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Scar Tissue

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First Name: Luke
Age: 38
Gender: male
Location: Australia
Hi I was born with hypospadias and had 3 operations when I was young. I have bad scarring from the operations. My question is can I get plastic surgery to get rid of scarring and to get my penis head sculptured to look more normal?

First, a quick review of what hypospadias is for those unfamiliar with the term. It’s an abnormality of the urethra in some men. It involves an unusual placed urinary meatus (piss slit). Instead of opening being at the tip of the glans (or dickhead), a hypospadic urethra opens anywhere on a (raphe) line running from the tip of the dude’s cock along the underside of the shaft to where the base.

hypospadic 2This happens when a guy’s dick does not fully develop in the womb.

This condition has levels of severity, from the hardly noticeable to very obvious. Some children are born intersexed, and have ambiguous genitalia, which requires sexual reassignment surgery. But I’ll save that discussion for another time.

Some guys, particularly those with conspicuous hypospadias can develop a complex about their appearance. This in turn, impacts on their self-image and complicates their ability to form lasting sexual/partner/marriage relationships. Severe hypospadias can also interfere with procreation. Other men, perhaps those with less conspicuous or severe hypospadias show little to no concern for the appearance of their dick and live completely normal lives. Hell, I even know a few porn stars with hypospadias.

Some parents of children with mild hypospadias seek a surgical correction to the problem. I view hypospadias.jpgthis as a highly risky means to solve a less relatively innocuous cosmetic problem. There are men who were operated on as a child who now, as adults, resent the interference. Are you one such man, Manson? You say you’ve had three surgeries. As you may know, matters are often made worse rather than better through surgery. And of course, there’s always the risk of complications, infections and the like. There are, however, more serious cases of hypospadias that demand reconstruction. If your dick issue is causing you anxiety or low self-esteem, help is available. Check out: The Hypospadias and Epispadias Association.

Back to your presenting question, Luke. Like I suggest above, just about every effort I’ve seen to surgically improve hypospadias or correct the after effects of those “improvements” have only made matters worse. That being said, my information is based in the past. Has the art of plastic surgery improved with time? Probably. But has it improved so much that it can erase the scar tissue on your cock? I simply don’t know. I suppose everything depends on the amount of scaring you have and the skill of the surgeon.

Have you consulted a plastic surgeon? That’s where I’d begin. You’ll want to be honest with them about your expectations and expect honesty from them about the likely outcome.

In the end, Luke, you may simply wish to leave well enough alone.

Good luck

Penis politics: Sex, size and stereotypes in the gay community

When it comes to penis size, gay men face a host of preconceptions about masculinity and race

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Recent studies have shown that actual penis size is smaller than men are claiming. According to the Journal of Sexual Medicine, the average male penis measures 5.6 inches when erect; the Journal of Urology puts it at a slightly smaller 5.08 inches. This is considerably smaller than previous numbers from Alfred Kinsey, Durex and the Definitive Penis study, which averaged 6.25 inches in their estimates. The difference between the two estimates: surveys like Durex’s rely on self-reporting, and men are likely to overestimate. As Tom Hickman wrote in “God’s Doodle”: “What is incontrovertible is that where men and their penises are concerned there are lies, damned lies, and self measurements.”

Just ask any gay man looking for a hook-up on Grindr. “If a guy tells you his size and you meet up, you realize he must have a different ruler,” said Noah Michelson, editor of The Huffington Post’s Gay Voices section. Michelson believes that the reason men are likely to overreport their penis size is because of the “cultural currency” the gay community places on having a large penis. “I think there’s something to do with internalized homophobia or insecurities about being a man,” Michelson said. “You want to have a big dick and you want to be with a big dick. You want to be with a ‘man.’”

