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An (extremely long) Tale Of Woe

First Name: Sam
Age: 22
Gender: Male
Location: North Carolina, USA
Wow, where do I even begin….

I am a 22-year-old gay male and believe that I may have SOME form of erectile dysfunction. I emphasize “some” because it is possible for me to get hard, firm erections, but I’m ALWAYS by myself when I do.

I have been able to give myself orgasms since I was in preschool. I did not masturbate the “traditional” way that men do (or ejaculate) until I was in 6th grade. Before that, I would lay down with my hands cupped around my crotch area and would “hump” into them until I felt an orgasm sensation and would then stop. In 6th grade I began to look at gay internet porn, and, seeing how most of those men masturbated, began to emulate the process. I even practiced “edging” often, beginning in 6th grade, as I had read on the internet at that time that it built up sexual stamina and led to powerful orgasms.PERFORMANCE_ANXIETY_pic_02_3

I would say that since I’ve been able to have orgasms (beginning in preschool), I would have one usually at least once a day. There were days here and there where I wouldn’t, but I guess an average would be 6 out of 7 days per week, with an average of twice per day. Of course, it’s hard to average them out since I’ve been having them for so long.

I did not start having sexual intercourse until my freshman year of college when I was 18, with my roommate at that time. Even that first time, I had problems maintaining my erection. I also had to use my hand and masturbate in order to have the orgasm, which took much longer than when I’m by myself. My roommate and I engaged in sexual intercourse regularly for the latter 2 and a half months of my freshman year, and every time, I had to have an orgasm by masturbating. Oral sex would not work, his hand would not work, and we did not engage in anal sex.

From ages 19-20, I had very little intercourse, but regularly masturbated (almost always to porn), and had no problems maintaining an erection and achieving orgasms. I hooked up with older men occasionally during this time, and again, could not have an orgasm unless I masturbated. It was also slightly more difficult to get an erection than by myself watching porn, and always took me longer to achieve orgasm than by myself. I had my first experience with anal sex (as a “top”) during this time as well, and could not ever reach orgasm, same with oral sex and hand-jobs.

When I was 20 I met and began dating my first boyfriend. We were together for 10 months, and while I enjoyed my time with him, our sex life was poor. We did not engage in anal sex except once, because we both considered ourselves tops. The one time we engaged in anal sex I tried to be the bottom, but did not enjoy it at all and had to stop. We did engage in oral sex, but I could never achieve orgasm that way. Again, I had to masturbate in order to have an orgasm. Not only that, but I began to have significant trouble sometimes to get an erection. Also, it took a lot longer for me to reach orgasm when I masturbated with him. By myself with porn, I could reach orgasm as quickly as 5-7 minutes. With him, it often took me at least 20 minutes, and it was usually 25-35 minutes.

loving legsAfter we broke up, I began to hookup a little more frequently then I had in the past, but it was not that often. Whenever I did, again, I always had to masturbate to achieve orgasm, and it took me a long time to do so. AND, during some of these hookups, I simply could not even achieve orgasm myself, as I started to have difficulty maintaining or even getting an erection. I highly doubt it was because of my sexual partners, because I would not hookup with someone I was not sexually attracted to. Also, I usually could have erections during foreplay, but when it came to the “big finish” my erection would start to wane or just become completely soft, and nothing I did or thought about changed that. Once, I achieved orgasm from barebacking (which I have not done since and luckily did not contract HIV or an STD), and there was also only one time where I hooked up with a guy and achieved orgasm from him giving me oral sex, although I believe this was because I refrained from masturbating for the past few days beforehand.

I am 22 now, and am starting to worry that I will not be able to ever have any good sex with someone else other than myself. In almost all of my most recent hookups, I have had to use a cockring to get an erection, and even then sometimes it doesn’t even help. Also, in almost all of my most recent hookups, it either takes me around 30 minutes to masturbate to orgasm, or I simply can’t have an orgasm because of lack of an erection. However, if I am by myself watching porn, I do not have any trouble getting and maintaining “rock-hard” erections and reaching orgasm.

