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Serious Business

Name: Lola
Gender: Female
Age: 37
Location: Tennessee
I have been married for 13 years. We have had a pretty healthy, fulfilling sex life. My husband does not like to admit to his insecurities but i think he has some insecurity about his penis size and lately, his problem with not lasting very long. He has developed an obsession with stretching my vagina and pulling my labia. He knows i don’t like it. The other night, he introduces a dildo he has secretly purchased. I have enjoyed dildos, even larger ones, in the past, but this one was ridiculously too big. It was over 12″ long and the circumference was as big as a baseball bat. I told him that it was hurting and that it was impossible. He forced it in me. I was crying in pain and he tells me later that he hasn’t been that aroused in years. I am hurt. It hurt me physically, i bled a little, but it hurts more emotionally. What do you think is wrong with him? He has never hit me or been abusive with me, in the past.

Jeez darlin’, that’s fucked…big time.womanlooksdown.jpgHere’s the thing about men who have sexual insecurities. They can, and often do, project their perceived inadequacies outside of themselves and then act out. And almost always this projection and acting out is aggressive and abusive. (Unless he’s just spending his money on a pimped out Hummer to compensate for his little dick.) Either way, it’s not pretty.

I suppose you know what we’re talkin’ about here, right Lola? It’s sexual assault. I mean let’s not mince words. Your husband assaulted you. It was premeditated and worst of all he took pleasure in it. This is extremely disturbing, because, despite his non-aggressive past, he has just upped the ante exponentially. You know what they say about domesticated animals that inexplicably develop an aggressive steak. Once they get a taste for blood there’s no turning back.

I think your old man has severe anger issues. Issues that if left untreated will…not maybe, but absolutely will…escalate into more aggressive and abusive behavior. Your guy needs help. He needs to know that he stands on a precipice. He is developing a cognitive and affective connection between violence and pleasure and this is very dangerous for all involved, especially you, Lolaabuse_1.jpg.

You don’t mention any remorse he may have had about this assault. This too is disturbing. Since you can’t precisely pinpoint the cause of his acting out, you’ll never really know when you’re safe and when you’re not. I encourage you not to treat this lightly. Confront him about this. Make it clear to him that he has violated the bond of trust between the two of you. He may try and shift the blame for this incident to you. But remember, you’re not at fault. Insist that he seek professional help immediately. Anything short of him doing that will nullify your relationship.

No waffling on this, Lola! You do not want him to get the message that this incident can be winked at or overlooked. Your wellbeing hangs in the balance.All unwanted, forced, manipulated, or coerced sexual contact or activity is sexual assault. Sexual assault is not about sex, eroticism or desire; it is about power, control and abuse.

Name: JIM
Gender:
Age: 30
Location: WASHINGTON,USA
I’m uncircumcised with about 1 inch of foreskin overhang. I have never seen another man with any longer hood. I get a lot of smegma build up after a day of sweating and pissing and by the end of the day I can smell my ripe hooded cock, is this normal to get so much build up?

Everybody’s body is different. The length of your foreskin may not be the only thing that distinguishes you from everybody else. Some people, and you may be one of them, have overactive glands that can contribute to distinctive body odors. This is a holdover from our pre-human ancestors. In the animal kingdom, strong odors signify virility and definitely contribute mating success. Things are quite different nowadays. Strong body odor suggests poor hygiene rather than virility and it will absolutely sabotage mating success.

Problem odor is most often associated with the musky areas of the human body —phimot4.jpg underarms, crotch and feet. But some people have problem odors in their mouth, sinuses and scalp. Sometimes these problem odors are associated with an infection or another health concern. But generally speaking, strong body odor is associated with inadequate hygiene.

Uncut men need to pay particular attention to cleaning their cock. If you’re not careful to completely retract your heavy hood when you shower or bathe everyday you will have a problem with odor. Poor hygiene can also contribute to something more serious like phimosis. The popular wisdom about cleaning under your foreskin is that soap is unnecessary. A full rinsing with warm water should be sufficient. If you need soap, use a very mild, hypoallergenic soap for this delicate area. Ether way, fully retracting your foreskin is essential. I’d also encourage you to retract your foreskin when you take a leak. That way you won’t have that pissy smell.

