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Is she is, or is she ain’t

Name: Ulrich
Gender: male
Age: 22
Location: Hannover, GR
How do I know my girlfriend isn’t faking it? She looks like she’s into it, but sometimes it looks like too much drama.

Too much drama, I love it! I’m gonna assume that you’re talking about what appears to be her throws of pleasure — screaming, moaning and thrashing about, just like in the porno movies. I’m not sure I know why woman fake it, men sure as hell don’t go out of their way put on a show if their heart and dick ain’t in it. But women often do and sometimes even us benighted men think something’s fishy…so to speak.

Maybe the question you are asking, Ulli, might stem from a concern you have about your own skill as a lover. I suppose the most obvious reason a woman fakes an orgasm is to massage the ego of the guy who is putting it to her. I suppose it’s the path of least resistance after all. It’s easier to fake it then be honest with her lover about his sexual prowess. Of course there’s always the possibility that the woman in question is pre-orgasmic — that she’s never had an orgasm so she may think that this is how it’s done. How sad is that?

You know how there’s little mystery about a dude’s pleasure — he gets it up, he gets it on and he gets it off — pretty cut and dried. And there’s often the evidence of his pleasure in the form of a pool of his own jizz. Although I hasten to add that an ejaculation is not the same thing as an orgasm, but it is rare to have an ejaculation that isn’t somewhat pleasurable.

A chick is very different, don’t ‘cha know. Her sexual organs and arousal are mostly internal. So unless she’s a squirter (a g-spot ejaculation that is) there’s only circumstantial evidence that she is being pleasured. I guess that’s why so many women make all that “drama.” It’s to compensate for not having anything as obvious as a hardon and a puddle of spooge. Of course the drama could also be a way of throwing us boys off the scent…so to speak.

However, there are things you can look for that may indicate your partner is enjoying herself. Knowing something about the female sexual response cycle will, no doubt, be very helpful here. If you don’t know your way around this phenomenon, I’d suggest that you have some remedial study to do.

Again, the male sexual response cycle is pretty obvious — he gets wood. For a woman the analogous response is she gets wet. If your lady has a wet pussy, you may be on the right track. Of course lots of women don’t lubricate all that much, so you might not want to rely on this evidence alone. In this instance you might look for the secondary signs of arousal – these are pretty much the same in both women and men. Our pupils may dilate, our skin may flush, our nipples may erect, our breathing may increase to a pant, our heart rate will defiantly increase and our toes might curl. Not all of these will happen every time to every person, but you get the drift, right?

In terms of the big “O” men and women differ in many respects, but there are some commonalities. Both women and men can have “mini orgasms” as well as “major” screamin’ memes. Us men folk tend not to pay too much attention to the little tremors, because we know the big one is coming. Women, on the other hand, have less certainty that the big “O” will show up, so they tend to be more aware of the mini ones. Regardless of the gender a good portion of an orgasm’s physiologic response is the same in all of us. Muscle contractions, specifically the PC (pubococcygeus muscle) in both women and men and vaginal and uterine muscles in women signal orgasm. Everything else— the writhing, the shuddering, the fluttering of the eyes and the moans of delight — is gravy.

If the chick you’re bumping has a wild orgasm every single time, I think she’s faking it. If she cums no matter what you’re doing to her, I think she’s faking it. If she sounds like a cheap porn flick, I think she’s faking it. If she’s still doin’ the “oh yeah baby, you’re the best…make momma scream,” long after you stopped doin whatever you were doin’. I think she’s faking it. If she carrying on, yet looking over at the television or the clock, then I think she’s faking it. If there’s no afterglow after a big “O”, I’ll bet she faking it.

If you think you’re with a faker, you might just want to tell her that she doesn’t need to put on a show for you. On the contrary, you both would be better served with a little honesty. Ask her for some feedback; what’s working, what’s not. Oh, and if you think the chick you’re with is gonna cum as fast as you, you don’t know your way around a pussy.

And here’s another thing you should know; most women don’t come from fucking alone. So if you think you got a magic wand in your pants, you are sadly mistaken. If you’re not using your hands and mouth as well as your willie; she’ll likely fake it.

And finally, if you can’t locate her clit to save your life, you can count on her faking it.

Good luck

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

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

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

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

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

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

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

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

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

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

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

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

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Yikes! WTF is wrong with me?

Name: Tony
Gender:
Age: 40
Location: Houston
I’ve loved several women and even married and divorced one. Over the last few years, I notice having similar feelings for men around me…longing, sweaty palms, difficulty thinking and wanting to be with them alone. Is this love? Am I bisexual? Am I a sick man better off dead? I have not crossed the line and I still have great sex with women. But there’s now a guy that I think about when I’m with her! Am I gay? Bisexual? Sick in the head?

