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

By Brandie Weikle

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.

A pink pill is seen on a piece of paper that shows part of the Sprout Pharmaceuticals logo.
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.

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!

What doctors wish patients knew about pain during sex

By Sara Berg, MS

Experiencing pain during or immediately after sexual activity—known as dyspareunia—is a condition affecting many women, yet it remains a topic often shrouded in silence. This medical issue, which can affect both physical and emotional well-being, is more common than many may realize. Understanding and addressing this condition is crucial for promoting overall sexual health and quality of life.

Dyspareunia can affect men and women, but it’s more common in women. Pain during or after sex can affect about 10–20% of women in the U.S. This may be a low estimate, though, as many women don’t seek medical help for painful sex and therefore underreporting is likely.

It happens during or after sex

“Dyspareunia is any time women report pain with intercourse,” Dr. Savells said, noting it can also “be defined as anytime there is pain with sexual activity because that doesn’t always involve a partner.”

It is typically painful during sex but can also “include time immediately following that, so in the next several minutes, not a day or two later. That would be something else,” she explained.

Keep an eye out for these symptoms

“Symptoms can be external irritation—around the clitoris or around the opening of the vagina—but a lot of the time it is inside the vagina,” Dr. Savells said. “And that can be with initial contact or foreplay, or it can be with penetration.

“Some patients can even specifically differentiate the difference between pain that occurs as soon as a partner tries to enter versus that which occurs from deep thrusting,” she added.  “Being able to provide these kinds of details to your doctor can help them determine the cause.”

Menopause is a main cause

“The causes of dyspareunia include the thinning of skin and lack of estrogen that both occur with aging as women go through menopause,” Dr. Savells said. “This is very common. Probably about 40% of all menopausal women say they have difficulty with their intercourse, their intimacy.

“That can be due to both vaginal atrophy—which is thinning of the skin—and it can also be due to vaginal dryness,” she added. “A lot of women have both of those, but they are two distinct problems.”

There are other causes

“Patients who have pain with intercourse can also have muscle spasms in the muscles around the vaginal wall. These muscle spasms can cause pain with sex but can also be a cause of chronic pelvic pain that is unrelated to intimacy,” Dr. Savells said. “If they’ve had a painful intercourse experience in the past, it can cause them to be tense because there’s fear that pain will occur again.”

“It can be due to just stress and anxiety. Or it can be due to post-traumatic stress disorder from a previous traumatic event, such as assault or rape,” she said. Vaginismus, which is an involuntary tensing of the vagina that is often experienced at the start of sex, while inserting a tampon or while getting a pelvic exam, is another reason.

“Some patients can also have pain with sexual activity due to a skin condition called vestibulitis, which is an irritation of the skin at the posterior portion of the vaginal opening,” Dr. Savells added. “Unlike several of the other skin changes which can cause sex to be painful, this condition is often treated with surgery instead of topical creams.”

“Less commonly, some patients can have scar tissue from previous surgeries to their labia or their vagina. And yet another cause for dyspareunia can be an enlarged uterine fibroid, which can also cause pain with intercourse,” she said. “There are even some bladder conditions that can cause pain with intercourse.”

Additionally, “some patients as they get older will have something called vaginal stenosis or vaginal narrowing and the same vagina that worked with that partner 10, 15 years ago is now too small,” Dr. Savells said, noting patients will say, “I’ve got the same partner, why don’t we fit together anymore?”

“It’s because the vagina is actually getting smaller,” Dr. Savells said.

Dyspareunia is also common for women post-pregnancy if they had a traumatic vaginal birth or issues with prolapse.

Vaginal dryness is a concern

“Stress, anxiety and depression can all cause patients to have difficulty with the arousal component of their sexual function,” Dr. Savells said. “But as far as pain goes, a lot of times that’s due to the dryness.”

For example, “a lot of patients with cancer will have dryness due to their chemotherapy or other treatments they’ve had,” she said. “If patients have had pelvic radiation for uterine cancer or cervical cancer, they may have dryness and pain due to that.

“They may have scar tissue due to that, but even patients who’ve had chemotherapy for nongynecologic reasons can have a lot of vaginal dryness as a side effect of their medication,” Dr. Savells said.

