are gentle, there’s nothing to be concerned with. Don’t forget to ask for feedback. And if you want to know what he is feeling, finger your hole first.

5. In your experience as a sex therapist, do you find that straight men are wary of letting their female partners explore anal play?

Oh yeah, big time! Straight guy have it in their head that ass play is gay. I always respond that would be true if only the gays had prostates.

6. If so, how would you advise a woman to address or overcome any homophobic paranoia her partner might have in regards to anal play?

This is a very delicate issue. The best a woman can do is invite him to experience the new sensations. Anything more than that can backfire. If she is too insistent, or tries to shame him into it, the guy’s fears will quickly become a phobia.

7. In your experience, is male vulnerability a factor in anal play, and if so, is there anything a woman should do or say to psychologically care for her lover?

Oh yeah! Like I said above, ass play is often associated with gay sex. The best thing a woman can do is watch some hot butt sex porn with her man, where the dude is on the receiving end of things. These are called pegging vids. Then there are How To Videos like TRISTAN TAORMINO’S EXPERT GUIDE TO ANAL PLEASURE FOR MEN.  Check out Dr Dick’s How To Video Library for loads more titles.

Look for PART 2 of this series on Friday, October 10th.

Pump It Up

Name: Celia
Gender: female
Age: 22
Location: Chico
I think my clit is too small. I rarely have an orgasm through oral stimulation and never through intercourse. Is there anything I could do to make my clit bigger? Do they make “penis pumps” for women?

I never did hear of a too small of a clit, darlin’. Listen, there’s way more to your clitoris than what meets the eye. While it is clitoral anatomytrue that those adorable little pleasure buttons come in a wide variety of sizes, shapes, and colors. What is externally visible is only the tip of the iceberg, so to speak. Wanna know more? Use the Google, why don’t cha? Search for “clitoral anatomy.” You’ll be amazed at what you find. Did you know that your clit has a hood, head, and a shaft? The whole complex looks like this winged alien creature. And did you know that your clit’s only purpose is pleasure. Men don’t have anything that even faintly resembles this astonishing thing. And the head of your clit has 8,000 nerve endings? That’s double what a guy has in his much larger dickhead. Pretty gal-darn amazing, huh? So to my mind, clitoral size is not an issue.

During sexual arousal your clit, as well as your whole pussy, engorge with blood and change color, just like a guy’s cock does. The more the engorgement, the more sensitive the area becomes, just like for a guy. Thus, the more aroused you are; the more pleasure you will receive, just like a guy. clitProblem is, few women are afforded the time necessary to become fully aroused. Imagine if a guy was expected to perform sexually before he was fully aroused. He’d be trying to fuck with a limp dick. And you know how successful an event that would be.

Conquering a limp dick is precisely the genesis of the fabled penis pump you mention in your question. The Austrian inventor Otto Ledever reasoned that if a stiffy was all about blood flow then maybe he could come up with a device that would draw blood into a cock creating an erection where there wasn’t one before. In 1917, our hero patented an airtight cylinder topped by a bulb that created a vacuum within the chamber. Insert a limp dick — pump, pump, pump and tada! — An impressive erection resulted.

Well then, since girl parts are pretty much like boy parts, at least in terms of the whole blood flow thing; the same principle will indeed work for your parts, Celia, just as well as it would work for a dude’s parts. Which gets me to my answer to your question. Yes, my dear, there are “penis pumps” for women only they are called a Clitoral Suction Cylinder or a Vagina Suction Cylinder.

The purpose of the suction is to increase blood flow making your clit, and/or your whole pussy, more sensitive to the touch. And again, my point from above, the more sensitivity in the area, the more pleasure you will have from your own touch or that of a partner.

I invite you to visit Dr Dick’s Stockroom and take a look around.  You’ll see, in the left hand sidebar, a list of product categories. Under the main heading, Sex Toys, there is a subcategory titled, “Suction.”  Click on it. There you will find two more headings, one of which is “Nipple And Body.”  Click on it. There you will find loads of things that will make your clit sit up and take notice. Here’s a tip, most all the nipple suction devices will also work on your clit. And if you want to pump up your whole pussy, you can do that too. How fun!

