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The Crotch Report

Name: Gillian
Gender: Female
Age: 27
Location: Paris
Hi Dr Dick, My boyfriend and I are having a long distance relationship. When living together, we used to have an intense sex life … so you can imagine how frustrated we feel now … I don’t know when I’m going to visit him and how we’re going to make it without having sex! Could you help us copping with the distance? Are there some techniques, sex toys, etc … we could use ? Of course I have a vibrator but it would be so much better if my boyfriend could participate in a way, and vice versa … I can’t wait to get your advice!! Thanks!

Long-distance romances aren’t fun! Never fall in love with anyone outside your zip code! That’s what I always say. Of course, when it comes to matters of the heart, most good advice goes out the window. Thanks to the marvels of modern technology I may have the solution to your dilemma. Do you guys cam with one another? I hope so. If not the following advice will still be helpful; you’ll just not have the juicy visuals.

c770.jpgYou’ll both need an iPod (or another music player) and you’ll need one of these puppies: OhMiBod iPod Vibrator (C770). You’ll find these right here in My Stockroom.

The OhMiBod iPod Vibrator is an exciting combination of modern musical and sexual technology. In today’s hi-tech, fast paced world it only makes sense to fuse together two of the most popular forms of technological recreation, listening to music on your iPod and masturbating using a high-powered vibrator.

The OhMiBod iPod Vibrator is very easy to use.

  • Simply plug the universal headphone connector into your iPod (or music player)
  • Plug 1 end of the 3-foot cord into the headphone connector, and one end into the jack in the vibrator’s silver end-cap.
  • Turn on your iPod and use the volume control wheel to increase the intensity, rhythm, and vibe function. The vibration level, and the rhythm it moves to, is determined by the volume and style of the music.

The vibrator is 71⁄2 ” long and has a 1″ diameter. The vibe, cord, and connector are all white, and the end-cap is silver. Smashing!

So here’s what you do…and you can take turns doing this too. Find some music that you know for sure will get you off. Share that music with your BF. Have him load it into his iPod. Then set up a cam date. After you exchange pleasantries, you can get down to business. Insert your vibe into your pussy; your BF will insert his vibe into his ass. Go to the play list you put together and simultaneously start the music. Despite the distance between you, you’ll have all the same sensations. Before you know it, you both will be haven’ screamin’ memes. How fun is that?

And when you guys aren’t camming, you’ll find the OhMiBod iPod Vibrator comes with an extra silver end-cap that can be used without the music player. Imagine what a swell holiday gift idea this will be for all you far-flung lovers.

Name: Terre
Gender:
Age: 54
Location: Nashville
What are some of the newer procedures available for peyronies??

For those not in the know, Peyronie’s disease causes a guys dick to bend or curve dramatically when he gets a hardon. A hard, fibrous layer of scar tissue (plaque) develops under the skin on one side of his dick. When he gets hard, the scar tissue pulls the affected area off at an angle, causing the curve or disfigurement. Sometimes things can get so bad that the pain makes fucking practically impossible.

There are several “therapies” out there; none of which is supported by any hard data as to its effectiveness. So caveat emptor, which is Latin for “Let the buyer beware”!

There are both internal and some external therapies. There is a very expensive enzymes therapy that is taken in pill form. Allegedly the enzymes help break up the scar tissue. It’s a very slow process, if it works at all and it requires a prolonged and consistent treatment. Cha ching!

Some doctors will inject drugs, like calcium channel blockers or interferon, directly into the plaque in a guy’s dick. These drugs are said to break down scar tissue deposits and return the tissue-building process to normal. This therapy calls for multiple injections over a period of months. And the success of this treatment varies considerably. Cha ching!

There are Penile Traction Devices too. These create a gentle continuous tension on a guy’s unit. The claim is that the stretching opens up spaces between penile cells, and triggers growth and healing, thus resolving the issue. This is dubious at best.

Here are a couple of resources for you: The Peyronie’s Disease Society and The Peyronie’s Disease Institute.

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Name: a
Gender: Male
Age: 22
Location: ph
if a male was to get a sex change would a vagina be able to be made to make the operation complete, and if so would having a baby be possible

Yep, a post-surgical Male to Female transexual will have had a “functional” vagina fashioned from the cock “she” once had.