Treatments vary depending on cause

“There are a lot of things that we can do to help patients who are having pain with sex. I don’t ever want anybody to feel like it’s their fault or they’ve created the problem,” Dr. Savells said. One of the most- common causes is “when a woman is having problems because they are estrogen-deficient. Lack of estrogen is the definition of menopausal and for most women, that is about 50 years old.

“But there are also much younger women who are also estrogen-deficient; if they have had an early hysterectomy or if they have had breast cancer and had to have their ovaries taken out,” she added. “For most women who are estrogen deficient, the primary thing we start with is estrogen cream. There are women with contraindications to estrogen therapy, however, so it is essential for patients to consult with their physician about whether or not this is appropriate for their individual situation.”

“If your vagina is out of estrogen, you just add back more estrogen. And for a lot of women that is very effective and fixes their problem,” Dr. Savells said. “There are also nonhormonal therapies for vaginal dryness and vaginal atrophy, so we have options even for those women who cannot take estrogen replacement too.”

For example, Dr. Savells’ practice has a MonaLisa Touch laser, which she said is “super effective.”

“Mona Lisa Touch treatments include lasering of the vaginal tissue and the tissue that surrounds the vaginal opening on the outside. As a result, all the skin in the treated area becomes thicker and stronger. This helps those women lubricate more-naturally when they become aroused, and also reduces the microscopic tears which cause many women to feel a burning sensation after sex,” she said. “For both pre-menopausal or estrogen deficient women, these treatments can be very beneficial. For patients who have vaginal spasms, pelvic floor therapy is helpful for them.

“But therapy is not a quick fix,” Dr. Savells added. “For immediate help, sometimes those patients will get injections into the muscles around the vagina to help relax those muscles so that they don’t spasm and have so much pain.”

“We also utilize compounding pharmacies to make vaginal suppositories that have muscle relaxers in them to help relax those muscles,” she said. “And sometimes patients will insert a vaginal suppository with a muscle relaxer in it a little while ahead of when they anticipate intercourse might happen. That will help relax them a little bit so that they don’t have as much discomfort.”

“For someone who has a condition called vestibulitis, which is a specific type of irritation in the skin at the posterior portion of the vaginal opening, surgery is necessary. Fortunately, this is a relatively minor procedure and simply involves excision of superficial skin in the affected area,” Dr. Savells said. “Sometimes I’ll see patients who just need a little bit of help, they’ve just had a little bit of narrowing and a very short course of dilator therapy, from four to six weeks, gets them back to where they want to be.”

Dilator therapy is a treatment that is used to gently stretch and expand your vaginal tissue over time. This improves its elasticity and reduces the pain you may feel during sexual intercourse.

“If your pain with intercourse is due to uterine prolapse or the uterus falling down, then a hysterectomy may be necessary,” she said.

It can affect your mental health

“Lots of women feel insufficient in their relationship at home. A lot of women feel less sexy or attractive and it causes significant relationship conflict in some households,” Dr. Savells said. “So, it’s kind of the chicken-and-the-egg discussion.”

“For some people, the anxiety, stress, a previous trauma, history of PTSD can lead to pain with intercourse,” she said. “And then for some patients, some other medical condition was the initial culprit of the pain with intercourse.

“But because of that, now they have anxiety or depression or feel like they’re less than,” Dr. Savells added.

Try pelvic floor physical therapy

“I’m a huge fan of pelvic floor physical therapy,” Dr. Savells said, noting that “physical therapy is great for patients whose pelvis floor muscles have gotten too relaxed as they get older and they may be having urine leakage, some stress incontinence, things like that.

“But it’s just as helpful for patients whose muscles are too tight, which is really where it plays into this discussion,” she added. “So, those patients with vaginismus—where they have lots and lots of tension in their pelvic floor muscles—a physical therapist is good at helping them learn to relax those muscles.”

“We don’t pick how we exhibit our anxiety or our stress or our attention and some patients just tend to have a lot of tightness in their pelvic floor muscles just like other patients report neck tightness or stiffness,” Dr. Savells explained. “A physical therapist can help patients learn to isolate those muscles—it’s not intuitively obvious—and help them learn to be intentional about relaxing those pelvic floor muscles.”