Michelson argued it’s not just about having a large penis; it’s what that penis signifies. “Having a big dick means that you’re ‘masculine’ and you wield a lot of power, because we assign so much power to the phallus itself,” he told me. “You’re a dominator and a conqueror.” Michelson said that this idea is largely informed by pornography, a strong force in shaping desire in the gay community; but for those who don’t fit into that “porn culture,” it leads to a feeling of being left out. “It’s totally a lottery,” Michelson explained. “And you either win it or you don’t.”

According to Jaime Woo, author of the book “Meet Grindr,” which explores how men interact on mobile hookup applications, that game can have very negative consequences for queer men who find themselves on the losing side. That’s why the size issue can seem even more fraught in the gay community than among heterosexuals. “In gay male culture, your sexual worth is very tied to your worth in the community overall,” Woo said. “We don’t have a lot of structure in place for men who aren’t sexually valuable, and they disappear into the background. Gay men have enough issues already, and this is just another way for them to feel bad about themselves, if they’re not packing eight inches under their pants.”

Woo told me that looking for sex on Grindr “makes the expectations much more heightened.” “Grindr has really distorted peoples’ understanding of what average or normal is, and the fact that people can ask if six or seven inches are too small — it’s jaw dropping,” Woo said. “You can be very picky because there is something better around the corner, someone bigger or hotter and someone more your type. It creates a very narrow band of desire.”

Huffington Post writer Zach Stafford argued that in order to hook up, we’re commodifying ourselves for sexual consumption. “On Grindr, you’re literally putting someone in a box,” Stafford explained. “The app’s layout is an actual shelf, like you would see in a grocery store.” In order to participate on the site, Stafford said that you have to learn how to market yourself by those confines. “It’s like being a book on Amazon,” Stafford told me. “You give yourself a little cover and write your summary. You make yourself a product, and when you’re selling yourself, you always go bigger.”

Stafford said our fascination with penis size is inherently tied to capitalism. “Studies have shown that people with larger penises make more money,” Stafford explained. “It’s power in our pants.” Stafford also explained that the correlation between sex and power leads to a skewed power dynamic between tops and bottoms. Research shows that bottoms have smaller penises on average, and are more likely to have penis anxiety and low self-esteem.  In an essay for the Huffington Post, Stafford called it “Top Privilege.” Stafford wrote, “In this line of thought, bottoms are seen ‘less than,’ ‘feminine’ or ‘the woman’ because they are the taker of the phallus.”

But it’s not just an issue of money and gender. Race also plays a large part in how gay men read each others’ bodies, especially for black and Asian men, stereotyped at the ends of the size spectrum. Stafford, who is multiracial, said that men will often approach him in bars to ask about his penis, expecting him to conform to the stereotype. “It creates an enormous amount of pressure for black men,” Stafford stated. “Black men are only seen as a tool — a tool of building and a tool of fucking. They’re reduced to a big penis.” In his case, Stafford said men often fall into two camps: “Either white people look at me as a black man with a big dick, or they see me and fetishize me — they want to dominate me.”

Jay Borchert has had the exact opposite experience. A doctoral candidate at the University of Michigan, Borchert (who is white) has frequently dated men of color, causing his romantic experiences to be reduced to a fetish. “People make remarks that I must be in it for the dick,” Borchert told me. “Why can’t I be looking for ass? Why can’t I be looking for mouth? Why can’t I be looking for a person?” People sometimes assume that Borchert adopts the “bottom” role in his sexual relationships, which isn’t the case. Borchert sighed, “It was really frustrating because there’s more to dating and relationships than penis.”

Due to his ethnicity, Thought Catalog writer John Tao has also found himself being put in a box in the bedroom. “Because I’m Asian, I’m automatically categorized as being a bottom,” Tao said. “There’s a perception that I wouldn’t want to top.” Because of this, Tao said that’s the role he’s most often performed in sexual relationships. “All of these people think I’m a bottom, so I’ll just be a bottom,” Mr. Tao explained, “You have to be careful because we internalize these stereotypes about ourselves. Your gay Asian friend might identify as a total bottom, but that could be years of societal expectations.”