Nope, it takes a lot more than a brand spankin’ new whoha to make babies, darlin’. A post-surgical Male to Female transexual may have a pussy, but she doesn’t have a womb…so no babies.

Name: victor
Gender: Male
Age: 39
Location: LA
I don’t like sex as much as i use to been with the same guy for 15 yrs and could do it all the time now only once a week and he has to initiate it but once we are doing it is great. What can i do about it? Thanks victor

You sound like you’re more bored with, than disinterested in, sex. If you were disinterested in sex, you wouldn’t enjoy it when you actually got around to having some.

Sounds like your sex life needs a little sprucin’ up…and who’s doesn’t? I want you to mozie on over to my online sex emporium — My Stockroom — and pick out something really fun and smutty for you and your old man. Don’t let another day go by without at least trying to get back on track!

I have a dazzling array of products that will liven up even the most ho-hum sex life. Not sure what to buy? Not to worry! Take a look at my monthly ever so popular, Sex Toy Awareness feature right here on drdicksexadvice.com. It’s chock-full of swell gift giving ideas.

Name: garciaf54
Gender: Male
Age: 23
Location: texas
Hi im 23 years old and i belive my packege isnt enough for the girl im dating and probably any. My dick is 6 inches nothing more nothing less but is this normal or i need help?

You’re worrying way too much about your package, darlin’. Your 6” is adequate for getting the job done, especially if you know how to use what you have. Women are generally less concerned about the size of the meat as they are about the quality of the motion.

So yeah, you’re normal, but you may also need some help. I’d suggest you check in with your GF and find out how you’re doin’ in the love makin’ department. I’d be willing to guess that she may have a few pointers for you on how better to use what you got. But you’ll have to ask her nicely.

Young pups, like you, rarely know their way around a fine pussy. Hell, most women don’t know their way around their own fine pussy. Young pups, like you, may also be unaware of all the sexual positions that would best utilize a modest johnson. If this sounds like you, I’d say you have some homework to do.

Name: krishna
Gender: Male
Age: 33
Location: india
i love my cousin sister a lot, i am enjoying sex with her, is that wrong?

I actually had to look up “cousin sister” on the internet. While I came up with some conflicting information, one thing seems clear, the term “cousin sister” connotes a close biological tie — a first cousin, perhaps. Is that what you’re talking about?

If so, most cultures, even yours, frown upon incest. There are plenty of good reasons for this; not least of all is a genetic concern (inbreeding). But often the most devastating aspect of incest is the secrecy. No one violates this universal taboo in the open. I’ll bet this is the case with you too, huh? The secrecy and the inevitable shame and guilt can destroy you family dynamic.

I suspect you may already be aware of this. Why else would you be asking me if it was wrong?

Name: brnwiee
Gender: Male
Age: 24
Location: canada
why does my condom always break? am i too big 4 normal condoms? my size is 7.5 inc long n 6.5 inc girth………am i thrusting too hard?/// n is it possible 4a girl too deepthroat it all?

Maybe you need a bigger sized condom, darling. You know there are different sizes, right? Shop online for extra large condoms. Most online retailers will offer a varietybiggunsampler.jpg pack of the big boys. This way you’ll be able to choose the right condom for you without buying a box full of just one kind from the get-go.

Depending on the “girl” I’d say, you betcha deep-throating 7.5 wouldn’t be a problem. However, finding that particular woman might be your biggest challenge. You may have to turn to a “pro” for that kind of service.

Name: ken
Gender: Male
Age: 45
Location: toronto canada
low sperm count is there anyway of building this up ?

Nope! Despite the myriad products online that proclaim they will build up your sperm count; it’s all baloney. Don’t waste your money!

Name: Paul
Gender: Malebj01.jpg
Age: 21
Location: RI
My gf used to give me blowjobs quite a bit but all of a sudden she stopped and kept telling me she can’t stand doing them. She has always said she didn’t like them but that she did them cause I liked them so much. Why the hell would she stop now?

I guess she’s trying to tell you she doesn’t like you as much as she once did.

Here’s a tip: most chicks dole out the hummers as a reward for being the best little boy in the world. If she’s cut you off, so to speak, perhaps you’ve done something to piss her off. I’d look into that, if I were you.

