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Dribble instead of shoot

Name: Jon
Gender: Male
Age: 65
Location: Surrey, B,C, Canada
Dear Dr Dick, I’m on Avodart because of my high PSA reading, as a result my sperm count is now down to zero. I understand it’s the drug’s side effect, is this reversible? I haven’t totally lost interest in sex and still jerk off from time to time. I realize that I need to make adjustments (e.g. becoming a total bottom) and find other body contact pleasures. I’m an attractive Asian and still get lots of attention in Vancouver’s baths. Another recurring menopausal problem I have are hot flashes when sleeping, how long do I put up with it? Love your website! Is Richard Wagner your real name?
Yours, Jon

Thanks for your kind words, Jon. Yes, Richard Wagner is my real name.

To understand your question about the side effects of Avodart; I need to ask you a question. Are you sure you are talking about sperm count? Avodart is a prostate directed medication for men with a high PSA (Prostate Specific Antigen) reading. It has nothing to do with your testicles, which produce your sperm. And how would you know about your sperm count in the first place?

I think you may be speaking about the diminished amount of spooge (ejaculate) you produce while on the drug. That would make much more sense than a depleted sperm count. Because your prostate is responsible, in large part, for the amount of jizz you produce. And since the drug shrinks your prostate, it’s completely understandable that less cum would be an unfortunate side effect of the drug. Is it reversible? I suppose if you stopped taking the drug your prostate might regain its previous vigor, but I wouldn’t hold my breath if I were you. Your age may have a lot to do with this too, but I’ll get to that in a minute.

You probably are also experiencing erection problems on this drug too, right? Some of that is age related, of course. But one of the more unpleasant side effects of this, or any other medication that targets one’s prostate, is the loss of libido and wood. A nice cockring might be helpful. Have you tried one of those little buggers? They also look real nice in the bathhouse, don’t cha know.

You also ask about another recurring menopausal problem — hot flashes. Allow me to help you with some of your vocabulary. Menopause is a female thing. Andropause is the male equivalent. Like menopause, andropause is a result of a decrease in hormone levels, testosterone and androgen in our case, as we age.

Yeah, hot flashes are sure enough a good sign that one is in the throws of andropause. They often disappear on their own. But some people advocate hormone replacement therapy for us older dudes. This is very controversial, however. Many in the medical industry believe the hormone replacement, particularly testosterone, increases the risk of prostate cancer. Personally, I don’t believe this is true. I am unaware of any studies that actually make that correlation. On the other hand, living with diminished hormone levels clearly has some very unpleasant side effects, like the ones you are experiencing.

In the final analysis, each of us needs to make up his own mind about this, weighing all the pros and cons.

Good luck

My New Book

Dear friends and colleagues

I am pleased to announce the publication of my new book The Amateur’s Guide To Death And Dying: Enhancing The End Of Life.

(Click on the book art below for a synopsis and to purchase the book.)

The Amateur’s Guide To Death And Dying is specifically designed for terminally ill, chronically ill, elder, and dying people from all walks of life. But concerned family and friends, healing and helping professionals, lawyers, clergy, teachers, students, and those grieving a death will also benefit from reading the book.

The Amateur’s Guide To Death And Dying is a workbook that offers readers a unique group/seminar format. Readers participate in a virtual on-the-page support group consisting of ten other participants. Together members of the group help each other liberate themselves from the emotional, cultural, and practical problems that accompany dying in our modern age.

The Amateur’s Guide To Death And Dying helps readers dispel the myth that they are incapable of taking charge during the final season of life. Readers face the prospect of life’s end within a framework of honesty, activity, alliance, support, and humor. And most importantly readers learn these lessons in the art of dying and living from the best possible teachers, other sick, elder, and dying people.

The Amateur’s Guide To Death And Dying engages readers with a multitude of life situations and moral dilemmas that arise as they and their group partners face their mortality head on.

The Amateur’s Guide To Death And Dying offers readers a way to share coping strategies, participate in meaningful dialogue, and take advantage of professional information tailored to their specific needs. Topics include spirituality, sexuality and intimacy, legal concerns, final stages, and assisted dying. The book does not take an advocacy position on any of these topics. It does, however, advocate for the holistic self-determination of sick, elder, and dying people, which can only be achieved when they have adequate information.

Facing your mortality with the kind of support The Amateur’s Guide To Death And Dying offers does not eliminate the pain and poignancy of separation. Rather it involves confidently facing these things and living through them to the end.

This innovative workbook on death and dying is now available on Amazon and in bookstores. I welcome your thoughts, comments, and reviews.

All the best,
Richard

Richard Wagner, Ph.D., ACS
richard@theamateursguide.com
Our website: The AmateursGuide.com
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Buy the book HERE!

Kay Jaybee Interviews Dr Dick

Author Kay Jaybee interviews me about my book, and other topics of interest.

 

Click on the Kay Jaybee’s logo above to view the interview.

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Benic Way interviews Dr Dick

Audio interview with Benic Way.

Click on the ELM Avenue logo to view the interview.

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Prostate Cancer Awareness Month

Scheduling difficulties prevent me from bringing you the latest installment of The Erotic Mind podcast series today. But with a little luck, that will resolve itself by next week.

