Low libido, intercourse pain, orgasm problems?

— Sexual-health doctors are trying to help

Some Canadian doctors aim to address what they call near-total lack of support for women’s sexual health

A small number of Canadian doctors specializing in women’s sexual health are trying to address what they say is a near-total lack of support for those suffering from common problems such as low libido, difficulty achieving orgasm and pain during intercourse.

“In terms of the juxtaposition with men’s sexual functioning, we are behind and it’s really frustrating,” said Dr. Stephanie Finn of Oakville, Ont.

Finn is one of five Canadian doctors trained by the International Society for the Study of Women’s Sexual Health (ISSWSH), based in Burnsville, Minn.

While help for male sexual dysfunction has been widely available since erectile dysfunction drug Viagra burst onto the scene — approved for use in Canada in 1999 — women’s sexual health has remained largely shrouded in secrecy.

“When’s the last time your doctor has asked you about your clitoris? Like never, and that’s fascinating, right? We ask men all the time about their penises and their function, sexual functioning and such,” she told White Coat, Black Art.

I think that there is generally a lack everywhere of interest in women’s sexual functioning, and I’m happy to say that I think that’s beginning to change.”

A woman stands in front of an exam chair in a doctor's office. — Dr. Stephanie Finn is a family doctor focusing on women’s sexual medicine.

Originally a family doctor, Finn found that so many of her female patients needed help with sexual issues that she decided to focus on sexual medicine, opening her clinic about a year ago.

Part of that work is simply teaching women about their bodies, she says.

“It is really common for women to have almost no understanding of their own anatomy,” Finn said.

“I’ve had women who really haven’t a good idea about where their clitoris is. I’ve had people say, ‘Oh, I’ve always wondered,’ and sometimes I’m slightly surprised by that response in women who are in their 50s.”

Finn offers her patients the option of holding a mirror while she gives them a guided tour of their genitalia. Or she’ll use a 3D model to show patients things such as how the clitoris is actually a wishbone-shaped organ, with only the clitoral bulb visible externally.

An illustration of the parts of the vulva. — Parts of the vulva.

A study published in the Journal of Sexual Medicine in 2023 found that the bulb has around 10,000 nerve endings. That’s compared to about 7,800 at the tip of the penis, according to a paper published in the same journal in February.

A culture of shame

Some of that knowledge gap and reluctance among women to seek help for sexual-health issues is tied to cultural shame, says Dr. Stephanie Hart from Okotoks, Alta., another ISSWSH-trained family doctor.

In North America, vaginas are dirty. Like, I actually had somebody say that to me yesterday,” said Hart, who opened her specialized clinic in 2019.

For some women, that’s simply because they are grossed out by bodily fluids, including those that come out of the vagina, she says.

An exam chair inside a doctor's office. — A chair used for gynecological exams in Finn’s clinic. Many women are uncomfortable with speaking openly about sexual health.

But for others, it’s a morality issue: “You know, ‘sex is shameful.’ That’s a very common attitude that I see people [have]. And kind of unsurprising that people would then have sexual dysfunction when they feel that way about it.”

Despite people’s difficulty talking about their sex lives, these clinics are busy. Hart says she sees 250 new patients every year in her practice, 75 to 80 per cent of them being women, but is referred around 400.

“So every six months, I’m another three months behind.”

Finn said she sees about 15 new patients every week at her Oakville clinic.

A model of a vulva. — Finn often shows her patients a model of a vulva to help familiarize them with their own anatomy.

Most Canadian women do not have access to a doctor who specializes in sexual health. Existing clinics where women have traditionally sought care for sexual health are focused on contraception and infection, says Hart.

These kinds of clinics refer patients to her when they bring up difficulties like pain during sex or low libido, Hart says, as do specialists such as gynecologists.

Help for low libido

Carolina Jara, 57, says she used to be a very sexual person, but since menopause, her libido has tanked.

“My libido went somewhere. I don’t know, maybe back home,” joked Jara, who is originally from Peru but lives in Vancouver.

She says she’s worried about how that can impact her relationship with her husband of eight years. And that part is not a laughing matter.

A close-up of a woman with white earrings and a red top. — Carolina Jara, 57, says she used to be a very sexual person — but now, she is suffering from low libido.

“He still wants it, but I don’t get ignited, I don’t get an orgasm for many years. So it feels more like a duty, more than something that I enjoy.”

There are two medications approved for use in Canada that can be used to increase sexual desire in women: a pill called flibanserin, and a self-injectable called bremelanotide.

Unlike Viagra, which is used on an as-needed basis and acts by increasing blood flow to the penis, both of these drugs impact the brain chemicals that influence mood and sexual appetite. Flibanserin must be taken daily and has been shown to have serious potential side effects.

Flibanserin, pictured above, is one of two medications approved in Canada that can be used to increase sexual desire in women.

Critics have argued that libido problems are more a matter of mismatch between the sexual appetites of partners that would be better addressed with relationship counselling.

Flibanserin, ‘female Viagra,’ distracts from real causes of low libido: critics

A non-medical tool for addressing low libido or difficulty achieving orgasm is a class of sex toys sometimes referred to as clitoral suction devices.

“We have wonderful studies actually now showing improved clitoral blood flow and pelvic floor blood flow using these devices,” Finn said. “We know they can make a huge difference for women when they are attempting to achieve orgasm.”

Pain during sex

But sexual-health issues are by no means the exclusive domain of older women, says Finn, whose patients range in age from teenagers to octogenarians.

Talia Steele, 34, suffered for years from pain during sex, stemming from a series of problems that started with a common urinary tract infection.

Woman with shoulder-length curly hair smiles at the camera. — Talia Steele says she had some early negative experiences with male doctors and felt her problems weren’t treated with sensitivity.

Eventually she got surgery to address the issues. But all the poking and prodding, and her history of painful sex, has had lasting effects.

“There’s always that bit of anxiety, never being able to be fully in the moment, always in your head about what’s going on,” said Steele, who is married and also lives in Vancouver.

“Even though I don’t have that pain, those feelings and thoughts still enter my brain at times, and it can be challenging to try new things or come out of my comfort zone.”

Greater Victoria’s Sex Lady discusses sexual health and how teaching it has evolved

One of the challenges with getting care for women’s sexual-health issues is that there’s no established medical specialty for them.