Finally, there is an awful lot of evidence that shows a direct connection between one’s diet and one’s personal odor. If you continue to have a problem avoid refined sugar, white flour, hydrogenated oils and other processed foods. Cut back on red meat consumption, alcohol and caffeine. A diet high in fiber, one that has lots of whole grains, leafy vegetables, sprouts, fresh fruits, soy products, raw nuts is your best bet for regaining a more acceptable smell.

Name: Karen
Gender: Female
Age: 36
Location: Portland
I have a really big problem. I can’t keep a girlfriend because once I’m in a committed relationship I lose my desire for sex. I don’t mean it slacks off; it just totally stops. I’ve always been this way. I can have casual sex with women, but when things get serious sex goes out the window. This has been the demise of every relationship I’ve ever had. I’m currently dating this really great woman, but I’m afraid my problem will drive her away too. Is there anything I can do to stop this from happening?

Whoops, looks like another case of dreaded LBD…Lesbian Bed Death.

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Ya know it’s pretty common for lovers in long-term relationships to gradually lose interest in sex with each other. But lesbiterians are particularly susceptible to this malady. Some couples, but lesbians in particular, end all sexual expression between them; yet stay very committed and loving toward each other. Thus the somewhat humorous term, “lesbian bed death.”You Karen, apparently suffer from a particularly nasty case of LBD.

May I ask, is this an issue for you because, and only because, it kills off all your relationships way too soon? Or are you concerned about this because you, yourself, are uneasy about the complete cessation of sex once you nest? The reason I ask is, if the only reason for changing is to please someone else, even someone you like a lot, the likelihood that you will actually change is considerably less than if you, yourself, desire the change.

lesbians0.jpgLet’s say you really want to change for yourself, but you just don’t know how. I’d advise working with a sex positive therapist. If you and I were working together, for example, I’d want to get to the bottom of what triggers your attitude shift toward sex when you nest. Is there some disconnect for you between sex and intimacy? If there is a disconnect for you, you’re not alone. People with self-esteem issues, or body issues, people with extreme scruples about sex, the kind that translates into guilt and shame often have a similar disconnect. And gay and lesbian people who have not resolved their internalized homophobia will frequently have a sex and intimacy rift.

Sound familiar? I would guess so. Reversing this unhappy trend is not an insurmountable task. But it will take a concerted effort to heal the divide that you may have between your sexual expression and intimacy needs.

You say you’re met this really great woman and you want this relationship to last. FANTASTIC! Is it safe to assume that she has a healthier appreciation of sex then you? If she does, I suggest you engage her in your healing process. However, you gotta be totally up front with her about your past pattern of disconnect. Marshal her sex-positive energy to help you resolve your issues. She will need a heads-up on the impending sex shut down though, so she can help you resist it. With her help, the two of you could move through this together.

Name: Wayne
Gender:
Age: 26
Location: Philadelphia
Hey Dr. Dick I have a little issue that has stumped me, my doctor, and numerous urologists. I figure there’s no harm in asking one more person. I have never, not once, been able to cum normally. (I suppose there is a normal way, considering every other guy I’ve ever met has been able to do it that way.) The only way I have ever achieved orgasm is by laying on my stomach, putting pressure with a slightly closed fist on the spot where my dick meets the rest of my body, and sliding back and forth. Weird aside — this was a way to lift myself up off the floor and “fly” as a young kid, then one day I found out that it was pleasurable. I know- weird little boy. But this is anonymous, right. Anyway, fast forward to my twenties and becoming sexually active and now I have a concern. I want to be able to cum by having intercourse or just jacking off. But I’ve never been able to. I can come very close, but the deal just doesn’t happen. (Never have a problem getting hard.) Any thoughts? Thanks for your time. Wayne

Interesting masturbation technique you got there, my friend. While it is indeed unique, it is not the most distinctive style I’ve even encountered in my career. Someday I oughta write a book.36.bmpWhat’s most amazing to me about what you write here is that this predicament of yours has stumped all the physicians you’ve consulted. I suppose that says volumes about how informed most medical doctors are about human sexuality.

Simply put, Wayne, over the years you’ve habituated your body to respond pleasurably to a particular stimulus. Ever hear of Pavlov’s dogs? Right! What we have here is exactly the same thing, only completely different. ;-) You apply the stimulus — laying on your stomach, putting pressure with a slightly closed fist on the spot where your dick meets the rest of your body, and sliding back and forth. And your body responds with an orgasm.

