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!

Never a dull moment

Name: David
Gender: male
Age: 36
Location:  Iowa
Dear Dr. Dick I am a 36yr old male, I have come clean with myself and my family about my sexuality about 2 years ago. But before then, I was very much in the closet about my sexuality not only to friends and family but also to myself.To see me or to talk to me you would never know I’m gay, although I believe that this is just a label. I don’t believe I ever want to come out completely. Whenever a conversation comes up at work or I attend a briefing on sexual harassment, there is always a comment about homosexuality, I blush every time this comes up.When I was younger I hid my sexuality and tried to fool myself into thinking I wasn’t. But of course you know that will eat a person alive. I know it did me.  So I sought counseling and paved the way for me coming out to a few close people.Anyway, I still struggle with the issue.  On the outside I’m as straight as ever, but on the inside I’m gay. Do you have any suggestions to help me over this acceptance of myself?

coming-out.jpgHoney, as far as Dr. Dick is concerned you haven’t even begun to come out.  Sorry to be so blunt, but just identifying your sexual preference to a few individuals “coming clean” as you suggest (hey, we’re talkin about being gay here, not confessing to being an ax murderer) is not the moral equivalent of coming out.  If you can’t celebrate your sexuality and, I might add, integrate it into you whole personhood, then you’re not OUT.  PERIOD.

It is true what you say about being in the closet and getting eaten alive in there.  But if you’re queer on the inside (whatever that means) and straight on the outside (God forbid) then you’re still a danger to yourself.  This, is after all, the very definition of schizophrenia, darlin’.

I’m gonna go way out on a limb here and guess that you still have loads of shame about who you are.  I encourage you to get back into counseling ASAP until you resolve that.  The world does not need any more fence sitters.  gay-pride.jpgYou’re either gay or you’re not.  You either celebrate that (and I don’t mean waving a flag or parading around like a lunatic) or ya don’t.

I don’t suppose any of us is ever really free of all our own internalized homophobia any more than other oppressed and marginalized minorities can rid themselves of their internalized self-doubt.  No one can completely escape the prejudices and biases that surround them.  But most of us make our way regardless.  That’s why coming out is so important.  It empowers us.  It increases our self-esteem.  Honesty about our life increases our personal integrity.  When we stop hiding or denying this important part of our life we have greater freedom of self-expression.  And we become more available for happy, healthy and honest relationships.  So you see, you have a ways to go.

Name: Liz
Gender: Female
Age: 31
Location: GA
My hubby wants me to have a 3 way with him and another women and I don’t know and I am a little scared I might like it and he wants to have the other women lick me while he plugs her from behind and I am afraid to. We have done a 3 way with him and another guy pound me but they didn’t touch each other so what should I do he has 2 female friends that are willing to try it and I don’t want to lose my hubby so what should I do? — mom in need of help

Very interesting, Liz!  And ahhh, what would be so wrong with you enjoying some hot girl girlongirl.jpgon girl action?  Isn’t that the purpose?  This is where so many men and a whole lot of women are so very different.  Men have more permission to be sexually assertive.  But if you plan on being an equal partner in these sexual adventures, you’d better buck up, darlin’!  To paraphrase the immortal Fats Waller; Find out what you like and how you like it; then make it happen just that way.

Let’s take a closer look at what you tell me about you and your randy husband.  Apparently he has no reservations about asking you to have a 3-way with another chick. He thinks it’ll be hot and he wants to go for it.  He also has no reservations about a 3-way with another guy, just as long as he doesn’t have to interact with the other dude.  You see, he’s pretty clear about what is a turn on for him and he doesn’t hesitate to draw you into his little adventures, does he? Do you just go along with what he dreams up so you don’t lose the big lug?  Or is there something enjoyable in it for you?  I sure hope it’s the later, darling, because we shouldn’t be doing things, particularly sexual things, under duress — either physical or emotional.  If it’s merely a question of perhaps enjoying the attentions of other woman a little too much, I think you’re entitled to that.  You could even keep this your little secret, if you wanted to.

toes-curled.jpgTrying new things can be really fun especially when your playing with people you like and are turned on to.  If you decide to go for it, I suggest the three of you start your encounter by getting a bite to eat together.  A little food and a few cocktails can be a great start to the adventure.  You’ll notice almost immediately that a 2-girl and a guy 3-way is a whole lot different than a 2-guy and a girl 3-way.  No doubt all three of you will be a little nervous, so make this part of the outing sexy fun and flirtatious.  Practice your seduction skills on the other woman.  You will soon discover the sexual hierarchy…and there always is one in these kinds of encounters.  Make sure you are comfortable with all arrangements made and make sure that they are all mutually agreed upon. If there are any ground rules, this is the time to mention them.  The more you discover about your new partner in this non-sexual environment the more prepared you will be for the rest of the evening.  If it were me; I’d want to get a sense of how experienced this other chick is at having a 3-way.  Women tend to be more accommodating in terms of bisexual behaviors than are men folk.  Maybe you could ask her about her sexual fantasies and share some of your own with her.  Just remember, you are an equal partner in this ménage.  I’d certainly make sure that the she knew what turned you on just so everyone is satisfied in the end.