“You take these women with pain [during] sex, for example, and you send them to the gynecologist who would say, ‘Well, it’s not endometriosis,’” Hart said. That might be the end of the road if the doctor doesn’t know about other options that might help.

Hart says she’s on a mission to teach other doctors how to help, starting with asking patients the right questions.

“Like, actually ask if somebody has pain with sex and then know what to do about it if the person says yes. Because patients won’t always volunteer the information if they don’t know that there’s something that can be done.”

Complete Article ↪HERE↩!

October 2, 2024May 10, 2026

Sexual fantasies

— Should you share them with a partner?

By Matt Kimberley, Jade Elliott & Samuel Jones

The actor Gillian Anderson has just released a book of sexual fantasies. Titled Want, it catalogues a diverse range of fantasies submitted anonymously by women from around the world, writes Dr Jade Elliott, senior lecturer in psychology at Liverpool John Moores University et al.

It is not the first to do so. In 1973, American author Nancy Friday published My Secret Garden, a volume that provoked fierce debate at the time and is now considered to be an important milestone in the sex-positive movement. Each book gives a fascinating snapshot of women’s relationships with their own sexuality at a different moment in history.

Though attitudes, vocabulary and specific fantasy content have undoubtedly changed in the intervening half-century, there are striking similarities between the books. This is not only true of the subject matter — workplace flings and group sex are apparently timelessly appealing — but also of how people feel about their fantasies. Shame, in particular, continues to loom large in many women’s feelings about their own erotic imaginings.

Past research indicates that most adults (of all genders) experience sexual fantasies, suggesting many of us have grappled with the question of whether to tell a partner about ours. Over the past four years, we have been conducting research that explores this question: how do people decide whether to disclose their sexual fantasies – and what happens when they do?

An act of closeness

The women featured in both My Secret Garden and Want vary considerably in the degree to which they have chosen to share their fantasies with a partner. Some describe passionate relationships enhanced by the disclosure and enactment of erotic fantasies, while others intend to take their favourite fantasy to the grave.

We were interested in understanding the psychology of such radically different approaches. In a study published earlier this year in The Journal of Sex Research, we asked 287 people to reflect on a recent or prominent sexual fantasy. We found that over 69% of participants had previously disclosed their fantasy to a partner. Of those, more than 80% found this to be a positive experience.

Unsurprisingly, participants commonly cited sexual desire as their main reason for opening up. For example, many said they had shared their fantasy with a partner in the hope that they could act it out together. Others reported that they found talking about sexual fantasies arousing, or that discussing secret desires allowed them to learn more about their partner.

Several participants explained that they valued honesty and openness and that the level of trust and commitment in their relationship made them feel safe to share their fantasy with their partner.

Not all reasons for disclosing fantasies were positive, however. Some said they disclosed their fantasy in a last-ditch attempt to spice up an unsatisfying sex life.

The power of shame

Among the group who had chosen not to share their fantasy, many cited its content as the primary reason. Consistent with accounts in both My Secret Garden and Want, several of our participants were ashamed of their fantasy, or felt it to be too extreme or taboo to share with their partner.

Some — especially those whose partners had not responded well to similar conversations in the past — were worried they would receive a negative response that could cause problems for their relationship. We also heard from several people who explained that, put simply, their fantasies were private joys that they had no desire or intention to discuss with anyone.

In a series of follow-up studies yet to be published, we explored some of these ideas in more depth. One important finding is that relationship traits are a key predictor of whether a person will disclose their fantasy. For example, disclosure was more likely in relationships that already involved large amounts of sexual novelty and exploration.

We also confirmed that the content of a fantasy is critical to a person’s decision about whether to share it. Anything that is likely to be considered unacceptable by a partner or is otherwise potentially threatening to the relationship (such as a move away from monogamy), is unlikely to be disclosed. Indeed, even among participants who had previously shared a fantasy, we found over half also had at least one more that they were unwilling to divulge.

While our findings suggest that people who choose to tell their partner about their erotic daydreams usually get a good response, we also found that the process by which people reach that decision can be complicated. Some people have very good reasons for keeping their fantasy to themselves.

Hopefully, Want will help to reduce some of the shame associated with the very common experience of fantasising about sex. But its similarities to a book published 50 years earlier suggest we may still have a long way to go.

Complete Article ↪HERE↩!

September 19, 2024May 10, 2026

I’ve been studying sexual fantasies for over a decade

— Here are the most common

By Jessica Lindsay

What can turn you on with just a thought? Is there a specific genre of erotica you always gravitate towards? What pops into your head when you’re in the mood?

Gillian Anderson’s new book, Want, reveals the deepest desires held by women around the world, categorising the 174 anonymous personal essays into chapters like ‘To Be Worshipped’ and ‘The Watchers and the Watched’.

The stories included in the collection range from daydreams of lesbian exploration and office romances to altogether more niche imaginings such as having a three-way with the Weasley twins from Harry Potter – but there are common threads that run throughout.

‘What is very revealing are the areas that we are the same,’ the Sex Education star said in a recent interview. ‘No matter the fantasy, the takeaway is the need for intimacy, the need to be desired, to be seen, a desire to be held, to be comforted, to be safe.’

It seems fantasies are at the forefront of many of our minds right now too, as this work coincides with a recent report from The Kinsey Institute looking into the bedroom habits of people around the world.

Alongside dating app Feeld, the survey of over 3,000 people uncovered more about how different generations view monogamy, how often people have sex, and how common kinks are among different age groups. And there’s even more that can be gleaned from speaking to Kinsey’s sexuality experts.

Dr Justin Lehmiller is a research fellow at the renowned institute, and has studied sexual fantasies for more than a decade, speaking to more than 10,000 people throughout his career to work out what gets humanity going.

‘One of the things I’ve discovered are that there are at least three key things that almost everyone fantasises about at one time or another,’ he tells Metro.co.uk.

Group sex

According to Justin’s surveys, a whopping 95% of men and 87% of women have fantasised about sex with more than one person, but men do so at a much greater frequency compared to women.

He says: ‘Also, which is kind of surprising to a lot of people, these fantasies are actually least common among young adults and most common among people in their 40s and 50s.’