Justin Huang, who blogs about his experiences being gay and Chinese at I Am Yellow Peril, agreed that the baggage around penis size can be particularly harmful for Asian-American men. In school, Huang’s friends would often tease him about what they assumed was the size of his penis, which was difficult when coming to terms with his sexual identity. “For a long time, I thought I had a small penis,” Huang explained. “It’s amazing what your brain can train you to see. I didn’t have a lot of respect for my penis. Gay men are emasculated already, so when you’re gay and Asian, you feel doubly emasculated.”

Huang told me that when you’re Asian, you’re expected to perform the stereotype, meaning that guys are very curious to see what’s inside your pants. “I’ve been in straight bars using the bathroom where a guy will lean over and look at my dick, just to see if what they say is true,” Huang said. But Jaime Woo argued that the same isn’t true for white men, whose penis size isn’t policed in the same way. “White men are considered the sexual default, so you’re allowed to have some variability,” Woo said. “White men get to be anything and everything, and there’s no presumption there. So for white men, a big dick is a bonus.”

Huang also argued that these stereotypes are a symptom of our lack of sex education and lack of knowledge about our bodies. “We’re told to hide our penises,” Huang said. “It’s a form of sexual oppression we don’t talk about. You see boobs everywhere. You don’t see penises anywhere, not even HBO. It’s something that’s scandalous and cloaked.” Because of the shame surrounding invisibility, men often place too much emphasis on something so small. “When I think about the guys I’ve been with, I don’t remember the penises,” Huang said. “I remember the boy. A penis doesn’t smile. A penis doesn’t look into your eyes. A penis can’t wrap its arms around you.”

Instead of holding out for an unrealistic fantasy, Justin Huang believes gay men should start embracing each other for exactly who they are. “Gay men need to stop expecting each other to be porn stars,” Huang said. “If you dump a guy just because of his penis size, you are an asshole. So if you love your man, tell him that you like his penis. After all, when you’re dating a guy, you’re dating two people: You’re dating him and you’re dating his penis. We need to start valuing and appreciating both of them.”
 
Complete Article HERE!

Shape Up Or Ship Out

Name: Bill
Gender: Male
Age: 51
Location: Knoxville, TN
I was listening to one of your Q&A podcasts recently. In it you responded to several women who were in relationships with men they liked (or even loved) but who didn’t sexually satisfy them. Your advice was for the women to tell their men to essentially “shape up or ship out.” Even considering the reasoning you gave in the podcast, is this really the best advice? I’ve heard similar advice from other “sex positive” commentators, which makes it seem that “sex positive” is a synonym for “relationship negative.” It didn’t appear as if any of the women involved were looking for a way out of their relationship, just a way to improve the sexual aspect — and it’s not entirely clear how the approach you suggested would do that. If the men didn’t have performance anxiety, a blunt discussion would almost certainly provoke it. If I remember correctly, one of the women was about my age — early 50s. Surely you must know the ever-increasing difficulty women have finding a happy relationship as they get older, and that a woman must know how lucky she is just to be with a man she likes, even if the sex could be better. Besides, there are probably very few women these days who need to be told they can leave a relationship if they choose. If the women’s sexual complaint had seemed to be just the tip of an iceberg of unhappiness, I could see the efficacy of your advice — but that’s not how their queries came across.

Listen Bill, I stand by my advice. And yes, I think it was the best advice I could give these two women. And ya know why I say that? I say that because had it been a couple of men writing in about the same concern, I would have given them the very same advice. If you are unhappy in your relationship because the sex has dried up then that’s a pretty serious concern in my book.

shape-up-or-ship-outBeing sex positive is not being relationship negative. But, settling for the lowest common denominator in terms of sexual expression is. Here’s another thing I know for certain, by the time someone makes an appointment to see me or writes to me about their sexual complaint, I can be pretty certain that they’ve struggled with it on their own for a long time. This is particularly true for women.