Most all of us, both female and male, discover the joy of self-pleasuring accidentally. Your first encounter with masturbation, although you probably didn’t know that’s what it was called at the time, was through your boyhood attempts to fly. And fly you did! As you suggest, most other people discover self-pleasuring in a more conventional way, through touch. Thus the more “normal” — and I use that word in quotes — means of getting one’s self off is manually.33.bmp

Your unique style of self-pleasuring is completely benign, but it doesn’t really lend itself to partnered sex, as you say. I mean, how awkward would fucking be if you had to get off your partner and on to the floor to cum? So is there a solution? Sure there is. And it’s not a particularly difficult nut to crack…so to speak.

Let me tell you about a former client of mine. He was about your age when we met several years ago. He presented a similar concern to yours. He learned to masturbate in the same position as you, lying on your stomach, but he got off by humping a pillow in that position. Try as he might, he never was able to get off any other way. This was driving him crazy. He couldn’t date anyone, because he was too embarrassed about the whole pillow thing.

Over the next 4 or 5 weeks I helped my client learn a new way of self-pleasuring that would lend itself to happy partnered sex. The object was to rid himself of the need for the pillow altogether and we did this in incremental steps. Luckily, my client was a horny little bugger. He masturbated at least twice a day, sometimes even more frequently. I decided to use his natural horniness as part of the intervention.

My client had to promise me that he wouldn’t masturbate in his traditional way for one full week, absolutely no pillow sex for an entire 7-day period. If he failed to keep his promise, he would have to start all over from day one. At first he couldn’t see the purpose in this moratorium, but I insisted. By the time I saw him next, the poor boy had blue balls for days. So he was primed and ready to go. His next exercise was to change position for his first masturbation after the weeklong moratorium. He could masturbate with his pillow, but he had to lie on his back. He was not permitted to roll over on to his stomach. This wasn’t immediately successful, but his pent-up sexual energy finally carried the day and he got off in the first new position — on his back — since he learned to masturbate.

I gave him a new exercise the following week. While on his back, he could use the pillow35.bmp to rub himself, but only to the point where he was about to cum. At that point, he was to put the pillow aside and finish himself off with his hand. This was only slightly more difficult than the previous exercise. And within two attempts he finally got himself off with his hand for the first time in his life. The rest of his therapeutic intervention was simply following this behavior modification course of action till he didn’t need the pillow at all.

I assume you see where I’m going with this, Wayne, right? You could do this same sort of intervention on your own to learn a new and more traditional way of masturbating, but you’d probably have more success working with a qualified sex therapist.

The firm desire to change a behavior or habit is the most important aspect of the process of change. Second is denying yourself the convenient and habitual stimulus — in your case, your flying masturbation style. This will drive you to find a replacement means of getting off — a more traditional manual style. Weaning yourself off one style of masturbation incrementally till you are successful in replacing that style with another is the most efficient means of behavior change. I encourage you to give it a try.

Good luck ya’ll

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Bewitched, Bothered and Bewildered!

Name: Jean
Gender: female
Age: 36
Location: New Haven, CT
I’ve been with the same man for 14 years. We both decided to become Christians about a year ago. Now he’s not interested in sharing the same bed and not interested in having sex with me. It tried to overlook this hoping it was some kind of phase, but it goes on and on and he still doesn’t want sex. He’s the only man that could ever satisfy me sexually. I dated a few guys, four to be exact, before we met. I still love this guy but he won’t acknowledge my feelings. I feel like I’m losing everything, my best friend, my partner, my lover …and my sanity. I’m happy we’re still together, but I’m frustrated to the point of exhaustion without my sex life. Any ideas what I could do to turn this around?

What an unhappy tale of woe you have you have to tell, Jean. The Christian conversion thing didn’t quite work out like ya thought, huh? Well maybe it has less to do with Christianity per se, and more to do with the Joe you converted with.

I’ve heard similar complaints from other people whose partners have unilaterally decided to make a radical life-change for themselves. Often these new zealots fail to appreciate how their life altering decisions impact on the wellbeing of their mate. And because they are so damn single-minded about their new passion — as every zealot is, there is rarely any talking to them.

Two former clients come to mind. First, there was George, a gay man in a 10-year relationship with this other really sweet guy, Robert. Eight years into the relationship Robert had a heart attack. Despite a full recovery and living a much healthier lifestyle after the hear attack, Robert got it in his head that if he were to have sex again, it would kill him. There was no reasoning with him. No sex ever again, period. This otherwise blessed relationship ended painfully. Pity that!

