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Name: Garth
Gender: Male
Age: 44
Location: South Africa
Hi I fissured my butt sometime ago and I think it has healed. I have undergone a Lateral Sphincterotomy twice – inner and outer. Unfortunately the area is now VERY sensitive and when I deficate the area ‘screams’ in pain. It is worse the softer the faecies is. When the faecies is firm, the pain is very low. Will this go? Is there any medication that I can use?

An anal fissure is a common proctological problem, especially for the heavy ass play crowd. An anal fissure is a tear in the anal tissue. The most common complaint is a pain in the ass…literally! during and after taking a dump. There may also be itching and possibly some bleeding. Pain and irritation can cause a spasm of the internal anal sphincter muscle, which sleazes up and further aggravates the condition.

The Lateral Sphincterotomy you mention is a surgical procedure to close theanal-fissure-anterior-chronic-w-papilla.JPG fissure. This operation remains the primary form of treatment for chronic conditions.

All my medical consultants tell me that, if your surgeries healed properly, you shouldn’t be experiencing pain, let alone “screaming pain” when you shit. We all understand that the area will continue to be sensitive, but the pain you describe is not a good sign. You may very well have an infection. You need to have that looked at ASAP. This is nothing to fool around with.

Here’s a tip for everyone in my audience: pain, of any sort, is one way our body talks to us. Its message is— things are not as they should be; get it fixed NOW. Sometimes the pain will subside when we stop doing something…like holding our hand too close to a flame. Some pain will only subside when a condition is fixed…like getting a cavity in our tooth filled. Other pain, like the emotional pain that comes with depression is harder to soothe, but it can be done. Finally, pain like the kind Garth is experiencing means something is very wrong. And if not attended to immediately, things will only get much worse.

Name: Ryan
Gender: Male
Age: 20 something
Location: Lowell MA
A few years back, a friend confided that he contracted genital warts from his ex-girl friend. He had the genital warts on his genitals, anus, hands, feet and in his mouth. His ex-girl friend had it on her hands, in her vagina, mouth, anus and cervix. I can understand having it on the genitals and hands and in the anus, mouth and cervix. I didn’t ask how he got it on his feet.
He went to work in another state, but came back here two years later. He told me16789433_p.jpg he liked a girl he met and would like to bring the relationship into a more intimate level. I asked him about his genital warts. He said he was cured of it. I read that genital warts cannot be cured. That it can be treated, but will remain incurable and contagious although dormant for a while.
Will the girl get it after they had sex? My friend comes to my house very often, drinks beer with me and my girl friend. He uses the bathroom and the hand towel. Even after scrubbing the bathroom and washing the hand towel, can my girl friend and I get the genital warts? As for my friend, was he condemned not to have sex for life? Or, is it safe to have sex if there was no outbreak or external signs?

I’ve seen several bad cases of genital warts, but never a case that included hands feet and mouth. Perhaps that outbreak was something else, I won’t even hazard a guess.

You are right; technically genital warts remain incurable, though non-contagious and dormant if treated correctly. And proper treatment is the key. For more information you might consult: www.dph.sf.ca.us.

Casual contact, the kind you describe below — bathroom, towels, etc. — cannot pass on the virus. Transmission is dependent on intimate genital contact. Does your friend (his GF) have an outbreak going on now? Can you see something on his (her) hands and face?

I know my friend is a responsible person and he will not knowingly infect me with his genital warts. But, how can he be sure that the wart is dormant and non-contagious? I am now wary because he told me his genital warts were cured. This makes me wonder whether he was given the wrong medical advice or he was just trying to put my mind at ease. Aside from using the bathroom and towels, he also eats dinner at my home and could infect my dishes, utensils, cloth napkins, etc. and pass the virus to me and my girl friend.
This matter has the potential of becoming a dilemma for me and my friendship with him. I don’t want to ask him details such as who is his doctor, what kind of treatment he is getting (it seems the infected person must be tested periodically and the treatment ongoing) and how is he going to determine when he is not contagious. He is a sensitive person and I know that he will get angry if I asked him these questions. I can make excuses not to see him at my house (this only goes so far). If I ask or make excuses, I’d lose his friendship. I don’t want to lose him as a friend. But, I don’t want him to infect me and my girl friend with the virus either, knowingly or unknowingly
I don’t see any warts on his hands and on his feet (he wears sandals sometimes). I don’t know if he plans to tell the girl he plans to get intimate with.
My girl friend doesn’t know about this. She will freak out if I tell her and that will cause more problems. Help!!!???!!!

