Input:
 The prompt for the above section of the story could be:

Write a chapter on the possible benefits of prostate massage, focusing on its potential effects on prostate health, sexual fitness, and specific conditions. Include information on how prostate massage may increase circulation, release muscle tension, flush out fluids and clear blockages, break up stones, and provide greater awareness of prostate health. Also, discuss the history of prostate massage as a medical treatment and its similarities to the treatment of hysteria in women. Finally, explore the possibility that prostate massage may help prevent prostate cancer by reducing inflammation.

Response:
**CHAPTER** **15**

**POSSIBLE BENEFITS OF PROSTATE MASSAGE**

In 2008, an online advertisement for the Nexus line of prostate massagers featured a woman giving this enthusiastic endorsement: "Prostate massage isnt just for fun though, guys—its also recommended by doctors as an aid to the prevention of prostate cancer." This may sound like an outlandish claim, but there is some evidence that prostate massage may be beneficial to the health of your prostate.

It is possible that regular, repeated massage helps prevent the development of some prostate diseases. At times, it has even been used in the treatment of prostate conditions. (We discuss this below.) While there are few studies on the subject that provide indisputable evidence, there are reasons to believe that prostate massage may be useful.

**HAVE SYMPTOMS? SEE A DOCTOR**

If you have symptoms of a prostate disease, we recommend that you see a doctor. We are not medical doctors, and we do not present this information to diagnose any condition or recommend any form of treatment.

Also, if you have symptoms of acute prostatitis (especially fever and chills—see chapter 14, Prostate Health) you should refrain from prostate massage. In addition to feeling terrible, massaging a prostate with an active infection may push bacteria into the bloodstream and promote sepsis (blood poisoning).

#  **HOW MAY PROSTATE MASSAGE BE BENEFICIAL?**

How, exactly, is prostate massage supposed to help keep your prostate healthy? There are a number of possible benefits of massage for general prostate health, sexual fitness, and some specific conditions. Here they are.

_"The benefit from prostatic massage is believed to be derived from a combination of several factors, including expression of inspissated prostatic secretions, relief of pelvic muscle spasm, physical disruption of any protective biofilm, improved circulation, and consequently improved antibiotic penetration."_

**—VIBHASH C. MISHRA , JOHN BROWNE, AND MARK EMBERTON**

##  **Increasing Circulation**

Massage of any part of the body helps to increase circulation of blood and lymph fluids in that area. Blood flow is important to the healthy functioning of cells and tissues because it brings fresh oxygen and nutrients that your body needs to run properly. Because prostate massage is so often arousing, you get the added increase of blood flow that comes with arousal. Arousal causes the whole pelvic area to engorge with blood, particularly after ejaculation. An ultrasound study has shown that blood flow to the prostate increases significantly after ejaculation and stays elevated for up to 24 hours afterward.45

If you have a chronic prostate infection (chronic prostatitis) and you are taking antibiotics, the increased blood flow from prostate massage may (theoretically) facilitate getting the medication in your bloodstream to the prostate. This means that prostate massage may make antibiotics more effective at clearing chronic prostate infections.

##  **Releasing Muscle Tension**

Massage in general can be very relaxing, and this is no less true for prostate massage, especially when easy, gentle penetration is used. Anal penetration requires a certain degree of muscle relaxation simply to allow the sphincters to open. Also, during penetration, a number of deep pelvic muscles may receive secondary massage and partake in the overall relaxation and openness of the area.

Having chronically tight muscles in the pelvis can reduce circulation and interfere with function. Recently, a group of researchers at Stanford University suggested that pelvic muscle  tension may be a cause or contributing factor in many cases of CP/CPPS. Dr. David Wise and Dr. Rodney Anderson describe this theory in their book _A Headache in the Pelvis._ Over time, they say, "the state of chronic constriction creates pain-referring trigger points, reduced blood flow, and an inhospitable environment for the nerves, blood vessels, and structures throughout the pelvic basin."46 They developed a protocol to treat CP/CPPS patients with relaxation training and myofascial release, with some noteworthy success. According to one study of 116 men with a median of 6 months of follow-up, 82 percent of the men reported symptom improvement. 47

Certainly, your run-of-the mill prostate massage takes a much less exacting approach to muscular relaxation than the Wise-Anderson protocol. Nevertheless, prostate massage (and anal penetration generally) may bring about some muscle release by applying indirect pressure to tight pelvic muscles and inviting them to relax. Since chronically tight pelvic muscles can create an "inhospitable environment" for nerves and blood vessels, they can actually decrease the sensation that you can feel. So, if you practice prostate massage in a relaxing way, it can help support sexual functioning and pleasure by restoring tense muscles to a healthier, more relaxed state that will allow more circulation and more sensation.

Along these lines, many men report having harder erections after they begin exploring prostate massage, which may be due to relaxed pelvic muscles allowing greater blood flow to the penis. According to Daniel W. Nixon and Max Gomez, authors of _The Prostate Health Program: A Guide to Preventing and Controlling Prostate Cancer_ , "Some sexual disorders, such as  weak erections, premature ejaculation, and impotence, can benefit from prostatic massage or Kegel exercises."48

##  **Flushing Out Fluids and Clearing Blockages**

With prostate massage, accumulated prostatic fluid may be pushed out of the microscopic glands and into the urethra, where it will be flushed away with urination or ejaculation. This may help clear the prostate of fluid which contains potentially harmful matter such as pathogens and wastes remaining from the inflammatory process. In this way, regular prostate massage may theoretically reduce the risk of developing prostate conditions by flushing out harmful agents before they can do harm.

But wait—flushing out the fluids? Isnt that what happens during ejaculation? Yes, but some speculate that blockages in the ducts and glands can trap fluid, and these blocked glands may become breeding grounds for bacteria and centers of chronic inflammation. It is possible that ejaculation alone may not be strong enough to clear these blockages, but prostate massage may open them, at least temporarily, allowing the trapped fluid and any irritants it contains to drain out.

A few doctors who practice prostate massage as a treatment for prostatitis presented work to support this idea at the Third International Chronic Prostatitis Network conference in 2000. They collected semen samples and post-massage prostatic fluid from 10 men with symptoms of chronic prostatitis. When comparing the samples, they found that eight of the 10 men had signs of inflammation in the prostatic fluid, but not in the semen.

Based on this small sample, they suggested that in at least some prostatitis patients, regular ejaculation is not strong enough to clear all of the prostatic fluid from the gland, and may leave behind some fluid that contains inflammatory agents that can be forced out by prostate massage.49 So it is possible that prostate massage may clear out more prostatic fluid than ejaculation alone.

