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A Labor Of (self) Love

Our brief summer holiday is coming rapidly to an end. The Dr Dick Review Crew is straggling back home and our podcasts will resume on Wednesday, 09/05/12. But today is Labor Day and I think we should acknowledge those who labor at self-love.

Name: Amy
Gender: female
Age: 23
Location: salt lake city
I have this weird thing that when I masturbate with a vibrator I can’t seem to bring myself to an orgasm. It feels really good and everything, but I get almost there but can’t quite cum. Does that make sense? It’s been awhile since I had a guy…but I digress. I was just wondering if you have any advice, or if I’m doing it wrong, or…I just need some help. Thanks a lot.

Hold on there, darlin’, are you tellin me you can jill-off just fine using your hand, but when you kick start your vibrator and apply it to your naughty bits you can’t cum? Is that what you’re tellin’ the good doctor? Or maybe I’m assuming things I shouldn’t. Maybe you’re not masturbating to orgasm at all, by hand or by gadget.

Since you’re not here to fill me in, so to speak, the best way to handle this is with a scatter gun approach. If you’re unable to jill-off to completion by any means, manual or mechanical, you may be preorgasmic. I’ve written a lot about this already, so there’s no need for me to repeat myself. Here’s what you do; check the CATEGORY pull down menu in the sidebar to your right.  Look for the main category — Sex therapy and under that look for the subcategory ‘Preorgasmic Women‘. Or check out the main category — Sexual Performance and look for the subcategory ‘Female Masturbation‘. You’ll find loads of swell information about this very topic.

If, perchance, you can masturbate just fine using your hand, but the rub (no pun intended) comes when you introduce a vibrator, then that’s a horse of a different color. In that instance, I’ll need more information before I can be of much help. Like, I’d want to know what kind of vibe are you using? Is it an all purpose wand type? A dildo kinda thingy that you insert in your pussy? Is it a rabbit, a G-spot vibe, a bullet or an egg-shaped vibrator? Are you doing any direct clitoral stimulation?

If you can make yourself cum through manual stimulation, how different a sensation is the vibrator? Is it possible that you need more vroom? Is it too intense?

What about other stimulus? Like what’s going on between your ears while you’re diddlin’ yourself? Are you thinking dirty thoughts? Watching some delicious smut? Reading some kick-ass erotica? Or are you concentrating so much on making the big “O” happen to actually let it happen? Chicks get performance anxiety too, even when they are by themselves. Performance anxiety is not just a guy thing.

I discussed your question with my friend, Joy. She asked me to ask you about the position you are in when you’re jillin-off. She said she had the damnedest time throwing herself her first screamin’ meme, even with a vibrator until she discovered that getting into a squatting position with her back against a wall did the trick. Stands to reason, orgasms are all about building sexual and muscle tension. Joy found that squatting tensed her hamstrings, quadriceps, glutes and even her PC muscle. This tension was just the thing to deliver the goods. Joy did add, however, that getting out of the squat after the event was really tricky. She said that in the end, she just learned to simply topple over with a bit of a thud. I had to laugh when she told me this, because I couldn’t help seeing Joy in my mind’s eye (she’s a big girl, don’t cha know) all breathless and topsy-turvy on the floor with a big ol’ shit-eatin grin on her face after finally delivering herself from the land of the preorgasmic.

One final thing, I’ve often heard women speak of the high success rate of jillin-off to orgasm in the bath. Again, this stands to reason too. Here you are all relaxed, warm and cozy, all wet and squishy. Why not add a little jet of warm water or a waterproof vibe and you’ll be havin’ an orgasm as easy as fallin’ off a log…or so I’m told. Just remember, baths and plug-in, electrical kinda vibes definitely don’t mix! A miscalculation here and you’ll find your ass in the sweet hereafter.

Listen, Amy, why not write back sometime with either more information or to report a success. I’d love to hear from you.

