I seem to have the exact opposite problem that a lot of men face; it takes me hours (literally) to reach orgasm while having sex, if at all.

It upsets women that I'm with because they feel like they aren't turning me on enough, which is not the case. I'm not going limp, I'm not getting blue balls, I just can't reach an orgasm. What can I do? 

Please help me doc.

Not feeling blue, Vallejo, CA

Dear Blue,

You'd be surprised how common your problem is. First off, however, I suggest that you get a physical examination from your GP (General Practitioner). If all's well on the physical front, then it's quite likely that there may be an issue that is weighing heavily on your mind. Perhaps money woes or any other stress-inducing dilemma that is not allowing you to delve whole-heartedly into your sexual ventures.

Try to get into the sensual aspect of sex -- something like Tantra. It's meditative and attempts to help you let go of outside circumstances. Try to concentrate on the moment, rather than worrisome issues. And try to take the focus off of reaching orgasm because that only adds to the pressure that you already feel.

Good luck, Blue, and let me know how things go.

I have an "agreement" with a female friend and we get together for sex frequently. I have done this before and didn't have any difficulties. Recently, however, I fail to get a full erection. I can have sex but I always ejaculate in like a minute, and I don't really feel anything orgasmic -- I'm just pushing out fluid.

Even during sex, my penis becomes less erect until I ejaculate, then it pumps up a bit and goes down. When I am drunk and we get together, I get full erections and can go for a really long time before reaching an awesome orgasm and then 5 minutes later, I am ready for more. Is this just some mental thing where I am stressed out or something or should I see a doctor? 

Joe Randall, Vancouver, BC

Dear Joe,

As hard as this may be to believe, it's quite likely that this "friend" is not someone you care for deeply, and because she doesn't fulfill you emotionally, you're simply not turned on. Why do you think you can get off so easily when you're drunk? It's because your mind is numb.

Sexual gratification is great, but to sleep with a casual friend regularly can get old quite fast. Find yourself a partner that turns you on both physically and emotionally and you'll see that your penis will join the party more frequently.

You can visit a doctor if you like, however, just to assure yourself that everything's functioning properly.

Good luck, Joe.

Recently there has been some itchy inflamed/red skin on my testicles. I have no idea what caused this as I haven't been sexually active for about a year, recently had a VD/HIV test come back negative, and I bathe on a daily basis.

Do you have any idea what might be causing this rash? It itches like hell but I figure it's just dry skin or something. If you have any information I'd really appreciate it. 

Worried in Omaha

Dear Worried,

It is possible that you have crabs or pubic lice, and that is what's making you itchy. On the other hand, it is also possible that you have a rash due to a new detergent, or certain fabric (i.e. silk or satin boxers).

Whatever the case, you're better off visiting a doctor as soon as possible in order to alleviate the problem. If, as I already mentioned, you do have crabs or lice, it could spread to your anus and if you think you're itchy now, just imagine how you'll feel then. 

A few years ago I contracted genital warts. After several treatment sessions with liquid nitrogen, I thought the scars were actual warts. My doctor told me I was looking too hard, and that they aren't warts. Will they return, and what's the likelihood that I can pass them on? 

Rich Wood

Dear Rich,

No matter what treatment you get, it is important to remove all warts to prevent the virus from spreading. Sexual partners should also be treated. Removal of warts may not successfully get rid of all of the HPV (human papillomavirus). Therefore, warts may return and may need additional treatment.

In order to prevent spreading the warts to others, always wear a condom when engaging in any sexual activity involving your penis (even though that may not conclusively prevent your partner from contracting them).