Do male-identified people have body image concerns?

1) My boyfriend, who I have been dating for a while now, says that he is fat and I don't think he is. He is built, but he isn't fat. And he talks about it all the time, and I just don't know what to say to him. He said that when he used to talk with his other girlfriend about it, that she would say, "well, go on a diet," and he said that made him feel like he was fat. And I don't want to hurt his feelings, but I know that by losing weight, he would feel better about himself. But I like him for who he is and how he looks. But what should I say to him when he says things like he is fat, do you think I'm fat, etc.?

2) I am a male, 24 years old, height 5'10", and currently I weigh 143 lbs... When I was 17 or so, I weighed a hefty 190 lbs... at that time, that really had a negative effect on my self image, and now at 143, I still don't think I'm thin enough... I have lost all my weight 100 percent through diet and running about 20 miles/week... but I don't eat enough and I always worry before I leave home if I "look ok"? Do I have serious issues?!?


Am I anorexic if I can never decide what to eat?

I have a problem with food. I hate it and never know what I want to eat. Sometimes I'll be famished to the point of shaking, and I'll just lie there thinking about what to put into my body, sometimes for hours. I know I should eat something, and I really am hungry, but at the same time, nothing appeals to me. Is this a form of anorexia? Or could it be a symptom of stress, depression, etc.? I would really appreciate it if you could help me.


Does my friend think she was raped?

You have an excellent service and give great advice. That is why I feel comfortable asking you this question. About three weeks ago, a group of my friends and I went out to a movie and then a club where we each had some alcohol. After the club, we went back to a friend's room where the group gradually dispersed until there was only myself, two male friends, and one female friend. We began to play sex games. Eventually, we all were naked, on my friend's bed. The female of the group was the center of our activity. She seemed to want it and even encouraged what the three of us started doing to her.

Although we all were tipsy, it was a great sexual experience for all of us, or so I thought. My two male friends have no problem with what happened. The only thing is that my female friend won't speak to us or return any of our calls. I saw her walking down the street the other day and tried to talk to her, but she wouldn't even raise her head to look me in the eye. Do you have any idea what is wrong? Could my friend feel that she was raped? I want to apologize, but I'm not sure what to do.


Why do I feel guilty after orgasming?

Every time I have an orgasm (alone or with a partner) I have intense feelings of guilt. I was not brought up in a religious household and was never told to "wait until marriage". I've been in long term relationships with all my sexual partners so it's not like I feel guilty for sleeping around. It's getting to the point where I'm not enjoying sex anymore because I dread the feelings I have after an orgasm. Is this normal?


Can I lose fat and build muscle mass at the same time?

A friend of mine and I were disagreeing about this point and I thought maybe you could help. I have heard that it is not possible to both lose fat and build muscle mass simultaneously: ideally, a person should do cardiovascular exercise with dieting to lose extra body fat, and then start to focus on building up muscle mass. He says it's possible to both burn fat and build up muscle over the same period of time. Which is the case?


Is hot sauce the source of my anal aggravation?

I enjoy my spicy foods. In fact, the spicier, the better. If I break a sweat when I'm eating, I've made a successful meal. I'm extremely active, physically, and I rarely get sick. I don't use tobacco, but I drink coffee daily. I average about two bowel movements a day, and I've found within the last week or so, blood on my toilet paper when I wipe my arse. Can the blood be caused by my spicy foods? I had my wife check out the area in question, and she says that it doesn't look like my rectum was bleeding (but it sure felt like it for about two minutes). I just wanted to know if the spicy foods can actually cause bleeding around there, and if so, does this mean that the bleeding could be caused in other places within my digestive system?