Continue treatment to prevent return

If dyspareunia is treated appropriately, the pain “shouldn’t recur as long as the patient is continuing their treatment,” Dr. Savells said. “Patients have had really good success. If they get the right diagnosis and the right treatment, most of them don’t have problems again as long as they maintain their therapy.”

For example, some “menopausal women will use their estrogen cream, get better and then feel like they are cured, and they will quit using their cream. Then a year later the problem comes back,” she said. “In the beginning it’s hard to convince people this is a chronic thing. This is your new normal.”

Set realistic expectations for sex

“If you surveyed thousands of women, about 40% of them across the board will say that they have concerns about their sexual function,” Dr. Savells said. “But a lot of times, especially in younger women, they have concerns that their body isn’t quite normal because of what they’re comparing themselves to or their partner is telling them that their sex drive is not as good as it should be, that their frequency of intercourse is not as good as he would like for it to be.”

“A lot of their concern about their sex life has to do with setting realistic expectations for them, reassuring them that their anatomy is normal, that their sexual frequency is in fact normal despite what television or social media tells them,” she said. “So, about 40% of women will say that they have sexual concerns, but only 15% of women have true sexual dysfunction, which means it’s interfering with their ability to perform—they can’t have intercourse, they don’t enjoy intercourse.”

Include your partner in the process

“If someone’s doing dilator therapy, that can involve a partner. If you’re doing marital therapy or sex therapy, obviously those involve a partner,” Dr. Savells said, noting “sometimes partners are affected by a woman’s treatment course in other ways, although not directly involved. If a patient requires gynecological surgery for her painful intercourse, then she will be required to abstain from sexual activity for a period of four to six weeks. This is a great opportunity for a partner to be emotionally supportive of her feelings and sexual health.”

“It’s important to include them in the communication so that they understand why this is hurting. A lot of times, it’s often important for patients to reassure their partner that it’s not you,” she said. “Men are often very affected by this problem as well because as soon as the woman is feeling pain, she’s withdrawing a little bit and not as eager to initiate sexual contact. … So, it very much becomes a problem for both of them.”

Don’t be embarrassed

“This should be something that your gynecologist is super comfortable having a conversation about,” Dr. Savells said, noting that “I probably have this conversation multiple times every day, so don’t be embarrassed.”

“Your gynecologist should be super comfortable talking to you about your sex life, the parts that are good, the parts that are bad, the parts that need improvement,” she said. “We have lots of options for how to help.”

Complete Article HERE!

U. B. Goode

As long as habit and routine dictate the pattern of living, new dimensions of the soul will not emerge. — Henry van Dyke

Name: Victoria
Gender:
Age: 22
Location: San Diego
I love sex with my boyfriend. It is great but sometimes it can be a real pain. I can’t seam to stay wet for to long even if it feels really good I still tend to dry up. I have tryed lubrication even lotion and it still only helps for a few mins then I dry up again. I can cum but even then after a few I get dry again. It makes it so hard cause my boyfriend tends to think I’m not wet cause he dosen’t please me. When it is not true. He is in fact the best lover I have ever had. Please is there anything I can do to help so I don’t dry up so fast?

Bummer, Victoria, a chronically dry pussy is no fun. First, lets put your boyfriend’s mind to rest.wet_pussy.JPG

Hey Bub, it ain’t you, darlin’. Listen to your woman. You’re pleasing her just fine. The problem resides in her inability to produce sufficient lubrication to make fucking fun and effortless. But lets see if we can get to the bottom of this AACS — Acute Arid Cunt Syndrome — and maybe we’ll find a solution along the way.

Ya know, Victoria, if you’re using the wrong kind of lube for the job it’s gonna dry out, sure as shootin’. And since I don’t know what you are using, I’m gonna employ the scattergun approach. There are several different types of vaginal lubricants available over-the-counter, as well as estrogen-based creams available by prescription. Vaginal lubricants come in tubes, plastic squeezie bottles, and some women swear by the vitamin E vaginal suppositories.