##  **Breaking Up Stones, Disrupting Biofilms**

One possible reason why some cases of CP/CPPS do not respond to antibiotics is that there may be a bacterial biofilm. Biofilms are like bacteria cities in which the microbes produce a coating that encapsulates them and protects them from the environment, allowing them to survive an onslaught of antibiotics. Plaque is one example of a biofilm. If in some cases a biofilm in the prostate is responsible for CP/CPPS symptoms, it is speculated that massage could cause a physical disruption of the biofilm, allowing some antibiotics to get inside to the bacteria that are fortressed within.

Another cause of CP/CPPS symptoms may be the presence of prostatic stones—calcifications within the microscopic glands of the prostate. Some recommend vigorous massage to break up the stones, the fragments of which have been found in prostatic fluid following massage. If the stones are in fact contributing to symptoms, this may be of benefit, though some suggest that such aggressive massage may actually be traumatic to the prostate.

##  **Greater Awareness of Prostate Health**

Through prostate massage, you can become more aware of your prostate, more familiar with its normal state, and more capable of recognizing the onset of unusual symptoms. One man described how his familiarity with his prostate helped him when he came down with a prostate infection: "When I had a bacterial prostate infection, I could feel the swelling and the heat in my prostate. I knew thats where it was because I was familiar with my prostate from having done prostate play many times. So I was able to tell my doctor thats what it felt like, which she confirmed with an exam." Also, if your partner gives you prostate massages, he or she may be able to monitor your prostate over time and notice if there is a lump, which might indicate prostate cancer.

#  **A LITTLE HISTORY**

_"For the treatment of the chronically diseased prostate, massage of that organ by the rectum, constitutes the most important element of the treatment."_

**—JAMES BAYARD CLARK (ON PROSTATITIS, WRITING IN 1912)**

Prostate massage has a fascinating medical history. In the United States, it was a common form of treatment practiced by physicians between the late 1800s and the first two decades of the 1900s. In the words of one doctor from 1895, "Milking the prostate, and milking the seminal vesicles […] has recently become somewhat of a fad."50

If you look at medical books from this period, you can find detailed descriptions of how to perform prostate massage as a treatment for various ailments. Depending on the condition, the patient might see the doctor as often as daily for a brief massage. Frequently, treatment also included the use of urethral sounds and the insertion of a solution into the prostatic urethra.

Prostate massage was used for many conditions, but most commonly for treating prostatitis. This was before the dawn of antibiotics, and gonorrheal infections of the urethra frequently made their way into the prostate, causing prostatitis (Type I or Type II). The purpose of the massage was to support the lymphatic and circulatory systems, to desensitize an overly tender prostate, and to wring out the contents of the gland.51

Massage was also used for sexual disorders, including impotence. In 1912, one physician recommended prostate massage at the doctors office one or two times weekly to treat impotence. He also suggested using a vibrator to massage the gland for three to five minutes every day.52 At times, massage was also used for premature ejaculation,53 priapism,54 and "exaggerated libido."55

In addition to the use of prostate massage by doctors, there was a whole industry of "quacks" who favored this technique. These questionable practitioners without medical degrees placed ads in newspapers offering cures for various ailments, many of which were considered by most doctors to be of little consequence. Judging from the many references to "quacks" by doctors of the period, it seems that there was a booming industry of prostate massage for "imaginary ailments."56

**MEDICAL HISTORY OF THE ANEROS**

The medical use of prostate massage was the inspiration for the ever-popular Aneros prostate massager. Developed in the late 1990s, it was invented as a tool to allow men to perform prostate massage on themselves at home for health purposes. Named the "Pro-State Massager," it was designed and subsequently patented by Japanese urologist Dr. Jiro Takashima and manufactured through High Island Health, LLC.

As men tried the product, more and more of them reported some rather pleasant and unexpected side effects on their sex lives. The benefits they experienced were likely a result of both the prostate massage and the pelvic muscle strengthening that occurs when you use the Aneros in the hands-free way it was designed for, where you create the motion by flexing and releasing your pelvic muscles. (See chapter 11, Toys, for more information on the Aneros.) Once High Island Health, LLC, realized that the product was selling more as a sex toy than a health aid, it began to market it that way under the Aneros Company.57

##  **The Hysteria Parallel**

From as early as the 5th century BC there are references in Western medicine to a disease known (primarily) as "hysteria" that was thought to afflict women. It is no longer considered a legitimate diagnosis, but until fairly recent history it was believed to be a disease of the uterus that resulted from insufficient sexual gratification.

The treatment, which some women required repeatedly, was for a doctor or midwife to massage the womans vulva to the point of "hysterical paroxysm" (an orgasm!).  This phenomenon is well documented in _The Technology of Orgasm,_ by Rachel P. Maines. Hysteria diagnosis and treatment in the US peaked from the turn of the century to around 1920. In an interesting parallel, prostate massage also had its heyday as a medical treatment in the US during this period. In the same way that hysteria treatment involved the "hysterical paroxysm" (orgasm), much of the literature on prostate massage emphasizes the "relief" of prostate "congestion."58 The phrase "milking the prostate" was often used, emphasizing the forcing out of secretions. In some cases this occurred "at once from the meatus."59 This sounds a lot like ejaculation.

There were even some remarkable devices for physician-administered prostate massages. Just as the vibrator was, at the turn of the century, a new invention that became a common tool of hysteria doctors to produce "hysterical paroxysm" in women, there were impressive technological advances in the realm of prostate massage. In 1906, one doctor described his own self-designed, vibrating rectal electrostim device, complete with multiple vibration speeds! This may sound scary, but lets not forget that today there are many sex toys, including anal toys, that use a low level of electricity to add a touch of tingle. (See the "Electrostim" section in chapter 11, Toys.) The inventor of that device stated that the stimulation was not painful and when used correctly could be quite "soothing."60

Today, we know that the prostate is an erogenous zone for many men, and that massaging it can feel tremendously pleasurable and can lead to orgasm and ejaculation. In retrospect it is telling that prostate massage was once so prevalent as a medical treatment.

In _Tiresian Poetics: Modernism, Sexuality, Voice, 1888–2001_ , Ed Madden compares the use of prostate massage and other forms of anal penetration in the medical context to the use of vibrators by doctors during the same time period: "If, as Rachel Maines demonstrates in _The Technology of Orgasm,_ […] doctors were producing orgasms in women to cure their nervous illness, then I think similar claims might be made for rectal dilators [and prostate massage]. Given […] massage of the prostate to relieve neurasthenic congestion, the use of dilation to cure nocturnal emissions, the use of electrodes in the anus for neurasthenia, and given the repeated emphasis on relief that I find in the literature, I would argue that rectal dilators were also sexual devices employed for medical reasons."61 That is to say, in many cases, the medical procedure of prostate massage may have involved the doctor bringing the patient to ejaculation.

