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Plan “B”


Name: Cade
Gender: Male
Age: 23
Location: Alabama
A couple of weeks ago you responded to an Iraq vet who was having trouble in his marriage because he couldn’t get it up due to his PTSD (Post Traumatic Stress Disorder). I want to thank you for discussing that. It was helpful to me too. I’m an Iraq vet. I lost my right leg, to just above the knee and three fingers on my left hand to an IED. I think I’m doing ok with the physical rehabilitation. My prosthesis is state of the art and I’m even learning to run again. I joke that I’m the bionic man. Here’s what’s freaking me out though. I’m getting hit on by some really hot chicks, the kind I never could score with before Iraq. I come to discover they are hot for my leg stump. And I’m gettin all skeezed out by it. I’m passing up getting laid because this is fucking with my head. What gives with this shit?

Dude, you’ve stumbled upon, no pun intended, a silver lining of sorts, of being an amputee. Honestly, I’m not pulling your leg here, your good leg that is. Ok, ok really this is for real, Cade. But I think you already know that, huh?

Let’s begin with a definition. There is a fetish, or a paraphilia, if you prefer, calledamputee.jpg Acrotomophilia, or amputee love. It’s relatively rare, but there is a sizable Internet presence. You need only do a search for “amputee love” to get you started. These folks, often called devotees, are turned on by the limbless among us.

Here’s an interesting phenomenon, with the spike in seriously maimed vets returning from our numerous war zones and the media attention they’re getting these days — thanks the inadequate care some are receiving at our nation’s veteran’s hospitals — this fetish is growing by leaps and bounds.

A couple of weeks ago, I was having a beer with a bunch of gay men. We were discussing the wars in Iraq and Afghanistan and the horrific images we were seeing on tv. Without missing a beat, a couple of the men in the group started talking about the number of totally hot young vets they were seeing on the news. Sure they had missing limbs, but for some in the group that made them even hotter. A couple other guys were goin on and on about how they would get off on servicing some of these returning service men. Instead of the conversation weirding out the whole group, as I thought it might, most of the guys were like getting totally into it.

I was being quizzed about the sexual issues, of course. Does an amputation affect a guy’s ability to get it up? …and things like that. I was totally blown away. Not by their questions, but by the fact that these men, who would otherwise be put off by a guy with a bad haircut; were beginning to fetishize seriously maimed vets. Then I thought to myself, OMG, I am watching the birth of some brand new baby devotees. And that, my friend, is how all fetishes begin.

I realize that you must be facing enormous hurtles, Cade, (again no pun intended) to regain your sense of self after the disfigurement and amputation. It hardly seems fair to throw yet another curve ball your way. But, as we all know, life is supremely unfair. I suspect that you’re already feeling enough like an oddity without some chick — even a sizzilin’ hot one — coming on to you because of what you’ve lost. And that’s why I suggest you withhold judgment about all of this until you have a bit more information about this particular fetish and it’s practitioners.

Many amputees go through life without ever meeting a devotee. Others have intimate experience with these fetishists. One thing for sure, even though a devotee’s interest in you may creep you out; you can be certain that their interest is sincere. They are not like most of the other well-meaning people you’ll meet in your new life as a bionic man. A devotee will not pity or patronize you. Devotees, curiously enough, see you as more whole and desirable than those who have no missing parts. In other words, devotees are hot for you for how you are. This is definitely not a “let’s pity fuck the gimp” sorta thing. I know this can be mind-bending, but I hope you can see the fundamental difference between the two.

Some amputee/devotee relationships are long-term, marriage and children included. Others are more recreational in nature. I suppose that if you have your head screwed on right, you’ll be able to discern what might be best for you, if any of this appeals to you. Actually, in this realm, you’re absolutely no different than all your non-maimed peers. They too are trying to make sense of how love, sex and intimacy fit together.

amputee00.jpgI know some amputees are put off by devotees. They’re indignant that someone would objectify them for their stumps and not accept them as a human being first. Well, ya can hardly argue with that, can ya? But in reality, all of us do our share of objectifying. What about all the guys who flock around the blond with the big rack? You know they only see her tits and not her brain. Is the amputee/devotee thing any different? I think not.

You know how you are doing all this physical therapy to regain your ability to walk and run with your new bionic leg and foot? Well, there’s probably as much emotional and psychological therapy you need to do to adapt yourself to your new maimed-self. Part of this psychological adjustment may be embracing and celebrating the fact that you are now an object of desire for a whole new group of folks.