Good luck ya’ll

Come With Me

Name: Julie
Gender: Female
Age: 38
Location: Boston
I went to Vegas with my best friend and she wanted to be laid in the worst way. Our first night in sin city I told her that prostitution is legal here and we “let our fingers do the walkin'”. Soon a gigolo was at the door. He was not six feet with blue eyes as promised, but he was an aspiring chiropractor and seemed like a nice lad so we let him in. The agency had said that they were registered with the State of Nevada and that they need payment upfront including the tip. Being novices to this we ponied up. I left my friend with the guy for her birthday shag and went for a walk around Vegas. I almost called you, Dr. Dick, so excited was I to be sophisticated. I had employed your advice and hired a pro and all! 20 minutes later I was staring at the Lions in the MGM Grand my cell rings. It’s her. The gigolo had a story about not being able to use her condoms due to a latex allergy and that the “other kind” which he had in his pocket must have dropped out in the lobby. This was a total bummer and the gigolo made off with almost $600 bucks! Can you publish “An idiot’s guide to hiring sex work”? We felt like total rubes and were sorely disappointed. The remainder of the celebrations were fantastic. We saw “The Thunder From Downunder” an all-male revue that was just wonderful. We also met many nice tourists and things looked up.

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Thanks for the Vegas travelogue. Sorry to hear you got ripped off by the “pro” you tried to hire for a little pleasure. That bums me out. I’m of the mind that freelance providers are generally a better bet than going through a agency. I know it’s too late now, but a consumer should never pay anything in advance. Ya always want to check out the goods first, don’t cha know! And if someone balks at that, you don’t want to do business with that person.

Not to make light of your situation, but I have a friend who was having trouble with his plumbing. No not that kind of plumbing! He tired to fix it himself, but to no avail. He was frustrated as all get-out. Finally I talked him into calling a “pro”. I don’t know where he found the plumber he called, but like you he got ripped off big time! There are dishonest people in every profession.

I applaud your moxie, girl. Don’t let this one bad apple scare you away from trying again another time. I stand by the Rent-A-Boy concept. Keep me posted on your future efforts.

Name: alex smith
Gender: Male
Age: 22
Location: California
I have had this litlle lump in my balls sac since i was a kid it doesnt hurt when i squeeze it and its inside i cant get it off because its attached to theno-freaking-out.jpg skin and im afraid to ask my doctor what do i do?

You’re 22 and you’re afraid to ask your doc about a bump on your nuts? What kind of pussy are you? Come on, grow a pair already, why don’t ‘cha?

This may come as somewhat of a surprise to you, but this is precisely what doctors are for. They look at the things that cause us concern, they tell us what it is, and by doing so, they put our minds to rest. Listen; if you’ve had this bump since you were a kid, the likelihood that it’s anything of consequence is pretty minimal. But go get it checked out so you can stop freakin’ out!

Name: Warwick
Gender: Male
Age: 22
Location: Wyoming
Dear Mr. Dr. Dick, my fiancee was raped by her step brother when she 13. she put up with it and has since repressed it continuing a “normal” relationship with him. how do i deal with this? how can i stand the thought of him or bear seeing him knowing what he has done?

Holy cow! That’s a bummer. But tell me this, if your fiancée repressed this memory (and that’s what repressed means) how did you find out about the incident?

If in fact your fiancée hasn’t repressed the memory, but is trying to get beyond it by not letting it rule her life, then I think you need to do the same. Shit happens! And sometimes the shit is ugly shit, like rape. But if we allow the shit to contaminate our life, crippling our relationships, and us; then the shit wins. Don’t let this happen to you…or your fiancée.

If you guys need help getting past this, seek a sex-positive therapist. A good therapist will not let you sabotage the rest of your life with fear, anger, hatred or revenge.

You can’t do anything about the past, but you do have some control over how you will react in the future. Rise above this! It’s the only way to go, my friend.

Name: Rob
Gender: Male
Age: 20
Location: New Orleans
doc. im starting to get into stimulating my prostate. i heard it will give you ground breaking orgasms but i just cant seem to do it correctly. could you please give me some tips about this.. cheers

You betcha! I’m a big fan of prostate massage — as a solitary pleasure or as part ofc771-1.jpg partnered sex play. Because it is something every guy can practice and enjoy. I recommend all us men folk be prostate aware. You probably also know I’m a big advocate of frequent prostate self-exams, right? And I figure while you’re down there rootin’ around in your butt hole checkin’ thing out, spend a little more time and give yourself a nice little massage why don’t ‘cha? Fingers work just fine for this, but an insertable vibrator is…well…out of this world. Prostate massage is a wonderful way to expand your self-pleasuring repertoire, especially for all you guys out there who only know how to yank on your dick for joy. Check out: The “Progasm” Prostate Massager in My Stockroom.