I have become particularly concerned about this problem now, because I have begun to date someone and engage in sex with him for the past few weeks. When we first had sex I topped him anally and had a good erection. But we still masturbated together to completion. Ever since the first time though, I have had a LOT of difficulty just getting an erection period. Cockrings do not help, and oral sex and foreplay don’t really help either. Sometimes when we make out for a while I’ll start to get kind of hard, but then when I try to get ready to penetrate him or simply masturbate with him, I’ll go soft again. I’ve been able to reach orgasms sometimes when I masturbate with him, but my penis is usually semi-soft when I reach orgasm, and again, it takes more effort and certainly more time to do so then when I’m alone watching porn. He is incredibly good FleshJacklooking, good at sex, and very passionate, so I know it is not him. Luckily, he does not mind when I cannot perform, he says he likes me for me and that everything is fine, and he thinks that I shouldn’t worry about it. But at this point, I really can’t help but worry about it…

The last time this problem happened I had willingly decided to not have an orgasm for three days beforehand, hoping that it would help the issue. But unfortunately, it did not help or change anything. I’ve decided to completely stop viewing or watching any pornography whatsoever, and have also decided that when I masturbate I will avoid as much contact with my hand and, instead, use my FleshJack (the gay version of FleshLight) with the “Squeeze” texture (their most “realistic” anal texture). I have not had sex with him since I decided this (which is the day I’ve written this question, May 27, 2015).

I apologize for this EXTREMELY long inquiry, but I didn’t want to leave out any details of my sexual history in case they were important. I’m wondering if masturbating regularly since preschool has anything to do with my poor performance. And I’ve considered that I’m “overthinking everything” when I engage in sex and maybe that’s preventing me from getting erections with other men, but I’m such a sexual person that I can’t think of anything but dirty, sexual thoughts when I’m with another man, yet it just doesn’t seem to work. I do start to focus on not being able to get an erection if I’m not getting one for 5-10 minutes, but during that time beforehand, I’m not thinking about anything other than the pleasure, so I don’t see what I’m doing wrong. The problem is beginning to be REALLY embarrassing and I’m concerned that if I’m already having these problems at only 22 years of age, I’ll likely have the worst of erectile dysfunction problems in the future.

I suppose my main questions are:
1) What could be causing this to happen?
2) Is my proposed method of completely avoiding porn and masturbation via my hand an appropriate solution?
3) Do you have any specific suggestions or general advice that can help me with this problem and/or my sex life?

Again, I apologize if this is way too long; I’ve just never been so concerned about it before. I’m 22, I should be able to get rock hard erections easily, but I feel like a 70 year old man who just “can’t get it up.” ANY advice you can give me will be sincerely appreciated.

Whew, Sam, that was like the War And Peace of sex advice questions.

It’s perfectly clear that you are worried about your sexual response. But I’m gonna guess that your worry is actually making things worse. Before I respond to your three questions, I want to say; get thee to a therapist! You need to sit down with a sex-positive therapist and work through this stuff with him/her. This is super important, don’t just blow it off. If you need a referral, see the Directory of the American College of Sexologists to find someone in your neck of the woods. I also offer remote therapy via Skype or phone. See my Therapy Available page.

whewNow to your questions in the order you asked them…
1) What could be causing this to happen?
Everything you tell me points to performance anxiety. I’ve written and spoken a great deal about this issue over the years. Use the CATEGORIES pull down menu in the sidebar to your right. Scroll down till you find the main category, Sex Therapy. Under it you will find the sub category, Performance Anxiety.  You’ll find tons of information.

2) Is my proposed method of completely avoiding porn and masturbation via my hand an appropriate solution?
It might be, but not for the reason you suspect. Again, you need to discuss this with a therapist. It’s important and more involved than I have time and space to lay it out for you.

3) Do you have any specific suggestions or general advice that can help me with this problem and/or my sex life?
Yeah, chill the fuck out! Honesty, that’s the best thing you can do right now. Then, with the help of a therapist, work through your problems, put in place a program to rebuild your partnered psychosexual response one step at a time. You’ll probably begin with sensate focus training, stress reduction, and relaxation exercises.

Review: The Ultimate Guide To Sex After 50

Hey sex fans!

2015 is turning out to be a banner year for sex positive books. Here it is still only January and this is my second review of a noteworthy book about human sexuality.

