CVIndependent

Mon07152019

Last updateTue, 18 Sep 2018 1pm

I’m a 59-year-old man in good health. For basically my whole adult life, I’ve had a problem during intercourse with a woman of, one, being very quick to come, and two, having a too-intense, “cringey” sensation when I come. This has led to often going soft at the prospect of intercourse. This too-intense feeling makes me stop moving when I come, which is not satisfying at all.

It doesn’t happen with hand jobs or oral sex—they feel fine and good. Is this a known phenomenon? Most importantly, what can I do to get to a point where I can enjoy intercourse? This seriously messes up my enjoyment of sex and my confidence with women. One time, and only one time (out of many with a particular girlfriend), I had intercourse, and it felt fine when I came, still thrusting, so I know it’s possible.

I have been practicing with a Fleshlight, but it’s still painfully “cringey” when I come. It is not fun and rather depressing.

He Always Really Dreads Penetration And Regrets This

I shared your letter with Dr. Ashley Winter, a urologist in private practice in Portland, Ore., and the co-host of The Full Release, a sex, health and relationship podcast. Dr. Winter wanted to note that her comments are a general discussion of a medical topic and NOT individual medical advice. She wanted me to emphasize this point—which she also emphasizes at the top of her terrific podcast—because Dr. Winter is a responsible doctor and not a card-carrying member of the Amalgamated Advice Columnists of America. (Membership in the AACA entitles advice columnists to say pretty much whatever they want.)

“There are three issues at play here,” said Dr. Winter. “First, the pain or ‘cringey’ sensation only associated with vaginal and Fleshlight penetration. Second, being too quick to come. And third, erectile dysfunction. HARDPART insightfully suggests his ED may be related to his performance anxiety as well as anticipated pain, and I would agree with this. I would add that his quick ejaculation is most likely also caused by a mix of ED and pain—the body adapts to pain and erection loss by letting the swimmers off the hook early.”

But why do you experience this pain only during penetrative sex? What is it about PIV (penis in vagina) or PIF (penis in Fleshlight) that causes those painfully cringey feelings?

“If he thrusts more during these activities than he does during oral or hand stimulation, I would expect that either pelvic-floor muscle dysfunction or a nerve issue related to the lower spine could be causing the flares,” said Dr. Winter. “If he were my patient, I would want to know if he has less pain when his partner is on top, which would mean his pelvis is moving less. Also, does he have chronic low back pain? Bowel or bladder issues?”

Dr. Winter and I continued to generally discuss the medical topics raised by your question, HARDPART, and we generally discussed—this is not, again, individual medical advice, but a general discussion—two things someone with your particular issue might want to think about doing. First, a guy with your problem could try taking Viagra—or a related drug—while also using a penis-numbing spray. And a guy with your problem should also have his pelvic floor checked out. A urologist can help a guy with a problem like yours determine if there’s something wrong with the complex web of muscles and nerves that crowd together around your junk, and if it is a pelvic-floor issue, refer him to a pelvic-floor physical therapist.

Finally, a suggestion from me, the person with the AACA card: A guy with a problem like yours—a guy whose dick works a certain way and has worked that way for decades—could save himself the hassle of physical therapy and the side effects of Viagra by accepting his dick and the way his dick works. There are women out there who prefer oral and outercourse to PIV, HARDPART, and you could bed those women with confidence.

Follow Dr. Ashley Winter on Twitter @AshleyGWinter, and check out The Full Release podcast, which she cohosts with comedian Mo Mandel, at thefullreleasepod.com.


I’m a mostly straight guy in my 40s, and I’m married to a woman. I don’t know if it’s a midlife crisis or what, but I’ve decided that I want to get fucked in the ass once in my life. I will be visiting Hamburg soon, and it’s my understanding that sex work is legal in Germany. I want your help sorting out the legal, ethical, and practical issues.

1. Legal issue: Paying for sex in Germany is legal, right? But even if sex work is legal, that doesn’t mean every sex worker is doing it voluntarily. I prefer people closer to my own age, and I imagine a 40-year-old sex worker is less likely to be exploited, right? What else can I do to ensure that I’m not with a trafficked individual?

2. Ethical issue: After many years and many near-divorce situations, my wife and I have adopted a more-tolerant (or more-apathetic) posture toward each other. She has on several occasions told me that she doesn’t care who I fuck. While I haven’t acted on it, she has said it often enough that I believe her. We’ve talked about an open relationship, but she wasn’t enthusiastic. My best guess is that she doesn’t want to know if I do anything “gay,” while also not wanting me to form any emotional attachments. Do I ask her again if she really doesn’t care who I fuck? Or do her previous statements suffice?

