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Female Sexual Dysfunction Is A Fictional Disorder

Name: Sharon
Gender: female
Age: 30
Location: PA
I’ve been reading a lot lately about FSD, or female sexual dysfunction. Is there such at thing? It strikes me as a fictitious “ailment” that is being promulgated to sell pharmaceuticals to unsuspecting women. What are your thoughts?

I share your skepticism. I think that, for the most part, female sexual dysfunction, or FSD, is a fictional disorder. I also think pharmaceutical companies are trying to hit on a female version of Viagra to treat this imaginary disorder so they can make a bundle, just like they did with as the male version.

body as art

So much of female sexuality is caught up with the cultural context of a women’s role in society — family obligations, body image and patriarchal views of marriage, etc. For the most part, men aren’t nearly so encumbered. So when one talks about female sexuality, particularly when the notion of a condition or a disorder arises; ya gotta ask yourself, what’s going on here?

I too have been noticing a lot of discussion in the popular culture lately about female sexual dysfunction. My first response is to ask myself, who’s raising the issue and why? Sure some women, like some men, experience difficulties in terms of desire, arousal and orgasm, but what of it? Is it a syndrome? Is it really a dysfunction? I personally don’t think so. The sexual difficulties most people experience can be explained and dealt with in a less dramatic way then with drugs?

And here’s an interesting phenomenon; the repeated appearance of the term female sexual dysfunction in the media lately actually gives the concept legitimacy. I’m certain the pharmaceutical industry is hoping that it will. If they can make the connection in the public mind between what women experience in terms of desire, arousal and orgasm concerns and what men describe as erectile dysfunction, then most of the work is done. In other words, I think the entire effort is a marketing ploy.

female sxualityI think we can safely say that, in order to determine what female sexual dysfunction might be, one has to clearly understand what a “normal” sexual response is for a woman. This is where we traditionally run into problems. Sex science is notoriously lacking in this endeavor. One thing for certain, although both women and men have a discernable sexual response cycle, a woman’s sexual response is not the same as a man’s. Even though we can’t say with certainty what “normal” is, therapists are famous for turning difficulties into disorders. And once you have a disorder it becomes the basis for developing a drug therapy. So you can see how this becomes a self-fulfilling prophecy.

Currently there’s a real buzz among clinicians concerning the efficacy of Addyi, the so-called “female Viagra”. But most sexologists, myself included, are unimpressed. Basically, the drug in question is an antidepressant. When I heard that, red flags began to fly. Antidepressants are notorious for their adverse side effects, especially in terms of sexual arousal in both men and women. The second problem with the study was the whole notion of desire and distress. Lots of women experience diminished sexual arousal but are not distressed by it. But if there’s no distress, clinically speaking, then it can’t be considered a disorder. You see where I’m going with this, right? If there’s not a “disorder” there’s no need for a pharmaceutical intervention.FUCK

According to the research some of the women in the clinical studies leading up to the approval of the drug claimed they were less distressed by their “condition,” Hypoactive Sexual Desire Disorder, than they were at the beginning of the study. According to clinical trials of Addyi held in 2013, only 8% – 13% of the women experienced “much improved” sexual desire and only about 2 more satisfying sexual encounters per month were had. In other words, when behaviors were studied, the actual number of satisfying sexual episodes reported by these less distressed women hardly changed of all. This indicates to me that the antidepressant helped lift the spirits of the distressed women, but did nothing to increase their satisfaction with their sexual outlet.

Twice the FDA rejected Addyi for its severe side effects and marginal ability to produce the effect that it is being marketed for. And despite the fact that the drug is now available, those side effects still exist. Women who take the pill are likely to experience dizziness, nausea, drowsiness, fainting spells, and falling blood pressure. Coupled with alcohol and even hormonal contraceptives the odds of these potential side effects occurring increase. Persons with liver ailments, or taking certain other medicines, such as types of steroids are also at higher risk. On the other hand Viagra has very mild side effects that may include headaches, indigestion, blue-tinted vision and in some cases a stuffy nose.

While a man can pop Viagra an hour or so before he plans to have sex, women who are looking for increased sexual desire need to take Addyi daily for up to a month before they should expect to see any effects.

