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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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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Why Do Some Men Continue to Look and Feel Young?

The short answer is that there’s a strong correlation between testosterone levels and overall sexual health. Testosterone is  a key hormone that contributes to looking and feeling younger.  More specifically, testosterone plays one of the most important roles in a man’s overall vitality and sexual pleasure. Men’s testosterone levels often peak during adolescence and early …

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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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The Emotional Effects of A Vasectomy

Most men who are considering a vasectomy feel anxious about the decision. Will my sex life be as satisfying afterward? Is this what I want, or am I only doing it to please my partner? How much will it hurt? These questions and others like them need to be carefully considered and answered before making …

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Premature Ejaculation: What causes it?

Premature Ejaculation can be very frustrating for men or couples who are experiencing it. In order to treat premature ejaculation, we must first determine the causes, if any, and explore treatments appropriate for each patient. Premature ejaculation has many contributing factors. For that matter, there are many aspects of our life that are likely contributing …

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Gay Sexual Medicine

I am often surprised when I am asked if we offer Gay Sexual Medicine (as if who a person has sex with determines sexual function). The short answer is “Yes,” but then I am really uncomfortable with that answer too! We work in Sexual Medicine – Period. Gay, bi, straight, pansexual, asexual, omnisexual, whatever – …

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