You Don’t Need to Come Out to Us.

We know that men have sex with men for many reasons and under many circumstances. Gay men’s primary sexual and romantic relationships are with other men. Some men identify as bisexual or pansexual. Other men may exclusively be in romantic relationships with women while also having sexual experiences with men. Regardless of the social labels, …

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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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Penis Dysmorphia

Penis Dysmorphia is a very real mental disorder. Just as Body Dysmorphia affects the way we see our body, penis dysmorphia changes the reality of how we perceive our penis. Men who have this condition view their penis as abnormally small to the point of shame, humiliation, and isolation. They generally avoid all sexual activity …

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Always Late To The Party?

Delayed Ejaculation is far more common than most people realize. The inability or difficulty in reaching climax through sexual activity affects most men at some point in their life. Prevalence is difficult to determine because diagnosis is even more difficult. In our work, it is probably safe to say that one in four men has …

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Myth: Women Are Totally Into Size…

Men love their penis (hence the dick pic). It’s a bit irrational, this love affair, but nevertheless, it’s there. This is key to understanding how men relate to their penis and how they relate to other people with/through their penis. I actually had one guy say that his wife was lucky because he shared his …

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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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