If I were you I would ask him about the treatment he received for his warts. That would put your mind at ease. Besides, your friendship sounds like it’s on the brink anyway. And here’s a tip: you probably have lots of casual contact with many other people with genital warts without even knowing it — it’s a very common malady.

Thank you very much. I think he should also tell the girl about his genital warts before having sex with her. She must be given the option to reject or accept it. I also read that the virus can be passed just with skin-to-skin contact when there is a flare up. Is this true?
I feel bad about this. Although my friend is a responsible person, there is still a chance he could get carried away in the heat of passion and throw precaution and caution to the wind.
I imagine it is difficult to enjoy sex when you have to do and think of many things that could go wrong. Giving him my sympathy will not help. He alone has the burden of doing what has to be done before having sex to prevent contaminating his girl friend or spreading he genital warts around.
I will appreciate any additional information/clarification/advice you can give me about this.
Thank you again for your help.

Genital warts, like herpes, are contagious only when there’s a flair-up. Skin to skin contact can pass the virus at that point. Also, like herpes, if the genital wart virus has been treated, the likelihood of passing on the virus is negligible.

I am of the mind that we all ought to be responsible and up-front with our sex partners about any health related issues that might impact on their health.

Name: T
Gender: Female
Age: 46
Location: Canada
Do you have any suggestions about FE, I believe I have once and it was total bliss. But achieving it again is quite another.

FE??? Are you talkin’ Female Ejaculation, darlin”? Ok, let’s start with a little background.

The G-spot (or Grafenberg Spot after the physician who first wrote about it) is a small area of spongy tissue just behind the front wall of the vagina, between the back of the pubic bone and the cervix. This is analogous tissue to the male prostate. In fact, the G-spot is sometimes referred to as the female prostate. But like most things sexual, particularly if it has to do with female sexuality, there’s a lot of debate about whether the G-Spot is the same thing as the female prostate. I intend to steer clear of that controversy just as much as possible.

What I can tell you for sure is that during early fetal development both male and female fetuses start out being physically female? This does not change until a male fetus begins to produce its own hormones around the eighth week of gestation. Only then does the physical development of the male and female bodies diverge. Of course, this necessitates that female fetuses initially have structures that could develop into either “male” or “female” reproductive and sexual organs. This means the tissue that develops into the male prostate gland must also be present in women. Get it?

Many women report that their G-area is more sensitive to stimulation than othersquirtingpic5.jpg parts of their vagina. To find your very own G-spot, put two fingers in your pussy and curve them upwards, like toward your belly. Now make a “come here” motion, stroking the upper wall of your vagina with a firm, upward pressure. Feel that? That’s your G-spot, darlin’! How fun is this?

Fingering yourself like this will probably be more pleasurable if you’re already aroused. Some women have orgasms and/or ejaculate from G-spot stimulation, but not all women ejaculate and not all women find G-spot stimulation pleasurable….wouldn’t ya just know it!

Some women report that they feel like they need to pee when their G-Spot is stimulated. Therefore, I suggest. that before you go rootin’ around in your pussy lookin’ for your g-spot, that you completely empty your bladder. Oh and make sure your fingers are well lubricated throughout your exploration. Even if you have a lot of your own vaginal lubrication, I always suggest the use of a water-based lubricant to augment your own juices.

We all know that post-menopausal women experience bouts of vaginal dryness, but even younger women have dry episodes, especially if they are taking antihistamines or antidepressants.

