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Name: Roger
Gender: Male
Age: 70s
Location: Saugatuck Michigan
Hi– linked to your very interesting site via Allkink. My question: last year I underwent radiation on my prostate; it was enlarged and had cancer cells. Apparently it did the job, since my PSA is way down and the Dr. says I’ve shrunk, and am healthy otherwise. But since then I am almost totally impotent (don’t get erect when I want to, though sometimes get semi-erect at random times). I can still orgasm, but don’t ejaculate; sometimes a little clear fluid dribbles out afterwards. Curiously, I could still ejaculate during and right after the radiation treatments, but not now. Also in general a noticeable decrease in libido. Needless to say, very annoying.

I’m gay, solo, in my 70s, celibate since mid-1980s when I tested HIV-, and a dedicated bottom. I knew I was at risk, and “safe-sex” just didn’t turn me on. I’ve been using dildos of all sizes for years. Now, insertion has become a little painful (kinda stings, like the first times way back when), but after several tries they go in OK. Those of larger girth or not-very-smooth texture are really difficult, and I’ve pretty much given up on them (though “John Holmes” still works!). There is occasionally a little blood on the dildo afterwards, but bleeding doesn’t persist, and Dr. says I have no hemorrhoid. The radiologist did warn me that the treatment might produce scar tissue in the colon. Is that a possibility?

I hate to think that I ought to give up altogether on my little pleasures, but would welcome you advice/opinion. I haven’t discussed this with my urologist, whom I don’t know very well, but did bring it up with my (female) GP, who didn’t seem overly concerned and merely suggested lots of lube, which was not news to me.PMB110

Wow, Roger, that was a mouthful. I am so delighted that you wrote in. I love hearing from folks in their 60’s 70’s and 80’s who are still enjoying a rich and fulfilling sex life, even if it is by themselves. I am of the mind that self-pleasuring can be some of the most rewarding sex available to a person at any age. And nowadays, with all the amazing sex toys on the market, one can enjoy solitary sexual pleasure like never before.

I’ve written and spoken a lot about prostate issues including the aftermath of cancer treatments. May I suggest that you take a look at the CATEGORY section on the sidebar of my site? There you will find a category labeled “Health Concerns.” There are subcategories for “Anal Fissures,”  and one for “Prostatectomy.”  I realize that you haven’t had a radical prostatectomy, but your situation is very similar to those men who have. If you click on either of those two subcategories you will find loads of useful information in both written and podcasts form.

In the meantime, let me see if I can address some of your questions in a nutshell. You ask about possible scar tissue from radiation therapy. The short answer is; yes, scar tissue is possible, even probable. And as we all know scar tissue is not nearly as pliable as regular tissue. Scar tissue also MR01034has fewer nerve ending than normal tissue. You could be injuring yourself without even knowing it since the sensations in your ass are considerably less then they once were. I’d be willing to guess that this might be the source of the bleeding you report. Maybe you need to retire the really big toys, like the John Holmes, and enjoy something more modest for the time being. Another suggestion is to try an inflatable dildo.  or a smaller insertable that vibrates.  There are several on the market. You can find several in My Stockroom. The advantage to something like the inflatable dildo is that you could insert something relatively narrow  and inflate to a larger size once inside. This would avoid ramming a big dildo in bum from the get go. And a vibrating insertable would add stimulation without the length or girth.E477

As to your erection issues; yeah, I hear ya. Aging alone will take its toll on the hydraulics that give us wood. When you couple that with the trauma of invasive surgery and/or radiation therapy, well it’s no wonder stiffies elude us. I tell the men that I see in my private practice, who are similarly challenged as you, to use a cock ring  to assist in getting the best boner possible under the circumstances. A penis pump works pretty well too, if you want to go the distance.  I have lots more to say about these devices if you care to hear about it.

C923Also, several men I know with erection concerns are taking a cue from the women folk and employing a vibrator in their sex play. There are the insertable kind, as I’ve already mentioned, and there are external ones too. Have you given this option a thought? The extra stimulation a vibrator can produce will increase blood flow and thus a more substantial boner. I have a whole lot more to say about this too if you care to write to me for that information.

In the end, it will be desire that will continue to propel you to further enjoy yourself and the pleasures your body has to offer. I wish you continued lust and many more years of healthy and life-affirming sexuality.

Good luck

This is gonna hurt!