I hope you write back and let me know how the encounter goes.  My interest, of course, is purely scientific, don’t ‘cha know.  But I will want all the gory details.  And a detailed photo essay would also be appreciated too.  😉

Name: Brian
Gender:
Age: 40
Location: Canada
After a guy ejaculates can he have another ejaculation? Like after I cum if I put on a cock ring will it stay hard enough to continue with intercourse and achieve another orgasm? I basically want to cum twice in a row.

Yep, that’s doable.  All depends on your particular refractory period and how turned on you are.  Let’s take a quick look at the male sexual response cycle again, just so we understand what we’re talkin’ about.  Ok?

The sexual response cycle refers to the sequence of physiological changes that occur as wemale_sexual_response.jpg become sexually aroused and move through to afterglow. The sexual response cycle has four phases: excitement, plateau, orgasm and resolution. Both women and men experience these phases of course, although the timing usually is very different for each gender.  In addition, the intensity of the response and the time spent in each phase will vary from person to person and from situation to situation. That’s why I say cuming twice in a row is doable.  But is it gonna happen for you?  I guess we’ll just have to wait and see, huh?

Ok, here goes…

Phase 1: Excitement (or the boner stage)

  • Muscle tension increases.
  • Heart rate quickens and breathing accelerates.
  • Our skin may become flushed particularly on our chest and back).
  • Our nipples may become erect.
  • Blood flow to the genitals increases, thus the boner.
  • Our balls swell, our sack tightens, and we may drip precum.  Mmmm, precum!

Phase 2: Plateau (or the strokin’ or pumpin’ stage)

  • Everything in phase 1 intensifies.
  • Our balls may pull up into body cavity.
  • Our breathing, heart rate and blood pressure increase.
  • Our toes curl, face contorts and hands clench.

Phase 3: Orgasm (or the “yabba dabba doo” stage)

  • Involuntary muscle contractions begin.
  • Blood pressure, heart rate and breathing excelerate.
  • There’s a rapid intake of oxygen.
  • Muscles in the feet spasm.
  • There is a sudden, forceful release of sexual tension.
  • Rhythmic contractions of the muscles at the base of our cock result in the ejaculation of spunk.
  • A “sex flush” may appear all over our body.

Phase 4: Resolution (or the “I need a nappy” stage)

  • During this phase, the body slowly returns to its normal level of functioning, and the parts of your body that swelled and engorged return to their previous size and color.
  • This phase is marked by a general sense of well-being, enhanced intimacy and, often, fatigue.
  • Most women are capable of a rapid return to the orgasm phase with further sexual stimulation and may experience multiple orgasms.

Men, on the other hand need a recovery time after orgasm, this period is called the refractory period.  This doesn’t have to be the end of sex.  Like you suggest, a cockring may prohibit your dick from going soft.  But don’t count on an immediate second orgasm, even if your dick stays hard. Don’t forget, the duration of the refractory period varies and is situational.  It will also increase as we age.

Good luck ya’ll

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.

No, seriously…

Name: PaunFarr
Gender: Male
Age: 41
Location: Ohio
Dr. Dick, I’m feeling the intense letdown of the ballot issues passed this week in California, Florida and Arkansas. Especially CA, where they had gay marriage but now have lost it, and my heart goes out for all those married couples now in limbo. I don’t understand this. Ohio passed their “marriage protection” act a couple years ago, and it was a devastating blow to me. Why is ok for the majority to restrict the rights of the minority? Where is our defender? Where is justice simply because it’s the right thing, not necessarily the popular thing? Will Barack Obama be able to turn around the tide of hatred and discrimination that George Bush has sewn for eight years? How long must we wait to be recognized as equal citizens and not made to feel like the lowest form of person possible? Looking for some advice on how to hold my head high when we’re so often given the message to slink away.

Yeah, I’m bummed too.  But the November 4th vote is not the end of the story.  There dr_dick_1976.jpgare many more chapters yet to be written.  Don’t let your disappointment and frustration take the wind out of your sails.

The very first thing I learned in the 30 plus years I’ve spent fighting for human rights, is that equality and justice never comes easily.  The second thing I learned is that my dignity and self-worth is not dependent on the approbation of others.

You learn to hold your head up because you KNOW you are as good as anyone else.  You fight inequality and injustice wherever you find it, not just in the gay community.  You make allies of all the other people in your community who are marginalized for whatever reason.  You build a coalition.  When your efforts fail, as they often will, you support and encourage your colleagues and plan your next assault on the in equitable and unjust system.  In fact, you redouble your grassroots organizing to broaden your base by reaching out to others in a language they will understand.  One thing is certain; other minorities will not automatically understand your oppression as a gay man any more than you will automatically understand what oppresses them.  But working together to find common ground will provide you the means to achieve your goals of equality in the dominant culture.  That’s how it’s done.