Good luck

The Thrill Is Gone

Name: Billy
Gender: Male
Age: 46
Location:
I have heard it’s normal for sex drive to diminish as you age. I’ll run this by you. I’m a 46 year old male and the last time I was at a strip club with bare boobs bouncing around me, you may as well have rolled a grapefruit across the floor. Actually, I can see more use from the grapefruit. I don’t recall the last time I did it, and jerking off was almost disgusting. My tool has shrank to nothing. I barely touch it and it just dribbles, it doesn’t fire off anymore. I don’t even like to touch it to go piss anymore. I’ve had to shave around it, so I actually find it, to keep from pissing my pants. Is this normal?

No, Billy, this isn’t normal. I think you already know that too, right?

andropauseDo you know anything about andropause? If not, you ought to. Here’s what I suggest. Use this site’s search function in the sidebar. Type in the key word: “andropause” and you will come up with a wealth of information about this issue.

You can also use the CATEGORY pull down menu. Look for the subcategory: Sex and Aging, under the main category: Aging. Everything is alphabetized.

But for the time being, here’s a typical question and response —

Name: Wilson
Gender: male
Age: 58
Location: Lancing MI
I’m a successful entrepreneur, in decent health (I could stand to lose a few pounds.) I have just about everything a man could want in life, but I’m miserable. I have no energy and I feel like I’m sleepwalking through my life. I have no sex drive at all; my wife thinks I’m having an affair…I wish. Even Viagra doesn’t do the trick anymore. Is this just old age, or what?

Old age, at 58? Middle age, perhaps! Regardless what we call it, you sound like you’re in the throws of andropause — male menopause — ya know, the change of life!

Never heard of such a thing? You’re not alone. It’s only been recently has the medical industry has begun to pay attention to the impact changing hormonal levels has on the male mind and body. Most often andropause is misdiagnosed as depression and treated with an antidepressant. WRONG!andropause-1

Every man will experience a decrease testosterone, the “male” hormone, as he ages. This decline is gradual, often spanning ten to fifteen years on average. While the gradual decrease of testosterone does not display the profound effects that menopause does, the end results are similar.

There is no doubt that a man’s sexual response changes with advancing age and the decrease of testosterone. Sexual urges diminish, erections are harder to come by, they’re not as rigid, there’s less jizz shot with less oomph. And our refractory period (or interval) between erections is more pronounced too.

While most all of us have heard of a mid-life crisis, and it’s tragic consequences — red convertible sports cars, comb-overs, and the trophy wife or lover — fewer have heard of andropause. A mid-life crisis is essentially a psycho-social adjustment to aging — bored at work, bored at home, bored with the wife or partner — that sort of thing. Andropause, although it may coincide with a mid-life crisis, is not the same thing. Andropause is a distinct physiological phenomenon that is in many ways akin to female menopause.

Unlike women, men can continue to father children after andropause, but like I said, the production of testosterone diminishes gradually after age 40. I suppose you know that testosterone is the hormone that stimulates sexual development in the male infant, bone and muscle growth in adult males, and is responsible for our sexual drive. But did you know that by the age of 55, the amount of testosterone secreted into our bloodstream is significantly lower than at 45. And by age 80, most male hormone levels have decreased to pre-puberty levels.

Men, are you over 50? Are you feeling weak, lethargic, depressed, and irritable? Do you have mood swings, hot flashes, insomnia, and decreased libido, like our buddy Wilson, here? Then you too may be andropausal. You need to get some lead back in your pencil!

mutateAll kidding aside, andropausal men might want to consider Testosterone Replacement Therapy (TRT). Ask your physician about this. Just know that some medical professionals resist testosterone therapy, mistakenly linking Testosterone Replacement Therapy with prostate cancer. Even though recent evidence shows prostatic disease is estrogen-dependent rather than testosterone-dependent. However, before starting a testosterone regiment, insist on a complete physical, including blood work and a rectal examine. Mmmm, rectal exams!

Testosterone is available in many forms — oral, injectable, trans-dermal and by way of implants. The oral form is not recommended because of the high risk of liver damage. But injections, patches, pellets, creams and gels might be just the answer. I encourage you to be informed about TRT before you approach your doctor, because the best medicine is practiced collaboratively — by you and your doctor.

Good luck

Mellow With Age

Name: Bob
Gender: Male
Age: 54
Location: Laguna Beach
As an older man, I’ve started having performance problems. Unfortunately there’s no decrease in my libido. I think some of my problem is psychological. I’m also HIV+. And I find myself worrying about transmission even with condoms. But some of the problem is physical. I do wear a cockring and that helps I guess. Is there anything else I can do to increase my performance to match my libido?

