love your media section with Howard Stern
Cronnie says:
love your media section with howard stern
thank you
Cronnie
Cronnie says:
love your media section with howard stern
thank you
Cronnie
Mr XY says:
Thank you so much Dr.Tiger such a very informatic website, I got the link from “Youtube” and visited your site awesome , keep the good work
Regards
XY
This is the newsletter published by the Hypospadias and Epispadias Association in July, 2010.
This issue is available for viewing as a website.
For many men, their penis is so much more than just a urinary and reproductive organ. It’s their “little buddy”; it’s their boredom reliever; it’s the thing they can’t wait to show off to whomever they are able to pick up for their next sexual encounter. Many men give their penis a separate male name, as if “Herman” and they are going out to search for a date. Men feel they can wake “him” (their penis) up with a few thoughts or images, or even a light touch of their own hand or someone else’s. Men joke that the penis has its own “brain,” and sometimes thinking with their “other head” gets them into situations they would have avoided if they were thinking with the head on their shoulders. This “disembodied penis” psychology is very common in men.
But it is significantly less common in men who have had surgery on their penis, especially if that surgery has left them scarred, with different response and functioning than a penis that was spared surgery would have, or with a different appearance or size than what they think other men have. For men with hypospadias or epispadias, these kinds of concerns are more common and may lead to a sense of their penis’s not even being their own, more like it belongs to the doctors who made it. For them, the penis is to be hidden, kept secret instead of being shown off. Exposing the genitals to a potential new partner usually takes more trust and testing for a man with HS or ES. Thus fear of rejection develops, along with insecurity or even an internal sense of rejection of one’s own body and genitals.
Well, that won’t work. That complex of feelings won’t lead to a happy life or the chance for healthy partnering. In this article, I have no intention of trying to address the psychological issues that men with these feelings have to face (either on their own or in psychotherapy), other than to say that if you’re not doing well on your own, find a therapist who can help you with these concerns. What I intend to discuss here are some strategies for men who have been ignoring their penis to pay better attention to, or to be better “friends” with, their own penis.
First, this is the penis, these are the genitals you are going to have for the rest of your life. Unless you intend to have some kind of surgery, it’s not going to change. Since your body and probably your genitals have good feeling in them, it’s time to learn very well where that good feeling is, how to make that good feeling happen, and how to enjoy that good feeling first on your own and later with a partner who is interested in making you feel good.
Second, look at your body and your genitals. People generally are not comfortable looking at their bodies, let alone their genitals, but for men with HS or ES, looking at and knowing every detail of their body and their genitals are integral to their having a better sensory experience and developing the knowledge and confidence of their responses to teach to an intimate partner later on. So get a big mirror that you can see yourself in head to toe and a little mirror that you can hold in your hand to see parts of yourself that aren’t so easy to see standing and looking straight on. Like your back. And what’s between your legs.
Third, get out that paper and pencil and draw the front of your body, the back of your body, and your genitals. Now watch yourself touch every part of your body, and make notes about which parts felt good and which parts felt less good. Don’t skip any parts. After that, lie down, close your eyes (or don’t), and touch every part again. Make the notes again, and see if there are any differences in what feels good when you are looking at yourself in the mirror and when you are not looking and just touching.
You can keep doing this exercise and vary the situation by being in a hot bath, by using oil, lotion, or lubricant to touch yourself with, by using objects with textures or temperatures different from your own hand (always making notes and learning more about what feels good when), and finding out about the conditions under which you most enjoy sensual stimulation.
Of course, this will probably lead to self-stimulation of the genitals (masturbation), and it should. In this article, I am only wanting to get you to take the time to get back in touch with your whole body—to find out how much good feeling there is in all kinds of places on your body.
In the next article, let’s talk more directly about genital stimulation, genital mapping (that paper-and-pencil drawing of where and what feels good), and sexualizing the genitals you have. The goal here is for you to really enjoy, really know well, really see your HS/ES genitals, and just exactly how to make yourself feel great and how to show an intimate partner how to care for your body, probably differently than they may have paid attention to other partners’ bodies.
This is the newsletter published by the Hypospadias and Epispadias Association in April, 2010.
This issue is available for viewing as a website.
[Comment From Nee`]
I looked at the signs and I noticed that my partner has them. Do you know of any treatment centers in the NYC area
[Comment From E. George]
This I don’t know and I don’t know how to find out?