3. Practical issues: Is a condom enough protection? How do I avoid things like herpes and crabs? Other than emptying ye olde bowels, what other steps should I take before asking a male German escort to fuck me in the ass? And how do I ask? Google Translate suggests “fick mich in den Arsch,” which is an unappealing thing to say. Maybe there’s something sexier?

Legal, Ethical, And Practical

1. Sex work is, indeed, legal in Germany. You can minimize your chances of hiring someone who may not be doing sex work of their own free will by avoiding agencies and finding yourself an independent escort. But since you’re looking to hire a male in his 40s, LEAP, your odds of hiring someone doing sex work under duress are very, very low.

2. The wife who lovingly and apathetically tolerates your soon-to-be-fucked ass has already told you—and told you more than once—that she doesn’t care who you fuck. She also doesn’t want to know if you fuck someone else. Asking if she meant it immediately before flying off to Hamburg—double-checking to make sure she really doesn’t care who you fuck—would basically mean telling her you know you’re going to fuck someone else in Hamburg (and fuck them all “gay” and shit), and she’s already told you she doesn’t want to know. Taking her at her word, i.e., allowing her previous statements to suffice, is the right thing to do.

3. A condom offers highly effective protection from HIV, gonorrhea, syphilis and chlamydia. For added protection, LEAP, ask your doctor about getting on PrEP, aka Truvada, before your trip. It’s a daily pill that, once built up to full strength (roughly a week), provides highly effective protection against HIV infection. While condoms do provide some protection against herpes, neither condoms nor PrEP will save you from crabs. To make sure your one-and-only ass-fucking goes well, empty ye olde bowels and then douche ye olde rectum. Since most German escorts, like most German everybodies, speak English, LEAP, there is no need for an English-to-German dictionary. Just say, “Fuck my ass, please.”

On the Lovecast, the Atlantic’s Kate Julian on why the kids aren’t having sex: savagelovecast.com.

This email address is being protected from spambots. You need JavaScript enabled to view it.; @fakedansavage on Twitter; ITMFA.org.

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I’m a 40-year-old married straight woman. I gave birth to our first kid in 2015 and our second earlier this year. My perineum tore and was stitched both times. I have not been able to have sex with penetration since having our second child.

My OB/GYN said I’m “a little tighter now” due to the way the stitching was performed. My husband is very well-endowed, and I can’t imagine how on earth I’m ever going to get that thing back in me, let alone enjoy it. We have a history of pretty hot sex, and I really miss it.

I’ve been searching online for some sex toys to help me. I’ve never used sex toys before. I’ve always been able to have thrilling orgasms easily without any devices. I still can with manual stimulation, but I want to have sex with my husband. I’m confused, and I just don’t know what I need to help me open back up and get through the pain. Please help!

Thanks In Advance

“Unfortunately, this situation is very common—but luckily, there are options to help her get her groove back,” said Dr. Rachel Gelman, a pelvic floor physical therapist at the Pelvic Health and Rehabilitation Center.

Also sadly common: OB/GYNs shrugging off concerns like yours, TIA.

“I see that all the time,” said Dr. Gelman. “Part of the problem is that the pelvic floor/muscles aren’t on most doctors’ radar. That’s due to many factors—cough, cough, insurance companies, cough, our dysfunctional health care system, cough—but to water it down, it’s the OB/GYN’s job to get someone through pregnancy and deliver a healthy baby. And when that’s accomplished, the feeling is their job is done.”

But so long as you’re not able to have and enjoy PIV sex with your hung husband, TIA, there’s still work to do.

“TIA needs to see a pelvic floor physical therapist,” said Dr. Gelman. “A good PT would be able to assess and treat any pelvic floor dysfunction, which is often the primary cause or a contributing factor for anyone experiencing pain with sex, especially after childbirth.”

At this point, Dr. Gelman began to explain that pushing a living, breathing, screaming human being out of your body is an intense experience, and I explained to Dr. Gelman that I’ve had to push a few living, breathing, screaming human beings out of my body, thank you very much. Dr. Gelman clarified that she was talking about “the trauma of labor and delivery,” something with which I have no experience.

“Labor and delivery can have a significant impact on the pelvic floor muscles which can cause a myriad of symptoms,” said Dr. Gelman. Pain during PIV sex sits high on the list of those symptoms.