If I had to guess, I’d say you were trying to get the job done by using a water-based lube, right? If that’s the case, I suggest you switch to a Silicon-based lubricant. They don’t dry out as quickly as water-based lubes. They tend to be a bit more expensive. They’re not water-soluble, so clean up can be a bit of a chore. Here’s a tip: you’ll want to avoid using a Silicon-based lube while fucking on the brand new Laura Ashley’s, don’t ‘cha know. But all these minor drawbacks pale in comparison to some mighty fine slippery fucking. Look for Pjur Woman Bodyglide, 100 ml (B305), in Dr Dick Stockroom. Mind as well plug one of my favorite sponsors, right? If that doesn’t work, I’d ask a doctor about an estrogen-based cream.

dry_pussy.jpgBut before we go there, maybe you should be asking yourself what gives with your Acute Arid Cunt Syndrome anyway. Is anything about your lifestyle that contributes to the problem? You know lot of very popular meds interfere with natural vaginal lubrication including:

• Halcion
• Xanax
• Ativan
• Calcium channel blockers
• Beta-blockers
• and especially prescribed and over-the-counter cold and allergy medications.

High levels of stress and depression, as well as a hormone imbalance, can cause vaginal dryness too. If this sounds like you, you can combat some of this by boosting your water intake. If you’re not adequately hydrated — at least ten 8-oz glasses of water a day — kinda hydration, you know you’re gonna have a problem.

Also, many hand and body soaps and a lotta laundry products contain scents and other chemicals that will irritate the delicate mucosal tissues that line your pussy.

A healthy diet and proper exercise is also important to maintaining a healthy level of natural lubrication. Ya know those low-fat, high-carb diets many women are on these days? Well, they literally starve your body of the nutrients it needs to make sex hormones. For example, the estrogen needed for vaginal lubrication is made from cholesterol, something women on low-fat diets are woefully lacking.

Name: LARRY
Gender:
Age: 23
Location: MYRTLE BEACH SC
WHERE DOES SEMEN COME FROM? THAT IS TO SAY WHAT ORGAN (ORGANS) MAKE IT AND WHERE IS IT STORED. WHAT EXACTLY HAPPENS AT CLIMAX? IF YOU CLIMAX WITHOUT CUMING IS THAT SOMETHING THAT SHOULD CONCERN ME

Semen is the technical name for male ejaculate. However, we here at Dr Dick’s Sex Advice like to refer to this man juice as spooge, spunk, jizz or cum. Semen contains sperm, of course, which is produced in your testicles. It also contains a complex “soup” called seminal fluid, which is produced by various sex glands in your body. But, despite its complexity, baby batter is 90% water.

Your most important sex glands, the seminal vesicles, produce 70% of your joy juice. This seminal fluid iscum_shot99.JPG viscous and alkaline. The alkaline quality is very important because it neutralizes the acidic environment of your urethra and a woman’s vagina, which would otherwise kill all your little sperm-letts or at least make them inactive. And what good is inactive sperm?

Seminal fluid also contains a simple sugar, which provides the energy your seed needs to survive and wriggle about like crazy. Oh and precum. the stuff that often drizzles from your man meat while you’re being aroused, comes from the Cowper’s gland, and it too paves the way for a healthy ride for your delicate spermatozoa.

About 25% of the volume of your spooge comes from your prostate gland. This gives your spunk its milky appearance. Your prostate also adds substances, which increase the survival rate of your baby seeds.

On average, a man ejaculates between 2.5 and 5 ml of jizz per wad, which contains about 50 – 150 million sperm per milliliter. Just think of that next time you shoot your business into that dirty sock at the side of your bed. And here’s another thing, if a dude’s sperm count falls below 20 million per milliliter, he’s likely to be infertile, or as we like to call it — shootin’ blanks.

The amount of goop a guy gushes varies greatly, and has lots to do with how long his arousal period lasts before he shoots. Ya see, the longer the arousal period the more time there is for your fluids to build up. That’s why Dr Dick always suggests a nice long foreplay session. The greater the build up of spooge, the more powerful your ejaculatory contractions will be. Which, in turn, makes for a more intense orgasm.

