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Name: Vic
Gender:
Age: 37
Location: Hollywood
I think I have hemorrhoids can you tell me what to do and what kind of doctor I should see

You think you have hemorrhoids, but you don’t know for sure? Since you don’t include the symptoms you might be having, I really can’t help all that much.

What I can tell you is that hemorrhoids are abnormally swollen veins in your rectum and on your asshole. They’re like varicose veins you might see on a person’s legs only they’re in your butt. When bulging hemorrhoidal veins are irritated, they cause surrounding membranes to swell, burn, and itch. They can become pretty painful, and they can bleed too.

Hemorrhoids are caused by too much pressure in your rectum, forcing blood to stretch and bulge the walls of the veins, sometimes even rupturing them.

Frequent causes include:

  • Constant sitting
  • Straining with bowel movements (either from constipation or diarrhea)
  • Severe coughing
  • Heavy Lifting

What you can do to help:

  • Be sure your hole is clean after each bowel movement. Use a premoistened towelette, like baby wipes or Tucks for a thorough cleanup.
  • Avoid excessive rubbing and scratching.
  • Make sure the soap you use is scent and dye free.
  • Apply an ice pack to reduce swelling and follow this with a warm compress.
  • Take a sitz bath. Fill your bathtub with just enough warm water to cover your ass, add Epsom salts. Soak your sorry bum for about 15 minutes a couple times a day.

There are plenty of over-the-counter hemorrhoid treatments — ointments, creams, and suppositories. Give these a try, but if symptoms continue see a doctor. Any physician, including a general practitioner, will be able to diagnosis a case of hemorrhoids.

Name: Jon
Gender:
Age: 22
Location: LA
How can I make myself ejaculate harder and longer when doing masturbation?

Ever try “Edging”? This is a stop/start technique guaranteed to prolong the time it takes you to reach your climax. Grab your dick and begin to wank like usual. Only when you get near to cumming — stop stroking. After the urge to shoot subsides begin to slowly wank again. Every time you approach climax — stop the stroking. Repeat this whole ‘stop and start’ cycle for as many times as you would like. When ya finally shoot you’ll have a stronger orgasm and you’ll spew more spunk. Do an internet search for edging & masturbation, you’ll find a load of information posted by fellow edgers.

Another cool method is the “Squat ‘N Jerk”. Squat on the floor, and stretch your knees as far apart as possible. Lean against a wall if necessary. Feel the stretch in your feet, calves, thighs, taint and asshole. Begin your yank session. Try to keep your rod perpendicular to the ground as you stroke. Because of the tension in your fee, legs and butt, when you shoot you’ll be sure to get more bang for your buck. A variation on this technique is to squat on a dildo or a butt plug. ENJOY!

Name: Trev
Gender:
Age: 27
Location: Toronto
My boyfriend and I got into a fight last night and he punched me in the face. He lost his job about a month ago and since then he has been using drugs, mostly pot but sometimes speed too. When he gets depressed he gets angry and I have to stay out of his way. I’m worried about him but he won’t get help. He says he’s sorry about last night but it’s different when he is high. What can I do to help?

You could start by taking a long hard look at your own enabling behaviors. I can tell, even from this great distance, that you are a doormat. Remember, behind every abuser is an enabler. Behind every drunk and druggie there is an enabler. The fact that you are more concerned about your abusive BF welfare than your own safety tells me there is more to your unhealthy relationship than what you reveal here.

Many victims of abuse, and you are an abuse victim, Trev, believe the abuse is their fault. Regardless of how twisted your relationship may be, there is never sufficient cause for someone to punch his partner anywhere on his body, least of all in his face. Your BF has at least two major issues to deal with: a) his depression/anger/violence and b) his drug abuse. As you suggest these are related. You are neither well positioned nor well enough informed to assist him with either of his problems. In fact, as I say above, you are part of the problem.

You, on the other hand, have issues of your own that he can’t help you with, because he is part of your problem. Abusers often promise to change their behavior, and those empty promises often keep the victim from identifying the pattern of abuse in the relationship.

Anyone in a relationship that doesn’t have the emotional wherewithal to leave an abusive relationship needs help ASAP. Here’s a resource for you: The Gay Men’s Domestic Violence Project.

Good Luck

First Time, Every Time

Name: Julie
Gender: Female
Age: 26
Location: Kentucky
I am a virgin. I am also just asking. How do I keep my first time from hurting? Some say lubrication in excess, but I am very small.