[Comment From Tiger Devore PhD]
Before someone enters treatment, you have to confront them and get them to be willing to go to treatment
[Comment From Tiger Devore PhD]
You can find out where your partner goes on the internet by checking the serach history on the computer, or you can just ask them and let them know about your concerns
[Comment From Mimi]
My husband had an affair with his partner 4 years ago, and came clean, was remorseful, he still has to work with the person because of financial reasons, however they usually are in different offices. I am confident it is over. He also was addicted to Porn on the internet has stopped. However, he is unable to climax and hold an erection very long. He no longer spends time on the internet, or very little, he felt guilty and bad because it was upsetting me. My question is, can he no longer enjoy sex out of guilt, or does it have to do with having spent too much time on the internet? He also does have the emotional disconnect that you mentioned. He tells me he is just getting old. He is 56 and in very good shape.
[Comment From E. George]
The history always gets deleted when they close the browser! Wouldn’t asking them mean that you don’t trust them?
[Comment From Nee`]
I did that a few months ago and we talked about it and he admitted to everything
[Comment From Tiger Devore PhD]
There are many treatment centers in the Northeast, some have sex addiction programs and others don’t. You would have to check your insurance coverage and go from there.
[Comment From Tiger Devore PhD]
For some sex addicts, the high they lose when they stop has to be replaced by learning about intimacy so that sex can be about communicating feeling for their partner; without the pornographic aspect, they may feel very little sex interest
[Comment From Nee`]
Ok Thanks is is a text box which has a
[Comment From Dr. DeVoreDr. DeVore: ]
Good Afternoon.
Wednesday March 24, 2010 2:54 Dr. DeVore
3:34
[Comment From LoriLori: ]
Good Afternoon Dr. I’d like to know what the symptoms of someone with a sex addiction are.
Wednesday March 24, 2010 3:34 Lori
3:38
Dr. DeVore:
Individuals vary, so I can give you a general answer that covers the majority of cases: you may see a lack of emotonal connection, avoidance of sex, unexplained time when the person is missing from where they should be, “spcing out” on teh internet (often looking at sex sites) and the like — of course, an arrest for public sex or indecent exposure blow the addicts’ cover
Wednesday March 24, 2010 3:38 Dr. DeVore
3:41
Dr. DeVore:
Part of avoidance of sex may include compulsive masturbation, or in some cases, an overinterest in sex withthe partner, but a real sense of disconnection during the sex
Wednesday March 24, 2010 3:41 Dr. DeVore
3:41
[Comment From E. GeorgeE. George: ]
Does a woman who has more than ten didlos have a sex addiction???
Wednesday March 24, 2010 3:41 E. George
3:43
Dr. DeVore:
a collection doesnt indicate overuse; if she is spending so much time with her dildos that she is not meeting her committments, then there is a problem
Wednesday March 24, 2010 3:43 Dr. DeVore
3:43
[Comment From E. GeorgeE. George: ]
If a women spends a lot of time on facebook and myspace looking for a different partner?
Wednesday March 24, 2010 3:43 E. George
3:45
Guest:
You may see the person spending so much time looking for partners that they dont attend to other parts of their life, like keeping their apartment clean, and that can indicate a problem — if they are just shopping to replace the one they have, that is a different story
Wednesday March 24, 2010 3:45 Guest
3:45
[Comment From E. GeorgeE. George: ]
That makes sense! But if she spends a lot of time on facebook and myspace would that indicate a sex addicition and cheating?
Wednesday March 24, 2010 3:45 E. George
3:47
Tiger Devore PhD:
“alot of time” is really subjective; you need to find out what she is doing, where she is spending the time, is she setting up sex dates with many different people or just having friends on the internet to talk with?
Wednesday March 24, 2010 3:47 Tiger Devore PhD
3:50
[Comment From Nee`Nee`: ]
I looked at the signs and I noticed that my partner has them. Do you know of any treatment centers in the NYC area
Wednesday March 24, 2010 3:50 Nee`
3:51
[Comment From E. GeorgeE. George: ]
This I don’t know and I don’t know how to find out?