And ya know what?  This struggle is never over.  If you leave the battle once your rights have been secured, then you signal to your allies that you were only in it for yourself.  Nothing will undermine a coalition faster than selfishness.

Whatever you do, don’t be lookin for a defender to swoop in and save the day for you.  That’s the stuff of fairytales.  If you’re not on the front lines making this coalition happen, then don’t expect anyone, from the president on down, to come to your rescue.  Remember, dignity is not the result of the struggle; dignity is in the struggle.  Make this your life’s work and you won’t be discouraged with one, or even several, set backs.

Name: Paige
Gender: Female
Age: 22
Location:  Tulsa
I am engaged to a wonderful guy.  I’m excited about my upcoming marriage, but I’m also afraid that it will fail.  I know you are going to think we’re freaks, but my fiancé and I have decided to save ourselves for after we are married. Some of our friends even our recently married friends are having trouble with their relationship and with the divorce rate so high, what are the chances that my marriage will work?  Do I just have cold feet or am I not ready to get married?

First off, I don’t think you’re a freak for reserving full sexual expression till after you bride32.jpgare married.  It wasn’t too long ago when that sort of thing was the norm.  And as you say, even though nowadays most people enter marriage as established sex partners, that alone won’t insure a marriage will be a success.

So ok, if a successful marriage is not dependent on sexual experience what does it take to make a marriage work?  Hell, if I knew that I’d bottle it and make myself a well deserved fortune.

For the sake of argument, let’s just say you are the marrying kind and that you simply have cold feet, like every bride and groom to be does.  Let’s say that you and your fiancé have made the right choice…for you…to enter your marriage as virgins.  What’s next?  Possibly you need to jettison the Pollyanna notion that marriage is a breeze.  Your recently married friends are having problems because there are always problems in a marriage.  It’s the nature of the beast.  Hopefully, the problems you guys will face won’t be insurmountable.  But, sure as shootin’, problems will be your constant companions, sometimes they’ll even big problems. So count on it and prepare yourself accordingly.

If you have an unwavering commitment to one another to do whatever it takes to make your overall relationship work, you’ll probably be ok. Being sexually unfamiliar with one another may be a liability or it might be an asset.  One thing is certain, if you guys start to have problems with the whole sex thing, as often happens for newlyweds, get help right away.  There should be no shame or embarrassment about that.  In fact, you might want to be proactive and start looking around for sexual enrichment courses or videos to help you grow together as lovers.  Look to my Product Review Page for some video and toy suggestions.

bride0020.jpgHere are some generic tips.  Great sex is dependent on mutuality.  Be sure your partner knows he or she is loved, appreciated and respected.  One of you may discover that he or she has a stronger libido than the other.  That’s pretty common.  Deal with this immediately, like adults. Don’t wait for your relationship to go broken. Accommodations and compromise are always necessary in seeking the common good.  And people come to compromise and accommodation through effective communication.  If you don’t know how to do that, your relationship is doomed.

Passion is not a dirty word, nor is creative sexual expression a sin.  If you have religious scruples about enjoying your body and that of your fiancé you’re headed for trouble.  Boredom in the bedroom, particularly for newlyweds is a recipe for disaster.

Saving yourself for your wedding night does not preclude you being well versed in self-pleasuring.  In fact, the more you know about your body and the mysteries of your sexual response cycle the smoother things will go for the two of you on your wedding night. Nowadays there is absolutely no need for anyone to come to their marriage bed uninformed about sex in general and his or her sexuality in particular.  And come prepared; always have lots and lots of lube handy!

Like I said, mutuality is the key.  And since we all evolve sexually, both of you will need to grow right along with your partner.  Make your sex play an adventure.  Never hesitate to check in with one another to see how the pleasure thing is going.  What worked last time is not necessarily gonna work the next time.

Spontaneity is always a real good thing.  Traditional marriage doesn’t mean you have to be stogy.  Both of you need to take responsibility for seeing that your intimacy needs are being met.  Sometimes that will involve fucking like bunnies, other times it will mean vegging-out in front of the boob-tube with a fist full of Häagen-Dazs.

Openness and honesty about your most secret sexual desires and needs is essential.  Can’t trust your partner with your secrets, you oughtn’t be married to him or her.  Take responsibility for your own sexuality.  Ask for what you want and need, but don’t neglect caring for yourself.

Seek your partner’s pleasure before your own.  This is particularly important for a man.  If you become too busy to celebrate your sexuality together, you are indeed too fuckin busy.  Prioritize your life with your partner at its center.

There’s a fundamental difference between making love and fucking.  Both have their place in a healthy marriage.  And there ought also be room for solitary sex too.  Everyone in entitled to privacy and private time, especially in a marriage.

Have some creativity about your sexual expression.  Toys, fantasies, role-playing, they’re all good.  Don’t be afraid to experiment.  Attend to making your sex play spaces fit the mood — romantic to down and dirty.  One size does not fit all, if you catch my drift.

