Category Archives: Ejaculation Concerns

And they’re off…

Name: Dan and Rebecca
Gender: Couple
Age: 25, 20
Location:
We are a happy but frustrated couple looking for advice. I’m a 25
year old male, and my lovely girlfriend is 20.

I have no problem bringing her to orgasm and pleasing her, but since we’ve been seeing each other I have not been able to cum once. In the past it was always difficult for me to cum during sex, my first time (age 18) my then gf and I went for about three hours before we just gave up. Usually I would have to jerk myself off afterwards but now I can’t even do that.

However if I am alone with porn I am easily able to masturbate and can get off a few times a day. How is it that I can jerk off to pictures that mean nothing to me, but can’t cum for the woman I love the most?

I’ve spoken with a doctor and he said medically there is nothing wrong with my penis. What do you suggest we do? We are really getting frustrated and just want to be able to please each other.

Simply put, there’s a difference between the psycho-sexual response we have when we are alone and the one we experience with a partner. Your doctor is right, there’s probably nothing wrong with your unit. It’s all in your head…or your mind, to be more exact. And I’m not being flippant.

If I had to guess, I’d say you have a real bad case of performance anxiety, pup. Here’s how this nasty thing works. Say I have a less than satisfying sexual experience for one reason or another. Before I know it, I’m replaying the incident over and over in my mind’s eye till that’s all I can think about. The proverbial molehill has become a mountain, don’t ‘cha know. I then bring my anxiety to my next encounter. My hyper self-consciousness primes me for more disappointment. And I’m all prepared to interpret the disappointment as a failure. Well, you can see where I’m going with this, huh? My fears become self-fulfilling and I find I’m beginning to avoid partnered sex and my relationship flounders, I develop a full-blown sexual dysfunction and my self-esteem takes a nosedive. My preoccupation with my problem makes it less likely that I’ll be fully present during sex with my partner, which pretty much scuttles my sexual responsiveness and any hope for spontaneity.

It looks to me like performance anxiety is putting a damper on your sexual arousal and short-circuiting your sexual response cycle, Dan. Get thee to a sex-positive therapist ASAP, darling! Believe me, this is nothing to fool around with, especially for someone at your tender age.

When I see this sort of thing in my private practice, I always begin the therapeutic intervention by calling a moratorium on fucking of any kind. This immediately takes a great deal of the pressure off the couple. From there we begin to rebuild the partnered psycho-sexual response one step at a time. We begin with sensate focus training, stress reduction and relaxation exercises. I have the greatest confidence in this method; it succeeds over 90% of the time.

Good luck

Hey dr dick! What’s that toll-free podcast voicemail telephone number? Why, it’s: (866) 422-5680. DON’T BE SHY, LET IT FLY!

Name: Gene
Gender:  Male
Age: 45
Location: Orlando
I am a homosexual, and I have a “friend” who has been incarcerated for five years. The relationship while he was out with me was excellent. I have asked him numerous of times is he having sex with the homo’s in jail and he responds by saying no. I think otherwise, and he wants to come back to me upon his release. My question is “should I wait for him”?

Gene, Gene, Gene, there are so many things wrong with this picture, I hardly know where to start. Your man’s in the big house for 5 years, and you expect him to keep it in his pants for the duration…just for you? Like WHY? Hey, he’s in the clink, darling, not in a monastery. Oh wait; even monks in a monastery don’t keep it in their habit nowadays! At any rate, it may not be up to him if he has sex or not…if you catch my drift. He might be someone’s bitch right now, he’s just not telling you about it.

Should you wait for him? You mean, all alone by yourself with no one to comfort you while your guy is doin’ his time? This sounds like the script for a real bad 1950’s prison movie. You could play the role of the long-suffering girlfriend pining away while her good-for-nothing man pays his debt to society.

Honey, you need to get out more.

Good luck

Name: Erin
Gender: female
Age: 32
Location: AL
Is it wrong for a married woman to want to masturbate when alone?

Gee, let me see. Is it wrong for a woman to feed herself when she is alone?

Erin, what could possibly be wrong with wanting to pleasure yourself when you are alone? As we all know, many women only get off through masturbation. Hell nowadays, liberated women folk everywhere are comfortable enough with their sexuality to jill-off even with their partner. So no, I don’t think there’s anything wrong with self-pleasuring…alone or with a partner.

Besides, there’s no better way to get to know your body and your sexual response cycle. Once you acquainted yourself with how your body works, you’ll have a whole lot more information about how you tic that you’ll be able to share with your partner when the time comes. It’s a win/win situation for ya’ll.

Name: Joy
Gender:  female
Age: 21
Location: California
I have been dating this guy for almost 3 year and also live with him. I love the way he makes love to me and i love dick, but sometimes i just want to make out with girls… does this make me a lesbian at all?

Hardly, not even a little bit lesbian! Ya see, it takes more than suckin’ face with another chick to make a gal a lesbiterian. You’re gonna need to get yourself a she-mullet, some plaid shirts and a vibrator that you can kick-start. Now that’ll make ya dyke for damn sure. Sheesh!

Hey dr dick! What’s that toll-free podcast voicemail telephone number? Why, it’s: (866) 422-5680. DON’T BE SHY, LET IT FLY!