And ladies, prostate massage is a great way to please and pleasure your male partners. Perhaps if your let your guy know that a little butt play can be real fun and it ain’t queer, more straight guys would be less ass-phobic. And I can guarantee that the world would be a much better place.

You can feel your prostate gland by inserting a finger a couple of inches or so into your bum. If you are the least bit aroused your prostate will feel like a smooth rounded flat lump about the size of a large almond. Just in back of and up from your prostate is a smaller triangular wedge shaped nodule that is the bottom portion of your somewhat larger seminal vesicles. This, by the way, is where most of your jizz is produced and stored. Underneath the seminal vesicles are the ampullae, which are tiny reservoirs for your sperm that will mix with all the other fluids produced by the vesicles and your prostate when you cum.

male_anatomy.jpg

As you become aroused, ejaculatory fluid and sperm accumulate in these glands backing up behind valves in the ejaculatory ducts. When the fluid pressure reaches a high enough threshold, the valves open and the urethral bulb fills, triggering the muscular contractions of your ejaculation. This empties the glands and you, my friend, have just shot your wad. Naturally, if one abstains from ejaculating for a while and prolongs his arousal stage, say like through edging, more fluids will build up, making for a larger load and a more explosive orgasm.

So with that little anatomy lesson behind us, so to speak, we can get back to prostate massage. Ya don’t need nothin’ fancy, simply insert your well-lubricated middle finger or middle finger and index finger into your butt hole and apply a little pressure. Slowly massage your prostate. Try a nice circular motion. Doesn’t that feel yummy? Some men can cum by prostate massage alone. Hell, you may find that you don’t even need a stiff dick to enjoy an orgasm and/or an ejaculation.

Looking for something more advanced? Male Erotic Massage.

Name: matt
Gender: Male
Age: 37
Location: Seattle
I can’t stop going to massage parlors. I go all the time. HJ only there but lots of touching and kissing. I am married and can’t help the need for the excitement. If my wife found out I think she would divorce me. Is this healthy?

Hand jobs, kissing and touching are all very healthy.

But the guilt and shame aren’t healthy, that’s for sure. If you can’t stop a going to the massage parlors, you’re being obsessive; and that’s not healthy. Living a lie and hiding this from your wife isn’t particularly healthy either.

Name: jon251328494_14815fb5a2.jpg
Gender: Male
Age: 18
Location: ca
hi im 18 and i like to finger my ass and use wieners is that good?

Are these cocktail wieners? Hot dogs? Dinner franks? Polish sausage?

Is it good? Gee, I don’t know. I never stuck any kind of wiener up my poop-chute. Why don’t you tell me?

Oh wait; you want to know if it’s ok for you, or anyone, to do this, right? Yeah, I think it’s ok. Just don’t ever invite me to your place for a weenie roast!
Good luck ya’ll

Sex Advice With An Edge — Podcast #37 — 10/29/07

Hey sex fans,

Happy Halloween! (a couple of days early) I have a really scary show for you today. We have a load of very frightening questions from the sexually confused. And I respond with an equal number of terrifying, shocking and oh so informative responses! Hey, it’s what I do. Ok, so maybe it’s not all that scary, but you’ll love it nonetheless.

  • Owen likes to pump his cojones!
  • Chris P. wants to know if it’s ok not to shoot!
  • TC is way too young to be dealing with this, but deal with it she must.
  • Catherine and Jamie are having problems with their men!
  • Elyse’s BF doesn’t think she’s wet enough down there.

BE THERE, OR BE SQUARE!

Check out The Lick-A-Dee-Split Connection. That’s dr dick’s toll free podcast voicemail. Don’t worry people; no one will personally answer the phone. Your message goes directly to voicemail.

Got a question? No time to write? Give dr dick a call at (866) 422-5680. Again, the TOLL FREE voicemail number is (866) 422-5680. DON’T BE SHY, LET IT FLY !