Name: Annie
Gender: Female
Age: 23
Location: Miami
Dr. Dick, My boyfriend and I have been having sex for about a year now. He is the first uncircumcised male I have been with. I’ve noticed that lately, it feels like he’s tearing my vaginal opening. He pulls his foreskin forward to lessen the pain, but it still hurts. While examining his penis looking for an answer, I noticed he has a very common condition in uncircumcised males called ‘pearly penile papules’. The papules are rough to the touch in comparison the rest of the phallus. Could this be the cause of my sex woes? Thanks so much!

I’m having a difficult time putting two and two together here, my dear. The painful fucking you describe; this is a new phenomenon, right? You say that even when he pulls his foreskin over his dickhead, you still experience pain when he enters you, is that correct?

See, that’s where I’m having a problem understanding what’s going on. If his foreskin is covering his dickhead, and thus the papules, how could they continue to be an irritant? Surely, you can’t feel the papules through his foreskin, can you? If you can, maybe we’re not dealing with pearly papules.

lovers0147Listen, I know a lot of men who have developed pearly penile papules. Some of these men have mistaken them for genital warts or sign of another STD/SDI, but they are not.

All men are susceptible to these buggers. But interestingly enough, they are more common in younger uncut black guys. They are small, hard, white, pinhead sized bumps that appear on a dude’s dickhead. They are neither painful, nor are they a sign of disease. And they are not contracted or spread through sexual activity.

If a guy has them, he should LEAVE THEM THE FUCK ALONE. Don’t try to squeeze or pop them. If you break the skin doing this, you will leave yourself vulnerable to other more serious infections. Pearly penile papules are harmless and are simply part of maturing. Thy often disappear on their own later in life.

Allow me to repeat myself. Since this is such a common thing in younger men, I can’t see how this is the cause of your discomfort during sex. Either your man has something other than pearly penile papules, or your discomfort comes from another source.

Let me ask you this. When you masturbate, do you insert anything in your pussy? If you don’t maybe that’s a good place to begin to get to the bottom of this mystery. If you can insert a couple of fingers or a dildo into your vagina without discomfort, then we’ll have more information to work with.

If, however, you experience pain in your solo play, then you have something goin on in your pussy that needs immediate attention. You could have an infection or vaginismus.painful-intercoursejr

Do you know what that is? Vaginismus is caused by the involuntary tightening of the pelvic floor muscles, especially the pubococcygeus (PC) muscle group. This will cause discomfort, burning, and painful penetration. That sure sounds like what’s goin on with you, right?

Not to worry, vaginismus is easily treatable. Treatments include a combination of kegel exercises and insertion or dilation training. Why not get back to me with your thoughts on this.

Good luck

Foreskin freak outs!

Hey sex fans,

I know what you’re thinkin’: Hey Dr Dick, what’s up with your podcasts? Well I’ll tell ya. It’s true I haven’t posted a podcast in two weeks. But there’s a good reason. I’ve been busy, damnit! I have a new book coming out in a matter of days and all my energies have been focused in that direction. Gettin’ a book published is like birthin’ babies, don’t cha know.

That being said, I have put together a fantastic line up of guests for my show that will delight and amaze you. And my stellar guest list will take us into the fall. So stay tuned; podcasts will resume next week, Monday, 07/15/13.

To tide you over till then, I have some interesting Q&A from all over the freakin world.

Jerome and Conor, an American and an Englishman. each present a similar problem.

Name: Jerome
Gender: Male
Age: 18
Location: CA
Dr Dick, I have an uncut penis and when I’m in the shower and my foreskin is pulled back, the head of my dick hurts pretty bad from the falling water. The shower is not heavily pressurized, but it still hurts. Any answers?

AND

Name: Conor
Gender: Male
Age: 18
Location: London
My helmet is really sensitive I think it is because it is never really exposed because it is always behind my foreskin. How do I make it become less sensitive? Thanks

You boys have got your work cut out for you with the whole desensitizing thing, don’t cha know. Ya see, the more bodyasart5420you expose your sensitive dickhead to direct stimulation, be it touch or whatever, the less sensitive it will become.

I realize this isn’t gonna be all that pleasurable, at least not in the short-run, but you will find that in a matter of days this hypersensitivity will begin to reverse itself and pleasure will replace discomfort. Jerome, you have the right idea with the shower thing. However, you might want to try buffering your dickhead with a thin piece of fabric, like a handkerchief, at first. Once you can tolerate that level of sensation, remove the cloth and let the shower flow hit you dickhead directly. Make sure you do this daily for as long as you can stand it. Like I said, this will help desensitize your dickhead in a matter of days.

Once you’re out of the shower apply some nice lotion to your cockhead. This will diminish some the sensitivity. It will also help your fingers move easily on and around it.

