This song is OBVIOUSLY about Chester's sex life, which he finds to be absolutely miserable. Apparently he's involved in some pretty kinky stuff, "There are just too many times that people have tried to look inside of me".

"One minute you're on top!" Yup. He's screaming it. He's mad. Chester just doesn't like cowgirl, but his girlfriend did, a lot, and refused to do anything else, and this was reason for being so upset.

"So many people like me put so much trust in all your lies". Chester doesn't like it when his woman fakes an orgasm. I mean, that's just jacked, dude.

"But what goes up has got to fall." This is clearly Chester expressing just how exasperated he is at how he HAS to use viagra.