A: One outcome of such a situation is that permanent damage is done to the penis, and the man could lose his ability to have erections altogether. So now you have to weigh your embarrassment against a permanent loss of the ability to have erections. To me, that doesn't sound like much of a balancing act, and rather than weigh the two options, I'd go to the ER as quickly as possible, no matter the hour. Plus, at that hour, there will be fewer people there to look at you. But if you'd rather risk your ability to have erections by waiting a few more hours for your doctor's office to open, then that's your choice.

Q: Why does it seem that our unmarried friends are more interested in sex than our married friends?

A: The key word in your question is "seem." Married couples may have sex regularly, but they don't make a big deal about it because they live together and when the desire arises, they just do it without any fuss. Single people need to find a partner, and so their need for sex is on their minds more, and their interest in sex is more apparent. Also, if single people see someone whom they think is "hot," they can openly express themselves because they are available. A married person in that same situation should hold him- or herself back from showing too much interest, particularly if that person is someone who is a friend of his or her spouse.

Q: How do you keep it fresh, exciting and spontaneous with kids in the house?

A: I'm not sure if you should string all those words together. First of all, with kids, much of the spontaneity disappears, it's true, but that's not necessarily a bad thing. If you make dates to have sex (after the kids are asleep or when you have a baby sitter) the anticipation can add to the overall excitement of the actual sexual episode. And while keeping your sex life fresh can be a challenge, because there is only so much that is brand new that you can do, keeping boredom away is another story, because as long as you have a sexual repertoire in terms of positions, places and other variations, then just mixing and matching even a limited repertoire can help you to keep boredom at bay. So my general advice to you and to all those couples who have young children is not to set your sights too high, so that you aren't disappointed, but also not to set them too low, so that sex becomes boring and infrequent. Just put sufficient time and effort into maintaining your sex life so that it meets your desires.