Tag Archives: Q&a

Finger Your Hole For Your Health

Name: Gordon
Gender: male
Age: 67
Location: Florida
I guess I have more of a comment than a question. I’m 67, a widower and have been recently diagnosed with prostate cancer. I never was very adventuresome when it came to sex. In fact before my wife died two years ago I never had sex with any other woman. I never gave prostate cancer a thought, never gave my prostate a thought either. Now I’m mad as hell that I didn’t. You see when I started to go to a prostate cancer support group I discovered I could have monitored myself better with a simple self-examination. Why don’t doctors tell us about this? Women are supposed to examine their breasts why don’t men examine their prostate? It’s so easy actually and yet it’s this big secret. Why don’t people talk about this? It makes me so mad because it could have made a big difference in my own life. Do you know about this self-examination Dr Dick? If you do why don’t you tell other people about this? I think it would help a lot if you could get the word out on this. Now that’s all I have to say. Thank you.

No, thank you Gordon. Thank you for sharing your concern with me…with us.

I’ve been an active proponent of prostate self-exam for many years. Let me explain. My career as a therapist began in San Francisco in 1981. As you may recall, that was precisely the same year a mysterious new disease began showing up among gay men. Back then it was being called gay cancer, but soon it would have another name — HIV/AIDS.

give prostate cancer the fingerNot surprisingly, my private practice focused down almost exclusively to working with sick and dying people. Luckily, I discovered that I was well suited for the job and I liked it very much. So much so that in the mid-90’s I founded a nonprofit organization called, PARADIGM, Enhancing Life Near Death. It was an outreach and resource for terminally ill, chronically ill, elder and dying people. This was brilliant cutting-edge work and I learned so much from the people I was working with. One of the things that struck me most was that regardless of the disease — cancer, HIV, MS, you name it, or aging process for that matter — there was always a woeful lack of information about regaining a sense of sexual-self post diagnosis, or sexual wellbeing for seniors in general.

This was such an important topic for me that I decided to include a chapter on sex and intimacy concerns for sick, elder, and dying people in my book, The Amateur’s Guide To Death And Dying.  I am proud to say that it is one of the only resources of its kind available in print.

I recall one PARADIGM group in particular, there was a man much, like you, Gordon, who had fingering his assprostate cancer. And, like you, he was mad as hell with the indifference of the medical industry toward prostate self-exam. One day during a group session, John was railing against his doctors and cancer associations for their lack of interest in promoting prostate self-awareness. He pointed to the success of the cultural campaign to get women to do breast self-exams. Like you, Gordon, he couldn’t understand why there wasn’t a similar campaign for men.

Another group member, Marie, a senior woman in her 70’s and a breast cancer survivor, helped put things in perspective. She reminded us that breast self-awareness in our culture is a relatively new phenomenon. Her mother, aunt, sister, and a niece all died of breast cancer before the self-exam campaign began in earnest. Clare went on to say that it was only through the hard work of individuals and grassroots organizations that actively campaigned for breast self-exams that things began to change. Eventually, this movement changed the cultural mindset. Clare said that it was these individuals and grassroots organizations that helped all of us — medical industry, the cancer lobby and women in general — overcome the denial, shame and embarrassment that was associated with women touching themselves, even to save their lives.

prostate examThis is an indication of just how ingrained the sex-negativity and body-negativity runs in this culture.

I continued to work with sick and dying people here in Seattle. I had a brief gig at a local cancer center where I developed an NIH (National Institute of Health) funded program for women newly diagnosed with ovarian cancer. I was also working with a group of women with breast cancer and another group of men with prostate cancer. Again I realized that just about every therapeutic intervention I encountered — government funded or foundation funded — was woefully lacking in any clear and unambiguous information about sexual health and wellbeing and intimacy issues.

To remedy this, I began planning a video series for people experiencing life threatening and/or disfiguring illnesses. Videos that would help them address reintegrating sex and intimacy post diagnosis. One of the first videos was going to be Public Service Announcement showing men how to do a prostate self-exam. By the way, this particular film was to be dedicated to my friend John, the guy I mentioned earlier. He died shortly after the PARADIGM group he was in ended. But he died self-aware. He was militant to the end about the pressing need for prostate awareness among men.

Once again the stumbling block I encountered was funding. My grant writing efforts turned up nothing. I did get a whole lot of, “what a fine idea, Richard. Good luck with that…” brush-off letters though. No foundation would be caught dead funding sexually overt pattern films, even ones with the laudable intent of assisting people with the very information they needed most.

I’m sorry to have been so long-winded in my reply, Gordon. I just wanted you to know that many have preceded you with outrage at the conspiracy of silence regarding prostate self-exam. Let’s face it; our society is so ass-phobic that we’d rather see men die than offer them simple instructions how to finger their butt, find their prostate and keep tabs on their prostate health.

If we want this to change we all need to speak out…as well as stick a finger in our ass.

Keep up the fight, Gordon! And please, stay in touch.