We are not suggesting that the doctors were getting off on it. The literature suggests that most doctors, and most patients, truly regarded the prostate massage as a medical procedure, in exactly the same way that massaging women with a vibrator on the clitoris to hysterical paroxysm (orgasm) was considered a medical procedure.

Its likely that many of the patients who sought out prostate massage believed they had a disease and may have suffered real anxiety over it. But there is evidence that at least some of them were wise to what was really happening during the medical procedure of "milking the prostate." One doctor said in 1917, "It often occurs that old men, no longer capable of performing the sexual act, will persist in coming to the physician for treatment, for the reason that they experience a sensation of sexual pleasure in having their prostate massaged. Especially is this true when the massage is continued to the point of forcing out the secretions (milking the prostate). Many of these old men secure all their sexual pleasures through these treatments."62

Another physician complained of patients who, after being cured of gonorrheal infection of the prostate, persist in wanting further treatment: "They return time and again to the clinics and state that while the pain or whatever it may be they complained of last time, has yielded to treatment; there is now something else. […] one can never give them enough instrumental treatment. Many of them revel in being endo-scoped—they welcome the use of the Kollman [urethral] dilator—stripping of the vesicles, electrical and manual massage of the prostate and what not [...]."63

Certainly, in cases where doctors treated patients for chronic prostatitis, the massage was probably uncomfortable or even painful, given the compromised state of the gland. It is unlikely that men in this condition felt any pleasure during the massage.

But massage was also used to treat a number of "ailments" which, like hysteria, are no longer considered diseases, and which are also very sexual in nature. On the subject of hysteria, Maines suggested that the treatment was used to "cure" women of normal sexuality. Again, the same might be said for prostate massage: that it was used to treat normal male sexuality in an era of sexual repression. It was used to "cure" masturbation,64 priapism,65 and an overflow of blood to the prostate, which led to "erections on slight provocation, and  an excessive growth of the sexual secretions which find their exit by frequent nocturnal pollutions" (aka wet dreams).66

Massage was also used for impotence,67 premature ejaculation, 68 and "sexual neurasthenia"—a condition involving unstable emotions, various physical symptoms and, often, impotence.69 Sexual neurasthenia shared a lot in common with hysteria, and similarly, most Western medical authorities no longer define it as a disease.

##  **The Dawn of Antibiotics**

The role of prostate massage in the medical industry changed when antibiotics came into the picture. By the late 1940s, antibiotics were frequently used for urethral infections, 70 which meant that most of these infections were cured before they could spread to the prostate, and by 1954 acute prostatitis (Type I) had "practically disappeared."71 When an infection did spread from the urethra to the prostate and caused acute prostatitis, antibiotics proved very effective there as well. Antibiotics were already found to be "generally disappointing in treating chronic prostatitis," but even then, "an occasional case [...] responded dramatically."72

With such promising results, antibiotics quickly became the new first line of treatment for all kinds of prostatitis. Prostate massage fell out of favor and became increasingly infrequent as a medical practice. Some doctors continued to recommend it for particularly hard-to-cure cases of prostatitis as a last-ditch effort to ease symptoms, but most doctors stopped performing massage except as a means to collect prostatic fluid for testing.

##  **Prostate Massage Makes a Comeback**

To the frustration of many doctors and patients alike, even today most cases of CP/CPPS are not cured by antimicrobial medications. This has led to a resurgence of interest in prostate massage as a form of alternative or supplementary treatment for CP/CPPS. Some men who struggle with long-term cases of this condition have found that regularly repeated prostate massage affords them short-term symptom relief.

Anecdotal reports like these are listed at prostatitis.org, an online community of prostatitis patients, where many men describe giving themselves prostate massages at home or receiving them from their partners. They report total or partial relief of symptoms following massage when it is repeated 2–3 times per week.

Unfortunately, this does not cure the condition; it only eases the symptoms, which return if the massage is not continued on a regular basis. But this short-term relief can be a big improvement for those who struggle with annoying and painful come-and-go symptoms, sometimes for years. And in some cases, the combination of antibiotics and frequent, repeated prostate massage has brought about long-term symptom improvement. Dr. A.E. Feliciano Jr., a urologist with over 25 years of experience working with CP/CPPS and other genitourinary complaints at the Manila Clinic in the Philippines, has had much success in providing long-term relief to CP/CPPS patients through doctor-induced massage, culture-specific antibiotics, plus dietary and lifestyle changes.

In one study, Feliciano and others documented the treatment of 26 patients who had chronic, difficult-to-cure cases  of prostatitis. The men were given prostate massages three times per week plus antibiotics or other medications for 6–12 weeks.73 Their symptoms were rated with a series of questionnaires, and there was significant improvement in the average symptom severity. About 20 percent of the patients reported continued relief in follow-up two years later. This may seem like a small percentage, but for such hard-to-cure cases, to have even 20 percent gain lasting relief is a big deal.

Another group of medical professionals reported their results in treating 73 CP/CPPS patients with massage performed 1–3 times weekly, ranging from 2 to 12 weeks duration, plus antibiotics. Follow-up ranged from 4 to 15 months, and a full 40 percent of these patients had complete symptom relief.74

These examples may seem promising, but the general consensus of the medical community is that further studies are necessary to determine the possible benefit of prostate massage for CP/CPPS. Even in the studies cited above, the combination of massage and antibiotics helps only for some patients, while others have little or no symptom improvement, so its obviously not effective for everyone who gets lumped into this diagnosis.

As often happens, not all studies show the same results. In one, massage and antibiotics together were no more effective than antibiotics alone in treating CP/CPPS patients. In this study, patients were divided into two groups. For one month, the first group received massage three times weekly plus antibiotics, while the second group received antibiotics only. Because this study had a control group that did not receive the  massage, it allows comparison of the results between those who received the massage and those who didnt in a way that isnt possible with retrospective studies. The results? There was improvement in both groups, but it was no greater in the massage group than in the no-massage group.75

Another factor may be the specific massage technique used. In one study patients were surveyed on how effective they thought prostate massage was in treating their prostate condition, and their responses indicated that they perceived a wide variation in the abilities of the physicians performing the massage. 76 This variation in technique may also come into play.