So ok, your hotness is not the same hotness you may have had pre-Iraq, but it’s hotness none the less. You may not yet appreciate how a person could be sexually attracted to another person simply because of an amputation. Hell, the devotee may not even know why he or she is wired this way, but that don’t make it any less a fact. The confusion that can result from these desires or being the object of these desires can often sabotage a perfectly viable amputee/devotee sexual relationship.

Acrotomophilia, like all fetishes and paraphilias is learned behavior. Some devotees recall early childhood erotically charged encounters with women or men who were amputees. But just as plausible is the fetish began like the story I recounted at the beginning of my response — a group of people fantasizing about sex with a hot vet, who happens to be an amputee. You can see how just a little of that highly charged erotic reinforcement could turn anyone into a devotee. So it’s not so mysterious after all, is it?

I realize you didn’t choose this for yourself. But, for the most part, none of us is really in charge of what we eroticize, or what others eroticize about us. I know I nearly went to pieces the first time someone referred to me as a daddy. It wasn’t till I came to grips with the fact that I was no longer a young man, and that younger men might find me desirable, even at my seriously advanced age, that the whole daddy thing settled in with me.

What you do with all this information, Cade, if anything, is completely up to you. Will you embrace your new bionic gimp hotness and let it take you for a ride? Or will you resist? Either way, at least you’ll be a bit more informed about what gives with this shit.

Name: Tammy
Gender: Female
Age: 36
Location: Springfield IL
My parents were Laurel Canyon hippies of the first order, free love, drugs and all that stuff. I used to be disgusted by all the sex my parents were having with other people. I just couldn’t understand why they didn’t just want to be with one another or divorce and remarry someone else. As soon as I could, I left the west coast for the Midwest. Now all these years later my own marriage is in trouble. My husband unilaterally ended our sex life after the birth of our last child three years ago. I haven’t let myself go. I’m still very attractive and have even improved my body after the babies. But nothing I do brings him back to bed. He said that we have children now, and people with children don’t do that sort of thing!

To spite him for shutting me out, I turned to another man for sex. I just wanted to feel desirable again. I fear my affair will be found out and it will destroy my marriage. Funny thing, my parents with all their multiple sex partners remained happily married for 51 years till my father’s death two years ago. They were honest about their lives; I am not! I feel ashamed, but I am also having the best sex of my life and I won’t give it up.

My husband is a decent man and a good father. How can I continue to live this lie? If I come clean it will likely break up my family and I’ll look like a cheating slut. Is there any other option? I wish I would have been more accepting of my parent’s lifestyle; maybe the karma wouldn’t be so rough now.

Ahhh, bad luck doll! That karma thing can sure enough be a bitch. And it’ll bite you in the ass sure as shootin’.

If I had a nickel for every time I’ve heard this same story from a frustrated and desperate man or woman trapped in a sexless marriage, I’d have enough money to lay down my keyboard, give up my status as the most fabulous and revered sexpert in the universe and retire to Maui.

Unfortunately, by the time I hear from most of these people they have already suffered through years of abstinence, all the while begging and pleading for the sex they want, need and deserve. By the time they write to me it’s often way too late. The die is cast. They’re married with kids and often have a stray affair workin’ on the side. As you suggest, Tammy, it’s a pretty unbearable situation.finfidelity01.jpg

My first thoughts are that by the time things get to the point of sheer desperation, a happy ending is virtually impossible. A lot of people are gonna get hurt regardless of how this resolves it self. If that’s a given, mabe you should be asking yourself; what can be salvaged from the impending wreck?

Tammy, you write something very telling in your message to me. When talking about your parents you say; “They were honest about their lives; I am not!” In the end, if you can reclaim your integrity, regardless if it means the demise of your marriage and family as you currently know it, you will have regained something of inestimable value.

I also want to address your comment: “If I come clean it will likely break up my family and I’ll look like a cheating slut.” Perhaps, but at least you’ll no longer be a lyin’ cheatin’ slut. Come on, how could what others think of you trump what you already think of yourself. You are down on yourself because you expect sex in your marriage. And when that disappeared, you didn’t shut down as a sexual being. Does that alone make you so bad, a slut even?