Part of the allure of multi-partner sex is ‘wanting to feel overwhelming desired’, as evidenced by the fact that ‘most people picture themselves as being the centre of attention in their group sex fantasies.’

‘Another reason people find this idea attractive is that it just opens up a lot of new possibilities for sexual exploration, such as trying new positions and activities or exploring same-sex/gender attractions,’ Justin adds.

Kink and BDSM

Nowadays, BDSM is no longer the preserve of dominatrixes (and their clients). If anything, the likes of 50 Shades of Grey have contributed to submission and domination becoming downright mainstream in 2024.

Justin explains: ‘In my research, I find that 96% of women and 93% of men have had a kinky fantasy before – but it’s important to note that women fantasise about BDSM far more often than men.

In the Feeld State of Dating Report, the majority of Gen Z reported these types of desires, a figure that declines with each age group (only 12% of baby boomers said the same).

‘Part of the reason that Gen Z might be kinkier is that they have greater access to porn than any previous generation, and much of the porn that’s out there features elements of kink,’ says Justin.

‘But it’s not just about porn. Gen Z is also the most stressed and anxious generation, and kink/BDSM can be an adaptive way of coping with anxiety because it helps to take you out of your head and into the moment.’

Adventurous sex

Adventurous sex – having sex in new and exciting places, such as on a beach or in some other exotic location – features in the fantasies of 97% of people.

Justin comments: ‘Like multi-partner sex, novelty fantasies are also most popular among mid-life adults. This may be because most people at this age are in long-term monogamous relationships and are looking for ways to spice things up.’

He surmises that the younger generation are less likely to fantasise about novelty, in part, because sex itself is still fairly new for them.

‘They don’t necessarily need as many bells and whistles to keep things exciting because they’re less likely to have settled into sexual ruts and routines,’ adds Justin.

Fantasies that are more common than you might think

As well as the desires the vast majority of people share, certain sexual fantasies which may be considered ‘taboo’ are surprisingly popular.

Public sex

Practises like dogging may not be societally prevalent, but doing it in view of others is a major theme when it comes to our innermost desires, with 81% of men and 84% of women having fantasised about it.

Justin says: ‘The appeal of these fantasies often resides in the thrill that accompanies potentially being caught or observed – in other words, the taboo and risk-taking aspect of public sex heightens excitement for many.

‘However, for some, it’s also about having an exhibitionistic streak and deriving gratification from knowing that others are watching you have sex, and enjoying it.’

Many of these fantasies are just that, and won’t end up being enacted in real life. That said, if you do decide to give this a go, please keep decency laws (and general etiquette) in mind.

Cuckolding

The idea of watching a partner have sex with someone else, known as cuckolding, is doubly popular with men than women; 52% and 26% have had this fantasy, respectively.

‘The numbers are even higher among gay, lesbian, and bisexual adults, perhaps because they do not feel as bound to notions of traditional relationships,’ Justin adds.

There’s been an increase in online searches for cuckolding in recent years, suggesting it’s becoming more widespread.

This could be connected to the rise in kink, as some people find it connotes a submissive or masochistic sexual role, but Justin says that for others, it’s merely a fantasy of ‘taking pleasure in your partner’s pleasure and seeing your partner being fully satisfied.’

Complete Article ↪HERE↩!

October 15, 2010June 8, 2026

Dr Dick’s Sex Positive Doctrine

No podcast today; instead there’s this…

Have you ever wondered about the term, sex positive? If you’re like me you see it all over the place, especially on sex-related sites. I confess I use it way more often than I should. It’s become one of those industry buzzwords that has, over time, become so fuzzy around the edges that it’s now virtually meaningless. In fact, if the truth be known, I believe the term sex positive has been taken over by the sex Taliban who have made it a cover for their strict code of political correctness. Oddly enough, this is the very antithesis of its original meaning.

If you want to shame someone in the sex field—be it a sex worker, blogger or adult product manufacturer—you label that person as sex-negative. You may not know anything about that person other than you were offended by something they did, said or made. But still, you hurl the epithet as if you were exorcising a heretic. This is a very powerful tool for keeping people in my industry in line. But I’ve begun to wonder, who is setting themselves up as the arbiter of what is and what is not sex positive? I have to ask: What is the agenda? I mean, could compulsory ideological purity of some artificial standards of thought or behavior be “positive” anything? I say, no!

Like all good ideas that have gone bad due to overuse—or worse, sloppy use—the sex positive concept once had meaning that was life-affirming and enriching. Sex positive has been in the lexicon at least since the mid-1950s. It frequently appears in journals and research papers to describe a movement that examines and advocates for all the other beneficial aspects of sex beyond reproduction.

I’ve been using the term since 1981 when I opened my practice in Clinical Sexology and Sexual Health Care. The opening words of my mission statement read: “I affirm the fundamental goodness of sexuality in human life, both as a personal need and as an interpersonal bond.” Way back then, I was flush with my quixotic pursuit to stand steadfast against all the cultural pressures to negate or denigrate sexuality and pleasure. I dedicated myself to spreading the gospel that healthy attitudes toward sex not only affect a person’s sex life, but his/her ability to relate well with others.

This came relatively easy for me, because I’d learned something very important about evangelization in my life as a Catholic priest. (Another quixotic pursuit, but we’ll have to save the details of that misadventure for another time.) One of the first things one learns in seminary is how to proselytize, to sow the seeds of a creed, and then nurture them taking root by endless repetition of the articles of faith. Of course there is a downside to this, too. Repetition fosters mindlessness, stifles creative thought, and worse makes things boring.

But the creed statements of the world’s three great monotheistic religions are masterful works of theological art.

• Barukh ata Adonai Eloheinu Melekh ha’olam!
• Allaahu Akbar!
• In the name of the Father, and of the Son and the of the Holy Spirit!

Each contains the most profound kernel of religious truth the believer needs to know, but all are easy enough for a child to learn. And like I said, the secret is in the repetition. For the true devotee, these creedal statements are uttered dozens of times a day and to great effect.

Early on in my career as a sexologist, I decided to put the principles I learned in the Church into disseminating my new belief system. First, keep the message simple! I settled on: “Sex is Good—and Good Sex is Even Better.” This has been my mantra for decades. It contains everything you need to know about being sex positive, but it’s easy enough for a child to learn. Even now, I close each of my podcasts with this same article of faith. To this day it soothes me to hear myself say these words. And it comforts me in the same way blessing myself did in my priestly days.