Good luck

Hey dr dick! What’s that toll-free podcast voicemail telephone number? Why, it’s: (866) 422-5680. DON’T BE SHY, LET IT FLY!

Sex Therapy—What Is It and Who Needs It? – Part 2

(Look for Part 1 of this series HERE!)

Of course, there are plenty of individuals—and couples—who haven’t waited until the last minute to seek help. These people want to be proactive about their concerns. Some people simply need some clear, unambiguous information about human sexuality. A surprising number of people are trying to piece together their sexual lives, but are hampered by misconceptions and misinformation.

Sometimes a momentous event motivates a person to address arising sexual or intimacy issues. The birth of a child, a disease process, a death in the family, or an accident can fundamentally alter the power dynamic of a relationship, which will require a rethinking of the entire relationship.

Or perhaps someone comes to a new realization about him or herself: Perhaps they are finally able to acknowledge their bisexuality, or that he’s gay, or she’s a lesbian. Maybe they are finally able to acknowledge a fetish—he’s a crossdresser, or she’s into another kink. Things like this obviously impact the individual, but if that person is in a relationship, the relationship is also affected. People in these self-revelatory situations are often unsure how to talk about their discoveries with a partner, which is another reason they seek counseling.

Some couples don’t fret when the sex vanishes from the relationship; other couples are devastated. What does one do when one partner still has sexual needs, but the other doesn’t? Often, there are unexplored options that can hold the relationship together, but will address the disparity in sexual interest and desire.

In this case, I can help the couple make compromises without losing their moral compass. Some couples navigate this with ease; others not so much. It can be extremely challenging, but there are ways to preserve what’s sacred about a primary relationship, while contemplating opening the relationship to include others. I can help a couple establish guidelines and ground rules for making the necessary adjustments.

Sometimes the relationship is really wonderful and fun. The couple really loves each other, but they’ve noticed their sex life together is pretty boring and stale. I’m often approached to simply help a couple spice things up. In this instance, my work is sheer joy. Mostly, I just give them permission to experiment and have fun.

You’ve probably noticed that a good portion of the work that I do as a sex therapist is merely giving permission. That may not sound like therapy at all, but when you consider that our sex-negative culture is so full of prohibitions; permission giving is often the front line of sexual rehabilitation. Most of the permissions I give are for an individual to educate him or herself about his or her body and his or her sexual response cycle. Personal exploration, such as masturbation, is the very best means to that education. I’m a huge proponent of partners masturbating together.

Happily, our need to reacquaint and reeducate ourselves about our bodies and our sexual response cycle is a life-long process. There is always something new to explore. As we age, our bodies change, and if we don’t keep up with those changes, we can become frustrated and disoriented. Older people, menopausal women and andropausal men, take longer to build up “a head of sexual steam,” so to speak. If they’re not attuned to the changes they’re going through, they can easily miss the important cues their body is sending to slow down and enjoy the sensuality.

Of course, I could go on and on, but now I want to leave you with what is the distillation of years my thinking about the role sexuality plays in our life:

I believe that sex is like food. We can enjoy it alone, or with others. We can be abstemious, or gluttonous. We can nosh or nibble; dine or devour. And we can be certain there will be both times of feast and famine.

Sex is like food. It can nourish and sustain us, or it can make us sick. We can consume all the available bounty, or restrict our diet. It can completely satisfy, or leave us devastatingly empty. We can employ it to express our highest aspirations, or allow it to rob us of our soul. We can give it as a gift, or use it as a weapon. It can be both bacchanal and sacrament.

One thing is for sure, whether purely physical or transcendentally spiritual, no one can live without food…or sex.

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Touched for the very first time, Part 2

Look for Part 1 of this two part series HERE.

Let’s pick up where we left off last week, on the perils young people face as they navigate the expectations of virginity and sex, and begin to consider their first forays into partnered sex.

Teenagers face enormous peer pressure when it comes to sex, yet there’s precious little education afforded them in terms of the fundamentals of human sexuality. This dearth of clear, unambiguous information on how our bodies work is just the first way we let down our children. There’s almost nothing available to teens to emotionally prepare them for partnered sex.