Wednesday March 24, 2010 3:51 E. George
3:51
Tiger Devore PhD:
Before someone enters treatment, you have to confront them and get them to be willing to go to treatment
Wednesday March 24, 2010 3:51 Tiger Devore PhD
3:52
Tiger Devore PhD:
You can find out where your partner goes on the internet by checking the serach history on the computer, or you can just ask them and let them know about your concerns
Wednesday March 24, 2010 3:52 Tiger Devore PhD
3:54
[Comment From MimiMimi: ]
My husband had an affair with his partner 4 years ago, and came clean, was remorseful, he still has to work with the person because of financial reasons, however they usually are in different offices. I am confident it is over. He also was addicted to Porn on the internet has stopped. However, he is unable to climax and hold an erection very long. He no longer spends time on the internet, or very little, he felt guilty and bad because it was upsetting me. My question is, can he no longer enjoy sex out of guilt, or does it have to do with having spent too much time on the internet? He also does have the emotional disconnect that you mentioned. He tells me he is just getting old. He is 56 and in very good shape.
Wednesday March 24, 2010 3:54 Mimi
3:54
[Comment From E. GeorgeE. George: ]
The history always gets deleted when they close the browser! Wouldn’t asking them mean that you don’t trust them?
Wednesday March 24, 2010 3:54 E. George
3:55
[Comment From Nee`Nee`: ]
I did that a few months ago and we talked about it and he admitted to everything
Wednesday March 24, 2010 3:55 Nee`
3:55
Tiger Devore PhD:
There are many treatment centers in the Northeast, some have sex addiction programs and others don’t. You would have to check your insurance coverage and go from there.
Wednesday March 24, 2010 3:55 Tiger Devore PhD
3:57
Tiger Devore PhD:
For some sex addicts, the high they lose when they stop has to be replaced by learning about intimacy so that sex can be about communicating feeling for their partner; without the pornographic aspect, they may feel very little sex interest
Wednesday March 24, 2010 3:57 Tiger Devore PhD
3:57
[Comment From Nee`Nee`: ]
Ok Thanks
Wednesday March 24, 2010 3:57 Nee`
3:58
Tiger Devore PhD:
asking means that you care, not that you don’t trust; if they have a problem, they need someone who cares enough to help them when they are out of control
Wednesday March 24, 2010 3:58 Tiger Devore PhD
3:58
Tiger Devore PhD:
If the addict admits to everything, then its time to talk about treatment
Wednesday March 24, 2010 3:58 Tiger Devore PhD
4:00
[Comment From E. GeorgeE. George: ]
Thank you Dr. Devore!!!
Wednesday March 24, 2010 4:00 E. George
4:00
Tiger Devore PhD:
treatment includes learning about intimacy and having feeling for the partner; when sex istn about contact with people who they don’t know and don’t care about, the feeling of it is very different
Wednesday March 24, 2010 4:00 Tiger Devore PhD
4:02
Tiger Devore PhD:
it’s not that he is getting old … he just can’t connect sex to caring yet, and he will need help to learn how to do that
Wednesday March 24, 2010 4:02 Tiger Devore PhD
4:26
[Comment From too much?too much?: ]
I have searched online about sex addiction previously and I think i have a huge problem, but too embarrass and worried about my marriage to go for professional help. I have told my closer friends about the situation and they have tried to help.
Wednesday March 24, 2010 4:26 too much?
4:28
Tiger Devore PhD:
I appreicate that you want to proctect your privacy and the feelings of your loved ones, but I have to encourage you to consider that if you don’t bring your wife onto your support team your marriage cannot succeed; she isn’t a part of your life, and she can’t be there to help you get over your addiction
Wednesday March 24, 2010 4:28 Tiger Devore PhD
4:29
Tiger Devore PhD:
If you need help to know how to approach your wife, many sex addiction specialists can help you with that process
Wednesday March 24, 2010 4:29 Tiger Devore PhD
4:30
[Comment From too much?too much?: ]
I will have sex with unknown partners every couple of weeks with different females, never the same twice. It can be mutual masturbation, oral or sexual encounters. I would skip out work and line up to have encounters with 2-3 females. I feel remorse with what i do after, but my mind just constantly thinks about sex until i get a release. What would you recommend to do, besides seeking professional help? or is there something i can do on my own with support from friends?
Wednesday March 24, 2010 4:30 too much?
4:32
[Comment From ChrissyChrissy: ]
Can a sexaholic really ever overcome the addiction ?