If you plan to go to seed once you’re married you can be assured that the fire will go out just as soon as you do.  Stay in shape, get plenty of exercise, and keep yourself attractive to your partner.  Pay attention to your personal hygiene. No one wants to bump someone with a smelly body and bad breath.

Make sure your partner is fully aroused before full-on fucking.  And remember sex is way more than the old in an out.  Finally, have a sense of humor about the whole thing; it will help take the edge off.

Name: Steve
Gender: male
Age: 46
Location:
Safe to swallow?  Improve the taste?

I just love it when ya’ll take the time to write or call me to tell me about your spunk. I like it for two reasons. First, it reassures me that ya’ll are paying attention to your sexual response cycle.  And  that you continue to be fascinated with how your body works. These are two really good things.

Second, well hell, I just get a kick outta hearin’ about your joy juice discoveries. Gosh, seed2.JPGIt warms the cockles of my poor old heart.  So keep it up, so to speak, and keep the good doctor informed. Who knows one day I may hear something I’ve never heard before.

Back to you Steve, there ain’t nothin’ to get all freaked out about.  Eatin’ your spooge will not make you sick. If you get off suckin’ up your own seed, knock yourself out. Have a ball! Oh wait, you already are!

Think about it for a minute, there couldn’t possibly be anything in your cum that could harm big old you, because that would mean it would also be harmful to your cute little defenseless sperm. But it’s not, so there.

Technically speaking, your joy juice, semen to be more precise, is mostly water. There’s also a simple sugar to keep you’re hard workin’ sperm alive and well. And, the rest is pure protein, baby. So look at it this way, your eating habits, so to speak, will require you to eat just a little less tofu than the rest of us.

And I do know a little something about making your spooge…spunkalicious.
Most of our ejaculate is produced in our seminal vesicles and prostate gland: not in our testicles, as most folks think. Only our sperm is produced in our balls, and sperm makes up only a fraction of our ejaculate. Our prostate gland is influenced by what we consume; eat, drink, smoke, things like that. So if you want to have sweet tasting jizz, for yourself and others, watch what you consume. Oh, and drink lots of water too.

Eating celery and/or parsley can have an almost immediate effect on the taste of your cum. Some report that the effect can be as swift as 30 minutes. So not only do celery and parsley freshen your breath, but they freshen your spunk as well. Hey, it’s like having two mints in one.

Oh and I can turn you on to a brand new product.  So brand new, in fact, that I have yetsmallermaple.jpg to publish a review of it on my Product Review Page.  Let me introduce you to Intimate Teas.  They have this special tea called My Maple Cookie.  It’s a unique blend of premium herbs specially formulated to change the female genitalia and male semen to smell and taste like pure maple.  How fun is that?  And it really works too.  I mean, who doesn’t want his/her juices to smell and taste like dessert?

If your diet is heavy with meats and fish your jizz will most likely have a bitter taste. A high concentration of dairy products creates a foul taste…so does all that coffee and nicotine. Lots of fruits and vegetables in your diet (except for asparagus that is) will produce a slightly sugary taste. And if you like your cocktails (the kind you drink, silly), it’s best to stick with high-quality, naturally fermented beers, wine or liquor. The cheap stuff, the rotgut, will not only give you a wicked hangover, but will cause your spooge to have an extremely acidic taste.

Name: Alva
Gender: female
Age: 40
Location:  New Mexico
It has been over six years since I have had sex. My husband of 12 years died cancer 5 years ago.  There was no sex in our relationship the last year of his life.  He was the love of my life and I still miss him so much. I would like to get back into the swing of things.  I just don’t know how.  My friends tell me I should get on with my life.  They tell me I’m still an attractive woman and that I’m wasting my life.  Sometimes they badger me so that I don’t want to be around them.  Maybe there’s something wrong with me.  Maybe I’m dead inside.  Why can’t I just move on?

You raise some very interesting issues, Alva, concerns that are often ignored or misdiagnosed by healing and helping professionals.  Grief has a profound effect on grief-1.jpgevery aspect of our lives.  Yet there is hardly any literature on the effects grief has on our sexuality.  To my mind, grief is the leading causes of sexual dysfunction for those who have experienced the death of a loved one.  And you, my dear, present some of the classic symptoms — indecision, self-doubt, lack of libido, a desire to isolate.

Before I continue I want to underscore that grief is not depression.  And treating grief with an antidepressant is counterproductive.  It can actually take away the impetus to resolve the grief and get on the rest of one’s life.

Now, is six years of grieving enough?  Apparently your friends think so. But what do you think?  Would reviving your sex life sully the memory of your dear departed husband?  I believe it’s time for you to bring this concern to a professional for help.  I suggest that you get some therapy from someone who is well versed in both sexuality and grief counseling. I say this not because I’m siding with your friends, but because you, yourself, identify this as a problem.