Look for my podcasts on iTunes. You’ll fine me in the health section under the subheading — Sexuality. Or just search for Dr Dick Sex Advice With An Edge. And don’t forget to subscribe. I don’t want you to miss even one episode.

Say, would you like to become a sponsor for one or more of my weekly sex advice podcasts? As you know, I plug a product or service at the beginning and end of each show. Each podcast has its own posting on my site along with the name of the podcast sponsor and a banner for the product or service.

The beauty part about this unique opportunity is that once a sponsor’s ad is included in a particular podcast that sponsor is embedded there forever.

Your sponsorship also underscores your social conscience. Your marketing dollars will not only got to promote your product, but you will be doing so while helping to disseminate badly needed sex education and sexual enrichment messages. Simply put, ya just can’t get a better bang for your advertising buck!

For further information, contact me at: dr_dick@drdicksexadvice.com

Today’s podcast is once again bought to you by: DR DICK’S HOW TO VIDEO LIBRARY.

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Sex Advice With An Edge — Podcast #36 — 10/22/07

Hey sex fans,

I have a really swell show for you today. We have a load of very interesting questions from sexually worrisome. And I respond with an equal number of lively, affable and oh so informative responses! Hey, it’s what I do.

  • Martin’s BF has a hungry hole!
  • Carol thinks fake is just as good as real.
  • Carey’s fiancée would rather not!
  • Bryan is gay and John straight…both have body issues!
  • Quentin wants to know what a glory hole is.
  • Tony thinks he’s sick in the head. I don’t agree.

BE THERE, OR BE SQUARE!

Check out The Lick-A-Dee-Split Connection. That’s dr dick’s toll free podcast voicemail. Don’t worry people; no one will personally answer the phone. Your message goes directly to voicemail.

Got a question? No time to write? Give dr dick a call at (866) 422-5680. Again, the TOLL FREE voicemail number is (866) 422-5680. DON’T BE SHY, LET IT FLY !

Look for my podcasts on iTunes. You’ll fine me in the health section under the subheading — Sexuality. Or just search for Dr Dick Sex Advice With An Edge. And don’t forget to subscribe. I don’t want you to miss even one episode.

Say, would you like to become a sponsor for one or more of my weekly sex advice podcasts? As you know, I plug a product or service at the beginning and end of each show. Each podcast has its own posting on my site along with the name of the podcast sponsor and a banner for the product or service.

The beauty part about this unique opportunity is that once a sponsor’s ad is included in a particular podcast that sponsor is embedded there forever.

Your sponsorship also underscores your social conscience. Your marketing dollars will not only got to promote your product, but you will be doing so while helping to disseminate badly needed sex education and sexual enrichment messages. Simply put, ya just can’t get a better bang for your advertising buck!

For further information, contact me at: dr_dick@drdicksexadvice.com

Today’s podcast is once again bought to you by: DR DICK’S HOW TO VIDEO LIBRARY.

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Heart to Heart

Name: Anne
Gender: female
Age: 28
Location:
My question is kind of embarrassing, but here goes. I gave birth to a nine pound beautiful baby four weeks ago. I am happy to report that both mother and baby are doing fine. That is except for the fact that my vagina is still stretched out of shape. My question is can I hope to have it return to its previous shape? Also, I’ve heard that new mothers should wait for six weeks after a birth before having sex again. The problem is that my husband is really horny and he doesn’t want to wait. So I’m wondering will it hurt if I start sooner? Another thing, does breast-feeding interfere with my sex drive? I don’t feel really sexy these days. Sorry for so many questions in a row.

In the immoral words of Prissy in Gone With the Wind, “I know nutthin’ about birthin’ babies, Miss Scarlett.”

Congratulations on the birth of your child, Anne. Wow, nine pounds, huh? Pretty hefty. I’ll bet he’s adorable. Everyone here at drdicksexadcice.com is betting that your child is a boy? Us boys tend to give our mommas a hard time right from the get go. At least that’s what my own dear sainted mither used to say.

people-mother_and_baby-cd01-010.jpgI’m also gonna make another assumption, this is your first child, right? Well, the size of the baby as well as the number of children the woman has carried certainly does effect the elasticity of her vagina. No rocket science there, I suppose. Birthin’ babies is pretty traumatic to your pelvic musculature. These muscles lose tone with each successive delivery. But never fear darlin’, there are muscle-toning exercises known as kegels that will help you tighten things up in jiffy.

