Medications, surgery and age created the need for us. We worried about the extra length and girth but we started off slow. Wife found it large at first but wanted all of it once she found her comfort zone. Good lube is a definite ‘must’! Tried ‘woman on top’ just to see… my scrotum slips out of the strap when I’m on my back, but the Ride On fits snug enough to stay in place. Much more intimate than a hand-held dildo. We love it!