I wholeheartedly believe that married people deserve a rich and fulfilling sex life, unless there’s mutual agreement for another arrangement. Unilaterally depriving a spouse of a rich and fulfilling sex life is an act of sexual violence. The kind of sexual violence that will cause frustration, anger and desperation. And inevitably lead to infidelity, which in turn destroys the marriage and traumatizes the kids. So Tammy, if kiss008.jpgyou are a cheating slut, what does that make your husband? Neither you or your old man is without blame. So time to buck up, darlin’, and do the right thing. Regardless of how the chips fall.

And one more thing, you say you were disgusted by your parent’s hippy, free love lifestyle — at least they were open an up-front with you about who they were. Consider the trauma your kids will experience when they learn dear old mom was bumping someone other than dear old dad. What kind of example are you setting for them? You see where the honesty thing is a good idea right from the get go, huh?

Ok, so I think there’s a consensus that the truth must be told. I suggest that you generously offer your husband the first right of refusal. He may not deserve it, but that’s the way to go nonetheless. Offer to stay with him and raise your kids together, but not in a sexless marriage. If he can’t bring himself to bone you the way you need it, when you need it, with vigor and passion; then he needs to free you up to find that bone in someone else’s drawers. And if he can’t live the cuckold life he ought at least to be man enough to leave the marriage with as little stink as possible.

Name: Jack (not my real name)
Gender: Male
Age: 40
Location: Boston
I have a bunch of little bumps on my penis near the tip. Each one is kind of lumpy. They don’t really bother me. I’ve had them for a while, but now there seems to be more of them. Should I be concerned?

Yes, jack…not your real name, there is reason to be concerned.

Listen up everyone, whenever there’s a change in the look, feel or sensations in your genital area there is cause to have a medical professional look at the disturbance immediately. If you’re like jack…not his real name, you could have an infection that could be transmitted to your sex partners. It’s one thing to foolishly disregard your own health and wellbeing; it’s quite another thing all together to risk the health and wellbeing of an unsuspecting sex partner.


Sounds to me, jack…not your real name, that you have genital warts. They’re relatively easy to detect; small lumps that typically have an irregular cauliflower-like surface. Sound familiar? I thought so.

If you’ve been dippin’ your warty wick in some pussy, mouth or asshole, you’ve likely passed on the infection…thank you very much. And if it’s been pussy you’ve been messin’ with the lucky lady (or ladies) may now have warts inside their cunt.

Genital warts are pretty benign, but they’re mighty unsightly. Some people experience irritation and itching around the affected area. Women can get warts on the vulva and perineum but they can also appear on the vagina, cervix, and asshole. Men get warts most often on their dickhead and foreskin, but they may also appear on the shaft of your cock, scrotum, and asshole. And anyone can get them in their mouth.

A carrier of the virus doesn’t even have to have a visible outbreak for the infection to be transmitted. Probably, that’s how you got infected yourself; jack…not your real name.

Genital warts can be a bitch to get rid of, because, like all warts, these little devils have a tendency to reappear. Treatments may include: Liquid nitrogen to freeze small warts or another topical solution to treat warts inside the urethra, anus, mouth and/or the vagina.

Do us all a favor; jack…not your real name, consult your doctor ASAP.

Good luck, ya’ll

Watch Your Language, Mister!

Before we get started today, I’d like to take a minute to explain something to ya’ll. You will notice just to the right of this posting there is a section called CATEGORIES. If you scroll down from there you will notice that there are loads of topics— well over a hundred — that I’ve written about and/or included in one of my podcasts. Next to the topic you will notice a little number. That reflects the number of postings that include that particular topic. Isn’t that fucking brilliant?

So if you’re looking for information about something, I encourage you to check there first, before you send me a question. You may find that I’ve already covered your concern at length.

The CATEGORIES section is also a great resource for those looking to investigate new and interesting aspects of human sexuality.

Name: Martin
Gender: Male
Age: 50
Location: ?
Thanks in advance for your assistance, Dr. Dick.
Here’s my dilemma; I’m so in love with my partner, he’s actually the man of my dreams. We met much later in life, he being 45 and I’m 50.
I was married before w/children, out now as a gay man and all is well with my children’s relationship.
My partner has always known he was gay, has had numerable relationships and was a sexual addict. He has wanted me to understand his past in relationship to his level of happiness now, stating that he was a bottom slut only because he was never truly in love or satisfied.
He wants me to believe that “I”m the one” that has changed his life-long addiction to strange dick up his ass.
I can’t seem to get past his past slut behavior, and oftentimes get so pissed off because he wants me to meet and develop friendships with many of these past fucks (primarily because they were military buddies also).
Why can’t I accept his slutty past and stop the suspicions?
Why do I get so upset just knowing that he was a total bottom slut??
How can I get him to understand that I have no desire to know any more about his sexual past and just focus on creating our lives???