Thanks for your comment and question. Your concern is a familiar one. Men regularly present this problem in my private practice and I also have a personal familiarity with the issue in my own life.

Diminished performance, at least in terms of a perpetually stiff dick, is a natural occurrence as we age. There was a time when I thought this was a major problem. I don’t think like that now. These days I’m helping my older clients (and myself) appreciate the full range of sensuality that is the unique purview of us more seasoned lovers. I’ve always felt that as gay men we are too genitally focused, especially when it comes at the expense of all the other pleasure zones our bodies have been gifted with.Kedori - Eileen Gray Bibendum Armchair

The rushed, hormonally driven sex of my youth has matured into a slower, more relaxed and sensual sexuality that I am thoroughly enjoying. This has been one of the very best gifts of the aging process. It’s even having an effect on my younger partners and they are appreciative.

So I no longer equate performance with a stiff dick. For those times when I absolutely need a rock-hard hardon a cock ring does just fine. I’m aware that I may need more time to achieve this kind of erection, but I’m not just twiddling my thumbs while I’m waiting, if ya know what I mean. I am no longer frustrated by this natural phenomenon, because I no longer have unrealistic expectations.

I realize that many men are using with an erection-enhancing medication such as Viagra, but I suggest that this be reserved for those who are truly experiencing erection dysfunction.

I’m also concerned with the alarming rise of younger men, men in their 20’s and 30’s who are using Viagra or another similar drugs recreationally. This is very troubling. If your young body is having difficulty producing an erection, then you need medical attention ASAP, or maybe you just need some sleep. However, if you’re abusing Viagra just so you can have an erection that lasts for hours that’s a real bad idea for several reasons. Not least of which is your body will habituate itself to that stuff and you will find that, in time, you won’t be able to get it up at all without ever increasing doses of Viagra.

viagra cartoonThis is gonna fuck up your cardiovascular system big time. In fact, you may very well be inducing the very sexual dysfunction the drug is supposed to help. Consider the person who overuses eye drops or lip balm or any number of otherwise innocuous health and beauty products. Their body will stop making the natural substances that these over the counter products are intended to assist. It’s counterproductive and it’s ill advised. If this is a problem with relatively harmless over the counter products, you know you are playing with fire when you’re abusing powerful prescription meds.

Whoops, sorry Bob, I went off topic there for a minute. It’s just that every opportunity I get to put out a message that will dissuade someone from hurting one’s self, I just launch into it.

So back to you. It is clear from what you tell me, your performance problems do, as you suggest, also have a psychological component to it. You have a fear that, despite being responsible in your sex play and even though you play safe, you could accidentally pass on HIV.

It’s true; one’s brain can indeed override almost every function of our body. For example, we draw each and every breath we take without even thinking about it. However, if a situation dictates our brain can and does override that essential pulmonary function and we can hold our breath. The same is true with our sexual response cycle. Sometimes we can become sexually aroused without really thinking about it. However, if for one reason or another our brain assisted by our conscience interferes with or even shuts down the sexual arousal, that’s pretty much, all she wrote.

Your scruples about the possibility that you could accidentally pass along HIV are interfering with your sexual response cycle. No cockring or an erection-enhancing medication is going to change that darlin’!

In other words, the problem is not in your cock, the problem is in your head. This is something you’re gonna have to wrestle with and finally resolve. This tension between your head and your dick is actually a good thing. Your body is providing you an opportunity to align your moral values with your sexual performance. How will this resolve itself? I couldn’t say. But I know for sure resolution is possible.

I do suggest, however, that you not try to do this in a vacuum. Reach out to a HIV support group or a sex-positive therapist for the help you need in making peace between your head and your cock.

Good luck

Tricks Of The Trade – Part 2

Today I continue the series I started on Monday.  You will remember from Monday that a friend of mine, who is writing a book about male sexuality for women, asked me if I could be her go-to-guy for a bunch of questions she had about pleasuring a man which she wants to include in her book. I think it is only fair that you, my loyal audience, should get this information before anyone else does.

PORN SECRETS

What are some porn industry secrets to keeping men harder longer while shooting a film? I assume they use editing tricks (like repeating the same shots over and over), Viagra (or other ED drugs). Do they still use fluffers? What else?