Actually, I’m glad I have this positing opportunity, because September, as you may know is Prostate Cancer Awareness Month.  And I have something important to say about that.

Curiously enough, I was contacted by another website recently and asked to contribute to a series they were doing on this very issue. They were looking for a unique take on prostate cancer awareness. I told them I had just the thing; and proceed to outline what I think is an exceptionally important, yet universally overlooked, aspect of prostate health — prostate self-awareness. Alas, the folks who run the website thought the concept of prostate self-exam was too edgy for them. After they declined my offer I thought to myself; man, there is incredible resistance, on virtually every front, for us men to become proactive in this aspect of our health.

Name: Gordon
Gender: male
Age: 67
Location: Florida
I guess I have more of a comment than a question. I’m 67, a widower and have been recently diagnosed with prostate cancer. I never was very adventuresome when it came to sex. In fact, before my wife died two years ago, I never had sex with any other woman. I never gave prostate cancer a thought, never gave my prostate a thought either. Now I’m mad as hell that I didn’t. You see when I started to go to a prostate cancer support group I discovered I could have monitored myself better with a simple self-examination. Why don’t doctors tell us about this? Women are supposed to examine their breasts why don’t men examine their prostate? It’s so easy actually and yet it’s this big secret. Why don’t people talk about this? It makes me so mad because it could have made a big difference in my own life. Do you know about this self-examination Dr Dick? If you do why don’t you tell other people about this? I think it would help a lot if you could get the word out on this. Now that’s all I have to say. Thank you.

No, thank you Gordon. Thank you for sharing your concern with me…with us.

I’ve been a tireless activist of prostate self-exam for decades. Let me explain. My career as a therapist began in San Francisco in 1981. That was precisely the same year a mysterious new disease began showing up among gay men. Back then it was being called gay cancer, but soon it would have another name — HIV/AIDS.

As it turned out, my private practice focused down almost exclusively to working with sick and dying people. Luckily, I discovered that I was well suited for the job and I liked it very much. So much so that in the mid-90’s I founded a nonprofit organization called, PARADIGM; Enhancing Life Near Death. It was an outreach and resource for terminally ill, chronically ill, elder and dying people. This was brilliant cutting-edge work and I learned so much from the people I was working with. One of the things that struck me most was that regardless of the disease — cancer, HIV, MS, you name it, or even aging process for that matter — there was always a woeful lack of information about regaining a sense of sexual-self post diagnosis, or sexual wellbeing for seniors.

I recall one participant in particular, a man much like you, Gordon. He too had prostate cancer and, like you, he was mad as hell with the indifference of the medical industry toward prostate self-exam. One day during a group session, John was railing against doctors and cancer associations for their lack of interest in promoting prostate self-awareness. He pointed to the success of the cultural campaign to encourage women to self-examine their breasts. There is even a modest campaign to promote testicle self-exams. But apparently the medical industry draws the line at prostate self-exams. I guess no one is going to encourage a man to finger his ass, even to save his life.

Another group member, Clare, a senior woman in her 70’s and a breast cancer survivor, helped put things in perspective. She reminded us that breast self-awareness is a relatively new phenomenon. Her mother, aunt, sister and a niece all died of breast cancer before the self-exam campaign began in earnest. Clare went on to say that it was only through the hard work of individuals and grassroots organizations that actively campaigned for breast self-exams that things began to change. Eventually, this movement changed the medical and cultural mindset. Clare said that it was these individuals and grassroots organizations that helped all of us overcome the denial, shame and embarrassment that was associated with women touching themselves, even to save their lives.

This is an indication of just how ingrained the sex-negativity and body-negativity runs in this culture.

I continue to work with sick and dying people here in Seattle. I had a brief gig at a local cancer center where I developed an NIH (National Institute of Health) funded program for women newly diagnosed with ovarian cancer. At the same time, I was also working with a group of women with breast cancer and group of men with prostate cancer. Again every therapeutic intervention I encountered — government funded or foundation funded — was woefully lacking in any clear and unambiguous information about sexual health, wellbeing and intimacy issues post-diagnosis or surgical intervention.

To remedy this, I decided to produce a series of videos for people experiencing life threatening and/or disfiguring illnesses. Videos that would help them address reintegrating sex and intimacy into their lives post diagnosis. One of the first videos was going to be Public Service Announcement showing men how to do a prostate self-exam and what to look for. Unfortunately, I couldn’t find the necessary funding for this groundbreaking work. My grantwriting efforts turned up zilch. I did, however, get a whole lot of, “What a fine idea, Richard. Good luck with that…” brush-off letters though. No foundation would be caught dead funding sexually overt pattern films, even ones with the laudable intent of assisting people with the life-saving information they needed most.

I’m sorry to have been so long-winded in my reply, Gordon. I just wanted you to know that many have preceded you with outrage at the conspiracy of silence regarding prostate self-exam. Let’s face it; our society is so ass-phobic that we’d rather see men die than offer them simple instructions on how to finger their butt, find their prostate and keep tabs on their prostate health.

If we want this to change we all need to speak out…as well as stick a finger in our ass.

Keep up the fight, Gordon! And please, stay in touch.

Good luck

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