Responding to the fear of sex among gay and bisexual men during the AIDS crisis, in 1986 Kramer began developing and teaching Taoist Erotic Massage classes as a safe way to sexually connect with others. Because of the presence of HIV in semen, Kramer included the Taoist sexual practice of semen retention as a crucial element of this massage. In the Taoist Erotic Massage, the masseurs genitally stimulated the receivers for more than an hour with thirty different caresses, vibrations, tugs and even pauses. Those receiving were also guided in fast breathing that constantly changed speeds and rhythms. The novelty of the touch and of the paced breathing helped the receivers to stay focused on their bodily sensations. Habits of going off into erotic fantasy or self judgment were ignored as men immersed themselves in sustained sexual arousal. The touch portion of the massage ended with a Big Draw, where the receivers clenched all the muscles of their bodies and held their breath for thirty seconds, then relaxed into a fifteen-minute period of quiet often marked by joy, peacefulness, wonder and clarity. In 1992 in collaboration with his intimate, Annie Sprinkle, Kramer began offering Taoist Erotic Massage classes to both men and women. Together Kramer and Sprinkle put the massage instruction on film - Fire on the Mountain–Male Genital Massage (1992), and Fire in the Valley–Female Genital Massage (1995) (Both videos available on ArtHouseVienna.com). Much of Kramer's work has been producing, directing and teaching erotic touch through film.