#  **CAN MASSAGE HELP PREVENT PROSTATE CANCER?**

Some experts speculate that prostate massage may help prevent prostate cancer. This theory is based on the idea that prostate massage can help clear the gland of irritants which may be involved in the development of cancer. Recent research indicates that inflammation, which occurs in many cases of prostatitis, may play an important and perhaps even causative role in the development of both BPH and prostate cancer: "Emerging evidence indicates that prostatic inflammation may contribute to prostate growth either in terms of hyperplastic (benign prostatic hyperplasia [BPH]) or neoplastic (prostate cancer) changes."77

The state of chronic inflammation alters the cellular environment within the glands of the prostate. Research under  way suggests that lingering inflammatory products may play a role in the genome mutations that set the stage for cancer to develop, and perhaps BPH as well. Ironically, that means that the very presence of inflammation (which is a part of the bodys defense mechanism) may in fact be causing harm.

If it is true that the state of chronic inflammation contributes to the development of BPH and prostate cancer, then prostate massage may help prevent or delay the development of these diseases _if_ it can reduce or prevent inflammation. Massage may help prevent inflammation from developing in the first place by "keeping the pipes clean." By flushing out the glands of the prostate, massage may help clear out irritants before they become a problem.

_**"It is today widely accepted**_
_**that inflammation has a role in**_
_**many human cancers."**_

**—SONYA VASTO ET AL.**

If inflammation is already happening, massage will help clear out the wastes of the inflammatory process (pus) by forcing them out manually and continually prompting the production of fresh prostatic fluid. This may not stop the inflammation, but at least it may keep inflammatory products from sitting there for prolonged periods. Also, massage supports circulation to the tissues and cells, and in this way encourages the natural healing process of the body.

And in cases where prostate massage can (in combination with antibiotics) cure prostatitis, it may be beneficial in reducing inflammation. However, it is not entirely clear that inflammation is always eliminated even in cases where symptoms subside.

In one study by Feliciano and colleagues, inflammation  was measured by counting white blood cells in the prostatic fluid while patients complaining of lower urinary tract symptoms were treated with regular massages and antimicrobials. Over the course of treatment, the white blood cell counts would increase to a peak, then drop again. The researchers suggested that this peak in white blood cell count is a sign that trapped pockets of infection were being opened, causing the release of the inflammatory product. If this is true, it may be very good for cancer prevention. However, there was no significant difference between the inflammation level at the start of treatment and at the end, even when symptoms were resolved.

So, it seems that even when massage plus antibiotics clears symptoms, it does not necessarily put an end to the inflammation, even though it may at least flush out trapped, inflamed pockets.

It is unclear whether prostate massage can reduce the risk of cancer or BPH. A causative relationship between inflammation and cancer/BPH has not yet been definitively proven, and even if it were, it is still unknown how prostate massage can affect your chances. More studies will be necessary before we can know what role prostate massage might play in prevention.

Regular prostate massage is not a replacement for prostate cancer screening. Even if it does help, its no guarantee. Other factors come into play, such as age, genetic predisposition, race, and diet. But at the least, prostate massage potentially improves your odds, and you might just have a nice time while youre at it!

#  **DIY PROSTATE MASSAGE FOR HEALTH**

When prostate massage is performed for health reasons, typically the goal is to clear the gland of as much fluid as possible. This is sometimes called "draining" or "milking" the prostate. The technique is to position the finger on one side, apply pressure, and then slide toward the center, pushing the fluids from glands and ducts at the periphery toward the urethra at the midline. Repeat on the other side, once again starting on the outer edge and sliding toward the midline. You can cover the whole prostate this way, rubbing side-to-center on one side, then the other, and moving from top to bottom in this fashion.

If you want to massage your prostate to support the health of the gland, you can use your own fingers or a toy, or you can recruit someone else to do it for you. For guidelines on self-massage, see chapter 7, Find It: Locating the Gland. For toy tips, see chapter 11, Toys.

Sometimes the movement of fluid within the prostate can be felt by the finger. Drained fluids may appear at the tip of the penis, ranging from a single drop to an abundant flow. This may not happen every time you perform massage, and some men may never have any visible fluid. If the prostate feels tender, as it may for the first few times, go easy. You may be a little sore the next day. With repeated massages, this will happen less and less.

SOURCES OF QUOTES

Vibhash C. Mishra, John Browne, and Mark Emberton, "Role of Repeated Prostatic Massage in Chronic Prostatitis: A Systematic Review of the Literature," _Urology_ 72.4 (2008), 732.

James Bayard Clark, _Essays on Genitourinary Subjects_ (William Wood and Company, 1912), 121.

Sonya Vasto et al., "Inflammation and prostate cancer," _Future Oncology_ 4.5 (2008): 637ff. (Academic OneFile, Aug. 13, 2010).


Input:
  The prompt for the above section of the story could be:

Write a conclusion for the book on prostate massage and pleasure. Emphasize the variety of sexual experiences available and encourage readers to explore beyond their current comfort zone. Highlight the excitement that men and their partners have expressed when discovering the pleasure of prostate play. Encourage further research into the role of the prostate in male erotic pleasure and the potential benefits of prostate massage to prostate health. Remind readers that prostate massage is not a replacement for other forms of enjoyment, but rather an additional option to explore. Wish readers a pleasurable journey as they continue their explorations. Sign off with both authors' names.

Response:
**CONCLUSION**

One of the most amazing things about sex is that there are so many ways to enjoy it. Unfortunately, sometimes people are so focused on one kind of sex that they forget about all the other options. While this can happen to anyone, its especially common for men, for whom the focus on performance over pleasure often gets in the way.

No matter how many men and their partners weve talked with, its always amazing to hear their excitement when they discover how good it feels to play with the prostate. And as more guys try it out and see that it can be a great addition to an exciting sex life, theres more discussion of it in the world.

We hope that as the erogenous nature of the prostate gets more attention, more research will study the role of the prostate in male erotic pleasure. We are also very eager to see what research may show about the possible benefits of massage to prostate health. But even if prostate massage doesnt turn out to prevent cancer, we know that there are lots of other reasons to do it!

No matter where you are in your explorations of P-spot play, whether youre starting out or youve been enjoying it for years, theres always something new to discover. We hope that this book has been a useful guide for you and that youve found new ways to experience pleasure. And remember—it doesnt mean you cant also have fun in the ways youre used to. Were just adding a few more options to the menu.

With pleasure,
Charlie Glickman and Aislinn Emirzian


Input:
 The prompt for the above section of the story could be:

Write an afterword for a book on prostate pleasure, emphasizing the lack of research and discussion around the topic. Discuss how the study of human sexuality is relatively young and how certain behaviors, such as prostate stimulation, are understudied. Mention the challenges men face in learning about and discussing prostate play, particularly those who identify as straight. Discuss the potential for pleasure and the recent increase in awareness and discussion around prostate play. Praise the authors for their work in assembling a wealth of knowledge on the topic and express your appreciation for the new perspectives and knowledge you gained from reading the book. Sign off with your name, credentials, and location.