Despite my apprehensions, I continue to be an apostle of the sex positive doctrine. I know that even though my industry has corrupted the concept, others have yet to hear the good news. And there’s something almost spiritual about seeing someone grasp the idea for the first time. Let me tell you about one such instance. Some while ago I was asked to offer a workshop for a group of doctors on the topic: Health Care Concerns Of Sexually Diverse Populations. Unfortunately, just a handful of doctors attended the workshop—which was pretty disconcerting, considering all the work I’d put into the presentation. I guess that’s why kinksters and pervs, as well as your run-of-the-mill queer folk, are often frustrated in their search for sensitive and lifestyle-attuned healing and helping professionals.

Since the group of doctors attending was so small, I decided to ask them to pull their chairs in a circle so that our time together could be a bit more informal and intimate. Frankly, I’ve never found it easy talking to doctors about sex; and discussing kinky sex was surely going to be very tricky. So, I decided to start off as gently as I could. My opening remarks included the phrases “sex positive” and “kink positive.”

Sitting as close to my audience as I was, I could see at once that these fundamental concepts weren’t registering with them. I was astonished. Here was a group of physicians, each with a large urban practice. Could they really be this out of touch? I quickly checked in with them to see if my perception was correct. I was right! None of them had heard the term, sex positive. The two who hazarded a guess at its meaning thought it had something to do with being HIV+. I had my work cut out for me.

I decided to share my creed with them. “Sex is Good—and Good Sex is Even Better.” I asked them repeat it with me as if I were teaching a catechism to children. Surprisingly, they did so without resistance. After we repeated the mantra a couple more times, I exposed them to the sex positive doctrine unencumbered by political correctness.

Sex Is Good! Sex is a positive force in human development; the pursuit of pleasure, including sexual pleasure, is at the very foundation of a harmonious society.
And Good Sex Is Even Better! The individual makes that determination. For example, what I decide is good sex for me, may be boring sex to someone else. And their good sex may be hair-raising to me. In other words, consensual sexual expression is a basic human right regardless of the form that expression takes. And it’s not appropriate for me, or anyone else, to call into question someone else’s consensual affectional choices.
Sex Is Good! Everyone has a right to clear, unambiguous sexual health information. It must be presented in a nonjudgmental way, particularly from his or her health care providers. And sexual health encompasses a lot more then just disease prevention, and contraception.
And Good Sex Is Even Better! The focus is on the affirmative aspects of sexuality, like sexual pleasure. Sexual wellbeing is more than simply being able to perform. It also means taking responsibility for one’s eroticism as an integral part of one’s personality and involvement with others.
Sex Is Good! Each person is unique and that must be respected. Our aim as healing and helping professionals is to provide information and guidance that will help the individual approach his/her unique sexuality in a realistic and responsible manner. This will foster his/her independent growth, personal integrity, as well as provide a more joyful experience of living.
And Good Sex Is Even Better! Between the extremes of total sexual repression and relentless sexual pursuit, a person can find that unique place, where he/she is free to live a life of self-respect, enjoyment and love.

Finally I told them they ought to think creatively how they could adapt this concept to their own practice. It was up to each of them to make this creed their own. As it turned out, this primer was just the thing to open my planned discussion of health of kinksters.

In a way this experience was a bit of a spiritual reawakening for me, too. Despite my misgivings about the contamination of the sex positive doctrine by malicious people bent on using it as a weapon against those they disagree with. I can’t tell you how refreshing it was to watch these sex positive novices hear, and then embrace, the message for the first time. It was nothing short of a religious experience.

July 5, 2010June 1, 2026

A Sizzlin Firecracker Of A Q&A Show — Podcast #216 — 07/05/10

[Look for the podcast play button below.]

Hey sex fans,

I know it’s a holiday weekend here in Americanskiville, and I know I should be hanging out at the pool or barbeque instead of slingin’ my tits over this hot microphone, but I can’t help it. I gotta catch up on all the questions that have been piling up since our last Q&A session back in May. And there’s a shit-load of ‘em don’t cha know.

We hear from:

Mike says it takes him too long to get off.
Tomas is terrified he might be gay.
Astrit has questions about anal douching.
Connor has a overly sensitive dickhead.
Sharon is very suspicious about FSD, or female sexual dysfunction.
Glenda loves giving her husband blowjobs, but he doesn’t cum that way.
Angelo is a crossdresser and his wife pegs him in the ass.
Bill doesn’t like the advice I give some women.
Paul might be a teensy bit queer.
Josh has a BF that doesn’t like his foreskin.

BE THERE OR BE SQUARE!

Look for my podcasts on iTunes. You’ll fine 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.

Today’s Podcast is bought to you by: DR DICK’S — HOW TO VIDEO LIBRARY.

Podcast: Play in new window | Download

December 1, 2008May 23, 2026

Sex Advice With An Edge — Podcast #90 — 12/01/08

[Look for the podcast play button below.]

Hey sex fans,

I have a whopper of a show for you today. We return to our usual question and answer format this week, because I have a steamy load of stimulating questions from all overt the freakin’ place. And I respond with an equal number of cheeky, charming and oh so enlightening responses! Hey, it’s what I do.

Joe wants to know about Hepatitis-B and cock sucking.
Donna and her BF wanna start bumpin’ parts. But where to begin?
Gregg thinks he needs a sex coach. I think he does too.
Naf wants to top, but he is a little short of wood!
Anonymous wants some tips on ball stretching.

BE THERE OR BE SQUARE!

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

Podcast: Play in new window | Download

January 14, 2008May 15, 2026

Sex Advice With An Edge — Podcast #46 — 01/14/08

[Look for the podcast play button below.]

Hey sex fans,

I have a might big load of thought-provoking questions from the sexually worrisome. And I respond with an equal number of dazzling, charming and oh so informative responses! Hey, it’s what I do.

Seattle Guy has way too many questions, some of which are the wrong ones.
Dan and Rebecca wanna cum together.
Erin, Joy and Gene get quickies.
James has been fucked up for 25 years…or more.
S’s BF is hung like a horse! What could be the matter with that?
Alx has a thing for her older brother!