What could a counselor do for you, you may ask?  Well, I can only speak for myself, and the work I do in my practice.  A good portion of my practice is with sick and dying people and their friends and family who survive them.  I know the impact a terminal illness and the dying process can have on the surviving spouse or partner.  We often go into survival mode, shutting down so much of ourselves in an effort to have the strength to cope with this life-altering experience.  Of course, trying to kick-start our life afterwards is often a monumental effort.  Without the support and guidance of a professional or a group of similarly challenged people, some of us just sink to the lowest common denominator and stop fully functioning.

grief.jpgTraumatic events in our lives can radically shift us out of living mode into merely surviving mode.  And if this goes on for a long time — and six years is a very long time in my opinion — surviving mode begins to feel like living mode.  But it’s not!  Good thing we have friends to tell us when we are off course.  You are right to say that sometimes the interventions of our friends can feel like badgering.  And I know that’s not helpful.  But how else are they to convey their continued concern for your wellbeing?

I believe in the resilience of the human spirit.  I believe that we can honor our dead and continue to live and love too.  Now it’s true that some animals and even some humans mate for life.  And when the mate dies they never mate again.  However, this doesn’t sound like you, Alva.  It sounds to me like you have a desire to get on with your life, to fill the void, to make new connections, but you simply don’t know how.  Acknowledging that fact is a real good place to begin.

Perhaps you could start by reawakening your sexuality through self-pleasuring.  Reconnect with your body and the joy it can bring you.  Six years is a long time to be without, so starting up again may take some effort.  While you are working on resolving your grief in a grief support group, you might want to connect with another group member who will no doubt be experiencing much the same things as you.  You could explore your sexuality together.

Reestablishing a social life will no doubt follow, slowly at first.  But the inevitable tug of our basic need for human to human contact will draw you, if you let it.  Remember the best testament to those who have died is to continue to celebrate life itself.

Good luck ya’ll

Sex Advice With An Edge — Podcast #82 — 09/29/08

[Look for the podcast play button below.]

Hey sex fans,

I have a really delectable show for you today. We have a 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.

And just to mix things up a bit, I’m gonna throw in a nice Product Review.  You’re gonna love this one!

  • Lilla’s BF suddenly shut the backdoor.  What’s up with that?
  • E is all worried about the consistency of his spunk.
  • Dustin is gay.  His best gal-pal is straight.  They want to make a baby.
  • NHB is chompin’ at the bit.  He and his partner are discussing opening the corral.

Finally a Product Review — The Vergenza Mk. I

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.

Sex Advice With An Edge — Podcast #40 — 11/19/07

[Look for the podcast play button below.]

Hey sex fans,

I have a really delectable show for you today. We have a 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.

  • Chris is married to a swell gal. Sadly, she ain’t puttin’ out no more!
  • Therese and her hubby are thinking about having a 3rd.
  • Ulrich wants to know if his girl is faking it.
  • Manny wants to try an herbal alternative to help get it up.

BE THERE, OR BE SQUARE!

If It’s Not One Thing, It’s Another!

Name: Julie
Gender:
Age: 26
Location: 41425
I am a virgin. I am also just asking How do I keep my first time from hurting? Some Say Lubrications in exess, but I am very small.

Yep, lots of lube is important — first time and every time. 05_10_12.jpg

But there is so much more you can do to prepare yourself for your first fuck. Begin by knowing your body and your sexual response cycle. Is it safe to assume, even though you are a virgin to full-on fucking, that you are familiar with masturbation? If not, darling, that’s where you should start. If you enjoy pleasuring your body to orgasm, you will likely know the kind of stimulation you need to achieve full arousal. This is precisely the information you will want to pass on to your partner before the fuck-fest begins as well as throughout the event.

The more you know about your body and the mysteries of your particular sexual response cycle the smoother things will go for you and your partner. Nowadays there is absolutely no need for anyone to come to their first partnered sexual encounter uninformed about sex in general and his or her sexuality in particular.

Most women experience pain during fucking (for the first time or anytime) because of one of three basic reasons: 1) She is inexperienced, 2) Her partner is inexperienced or unversed about mutual pleasuring, 3) She is not fully aroused. Right away you can see how a familiarity with your body in general and your pussy in particular will short-circuit at least two of the three basic reasons right away. And while you can’t account for the sexual prowess of your partner, you will be able to direct him/her on how to touch and make love to you. And that, my dear, takes care of the third basic reason.

One other thing, a lot of women don’t relax during sex…thus discomfort…because they worry about becoming pregnant. If you’re not well versed on all methods of contraception and actually practicing one of them, you’re not ready to have sex. And one other thing, sexually transmitted infections ought to be a concern for both you and your partner. Don’t be a fuck-up; your partner ought always use a condom.

Name: Dave
Gender:
Age: 20
Location: Sydney
The other day I had to stop myself pissing mid-flow.. and god it hurt like fuck… felt like my ass was being tugged, from within. why does this happen? and can there be any damage from doing this at all?

Jeez, ya got me, pup! Was this some kind of muscle spasm? The muscles in your pelvic region, specifically your pubococcygeus muscle (or PC muscle), are responsible for stopping the flow of pee. Could you have injured or strained these muscles in some way? Has this happened before? One thing for sure, if this continues; have a doctor take a look right away.