A few weeks ago, January 8th to be precise, I introduced you to Cooper S. Beckett’s book, My Life on the Swingset.  In that review I mentioned that Cooper had been a guest on my Sex EDGE-U-cation Show.

Today’s review features a book written by another guest on my show, but this time it was the SEX WISDOM Show. Today’s book, The Ultimate Guide to Sex After Fifty: How to Maintain – or Regain – a Spicy, Satisfying Sex Life, was written by the brilliant, Joan Price.

Joan is on the forefront of our culture’s discussion on ageless sexuality. She is the author of Ult+Guide+Sex+50+covertwo other books, Better Than I Ever Expected: Straight Talk about Sex After Sixty and Naked at Our Age: Talking Out Loud about Senior Sex. She is a sought-after speaker and workshop leader. And, if that weren’t enough, she’s also a fitness expert. This woman is a ball of fire, sex fans, and an absolutely charming interview. Be sure to listen to the two-part interview I did with Joan, you’ll find them archived HERE and HERE!

Joan and I talked about some the many myths that surround sex during life’s second half; she covers this topic more in depth in her new book. The misinformation about sex after 50 is so pervasive that even many of us seniors and elders perpetrate it. And, of course, we’re often the butt of jokes.

1. We lose interest in sex as we age.
2. Senior sex is boring.
3. Dating as a senior/elder is depressing and hopeless.
4. Seniors with arousal issues just give up on sex.
5. Sex becomes more frequent as we age.
6. Real sex must involve intercourse and orgasm.
7. Health concerns and menopause will end one’s sex life.
8. If you’re interested in sex after you turn 50, you’re a dirty old man/woman.

The Ultimate Guide to Sex After Fifty is the perfect antidote to the dismissive and degrading way that so much of the popular culture deals with senior and elder sexuality. Joan celebrates not only the existence and appropriateness of sexual desire for seniors and elders, but how sex can and does increase the health and wellbeing of older people.

Joan states her credo in the Introduction.
“…being sexual at this time of life means:
• Enjoying arousal and orgasm, with or without a partner
• Having a zesty, sex-positive frame of mind
• Being open to new possibilities
• Giving pleasure to this body that is capable of great delights
• Making a commitment to myself to be sexually aware and healthy”

Joan invites her readers to join her in conversation. And a big part of that conversation is being aware of what’s going on with our body as we age. Being attuned to that, and being able to communicate that to a partner, is key to great senior/elder sex. (To be frank, it’s the secret of great sex at any age, but I digress.) To that end, Joan includes in her book actual comments from real people that she has encountered in her work. These anecdotes reflect an array of feelings that underscore the conflicts, successes, and complexities of real life situations. And this being the Ultimate Guide, Joan includes the input from many of our colleagues who weigh in with their expert opinion on the topics she is addressing.

I love that Joan often makes the point that having a fulfilling sex life is not dependent on having a partner. Lot of seniors and elders are without a partner, but that ought not be an impediment to sexual enjoyment. Self-pleasuring, with one’s hand, or any of the myriad toys available to us, is the foundation of a rich, healthy, rewarding, and ageless sex life.

Joan also examines a topic near and dear to my life. In my book, The Amateur’s Guide To Death And Dying; Enhancing The End of Life, I took great pains to include a chapter about the sex and intimacy needs of sick, elder, and dying people. Joan does something similar in her chapter — Cancer, Cancer Treatment, And Sex. I am so grateful that Join addressed this timely topic, suggesting, as she does, that people challenged with cancer, or any other chronic condition for that matter, take their sexual performance questions to their doctors. I think we both believe this will go a long way to underscore the notion that wellbeing is not merely about absence of disease, it’s’ about quality of life. There’s also a marvelous section about sex and grief too.

And, just so you know, this isn’t a hetero-centric book. Joan includes all sexual orientations and lifestyles.

I highly recommend Joan’s new book, The Ultimate Guide to Sex After Fifty, to everyone. If you are a fellow senior or elder, this book is chock full of important and practical information about things we care about. It also provides much needed support and encouragement as we make our way through this season of life. If you’re not a senior or elder, this book is an indispensable resource for you too. Not just so that you will be sensitive to the needs of others, but that you’ll grow in appreciation of the fact that sex is for a lifetime. And hey, you just might learn a little something new from someone who isn’t “new”.