BE THERE, OR BE SQUARE!

Podcast: Play in new window | Download

January 11, 2008June 14, 2026

Loose Change

Name: Tia
Gender: Female
Age: 19
I have a problem. I’m still a virgin, but my bf thinks I’m not. It’s really my fault he thinks this, cuz I told him I was all experienced and everything. We’ve been going together for about 8 months already and I really want my first time to be with him, but how am I going to act all experienced when I don’t know what I’m doing.
HELP ME PLEASE!!!

That sure enough is a pickle you got yourself into darlin’. You’ve got some ‘splanin’ to do Lucy!

Funny, because I’m more likely to hear from young women who are not virgins, but who want to know how they can fool a new partner into thinking they are. I guess we can chalk up all this deception and confusion to the powerful associations every culture imposes on virginity…female virginity, that is.

Like most things sexual there is a huge double standard between the cultural and individual importance of virginity for women as opposed to men. Cultural expectations about virginity are also tied to age as well as gender. For example, our society expects its 16-year-old girls to be virgins. To be otherwise, at that tender age, would be a scandal in most communities. (Jamie Lynn Spears comes immediately to mind.) But a 35 year old woman who is still a virgin is considered an old maid — or worse, a dyke.

Of course, things are more fluid when it comes to boys and men. On the one hand, a 16year old boy who is not a virgin may raise some eyebrows in some communities. But many others in those same communities would praise him for being a stud. On the other hand, a 35 year old man who is still a virgin is the butt of jokes — or worse, a queer. In fact, he’s also more of a disgrace to his gender than an old maid is to hers. Funny how that works, huh?

I hasten to add that there is a lot to argue with in terms of these arbitrary cultural norms, and I encourage ya’ll to argue away. God knows I do! And you don’t have to buy into them either. God knows I don’t! But till things change, these norms are the norms, like it or lump it.

I’d love to know why you felt the need to deceive your BF in the first place? Do the people you hang with, prize sexual experience over sexual innocence for a young woman of 19? And what are the expectations of your group regarding a 19 year old guy? I’ll bet the expectation is that he not be a virgin. Right?

Well you can see why a lot of people, not just you Tia, find this whole thing just too damned complicated. And rather than add to the confusion or the deception, I encourage you to come clean with the BF about your cherry.

Here’s why I think this is the best policy. First, if the BF is sexually experienced, it will be very difficult for you to hide the fact that you’re not. Besides, like you said in your message to me. “I really want my first time to be with him.” Why not just come out and tell him that, sweetheart? No man is gonna turn that down…ever. Simply put, that is the most sexually charged and treasured sentence in any language.

Begin the big talk with your man like this. “Baby, I got something real special to tell you. You know how I’ve been sayin that I’ve been with other guys and everything? Well that was just my way of keeping all the other guys from pestering me for my junk. Baby, the truth is that I haven’t had sex before now. And the best part of this is I’ve decided that I really want my first time to be with you. My cherry belongs to you, baby”

Like I said, Tia, no man is gonna turn that down. The BF will be so flattered you won’t have to pretend to be something you’re not. Clearing the air like this will also allow you to relax when the magic moment finally happens. And relaxation is the key to enjoying yourself. And you should enjoy yourself.

Name: Mikel
Gender: Male
Age: 25
Location: Seattle
My problem is: I have a fixation on cut dicks, so when I’m having sex with uncut people, I can’t enjoy it. I feel it’s dirty!!! Should I ask my partners their “shape” before having sex? Wouldn’t I sound like a whore?

What a curious concern you have. I mean, not the cut/uncut thing…that I understand. Lots of people have a preference for either natural or snipped meat, so I’m cool with that. Sometimes the preference is even culturally induced. Ok, fine! I also know that some guys prefer what they don’t have. Lots of clipped men like uncut cock, and lots of natural men prefer their partners to be cut. Some people make a big to-do about foreskin, as you suggest, because they think it’s unsightly and/or unclean. Personally, I think that’s complete baloney, but hey, to each his own. Right?

I also know that most people who have a strong cut/uncut preference want to know in advance if their perspective partner’s dick is to their liking. And obviously, the only way to find that out is to ask outright. Ok, so far so good.

What I don’t understand about your question is that you think it might be whorish to be up-front and ask a guy about the condition of his trouser snake. Like, WHY? Either you don’t understand the meaning of the word “whore,” or you’re too self-conscious about taking responsibility for your personal tastes in tonsil ticklers . Either way it makes no sense.

Think about it this way, say you don’t ask and you discover, to your great dismay, that the guy you’re about to bone has some fine lace curtains. And you get all turned off and this screws up the screwing. You feel bad, he feels bad, and you look like a jerk. Wouldn’t it have been better to save yourself and your unlucky partner the embarrassment of shutting down a fuck by taking responsibility for your predilection before cloths come flying off? Heck, I don’t know about you, but I’d prefer to be thought of as a whore than a complete asshole.

Dr Dick has a hard and fast rule when it comes to sex. If you can’t bring yourself to ask for what you want, then you deserve what you get.

Name: William
Gender:
Age: 30
Location: UK
Hi There
I am new to this scene, and I have very little experience in anal sex and I am seeking your help and advice. I am a top but I have a problem keeping my dick hard or staying hard during anal sex. I find it harder to fuck an ass compared to fucking a pussy. Here is the problem: Once I get my dick hard, put on a condom and start fucking, my dick sometimes goes soft on me. Is that normal? How can I keep my dick hard long enough in the ass to enjoy the fuck? Sometimes even when my dick is hard, I find it hard to penetrate an ass. I use lube, so what am I doing wrong? People in gay porn can fuck and fuck like there is no tomorrow. I want to enjoy anal sex too!! Any advice? Please let me know if there is anything I can do to improve in this area?

Boy, you’re in luck, William! Last week I published my long-awaited: Finessing That Ass Fuck — A Tutorial For a Top. Check it out! It’ll answer a lot of the questions you have about butt fucking.

But before you take off to read that, I’d like to address one of the specific issues you raise, about keeping your dick hard while fucking. You are right to point out that fucking an ass (male or female) is different from fucking a pussy. But regardless of what hole you’re invading, a nice hard stiffy is essential.