You will notice that I am going out of my way to separate the two events — ejaculation and orgasm. For a most guys they happen simultaneously. But for the lucky few, and those who practice the art of tantra, multiple orgasms are possible before the ejaculation.

crreampie1.jpgYou’ll notice your spunk tends to be sticky and thick right after you blow your load. But soon there after it begins to separate and become more runny. This is pretty normal. It is also normal for the color and texture of your jizz to vary from time to time. Sometimes it can be real milky, sometime it’s clearer with only streaks of milkiness in it. It can also contain gelatinous globules from time to time. A lot of this has to do with how hydrated you are, how many times you’ve cum recently and of course your age. Spooge production diminishes as we age.

Each ejaculation is actually a collection of spurts that send waves of pleasure throughout your body, but especially in your cock and groin area. The first and second convulsions are usually the most intense, and propel the greatest quantity of jizz. Each following muscle contraction is associated with a diminishing volume of cum and a milder wave of pleasure.

Most of us men folk can’t resist increasing manual or thrusting stimulation when we get to the point of ejaculatory inevitably. Which is too bad, because if we practiced some simple edging techniques — that is coming right up to the point of shooting, but then halting direct cock stimulation till the urge to pop subsides — our pleasure would increase. We’d last longer and our expected orgasm would be more powerful.

The typical male orgasm lasts about 17 seconds but can vary from a few seconds up to about a full minute. A typical ejaculation consists of 10 to 15 contractions.cum_drip.jpg

I know that I mentioned this before, but it bears repeating here. A recent Australian study has suggests that frequent masturbation, particularly as a young man, appears to reduce the risk of prostate cancer later in life.

If you’re chokin’ the chicken a lot your sperm count will be low and the amount of jizz you produce will be less. But also age, testosterone level, nutrition and especially hydration play a big part in that too. Just remember, a low sperm count, is not the same thing as a diminished volume of cum.

When a guy blows his wad before he wants to, it’s called premature ejaculation. If a man is unable to ejaculate when he want to, even after prolonged stimulation, it is called delayed ejaculation, retarded ejaculation or anorgasmia.

An orgasm that is not accompanied by ejaculation is known as a dry orgasm. And that may or may not have anything to do with semen production, because some men ejaculate into their bladder, and that, my friend, is called a retrograde ejaculation.

Name: Ernie
Gender:
Age: 50
Location: Atlanta
I love to taste cum. However sometimes it is quite bitter. I’ve worried that it’s because someone is taking medicine that comes through in the semen. Am I at risk swallowing some cum if the guy is on heart medication or other meds?

Well, darlin’, like I always say, we are what we eat…or in this case…what we consume.

facial006.jpegAbsolutely, you can be assured that there are trace amounts of unmetabolized drugs — pharmaceutical as well as recreational — in cum. This is not as much of a concern for jizz lappers, like you, as it is for piss guzzlers. But you oughtn’t fool yourself into thinking there will be no residue.

Here are some fun spooge facts. It’s protein, baby! And It contains only about 12 to 15 calories per cum shot. That’s same amount found in an egg white.

Alcohol, drugs and nicotine will make a guy’s spooge bitter. If you want your spooge to be sweet tasting, void junk foods and have lots of fruits and greens in your diet instead. Fruit juices like pineapple, citrus, and cranberry are also known to make cum taste sweeter. The higher the sugar content; melon, mango, apple, or grape, the sweeter the spooge. Likewise, vegetables like parsley and celery are also recommended. And just so you know, consumption of these things, even 20 minutes before a blow job can effect the taste of the cum produced.

— — And ya know what? The same is true for effecting the taste of pussy juice. How sweet is that? — —

Avoid fish and red meat, they produce a bitter, fishy taste because of their alkaline content. Chemically-processed alcohol can also make your joy juice taste bitter. Naturally fermented drinks are less likely to do so. Garlic and onion are likely to produce strong odors in your spunk since they are high in sulfur; so lay off these. And of course, asparagus is to be avoided pre-blowjob too.

Good luck ya’ll

I’ll Bite…

Name: Bob
Gender:
Age: 22
Location: NJ
I have been having a ton of rough sex with my boyfriend and the last time we did it he complained that I ripped something up there and that it burns whenever I try to slide in. He also says it burns sometime when he does #2 and he finds blood also! What can we do to get him better and prevent this from happing again?