Yes, editing, lots and lots of editing!

But nowadays, it’s “better living though chemistry!” No, fluffers are no longer necessary. Pity!

Loads of guys use CAVERJECT.  This will give a guy 8 hours of wood, regardless what he is doing. He could watch his mother get hit by a train and he would still have a boner. As you can imagine, this has nothing to do with being aroused, it’s simply a matter of circulatory mechanics. It’s just one more thing that’s faked in the industry.

For the rest of us mere mortals, I always suggest the use of a cockring. Be sure to check out my tutorial: Cockring Crash Course HERE!

SEX GUILT

I will be discussing sex guilt and its repercussions. As a former Catholic priest, we’re sure you’ve dealt with your fair share of sex guilt either in yourself, your penitents, or your current sex therapy clients.

Yep, in all three!guilt-and-shame

What are some reasons behind sex guilt?

The truth is, there is very little sex related guilt without the accompanying shame. In my opinion, the shame comes first. Someone or some institution instills the sense of shame for the behavior; the individual experiences guilt when he/she engages in the shamed behavior. And, mind you, this stigmatized behavior could be anything from masturbation or eating pork.

How does sex guilt manifest itself?

In many different ways. It’s such a personal experience. For most people guilt reinforces and internalizes the shame that was engendered by someone or some institution outside of the person. (See my comment above.) A common response to sex guilt is hiding, suppressing thoughts and feelings, denying thoughts and feelings, avoiding triggers, or just shutting down. Others punish themselves, which can engender a vicious cycle self-hatred.

However, the most pernicious form of guilt actually reinforces the behavior. Here’s how that works. I do something I’m ashamed of; I feel a deep sense of guilt; then I punish myself for my transgression. This in turn makes the behavior all that more seductively attractive to me, which makes me do the behavior again, all so that I can punish myself again. And, as you can see, the punishment, not the pleasure, becomes the reward. It’s all really very insidious.

How can one overcome their guilt about sex acts?

One starts by unraveling the system that instilled the shame in the first place. One goes back to the source of the shame — church, parents, etc. He/she tries to understand the reason why the shaming was done — protect the sanctity of the body, a means of controlling human urges, etc. Then one demythologizes the shaming. Without shame there’s little to no guilt.

Have you heard these statements and how would you respond to someone who is dealing with these specific issues:
1. A women who go down on a guy is a whore.

I would help the individual see that statements like this are made by people who don’t believe that women should enjoy sex; they shouldn’t be active participants. Sex is for procreation, not pleasure. There’s only one way to have sex—particularly for women—they should be unengaged and passive receptacles, nothing more.cordially invited

2. Men who go down on women are unmanly.

I would help the individual see that this kind of statement is made by people who are trapped in a perverse sex-role stereotype. I mean, who gets to determine what is manly and what isn’t? The one who makes this determination wins the debate, right? Each individual ought to get to decide what is manly, womanly. There is no artificial norm.

3. Anal sex (between straight people) is wrong/dirty/gay.

I would help the individual try to take apart that statement. Wrong? Does that mean there’s a right way? Who gets to determine that? Dirty? Are some parts of the body more wholesome than others? Whose prejudices are at work here? Gay? Why must we demonize this particular class of people? Where do the phobic reactions to same sex behaviors come from? Are they legitimate things to be feared, or are they culturally induced? If they are culturally induced, what was the original motivation? See my response to your question: How can one overcome their guilt about sex acts?

4. The lady/whore complex that straight men may entertain.

Someone set up this dichotomy long before any particular modern straight man bought into it. Who set it up? And why did they set it up? At who’s expense? Who’s sexuality do they fear? Does preserving the male privilege have anything to do with it?

5. Pornography is evil/degrading/terrifying/wrong.

Again, why evil? That’s a throwback to an outmoded cosmology, right? And even if someone decided there is dirty magazinessuch a thing as evil, who gets to decide what evil is? What was evil 100 years ago, or in a different culture, may not be considered evil today, or in another culture. This suggests to me that “evil” is not a universal, but culturally determined. Again, who gets to determine that? And whose prejudices are at work when the determinations are being made? Degrading? Sure, porn can be degrading, but so can working at Walmart! If it is consensual and free of coercion, can it be degrading? And if porn is degrading why is it that we are not as concerned about all the other things that degrade human kind? Terrifying? I think comb-overs are terrifying. Wrong? (See evil above.)