Response:
**AFTERWORD**

Although many generations of women and men have attempted to understand and describe their sexual experiences through art, literature, and observation, the systematic study of human sexuality is quite young. Pioneering researcher Dr. Alfred Kinsey and his colleagues at Indiana University—where Ive been privileged to work for over a decade—first began their interview-based studies of sexual behavior in the 1930s.

The "youth" of this science—combined with social constructions of masculinity and historical taboos related to homosexuality and sexual behavior—mean that certain sexual behaviors, such as prostate stimulation and pleasuring, are largely understudied. We know a great deal—though certainly not everything—about penile-vaginal intercourse  and oral sex, including how many American women and men engage in these behaviors; the extent to which vaginal and oral sex generally feel pleasurable or arousing; how often theyre connected to orgasm for women and men; the ages at which people commonly first begin having vaginal intercourse or oral sex; and how people incorporate sex toys into these types of sexual expression.

Yet, from a scientific perspective, we dont know any of this about prostate stimulation. Research related to prostate stimulation is very rarely conducted and is mostly limited to select groups of men (such as men who have sex with men), which leaves many curious men and their partners in the dark. This is especially true for men who only or mostly have sex with women and who may not have a group of male friends among whom they feel comfortable talking about prostate play.

Lets say, for example, that youre a straight-identified man who has heard that prostate play feels good. Where do you go to learn more about it? What are the chances that you have a friend, brother, or dad whom you can ask about stimulating your own prostate, choosing anal toys for masturbation or use with a partner, or how to even find and stimulate your prostate in the first place?

Most straight-identified men I know and have heard from for years in my work as a sex columnist and sexuality educator feel like they dont have many—if any—friends they can ask these kinds of questions. For many men, their only experiences talking about their prostate or having it touched are in the context of clinical exams as they get older. This is a shame, considering the potential for pleasure that lies within.

And yet its possible that one or more of their best guy friends—or yes, even one of their family members—regularly engages in prostate play. Theyre likely just not as vocal about it as men often are about masturbation, vaginal sex, or receiving oral sex.

All this means that prostate pleasuring may or may not be rarely practiced (given the lack of research on the topic, we dont know how rare or common it is among men in the United States)—but its certainly a largely invisible practice. Fortunately, the recent mainstreaming of sex toys, including some prostate-specific toys, has made some men and women more aware of prostate play. In the past decade, weve also seen more discussion about prostate play by men of all sexual orientations (as well as some transgender women who have prostates) in mainstream sex columns, including columns by me, Dan Savage, and others who write about sex.

Authors and sexuality educators Charlie Glickman and Aislinn Emirzian have assembled a wealth of knowledge, suggestions, and advice from people theyve talked with over the years that should be helpful to many men and women who are curious about prostate stimulation—as well as to those who are seasoned in the practice and looking for new perspectives, techniques, or ideas for their private or partnered play.

I work as a sexuality researcher and educator because, although I know a great deal about sex, I dont know everything about it (no one does)—and I enjoy learning from others. In reading _The Ultimate Guide to Prostate Pleasure_ , I appreciate that I was exposed to new ways of thinking about prostate stimulation and to perspectives that Charlie and Aislinn  have gleaned from others trials, errors, and significant pleasures. This very good book will likely influence many peoples sexual lives, and ways of thinking about sex and what it means to be a man (and a sexual man) for years to come.

Debby Herbenick, PhD, MPH
Bloomington, Indiana


Input:
 The prompt for the above section of the story could be:

Compile a comprehensive resources list for a book on prostate pleasure. Include sections for prostate play guides, male multiple orgasm, anal play, fisting, G-spot play, electrical play, finding a doctor, prostate health, and places to buy toys. Provide detailed information for each resource, including the title, author, publisher, year, and a brief description. Include websites and contact information where applicable. Sign off with your name and credentials.

Response:
**RESOURCES**

#  **PROSTATE PLAY GUIDES**

_Tantric Male Multiple G-spot Orgasm_ , by Somraj Pokras and Jeffre TallTrees (Tantra at Tahoe, 2003)

The Healthy Prostate

www.thehealthyprostate.com

Lots of great info and instructional videos available for download

Pleasure Mechanics

www.pleasuremechanics.com

Excellent how-to videos, including _Pleasure Mechanics Guide to Prostate Massage: How to Enjoy Pleasurable & Healthy Prostate Stimulation_

#  **MALE MULTIPLE ORGASM**

_The Multi-Orgasmic Man: Sexual Secrets Every Man Should Know,_ by Mantak Chia and Douglas Abrams (HarperOne, 1997)

_The Multi-Orgasmic Couple : Sexual Secrets Every Couple Should Know_ , by Mantak Chia et al. (HarperOne, 2001)

_Any Man Can_ , by William Hartman and Marilyn Fithian (St. Martins Mass Market Paper, 1986)

_Orgasm: New Dimensions_ , by Prakash Kothari (VRP Publishers, 1989)

_ESO: How You and Your Lover Can Give Each Other Hours of Extended Sexual Orgasm,_ by Alan P. Brauer and Donna J. Brauer (Grand Central Publishing, 2001)

The Body Electric School www.thebodyelectricschool.com Experiential workshops on Tantra, massage, and erotic practices

#  **ANAL PLAY**

_Anal Pleasure and Health_ , 4th ed., by Jack Morin (Down There Press, 2010)

_The Ultimate Guide to Anal Sex for Men_ , by Bill Brent (Cleis Press, 2002)

_The Ultimate Guide to Anal Sex for Women,_ 2nd ed _._ , by Tristan Taormino (Cleis Press, 2006)

_Anal Massage for Lovers Vol. 2,_ directed by Joseph Kramer (Joseph Kramer Productions, 2006, 160 minutes)

_Anal Massage for Relaxation and Pleasure_ , directed by Joseph Kramer (Pacific Media, 2007, 160 minutes)

_Bend Over Boyfriend_ , directed by Shar Rednour (Fatale Video, 1998, 60 minutes)

_Bend Over Boyfriend 2: More Rockin Less Talkin_ , directed by Shar Rednour and Jackie Strano (S.I.R. Video, 1999, 70 minutes)

_Expert Guide to Anal Pleasure for Men_ , directed by Tristan Taormino (Vivid-Ed, 2010, 102 minutes)

_The Expert Guide to Pegging_ , directed by Tristan Taormino (Vivid-Ed, 2012, 129 minutes)

_Tickle My Tush,_ by Sadie Allison (Tickle Kitty Press, 2011)

_Uranus: Self Anal Massage for Men,_ directed by Joseph Kramer (Joseph Kramer Productions, 2004, 100 minutes)

