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An (extremely long) Tale Of Woe

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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.

Quickies

Name: r68tool
Gender: Male
Age: 52
Location: Montana
Doc, I have been an insulin-dependent diabetic for 25 years. I’m also a post-operative kidney transplant recipient. I have not been able to achieve nor maintain any kind of erection for the past 19 years. I have visited several urologists, but they have been useless. I am able to manipulate my cock to have a semi-hard erection by tying a leather string around my scrotum and cock. I can sometimes get very erect. But when I orgasm, I NEVER ejaculate sperm. I’m convinced that there must be blockage to prevent an erection and semen flow. Any suggestions? Do I need surgery?

Do you ABSOLUTELY need to ejaculate when you orgasm? Lots of guys with medical issues, like yours, don’t. There are also many men who practice ejaculation control as part of Tantric sex.cock,schlong, dong

I don’t believe you have a blockage of any sort. The glands that produce the bulk of your ejaculate may have atrophied due to the diabetes. This is not uncommon. If this is the case, no surgery is gonna fix that.

That being said; I have a tip for you. If you are self-conscious about not having an ejaculate when you cum, check out Spunk Lube. It’s the lube that looks and feels just like jizz.

Good luck

Name: Emily
Gender: Female
Age: 26
Location: Ohio
I have been having sex with this guy I met for a week now and he’s only cum once. We have foreplay and then we have sex… We try all positions but then his dick goes limp. Is it because of me? He says he likes to have sex with me but I’m confused, why isn’t he cumming? We usually have sex for hours at a time… I squirt and keep my pussy moist so what’s the problem here?

Performance anxiety causing delayed ejaculation. That would be my guess.

Use the search function at the top of the sidebar to your right, type in performance anxiety and you’ll be presented with a load of information about this issue and how to handle it.

Here’s a little taste of what you will find:

Most of us experts believe that the majority of delayed ejaculation concerns are not physical in nature, but rather they are the product of psychological problems. Perhaps your friend would benefit from a professional evaluation.

cordially invitedGenerally, the object of a sexological intervention is to diffuse the guy’s sexual anxieties so that he can comfortably cum with his partner without difficulty.

When I see this issue in my therapy practice, I offer my clients a series of homework assignments that are designed to reduce performance pressure and focus on pleasure. These are relaxation exercises and sensate focus exercises.

I call a moratorium on fucking for a limited period of time, so the couple can learn other means of sexually pleasuring one another. I try to get my clients to stay in the moment; absorb the pleasure that is present without worrying about what is “supposed to” happen. I encourage my clients to create a relaxed, sexy atmosphere, free of pressure to perform in one-way or another. Finally, we address as frankly and openly as possible any and all fears or anxieties they may have as individuals or as a couple. The most common are a fear of intimacy, of being gay, of being in a relationship or of disease.

Some guys report success with hypnosis. But I don’t practice that myself, so I have no first hand knowledge of its efficacy.

However, I do encourage you guys to get to the bottom of this, so to speak, ASAP. To leave this unaddressed will only cause greater difficulties later on. Just remember, you cannot will a sexual response, just like you cannot will yourself to go to sleep or enjoy something you don’t. And the harder you try to have a certain response, the more inhibited you become.

Good luck

Hi,
I am a male and I am interested in having another man give me oral sex. My question is can I get any STDs by allowing another man to perform oral sex on me? Can you direct me to some information regarding this topic? Thanks!

Ya know, that Google thing really works, my friend! Search for “STD (or STI) and oral sex” and presto! You’ll get a shit-load of info.need a good fuck

Here’s what you will learn: Oral sex is considered a lower risk activity for STDs (or as we prefer to call them, STIs Sexually Transmitted Infections) than are anal and vaginal sex. Even so, it is still possible to get an STD/STI whether you are giving or getting oral sex. Blowjobs can put you at risk for infections like herpes and gonorrhea. If you don’t know where your partner’s mouth has been, and you want to extra protection, use a condom.

Good luck

Hi. I was hoping that maybe you could help me out with this problem.
I really only have minimal experience giving oral sex to a man.
I read your bit about the gag reflex and thank you. I will work on that. I want to talk about teeth. My mouth is not that big, and it is hard for me to keep from scraping my man’s cock with them. My partner wants to fuck my throat. We try, but that seems to always cause problems. I was wondering if you knew of any devices out there that are designed to cover the teeth while only reducing the oral cavity size minimally.

Ya know your jaw is a remarkable thing. With just a little exercise, it can be stretched so that your mouth will open wider. Many people never see the need to stretch their jaw and so the gape of their mouth never increases.

The wider your mouth opens the less your teeth will get in the way of whatever you are inserting in your mouth. It just stands to reason.