Wednesday March 24, 2010 4:32 Chrissy
4:32
Tiger Devore PhD:
The AA model would encourage you to call your friends when you find yourself setting up sexual encounters so that they can keep you from going through with it; you need to learn how to stop, and friedns can help that. My experience tells me that you haven’t had enough consequences of your behavior, that you still feel you can get away with it.
Wednesday March 24, 2010 4:32 Tiger Devore PhD
4:34
Tiger Devore PhD:
everybody prefers intimacy to desperation; sex addicts can learn that sex is about feeling instead of pornography
Wednesday March 24, 2010 4:34 Tiger Devore PhD
4:36
[Comment From GuestGuest: ]
Hi Dr. DeVore. My husband never seems to be able to “get enough”. We can have sex twice in the morning, or morning and afternoon but by night, he’ll act like it’s been weeks and still want more. Is this just a “healthy” sex drive or is it more?
Wednesday March 24, 2010 4:36 Guest
4:36
[Comment From too much?too much?: ]
you are right, at one point i felt like I was caught with a karma situation and stopped for about 3 weeks. I have since went and did it again. My friends all tell me to stop and offer support. Can a psychiatrist help with these type of addictions?
Wednesday March 24, 2010 4:36 too much?
4:38
Tiger Devore PhD:
for “too much” find a psychologist or psychiatristwho specializes in sex addtictons, you sound ready
Wednesday March 24, 2010 4:38 Tiger Devore PhD
4:39
Tiger Devore PhD:
Your husbands healthy sex drive is only a problem if its too much for you — it is true, many sex addicts need to have many orgasms per day, but it does not necessarily mean that he is out having sex with others
Wednesday March 24, 2010 4:39 Tiger Devore PhD
4:41
[Comment From too much?too much?: ]
thank you
Wednesday March 24, 2010 4:41 too much?
4:50
[Comment From GuestGuest: ]
my wife is a sex addict.i love having sex ,but im on medication which makes me tired is there anything i can take to counteract this feeling
Wednesday March 24, 2010 4:50 Guest
4:56
Tiger Devore PhD:
tell your doctor about the fatigue from the medication and see if there is an alternative — make sure he understands the medication is affecting your marriage
Wednesday March 24, 2010 4:56 Tiger Devore PhD
5:02
[Comment From GuestGuest: ]
your not kidding my wife thinks i’m sleeping with someone else and it causes more fights than anything your not aware of anything over the counter?
Wednesday March 24, 2010 5:02 Guest
5:04
Tiger Devore PhD:
not a good idea to try to counteract what your doc has prescribed with over the counter meds ….
[Comment From Tiger Devore PhD]
asking means that you care, not that you don’t trust; if they have a problem, they need someone who cares enough to help them when they are out of control
[Comment From Tiger Devore PhD]
If the addict admits to everything, then its time to talk about treatment
[Comment From E. George]
Thank you Dr. Devore!!!
[Comment From Tiger Devore PhD]
treatment includes learning about intimacy and having feeling for the partner; when sex istn about contact with people who they don’t know and don’t care about, the feeling of it is very different
[Comment From Tiger Devore PhD]
it’s not that he is getting old … he just can’t connect sex to caring yet, and he will need help to learn how to do that
[Comment From too much?]
I have searched online about sex addiction previously and I think i have a huge problem, but too embarrass and worried about my marriage to go for professional help. I have told my closer friends about the situation and they have tried to help.
[Comment From Tiger Devore PhD]
I appreicate that you want to proctect your privacy and the feelings of your loved ones, but I have to encourage you to consider that if you don’t bring your wife onto your support team your marriage cannot succeed; she isn’t a part of your life, and she can’t be there to help you get over your addiction
[Comment From Tiger Devore PhD]
If you need help to know how to approach your wife, many sex addiction specialists can help you with that process
[Comment From too much?]
I will have sex with unknown partners every couple of weeks with different females, never the same twice. It can be mutual masturbation, oral or sexual encounters. I would skip out work and line up to have encounters with 2-3 females. I feel remorse with what i do after, but my mind just constantly thinks about sex until i get a release. What would you recommend to do, besides seeking professional help? or is there something i can do on my own with support from friends?
[Comment From Chrissy]
Can a sexaholic really ever overcome the addiction
[Comment From Tiger Devore PhD]
The AA model would encourage you to call your friends when you find yourself setting up sexual encounters so that they can keep you from going through with it; you need to learn how to stop, and friedns can help that. My experience tells me that you haven’t had enough consequences of your behavior, that you still feel you can get away with it.