Name: Drew
Gender:
Age: 22
Location: Idaho
Is there any way that I can increase my quality of orgasm? I’ve been having shitty orgasms for the last year, so shitty that they really shouldn’t be called orgasms. I’m on antidepressants (Effexor XR), and I fear that is a factor. I’m also having trouble keeping an erection, it never really gets fully hard and then kinda fades in and out over the course of masturbation or oral sex. Any ideas?

I think you put your finger on the problem right there. Antidepressants can sure enough fuck up a person’s sexual response cycle — interfering with both erections and orgasms. c917.jpg

Short of going off your meds, which I don’t advise…at least not without consulting your physician first…there are a few things you could try. I advise all my clients who are struggling with this same issue to use a cockring. It helps them get and keep a harder hardon. And of course, the more firm your rod, the more likely you will have a “quality” orgasm. I also encourage other clients on antidepressants to use a vibrator during their sex play…alone or with a partner(s). There are several different kinds — wands, dildos, eggs, bullets and plugs. Check out Dr Dick’s Stockroom for every imaginable kind. Of special interest for you might be The Rude Boy (C917)

Name: Jennifer
Gender:
Age: 42
Location: AZ
No joke, I am writing for my best friend who is a 41 year gay man and a virgin. He has never had any type of intercourse and has had brief foreplay with only a few. He can get erect when masterbating but not with a partner. He has tried to “wing it” and pick up men only to be “punched in the gut” again and again and again. He does not pick up anyone anymore because he considers it “false advertising”. He is super cute, very funny and works in the entertainment industry. He is so lonely and very depressed and completely against any type of medication. He wants to share his life with someone so bad. He says that no one has his problem and medical doctors say that the plumbing is fine. He seems to think that because he was able to masturbate at 8yrs old without a true erection that this ruined him. All my research points to performance anxiety and ED which he completely denies. He tried Viagra and that did not even work. Please share your best advice…I really want to help him. Thank you!!

My best advice? Okey dokey, here goes!

This boy needs a sex-positive therapist big time and right away. He is a freakin’ ball of sexual neurosis, for cryin’ out loud. However, the likelihood of your best friend actually seeking the help he so severely needs is nil. Especially since he can’t even cop to performance anxiety and ED issues with you.

And you know what, Jennifer? You may actually be enabling this dude’s dysfunction by allowing him kvetch about his love life…or lack there of. Lay down the law, darling. Tell this miserable wretch he needs to get professional help ASAP. If he refuses, cut him off from your shoulder to cry on. If he can’t grow a pair of cohunes and address his issues like a man, then you oughta grow a pair for him till he get a life. And that’s my best goddamn advice. So there!

Name: Rachel
Gender:
Age: 32
Location: Houston
I have the pleasure of dating (for the first time) a man who is uncircumcised (his foreskin completely covers his head. I love giving oral sex, but I’m a little intimidated. Lots of info on “cercumcised blow jobs” … not so much on Mr. natural. How do I blow his mind!

Doll, havin’ a natural man don’t make suckin’ his cock any different than suckin the cut variety. Except that you have a whole lot more delicious willie to play with. Let’s start with the basics. There’s no one best way to make oral love to a boner. No two cocksuckers will do it exactly the same way. But all have one thing in common, and that’s the desire to satisfy. Technique and position take a back seat to simply craving a cock in your mouth. We’re not talkin’ rocket science, girlfriend, it’s just a pecker and a mouth doin’ what comes natural.

vein.jpgBegin by taking a good look at the object of your desire. A big stiff woody with lace curtains is a wonder to behold. And even those little willies can be cute as hell. Visually explore the whole enchilada. Feel it’s shape, its thickness and texture. Sick a finger under his hood and trace his dick head. Nibble on his foreskin. Pull on it and stretch it out. He’ll be sure to let you know if you are doing too much.

Use your tongue to trace a line from his dick head down the underside of his shaft to his balls. Draw back his foreskin and slop your tongue all around his corona. As you do, watch your man’s eyes roll back in his head in ecstasy.

Let his cock slide inside your mouth. Let your lips slide over the head and down the shaft a little, but, for god’s sake, watch out for your teeth! Slide your mouth down farther and open wider. Feel the stretch in your jaws. When his dick gets close to your throat, you may begin to gag. This is a normal reflex that you will, in time, be able to control. Ask for some feedback on your efforts. Just don’t talk with your mouth full.

There are lots of other things you can do with your mouth. Lick his dick, suck on it and flick your tongue rapidly across the top of his dick. Or you can simply move your mouth up and down his joystick drawing his foreskin back and forth with your hand as you go.

Dive into his crotch, lick his inner thighs, lower belly, and slobber all over his nuts. Keep your mouth wet, a thick wad of saliva will add to the pleasure and eliminate irritation. Don’t be afraid to be sloppy. Increase your speed or slow it down. Fondle and cup his balls in your hand.

