I could not even come once, what is wrong with me?

Dear Dr. Milrod: I’m a young guy, only 30, but not exactly in the best shape (230+ lbs).  For a long time, I was good for two orgasms in an hour, but over the last year, that’s gone down to one. I guess, as they say, it’s the quality not quantity that counts.  Knowing I can’t get off a second time in an hour, I usually hold out as long as possible. So the other night I was with a woman, having a great time. Maybe I held out to long, but she tried to... Read More

Neurotransmitter cascade – how long does it last?

Dear Dr. Milrod: Do you have any knowledge about how long the increase in dopamine and serotonin lasts when you are in an intensely emotional and sexual relationship?  Is it weeks, months, or years? Is there a difference between men and women? Once the cascade falls off, can it reoccur for the same couple?  Is that unlikely because other neurotransmitters take over? Is there a way to bring on the dopamine and serotonin in a long-term relationship?  I am married 20 years. The... Read More

Sex therapy fears

Dear Dr. Milrod: My relationship with my spouse of 18 years hasn’t been very good for the past several years. One of our major issues, at least for me, is the nearly complete lack of sexual desire and/or ability on her part. We had intercourse one time last year and other activities occur once every 4 – 6 weeks. She hasn’t allowed me to perform oral on her for essentially 17 years, after our first child was born, although she enjoyed it prior to then. She doesn’t... Read More

Never had an orgasm

Dear Dr. Milrod: I am a 29-year-old woman and have never had an orgasm. Is there something wrong with me? I have been married for a year and had sex with nine men before that. Nothing. What can I do? Worried Well Dear Worried Well: There have been volumes written on female anorgasmia and its causes. Everything has been implicated – from childhood sexual abuse sequelae, to various mental health disorders, to body image issues, to mismatch between partners – the list... Read More

My wife is sexually conservative – what to do?

Dear Dr. Milrod: I am a married guy in my 40s. I have have recently found some sexual pleasure in the arms of “other women.” However, I would love for my wife to provide what I get from the paid ladies. I have talked to her about it from time to time but to no avail. She was raised very conservatively and it is still affecting her to this day, at least sexually. She finds it hard to open up sexually and is not willing in any manner to try things that she feels are “demeaning.”... Read More