Martin, Martin, Martin! How you do go on, honey. Take a look at your language, why don’t ‘cha? Could you possibly be more pejorative when speaking of the sexual experience of someone who has lived a different lifestyle than you? I doubt it. Look at how many times you use the word “slut” to describe the man you say you love. How can you tell me you love someone you have so little regard for or understanding of?

Your man wants you to understand his past, but you don’t take it at face value. You69201_7_122_1143lo.jpg belittle his experience, possibly because it doesn’t match your own very limited, sexually exclusive, predominately heterosexual lifestyle.

Listen, lots of gay men (and some straight men) have loads of sex for all kinds of reasons. Sometimes just for the fun of it…or, as your man suggests, just to be a big ‘ol bottom slut. There’s absolutely nothing wrong with that. A guy can be happily sexual without loving each and every one of his partners. And the sex can be really great too. Just like a guy can have very unsatisfying sex with somebody he loves deeply. None of these things are necessarily dependent on the other. Don’t make such a tangle of it all, Martin. Sex, love, intimacy are all very different things.

I also want to reinforce my belief that there’s no such thing as a sex addict. Compulsive behavior? Sure! Out of control behavior? You betcha! Self-denigrating behavior? Absolutely! Sexual addiction? No way!

Try for just a minute to extricate yourself from your sex-negative mindset by exchanging the notion of eating when you talk about your friend’s sexual exploits. Would you have the same revulsion if your guy said he had shared food with lots of other guys? Some of it was fast food that didn’t satisfy very much. Sometimes he ate just because he wanted to, not because he was hungry. And now he wants you and he, as a couple, to be friends with some of the men he ate with. Sounds perfectly reasonable to me!

Your man is trying to open you up to seeing life and sex as most openly gay men do. This is fundamentally different from how some formerly closeted men see life and sex. If you let him, he just might help heal you of your sex-negativity.

Finally, jealousy is one of the worst human emotions. It is a kind of hatred, you know. Sometimes it’s hatred of another, but it is always self-hatred. We’d have no reason to be jealous if we had enough self-confidence. You say you love this man, but I challenge you on that. It’s clear to me that you have a much greater love of your provincial notions about sex then you have for this guy.

Here’s a tip, Martin — jettison the unhealthy attitudes about sexual expression and give your guy a chance to be himself, not what you want him to be, or what you think he should be. You’d be well served by working with a sex-positive therapist to help you get over this. Do it now, because if you hesitate you will surely ruin the very relationship you claim to treasure.

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!

Urethra play freaks out lots of folks. Most of us 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.a974.jpg

I’m always curious about how folks come to odd fetishes like urethra play. One of my correspondents back in July, Georgia, wrote that her urethra play began when she was a child. 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 his fetish started when he was playing doctor with his older cousin. 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.

Practitioners of this unique kink often start out young, like Georgia and the other guy. Maybe it’s just a function of one’s natural curiosity about his/her body, when one day he/she discovers 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, they wonder, 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 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.

But like all pleasure related things, practitioners ought to have their 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. 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 a man can. You will find that these gender differences also makes for gender specific toys.

Name: Alice
Gender: Female
Age: 19
Location: Minnesota
My new boyfriend is really frustrated and doesn’t want to have sex anymore because he can’t come. He says he’s had this problem for a while and hasn’t come with any girl for over a year. I see how upset he is and I know he still wants to sleep with me but says it hurts when he gets excited and nothing happens. Is there something I can do? I tell him to see a doctor but I don’t think he will. thanks a lot!

Wow, that’s a bummer Alice. Unfortunately, you don’t supply me with enough information for me to make an educated guess about what might be up with him. So I’m gonna make a stab in the dark.

If I had to guess, I’d say the lad is suffering from a real bad case of performancetom03a.jpg anxiety. He doesn’t need a medical doctor; he needs to relax.

Here’s how this nasty thing works. Say a fella has a less than satisfying sexual experience for one reason or another. Before he know it, he replaying the incident over and over in his head, till that’s all he thinks about. The proverbial molehill becomes a mountain. He brings his anxiety to his next sexual encounter. His hyper-consciousness primes him for more disappointment. And he’s ready to interpret all disappointment as a failure.