I also want to take issue with your statement: “Surely you must know the ever increasing difficulty women have finding a happy relationship as they get older, and that a woman must know how lucky she is just to be with a man she likes, even if the sex could be better.” So you’re sayin’ older women can just kiss their sexual needs goodbye after they reach a certain age, because the relationship they have is as good as it gets? Is that what you’re sayin? Because, if it is, it’s hogwash! Women of any age don’t need a man to be happy or fulfilled and they certainly don’t need one who to tell them to suck it up and settle for what ya got.

Besides, if I remember my advice correctly, and I think I do, I suggested that my correspondent give her husband the right if first refusal. That means she offers her old man her sexual energy first. If he doesn’t rise to the occasion, so to speak, she’s free to take her sexual energy elsewhere. This strategy takes the pressure off the sexually uninterested partner, it can overcome the disparity in libido between the couple, as well as saving the relationship. No need to throw out the baby with the bathwater, right?

To my mind we do too much “settling for” as it is. Complacency is the real enemy. You got issues in your relationship; hash them out. If your partner won’t join you in that effort he/she is telling you that your needs don’t matter. And when that occurs, regardless of what else you may have in place, your relationship is in its death throws. And you can bank on that!

Good luck

Notching the belt

Hey Doc,

So I’ve asked you a question anonymously before and you were a huge help so here I am again.
My names Mike and I’m 17 years old. For some reason it takes me a ridiculously long time to “finish” with my girlfriend. It’s not her, because this has happened with about 4 or 5 other women before her. It’s an annoying flaw that it takes me about 90 minutes to finish, if I finish at all. My GF and I get tired and eventually just stop because it’s too tiring and just plain tiresome. Is it performance anxiety or something? My first time having sex was anal with a girl, and I have done anal with girls many times before so it was a lot tighter than vaginal intercourse, not sure if that affects anything… I am really tired of lasting so long; I just want to be done when she is, much earlier.

I’ll be glad to answer any questions or anything you might need to know,
Thank you so much in advance, Mike.

finger fuck00445Where to begin, Mike? You’re 17, you’re having performance problems with your GF and you have had with about 4 or 5 other women before her. Holy Cow! you certainly are a sexually precocious lad, aren’t you?

I can’t help but notice a bit of sexual bravado in your message. I don’t know if that’s intended or if it’s more of a subliminal message. Either way, I have a feeling that there is some belt notching goin on here and that may be the root of your problems.

Here’s why I say this. There is nothing in your message that communicates that the sex you’re having is fun, or that it’s play. All I hear is that you’re a young man on a mission. You want to get off in a timely fashion and you’re currently being frustrated in that pursuit. You sound so goal oriented and your sex sounds like a task, rather than a playful adventure.

Us men folk get like this sometimes; and we’re the poorer for it. We’re all about solving a problem instead of enjoying the moment. The curious thing about this is that enjoying the moment is often the best way to solve a sexual performance problem.bryan_tony_box

When I hear men and/or women talking about their sex life like it’s work, I know there will be problems ahead. And you, Mike, sound like your sex is way more work than fun. If you were a sex worker or a porn star, I’d understand your predicament. But I suspect that you are neither a sex worker nor a porn star. You are, however, a young man who has, for one reason or another, scuttled all the joy and wonderment from your sex play. And that, my friend, is a crying shame…and at your tender age too. How do you suppose you’ll behave when you’re an old man of 25?

This path you’re on will continue to lead you into a sexual wilderness. You will become increasingly frustrated in your efforts to cum “on time”…and I use that term in quotes, because you’re all about bangin’ something rather than pleasuring and being pleasured by someone.