Yep, lots of lube is important — first time and every time.

But there is so much more you can do to prepare yourself for your first fuck. Begin by knowing your body and your sexual response cycle.

Is it safe to assume, even though you are a virgin to full-on fucking, that you are familiar with masturbation? If not, darling, that’s where you should start. If you enjoy pleasuring your body to orgasm, you will likely know the kind of stimulation you need to achieve full arousal. This is precisely the information you will want to pass on to your partner before the first fuck-fest begins as well as throughout the event.

The more you know about your body and the mysteries of your particular sexual response cycle the smoother things will go for you and your partner. Nowadays there is absolutely no need for anyone to come to their first partnered sexual encounter uninformed about sex in general and his or her sexuality in particular.

There are three main reasons why a women might experience pain during fucking — for the first time or anytime: 1) She is inexperienced. 2) Her partner is inexperienced or doesn’t know the first thing about mutual pleasuring, 3) She is not fully aroused. Right away you can see how a familiarity with your body in general and your pussy in particular will short-circuit at least two of the three main reasons right away. And while you can’t account for the sexual prowess of your partner, you will be able to direct him/her on how to touch and make love to you. And that, my dear, takes care of the third main reason.

One other thing, a lot of women don’t relax during sex…thus discomfort…because they worry about becoming pregnant. If you’re not well versed on the main methods of contraception and actually using one of them, you’re not ready to have sex. And one other thing, sexually transmitted infections ought to be a concern for both you and your partner. Don’t be a fuck-up; make sure your partner always uses a condom.

Name: Rocket Man
Gender:
Age: 31
Location: Nashville
Big Dr. Dick, Between busy work schedules, traveling and such, I haven’t had much time for sex. It was actually about a 5-week span without sex or masturbation. When my wife and I finally got together I was built up big time. I knew my response would be quick and my load would likely triple its normal oozeage. Being that it had been so long, there was not much foreplay…we just wanted to get down to the hardcore humping.

I was sitting on a couch and she climbed on top. On her 3rd down stroke, I blew like a Friday afternoon work whistle. She shot off my cock back first into the coffee table, broke it in half and received a few splinters in her ass! Should we replace this piece of furniture, or should I just make her kneel on the floor and rest my legs on her when she’s done sucking me off in the future?

You Nashville folks have all the fun! You get extra points for making me laugh. Perhaps all ya need is sturdier furniture.

PS: don’t be surprised if I steal this: “I blew like a Friday afternoon work whistle.” That’s just downright hilarious.

Name: Colleen
Gender: Female
Age: 28
Location: California
I have noticed lately that I am way more horny than normal. It is like I can’t get enough and the slightest touch gets me going. Also my natural smell from my vagina seems to be extra strong lately and sometimes after my husband and I have sex I have a clear but chunky discharge. I regularly with use Summer’s Eve wash and I have never smelled so strong as I do now. I feel like I am a dog in heat. What is wrong with me?

WHAT’S WRONG WITH YOU? Simply put, you’re 28 and you’re as randy as all get-out, darling. Sounds like you’re pert-near feral. If you were in the wild your super-strong odor would attract males from far and wide, each and every one wanting to satisfy your vixen lusts. Good for you!

And here’s a tip: quit with the over the counter douches, already, especially the ones with the fragrances. Despite the perceived benefits of douching, there is growing evidence that any potential health benefit may be outweighed by risks of douching with such products.

Douching upsets the vaginal environment in a number of ways. It shifts the pH, causes direct irritation and inflammation of the vaginal mucosa (the delicate lining of your pussy), and it washes away the good bacteria. So do not douche.

It can also drive bad bacteria up into the uterus and increase the risk of pelvic inflammatory disease. Women who douche, even infrequently are much more prone to the common vaginal infection, Bacterial Vaginosis (BV). All ‘feminine hygiene products’ (suppositories, sprays, cleansers, etc) are useless, potentially disruptive, totally unnecessary and a waste of your money. Also avoid any strong chemicals, such as deodorant soaps, anti-bacterial soaps, strongly perfumed soaps or body washes as they can all have negative effects on the beneficial flora and lead to infections and irritation.

And that “clear but chunky discharge” you’re having after the hubby bones you? If your pussy is healthy, Doll, I’d be willing to guess that’s his spooge drippin’ out of your cunt. Ahhh, youth! But if you think otherwise, why not have a physician take a look.

