My qualifications

As an intelligent consumer, your first thought is likely, “Why is an ER doctor qualified to write a book on sex?” First, the primary focus of this book is on sexual pleasure, not the relatively boring plumbing aspects of sex and reproduction that are within the province of urologists and gynecologists. In reality, there is no medical specialty that focuses on sexual pleasure. If you doubt this, ask your gynecologist, urologist, or family doctor to enumerate a dozen ways to enhance sexual pleasure. Then watch them scratch their heads and look befuddled. You might have better luck asking a sexologist, but there is a catch. Because there is no standardized educational pathway for sexologists (as there is for physicians in various medical specialties), there is a tremendous range of aptitude and knowledge amongst people who claim to be sexologists. Some are scholars with degrees awarded by credible universities, but some are charlatans who obtained their sham degrees from shady schools that accept anyone who can pay their fees. In a matter of months, a person could go from being a high school dropout to a doctor of sexology, thanks to the diploma mills. Thus, these people are not bona fide doctors. Even genuine sexologists are not necessarily knowledgeable about science. Many sexologists are counselors without much scientific training. Their forte is in understanding the emotional component of sexuality and relationships, not the biological roots of sexual pleasure. The latest trend is for sexologists to be hot young women without advanced degrees (or any degree, in some cases) who anoint themselves to be "sexperts" because they look sexy and are fascinated by sex. While sex may seem to be a simple subject that could be mastered by any high school dropout, no one can truly be an expert in it unless he possesses knowledge in many fields that often goes beyond what students learn in doctoral programs. Thus, these sexperts offer titillation, not enlightenment.

Why am I qualified to write a book on sexual pleasure? First, I received perfect grades in undergraduate courses in biology, chemistry, organic chemistry, statistics, physics, and electronics, and later graduated in the top 1% of my class in medical school. So, compared with other doctors, I learned more about not just sex, but also more about anatomy, physiology, biochemistry, nutrition, pharmacology, endocrinology, neurology, urology, obstetrics, gynecology, microbiology, histology, pathology, genetics, surgery, internal medicine, dermatology, and embryology — which are the underpinnings of knowledge about sex. Second, in terms of sexual education per se, I attended a medical school that emphasized sex more than most medical schools. However, even after all that, I was not an expert in sexual pleasure. I had a good scientific background, but that was it. After ten more years of reading and research, I began to integrate or tie together facts that once seemed to be isolated tidbits. When I did this, I realized there is a wealth of information that relates to sexual pleasure. If you read my book, you will learn hundreds of ways to enhance sexuality.

Another reason why I am qualified to write a book on sexual pleasure is because patients have been unusually open with me. Many patients told me that I am very approachable, and they confided things to me they had never disclosed to their best friends, spouses, or personal physicians. Their candid revelations about their sex lives gave me unique insights. When I coupled this information with my personal experiences and knowledge base, I was able to gain an unprecedented understanding of this subject.

One of the shortcomings of medicine is that there is a tacit and pervasive assumption that “OK is good enough.” If you have a recognizable disease, physicians can usually help you. But what if you feel OK or good, yet want to feel great? Or what if sex is pleasurable, but you want it to feel even better? Such a request would stump most physicians and sexologists. After reading dozens of books by sexologists, it is clear to me that too many of them think that dim lights, massage, scented candles, and romantic music are the panacea for sexual problems. In my opinion, those things fall into the common-sense department of romance, and you don't need to pay an author to figure out something so obvious.

While no one needs to apologize for desiring more sexual fulfillment, there are some practical benefits to the expansion of sexual pleasure. Sex is an important part of the “glue” that binds men and women together, and amplifying sexual pleasure can strengthen marriages. Furthermore, the pleasure of sexual activity initiates a cascade of biochemical changes within the body that produce a number of beneficial effects. By intensifying pleasure, these changes can be magnified to make you healthier and happier. As you will learn in reading this book, some of the key ingredients to sexuality are also vitally important to health.

As neuroscientists learn more about the brain, they're finding that the desire for novelty is innate. Judging by the frequency with which people engage in adultery, having sex with the same person and experiencing the same range of sexual sensations year after year is not conducive to faithfulness. Evidently, many people experience an irresistible urge for something new. Many marriages that superficially appear rock-solid are beset by a schism traceable to a lack of sexual fulfillment. I can't help with the desire for novel partners, but I can help with the craving for new sensory experiences. Even if you've had sex with a hundred different partners in thousands of different ways, I can show you how to create unprecedented sensations. If you provide your partner with exciting new sensations tonight, a month from now, and for years in the future, your sex life will never be boring and routine.

As a physician, I think that people who seek medical advice for sexual dysfunction often receive second-rate treatment. Such people frequently walk out of a doctor’s office either empty-handed or with a prescription for Viagra^® or some similar drug. Giving Viagra without addressing the root causes of the dysfunction is analogous to putting nitro in the gas tank of a car that needs a tune-up. A mechanic who did that would be viewed as incompetent, yet doctors can be even more illogical and still avoid scrutiny. It is illogical to think of Viagra as a sexual panacea because it addresses one specific aspect of sexuality. If your problem is a lack of libido or diminished sexual pleasure, Viagra cannot do much for you except act as an expensive placebo with bothersome and dangerous side effects.

Besides focusing on sexual pleasure, this book also shows how to increase sexual attraction, performance, and libido. Several of the key ingredients to sexual pleasure also augment intersexual attraction, sexual function, and sex drive. When these facets of sexuality are enhanced, your love life can be more satisfying than you ever imagined.

The first woman to read this book wrote to me to report that she obtained the most intense orgasm of her life after trying one of the new methods I discussed — a method that I invented, so no one else has yet written about it. Even when I discuss topics that you might think are so old that nothing new could be said about them, I offer a new perspective. Take vibrators, for example. I begin with a discussion of the various types of nerve receptors, and then explain that while currently-available vibrators are good, they could be better. Consistent with the other practical advice in my book, I explain how you can easily modify a vibrator to give you more pleasure. (The engineers in Taiwan who design vibrators evidently haven't been to medical school, and don't have a clue how to maximize pleasure. I do.)

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