Q: I’m a 59-year-old man in good health. For basically my whole adult life, I’ve had this problem during intercourse with a woman of (1) being very quick to come and (2) 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? And, 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

“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?”

  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. 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.”    v