Hey, chill out, my friend, this is not all that uncommon a phenomenon. Many people, just like you, inexplicably find themselves behaving in a completely unexpected sexual manner. I would, however, love to know what triggered you to veer off your comfortable and predictable sexual path?

While you enjoy these new found feelings, beware that there’s never a scarcity of sexual fascists out there. People who believe that sexual tastes and preferences are carved in stone, or that there’s only one “right” way to be sexual. They’ll persecute anyone who doesn’t conform to their strict immutable notions of sexuality and eroticism. Despite the proliferation of these hetero-fascists and homo-fascists; they are all very wrong about the indomitable human spirit and the flexibility of human sexuality.

Humans are not sexual automatons. Given a more permissive and sex-positive culture then our own, we’d all be more fluid in our eroticism and sexual expression. Are you one of the lucky few who has discovered the joy of this fluidity? Doesn’t quite sound like it to me, at least not yet. I think you’re still in the “scared shitless” stage.

For a guy who has yet to “cross the line” and actually act on your fantasy, you sure are preoccupied with your identity. Are you afraid that someone will take away your breeder card if you actually touch a dude in a sexual way? Does having same-sex feelings…sweaty palms and all…make you a gay? I certainly doubt it! Being gay entails a lot more than a sense of longing for something you’re not supposed to have. Are you bisexual? I can’t say for sure, but you’re certainly not exclusively straight either. I suppose you have to come to grips with the self-identify thing when you have a bit more information about your burgeoning eroticism. What I know for sure is that you are not sick.

Who knows, your homoeroticism might very well be situational. It might not extend any farther than the guy you think about when you’re fucking chicks. I know all of this is can be pretty disconcerting and it can really mess with your head. But at least you know you are still alive sexually. So many people are sleepwalking through their erotic lives.

Will you act on your inclinations? Will you test the waters, so to speak? What harm could it do? Might just open up a whole new sexual world for you. On the other hand, if you do nothing, or try and repress these natural feelings, you’ll always know in your heart of hearts that you have the desire, if not the capacity, to express yourself sexually with a much wider range of humans than what you are currently used to. And something tells me that if you choose the path of self-denial, it will eat away at you until you satisfy your curiosity.

Good luck

Name: William
Gender:
Age: 67
Location: Connecticut
Is there such a thing as a being a homosexual watcher only? Ya know, getting an erection, but not wanting to perform?

All of human sexuality is on a continuum. Are you familiar with the Kinsey Scale? The dean of American sex research, Alfred Kinsey, his associate, Wardell Pomeroy, and their colleagues developed this scale as a way of classifying a person’s sexuality in terms of both behavior and fantasy.

This is what they developed.

0- Exclusively heterosexual with no homosexual behavior or fantasy.
1- Predominantly heterosexual, only incidentally homosexual — most likely in fantasy only.
2- Predominantly heterosexual, but more than incidentally homosexual — fantasy for sure and possibly behavior too.
3- Equally heterosexual and homosexual in both behavior and fantasy.
4- Predominantly homosexual, but more than incidentally heterosexual — fantasy for sure and possibly behavior too.
5- Predominantly homosexual, only incidentally heterosexual — most likely in fantasy only.
6- Exclusively homosexual with no heterosexual behavior or fantasy.

These pioneering sexologists also discovered that an individual may be reassigned a different position on this scale, at different periods in his/her life. It’s conceivable that one could go from Kinsey 0 to 6 in a lifetime, or just a summer in San Francisco. This seven-point scale comes close to showing the many gradations that actually exist in human sexual expression.

Back to your specific question, William, yes, someone could be a Kinsey “6” in terms of his fantasy and desire, but be a Kinsey “0” in terms of behaviors.

We’re amazing creatures, huh?

Good Luck

The Heartbreak of Male Performance Anxiety

I get a dozen or so messages a month on this topic. I’ve written about it in numerous postings and spoken about it in several podcasts, but still the email comes.

One of the real bugaboos for anyone, regardless of gender, is living up to our own expectations of sexual performance. So many things can get in the way, literally and figuratively, of fully enjoying ourselves and/or pleasuring our partners.

The arousal stage of our sexual response cycle is particularly vulnerable to a disruption. And when there’s trouble there, there’s no hiding it. A limp dick or a dry pussy can put the kibosh on all festivities that we may have hoped would follow.

However, performance anxiety can strike any of us, regardless of age, and at just about any point in our sexual response cycle. This is a particularly galling when it seems to come out of the blue. And regaining our composure can be more far more difficult than we imagine.