#  **FISTING**

_Trust: The Hand Book: A Guide to the Sensual and Spiritual Art of Handballing_ , by Bert Herrman (Alamo Square Press, 1991)

#  **G-SPOT PLAY**

_Expert Guide to the G-Spot_ , directed by Tristan Taormino (Vivid-Ed, 2007, 80 minutes)

_Female Ejaculation and the G-Spot_ , by Debbie Sundahl (Hunter House, 2003)

_The G-Spot and Other Discoveries about Human Sexuality_ , by Alice Kahn Ladas, Beverly Whipple, and John D. Perry (Holt Paperbacks, 2004)

_GUSH: The Official Guide to the G-Spot & Female Ejaculation_ (Good Releasing, 2011, 90 minutes)

#  **ELECTRICITY PLAY**

_Juice: Electricity for Pleasure and Pain_ , by Uncle Abdul (Greenery Press, 1998)

#  **FINDING A DOCTOR**

Gay and Lesbian Medical Association

http://www.glma.org/index.cfm?fuseaction=Page.viewPage &pageId=939&grandparentID=534&parentID=938&no deID=1

A database of primary care providers, specialists, therapists, dentists, and other health professionals who are welcoming to LGBTQ patients

Kink-Aware Professionals

https://ncsfreedom.org/resources/kink-aware-professionals-directory/kap-directory-homepage.html

A database of doctors, therapists, and lawyers who are sensitive to diverse forms of sexuality

#  **PROSTATE HEALTH**

_Dr. Katzs Guide to Prostate Health: From Conventional to Holistic Therapies_ , by Aaron Katz (Freedom Press, 2006)

_The Prostate Health Program: A Guide to Preventing and Controlling Prostate Cancer_ , by Daniel W. Nixon and Max Gomez (Free Press, 2004)

_A Gay Mans Guide to Prostate Cancer_ , by Gerald Perlman and Jack Drescher (Informa Healthcare, 2005)

_A Headache in the Pelvis: A New Understanding and Treatment for Prostatitis and Chronic Pelvic Pain Syndromes_ ,  6th ed., by David Wise and Rodney Anderson (National Center for Pelvic Pain Research, 2012)

Male Care

www.malecare.org

A resource and support group for men with cancer—organizes support groups for gay men

American Cancer Society

www.cancer.org

The book _Sexuality for the Man with Cancer_ is available free on the societys website and has lots of great info about prostate cancer and sex.

The Prostate Cancer Foundation

www.prostatecancerfoundation.org

The Prostate Cancer Infolink

www.prostatecancerinfolink.net/

The Prostatitis Foundation

www.prostatitis.org

#  **PLACES TO BUY TOYS**

Adam & Eve

www.adamandeve.com, 800-293-4654

Mail order and online store

Aneros

www.aneros.com

Creators of the Aneros, the unique prostate massage toy

Babeland

www.babeland.com, 800-658-9119

Sex-positive retail and online store, with locations in Seattle and New York

Come As You Are

www.comeasyouare.com, 877-858-3160

Sex-positive retail and online sex toy company with a store in Toronto

Good Vibrations

www.goodvibes.com, 800-289-8423

Sex-positive retail and online store, with locations in San Francisco, Oakland, Berkeley, and Boston

JT Stockroom

www.stockroom.com, 800-755-8697

Sex-positive retail and online company, with a store in Los Angeles. A great source of BDSM gear.

Liberator Shapes

www.liberator.com

Makers of excellent supports designed to make sexual positions easier

Lube Shooter

www.lubeshooter.com

Lube shooters make it easier to get lube where you want it.

Mr. S Leather

www.mr-s-leather.com, 800-746-7677

Retail and online store specializing in BDSM gear with a store in San Francisco

She Bop

www.sheboptheshop.com, 503-473-8018

Sex-positive retail and online company with a store in Portland, Oregon

Smitten Kitten

www.smittenkittenonline.com, 888-751-0523

Sex-positive retail and online company with a store in Minneapolis

Venus Envy

www.venusenvy.ca, 877-370-9288

Sex-positive retail and online company with stores in Ottawa and Halifax

#  **GENERAL INFORMATION**

San Francisco Sex Information

www.sfsi.org, 415-989-7374

Free, anonymous, nonjudgmental information and referrals

www.sexuality.about.com

Excellent information on a wide range of sexuality topics written by Cory Silverberg, an amazing sex educator

The American Association of Sexuality Educators, Counselors, and Therapists www.aasect.org

If youre looking for a sex therapist, AASECT is a great place to look for referrals and information.


Input:
 The prompt for the above section of the story could be:

Compile the endnotes for a book on prostate health and pleasure. Include detailed references for each source, including the author, title, publisher, year, page number(s), and any relevant URLs. Organize the endnotes by chapter and number them consecutively within each chapter. Include a brief description or quote from each source where appropriate.

Response:
**ENDNOTES**

_**Chapter 3**_

1 Peter T. Scardino and Judith Kelman, _Dr. Peter Scardinos Prostate Book: The Complete Guide to Overcoming Prostate Cancer, Prostatitis, and BPH_ (Penguin, 2006), 12.

2 Ibid.

3 The "Sacred Gate" refers to the female G-spot in Tantric circles.

4 "Ejaculatory Physiology and Dysfunction," _Urology clinics of North America,_ vol. 2, 363–75, 2001.

5 Alice Kahn Ladas, Beverly Whipple, and John D. Perry, _The G Spot and Other Recent Discoveries about Human Sexuality_ (Dell Publishing, 1982), 33.

6 Ibid., 28.

7 Amichai Kilchevsky, Yoram Vardi, Lior Lowenstein, and Ilan Gruenwald, "Is the Female G-Spot Truly a Distinct Anatomic Entity?" _Journal of Sexual Medicine_ , vol. 9, issue 3 (March 2012), 719–726.

8 Ibid., 721–722; Terence M. Hines, "The G-spot: A modern gynecologic myth," _American Journal of Obstetrics and Gynecology_ , vol. 185 (2001), 359–362.

9 Pierre Foldes and Odile Buisson, "The Clitoral Complex: A Dynamic Sonographic Study," _Journal of Sexual Medicine_ , vol. 6, issue 5 (May 2009), 1223–1231.

10 Ladas et al., 53.

11 Ibid., 1 37.

 _ **Chapter 5**_

12 R. Louis Schultz, _Out in the Open: the Complete Male Pelvis_ (North Atlantic Books, 1999), 11.

13 Jack Morin, _Anal Pleasure and Health_ , 3rd ed. (Down There Press, 1998), 67.

 _ **Chapter 7**_

14 Lisa Marr, _Sexually Transmitted Diseases: A Physician Tells You What You Need to Know_ , 2nd ed. (Johns Hopkins University Press, 2007), 32.