Oh Bob? Are you completely brain dead? Tell me that you and your BF have been doing so many drugs that you’ve both fried your brains to the point that neither one of you can put two and two together. Please tell me that, because that is the only explanation for either or both of you not attending to your abused BF’s butt hole before now. You simply can’t be that friggin’ ignorant! Where there’s pain and blood, there is BIG trouble. Your BF needs to see a doctor immediately. If an infection sets in, he could lose his bowls. And he’ll have to shit in a bag for the rest of his life.

Listen up, you monkeys! If you’re gonna be doin’ a lot of rough sex, especially weremen_fucking46.jpg delicate innards are concerned, you gotta know that it’s only a matter of time till you cause some serious harm. And I know for certain that rough sex inside someone’s asshole is simply impossible unless the bottom is wigged out on some mind and body altering substance. This is absolutely and always unadvisable!

If you have some death wish, fine…proceed. But if you are serious about wanting to know how to prevent this from happening again, that’s easy too. First, quit the fuckin’ drugs…at least while you’re fuckin’ each other senseless. Second, rough sex is fine to a point. But if the rough sex involves abusing someone’s rectum or colon, then you’re goin way too far.

Name: Thomas
Gender: male
Age: 18
Location: Dublin
I just want to know how you start and ask a girl to have sex.

Well, that sure is to the point, Thomas! I suppose the answer to that query will depend on the young woman in question. Do you have a particular girl in mind? Or is this a generic “how to” question?

I’m of the mind that the direct approach works best, just so long as you’re not gonna be a dick about it. That being said, if the chick is a mate of yours and you fancy her, you’ll need to take a different approach to finessing a fuck than if you want to shag a relative stranger.

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So, before I go much further with my advice on how to bag a bird, I think we’d better take a good look at you first. Is there anything about you that would make you attractive to a young lass? I mean if you’re not overly geeky and have a bit of charm about you, your task is gonna be considerably easier than if you are some uncouth Neanderthal who just wants to dip his wick in some fine pussy.

If you’re not sure what kind of guy you are, ask a woman friend for her honest feedback. If she tells you she’d bump you in a pinch — you may have something going for you. If she tells you that she’d rather let her cooch die a slow lonely death than fuck the likes of you — you definitely have your work cut out for you.

Regardless of what group you fall into — the “possibly fuckable”, or the “not fuckingdating_bar.jpg ever;” you can always improve your image among the ladies. Look to how you present yourself; make sure you are groomed, clean and odor-free. Dress to impress. That doesn’t mean fancy or fussy. Just make sure it looks like you gave your cloths a thought before you dressed yourself. Make yourself interesting; have a point of view. But share it sparingly. If you can’t be clever and witty, then keep your mouth shut for the most part. Women love the strong silent type. And they rarely know if the silence is stoic or stupid till it’s way too late.

And if you really want to get laid never approach any woman like she’s a piece of meat. If you think women are put on this earth simply to satisfy a man’s needs, stick to pullin’ your own pud. And here’s a tip: I always suggest that a guy squeeze one off before he goes on a date. This will take the edge off his sexual tension and his blue balls won’t be so friggin’ obvious to the lass he’s tryin’ to woo. There’s nothing more unattractive to most women than a desperate fuck. Besides, if you don’t jerk off first, you’ll have way too short a fuse and you’ll be finished before she even begins. Get it? Got it? Good!

If you’re not already friends with the chick you lookin’ to bone, take the time to become her friend. This will involve some effort. If you’re not in it for the long haul, then skip it and find yourself a pro who will get you off for a few quid.

If the woman in mind is already a friend, and she trusts you because you’ve been nice to her, you’re half way there. She’ll be more inclined to say yes to your direct request.

Keep in mind that women are different from men, especially where sex is concerned. Few women are as casual about sex as are most men. So if she says no don’t take it personally. She may just be shy, or not ready, or not sure. It’s your job to draw her out, be patient while you do so. And most of all reassure her that you have her best interest at heart.

If she is uncomfortable with you, ask her why. You may learn some very interestingcunny009.jpg things about yourself that you need to work on. Maybe she just wants you to take your time and finesse her into giving up the bump.