If ya want to hit your G-spot while fucking, may I suggest you try “the woman-on-top — cowgirl” position or the “doggy” position. These are best because your partner’s dick will be better situated to hit the front wall of your pussy.

***Guys, most women need firmer pressure to the front of their pussy to have a G-Spot orgasm. This might best be accomplished by quick strokes and a lot of deeper friction.

Like I mentioned earlier, G-Spot stimulation may cause you to ejaculate a small amount of white or clear fluid. Some women produce more ejaculate than others. Just remember, the gushers…the ones you see in porno movies…are faked for your viewin’ pleasure. I mean, come on; some of these videos would scare the fuck out of Noah!

Enjoy your exploration, T. Like I always say, the more you know about the mysterious workins of your own personal pussy the more information you’ll be able to share with your own personal partners.

If you’re looking for a swell “how to” look here: Dr Dick’s How To Video Library:

Good luck ya’ll

 

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And Now For Something Completely Different!

Oh wait, this is just more of the same, but fun nonetheless.

Name: David
Gender:
Age: 26
Location: New Jersey
I once slipped and fell on a very hard surface and ever since I’ve had issues with my bladder and urination. Sometimes I get an added drip afterward and I know it’s not an STD/STI I’ve been checked. What do you think it may be…I’ve asked and no one seems to know.

A drip after what? After you pee? After you cum? Both?cum006.jpg

Have you ever tasted what drips out? A taste test will let you know if it’s cum or piss. Either way, it won’t harm you. If it’s viscous, it’s probably related to your ejaculate. If it’s not a little gooey it’s probably just urine. But then again, it could be an Invasion of the Body Snatchers.

Name: jen
Gender:
Age: 25
Location: florida
i am a young and attractive female with a great personality and many friends, but when it comes to men… i just dont get it. i date many guys, but i can’t seem to get a guy into a relationship. i wont have sex with a guy unless we’re a “couple”, but the men i date seem to be turned off by this fact and dont stay in the picture for long. In the past, i would have sex with guys i dated, but it would always end as soon as a relationship was mentioned. Any tips on how to get a guy to stick around without having to put out?

Basically men are pigs, darling. They want what they want, when they want it. Nowadays the men folk don’t think it’s necessary to commit to a relationship just tomormon_missionary2.jpg get laid. The marketplace, so to speak, is brimming over with less encumbered pussy.

I’m not suggesting that you change your behaviors or value system, but do you ever ask yourself why you use sex as a lure? Maybe you’re good in bed, but not such great relationship material. Or it might be that you are simply fishing in the wrong hole. Try connecting with a good Christian boy or one of them fine Mormon missionaries that are always floating around in pairs. They’re generally cute as the dickens in their white shits and black ties. And they probably have a similar outlook on the proper place for sex as you do . They may even do you one better by insisting that there be no nookie till you convert and get married in the temple.

wallet-porn.jpgName: oscar
Gender:
Age: 33
Location: dominican republic
i would like to what is the easies way to make a lesbain woman reach an orgasm

Give her a nice muff to dive into and then kindly step aside. She’ll figure out the rest.

Those lesbians are so damn clever!

Name: Justin
Gender:
Age: 18
Location: Edmonton
I’ve been interested recently in fingering my ass to stimulate my prostate. What are the best gloves to use for this?

Have you tried woolen mittens?

WTF, pup? What do you need gloves for? There’s nothing in your hole that’ll do you harm. If ya get a little caca on your fingers from all that rootin’ around in there; don’t worry. That’s why god created soap and water. And I do recommend that butt play always be followed with a thorough soapy clean up.

Hey, and don’t forget to trim your fingernails before you head in there.

Name: browniee
Gender:
Age: 26
Location: canada
is it normal or good at all 2 have a dick 7.5 inch long n 6.5 inch around? is it abnormal? n will all women enjoy de size?