Today we will be focusing on male performance anxiety.  I’ll address female performance anxiety at a later date.

Here’s Bob, he’s 26:
Doc, this has never happened before. But I couldn’t get it up tonight, and this chick was H.O.T. Now I’m not gay at all, but I haven’t had sex in about 3 years because I was locked up…so I masturbated pretty regularly, about 3 or 4 times a week. But I can’t figure out why I was soft… the only thing I can think of is I ate clams tonight and I’ve never had them before. Could it be that or should I get checked out?

It weren’t the clams, darlin’! And I don’t think you need to get “checked out” either…at least not right away. If you could back away from the situation a bit and stop freaking out, I think you’d discover the source of your problem all on your own.

Here’s the thing—while you were out of commission there in the slammer, you relied, as you say, on jerking off. Okay, cool. We all do what we gotta do. Now the first time you try to score after your release…you go soft. This tells me you have a mild case of performance anxiety. We all get that from time to time.

There’s probably nothing wrong with you or your johnson. You just got the jitters first time you tried to get you some after being away, that’s all.

The anticipation of boning this H.O.T. chick—fueled by some predictable self-consciousness; what with just getting out of the big house and all—pulled the plug on your wood. No surprise there, right?

What I don’t want to see happen is for you to replay the incident over and over in your mind’s eye til that’s all you can think about. If you do, this proverbial molehill will become a mountain. You’ll then bring all this anxiety to your next encounter, setting yourself up for even more disappointment. You can see how this shit can snowball? If you interpret every less than satisfying encounter as a failure, your fears will become self-fulfilling. You’ll begin to avoid partnered sex and you’ll develop a full-blown sexual dysfunction. And your self-esteem will take a nosedive, too.

If you’re preoccupied with your performance, it’s less likely that you’ll be fully present during sex with a partner. This pretty much fucks up your sexual responsiveness and any hope for spontaneity. Why not just relax into the whole sex thing and not try to prove your manhood with your pecker?

Then there’s Steve with a slightly different take on this meddlesome problem:

My partner and I have been together for just over 3 years now in a monogamous relationship. I am the top and he the bottom. Our problem is not premature ejaculation on his part, but his inability to have an orgasm at all. No matter what I try and even if he masturbates, sometimes it is impossible to get him to cum. Is this a medical issue? Have you ever heard of this?

Delayed ejaculation is the difficulty one has ejaculating even with a firm erection and sufficient sexual arousal and stimulation. This problem is not uncommon. For most men, delayed ejaculation occurs during partnered sex more frequently than while masturbating. In fact, 85% of men with delayed ejaculation can usually cum by jacking off. However, in partnered sex, the guy may be unable to ejaculate at all, or only after prolonged partnered stimulation. This problem can be very frustrating and cause distress for both partners involved, as you already know.

What causes delayed ejaculation? Well, it could be a number of things. It could be something as simple as performance anxiety, or inadequate stimulation, or there could be neurological damage.

I don’t want to be too reductionist here, but most of us experts believe that the majority of instances of delayed ejaculation aren’t physical in nature, but rather are the product of psychological concerns. Simply put, there’s a difference between the psychosexual response we have when we are alone and the one we experience with a partner. There’s probably nothing wrong with your partner’s unit. It’s all in his head…or his mind, to be more exact. If I had to guess, I’d say he’s got a real bad case of performance anxiety.

When I see this sort of thing in my private practice, I always begin the therapeutic intervention by calling a moratorium on fucking of any kind. This immediately takes the pressure off the couple. From there we begin to rebuild the partnered psychosexual response one step at a time. We begin with sensate focus training (Sensate Focus is a series of specific exercises for couples that encourage each partner to take turns paying increased attention to their own sensations. More about these helpful exercises in the weeks to come.), stress reduction and relaxation exercises. These applications are designed to reduce performance pressure and instead focus on pleasure. The idea is to get them to stay in the moment; absorb the pleasure present without worrying about what is “supposed” to happen.

Finally we address as frankly and openly as possible any fears or anxieties that they may have—as individuals or as a couple. I have the greatest confidence in this method; it succeeds over 90% of the time.

Ok, let’s recap shall we?

Overcoming sexual performance anxiety is dependent on five simple things.