I want to say a special thanks to Cleis Press, Joan’s publisher, for sending me this review copy of The Ultimate Guide to Sex After Fifty.

Kudos to Joan! Your book is a marvel.

Be sure to check out Joan’s websites: joanprice.com and NakedatOurAge.com.

PS:  This book would make a fantastic Valentine’s Day gift.

Sounds…difficult

Name: Pete
Gender: Male
Age: 60
Location: New England
What is sounding the penis and why is it called that?

Sounding is a kind of urethra play. It’s called that because the it involves sounds, a kind of dilator. Why not mozie on over to Dr Dick’s Stockroom and check out the Sounds & Dilators section, you’ll get an eyeful!

Rosebud Urethral SoundsUrethra play freaks out lots of folks, myself included. Most of us would equate having something inserted into our urethra…for any reason…with a root canal by a sadistic dentist. Not something purposely done for the sheer enjoyment of it.

I’m always curious about how folks come to odd fetishes like urethra play. One of my correspondents way back in July 2007, Georgia,  wrote that her urethra play began when she was a child. When she asked her mother where babies came from. Her mother said it’s where peepee comes out. Georgia looked down there and saw this teeny-tiny hole. She knew having a baby was difficult and painful and thought, no wonder! So she decided she’d better try and make the opening bigger. And so it began.

Once a guy told me that he was playing doctor with his older cousin, when his cousin inserted a twig into his urethra, mimicking how he thought a doctor would take a patient’s temperature. This guy said that the moment was so sexually charged, even as boy of no more than 5, that his piss hole became an object of fascination and pleasure from that day onward. When I knew him, he was able to insert the bristle end of a toothbrush into his urethra. That bit of unsolicited information just about made me swoon into a faint back then. Even now, retelling that story gives me the willies.

So ok, this isn’t for me, but I am told by those in the know that because the urethra is such a sensitive organ, stretching it can provide exquisite sexual pleasure.Dittle Sounds

Practitioners of this unique kink often start out young, like Georgia and the other guy. Maybe it’s just a function of some people’s natural curiosity about their body, when one day they discover their urethra. They toy with it, stretch it, and find pleasure. Once that happens, of course, it becomes like most pursuits of pleasure; it becomes a fascination, then a full-blown kink.

If a little accidental stretching is pleasurable, what about intentional stretching with one kind of gadget or another — Q- tips, thermometers or a ballpoint pen? Once these kids are old enough to do some research, they discover there are an array of medical implements available to them like latex or plastic tubing, catheters and urethral sounds and dilators. Well, you can see how this could just grow and grow…pretty much like any fetish. Pleasure is curious that way, spurring us on to higher and higher heights.

Silicone SoundBut like all pleasure related things, practitioners ought to have his/her wits about them when they play with their pee hole. I think it’s ill advised to be stretching your urethra with just any old thing lying around. One’s bladder and urethra are sterile areas and one ought only use sterile equipment and procedures while inserting anything in there. And one ought to take one’s time with this sort of play. Incremental stretching is advised. Please, don’t forget the surgical lube.  The use of mind altering, or body desensitizing drugs is not recommended, for obvious reasons. Like I always say, safe and sane play is happy play.

And here’s something you should know — the male urethra is approx. 10 to 13 inches long and has a “J-shaped” curve to it. The female urethra is much shorter, only approx. 2 1/2 to 3 inches long, and there is no curve. Therefore, a woman can stretch her urethra much easier and to a greater extent than can a man. You will find that gender differences also makes for gender specific toys.

Good luck

Hers and Hers, Part 1

Hey sex fans!

It’s Product Review Friday! And we’re comin’ down to the last two reviews of the year. Both this week and next we will feature a Zini vibe. You are following these reviews, right? If not, I suggest that you do because they are doing some remarkable stuff. You can find all our reviews by going to drdicksextoyreviews.com, use the search function in the sidebar and type in “Zini.”

Dr Dick Review Crew partners, Joy & Dixie, are here to tell us about today’s pleasure product and they will return next week to review our last toy of the year too.