“The fact that TIA had tearing with the deliveries means she most likely has scar tissue, and a PT would again be able to treat the scar to help decrease any hypomobility and hypersensitivity,” said Dr. Gelman. “A pelvic floor specialist can also instruct her in a home program which may include stretches, relaxation techniques and dilators—dilators are graduated cylinders that are inserted vaginally to help stretch the vaginal opening and promote relaxation of the pelvic floor.”

A set of “graduated cylinders” is essentially “a bouquet of dildos,” TIA. You start with the smallest dilator/dildo, inserting it every day until you can insert it without any pain or discomfort, and then you “graduate” (nudge, nudge) to the next “cylinder” (wink, wink). You can order a set of dilators online, TIA, but Dr. Gelman wants you to find a doc that specializes in sexual medicine first.

“There are some good medical associations that she can check out for resources and to help locate a provider in her area,” said Dr. Gelman. “The websites of the International Society for the Study of Women’s Sexual Health (ISSWSH), the International Society for Sexual Medicine (ISSM) and the International Pelvic Pain Society (IPPS) are where she should start.”

Follow Dr. Gelman on Instagram, @pelvichealthsf.


I’m a 30-year-old woman, and about a year ago, I started taking improv classes to help combat my social anxiety. I met a lot of awesome people in my class, but I took a particular shine to this one guy. He was a gentle soul, very sweet, and really funny. We quickly became friends. Eventually, I developed feelings for him and asked him out. He appreciated the offer but told me that he was gay. I was shocked and disappointed, but I wanted to keep our friendship, so I tried to get over my feelings.

But not only haven’t these feelings gone away; I’m actually falling in love with him. He recently confessed to me that he’s still semi-closeted and dealing with a bad breakup, so I really don’t want to add to his problems. This is such a mess. I found this wonderful guy who I care about, and yet nothing will ever happen because I was born the wrong gender. What can I do?!?

Introvert Makes Pass, Regrets Overture Very Seriously

Nothing.

You can’t make that gay guy fall in love with you, IMPROVS, any more than I could make Hasan Minhaj fall in love with me. Getting over him is your only option, and that’s gonna take some time and most likely some space, too. (I’d recommend seeing less of your crush after this class ends.)

But give yourself some credit for doing something proactive about your social anxiety, for taking a risk, and for asking your classmate out. You didn’t take that improv class to find love, right? You took it to combat your social anxiety—and it sounds like you won a few battles, IMPROVS, if not the war. The takeaway here isn’t, “It didn’t work with him, so why should I bother ever trying again with someone else?” It’s: “I did it—I made a connection, I asked someone out—and I’m going do it again, and hopefully, it’ll work out next time.”


I’m an early 30s hetero-flexible man in an open marriage with a bi woman, though both of us have been too chicken to actually go through on acting on the “open” part. Neither of us are hung up on jealousy, so that’s not a factor here.

I recently confessed to my wife that I have had a long-standing desire to sleep with a trans woman. Yes, I know that it’s immature to not have disclosed all my kink cards prior to marriage, but I have my reasons, and thankfully, my wonderful wife let me off the hook and was very supportive. I expressed to her that I have considered seeing a professional trans escort rather than trying for a “hook up” situation. Her reaction was highly negative, as she has the impression that anyone in the sex trade industry is—by definition—a victim.

Where do I go from here? I am uncomfortable with the idea of putting myself out there to meet a trans woman in my city (especially since I’m not looking for a relationship), but I don’t want to violate my wife’s trust and see an escort.

Don’t Know What To Do

Put yourself on a dating and/or hookup app; say that you’re partnered and only looking for something casual—and add that you welcome responses from trans women.

Some trans women are rightly annoyed by all the cis men out there who only wanna hook up, DKWTD, and never date or be seen in public with them. But trans folks are just like other folks—some are taken; some are looking; some are taken and looking. If you get grief from a trans woman who’s annoyed that you aren’t open to dating women like her, DKWTD, let her vent—her frustrations are perfectly legitimate—while you wait for a response from a trans woman looking to buy what you’re selling.

By the way: The trans escorts I know—women who freely chose their jobs—will be surprised to learn that they’re victims, at least according to your highly opinionated and woefully misinformed wife.

On the Lovecast, Is there a urologist in the house? Yes, yes there is: savagelovecast.com.

This email address is being protected from spambots. You need JavaScript enabled to view it.; @FakeDanSavage on Twitter; ITMFA.org.

Published in Savage Love