15 Ibid., 32–33.

 _ **Chapter 9**_

16 Somraj Pokras and Jeffre TallTrees, _Tantric Male Multiple G-Spot Orgasm_ (Tantra at Tahoe, 2003), 120.

 _ **Chapter 11**_

17 www.aneros.com.

 _ **Chapter 12**_

18 Morin, _Anal Pleasure and Health_ , 104.

19 Karlyn Lotney, _The Ultimate Guide to Strap-On Sex: A Complete Resource for Women and Men_ (Cleis Press, 2000), 68.

 _ **Chapter 13**_

20 _Cisgender_ refers to people who experience and present their gender in a way that is aligned with the gender they were assigned at birth. It is contrasted with _transgender_ , which refers to people who experience their gender as different from the gender they were assigned, and who may take a variety of steps to bring them into alignment.

21 The word _punk_ has a few different meanings. It can mean a person with a mohawk, as in "punk rock." It can mean a loser. And it can mean a gay man, especially if hes effeminate or on the receiving end of penetration. This last definition is more common in African American communities.

22 _Maricón_ is a Spanish term that refers to the man on the receiving end of anal sex from another man. It has connotations of effeminacy and is often used as an insult or a slur.

 _ **Chapter 14**_

23 Steven Morganstern and Allen Abrahams, _The Prostate Sourcebook,_ 3rd ed. (Lowellhouse, 1998), xi.

24 Thomas A. Stamey, _Pathogenesis and Treatment of Urinary Tract Infections_ (Williams and Wilkins, 1980), 343.

25 Aaron E. Katz _, Dr. Katzs Guide to Prostate Health: From Conventional to Holistic Therapies_ (Freedom Press, 2006), 5 7.

26 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1476089/.

27 Sonya Vasto et al., "Inflammation and prostate cancer," _Future Oncology_ 4.5 (2008): 637ff. (Academic OneFile, Aug. 13, 2010).

28 Alessandro Sciarra, Franco Di Silverio, Stefano Salciccia, Ana Maria Autran Gomez, Alessandro Gentilucci, and Vincenzo Gentile, "Inflammation and Chronic Prostatic Diseases: Evidence for a Link?" _European Urology_ 52.4 (2007): 964ff. (Academic OneFile, Aug. 13, 2010).

29 www.thehealthyprostate.com.

30 Daniel W. Nixon and Max Gomez, _The Prostate Health Program: A Guide to Preventing and Controlling Prostate Cancer_ (Free Press, 2004), 174.

31 M. Gover, "A Statistical study of the etiology of benign hypertrophy of the prostate gland," _Johns Hopkins Hospital Reports_ 1923;21:231–295.

32 Katz _, Dr. Katzs Guide to Prostate Health_ , 13.

33 Nixon and Gomez, _The Prostate Health Program_ , 170.

34 Ernani Luis Rhoden and Abraham Morgantaler, "Risks of Testosterone-Replacement Therapy and Recommendations for Monitoring," _New England Journal of Medicine_ 350 (2004), 482–492.

35 http://www.cancer.org/Cancer/ProstateCancer/DetailedGuide/prostate-cancer-risk-factors.

36 http://www.cancer.org/Cancer/ProstateCancer/DetailedGuide/prostate-cancer-detection.

37 Marie-Blanche Tchetgen, James T. Song, Myla Straw-derman, Steven J. Jacobsen and Joseph E. Oesterling, "Ejaculation Increases the Serum Prostate-specific Antigen Concentration," _Urology_ , vol. 47, issue 4 (1996), 511–516.

38 Thomas A. Stamey, Norman Yang, Alan R. Hay, John E. McNeal, Fuad S. Freiha, and Elise Redwine, "Prostate-Specific Antigen as a Serum Marker for Adenocarcinoma of the Prostate," _New England Journal of Medicine_ 317 (1987), 909–916.

39 Francesco Montorsi, Gerald Brock, Jay Lee, JoAnn Shapiro, Hendrik Van Poppel, Markus Graefen, and Christian Stief, "Effect of Nightly versus On-Demand Vardenafil on Recovery of Erectile Function in Men Following Bilateral Nerve-Sparing Radical Prostatectomy," _European Urology_ 54 (2008), 924–931.

40 Nixon and Gomez, _The Prostate Health Program_ , 169.

41 Ibid., 170.

42 Stephen E. Goldstone, "The Ups and Downs of Gay Sex After Prostate Cancer Treatment," in _A Gay Mans Guide to Prostate Cancer,_ Gerald Perlman and Jack Drescher, eds. (Haworth Medical Press, 2005), 47.

43 M. Koeman, M.F. van Driel, W.C.M. Weijmar Schultz, and H.J.A. Mensink, "Orgasm after radical prostatectomy," _British Journal of Urology_ , vol. 77 (1996), 861–864.

44 Ibid.

 _ **Chapter 15**_

45 Thomas S. Keener, Thomas C. Winter, Richard Berger, John N. Krieger, Cynthia Nodell, Ivan Rothman, and Hanh V. Nghiem, "Prostate Vascular Flow: The Effect of Ejaculation as Revealed on Transrectal Power Doppler Sonography," _American Journal of Roentgenology_ 2000;175:1169-1172 (abstract), http://www.ajronline.org/cgi/content/full/175/4/1169.

46 David Wise and Rodney Anderson, _A Headache in the Pelvis: A New Understanding and Treatment for Prostatitis and Chronic Pelvic Pain Syndromes,_ 4th ed. (National Center for Pelvic Pain Research, 2006), 91.

47 R.U. Anderson, D. Wise, T. Sawyer, P. Glowe, E.K. Orenberg, "6-day intensive treatment protocol for refractory chronic prostatitis/chronic pelvic pain syndrome using myofascial release and paradoxical relaxation training," _Journal of Urology_ , April 2011;185(4):1294–9 (Epub Feb 22, 2011), http://www.ncbi.nlm.nih.gov/pubmed/21334027.

48 Nixon and Gomez, _The Prostate Health Program_ , 171.

49 http://www.prostatitis.org/a162000.html.

50 G.F. Lydston, "Massage of the Prostate," _Physician and Surgeon_ , vol. 17 (J.W. Keating, 1895), 281.

51 Ibid., 282.

52 Bernard Simon Talmey, _Neurasthenia Sexualis: a Treatise on Sexual Impotence in Men and in Women_ (Practitioners Pub. Co., 1912), 147.