Zini Zook —— $150.00

Joy & Dixie
Dixie: “So the reason that Joy and I are up two weeks in a row is that we have two very similar vibes to tell you about. They are both Zini vibes. They are virtually twins in concept—stylized rabbit vibes; the only difference between the two is contours of the pleasure points. If this seems a little vague at the moment, don’t worry, we’ll clear it up for you.”zook 01
Joy: “The two vibes in question are the Zook, today’s review, and the Hua, which we will tell you about next week.”
Dixie: “The Zook is a pleasure to look at and handle. Its sculptured, relatively slim shaft is vaguely reminiscent of a bamboo shoot and the clit stimulator is reminiscent of a bamboo leaf. The vibe is covered in a luscious, high-quality, latex-free, nonporous, phthalate-free, and hypoallergenic silicone. You will want to use a fine water-based lube with the Zook, of course. Because you know that using a silicone-based lube with a silicone toy is a no-no, right? It will mar the finish. The Zook comes in three different colors, mine is dark wine.”
Joy: “The Zook employs two motors, which deliver five speeds and fifteen vibrating functions. The vibrations are the buzzy kind not the rumbling kind. And, like so many of the other Zini products the Dr Dick Review Crew has reviewed, it features a three-button control panel that is easy to use and understand. The “+” button turns on the vibe and accelerates the speed through its five settings. The “-” button decelerates the speed and turns off the vibe. The round button between the other two rotates through the pulsation modes. Every press of the button makes the Zook flash a different color. And it is remarkably quiet.”product_zook_04
Dixie: “I noticed while using the Zook that the vibrations are equally strong in the handle as it is in the insertable end. This may be a problem for some women, particularly older women have very sensitive hands.”
Joy: “Yes, it wasn’t a problem for me either, but you make a good point.”
Dixie: “The two other features that make this vibe so special are it is waterproof and rechargeable. This delights me no end. Another recent Zini review revealed that one of their other high-end vibes, the Roae, wasn’t waterproof and so it didn’t get as praise worthy a review as our review.”
Joy: “The Zook comes with a USB recharging cable. It takes a couple of hours to fully charge the unit and you get several hours of pleasuring on a charge. Another thoughtful feature is the travel lock. No surprises when you travel with this beauty.”
Dixie: “The fact that Zook is made of silicone and its fully waterproof makes it so easy to clean. Mild soap and warm water does just fine for everyday cleaning. But you can also wipe it down with a lint-free towel moistened with peroxide, rubbing alcohol or a 10% bleach solution to sanitize for sharing. And it should be shared!”
Joy: “Each of our colleagues on the Dr Dick Review Crew, who have had the good fortune to review one of the Zini products, has called attention to the esthetically pleasing packaging. Dixie and I concur; it’s really very nice and ready for gift giving. Heck, it even comes with a very elegant drawstring storage pouch.”
Dixie: “I want to call attention to the recharge port, which is sealed with a watertight plug. Take care to ensure that the plug is set good and tight before submerging it in the bath…YUM!…or when cleaning.”product_zook_01
Joy: “Zook is the more girthy of the two vibes. The Hua, which will be reviewed next week, is sleeker. Zook’s leaf-shaped clitoral stimulator is more flexible than its sister, the Hua. This flexibility has its advantages and disadvantages. It’s soft to the touch, and if your clit is super sensitive, that might work for you. But if you’re used bearing down with some pressure on your clit, then this may be frustrating. I know I say this every time we review one of these stylized rabbit vibes, but it bears repeating. The one size or one shape fits all concept is a fiction. But then again, maybe that’s why there are so many styles and shapes out there. The trick is for each of us it to find precisely the right one that will pleasure us. And there are so many variables — insertable length, curve of the shaft, length of the clit vibe, and on and on.”
Dixie: “We wholehearted recommend the Zook, particularly for a woman new to vaginal and clitoral stimulation. We also want to let you know that the Zook is just as handy and pleasurable in your butt. So all you guys out there experimenting with anal sex, you will enjoy it too.”
Joy: “Let’s recap, shall we? Zook is body-safe, healthy, GREEN, rechargeable, waterproof, moderately powerful, and super quiet. The sad thing is, it’s not available anywhere in North America that we know of.”
Full Review HERE!