Excuse me for a moment, Anne, I think I’m losing the males in my audience. Here’s a tip for all you guys out there who are reading this and rolling your eyes and getting ready to turn the page because you think this is some kinda Oprah — vagina moment. Listen up you monkeys; kegel exercises aren’t just for the ladies. Us men folk have pelvic muscles too. So pay attention, you’re gonna want to know about kegels too.

Sorry about that Anne. See what I mean about boys and givin’ folks, not only their mommas, problems? Anyhow, if you’re not already doing kegels, I strongly recommend that you start right away.

What are kegels, you ask? They’re muscle contraction and relaxation exercises designed help restore tone to the muscles that surround the opening of the urethra (see guys, we have one of those), vagina (ok, we don’t have one of those), and anus (we sure as hell have one of those). Since this includes the muscle that you use to stop and start the flow of urine, you can check if you’ve identified the right muscle by testing your kegel technique while peeing — if you can stop the flow of urine when tightening, then you know that you’re contracting the correct muscle group. BTW, the main muscle is call the pubococcygeus muscle, or PC muscle for short.

Let’s try this for starters. Imagine that you’re trying to stop yourself from farting or trying to hold your pee. Notice the feeling of squeezing and lifting — it’s a sensation of your pelvic muscles tightening and drawing up. Try it now, while you’re reading this. That’s the beauty part of kegels; you can do them anywhere, anytime. If you’re finding it difficult to isolate the muscle group, insert a couple fingers into your vagina before doing a kegel. If you feel pressure around your finger while you are tensing your PC muscle, then you’re on the right track.

However, if you’re tightening your abs, squeezing your legs together, clenching your butt, or holding your breath then you’re not exercising the right muscle group. The object here is to isolate your pelvic floor muscles. Those are the ones you wanna be working.

I want everyone, not just you Anne, to work on both muscle strength and tone. Start with five strong prolonged squeezes (5 seconds apiece). Hold then Relax. Then do a series of 10 rapid contractions in a row. Doing three sets of these two types of kegels twice a day for a week is your goal.

Let’s go over that one more time. Start with five strong prolonged squeezes (5 seconds apiece). Hold then Relax. Then do a series of 10 rapid contractions in a row. Doing three sets of these two types of kegels twice a day for a week is your goal.

When you’ve accomplished this you’re ready to increase the set to eight or ten prolonged squeezes and 20 rapid contractions in a set twice a day for a week. The advanced kegeler is able to vary the type and duration of his/her PC squeezing; slow prolonged clenches to quick flutters.

newbornlls07.jpgOn to the other issues you raise. Your uterus and cervix underwent significant changes as you were delivering your baby, and they need time to heal. So if your husband is being a bigger baby than the new-born…see what I mean about boys drivin their mommas and everyone crazy…by pressuring you for nookie, make a deal with him. Hand jobs and blow jobs only for the first six weeks after delivery. I’m sure you can sympathize with the big galoot. He’s probably freakin’ nutty from lack of nookie. How long has it been since he had some of your fine pussy?

Finally, breastfeeding may indeed interfere with your libido, but more likely it’s just the sheer exhaustion of this postpartum period. Nursing your baby every couple of hours, especially during the middle of the night…I mean, how long can that go on before you start looking for the Uzi.

And probably the idea of your husband grabbing at your boobs while they’re still real sore from junior chompin’ away at them probably doesn’t incite great waves of horniness either. Rest assured, this lack of interest in sex won’t last forever. Before you know it, you’ll be feeling all pretty and randy once again. And soon you will once again be inviting and welcoming your hubby’s advances.

Good Luck!

Name: Gordon
Gender: male
Age: 67
Location: Florida
I guess I have more of a comment than a question. I’m 67, a widower and have been recently diagnosed with prostate cancer. I never was very adventuresome when it came to sex. In fact before my wife died two years ago I never had sex with any other woman. I never gave prostate cancer a thought, never gave my own prostate a thought either. Now I’m mad as hell that I didn’t. You see when I started to go to a prostate cancer support group I discovered I could have monitored myself better with a simple self-examination. Why don’t doctors tell us about this? Women are supposed to examine their breasts why don’t men examine their prostate? It’s so easy actually and yet it’s this big secret. Why don’t people talk about this? It makes me so mad because it could have made a big difference in my own life. Do you know about this self-examination Dr Dick? If you do why don’t you tell other people about this? I think it would help a lot if you could help get the word out on this. Now that’s all I have to say. Thank you.