Good luck

Another Spring 2014 Q&A Show— Podcast #414 — 04/16/14


Hey sex fans,

We’re back from spring break, so it’s time to turn our attention to the sexually worrisome in our audience. I have another swell Q&A show in store for you today. Each of my correspondents is eager to share his or her sex and relationship concerns with us. And I will do my level best to make my responses informative, enriching and maybe even a little entertaining.

kisses—M:F

  • Carmen is loosing her man to religion.
  • Chad has a big tit fetish.
  • Jamal has a big dick and doesn’t quite know what to do with it.
  • Joe asks about Hepatitis-B and oral sex.
  • Holly returns to tell me about life after her double mastectomy.

Today’s podcast is bought to you by: Dr Dick’s Sex Advice and Dr Dick’s Sex Toy Reviews.

BE THERE OR BE SQUARE!

Look for my podcasts on iTunes. You’ll find me in the podcast section, obviously, or just search for Dr Dick Sex Advice. And don’t forget to subscribe. I wouldn’t want you to miss even one episode.

A Rose By Any Other Name

We’re all back from spring break. The Dr Dick Review Crew is all rested and relaxed. Sadly, I can’t say the same thing about me. oh well, no rest for the wicked.

Doc:

I enjoy your podcast, the frankness and open vocabulary is exactly what I like. No need in beating around the bush, just get to the point. Wish more people would live by that philosophy.

Ok. I am a 45 YO, gay male, very experienced sexually, some say whore… LOL! I enjoy a lot of fetishes; the unusual has always been very attractive to me. The more bizarre the more I will probably like it.

Until I was about 40 I was a DOM top. I started experimenting with the group party world and enjoyed it greatly. Became an experienced fisting top with some formal training, I guess you could call it an apprentice who graduated, or so I thought. Then a few of the FF bottoms suggested I was missing something. Because I didn’t have any experience as a FF bottom I couldn’t realize the true feelings and emotions involved with fisting. I was encouraged to experience fisting as a bottom.

This was a HUGE ordeal for me. The mental change alone was like, wow. The first time I crawled into a sling and had my whole ass on display, legs spread like a woman at her gynecologist…man was I uncomfortable. This was 5 years ago. Now I can hop into a sling and take a fist-fuck fairly easy. I now understand the advice given to me: I finally understand what fisting is all about.

Now my issues.

I have changed. My whole personality has been altered. Changing from a Dominate Top to fisting bottom has created issues with my head and overall sexuality. These changes are now affecting my sex life. I guess I need some help figuring things out.

Thanks,
Jimmy

Thank you, Jimmy, for your message and your kind words about my podcasts.

We really get boxed in with all our self-identification we do, huh? I mean I know why we categorize ourselves and others as gay or straight, top or bottom, sub or Dom. It helps us understand ourselves and communicate in a kind of shorthand with others. But there is a downside to this, as you suggest.sex sling

I believe that human sexual response is a whole lot more fluid than we give it credit for. But this fluidity is often stifled when we overly compartmentalize ourselves or others. Not to mention the fallacy of the binary system — being one thing or the other.  It just ain’t so and you are the perfect case in point.

I’m always talking about how the best tops are those who, on occasion, bottom. The best submissives are those who, on occasion, dominate. Besides the wider range of experience this provides us, we also grow in emotional maturity encompassing both our yin and yang.

Also the words we use to describe ourselves have, over time, become heavily laden with unintended cultural connotations. Top/bottom, sub/Dom are classic examples of this. That’s why I believe that we ought, from time to time, reinvent the language we use to talk about ourselves. In this case, I prefer terms like: giver/receiver over top/bottom. A change in vocabulary can certainly cut through a lot of the cultural nonsense and it can open the door to a more fluid sexual expression; as I believe it ought to be.nekkidbookclub

I hasten to add that at lot of hard-core pervs disagree with me on this. And that’s perfectly fine with me. It’s just that, if our language detracts from our experience, or hems us in, rather than facilitates it, and frees us up, something’s out of whack.

You will pardon the shameless self-promotion, but I’d like to call your attention to my latest book, The Gospel of Kink. It’s a communication and relationship building workshop in workbook form. It centers on the skills us kinksters need to communicate with others, and initiate, build, and maintain the relationships that will serve us well. Learn how to ask for what you want and get what you ask for from the people best situated to fulfill your desires. The book covers a lot of the territory that you raise in your question.

Stay in touch and let me know how this sits with you.

Good luck

Early Spring 2014 Q&A Show — Podcast #413 — 03/31/14


Hey sex fans,rifleman

After a spate of marvelous interview shows, it’s time to turn our attention to the sexually worrisome in our audience. I have a swell Q&A show in store for you today, which just so happens to be our last podcast before our annual spring break. Each of my correspondents is eager to share his or her sex and relationship concerns with us. And I will do my level best to make my responses informative, enriching and maybe even a little entertaining. And I think there will be enough time for us to do some sex science too. So please stay tuned, you won’t want to miss this.

  • Kennedy, Jim, and Ronald’s lives are being fucked up by meth.
  • Sam wants to know about and share some information about penis pumps.
  • Rebecca has a heartbreaking story to tell of the last days before her husband of 46 years died.
  • Tracy asks about babies and gender. So you know it’s time for some Sex Science.