Good Luck, ya’ll!

A potpourri of poignant problems

Name: Catherine Joanne
Gender: Female
Age: 42
Location: Canada, Alberta
I am in a very loving, understanding, compassionate relationship, which I have been waiting for for some time now. The only thing is he stimulates my emotional side in every way, but in the bedroom he is not as sexual as previous partners I have encountered. I do not know if this is because all my previous relationships have always been about the “sex” and fizzled out, shortly there after, or this is how a “real love thing truly is?” If so, how can I mentally get over this one…he’s just not inventive, or has a lack of sexual knowledge. I don’t want to end this loving relationship over the bed issue. Please help me out on this one, so I do not sabotage this relationship. Sincerely, Catherine

Like my momma always used to say, if it has four wheels or a dick, you know you’re gonna have trouble with it. Listen darlin’, if this guy satisfies as much as you say, hold on to him. He’s a keeper.

You can always teach the old dog some new tricks. Of course, you’re gonna have to take the lead in his sex ed. Let’s just hope he’s not threatened by a woman who is more sexually experienced, adventurous and progressive than he is.

That being said, I think you ought to make your peace with the fact that he’ll probably never become a wild fuck. But then again, you probably don’t want that, because those wild fucks don’t make for loving, understanding and compassionate partners…as you already know.

Just remember: It’s as hard to domesticate a wild fuck, as it is to make a domestic fuck — wild!

Good luck

Name: Jamie
Gender: Female
Age: 28
Location: Georgia
Lately when me and my boyfriend have sex, he’s been pulling out because he says his dick burns. WHY IS HE HAVING THAT PROBLEM?

What you got goin’ on in your pussy, girl? Nothing about a healthy cunt is gonna irritate a guy’s dong. SEE YOUR DOCTOR RIGHT AWAY!

Hey wait a minute! Maybe he’s the one with the problem. Maybe he has some kind of a skin irritation or rash or something. And his willie is gettin irritated inside you. HE OUGHTA SEE HIS DOCTOR RIGHT AWAY!

Say, have you seen his dick up close and in good light lately…ever? I am painfully aware that lots of couples never see one another fully naked even when their doin’ the nasty. This is not a good practice. You should not only know all about your own pussy and how to keep it in perfect working order, but you should have some working knowledge of how a healthy cock looks and operates. If you’re not clear on this you have some homework to do.

And what the fuck are you two doin screwin’ around without using a condom? Are you on the pill? You’d better be. Cuz if you ain’t ya’ll are gonna have a whole lot more to worry about than cock burns, if ya catch my drift.

Good luck

Name: Chris P.
Gender: Male
Age: 21
Location: Montgomery AL
Can it be unhealthy to deliberately avoid male ejaculation for long periods of time? Months, Years? Is it practiced maybe by religious? Can it be done?

Yes, it can be done. And no, it’s not necessarily an unhealthy practice! Some people practice total sexual abstinence for their entire adult life. Some of these people do so for religious reasons, others simply because they aren’t particularly interested in sex. Either way, there’s no real evidence that this practice is injurious to one’s health. What I can say for sure is that if one chooses or embraces sexual abstinence as a means to a higher goal, it is virtuous. If abstinence is mandated or practiced out of fear or repression, there is no virtue.

That being said, I do want to remind you of something I’ve written about a lot recently. It concerns the groundbreaking research on the connection between masturbation and prostate cancer. Australian researchers questioned over 1,000 men who had developed prostate cancer and 1,250 men who had not, about their sexual habits. They found those who ejaculated the most between the ages of 20 and 50 were least likely to develop prostate cancer.

The protective effect of frequent ejaculations was greatest when the men were in their 20’s. Get this; men who ejaculated more than five times a week were one third less likely to develop prostate cancer later in life. Kind of amazing, huh?

I think you should also know that even if you don’t purposely ejaculate, like through jerkin off or partnered sex, your body still needs to rid itself of old stale semen in another way. Think of it like this, when your bladder gets full you take a wiz. When your prostate and seminal vesicles get full you take a jizz. It’s as simple and natural as all that. If you don’t relieve yourself of your joy juice on your own, your body will rid itself of your old spooge in a wet dream, or it will flush it out of your system in your urine. It’s like if you didn’t relieve yourself when your bladder got full, you’d piss anyhow, only it wouldn’t be able to properly direct it. Get it? Got it? Good!

Good luck

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…

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!