[Comment From Tiger Devore PhD]
everybody prefers intimacy to desperation; sex addicts can learn that sex is about feeling instead of pornography
[Comment From Guest]
Hi Dr. DeVore. My husband never seems to be able to “get enough”. We can have sex twice in the morning, or morning and afternoon but by night, he’ll act like it’s been weeks and still want more. Is this just a “healthy” sex drive or is it more?
[Comment From too much?]
you are right, at one point i felt like I was caught with a karma situation and stopped for about 3 weeks. I have since went and did it again. My friends all tell me to stop and offer support. Can a psychiatrist help with these type of addictions?
[Comment From Tiger Devore PhD]
for “too much” find a psychologist or psychiatristwho specializes in sex addtictons, you sound ready
[Comment From Tiger Devore PhD]
Your husbands healthy sex drive is only a problem if its too much for you — it is true, many sex addicts need to have many orgasms per day, but it does not necessarily mean that he is out having sex with others
[Comment From too much?]
thank you
[Comment From Guest]
my wife is a sex addict.i love having sex ,but im on medication which makes me tired is there anything i can take to counteract this feeling
[Comment From Tiger Devore PhD]
tell your doctor about the fatigue from the medication and see if there is an alternative — make sure he understands the medication is affecting your marriage
[Comment From Guest]
your not kidding my wife thinks i’m sleeping with someone else and it causes more fights than anything your not aware of anything over the counter?
I remember an older patient I had been working with for a couple of years telling me a story about his childhood, when his mother was always upset with how wet the bathroom floor was after he stood to pee. She felt he just didn’t know what he was doing, and she charged his father with teaching the boy how to get it in the bowl. The father saw that he made a lot of spray and just told him to do the best he could or sit down. They never took him to a doctor or thought that what he had needed to be fixed.
I asked him if he had ever been told a name for the genital difference he was talking about or wanted to know what that was called. His answer was clear and simple: “No and no.”
There are times when naming something gives that thing a life and meaning that it would never have had without that naming. Sometimes that is good, but sometimes it isn’t.
Hypospadias, epispadias: medical-sounding diagnostic names.
Hermaphroditism, intersex, disorders of sexual development (DSDs): descriptive names, but each with a history and set of implications that can be really stigmatizing to the person who is so categorized.
Medical diagnoses typically imply a need for treatment. Descriptive names imply a category, a type, even an identity.
Like the patient I described above, most people, I think, just want to go about the business of their lives as a person without having to live under the weight of being “a hermaphrodite with hypospadias” or any combination of the above names. So despite all the current discussion about which of these names and categories are the most currently “correct,” let me offer up a simple guide to this nomenclature minefield.
Your medical history is your most private information. Your diagnosis is probably important to the doctor who cares for you, but that probably is about as far as that goes. You are not your diagnosis. How your diagnosis affects how you think about yourself, and how you talk about yourself and your history to your closest intimates, is much more important than getting that diagnostic title correct. There is a lot to say about this, but not in this short article.
Are you a hermaphrodite? Are you an intersex person? Sure, if that fits for you. The diagnosis gives credence to that idea, but if that isn’t how you know yourself, then it doesn’t fit, no matter what any expert or medical records may say. (There’s more here, too, for another time.)
Do you have a disorder of sexual development? If you believe that nature makes males and females, penises and vaginas, that either are perfectly formed or otherwise are “disordered,” then yes, you have a DSD. Science, with its wish for neat categories and deterministic reduction, likes “this or that and nothing in between” kinds of naming. Society and culture like this kind of binary definition so that we can function as a group with cooperative rules about who does what; men do certain things, and
women do other things. If those categories blur, it’s a lot of trouble for a lot of people.
Nature doesn’t care about science or culture or society or even religion. Nature came before, and will exist long past, all of those constructs that we have made up.
So, how do you want to name yourself? For me, I am Tiger.
Intersex Expert -Dr. Tiger Howard Devore on National Geographic TV
This is the newsletter published by the Hypospadias and Epispadias Association in November, 2009.
This issue is available for viewing as a website.
This is the newsletter published by the Hypospadias and Epispadias Association in July, 2009.
This issue is available here as a PDF download.
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