53 William Josephus Robinson, _A Practical Treatise on the Causes, Symptoms, and Treatment of Sexual Impotence and other Sexual Disorders in Men and Women_ (Critic and Guide, 1913), 213–214.

54 Ibid., 345.

55 Ibid., 213–214.

56 George Frank Lydston, _Impotence and Sterility: With Aberrations of the Sexual Function and Sex-Gland Implantation_ (Riverton Press, 1917), 203.

57 http://wiki.malegspot.com/index.php?title=Aneros_History; http://www.chron.com/disp/story.mpl/metropolitan/7036873.html.

58 Ed Madden, _Tiresian Poetics: Modernism, Sexuality, Voice, 1888–2001_ (Associated University Presses, 2008), 159.

59 Lydston, "Massage of the Prostate," 281.

60 George Whitfield Overall, _A Non-surgical Treatise on Diseases of the Prostate Gland and Adnexa_ , 2nd ed. (Rowe Pub. Co., 1906), 102b.

61 Madden, _Tiresian Poetics_ , 159.

62 Franklyn Pierre Davis, _Impotency, Sterility, and Artificial Impregnation_ (Mosby, 1917), 74.

63 Frederic S. Mason, "Post-Gonorrhoeal Neurasthenia," _Urologic and Cutaneous Review_ , vol. 21 (Urologic & Cutaneous Press, 1917), 319.

64 Iwan Bloch, _The Sexual Life of Our Time in Its Relations to Modern Civilization_ (Forgotten Books), translated from German.

65 Robinson, _A Practical Treatise on the Causes, Symptoms, and Treatment of Sexual Impotence_ , 345.

66 L. Bolton Bangs, "On the Treatment of Some Genito-Urinary Maladies," _Medical Brief_ , vol. 32, issue 2 (1904), 551.

67 Talmey, _Neurasthenia Sexualis_ , 147.

68 Robinson, _A Practical Treatise on the Causes, Symptoms, and Treatment of Sexual Impotence_ , 213–214.

69 Mason, "Post-Gonorrhoeal Neurasthenia," 319.

70 Frank Henry Netter, _The Ciba Collection of Medical Illustrations: A Compilation of Pathological and Anatomical Paintings_ , vol. 2 (Ciba Pharmaceutical Products, 1948).

71 Meredith Fairfax Campbell _, Urology: Volume 1_ (W.B. Saunders Co., 1954), 635.

72 Fletcher H. Colby, _Essential Urology_ (Williams & Wilkins, 1956), 427.

73 J.C. Nickel, J. Downey, A.E. Feliciano Jr., and B. Hennenfent, "Repetitive Prostatic Massage Therapy for Chronic Refractory Prostatitis: The Philippine Experience," _Tech Urol._ 1999;5:146–151 (abstract), http://www.prostatitis.org/99workshop/Abstracts/abstract10/abstract10.html.

74 D.A. Shoskes and S.I. Zeitlin, "Use of prostatic massage in combination with antibiotics in the treatment of chronic prostatitis," _Prostate Cancer and Prostatic Diseases_ 1999;2, 159–162.

75 Ahmad Ateya, Ashraf Fayez, Ragab Hani, Wael Zohdy, Mohammad A. Gabbar, and Rany Shamloul, "Evaluation of Prostatic Massage in Treatment of Chronic Prostatitis," _Urology_ 2006;67:674–678.

76 B.R. Hennenfent and C.J. Hickman, "Patient-perceived Efficacy of Prostatic Massage as a Treatment Modality for Prostatitis, Prostatodynia, and BPH: An Exploratory Study," _Infections in Urology_ 2000;13(6):148–164 (abstract), http://www.prostatitis.org/99workshop/Abstracts/abstract13/abstract13.html.

77 Sciarra et al., "Inflammation and Chronic Prostatic Diseases," 964.


Input:
 The prompt for the above section of the story could be:

Write a brief biography of the authors of a nonfiction book on prostate health and pleasure. Include their full names, education, professional certifications, areas of expertise, previous work experience, and current positions. Mention any notable achievements, awards, or organizations they are associated with. Also, include information about any relevant workshops they have conducted and their favorite topics within the field. Lastly, provide details about any photographers involved in the book.

Response:
**ABOUT THE AUTHORS**

**CHARLIE GLICKMAN** is a sexuality educator, writer, blogger, and teacher. He has presented workshops on topics such as sex positivity, sex and shame, gender and masculinity, communities of erotic affiliation, and a wide range of sexual and relationship practices including prostate play, cock and ball play, polyamory, BDSM, sex toys, and safer sex. Charlie has also taught university courses for therapists and seminary students to help them provide the best sexual counseling for their clients, and he has presented at many conferences and community events. He is certified by the American Association of Sexuality Educators, Counselors, and Therapists (www.aasect.org) and is the Education Program Manager at Good Vibrations (www.goodvibes.com). You can find out more about him and read his blog at www.charlieglickman.com.

While attending Smith College, **AISLINN EMIRZIAN** served as a peer sexuality educator for two years, teaching workshops to fellow students. Following graduation, she got involved with Oh My Sensuality Shop in Massachusetts and, later, Good Vibrations in California. During her years as a sex educator, she has taught workshops on a wide range of topics relating to sexuality, but the prostate is her favorite.

Photograph by Michael McAreavy.


Input:
 The prompt for the above section of the story could be:

Create a copyright page for a nonfiction book titled "The Ultimate Guide to Prostate Pleasure" written by Charlie Glickman and Aislinn Emirzian. Include the copyright year, rights reserved statement, reproduction restrictions, publisher's name and address, ISBN number, and Library of Congress Cataloging-in-Publication Data. This data should include the authors' names, book title, edition, included materials (bibliographical references and index), subject categories, Dewey Decimal Classification number, and LCCN (Library of Congress Control Number).

Response:
Copyright © 2013 by Charlie Glickman and Aislinn Emirzian.

All rights reserved. Except for brief passages quoted in newspaper, magazine, radio, or television reviews, no part of this book may be reproduced in any form or by any means, electronic or mechanical, including photocopying or recording, or by information storage or retrieval system, without permission in writing from the publisher.

Published in the United States by Cleis Press, Inc.,
2246 Sixth St., Berkeley, California 94710.

eISBN : 978-1-573-44921-2

Library of Congress Cataloging-in-Publication Data

Glickman, Charlie.

The ultimate guide to prostate pleasure : erotic exploration for men and their partners / Charlie Glickman and Aislinn Emirzian. -- 1 st ed.

p. cm.

Includes bibliographical references and index.

1\. Sex instruction. 2. Prostate. 3. Anal sex. 4. Sexual excitement. I. Emirzian, Aislinn. II. Title.

HQ31.G656 2013
613.9071--dc23

2012040224