No, thank you Gordon. Thank you for sharing your concern with me…with us.

06214123854_275-prostate-cancer.jpgI’ve been an active proponent of prostate self-exam for many years. Let me explain. My career as a therapist began in San Francisco in 1981. As you may recall, that was precisely the same year a mysterious new disease began showing up among gay men. Back then it was being called gay cancer, but soon it would have another name — HIV/AIDS.

Not surprisingly, my private practice focused down almost exclusively to working with sick and dying people. Luckily, I discovered that I was well suited for the job and I liked it very much. So much so that in the mid-90’s I founded a nonprofit organization called, PARADIGM; Enhancing Life Near Death. It was an outreach and resource for terminally ill, chronically ill, elder and dying people. This was brilliant cutting-edge work and I learned so much from the people I was working with. One of the things that struck me most was that regardless of the disease — cancer, HIV, MS, you name it, or even the aging process for that matter — there was always a woeful lack of information about regaining a sense of sexual-self post diagnosis, or sexual wellbeing for seniors in general.

I recall one participant in particular, a man much like you, Gordon. He too had prostate cancer and, like you, he was mad as hell with the indifference of the medical industry toward prostate self-exam. One day during a group session, John was railing against his doctors and cancer associations for their lack of interest in promoting prostate self-awareness. He pointed to the success of the cultural campaign to get women to do breast self-exams. Like you, Gordon, he couldn’t understand why there wasn’t a similar campaign for men.

150_prostate_cancer.jpgAnother group member, Clare, a senior woman in her 70’s and a breast cancer survivor, helped put things in perspective. She reminded us that breast self-awareness in our culture is a relatively new phenomenon. Her mother, aunt, sister and a niece all died of breast cancer before the self-exam campaign began in earnest. Clare went on to say that it was only through the hard work of individuals and grassroots organizations that actively campaigned for breast self-exams that things began to change. Eventually, this movement changed the cultural mindset. Clare said that it was these individuals and grassroots organizations that helped all of us — medical industry, the cancer lobby and women in general — overcome the denial, shame and embarrassment that was associated with women touching themselves, even to save their lives.

This is an indication of just how ingrained the sex-negativity and body-negativity runs in this culture.

Unfortunately, I couldn’t find the funding I needed to continue Paradigm, so after only a couple of years of these groundbreaking programs I had to close up shop. This precipitated a rather sudden move to Seattle in 1999. I guess I was having a major mid-life crisis myself.

I continued to work with sick and dying people here in Seattle. I had a brief gig at a local cancer center where I developed an NIH (National Institute of Health) funded program for women newly diagnosed with ovarian cancer. I was also working with a group of women with breast cancer and another group of men with prostate cancer. Again I realized that just about every therapeutic intervention I encountered — government funded or foundation funded — was woefully lacking in any clear and unambiguous information about sexual health and wellbeing and intimacy issues.

04011106.jpgTo remedy this, I began planning a video series for people experiencing life threatening and/or disfiguring illnesses. Videos that would help them address reintegrating sex and intimacy post diagnosis. One of the first videos was going to be Public Service Announcement showing men how to do a prostate self-exam. By the way, this particular film was to be dedicated to my friend John, the guy I mentioned earlier. He died shortly after the Paradigm group he was in ended. But he was militant to the end about the pressing need for prostate awareness among men.

Once again the stumbling block I encountered was funding. My grantwriting efforts turned up nothing. I did get a whole lot of, “what a fine idea, Richard. Good luck with that…” brush-off letters though. No foundation would be caught dead funding sexually overt pattern films, even ones with the laudable intent of assisting people with the very information they needed most.

I’m sorry to have been so long-winded in my reply, Gordon. I just wanted you to know that many have preceded you with outrage at the conspiracy of silence regarding prostate self-exam. Let’s face it; our society is so ass-phobic that we’d rather see men die than offer them simple instructions how to finger their butt, find their prostate and keep tabs on their prostate health.

If we want this to change we all need to speak out…as well as stick a finger in our ass.

Keep up the fight, Gordon! And please, stay in touch.

Good luck

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