LOL! Yeah, I’d say it was good, one might even say very good. Is it abnormal? You betcha! In as much as it is considerably larger than average. Will all women enjoy de size? Probably not! Some women enjoy de smaller ones. Some women enjoy de bigger ones. Some women enjoy none of de above…I think these particular women are called lesbians.

Name: Michael
Gender:
Age: 65
Location: Portland, OR
Was circumcised a year ago for medical reasons by urologist. Really nasty scar line; also turkey neck as skin was pulled up from scrotum. Would like a recirc, removal of frenulum and hopefully some relief of the turkey neck. Any reccomendations of somone who can do a functional and aesthetically pleasing job?

Nope, can’t say that I do.fren2.jpg

Is your dick so freakin’ ugly that you’d be willing to risk going under the knife yet again? Even though the last guy botched the job? “…relief of the turkey neck…? Are you suggesting it hurts you? Oh wait, you’re talking about cosmetic relief?

Tell me you misspoke when you said you want to have your frenulum removed. The frenulum is the connecting tissue at the underside of your dickhead. It is densely nerve-laden and a very erogenous part of the cock, dear. YIKES!

Name: David
Gender:
Age: 27
Location: cali
if guys like touching other guys, does it make them curious or bi or gay? it happens alot.

Guys touching other guys? It might just mean they like to play sports.

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Get Crucial Sex Tips — In a Phone Text!

Before I go, I want to turn you on to something new.
A new sexual health cell phone text messaging service in San Francisco.

  • Text SEXINFO to 917-957-4280 (Metro PCS users) and 61827 (all others).

*Standard text messaging charges will apply.

Good luck ya’ll

It Must Be Something In The Air!

A rash of pretty bizarre messages have been arriving the past few days. I’m so lucky.

While I want ya’ll to know that I’m delighted to hear from each and every one of you, particularly those of you from the far-flung corners of the globe, there’s just so much I can offer by way of advice.

Often, the best I can do is offer some generic information about one thing or another, then suggest that if the concerns persist, that person ought to seek professional help nearer to hand than me. So regardless how many people write in with further questions, the only thing I can do is repeat myself. (See below for examples.)

Others write to me with a pressing problem, but fail to include enough information for me to advise them properly. Thus I find myself asking more questions of them than they do of me.

Name: glen
Gender:
Age: 42
Location: Santa Ana CA
Is it possible to give coitus to a vagina while another man’s penis stays inside the same vagina?

Yep, you betcha! It’s called double penetration, DP for short.

Name: y
Gender:
Age: 35
Location: Indiamalia7.jpg
Will breasts become bigger due to having sex?

Not from just having sex, darling! But if you get pregnant from having sex, you can rest assured that your boobs will get larger then.

Name: aamir khan
Gender:
Age: 22
Location: pakistan
hi sir… i have a problem when i talk to girls so there will b little cum going from my penis. and i m dischargig vry soon. so whts dis??? and wht shold i do??

image-1.jpegI do believe you are referring to what is commonly called “pre-cum”. This clear alkaline fluid produced by your Cowper’s gland during sexual arousal lubricates and neutralizes the acidity of the urethra that will soon carry your jizz, with its payload of up to five hundred million sperm. Your urine, which also passes through this shared tube, leaves your urethra acidic. And if your body didn’t neutralize the acidity before you shot your wad, all your sperm would die.

Name: Jim
Gender:
Age: 50
Location: Portland
I have red balls! I have noticed many porn fellows with similar red balls, but I do not find this condition attractive. I have tried fungicides and hydrocortisone. I try to keep my crotch dry, even using cornstarch powder after a shower. Any advice?

f9905211-bf1a-48bd-b58e-26853f54503c.jpgRED BALLS? I’ve heard of blue balls, but not red balls, per se. Porn fellows often have red balls because their cockring is too tight or they have been using one for too long.