If she has her wits about her, she’ll be concerned about the whole pregnancy thing. This is much more serious concern for a girl then for a boy. If you’re not well versed on several methods of contraception, you’re not ready to have sex. Sexually transmitted infections ought to be a concern for you both. Don’t be a fuck-up; always use a condom.

If you’ve got a hardon, it’s not the right time to be pestering a chick for sex. Talk about having sex at another time when the need is not so urgent. If you pressure her to service your wood, you’re going about this at the wrong time and in the wrong way. If she senses that all you want is to satisfy your loathsome self, she’ll have you pegged as the asshole you are.

Remember that there are lots of different ways to have sex, so she might welcome one type while rejecting another. Maybe she’d be up for a hand job or blowjob, just no full-on fucking. Whatever the case may be, you’d be well advised to get her off a couple of times before you look to your own satisfaction. Whatever you do, respect her boundaries and let her know that you won’t pressure her to do anything she doesn’t want to do.

In the end, there no standard way to ask for sex, but if you treat the woman with respect, honesty, and patience, you can be sure that whatever words you use they’ll be more welcomed than if you’re a jerk.

Name: Sita
Gender: female
Age: 19
Location: Delhi
Hi!
I came to know u through the net. I am from India and I am 19 years old. I am married for the past one year and I have a problem. Myself and my husband had sexual relationship which meant only breaking of the hymen but whenever he tries to insert it I cry out of pain and stop him from it. I really do not know how to overcome this problem. Kindly help me please.

The two most likely reasons for this painful fucking are: 1) you’re not aroused enough before the fucking begins, or 2) you have a physical condition that might make fucking painful, even if you are aroused.

black_couple.jpgI’d be willing to bet that, in your case, Sita, the first reason is the more likely cause of your discomfort. This is often the case with young people having their first go at sex. One can hardly fault them, both women and men in our culture, as well as the women and men in yours, are not particularly informed about their own sexual response cycle, much less the sexual response cycle of their partners.

Young women new to sex, may not have time to come to full arousal before their man starts trying to shove it in. A woman, particularly one who is new to fucking, must come to full arousal before her partner attempts penetration. A man, on the other hand, needs only to have a stiff dick. And if the young men in your country are anything like the young men here in the good old US of A, they pretty much a hardon 24 hours a day. This obviously makes them ready and eager for the old in and out long before their female partners are ready and eager for the same. If your husband is guilty of this, and I’d bet my last rupee that he is, your body will resist him, even if you want to make a go of it.

I’d also be willing to bet that your culture, like ours, doesn’t value a woman’s sexuality or pleasure as much as it values a man’s sexuality and pleasure. If that’s the case, you’re gonna have to struggle against those cultural forces to gain your rightful place as an equal sex partner in your marriage.

Start by being well informed about your own sexual response cycle. If you don’t know what turns your crank, don’t expect your hubby to know what to do. My first question to you is: are you orgasmic? If not, there’s a whole lot of remedial sex learning for you to do on your own. If you resist doing this, for whatever reason — women are not supposed to do that, blah, blah, blah —you can say good by to ever enjoying sex with your man.

Once you figure out how your body work, it’s gonna be your responsibility to instructpenetration.jpg your husband on the subtleties and points of interest of your particular pussy. Touch is very important to most women: often a woman will want to be touched and caressed all over, not just on the sexually charged points of her body like her tits and clit. Take your husband on a little touch tour of your body. Literally, take him by the hand and touch yourself with his fingers. Show him the kind of touch you like in the places you like to be touched. Take your time with this. I can guarantee he’s not gonna get it the first time out.

With your help he’s gonna be able to see your arousal build. He should be encouraged to use his lips and mouth as well as his hands. Make your man work for his bone, darling. If you let him just pounce on you like a sack of rice, that’s how he’s gonna respond to you. If you want him to behave like a lover rather than a conqueror, then you’re gonna have to demand that of him.

If you’re not fully aroused, your pussy will be dry. Use a lubricant to make yourself slippery and to facilitate penetration. If you can’t get commercial lube, cooking oil, body lotion or saliva is better than nothing at all.

If you follow these simple steps, Sita, you will have greater success with your fucking. You will experience great pleasure for yourself and be a fount of pleasure for your husband. In the end, it is you who must take the lead in this. Know your own body, so you can teach your husband about it. Then insist that he respect and use that information.