Do you know what a cockring is, William? If not, I suggest you acquaint yourself with these amazing low-tech wonders. Here’s what you should do. Turn your attention to the Dr Dick’s Stockroom banner at the top of this page. Click through that link and go to the Sex Toys for Men section. Look for Erection Help there you will see the link to cockrings. Prepare yourself to be sorely amazed at the variety and functionality of these little devils.

Cock rings can create larger and firmer erections. Since blood flow enters your dick through arteries deep inside your dick, and leaves it through the veins nearer the surface of your schlong; wearing a cock ring can help to keep more blood inside your dick shaft. And as all you rocket scientists know, blood flow is what causes erections in the first place. Also some men claim that wearing a cock ring intensifies their orgasm.

I recommend the flexible and/or adjustable cockrings. These are generally made of stretchable rubber or leather. For the more daring there are the metal variety. These may look pretty, but they can be a bitch to put on and to take off. Here’s how ya put a rigid one on.

Pull your ball sack through the ring first.
Follow this by popping each of your balls through the ring one at a time.
Now bend your cock down and pull it through the ring.

As you can see, putting one of these little buggers on before you have a raging hardon is gonna be easier. To take the cock ring off, simply reverse these steps, pushing your flaccid cock back through the ring first, followed by each of your balls and finally your ball sack.

It’s absolutely essential that you not wear an inflexible (metal) ring for longer than a couple hours. Make sure you don’t buy one that is too small either. If your dick is turning an angry red or worse, purple, or it is cold to the touch, you’re in trouble. Take that ring off immediately. If you don’t you will risk serious injury to your precious johnson.

Remember people, play smart with all your toys!

NEXT, ANOTHER SEXUAL ENRICHMENT TUTORIAL

Beginning Sex Play — Tips and Techniques

The most frequent questions I get are from your average dick and jane, (or dick and dick, or jane and jane) who want to spice up their sex life. Inevitably they describe the kind of sex they’re currently having. And almost universally the description makes this grown man cry. Jeez, the boredom. How do they stand it? It’s a wonder any of them are having any sex at all.

What is it with the humdrum, run of the mill, we’ve always done it that way mentality? Are ya’ll afraid that if you add a little something new to your sex chore. from time to time, that the sky will fall? Holy cow!

Today’s tutorial is another attempt to motivate you to get off your butts and make something interesting happen in the sex department. We’ll begin with what was once called foreplay.

First off, I hate the word “foreplay” because it suggests that all these really great sex activities are only a lead up to a single — “more important” activity — fucking. It also implies that ya’ll can dispense with the one in order to hurry up and get to the other. And that, my friends, is always a huge mistake.

From now on I want us to banish “foreplay” from our vocabulary. Instead let’s start using “Beginning Sex Play”. It says it all. It says it’s at the beginning, but there’s no suggestion that anything in particular must follow.

I’m of the mind that we’d all be better served if we thought of sex play as a continuum of pleasure and pleasuring — with a beginning, middle and an end. If you ask me, our sex play ought mirror our sexual response cycles — arousal, plateau, orgasm and resolution. That way we’re less likely to overburden one particular activity at the expense of all the others. Get it? Got it? Good!

Experienced sex fans agree; the best sexual encounters include an extended period of sensual play at the beginning of most sex play. This brings increased pleasure to both partners, and will make whatever else that might follow more satisfying. Just remember, beginning sex play can be a meal in itself.

Beginning sex play brings spice to the encounter because it gets our motors started. Even all you major sex athletes out there who are perpetually primed for sex will benefit from some hearty beginning sex play. It will help cool your jets and make the encounter last longer than a firecracker. And I know that you know what I mean!

In our hectic rush around world, beginning sex play is particularly important. It helps us transition from the daily cares and woes to the realm of sensual pleasures. The workaholics among us need more time to become fully aroused. Their minds are still filled with the junk of the day, and not yet ready to give or receive pleasure. And pleasuring and being pleasured takes a big attitude shift from that of the rest of the day. In fact, if you’re gonna approach sex and pleasuring with the same mindset you have on the job or with the kids, give it up now and be done with it. You’ll only walk away from the encounter disappointed.

Beginning sex play primes us for maximum pleasure. Men will have the time we need to come to full erection and women will have the time they need to properly lubricate. By the way, this is called the arousal stage in our sexual response cycle. But you probably know that already, right?

When we stop thinking of beginning sex play as “foreplay” we realize there is no such thing as spending too much time giving and getting pleasure. If beginning sex play evolves into full-on fucking — SWELL. Both partners will be fully aroused and fucking will flow naturally and effortlessly from the pleasure enjoyed at the beginning of sex play.

Beginning sex play can include everything from chocolate and whipped cream to whips and chains. But let’s not get too far ahead of our selves. Let’s start at the beginning of beginning sex play. Most people miss out on the pleasure of undressing with and for their partners. Stripping out of, or being helped out of our daily wear and into something sexy or nothing at all can be very arousing. It’s also a visual signal that we’re shifting out of our work-a-day world and entering the realm of sensuality. Stripping is an art form, ya know. We could all learn a lesson or two from the folks who do this for a living, but more about this in a later tutorial.

Creating the right sex environment is important too. Make sure the room is warm. Proper lighting and music will surely add to the mood. Scents are also important. More and more people are incorporating erotica into their sex play — reading a sexy story together or enjoying some hot porn will make the encounter memorable.

Most women complain that their partners don’t kiss long enough and rush the kissing to get at their pussy. Guys, what the fuck? You want pussy? Use your mouth to maximum advantage kiss and nibble all over everything. Literally devour your partner with your mouth. Believe me, if you do this right, by the time you get to her pussy she’s gonna want to give it up big time.

Beginning sex play is the perfect time for setting the mood for all that might follow. It’s a time for sharing fantasies, role-playing, dirty talk or some full body massage. Always have some nice lotion available then use your hands, forearms, feet and elbows to knead your partner’s muscles and naughty bits.

Certain areas on the body are more hot-wired than others. It’s your job to find each and every one your partner has. As you massage vary your strokes and touch to stimulate your partner. Roll your fingertips across his or her nipples and behind his or her ears as you kiss him and tease her with your tongue.

