Bottoming: Positioned for Success

Remember this:  The bottom is in control no matter what the fantasy is or looks like. Any sex position, where the bottom is on top, gives the bottom more control over the speed and angle of penetration.  The most logical position that promotes easy insertion and best chance at early success is the Reverse Cowboy.  …

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Bottoming: Getting to Know Your Bodily Functions

It is impossible to meaningly discuss bottoming without addressing the elephant in the room. That elephant is feces.  If you are somehow too squeamish or offended by the subject then “Good luck to you and it is now time for you to leave.” For anyone interested in learning more, please read on. Getting to know …

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How to Bottom Safely and Enjoyably

For anyone who does not know, the label “Bottom,” refers to a man who participates in passive anal sex.  A “Top” is the active participant.  There are many men who take to bottoming like a duck to water, never have and issue or injury and would not understand what all the fuss is about.  On …

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A Year in The Life

Here we are – 13+ months into the pandemic. Many of us can’t believe it’s been a year and then some. Anniversaries – whether they mark occasions that are happy or sad – are generally a time to reflect on the past and to look forward. But how often do you really contemplate your sexuality …

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Orgasm Disorders: Anhedonia

Problems with orgasms, while not as common as other sexual disorders, are some of the most frustrating sexual health issues around. To be clear, we are talking about orgasms, not ejaculations. An orgasm is the euphoric feeling that occurs primarily in the brain and is a sudden release of a cocktail of hormones and chemicals. …

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The Lonely Man: A National Epidemic

The first time I meet with a patient, I try to take a snapshot of what’s going on in his life. We find out about the relationships, family history, sexual history, and generally find out who they are. One of my last questions is “Who are the intimate friendships in your life – The guys …

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Ejaculation vs. Orgasm…what’s the difference?

When it comes to talking about sex, our culture struggles with understanding terminology and definitions. Using words and meaning are necessary for clear communication. If we are not able to communicate clearly, we are not able to explain accurately what is going on with our bodies. If we are not using the words correctly the …

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Penile Rehabilitation – Fact or Fiction?       

About 12 years ago, a significant change was taking place in treatment of men following prostate surgery. Prostate surgeons began to respond to men who were experiencing significant side effects from prostate surgery. The voices of prostate cancer survivors were growing louder and louder regarding the side effects. These side effects were simply unacceptable because …

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