Name: Tench
Gender:
Age: 27
Location: San Francisco
Dear Dr. Dick: I read your response to someone having trouble making gay friends. You said casual sex tends to be the norm for making friends in the gay community. I actually agree, but I wish that weren’t the only answer. My boyfriend and I have been happily together for over a year and a half. We lost a lot of “friends” because we are in a monogamous relationship. It seems they were friends to the extent they had a chance of sleeping with (or dating) either one of us. So now we have significantly less friends, which tends to happen I suppose when a couple takes the time to grow together and bond. But now we want to re-emerge to the social scene, go out more often and have fun. We don’t want to make friends vis a vis threesomes or on open relationship. Are you saying we’re doomed to never have gay friends again unless we put out? Honestly, that’s how it often seems in SF, and frankly, it’s not acceptable. I’d rather just be with my boyfriend. Thanks!

What an interesting predicament you present. Would you mind if we examined things a bit closer? You’re tellin’ me you guys used to have friends before you got together in the sexually exclusive relationship you’re currently enjoying, right? Then these former friends…and I think it’s pretty safe to assume these were mostly single friends…began to drop away when they realized they no longer could compete for either of your affections, right?

Well, do ya blame ‘em, darlin’? I sure don’t. I mean why would any self-respecting single gay man stick around? Just to enjoy your little nesting experience from afar? Gee, no thanks!

If these former friends were also suitors to either you or your current husband, whymale_kiss.jpg would you want them to hang in there? You are making such a big deal out of the exclusivity of your nest, wouldn’t these others just be unwelcome 3rd wheels, as it were? I believe these other, not so exclusively encumbered as you, gay men would be much better served by taking their leave of you and your current husband and trying to find their own nesting situation. On top of the sexual tension that would continue if they did stick around, they’d also not be positioning themselves very well to find their own mate. Would you not agree?

So, ok I hope we cleared up that part. Now you say that you and your current husband are through with the first stage of nesting, the really exclusive part. And you now want to increase your circle of friends. Ok, that’s not a particularly tall order to fill! You’d probably do well to look to other couples for these new friendships, right? I mean, what would you old married guys have in common with single queer men…other than your youthfulness?

Good luck ya’ll

Sex Advice With An Edge — Podcast #47 — 01/21/08

[Look for the podcast play button below.]

Hey sex fans,

I have a nice load of provocative questions from the sexually worrisome. And I respond with an equal number of astounding, amiable and oh so informative responses! Hey, it’s what I do.

  • Amy’s vibrator don’t work no how!
  • Dan is dating a woman with a blockage. But what kind of blockage?
  • Jon’s meds eliminates his spooge output. Pity that!
  • LD’s partner died, but he wants to get back in the swing of things.

FINALLY, ANOTHER SEXUAL ENRICHMENT TUTORIAL

  • The Big Tease; How to Strip for Someone Special

BE THERE, OR BE SQUARE!

Sex Advice With An Edge — Podcast #45 — 01/07/08

[Look for the podcast play button below.]

Hey sex fans,

Today is my first podcast of the New Year. I have a really delectable show for you today. We have a great big load of stimulating questions from the sexually worrisome. And I respond with an equal number of stunning, appealing and oh so informative responses! Hey, it’s what I do.

  • Ashley wants to squirt for her BF.
  • Young Troy keeps bangin’ away, but he oughta try a different approach.
  • Ralph has a bone to pick with the red hankie crowd.
  • Jayrol wants a wife, kids and a white picket fence. But wait, there’s a rub!

BE THERE, OR BE SQUARE!

Sex Advice With An Edge — Podcast #13 — 05/14/07

[Look for the podcast play button below.]

Hey sex fans,

I have a great show for you today. Provocative questions from the sexually worrisome and an equal number of amusing, entertaining and informative responses! Hey, it’s what I do.

  • Thomas, from Dublin, wants to bag a bird, but doesn’t know how.
  • Sita, from Delhi, can’t get it on because it hurts.
  • Tench and his man want friends that look, but won’t touch.
  • Doreen has been very bad and needs a spanking!
  • Bob plays too rough and his BF’s hole is in real trouble.

BE THERE, OR BE SQUARE!