Your problem sounds, however, like a bad case of jock itch. That’s no fun! Jock itch is a pretty common fungal infection of the groin and upper thighs. If you’re using an over the counter antifungal cream and a cornstarch-based powder to keep things dry down there, and you’re still having a problem, SEE YOUR DOCTOR!

You may simply need a pharmaceutical grade fungicide. Or you could have scabies.

Name: james
Gender:
Age: 31
Location: CA
hi, i am not getting proper erection while intercourse,,,got recently married what shud i do?

I need more information! Are you not aroused enough before you start the fuck? Can you get fully hard when you jerk off? Were you a virgin when you married? This must be a bummer for a newly weds.

Name: Jim Beans
Gender:
Age: 24
Location:
What pornographic resources are available for blind folk? Do you have any suggestions?

Have you tried SexAudia.com? Besides being able to hear my weekly podcast on SexAudia.com, you can hear loads of other hot and steamy erotic stories, music and other entertainment. Check it out. Tell ‘em Dr Dick sent you.

Name: Mohan
Gender:
Age: 30
Location: Malaysia
can i have children with my hypospadias condition? Should i get an operation?

I have no way of knowing how severe your hypospadias is, or if it might interfere with you having children. SEE YOUR DOCTOR! Although, if you’ve lived with this condition for 30 years, it can’t be too severe, right? Corrective surgery is a last resort and should only be considered in the most severe cases.

Name: john
Gender:
Age: 31
Location: new zealand
Hello doc .i have hypospadias and my dick is only 3 inch if fully erect..pls advice me.

That’s small, for sure. But 3” erect is not uncommonly small. There’s not much a fellow can do about tiny meat, except learn to love it and let it give you all the joy it can. Not much you can do about the hypospadias either. But since you’ve lived you’ve lived with your dick this way for 31 years, you probably know all of this already, huh?

Name: jake
Gender:
Age: 16
Location: Grove City
im at 6 inches and I wanna get to 7 or a lil lower how can i do this? could i get pills at this age? and if so what should i get?

You could leave it the fuck alone till you finish puberty at least. You could also be happy with what you have, because some folks, like the guy above you, would be delighted to be as hung as you.

BTW, there are no pills that work for growing a dick longer. Wake up, puppy!

Name: sheema
Gender
Age: 41
Location:
hi dr, i am 41yers old lesbo mom. i love lesbian sex. i have 4kids. one dughter and 3 sons. my sons ages is 22 18 12. my dughter age is 16yers. i have one girlfriend for sex. my girlfriend come my home and we make sex. one day we having sex then my dughter see us. she ask me what you doing with aunt. i dont tell her. but in my mind a idea. i want having lesbian sex with my dughter. tell me what shold i do. plase.

SERIOUSLY! A forty-one year old woman, and a mother of four, needs to ask if it’s ok to have lesbian sex with her underage daughter? Get otta of here!

What kind of mother are you? If your daughter wants to dabble in muff-divin’, let her play with someone her own age.

Incest, particularly the adult to child type, is considered taboo in nearly every culture, both past and present. There’s plenty of good reason for this. While lesbian sex doesn’t involve the genetic concerns (inbreeding); it would involve the most devastating aspect of incest — the secrecy. No one violates this universal taboo in the open. The secrecy and the inevitable shame and guilt will, sure as shootin’, destroy you family dynamic.

People, if you find yourself in a seductive situation with family member, don’t give in to the temptation.

Good luck everyone!

Pros and Wannabes

When it comes to sex, pro and amateur alike have issues. (It’s a good thing too; otherwise I’d be out of work.) Weather one is just getting the hang of things or one is making bank pleasuring others, body awareness and sexual technique can be fine-tuned.

In our culture just about everyone, regardless of age, faces some kind of bugaboo about sex and/or intimacy. When we are young, inexperience and the sexual misconceptions and misinformation that accompanies youth can seem charming to some. Youth, after all, is a time for stumbling about.