ENJOY!

Mellow With Age

Name: Bob
Gender: Male
Age: 54
Location: Laguna Beach
As an older man, I’ve started having performance problems. Unfortunately there’s no decrease in my libido. I think some of my problem is psychological. I’m also HIV+. And I find myself worrying about transmission even with condoms. But some of the problem is physical. I do wear a cockring and that helps I guess. Is there anything else I can do to increase my performance to match my libido?

Thanks for your comment and question. Your concern is a familiar one. Men regularly present this problem in my private practice and I also have a personal familiarity with the issue in my own life.

Diminished performance, at least in terms of a perpetually stiff dick, is a natural occurrence as we age. There was a time when I thought this was a major problem. I don’t think like that now. These days I’m helping my older clients (and myself) appreciate the full range of sensuality that is the unique purview of us more seasoned lovers. I’ve always felt that as gay men we are too genitally focused, especially when it comes at the expense of all the other pleasure zones our bodies have been gifted with.Kedori - Eileen Gray Bibendum Armchair

The rushed, hormonally driven sex of my youth has matured into a slower, more relaxed and sensual sexuality that I am thoroughly enjoying. This has been one of the very best gifts of the aging process. It’s even having an effect on my younger partners and they are appreciative.

So I no longer equate performance with a stiff dick. For those times when I absolutely need a rock-hard hardon a cock ring does just fine. I’m aware that I may need more time to achieve this kind of erection, but I’m not just twiddling my thumbs while I’m waiting, if ya know what I mean. I am no longer frustrated by this natural phenomenon, because I no longer have unrealistic expectations.

I realize that many men are using with an erection-enhancing medication such as Viagra, but I suggest that this be reserved for those who are truly experiencing erection dysfunction.

I’m also concerned with the alarming rise of younger men, men in their 20’s and 30’s who are using Viagra or another similar drugs recreationally. This is very troubling. If your young body is having difficulty producing an erection, then you need medical attention ASAP, or maybe you just need some sleep. However, if you’re abusing Viagra just so you can have an erection that lasts for hours that’s a real bad idea for several reasons. Not least of which is your body will habituate itself to that stuff and you will find that, in time, you won’t be able to get it up at all without ever increasing doses of Viagra.

viagra cartoonThis is gonna fuck up your cardiovascular system big time. In fact, you may very well be inducing the very sexual dysfunction the drug is supposed to help. Consider the person who overuses eye drops or lip balm or any number of otherwise innocuous health and beauty products. Their body will stop making the natural substances that these over the counter products are intended to assist. It’s counterproductive and it’s ill advised. If this is a problem with relatively harmless over the counter products, you know you are playing with fire when you’re abusing powerful prescription meds.

Whoops, sorry Bob, I went off topic there for a minute. It’s just that every opportunity I get to put out a message that will dissuade someone from hurting one’s self, I just launch into it.

So back to you. It is clear from what you tell me, your performance problems do, as you suggest, also have a psychological component to it. You have a fear that, despite being responsible in your sex play and even though you play safe, you could accidentally pass on HIV.

It’s true; one’s brain can indeed override almost every function of our body. For example, we draw each and every breath we take without even thinking about it. However, if a situation dictates our brain can and does override that essential pulmonary function and we can hold our breath. The same is true with our sexual response cycle. Sometimes we can become sexually aroused without really thinking about it. However, if for one reason or another our brain assisted by our conscience interferes with or even shuts down the sexual arousal, that’s pretty much, all she wrote.

Your scruples about the possibility that you could accidentally pass along HIV are interfering with your sexual response cycle. No cockring or an erection-enhancing medication is going to change that darlin’!

In other words, the problem is not in your cock, the problem is in your head. This is something you’re gonna have to wrestle with and finally resolve. This tension between your head and your dick is actually a good thing. Your body is providing you an opportunity to align your moral values with your sexual performance. How will this resolve itself? I couldn’t say. But I know for sure resolution is possible.

I do suggest, however, that you not try to do this in a vacuum. Reach out to a HIV support group or a sex-positive therapist for the help you need in making peace between your head and your cock.

Good luck

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