Mariana is 17. She writes:

I lost my virginity yesterday, but I did not bleed. Why is this?

Hold on there, missy! That’s it? That’s all you’re gonna say about your first time at bat? Is there anyone else out there who is as perplexed by this as I am?

Maybe I’m reading way too much into this. Maybe it is, after all, par for the course. For some young women, the externals of first-time partnered sex are the more important then the act itself. Maybe that’s because less than 5 percent of women have an orgasm the first time they have sex.

It’s clear that we do put more emphasis on the outward signs of virginity, which, in turn trumps everything else?

I guess, Mariana, I would have liked to know if congratulations are order? Was your first time enjoyable? Are you happy it happened? It’s so amazing to me that you didn’t mention any thing about your first intercourse other than that fact that you didn’t bleed. Maybe that’s your way of saying it wasn’t so special.

Sorry about the diversion there, Mariana, as you may know, the hymen is a mucous membrane that is part of the vulva, the external part of a woman’s genitals. It is located outside the vagina, which is the internal part of a woman’s genitals. Not all women have a noticeable hymen. You may or may not have had one to begin with. However, you are right in thinking that most women do. Simply put, having a hymen and/or having it rupture during one’s first coital experience is not necessarily a good indicator of virginity.

Many girls and teens tear or otherwise dilate their hymen while participating in sports like bicycling, horseback riding or gymnastics. This can also happen while inserting tampons, or while masturbating. A girl may not even know she’s done this, since there may be little or no blood or pain involved when it actually happens. The tissues of the vulva are generally very thin and delicate prior to puberty. Again, the presence or absence of a hymen (or its bleeding) in no way indicates whether or not a woman is a virgin.

Some hymens are elastic enough to permit a penis (or similar object) to enter without tearing, or they tear only partially, and there is NO bleeding at all. As I hope you know, when you are adequately aroused, your vagina will lubricate itself and become more flexible. For many women, it will stretch without discomfort. It’s even possible for a woman to have sex for years without “tearing” her hymen.

Tia, age 19, has a very unusual concern.

I have a problem. I’m still a virgin, but my bf thinks I’m not. It’s really my fault he thinks this, cuz I told him I was all experienced and everything. We’ve been going together for about eight months already, and I really want my first time to be with him, but how am I going to act all experienced when I don’t know what I’m doing.
HELP ME PLEASE!!!

That sure enough is a pickle you got yourself into, darlin’. You’ve got some “splainin’ to do, Lucy!”

Curiously enough, I’m more likely to hear from young women who are not virgins, but want to know how they can fool a new partner into thinking they are. I guess we can chalk up all this deception and confusion to the powerful associations every culture imposes on technical virginity.

And like most things sexual, there is a huge double standard between the cultural and personal implications of virginity for men and women. The cultural expectations regarding virginity are also tied to age as well as gender. For example, our society expects its 16-year-old girls to be virgins. To be otherwise at that tender age would be a scandal in most communities. But a 35-year-old woman who is still a virgin is considered an old maid—or worse, a (gasp) lesbian.

Of course, things are a bit more fluid when it comes to boys. On one hand, a 16-year-old boy who is not a virgin may raise eyebrows in some communities. But many others in those same communities would praise him for being a “stud.” On the other hand, a 35-year-old man who is still a virgin is not only the butt of jokes—or worse, a “queer”—but he’s also more of a disgrace to his gender than an old maid is to hers. Funny how that works, huh?

I hasten to add that there is a lot to argue with in terms of these arbitrary cultural norms, and I encourage ya’ll to argue away. God knows I do! And just because they’re there, and considered “norms” where you are, that doesn’t mean you have to buy into them. God knows I don’t! So make up your own mind.

But back to you, Tia. I’d love to know why you felt the need to deceive your boyfriend in the first place. Do the people you hang with prize sexual experience over sexual innocence for a woman of 19? And what are the expectations of your peer group regarding a 19-year-old guy? I’ll bet the expectation is that he be sexually experienced—right?