Not so when we’re all grown up. Those who are old enough to know better, but don’t, are not judged as indulgently as greenhorn youth. Older folks are expected to learn the lessons of youth while we are young. And while there are a whole set of particular issues that arise for us in our middle years, it’s exasperating to encounter an oldster who is still clueless about the fundamentals.

Hey Dick!
As you know, I am an escort. My business is doing very well. In fact, so well I need to ask if you know of any meds, besides Viagra, that I can take that will help me maintain an erection over a longer period of time?
Can I be frank? Here’s the deal, let’s say I have I have two one-hour clients during the day. Then a regular of mine calls and wants an all-nighter. That’s not a problem other than the fact that this particular client wants to get fucked hard. I mean real hard, for hours at a time. He’s an insatiable power bottom.
I want to be able to ride his ass, like the bitch he is. Hell, I’m even attracted to him. I just can’t stay hard enough to fuck him like he likes (especially after having had the two clients before him that same day). Sometimes I have difficulty getting it up for him, and wind up finger-fucking him till my hand is sore. I do not want to lose this client. And shifting days is not the solution. Because when he wants it he wants it and I have to produce. That’s what I do, I sell “muscle.” I have a reputation for giving the best hard driving, dominating and controlling sex around.
Again, is there a medication I can take to maintain the erection?
Works Hard

Dear WH,

Your life reads like a cheap porn movie script. Lordy, the good doctor nearly got the

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vapors simply reading through your very explicit missive. (As you can see, I had to edit out some of the more gory details so I could protect your identity in this public forum.) Of course, as you suggest, it never hurts to advertise. You’re so bad!

I thoroughly understand the pressures you and other sex workers face. It’s not as glamorous a life as it is often portrayed, huh? Ok, so you’re beautiful, men idolize you and crave your attention. You’re getting loads of sex, putting all those “bitches” in their place, and crying all the way to the bank. It’s a tough job, but someone’s got to do it. But then again, there are all those sniggling performance issues that even a he-man like you must contend with.

The trouble lies in the fact that you are a workaholic. And that’s never good, regardless of the work one does. Sex work, like any other work, will burn you out if you’re not careful. If you don’t learn to pace yourself, darlin’, you’ll fizzle. (How’s that for an appropriate euphemism?) And from what you tell me, this is already beginning to happen. Keep it up (no pun intended), you won’t be the first causality in this line of work, nor will you be the last. But If you ask me, and I happen to know a little something about sex work myself, the object here is to grow old (or older in your case) in your chosen profession.

I’m tellin’ ya, WH, if the erectile burnout don’t get ya the psychological torment will. I’ll bet you’re terrified the word will get out that MR. Big-Beautiful-29-year-old-Stud-Power-Fucker can’t get it up. That would be real bad for business. And you know how those johns can gossip. Bitches! They don’t know that you’re servicing men at a rate that would make a superhero blush. All they see is limp willie and that spells trouble right there in River City.

It’s not surprising that you are having erection concerns given the number of clients you are seeing in one day. I mean, girlfriend, when do you find time to eat? You don’t need a new med, you need a vacation. If Viagra and a good cock ring don’t do the trick, then, in my humble opinion, your body is telling you to slow the fuck down.

And here’s another tip; research is beginning to show that prolonged and persistent use of Viagra can have some very unpleasant side effects. Those who overuse this potent cardiovascular drug, particularly young men who use it recreationally, may be in for some very unpleasant surprises down the road. So, I have one simple suggestion, WH, have a care about your sexual wellbeing and treat your dick gently. Despite the pounding you can inflict with it, it is a very delicate mechanism.

Good Luck

Dear doc, I am just about to turn 50 years of age. Is there a sex life ahead for me? I love sex clubs and anonymous sex. But is it too late for me to get into a relationship.
Washed up?

I regret to inform you, Washed, sex does, indeed, come to a screeching halt right as you turn 50. In fact your dick is gonna fall off too, cuz you ain’t gonna be needin’ that little thing no more.zoo_3_bg_070402.jpg

I mean, come on, I’m sure you know better than that. Thanks to the wonders of modern pharmacology even Bob Dole is getting laid, for Christ sake. Wake up and smell the coffee, Washed!