Today’s podcast is bought to you by: Dr Dick’s Sex Advice and Dr Dick’s Sex Toy Reviews.

BE THERE OR BE SQUARE!

Look for my podcasts on iTunes. You’ll find me in the podcast section, obviously, or just search for Dr Dick Sex Advice. And don’t forget to subscribe. I wouldn’t want you to miss even one episode.

We’ve Only Just Begun…

Name: Donna
Gender: Female
Age: 18
Location: Salt Lake City.
I’m turning to you for help, because I don’t have anyone else to ask. My boyfriend, who is 19, and I are very much in love. We plan to marry next year. But we both want to start having sex now. We are both virgins and we think we need help overcoming the natural obstacles, if you know what I mean.

Gee, I’m not sure I know what you mean by natural obstacles. Are you talking about physical things? Emotional things? Maybe you just need a little tutorial on how to get started. I’ll try to at least touch upon all these things, but first I want to thank you for entrusting me with your concerns. I’m sorry to hear that you don’t have others in your community to approach. I guess that says a lot about the family values and community standards where you live.

teen_sexuality.jpgI have lots to say about beginning a sexual life with another person. Curiously enough the information I am about to share is applicable to both women and men and it applies to any and all sexual orientations. That’s the beautiful part of human sexuality. There is so much common ground. In fact, there is way more that we have in common than what separates us.

Ok, so here goes. Be yourselves. Let your natural feeling of affection for one another lead you. Always use a condom (This applies to penis/vagina and/or anal sex.) Be gentle; be curious; seek your partner’s pleasure before your own; and most importantly, have a sense of humor about the whole damned thing.

Just about everyone who is sexually inexperienced will also lack sexual confidence. It can be nerve-wracking not being sure what to do to satisfy your partner. Sometimes this nervousness is contagious. Your anxiety can make your partner anxious. The surefire way to get around this is to not pretend you know what the fuck you’re doing, if ya don’t. The best way to find out what to do is to ask your partner what he/she likes and how she/he likes it. If they don’t know or can’t tell you, then you can find out together with some sex play. And I do mean play, not work.1sexual_response_cycle_male

This is where our natural sexual curiosity comes in. And we all have that to one degree or another. Sexual confidence comes from knowing. Curiosity will bring you knowledge.

There will be no room for curiosity if the only thing on your mind is the old in an out. That’s why I suggest you put off full-on fucking till you get the lay of the land, so to speak. Besides, there are lots and lots of ways to pleasure yourself and your partner that doesn’t involve intercourse.

Like I said, sexual confidence comes with understanding the mysteries of our sexual response cycle. Each one of us is different and the differences are most pronounced between the sexes. If you haven’t discovered at least the fundamentals of your own response cycle through masturbation; then you’re really not really ready to gift yourself to another person just yet.

female sexual response cycleYa see, the more you know about your body; how it works; where your pleasure centers are; the kind of stimulation you need and want to come to full arousal; the more information you’ll have to pass on to your partner. Even if your partner is more experienced than you, he/she will still need to get to know the intricacies of your individual response cycle.

Sexual confidence stems from being able to please your partner. When you know what you are doing you project an air of self-assurance. This is not the same thing as cockiness, mind you, although that might be a very fun attribute to have too.

The best lovers look to pleasure their partners before they expect to be pleasured. Delaying your own pleasure, particularly if you’re a guy, so that you can provide multiple orgasms to your partner will reap great pleasurable rewards for you when it’s your turn. Besides, giving pleasure is often as pleasurable as being pleasured.

Sexual confidence translates into sexual assertiveness. Each partner should take equal responsibility for initiating sex. Trust me, this is not merely a man’s role. And sexual assertiveness translates into sexual creativity. If you’re timid about trying new things, you’re gonna short-circuit a whole lot of pleasure.black teens

Learn to ask for what you want and how you want it. Communication is key to a healthy and vibrant sex life. Never underestimate the your partner’s ability to develop and grow sexually. Check in with your partner on a regular basis. Don’t assume you know what turns him/her on today, just because it turned her/his crank the other day.

Feelings of sexual inadequacy, discomfort with your body, anxiety about your skills will destroy your sex life. If you are plagued with any of these things get help with them before your bring them to a sexual partnership.

sexual confidenceSexual confidence comes down to knowing yourself and being able to communicate your likes and wants to your partner. If you’re simply gonna be passive about your pleasure, you’ll wind up getting only what is dished out to you. And for many women, that is woefully insufficient. Don’t expect your partner to know any more about pleasuring you than you do, even if she/he has had more partners then you.

Allow yourselves the time or space you need to feed your intimacy needs. If you expect to discover sexuality with your partner in the backseat of a car, you’re gonna cum up short. Passion and spontaneity is great, but what I’m talking about is different from that. Think of it as learning to walk before you run.

Being a terrific lover is dependent on know-how. Skill comes through practice. So practice, practice, practice! Keep it fun. When it stops being play and starts being work, put it aside for another day.

Good luck

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