ANAL SEX

Some people argue that the anus can suffer damage and begin to leak with too much anal penetration. Is there any biological basis behind this? Or is it just another “myth”?

Sure, one can injure him/herself with irresponsible penetrations of any orifice. But what is “too much” penetration, anyhow?

Any butt pirate, from the rank amateur to the power bottom, knows the importance of keeping their pelvic musculature in tiptop, no pun intended, shape. This is where Kegel exercises come in handy. Strong and toned PC muscles (pubococcygeus muscle) will allow you to enjoy ass fucking for a lifetime without the heartbreak of springing a leak.

PART 1 of this series HERE!   PART 3 of this series HERE!

Giddyup

It’s Product Review Friday again! This week I have Part 1, of a two part series, aimed at the men folk in our audience. This week’s product, as well as next week’s product, come to us from the ingenious people over at Bodispa.  When they sent us two of their massagers for us to review early last summer, we had no idea what kind of interesting things would soon follow. If you haven’t been keeping tract of the reviews, all meand do! Simply use the search function in the header and type in “Bodispa” and PRESTO. All the products we’ve review will appear.

Dr Dick Review Crew member, Carlos, is here with his thoughts and comments on today’s product.

Tigra 24 capsules —— $29.95

Carlos
Wow! Here we are at the end of 2013 and I’m just getting around to positing my first review of the year. Last time I posted, I was lucky enough to review one of last 2012’s Best Products of the Year. I reviewed the Deuce Male Harness.  This time around I think I have another winner.

Those of you who follow my reviews will know that I disclosed last year that I had prostate cancer and that I had a radical prostatectomy, which removed my prostate gland as well as some of the surrounding tissue. This totally devastated my sex life. Not only did my parts no longer work, I couldn’t get an erection to save my life, but I had no libido either. I mean I was never a sexual maniac or anything, but I always enjoyed sex and thought I was pretty good at it. And I gotta tell ya, not having things work like they should, can be very depressing. I used to take all of this for granted. Not any more.

Over the past 18 months, since my surgery, I’ve been working at regaining a sense of my sexual-self. It’s been a slow process. Mostly it involves masturbation. With the help of a penis pump and a cockring, I’m beginning to enjoy an erection again. This is where today’s product, Tigra, comes in. By the way, this product comes to us from the Bodispa people out of Canada.TIGRA small

Tigra is what we here at the Review Crew lovingly call a boner pill. It’s a safe, all natural herbal erection enhancing formula. Look HERE for a list of ingredients.

Perhaps you are like me; I’ve tried other erection enhancers only to be disappointed or concerned that these products are not what they say they are. But one thing Tigra can say about itself, that no other similar product can claim, is that it is certified by Health Canada.

Tigra is more of a supplement than some kind of a Viagra knockoff. It’s the kind of product that builds up in your system and not one that simply provides a jolt from the blue. One of the reasons I don’t take the pharmaceuticals or their knockoffs is I don’t like all the side effects — headache, that flushed feeling, upset stomach, rise in blood pressure, or altered vision.

The suggested dose for Tigra is one or two capsules daily. I found that one is plenty for me. I did experience an improved erection after a few days on Tigra. But more importantly, I seem to have more of an interest in sex since I started using this product. I’m not anywhere near where I once was before my diagnosis and surgery, but I’ve learned, from working with Dr Dick on this, that I need to stay focused on what’s possible for me now because this is my new normal.

The thing I’m most grateful for, now that I have been using Tigra, is I’ve regained some of my lost confidence. I can’t tell you how important that is to me. So I’m thinking, if this product has made such a big impact on my sex life, with all the problems I’ve been having lately, I’m pretty confident that other guys, with just run of the mill erection concerns, will benefit too. Let’s face it; even if we care for ourselves, eat right, and get lots of exercise, the aging process takes its toll. Tigra might be just the lift, no pun intended, that you need to regain your sexual edge.

At the same time, I don’t want anyone to get the wrong impression. Tigra isn’t some kind of miracle potion, nor is it an aphrodisiac, whatever that is. But it does stimulate blood flow to my genitals, gives me an energy boost, it also stimulates my libido, and all that builds my confidence. Frankly, when you have all that goin for ya, ya don’t need a miracle.
Full Review HERE!

ENJOY!