Oh, and one other thing, since there’s no guarantee that you’ve taken note of this subtlety, especially seein’ how you missed the big picture above, I have a tip for you. If it’s relationship sex you’re after, you’re gonna have to look for that in a different venue than where you are currently skulking around for stand-up sex. And you can pretty much count on the fact that relationship sex is gonna demand a whole different set of skills than anonymous sex. Do you have what it takes? Hmmm, the jury is still out on that. But if you’re just now lookin to nest at 50, I’d say an acquittal is highly unlikely.

Good Luck

Dear Doctor, I am gay, 49 and after a “broken heart” in my 30’s I went back to the closet for 20 years. I feel so lonely. Seems I have wasted my life. At my age, how can I ever find a lover with whom I can truly be happy, both spiritually and sexually? This is very difficult for me and I really would appreciate any good advice. Thank you. Kind regards.
Lonely in Louvain

Dear LL,

Hey, it’s never too late to find what you are looking for. However, this particular questleavemealone.jpg is not for the faint of heart. If you’re prone to retreat into your shell, or closet as the case may be, every time you are disappointed or rejected, don’t even start this adventure. But, if your life of loneliness and isolation has taught you to value the companionship and love of others, then your years in the closet may not have been a total waste. Get out there and make a difference.

Live authentically; it is the best aphrodisiac. You may not find everything you are looking for in one package, but that shouldn’t matter. That’s the stuff for fairytales. The object is to satisfy your needs. So, if you find satisfying sex with one person and spiritual fulfillment with another, so be it.

And may I suggest that you try and expand your concepts of what defines happiness for you. You don’t want to box yourself in now that you’re finally venturing out of the closet.

Good Luck

Trust a Scientist: Sex Addiction Is a Myth

By Jim Pfaus

A psychologist explains why sex addiction therapy is more about faith than facts, as told to Tierney Finster

001

Self-labeled sex addicts often speak about their identities very clinically, as if they’re paralyzed by a scientific condition that functions the same way as drug and alcohol addiction. But sex and porn “addiction” are NOT the same as alcoholism or a cocaine habit. In fact, hypersexuality and porn obsessions are not addictions at all. They’re not included in the Diagnostic and Statistical Manual of Mental Disorders (DSM), and by definition, they don’t constitute what most researchers understand to be addiction.

Here’s why: addicts withdraw. When you lock a dope fiend in a room without any dope, the lack of drugs will cause an immediate physiological response — some of which is visible, some of which we can only track from within the body. During withdrawal, the brains of addicts create junctions between nerve cells containing the neurotransmitter GABA. This process more or less inhibits the brain systems usually excited by drug-related cues — something we never see in the brains of so-called sex and porn addicts.

A sex addict without sex is much more like a teenager without their smartphone. Imagine a kid playing Angry Birds. He seems obsessed, but once the game is off and it’s time for dinner, he unplugs. He might wish he was still playing, but he doesn’t get the shakes at the dinner table. There’s nothing going on in his brain that creates an uncontrollable imbalance.

The same goes for a guy obsessed with watching porn. He might prefer to endlessly watch porn, but when he’s unable to, no withdrawal indicative of addiction occurs. He’ll never be physically addicted. He’ll just be horny, which for many of us, is merely a sign we’re alive.

There haven’t been any studies that speak to this directly. As such, the anti-fapper narrative is usually the only point discussed: Guys stop masturbating after they stop downloading porn, and after a few days, they say they’re able to get normal erections again. This coincides with the somewhat popular idea that watching porn leads to erectile dysfunction, a position that porn-addiction advocates such as Marnia Robinson and Gary Wilson state emphatically. (Robinson wrote a book on the subject, though her degree is in law, not science, and Wilson, a retired physiology teacher, presented a TED Talk about hyperstimulation in Glasgow.) These types of advocates are wedded to the idea that porn is an uncontrolled stimulus the brain gets addicted to because of the dopamine release it causes. According to their thinking, anything that causes dopamine release is addictive.