As your man is about to spew, he will become more excited and may start some pelvic thrusting. If he does and you start to gag, use your hand to guide his dick in and out of your mouth. Remember that you’re the one in charge here. Encircle your lips firmly around his cock and over your teeth. Keep the other parts of your mouth as relaxed as possible (actual “sucking” is unnecessary at this point). Keeping a regular rhythm is nice, but don’t let it get boring. If you vary your position and your stroke you won’t get fatigued.

Name: Bruce
Gender: male
Age: 19
Location: UK
What’s a PA? I sometimes see this abbreviation in online personals but I can’t figure it out. thanks

Well, Bruce, PA could mean a whole lot of things. It could be an abbreviation for Pennsylvania, public address system, personal assistant, parental advisory, pussy addict …hell, even Port Arthur, Texas.

pierced.jpgBut if I had to guess, you are referring to PA as in Prince Albert.

A PA is probably the most common male genital piercing. It enters the urethra and exits immediately behind the glans on the underside of the cock.

The Prince Albert Piercing, also known as a “Dressing Ring”, was apparently designed to strap the penis tightly against one’s leg to minimize the bulge caused by one’s rod when wearing the very tight trousers, which were fashionable during the Victorian era. We sure have a different ethinc about that today, huh?

As the rumor has it, Prince Albert, queen Victoria’s hubby, wore one of these little numbers to hold back his foreskin so he would keep his johnson sweet-smelling so as not to offend the Queen. What a fuckin’ gentleman!

Good luck ya’ll

Sex Advice With An Edge — Podcast #24 — 07/30/07

[Look for the podcast play button below.]

Hey sex fans,

I have a great show for you today. Several juicy questions from the sexually worrisome with an equal number of irreverent, charming and oh so informative responses by me! Hey, it’s what I do.

  • Frasier thinks he wants to smoke himself some pole!
  • Bubba wants to bottom out.
  • Brian thinks he can do two, but can he?
  • Ivan wants to play with his drugs.
  • Liz considers a 3-way with another chick.
  • Joey is a friend of “tina”.

BE THERE, OR BE SQUARE!

Sex Advice With An Edge — Podcast #01 — 02/12/07

[Look for the podcast play button below.]

DR DICK’S PODCAST PREMIERS TODAY

Hey sex fans,

My very first podcast is ready to rock and roll…your world! SWEET!

  • Frank needs bigger tits!
  • Daniel #1 has big meat; does he need to find a bigger pussy?
  • Daniel #2 is about to chow down on some butt-hole

(What’s up with all the friggin’ Daniels?)

  • George is not sure about his girlfriend’s cookies.

And finally,

  • Alicia gives her queer brother a Valentine!

BE THERE, OR BE SQUARE!

This podcast is brought to you by Daddy Oohhh! Productions; Quality Adult Entertainment, Enrichment and Education.

daddyoohhh.png

Slippery When Wet

Getting to the bottom of things, so to speak is not always as easy as it appears at first glance. I’d like to share with you an exchange I’ve been having with very articulate correspondent from Chicago…dr dick’s hometown. Pay attention to how the topic moves from a concern about finding the proper lube to issue of much greater importance.

Hey there Dr. Dick,

I’m a 31 year-old gay guy from Chicago, Illinois, and I’ve been in a completely monogamous relationship with my partner, who is 38, for almost nine years.I consider myself to be on the bottom side of versatile–what can I say? I love it when my guy fucks me! But my partner is never able to cum when he makes love to me because of the lube on his dick. For whatever reason, it desensitizes him, and he’s unable to get off either from fucking or masturbation. We’ve tried various brands of lube, as well as different kinds of lotion, but nothing works.

We’re both HIV- and haven’t used condoms for many years. One of my biggest fantasies is to feel him shoot his load inside of me. Unfortunately, he is unable to get to that point. Furthermore, I hate that I get to cum and he doesn’t. I’ve looked for different kinds of lube online, but to be honest, I just don’t know which one might do the trick. Do you have any suggestions?
Thanks, Dr. Dick,
Daniel

Hey Daniel,

Let me see if I understand what you’re saying. Your partner is unable to ejaculate when he uses either lotion or lube while either masturbating or when fucking you. Right? Does that mean he can masturbate to ejaculation just fine with a dry hand?So when you guys have sex, and he’s fucking you, and you cum, what happens next? Does he pull out of you, wipe off the lube and beat off till he cums?

Daniel, I need a bit more information before I can advise you. I hope you take the time to respond.

dr dick

Thanks for your thoughts on this, Dr. Dick.

That’s right, my partner can’t seem to bring himself to climax using either lotion or lube.He can masturbate to ejaculation with a dry hand. However, I will say that it often takes him a little longer to ejaculate in general, which may just be one of those things that happens to us all sooner or later. He goes wild when I go down on his butt while he masturbates — he usually cums pretty quickly then.

So if there’s no fucking involved, we’ll play around together for awhile, then I’ll concentrate on him until he cums, and then I either jerk off or he’ll jerk me off.