If you’re doin things right, your partner will be moaning with pleasure. If she or he starts getting impatient it’s time to bring out the restraints. There’s nothing like some hot erotic bondage to punctuate your beginning sex play.

While your darling is subdued and possibly blindfolded, crank things up a notch. Add different sensations and stimuli, a warm chocolate sauce followed by ice cream. A fur mitt followed by a Loofah. Introduce some sex toys — a vibrator, tit clamps, or an anal stimulator.

Don’t forget to check in with your partner from time to time. Ask for some feedback and direction. Do you like this? Or do you like this better? Never presume to know what your partner likes simply because he or she liked it before, this is a recipe for boredom and the dreaded bed death. If words fail you, SHOW your partner what you want. Then encourage your partner to do the same to you.

Beginning sex play is not about pressing the right buttons in the right order. It is about understanding what makes your partner tick and supplying and applying those things to their greatest sensual advantage. There are many ways to give your partner extreme pleasure, and it all begins in your brain. Beginning sex play is as much of an art form as it is a necessity.

Finally, the basic premise behind all of this is that a great lover is one that gives pleasure because it is its own reward, not a means to getting something else.

Good luck ya’ll

January 3, 2008June 14, 2026

Merrily We Roll Along!

Hey sex fans,

I hope ya’ll survived the holidays. I did! Although I can’t tell you how glad I am that all that nonsense is over.

Before we begin, I just want to remind you that my podcasts will resume next Monday, January 07. I have a slew of interesting questions that have been piling up over the past couple of weeks. So I can guarantee you it will be a juicy podcast. Don’t miss it!

Name: Fay
Gender: Female
Age: 23
Location: LA
I met this guy on the Internet and he seemed nice and all, but I wasn’t that turned on to him. All I remember is he was pretty nerdy and had really sweaty palms. We went out a couple of time, nothing serious. He just wasn’t my type. So I stopped responding to his calls. Last week I was out at this club with some friends and I saw Mr. Nerdy with this other chic. And I was like, wait a minute, that skank’s hornin’ in on my stuff! I know I wasn’t returning his calls, but still, I saw him first. It was like totally freaky, how they were all kissy-kissy right there in everyone’s face. What should I do?

Seriously? What should you do? How about getting a life. you vacuous twit? And I mean that in the nicest sort of way.

If you could just pull your head out of your ass long enough for you to listen to yourself; your misguided notions about dating and your fundamental lack of respect for the feelings of others would surly grate on you as much as it does me. Your mindless chatter is like fingernails on a blackboard. I mean REALLY!

Think about what you are suggesting here. You’re gettin’ all territorial about some guy you could barely bring yourself to give the time of day to and then blew off like he was excess baggage. You didn’t bother to take the time to look beyond his nerdy-ness and his sweaty palms like this other woman have done. Had you done so, you might have discovered what this other “skank,” as you so lovingly refer to her, has found. But ya didn’t!

Like most nerds, this guy probably developed other means of making himself attractive and interesting to compensate for his nerdy-ness. Maybe he’s got a big ol’ dick, or he’s great in the sack. Maybe he got a big bank account or maybe he simply has a handle on the basic social graces, something that you, dear Fay, have yet to grasp.

Your jealousy is neither cute nor charming. It does, however, mark you as self-centered and childish. For the most part, jealousy is a byproduct of a person’s lack of self-confidence and self-esteem. Here’s a tip: try and develop a healthier sense of self, so that you’ll mature into someone who can interact with others in a respectful manner that is befitting another human being.

Oh, and have a nice day!

Name: Joanne
Gender: Female
Age: 25
Location: Toronto
I’m 25, 5-foot-7 and weigh 105 pounds. I take care of my body by eating right and exercising regularly. My problem is that I hate the way I look. I am actually repulsed by my body. I take very brief showers and avoid the mirror as much as possible. I’m not a prude. Others being nude is fine with me. But my body image issues are hindering my sexual encounters. I always want to wear a shirt or have the lights off.

My current boyfriend says that if I trust him enough to sleep with him I should trust him enough to let him see me naked. He also has told me that we can’t continue seeing each other if this doesn’t improve. But I let him see every part of my nude body — just not all at once. So he knows I’m not hiding some monstrous deformity or anything. I guess I thought my boyfriend would be more sensitive to my fear and let me stay covered up. Do I owe him nudity?

Hold on there, girlfriend, you think your BF is being insensitive because he wants to enjoy your body in the buff…with the lights on? You think that he’s sticking around just to needle you about your phobia? Honey, get over yourself!

Do you honestly think that your body-positive BF oughta facilitate and participate in your pathology? Yeah, like why don’t we all just sink to the lowest common denominator? And here’s a tip, doll: you do have a monstrous deformity. Perhaps it’s not a physical deformity, but it sure enough is a psychological one.

I concur with your boyfriend; your relationship is on the line here. You need to get a handle on your hang-ups, darlin’, or you can just say good-bye to whatever sex and intimacy you may currently be enjoying.

Listen, I have a thing about sex and intimacy being a gift one gives another. So I ask you, how can you give yourself as a gift to anyone if you are disgusted with the gift you’re giving? And you’ll never convince me that your body issues aren’t seeping into and sabotaging the sex you may be having with your long-suffering BF. I’ll betcha you don’t let him get too close to the body parts you begrudgingly expose to him…when the lights are out.

Joanne, like I suggest above, being repulsed by your own body is a sign of a deep psychological problem. I’d suggest you get to the bottom of this with a sex-positive therapist right away.

When I encounter this sort of thing in my practice, inevitably my client and I discover a past body related trauma to be at root of his or her current disgust. Left untreated, this aversion could easily morph into a desire to do yourself harm. It’s a common enough phenomenon; so don’t let that happen.

And to your closing question about do you “owe” him nudity; what the fuck is that? Is your sexuality and the intimacy you share with your BF something to be bid and bargained for, like beads in a bazaar? Sex and intimacy is either a gift freely given or it’s coerced.

If you’re feeling coerced about being naked with the man who loves you, you’d better set him free and get thee to a nunnery.

NEXT, ANOTHER SEXUAL ENRICHMENT TUTORIAL

Finessing That Ass Fuck — A Tutorial For a Top

Without further ado, here’s dr dick’s long awaited seminar on being a great ass fuckin’ top. This is a companion piece to an earlier tutorial for you novice bottoms out there — Liberating the BOB Within (That’s Big Old Bottom).