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Another client, Melissa, discovered long-distance running two years into her marriage to Allen. She became like a woman possessed. Running consumed her. Her career, her friends and family, her social life all suffered. But no one took the brunt of her newfound craze more than her husband. At first sex was out of the question because there was no time. Then all that body-punishing running radically changed her metabolism. She even stopped menstruating. Her libido virtually expired. Even the imminent demise of her relationship didn’t alter her running routine. So basically old Melissa just ran away from her marriage. Simple as all that!

In your case, Jean, your partner appears to have bought into the some of the worst sex-negative messages of Christianity. I suspect that there’s no turning this around and, unless you wish to continue to sacrifice your sexuality on this unworthy altar, I’d suggest you make peace with the fact that life will never return to how it once was.And what’s all this about he being the only man who could satisfy you? You’ve had only 4 other partners, for christ sake! And most, if not all, were crummy lovers. Am I right? You’re not the kind of gal that quits shopping for shoes after trying on only 5 pair, are you?There is a whole world of men out there that would be happily give you what you aren’t getting at home and some of them may even be good lovers. If no accommodation can be made with your husband about fulfilling your needs, than I suggest you beat a hasty exit.The longer you stay in this unhealthy environment the greater the chance will be that you will become more and more embittered. God gave us the gift of sexuality for a purpose. It was meant to give us pleasure and enhance life. Your sexuality is in danger of becoming just the opposite of what nature intended. Do yourself a favor and choose life and happiness. You’ll be glad you did…so will God.

Name: Pete
Gender: Male
Age: 22
Location: Ohio
dr dick: I am gay and i have no idea how to break it to my family. and they say all the time when they see a gay guy look at that fag glad he’s not my kid. i would disown him. just wondering if u could help me.

Ain’t it a bitch being surrounded by a bunch of yahoos! Coming out is rarely easy, but doing so to ignorant, fearful, bigoted people is the worst.

Pete, you should know that all bigotry is deeply rooted in the bigot’s own fear about him or herself. It stands to reason, all irrational fears and hatred, like homophobia, are more indicative of the troubled psychological make-up of the one with the prejudice, rather than the people he or she abhors.

Often people will use religion to back up their prejudice. It’s particularly galling when non-religious people do this. But it’s safe to say that authentically religious people don’t need to persecute or ostracize those who do not believe as they do. Any more than authentically heterosexual people need to persecute or ostracize people of other sexual persuasions. Let that be the standard by which you judge the worth of any message coming from a religious dogmatist or a moralizing heterosexual.9e.jpg

Before you start in on the self-disclosure thing with your family, Pete, I suggest you first try to clear a path for that discussion. Begin by challenging those around you who shame or denigrate those who are different. Ask them why they make such ridiculously uninformed and hurtful statements. Ask them if degrading other people makes them feel superior. And if it does, what does that say about their inadequacies. You could suggest that their intolerance of gay and lesbian people proves they have some hidden, unresolved sexual issues that they need to address. I mean — “me thinks you doth protest too much” — and all that, right?

If your family environment doesn’t improve with that tactic, you may find that, at least in the short run, discretion is the better part of valor. Sometimes coming out to one’s family is best done only after you’ve come out to friends and co-workers. This strategy will provide you a bank of support that you can fall back on if the family disclosure things turn out badly.

My counsel to those just starting the coming out process is to reserve the good news about you and your sexuality for the audience best situated for receiving it. Celebrate your queerness with open-minded people first. Nowadays there’s much more acceptance of alternative lifestyles in the popular culture then ever before. Particularly younger people seem to have more tolerance for diversity. But however you choose to handle this difficult but important developmental task, don’t sink to the lowest common denominator. Don’t cave into the bigotry that surrounds you. Don’t let it intimidate you into a life of shame, repression or self-loathing. Live authentically. Pete, and live proud! Because when you do, you are a shining example of a happy, healthy, integrated and well-adjusted human being.

Finally, just remember you are not alone. Sex positive and gay positive organizations abound. If you need help with any of your coming out, if you’re feeling isolated and alone — turn to one of them. They are there to help. And there are even support organizations for your family members too. Turn them on to: PFLAG (parents and friends of gays and lesbians).

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 cock ring and that helps I guess. Is there anything else I can do to increase my performance to match my libido?

Your concern is a familiar one, Bob. 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.p.jpg

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 experimenting 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.

This 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 himself or herself, 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 them. 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 interferers with or even shuts down the sexual arousal, then 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, ya’ll

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