Well, you can see why a lot of people—and not just you—find this whole thing just too damned complicated. And rather than adding to the confusion or the deception, I encourage you to come clean with your boyfriend about the status, as it were, of your cherry.

Here’s why I think this is the best policy. First, if the boyfriend is sexually experienced, it will be very difficult for you to hide the fact that you are not. Besides, like you said in your message to me: “I really want my first time to be with him.” Tell him that! No man is gonna turn that down…ever. In fact, that may be the most sexually charged and treasured sentence in any language.

Begin the big talk with your boyfriend like this: “Baby, I got something real special to tell you. You know how I’ve been saying that I’ve been with other guys and everything? Well that was just my way of keeping all the other guys from pestering me for my junk. Baby, the truth is I haven’t had sex before now. And the best part of this is I’ve decided that I really want my first time to be with you. My cherry belongs to you, baby”

Clearing the air like this will also allow you to relax when the moment finally happens. And relaxation is the key to enjoying yourself. And you should enjoy yourself, because no one can do that for you.

Good luck!

Touched for the very first time…

Virginity is a very touchy issue in just about every culture. Curiously enough, it’s almost always exclusively about female virginity. This woeful double standard gives rise to emotional conflicts for both genders. But again, it is young women and girls who bear the brunt of it.

Let’s begin with Katelyn who’s 18 years old:

My boyfriend and I have been together for over a year. We’ve just started talking about having sex even though we both took a virginity pledge through our church. We love each other very much and plan on getting married in a couple of years. If we are practically engaged do you think having sex now would be like breaking our promise?

I’m pretty sure that the creators of all those “abstinence only” and “virginity pledge” programs out there like to think they’re keeping kids like you safe from the unforeseen consequences of sex. I’d probably have less of a problem with them if they didn’t have at their base some pretty rank scare tactics.

Scaring people away from sex is a time-honored means of controlling people.

If you have sex, you well surely get a disease!

If you have sex, you will surely get pregnant!

If you have sex, you will be breaking the commandments and you’ll go to hell!

If you have sex, you will be a slut and no one will want to marry you!

And my all-time favorite: If he gets the milk for free, why would he buy the cow?

These sex-negative messages only frighten, intimidate and instill guilt. They certainly don’t teach people how to behave knowledgeably and responsibly. And they do absolutely nothing to prepare even those who wind up honoring their pledge of abstinence for the inevitable sex life they’ll have later in life. And that to my mind is criminal. Young people have a natural, healthy curiosity about their bodies and the bodies of others. Stifling this natural curiosity with veiled threats and fear-mongering does very little good—and a whole lot of harm.

But before I respond to your question, I have a question for you. I hope you’re not actually thinking I might help you rationalize away your impending behavior—Oh sure honey, if you’re gonna marry the lug anyway, why not give it up now?—because I won’t go there. Have the courage to make up your own mind. If you’re old enough to be considering sex, you’re old enough to take responsibility for your actions.

If you abstain from sex out of fear or religious duress, then where’s the virtue in that? It’s just as bad as having sex because you fear losing your boyfriend. Neither option suggests to me that you are behaving knowledgeably and responsibly.

Of course, it’s always easier to decide on a course of action when one has all the information. And that’s where I can be of some assistance. I’m not gonna tell you what you oughtta do, but I can offer you some timely information about human sexuality that you apparently aren’t getting from your family, church or your community.

There are many sexual alternatives to full-on fucking. And if you want to remain a virgin, at least technically speaking, you might want to explore these options.

Are you both masturbating? If not, then that’s a good place to begin. You should both be familiar with your own pleasure zones and sexual response cycle before you launch into partnered sex of any kind. I believe that the best sex is mutual sex, where the partners knowingly and without reservation gift themselves to one another. And I don’t see how that’s possible unless you are well-acquainted with the gift…your own body.