  • First, a guy needs to be attuned to his sexual response cycle — arousal, plateau, orgasmic and resolution phases. He should know what kind of stimulation he needs at each phase to fully enjoy himself and satisfy his partner.
  • Second, the more worried a guy is about a performance issue, the more likely that problem will present itself. A bad experience in the past can often set the stage for its recurrence.
  • Third, don’t be afraid to talk this over with your partner. Withdrawing from your partner or shying away from sex altogether will only increase the likelihood that the problem will persist.
  • Forth, be proactive! Fearing the loss of your sexual prowess or feeling sorry for yourself is counterproductive. Confront the challenge head on. Employ sensate focus training stress reduction techniques and relaxation exercises to help you push past this temporarily impasse and regain your self-confidence.
  • Fifth, free yourself from the mindset that your dick is the center of the universe. Your manhood or your capacity to be a great lover does not reside in your genitals. Expand your sexual repertoire. Remember, pleasure centers abound in your body as well as your partner’s.

Good luck!

Parts is Parts!

Name: Charles
Gender: male
Age: 47
Location: Northridge CA
I’ve heard a lot about checking your balls for possible problems — but none ever say what lumps you have naturally. At the low point of my testacles I feel a lump (I would explain it as an area that would feel more or less like a cracked egg, you have that part that is globules and is string-tethered to the yoke. Is that exactly what’s happening? Should you feel any pain if you squeeze it — especially trying to figure out if it is a lump or not?

My friend, I’m clever as all-get out about lots of things, but the lump on your balls ain’t one of those things. I’m not a medical doctor; I don’t even play one here on the internets. And I can assure you, no reputable doctor anywhere would hazard a guess about what you present without first seeing you in person. That’s just good medicine.

That being said, I applaud you taking note of your balls in an inquisitive sort of way. Good for you! But you should also have at least a rudimentary understanding of your testicular anatomy. So that when you do your self-exam, you can have some sense about what it is you are examining. To this purpose, I offer the diagram to the right. Is there anything in the diagram that looks even remotely like what you are feeling in your ballsack?

Finally, if you have a concern about what you think may be an abnormality, isn’t it high time for you to high tail it to a doctor for a look-see?

Good luck

Name: Tom
Gender:
Age: 18
Location: New York
Okay so I’m not sexually active yet so I’m not in a rush to solve this but I just had a question for you. Is it possible to have too much foreskin? I mean even when fully erect the skin still overhangs by like 1 quarter inch or so (never measured so not exact). So a few times I’ve tried to do it by hand and yet still it doesn’t fully go back and gets to a point that it starts to hurt and I can’t continue. So do I probably have to get cut some day or something? Also what if I decided not to get cut would this cause problems, just asking because if I didn’t have to go in and get cut I’d prefer that but you gotta do what you gotta do. Well thanks for the help.

Too much foreskin? Never heard of such a thing!

That being said, it does sound like you have been blessed with an abundance of lace curtains. What’s also obvious is that you’ve yet to learn how to manage a foreskin…particularly a wild and unruly foreskin, like yours.

Phimosis, or tight foreskin, can be a real pain. But stretching, not circumcision, is the cure for all but the most severe cases. I’d be willing to guess that you’ve never been taught to stretch your foreskin to make it more elastic, right? Alrighty then, let’s start with a few stretching exercises.

Exercise 1 — While you’re dick is soft; retract your foreskin as far back as you can. Work two fingers in under your hood till you can touch the head of your dick. Now attempt to roll your hood forward and over your fingers. It’s like docking another dick, only you’re using your fingers. This exercise depends on you having your fingers inside your foreskin for it to be effective. In time you’ll be able to add three fingers, instead of just two. This will stretch your skin to the point you’ll be able to easily retract it over your erect dick head.

Exercise 2 — Grab each side of the foreskin opening and gently pull each side apart. Stretch the opening till it’s stretched with a tension you can tolerate, but not actually painful. Hold for a count of 10 and release. Repeat for 5 sets of 10 pulls per day, more if you can handle it. Here’s a tip, these stretches are best done after soaking in a warm bath or a long hot shower.

Exercise 3 — This is a variation on exercise 1. Insert a smooth cylindrical object into your foreskin opening, like the cork from a wine bottle. This object needs to be just large enough to stretch the skin without pain. Once inserted, leave it there for as long as you can during the day, or for over night. As your foreskin stretches you want to swap one object for another with a larger diameter. If a wine cork is too big to start with, consider a smaller smooth wooden or plastic dowel. You can find these sorts of things at the Home-O Depot. You might need to use a bit of surgical tape to keep these stretchers in place.

These exercises may sound a bit invasive or uncomfortable, and perhaps they will be at first. But they’re nothing compared to getting cut as an adult. In a short period of time you will achieve the success you are looking for. Remember, properly caring for your foreskin will insure that you’ll be able to keep this amazing piece of your anatomy. So that when it’s time for you to become sexually active it will work flawlessly and exponentially increase your pleasure.

Good luck

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