Make sure that you fully retract your foreskin each time you jerk off. Every time you come in contact with your glans you will be desensitizing it. Patience and perseverance are the keys to making this happen in a relatively short period of time. If you are conscientious about this you will notice a difference in sensitivity in just a matter of days. Remember, it’ll be a no pain/no gain sorta thing, at least at the beginning.

To assist you in this process, you might consider trying a desensitizing lotion or cream to reduce some of the hypersensitivity. Some of these products are sold as a means of increasing ejaculatory control. But they also work for problem sensitivity too. Ya see these lotions and creams will have a “numbing effect” on your cock. If you choose to use one of these products, use it sparingly and only for a limited time.

If you check out MY STOCKROOM you will find several such products. Look for Boy Butter Extreme. It’s a desensitizing water-based lube, which contains 7.5% benzocaine; a strong local anesthetic, the maximum amount allowed by law.

Or look for Analyse Me! Anal Comfort Spray. Obviously, this is a product developed to desensitize your butt hole before fucking. But again, this will work on your dickhead as well. This product is lidocaine and benzocaine free.

Good luck you guys

A_Foreskin_Retraction_Series

Name: Saukha
Gender: Male
Age: 27
Location: India
Hi Doc, My problem is a stiff / tight frenulum. For past few months whenever I make love with my wife, it hurts, feels like something slightly rips, after applying anti-fungal ointments it gets ok but when we do it again it reoccurs and hurts when I wash my penis with plain water. IS there any ointment or cream, which would help frenulum to get more stretchable? Or is circumcision the only answer to my problem as we are planning for a family and don’t wanna go under the knife (if something goes wrong), just a bit scared for it. Please help and guide. Thanks a lot in advance.

Why are you using an anti-fungal ointment? Do you have some kind of a skin condition that requires you to use a use an anti-fungal treatment under your foreskin? If you don’t, you are probably adding to your problems by using this stuff. An anti-fungal ointment will dry out your skin, particularly under your foreskin. And that sounds like your problem right there.

Are you using a nice personal lube when you fuck? If not, that’s what you need to introduce into your lovemaking. This will not just be for you, of course. It’ll also for you lovely wife. A nice silicone-based or water-based lube will work wonders on your dick and it will assist in your wife’s comfort too. Please, give it a try.

There’s no reason you should have to consider circumcision. But the proper care and upkeep of your foreskin is essential to a properly functioning natural cock. I’ve written and spoken extensively about this. Go to the CATEGORIES section in the sidebar and look under the heading Body Issues for the subcategory — Foreskin. There’s loads of information there.

You probably saw the comments I made to the two guys right above, right? A desensitizing cream or lotion might help you too. But whatever you do, stop drying out the delicate tissue under your foreskin.

Good luck

Worry, Worry, Worry!

Today I present a handful of concerns from the sexually worrisome.

Name: Michael
Gender: Male
Age:
Location:
How does one prepare a solution to be used for a male anal douche?

Warm water is all you need. Never use soap.body as art11

Some men add lemon juice or vinegar (1-2 Tbs per quart) of the warm water. Others dissolve (2 Tbs) of baking soda in a quart of warm water.

Stay away from commercially produced douches, most contain harmful and irritating chemicals. And trust me, you don’t want that. Besides, commercial douches are expensive and all that packaging is definitely not eco-friendly. And we all want to be green perverts, don’t we?

Finally I’d like to turn you on to the Ergo Speed Douche. Brad, of the Dr Dick Review Crew, gave it a stunning review. Check it out. You can find it, and all the products we’ve reviewed, on drdicksextoyreviews.com.

Good luck

Name: Angela
Gender: Female
Age: 14
Location:
Hi! Um how do you know whether you should be a sub or a dom? And is there a contract for a sub/dom relationship? Thank you, and bye!

Whoa, hun, there are no “shoulds” when it comes to power exchange play.

With a little more life experience under your belt, the kind that will come over the next few years, you will no doubt discover on your own whether you have tendencies for either one or the other of these roles.  I assure you that it will reveal itself to you in time.

Yes, often there is a contract of sorts that organically forms between a sub and his/her Dom. The details of which are always determined by the uniqueness of the relationship. So no need to get too far ahead of yourself in this regard either.

Hey, why don’t ya do yourself a favor and allow yourself the time you need to let your life unfold in a natural sorta way? I mean, where’s the fire? Besides, this is not something you can force or artificially accelerate.

