Complex PTSD

Dr. Olson, I’ve known I was gay since I was about 10. I grew up in Southern Baptist Mississippi. I’ve struggled with MDD [major depression] and GAD [generalized anxiety disorder] all my adult life. And it’s been bad lately. I recently learned about c-PTSD [complex posttraumatic stress disorder] which results from ongoing childhood trauma. Many … Read more

Gay Priest

Dr. Olson, I am a fifty-year-old Roman Catholic priest in a small parish in Nebraska. I entered the seminary during my third year in high school. I knew even then that I was attracted to men. Becoming a priest and committing to celibacy was my way of dealing with my fears of going to hell. … Read more

Daughter with Bisexual Classmate

What advice would you give to a parent whose daughter comes home and says there is a girl in her fifth grade class that says she is bisexual? I had no idea I was anything at that age. Time seems to have passed me by! Fr. Pat Dear Fr. Pat, Most of us didn’t have … Read more

The Ups and Downs of Cam Chatting

Dr. Olson, I’m a sixty-eight-year-old gay man, and I find it difficult to masturbate without some visual stimulation. It seems to work best when I do C2C [cam chatting] with someone else. Maybe it’s an effect of the internet, but sexual fantasies alone are not enough. Is there something wrong with me? Cam Fan   … Read more

Penis Size and Ejaculatory Problems

Dr. Olson,

I am in my early forties, and I’ve never had sex except to masturbate. Is it normal to cum too fast? I cum in about five minutes. What is the average size of a dick if you don’t mind my asking? I am just admitting I am gay, and I get nervous around guys because I get aroused quickly. 

Since I often write about sex, two questions about men frequently appear in my inbox: (1) How big is the average dick? and (2) What is the average length of time it takes to cum? We can separate the question about cumming into two issues: young men want to slow it down, and older men want to speed it up.

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Intermittent or Event-Driven Truvada for HIV Prevention

Hi Dr. Olson,

I’ve been on Truvada for about three years. Occasionally, I stop taking it when I’m not sexually active. I’ve stopped for as long as three months and then started back up again. My doctor says this is fine but I’ve heard from sex partners this approach lowers the efficacy. Your thoughts?

First, I must tell you I am not an expert in the prescribing of Truvada, so I consulted with some doctors who are.

Intermittent use of Truvada is called event-driven pre-exposure prophylaxis (ED-PrEP), and it has proven highly effective in reducing HIV men who have sex with men (MSM) who engage in anal intercourse (receptive or insertive sex). It is an alternative to daily PrEP dosing for some men. At this time, the data are only available for Truvada; data are not yet in for Descovy. But you need to know more.

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