Start by doing some simple stretching exercises. Open your mouth as wide as you can and hold it for a count of 5. Do a set of 10 stretches like this at least 3 times a day. You will find that in no time your gape will be larger. You can employ the use of a cock shaped vegetable like a cucumber to aid you in your stretching. Just so you know, this is how the experts (porn stars) ready themselves for the really big ones.

You can get teeth guards as well. But I don’t think the problem lies with your teeth.

Practice these exercises and let me know how you make out, so to speak.

Good luck

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Ready Or Not

Name: Allie
Gender: Female
Age: 18
I feel kinda silly asking a complete stranger this, but here goes. I’m a pretty normal 18year old female. I’m in my freshman year at a college in upstate New York. I’ve had a few boyfriends over the years, nothing really serious though. Lately I’ve been seeing a lot of this one guy; he’s 20, a junior at my school. I really like him and we’re discussing taking our friendship to the next level. He’s not pressuring me for sex or anything, even though he’s more experienced than I am. In fact he wants me decide when the time is right. My question is how will I know when I’m ready for sex. Obviously, Jason will be my first. Thanks.

Thanks for entrusting me, a complete stranger, with this very intimate concern. I have a question for you, Allie, and I hope it doesn’t sound flippant. When do you know it’s time to eat, or sleep? I know lots of us eat even when we’re not hungry and don’t sleep even when we’re tired, but that aside, I suggest that the same body signals that alert you to hunger and exhaustion will let you know when it’s time for sex. You’ll want to have sex when you feel the desire to be sexual. I’m not trying to be evasive; I’m trying to get you to listen to your body, because that’s how you’ll know. To be perfectly frank, that’s how all of us know it’s time for sex. We get a hankerin’ for some pleasure and we pursue that until, hopefully, we’re satisfied.

teen sex anxietyYou’ll notice that I’m not specifically referencing fucking when I say you’ll know when it’s time for sex. Sex, at lest in my book, involves a whole lot more than the old in and out, don’t cha know. Take a look at the sexual enrichment tutorial I posted just last week. It’s titled: Beginning Sex Play — Tips and Techniques. http://www.drdicksexadvice.com/2014/02/26/sex-play-tips-and-techniques/

If I were to advise you further I’d want to know how much sex you’ve already had with Jason. Has there been any sex play at all? Probably some, huh? Otherwise how would you know you like him well enough to consider taking the play to the next level?

Penis/vagina intercourse, or as I like to call it “fucking” can bring more intimacy and more pleasure than some other sex play, but it’s not the be all and end all either. Fucking also carries a lot it more responsibility, particularly for fertile young puppies like you and Jason.intimacy021

You sound like an intelligent lass, at least you can write in complete sentences. Is it safe to assume that you are well versed in the complexities of the human reproductive system? I hope so. Not everyone is, of course, even some otherwise smart young people. If you’re not clear on the whole concept, there’s no time like the present to do a little boning up…so to speak. Being responsible with your sex is as important as being sexual. And being informed about health risks and contraception is the beginning of taking responsibility for your sexual activity.

Every sexually active young woman is subject to becoming pregnant every time she accepts a cock in her cooch. I’m not a woman, nor do I play one on the internets, but I’ve been around more than my share of the fairer sex, and I am certain that every woman who fucks for the first time will wonder if she is pregnant the next morning. I suppose the same is true for any sexually active woman of childbearing age, even those who are very knowledgeable about birth control and are prepared for sex when it presents itself. Seems to me that that kind of apprehension or concern could easily put a dent in pleasure.

makin' babiesRemember what I said a little earlier; that you’ll want to have sex when you feel the desire to be sexual? Well, if you take the time to prepare now, you won’t need to interrupt the sexually charged moment when your body tells you I want some of that hot monkey love. You should choose the birth control method that suits you best. You should have condoms and lube available. Don’t expect your beau to have his wits about him when his dick is hard. While Jason does sound like a swell guy, conscientious too, you’re the one who will get pregnant if ya’ll screw up. And I’ll bet ol’ Jason will be impressed with your forethought too. There’s nothing like gettin’ it on with a chick who knows the score, even if it is her first time.

Remember, even if you’re on the pill or have a diaphragm, condoms are a must. One of every ten sexually active teens carries one or more STDs or as we call them nowadays, SDI (sexually transmitted infections). You can consider dropping the condoms when you’re in an exclusive relationship.

Finally, you may be ready for sexual release — i.e. an orgasm, and I hope you’re already enjoying an abundance of those little buggers through jilling off — but that does not mean you are ready for, need, or even want full-on fucking. But when you do and you get that hankerin’, feed it. It will be as natural as falling off a log.

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

The Naughty & The Nice

Just in time for the holidays, here’s my Naughty and Nice list.

NICE

NAUGHTY

NICELY NAUGHTY

Happy Holidays!

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