But there’s a difference between compulsion and addiction. Addiction can’t be stopped without major consequence, including new brain activity. Compulsive behavior can be stopped; it’s just difficult to do so. In other words, being “out of control” isn’t a universal symptom of addiction.

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Then what, exactly, does it mean when Tiger Woods and Josh Duggar go to rehab for sex addiction? Or when Dr. Drew offers it up on TV for washed-up celebrities? The answer is simple: They’re giving free marketing to the new American industry of sex addiction therapy. Reformers Unanimous, the faith-based treatment program chosen by Duggar, is likely to gain a number of new patients thanks to the media frenzy surrounding his admission to their facilities after the Ashley Madison hack exposed the affairs Duggar blamed on porn addiction.

These programs are similar to traditional 12-step models, except even more informed by faith. By misdiagnosing patients from the start, they gloss over the underlying issues that might make someone more prone to compulsive sexual behaviors, including Obsessive Compulsive Disorder and depression. Plenty of compulsive and ritualistic sexual behaviors aren’t addictions; they’re symptomatic of other issues.

Unfortunately, that’s just scratching the surface of the faulty science practiced by these recovery centers. For instance, according to proponents of the sex addiction industry, the more porn someone watches, the more they’ll experience erectile dysfunction. However, my recent study with Nicole Prause, a psychophysiologist and neuroscientist at UCLA, showed that’s absurd. While advocates of sex and porn addiction are quick to correlate the amount of porn a guy looks at to how desensitized his penis is, our study showed that watching immense amounts of porn made men more sensitive to less explicit stimuli. Simply put, men who regularly watched porn at home were more aroused while watching porn in the lab than the men in the control group. They were able to get erections quicker and had no trouble maintaining them, even when the porn being watched was “vanilla” (i.e., free of hardcore sex acts like bondage).

There is, of course, other evidence that porn isn’t a slippery slope to physical or mental dysfunction. A paper just came out in the Journal of Sex & Marital Therapy from German researchers that looked at both the amount of porn consumed by German and Polish men and women and their sexual attitudes and behaviors. It found that more porn watched meant more variety of sexual activity — for both sexes.

Despite these results, there’s still an entire publication, Sex Addiction & Compulsivity, committed to demonstrating that porn creates erectile dysfunction. Its very existence suggests sex addiction and its treatments are real, yet the journal doesn’t take a stance on any particular treatments. And while its resolutions come from peer-reviewed articles, these articles only get reviewed by people who already believe in the notion of sex addiction.

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Which is why the journal has zero impact. The number of times a scientific journal gets used in other scholarly work is measured by something called the Journal Citation Reports (JCR). That number determines a journal’s official impact factor. So far, Sex Addiction & Compulsivity has a JCR impact factor of 0.00. Nobody cites anything from it, except maybe their own cult of followers who publish on blogs and personal websites.

The journal benefits from a very 21st century way of creating a veneer of objectivity. As long as there are papers in it, people can cite them as “scientific.” Even if the work — and the people who oversee it — are anything but. An influential associate editor there is David Delmonico, a professor who runs an “internet behavior consulting company” that offers “intervention for problematic Internet behaviors.” He believes sex addiction is real because he’s wary of the supposedly horrible effects the internet (and all the porn there) can have on human behavior.

Such porn-shaming isn’t all that different from the guilt conservatives attach to sex, even though conditioning men to feel bad about their sexual behaviors only leads to the kind of secretive, damaging behaviors evidenced in the Duggar story. What’s worse: when sexuality is labeled a “disease” like addiction, guys no longer have to own their sexuality — or their actions. It’s unnecessary to explain why they cheated because it’s beyond their control. And so, the “addict” stigma is preferable because it’s one they can check into rehab and recover from. Being considered an “adulterer,” on the other hand, is harder to shake.

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