The comment you make about the difference between butt sex and pussy sex also tells me a lot about the kind of tightness you need to get off. I’d be willing to guess that you have a death grip on your johnson when you wank; am I right? Obviously your average asshole is a tighter orifice than your average pussy. But, if you were really turned on and enjoying the mutual pleasure available to you and your partner, instead of worrying about busting your nut during the fuck itself, you could jettison all those “shoulds” you have when you’re supposed to be enjoying yourself in the company of your lover.

beltWhy not stop what you are doing and take a look at why and how you are doing it. You may surprise yourself with what you find. And if you are man enough, have a heart-to-heart chat with your GF and get her feedback on what she encounters when she fucks you. Again, I’d be willing to guess she’d have some timely advice to offer you on how to fuck and get fucked.

Good Luck

5 Ways to Make his Cock go from LIMP to LIVELY

Erectile Dysfunction (ED) means your man can’t get it up or keep it up during sex. Many men suffer from this condition — approximately 30 million men to be exact. To explain what causes this, let’s review the basic anatomy of the penis and what happens during an erection.

erection

The penis has four main parts: glans (the head), corpus cavernosum and corpus spongiosum (the shaft), and the urethra (the hole that you urinate or ejaculate from). When a man is aroused from sexual thoughts or direct stimulation, nerves and hormones work to cause the muscles in the penis to relax and the corpus cavernosum and spongiosum will fill with blood causing the shaft to get hard — an erection. Another set of muscles cuts off the blood supply when the penis is erect to maintain its hardness. Once he orgasms, the blood will drain and the penis softens.

So what causes erectile dysfunction? There’s more than one answer. Taking prescribed medications to control blood pressure, allergies, anxiety, depression, peptic ulcer disease and or your appetite can lead to ED as can aging, and being depressed. Chronic illnesses such as diabetes, high blood pressure, or high cholesterol which can lead to poor blood flow to the penis can cause a penis to be limp. Drinking too much alcohol, smoking cigarettes, doing illegal drugs, even being too tired, having relationship problems, being stressed out about work or being anxious can cause this problem.

Any type of damage to the penis, nerves, and arteries that help maintain his erection can also lead to ED. The good news is that ED can be treatable. Just talk to your doc — an urologist. They will do a history and physical and order lab tests. If embarrassment has caused you to turn to the Internet for treatment options, be warned that this can be dangerous. You just don’t know what is in the medications that you get from many online sites. Before you turn to medications or even surgery to fix this problem, let’s discuss some ways to cope with a man who can’t get or maintain an erection NATURALLY.

  1. Make him do more Cardio exercises. He needs only 30 minutes a day. This will boost his testosterone. He may also lose weight, which can help the testosterone to work better. Testosterone is one of those important hormones that work to get an erection. Exercising also reduces stress and increases blood flow — all factors that can help! Read all about sex hormones HERE!
  2. Cook for him. There are nitrates in leafy greens, lycopene in tomatoes, and zinc in oysters. These essential nutrients will help keep his penis erect. Diet is so important. Read all about sex and food HERE!
  3. Have more FOREPLAY with him. Try oral sex. And remember, oral doesn’t just mean the penis. Play with his nipples or the back of his neck. KISS him more. Add sex toys in the bedroom BUT make sure they are smaller than his penis. Read all about foreplay HERE!
  4. Purchase a vacuum penis pump. This fun device will draw blood into the penis to help get it erect. If you have an increased risk of bleeding, have sickle cell anemia, or other blood disorders, this is NOT for you. And be careful — if not used correctly, this can cause bruising. Read all about penis pumps HERE!
  5.   Try using a cock ring. Once you get the penis erect, this sex toy will keep it that way.  Read all about cock rings HERE!

You should also make sure your man gets his diabetes, cholesterol, and/or high blood pressure under control. Quit smoking. Make sure he doesn’t drink alcohol or do hard drugs. Find ways to reduce his stress and anxiety. Make sure he is getting enough sleep. Get help if you are suffering from depression. Ladies (and guys) try not to be discouraging. You both will overcome this.

Good luck

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