Well, you can see where I’m going with this, huh? His fears become self-fulfilling. Before he knows it, he begins to avoid sex. His relationships suffer. He develops a full-blown sexual dysfunction. And his self-esteem takes a nosedive. His preoccupation with his problem makes it less likely that he’ll be fully present during sex with his partner, which pretty much fucks up his sexual responsiveness and any hope for spontaneity.

It looks to me like performance anxiety is putting a damper on his sexual arousal and short-circuiting his sexual response cycle.

This is nothing to fool around with, especially for someone at his tender age. When I see this sort of thing in my private practice, I always begin the therapeutic intervention by calling a moratorium on fucking of any kind. This immediately takes a great deal of the pressure off the couple. From there we begin to rebuild the partnered psychosexual response one step at a time. We begin with sensate focus training, stress reduction and relaxation exercises. I have the greatest confidence in this method. It succeeds over 90% of the time.

Name: Roxy
Age: 37
Location: SF Bay Area
Dear Dr. Dick, I am slowly but inexorably marching to my wits end over my current dilemma. I’m a part time TV married to a wonderful girl who I find very satisfying emotionally, mentally and physically. So what’s the problem, you’re asking? The problem is that before we got married I had several sexual encounters with men (yes, with me dressed and made up as a girl). Some of which were quite thrilling, and now I find that I am yearning to get all dressed up and find a male partner who will satisfy the girl side of my psyche sexually. I don’t want to cheat on my wife (with whom I’ve talked about marital fidelity…if I cheated and she found out, her line is that our sex life would be over), but I feel the compulsion to act getting stronger all the time… what should I do? Sincerely, Distraught in downtown

Before I respond to you, Roxy, I want to make sure my audience knows what we’re talking about.

Folks, Roxie here is identifying as a part-time TV. That, of course, has nothing to do with the box in your living room on which you watch The Brady Bunch reruns. TV in this context means transvestite. Which is literally the practice of cross-dressing, wearing the clothing of the other sex. Which as we all know, or should know must not be confused with a TS. And I don’t mean the poet, but a transexual. A transexual is a person that self-identifies as the gender other than the one he/she was assigned at birth. I hope we’re all down with that now.

It appears to me, Roxy, that you’re really overreaching here. Desires are wonderful2070257205_55f002f39a.jpg things. We just better know the difference between a desire and reality. I encourage you to think twice about realizing this particular desire of yours if it means upending your marriage. Seems to me your long-suffering wife’s feelings deserves more than the casual consideration you afford them.

Most TVs I know would give their left falsie for a partner as understanding and accommodating as your wife. And look at you, considering fucking this up by skipping out on her. Just so you can get all gussied up and find a dude to pound the bejesus out of you to satisfy the girly side of your psyche.

I never advocate the cheating option. But I know how compelling sexual fantasies can be. On the other hand, maybe some kind of additional accommodation could be made with your wife. Maybe she’d be up for a 3-way.

I know this marvelously kinky woman, Abby, who pimps out her beautiful straight boyfriend to totally hot gay gays they meet at the best gay nightclubs. She does this just so she can watch the straight BF get pounded. I hasten to add that the beautiful straight BF is a willing participant in this unusual ménage. Curiously enough, he’d never think of doing this on his own. For him, the turn on is not the part where other guys fuck him, although that is pleasurable. It’s pleasing and being dominated by his kinky girlfriend that turns his crank. So when Abby snaps her finger, you know for certain that Ty will soon be buggered senseless. Now that’s devotion. And while this is not for everyone, it sure as hell works for them.

Will your little woman go for something like this, Roxy? Got me! One thing for sure, you’ll never know unless you ask. Here’s a tip. To sell this whole ménage thing to the wifie, I encourage you to play up how HOT it will be for her. How much fun she’ll have watching and possibly even directing her pansy-ass husband take it up the bung-hole. How it’s gonna blow her mind, and shake up your traditional sex roles and really spice things up in the boudoir. With a sales pitch like that she might just give it a whirl.

I don’t envy your dilemma, Roxy, but I think something interesting could come of this just as long as you’re upfront about it with your wife. If ya don’t, you’ll soon be a cock in a frock with his marriage on the rocks.

Good luck ya’ll



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