Clitoral Suction Cylinder  Clitoral enlargement system

Now if you want to be all primed, so to speak, for an upcoming fuck fest with the BF, or whomever, do your pumping before the event begins. This will get you all engorged, sensitive and loaded for pleasure before your partner joins in the fun. In fact, if you get the hang of the whole pumping thing on your own first, you’ll be able to show your partner the ropes, as it were; so that he or she will be able to incorporate the pump-job into the sex play next time you’re together.

Good luck

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A little bit of this and a little bit of that

Name: Curt
Gender: Male
Age: 18
Location: Spokane
Ok, so I’m always self-conscious when I see a big cock. I wish I had a bigger one. I’m a virgin and don’t get girls or guys because I think they will judge me. See I have a 6″ cock and I think that’s small for my age. Should I get a pump or something? I don’t know what to do.

I know what you should do! And it’s not going out and getting yourself a pump either. Here’s what you do. Instead of obsessing about the size of your unit, invest your time, energy and any cash you might be hording away to waste on a penis enlargement scheme in something that will make you a more interesting person. Because that, my friend, is what’s gonna get you laid.big-cock20

Here’s the lowdown — throughout history, men have obsessed about the size of their cocks. And when there’s magnitude of attention paid to something so trivial, you can be sure there’s gonna be an entire industry poised to bilk the shit out of the willie worrisome, like you Curt. Hey, where do you suppose the term “snake oil” originated? Sheesh!

All of this unfortunate big-dick envy creates a never-ending parade of con artists tryin’ to sell a remedy, of one sort or another, to cure guys, just like you, of their “shame.” But, take it from Dr. Dick, the dick doctor; it’s all bullshit. And some of the bullshit is really scary and dangerous bullshit.

For every little peanut out there, (and if you are reporting your size accurately, you’re on the higher end of average) there is some kooky diet, ridiculous cream, bogus massage technique or worthless breathing exercise that is supposed to transform one’s mini-meat into the giant economy size. And let’s not forget the weights you can hang on your thang. Vacuum devices to pump up your thang. And of course the twenty-first century solution — cosmetic surgery — to put a happy face on your thang. The results are dubious if there are any results at all. And each has negative side effects, some of which are more revolting and/or dangerous than others.

Here’s the last word on this — don’t waste your money on any of this crap. Or better yet, send me the money, and I’ll put it to good use. Here’s the very best advice I can offer a guy who is unhappy with the size of his schlong…learn to love what ya got. Learn to use what ya got. And leave what ya got the hell alone.

Good luck

Name: JC
Gender: Male
Age: 40 something
Location: Seattle
Here’s my question. You probably have already answered this a couple of times, but here goes anyway. How important is sex in a relationship between gay men? Do you think it’s ok to stay with someone even thought the sex is not good, or if it’s only good for one of the partners?

You’re right, I hear this question all the time, not just from gay men, but from all sorts of people.

sexless-relationshipsThe short answer to your query is; yes, lots of gay men (and folks of any other stripe too) stay together in healthy, loving, long-term relationships, even though the relationship (or marriage) is sexless. Most people in these relationships choose domestic tranquility over sexual tension. And sometimes the partners in these types of relationships give one another permission to pursue the sexual gratification they need and want outside the primary relationship.

That being said, there is certainly a large percentage of gay men (folks of any other stripe too) who could not, nor would they want to stay in a sexless, or one-sided relationship. And so the alternative, or satellite relationship, arrangement would not appeal to them.

To your final point about staying in a relationship when the sex is good for only one of the partners, well that’s a more troublesome. This suggests to me that the dissatisfied partner is frustrated and disappointed and that’s never a good foundation on which to build a relationship. My experience has been that when someone is living in one of these one-sided relationships the frustration will inevitably build to a point when all hell breaks loose. The ensuing explosion, more often than not, destroys the relationship.

I’ve worked with several such couples in the past. Some develop strategies for fixing the sexual problems that have come between them. These couples choose to work on building mutual sexual satisfaction into the relationship. And that can happen lots of different ways. Others couples decide that mutuality can never be achieved and so they choose to amicably end the relationship and move on.

Which kind of person are you? What kind of relationship do you have? I can scarcely say, given the limited information you share with me. I see you write from Seattle. If you want to talk about this sometime, make an appointment for a consultation. I’m sure I can make room for you. And anyone else in a similar predicament, regardless of where you live, my services are available to you too through Skype or by phone. Check out the Therapy Available tab in the header. It’s under the About Dr Dick tab.

Good luck

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