When he’s fucking me, it usually becomes all about me, which I don’t think is very fair, because unless he takes a shower and washes off the lube with soap and water, he can’t cum at all.

He is generally content to just enjoy our love making on these occasions without necessarily having an orgasm. That’s all well and good, but like I said, I don’t think it’s very fair, and I wish I could figure out a solution.

Thanks! Please let me know if you need any more information. I’m looking forward to hearing you’re thoughts on this.
— Daniel

Hello again, Daniel.

This is all very curious. I’d be willing to speculate that what you present here is not merely a wet hand vs. dry hand issue. I took particular note of these comments of yours: “I will say that it often takes him a little longer to ejaculate in general…” “He goes wild when I go down on his butt while he masturbates–he usually cums pretty quickly.” and “… I’ll concentrate on him until he cums…”

https://web.archive.org/web/20241228015123if_/https://i0.wp.com/www.drdicksexadvice.com/wp-content/uploads/2007/12/a.jpg?ssl=1First, it’s not unusual for a man not to cum as a top in anal (or vaginal) intercourse. Sometimes there’s simply not enough of the right kind of friction. If, for example, your BF is like another client of mine and his masturbation style is very vigorous, or like my client who is only able to cum by concentrating his manual stimulation on his frenulum, he’ll not cum in anal intercourse…or any intercourse for that matter. He has to get himself off by hand.

You say your BF enjoys being rimmed, and this hastens him to orgasm. Does he enjoy any other butt play, like prostate massage? If he does, you guys could try something like this. You eat his ass while he is masturbating on his back. Using a small vibrating dildo stimulate his prostate. As he approaches ejaculatory inevitability add lube to his dick, straddle him and sit on his dick.This may sound like a whole lot of work, and it may very well be. My suspicion is that your BF has, for whatever reason, talked himself out of every cuming in your ass and the lack of success with traditional anal intercourse has reinforced that. However, if you can help him break down his resistance with a fucking success, some positive reinforcement might turn the tide.

I hasten to add that if what I describe above interferes with spontaneity of your sex play, you may just want to enjoy the sex as you already have it.

Good Luck!

Now that’s really interesting, Doc.
My partner is a bit vigorous when he masturbates, and that’s how he finally gets off 100% of the time. I can’t think of a single other instance when that wasn’t the case. But I just suddenly remembered something he told me a long time ago about his first sexual experience with a dude.

My partner was receiving a blowjob, and as he was cumming, he farted. Now, that particular fart was certainly unfortunately timed — and probably the result of the relaxation that comes with an orgasm — but now I wonder whether or not, way back when, something psychological occurred. I would certainly speculate that switching to masturbation as he’s getting close might not be some kind of mechanism to shift the focus from down there to somewhere else, if you see what I mean.

We’ve never tried any other kind of ass play. I fuck him sometimes, which he enjoys. But we’ve never been much for toys or anything like that. I did get him a latex dildo as a joke one Christmas — nicknamed Gloria, for some reason — but I think I played with that when I masturbated alone more often than when we were having sex. Anyway, Gloria’s gone now — it slowly turned a funny yellow color so we tossed it. A small vibrator sounds like a fun idea…I know I’d use it at the very least!I’m always a little disappointed when our love making isn’t as successful as I’d like it to be, but I’m always careful not to show it, because my partner genuinely feels that he’s not great in the sack — which is nonsense (it really is nonsense).

Sex is always great, and especially between two people who love each other like we do. That sounds a bit trite, but we’re always laughing and doing silly stuff when we’re in bed together, and generally having fun, and I think we communicate well too.I have to admit, we’re not as spontaneous as we would like when it comes to sex. I’m going to go out on a limb and say that lots of couples fall into this trap where the events of the day — work, school for me, dinner, paying bills, answering emails and phone calls, surfing the Internet, booking travel, etc. — gets the better of us, and before you know it, everyone’s tired and ready to fall asleep as soon as their head hits the pillow.

Sometimes, though, if my partner is home when I get home, we’ll find ourselves lying on the bed playing with the cats. When they get fed up with our antics, we usually joke around with each other, talking, laughing, which may or may not lead to sex. It’s great when it does. Other times, especially at night when we’re getting in bed, one or both of us might be horny and we’ll have sex. Many times, I’ll be in the mood but not him, and I’ll jerk off while he rubs my balls and my chest, or he’ll jerk me off, and then go to sleep. That’s about as spontaneous as it gets for us.

Sexual spontaneity is definitely something we both know we need to work on. I’d love to have one of those moments where we have to leave dinner, jump in a cab, and get home ASAP, because we’re so worked up that we gotta jump in bed and play!

— Daniel

Daniel,

Thank you so much for all of this. It’s brilliant. Sounds like you have an exceptionally enviable relationship. Also sounds like you have plenty of room for spicing things up too.It’s so interesting that you mention your BF’s fart incident. I’ve had other people tell me similar stories. Almost to the one, each reported that this single fart incident during sex, altered their entire sexual response cycle for years. Isn’t that amazing? Aren’t we incredible creatures?

All the best,

Dr Dick