I can guarantee that your boyfriend won’t know how to pleasure you, especially if he’s still discovering the pleasures of his own body. And you’d be a very remarkable young woman if you understood the mysteries of male sexuality. So if you’re both unversed in the joys of human sexuality, why not discover them together? Mutual masturbation—as well as oral sex—will help you appreciate the particulars and uniqueness of each of your sexual response cycles. And just think how far ahead you’ll be when you guys actually decide it’s time for full-on fucking. You’ll already know how your bodies work.

Even so, the two of you should be familiar with several different means of birth control—and practicing at least two methods. This is a precaution because, in the heat of the moment, you may decide to escalate things to include vaginal penetration. And if you do, you’ll be prepared. Always have water-based lubricants on hand, even for masturbation. These lubricants work very well with latex condoms. Oil lubricants, like petroleum jelly, baby oil or cooking oil, can cause latex condoms to break. So stay away from them.

I realize that procuring all this stuff is gonna be a challenge for young folks like you. But don’t just blow them off just because they’re not readily available to you. This is a big part of being knowledgeable and responsible about your sexuality. If you’re not prepared to go the distance in terms of preparation, you’re not ready to have sex.

Young men and boys have their share of trepidation about impending partnered sex. Here’s 18-year-old Tabor.

I feel kinda silly asking a complete stranger this, but here goes. I’m a pretty normal 18 year old. I’ve had a few girlfriends over the years, nothing really serious, though. Lately I’ve been seeing a lot of this one girl; she’s 20, a junior at my school. I really like her and we’re discussing taking our friendship to the next level, but there’s a problem. I’m a virgin. My girlfriend is way more experienced than me and that makes me a little nervous too. She wants me to decide when the time is right. My question is how will I know when I’m ready for sex?

I have a question for you, Tabor, and I hope it doesn’t sound flippant. When do you know it’s time to eat, or sleep? I know many of us eat even when we’re not hungry and sometimes we don’t sleep even when we’re tired. That aside, I suggest that the same bodily signals that alert you to hunger and exhaustion will let you know when it’s time for sex. You’ll want to have sex when you feel the desire to be sexual. I’m not trying to be evasive; I’m trying to get you to listen to your body, because that’s how you’ll know. To be perfectly frank, that’s how all of us know it’s time for sex. We get a hankerin’ for some pleasure and we pursue that till we’re satisfied. Sometimes that’s solo sex and sometimes it’s partnered sex.

If I were to advise you further I’d want to know how much sex you’ve already had with your GF. Has there been any sex play at all? Probably some, right? Otherwise how would you know you like her well enough to consider taking things to the next level?

Penis/vagina intercourse, or as I like to call it, “fucking,” can bring more intimacy and more pleasure than other forms of sex, but it’s not the be-all end-all either. Fucking also carries far more responsibility, particularly for fertile young puppies like you and your honey.

Is it safe to assume that you are well-versed in the complexities of the human reproductive system? I hope so. Not everyone is, of course, even some otherwise smart people. If you’re not clear on the whole concept, there’s no time like the present to do a little boning up, so to speak. Being responsible about sex is as important as being sexual. And being informed about health risks and contraception is the beginning of taking responsibility for your sexual activity.

Remember what I said earlier—that you’ll want to have sex when your body says so? Well, if you take the time to prepare now, you’ll not need to interrupt the moment when your body tells you I’m ready! You should discuss birth control with your girlfriend in advance of any foolin’ around. You should have condoms and lube available. Don’t expect that you’ll have your wits about you when your dick is hard. Remember, you’re not the one who’ll get pregnant if ya’ll screw up. I’ll bet your sweetheart will be impressed with your forethought, too.

Remember, even if your girlfriend is on the pill or has a diaphragm; condoms are a must. One in every ten sexually active teens carries one or more STDs or as we call them nowadays, STIs (sexually transmitted infections). You can consider dropping the condoms only when you’re in an exclusive relationship.

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!

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