Good luck

Name:
Gender: Male
Age: 22
Location: New York
Is there any cream out there that really works to promote better blood flow to my penis? I believe from over masturbating I have lost some of my hardness during sex. If not is there any thing I can take over the counter herb, vitamins, whatever that may contain certain things that can help. What is the best solution for me.

dick around on the internetHold on there, fella! You’re only a tender 22 years of age and yet you say you’ve already lost some of your “hardness” to excessive masturbation? How is this possible? How many times a day are you pullin’ your pud, darlin’? Is there something else goin on that you’re not telling me?  If not, maybe you could give your peanut a little break.  Sheesh!

To start with, penis enlargement pills and patches proliferate on internet, but there is virtually no documented evidence that they work. All such products use herbal ingredients, like ginkgo biloba and yohimbe, which act as stimulants and vasodilators. The best one can say is that some pills may enhance blood flow, which may, in some cases, cause an ever so slight increase in wood. However, once you start a program like this, you need to continue it for as long as you want the effects to last. Imagine how expensive that would be; these products are pretty pricy.

Regarding the “hardness” issue you mention. Perhaps that’s best handled by a simple cockring. Here’s a tip: always look for the low-tech solution to a problem first.

Good luck

Boys Will Be Boys

Name: James
Gender: Male
Age: 19
Location:
I want to know if I should have sex with a man for the first time.

Well gee, darlin’, I suppose that would all depend on if you are into man-sex or not. If you are, I suppose having your first encounter will be like falling off a log. However, if you’re not into gay sex, then why would you even be considering such a thing.boys kissing

For the sake of argument, let’s just say you are into some hot man-on-man action, or think you are. If that’s the case, I have some questions. Do you have a particular partner in mind? If you do, what is it about this guy that makes you want to get physical with him? If you’re honest with yourself about this, you will probably be able to determine what kind of sexual contact you want to have with the dude. Which brings me to my next set of questions.

What kind of gay sex are you looking to experiment with? Something light, like kissing, making out, mutual masturbation, shared hand-jobs? For more information on this, check out my swell tutorial about hand jobs titled: The Art Of The Humble Hand Job.

Perhaps you’re looking to be a bit more adventurous, like cock sucking. That’s great too. But wait! Would you know how to smoke some pole with grace and ease? If not, check out my tutorial: So Ya Wanna Be A World-Class Cocksucker …Or How To Give The Perfect Blow Job. To find this brilliant expose and lots more information about the humble hummer, go to the CATEGORY pull down menu in the sidebar and look for “ORAL.” Then look for Cock Sucking.

Maybe you’re considering butt fucking. That’s a bit advanced for the gay sex novice, but it’s not unheard of. If I were you, I’d return to the CATEGORY pull down menu in the sidebar and check out the heading “ANAL”. There you will be treated to loads of information about being a good top, like my tutorial, Finessing That Ass Fuck — A Tutorial For a Top. As well as my tutorial for being a good bottom, Liberating The B.O.B Within.

There’s only one thing you absolutely need to know when it comes to ass fuckin, regardless of what position floats your boat. Be sure that whoever is on top uses a condom. And if you don’t know why you need to do that, then darlin’, you’re just not ready for sex with any kind of partner…same sex or otherwise.

Good luck

Name: Tony
Gender: Male
Age: 24
Location:
I’m trying to find out how to get ink marks off my dick without hurting my dickhead.

Whoops! Looks like you need to reevaluate the company you keep when you drink to the point of passing out, my friend.

I realize writin’ shit on a guy’s johnson while he’s unconscious is a hilarious practical joke among the frat-boy crowd. I mean, what could be funnier, right? Of course being on the receiving end of this little prank, like our friend Tony here, is considerably less comical.

i enjoy penisRidding oneself of ink marks, particularly the indelible variety, from one’s privates is a pain — both literally and figuratively. The best one can say about this clean-up chore is that it will probably cure the guy of binge drinking, at least with a bunch of rowdy adolescent-minded companions with Sharpie markers and too much time on their hands.

OK, Tony, here’s what you do. First, apply a liberal coat of baby oil or mineral oil to the effected area. Take your time massaging the oil into your skin. You may discover that this oily massage gives you a woody. That may be the silver lining to your ink-stained cloud. Actually having an erection will help expand the skin of your dickhead and allow the mineral oil to better penetrate the skin. The oil will sink into your skin and help lift the ink stain to the surface.

Follow this part of the treatment with lots of warm soap and water. You should see ink stain lessening.

Next, massage in a liberal mount of rubbing alcohol. Follow this with more warm soap and water.

Continue alternating between mineral oil followed by soap and water and rubbing alcohol followed by soap and water. Always ending the treatment with the soap and water part. A couple applications like this should do the trick. I would, however, recommend that you be as gentle as possible. If the satin persists after two such applications, give your prick a day to rest before attacking the stain again.

Good luck

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