This tutorial is for anyone who is considering being a top in butt fucking sex, regardless of whether the meat injection is 100% prime or a beef substitute — like a strap-on dildo, these words of wisdom are for you.

Some people are not open to experimentation when it comes to their precious asshole. They think it’s gonna be painful, or worse…the mere idea grosses them out. First off, you don’t want to try toppin’ one of these folks. A good top should know it makes no sense at all to try to force, or worse belittle an unwilling bottom to give up his or her rosebud if he/she is not inclined to do so. This is simply a waste of everyone’s time. Because if you do succeed in gettin’ the unwilling bottom to relent and the attempted fuck confirms the bottom’s earlier suspicions that this activity is indeed painful and/or gross; you will have won the skirmish, but you will have lost the war.

Second, before a top commences a fuck of any kind he or she oughta consider whose pleasure is primary in this particular fuck-fest. There is a big difference between fucking for the top’s pleasure, for the bottom’s pleasure, or for mutual pleasure. If a top is trying to finesse a novice bottom into exploring his/her ass, that top needs to resign him or herself to concentrating on the bottom’s pleasure first and foremost.

Start by getting the bottom comfortable being touched where the sun don’t shine. Lubricate your hand and massage the outside of his or her hole. Make some lazy little circles with your fingers and drive your bottom wild with desire. When her sphincter starts to quiver, as it surely will, slowly penetrate your bottom’s butt with a lubricated finger tip. After a few minutes of just hangin’ out down there with your finger in his poop chute, you can begin to slowly slide your finger in and out. When you’re fingerin’ someone for the first time, be sure to take your time. Allow his or her muscles to adjust to being penetrated. You might want to incorporate a thin vibrating dildo and/or some expert rimming to pave the way for bigger things.

When a top fingers a bottom like this, he or she ought consider the width of his dick or her strap-on while doing so. For example, once your bottom can take two fingers comfortably and three fingers with a minimum of discomfort he or she is ready to take a modest sized cock or dildo inside. If you’re very well endowed or you plan to strap on a dildo that resembles a floor lamp, you’d better adjust this finger formula based on the width of your fingers and your equipment.

A clean asshole is a happy and fuckable asshole. Hygiene is essential for both tops and bottoms. Bottoms need to anally douche beforehand. And tops, once your cock or your strapped on dildo has been inside your bottom’s ass, don’t go puttin’ that thang anywhere else (mouth, pussy, whatever) until you’ve washed it with soap and water. Carelessness in the hygiene department is just inviting a very serious infection.

Tops, be sure to use a good lube and make sure you have your favorite condoms near to hand. Getting your bottom into the right position, one that is comfortable for both of you is paramount. There are way too many positions for me cover here, but when choosing a position, consider —

your preference
the bottom’s preference
your cock and/or dildo size
your body type, and the bottom’s body type.

You may find that a pillow or two will help support and prop up the bottom in most positions.

Painful fucking is a sign that something is being done incorrectly. It is definitely not a sign from god that ass fucking itself is wrong. In most cases pain is due to a few predictable reasons: the bottom is too tense and is tightening up. The top is being impatient and is pushing too hard. There may not be enough lubricant. Or the cock or strap-on is too big for the bottom’s experience level.

Obviously. both top and bottom should be comfortable and feel at least some pleasure in the fuck. However, it’s perfectly fine, on occasion, to concentrate on one person’s pleasure over the pleasure of the other. Just make sure you both agree on who’s pleasure is gonna be the focus of any given fuck.

Topping is a skill like any other. Practice will improve your technique. And while practicing, invite and then listen to the feedback coming from your bottom.

Ok, let’s review.

Always use a lubricant…and a lot of it. Water-based lubes are latex-compatible and highly recommended.
Stop immediately if your partner asks you to stop. I’m not suggesting that you stop trying altogether; just don’t push yourself onto your bottom when he or she wants you to stop. Find the source of the problem lubrication, position, whatever, resolve the problem, then resume the fuck.
Take it slow. There is no need to rush, especially if you’re experimenting with anal sex for the first time.
A bottom’s desire to be fucked does not insure pleasurable cornhole-ing. It’s nice that he or she might want to surrender his or her ass, but that’s not gonna make it happen on its own.
Always communicate with your bottom. Keep your communication playful and smutty.
Tops, be open about what you want and how it’s feeling. “Oh baby, that’s right you’ve got such a tight hole. You want my big meat in your ass? Yes you do! Open up for daddy…or momma…as the case may be.” Get the picture?

Some experienced bottoms can orgasm with ass fucking alone. Women do so through pelvic muscle contractions, men because of pressure applied to their prostate.

Oh, and here’s something you need to know. We all have two sphincter muscles. If you insert a finger about one half-inch into your ass and press your fingertip against the side you’ll find them both. There is less than a quarter-inch between them.

The external sphincter is controlled by the central nervous system, which means you can tense and relax this sphincter at will. The internal sphincter is quite different. This muscle is controlled by the autonomic nervous system making it involuntary. This muscle responds to fear and anxiety. It may cause your bottom’s hole to tense up automatically even if he or she is trying to relax.

Tops, remember the rectum is not straight (no pun intended). After the short anal canal that connects the asshole to the rectum, the rectum tilts toward the front of the body, sometimes as much as 90 degrees. That’s way some people are anatomically less suited to ass fucking than others.

Finally, the best attribute a top can have is his or her sense of humor about the whole friggin deal. Fucking ain’t as easy as it looks, at least not at first. But perseverance will win the day.

Good luck ya’ll

December 10, 2007May 15, 2026

Sex Advice With An Edge — Podcast #43 — 12/10/07

[Look for the podcast play button below.]

Hey sex fans,

I have a really delicious show for you today. We have a big load of stimulating questions from all over the globe. And I respond with an equal number of stunning, cheeky and oh so informative responses! Hey, it’s what I do.

Wondering is wondering about many things to do with her pussy!
Young Jaymie’s got it bad for his mate. But the boy sleeps right through it.
Rachel has yet to cum after two tries. WTF?
Kirk is a randy little bugger, but doesn’t know where to point his dick.

BE THERE, OR BE SQUARE!

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