The Summer Solstice 2012 Q&A Show — Podcast #337 — 06/18/12


Hey sex fans,

Happy Solstice everyone! Well, actually solstice isn’t until Wednesday, but who’s quibbling. Damn, this year is flying by. It seems like it was only a couple of weeks ago that we were welcoming spring. And, guess what? I just did the math; this is my 6th Summer Solstice podcast. Holy COW!

In honor of this milestone I have a delectable Q&A show in store for you today. We will be hearing a bunch of very interesting questions from the sexually worrisome, each will surely amaze and entertain. And I think we’ll have just enough time to do some SEX SCIENCE too. Stick around, sex fans, this is gonna be great!

  • William is using AndroGel for low “T”. Will it get his dick to grow?
  • Craig was snooping in his wife’s gym bag and found something interesting.
  • Chris and I have a lengthy exchange about his deep-seeded sexual conflicts.
  • Paula asks for my advice about purchasing a prostate massager for her hubby.
  • Gerard has blood in his semen.
  • Jenny asks if all fetuses start out as female. This triggers a SEX SCIENCE tutorial.

Today’s podcast is bought to you by: Dr Dick’s Sex Advice and Dr Dick’s Sex Toy Review.

BE THERE OR BE SQUARE!

Check out The Lick-A-Dee-Split Connection. That’s Dr Dick’s toll free podcast voicemail HOTLINE. Don’t worry people; no one will personally answer the phone. Your message goes directly to voicemail.

Got a question or a comment? Wanna rant or rave? Or maybe you’d just like to talk dirty for a minute or two. Why not get it off your chest! Give Dr Dick a call at (866) 422-5680.

DON’T BE SHY, LET IT FLY!

Look for my podcasts on iTunes. You’ll find me in the podcast section, obviously, or just search for Dr Dick Sex Advice. And don’t forget to subscribe. I wouldn’t want you to miss even one episode.

A Spring Equinox Q&A Show — Podcast #325 — 03/19/12


Hey sex fans,

Hey everybody, Happy Vernal Equinox! Here we are on the cusp of spring, at lease here in the northern hemisphere, but the Emerald City is still locked in winter’s chilly grip. Hey, who’s in charge of this weather pattern anyway?

Despite the cold temperatures and blowing rain I have a bunch of very interesting questions from the sexually worrisome, which will dazzle and warm us till dryer, sunnier weather arrives.

  • Robert claims his GF doesn’t like sex. I think that’s because she’s never had good sex.
  • Ivy was molested at age 12. Now she finds it hard to enjoy sex with her BF.
  • Liam wants to last longer.
  • Dave reports that his fantasies include his father.

Today’s podcast is bought to you by: Dr Dick’s Sex Advice and Dr Dick’s Sex Toy Review.

BE THERE OR BE SQUARE!

Check out The Lick-A-Dee-Split Connection. That’s Dr Dick’s toll free podcast voicemail HOTLINE. Don’t worry people; no one will personally answer the phone. Your message goes directly to voicemail.

Got a question or a comment? Wanna rant or rave? Or maybe you’d just like to talk dirty for a minute or two. Why not get it off your chest! Give Dr Dick a call at (866) 422-5680.

DON’T BE SHY, LET IT FLY!

Look for my podcasts on iTunes. You’ll find me in the podcast section, obviously, or just search for Dr Dick Sex Advice. And don’t forget to subscribe. I wouldn’t want you to miss even one episode.

A potpourri of poignant problems

Name: Catherine Joanne
Gender: Female
Age: 42
Location: Canada, Alberta
I am in a very loving, understanding, compassionate relationship, which I have been waiting for for some time now. The only thing is he stimulates my emotional side in every way, but in the bedroom he is not as sexual as previous partners I have encountered. I do not know if this is because all my previous relationships have always been about the “sex” and fizzled out, shortly there after, or this is how a “real love thing truly is?” If so, how can I mentally get over this one…he’s just not inventive, or has a lack of sexual knowledge. I don’t want to end this loving relationship over the bed issue. Please help me out on this one, so I do not sabotage this relationship. Sincerely, Catherine

Like my momma always used to say, if it has four wheels or a dick, you know you’re gonna have trouble with it. Listen darlin’, if this guy satisfies as much as you say, hold on to him. He’s a keeper.

You can always teach the old dog some new tricks. Of course, you’re gonna have to take the lead in his sex ed. Let’s just hope he’s not threatened by a woman who is more sexually experienced, adventurous and progressive than he is.

That being said, I think you ought to make your peace with the fact that he’ll probably never become a wild fuck. But then again, you probably don’t want that, because those wild fucks don’t make for loving, understanding and compassionate partners…as you already know.

Just remember: It’s as hard to domesticate a wild fuck, as it is to make a domestic fuck — wild!

Good luck

Name: Jamie
Gender: Female
Age: 28
Location: Georgia
Lately when me and my boyfriend have sex, he’s been pulling out because he says his dick burns. WHY IS HE HAVING THAT PROBLEM?

What you got goin’ on in your pussy, girl? Nothing about a healthy cunt is gonna irritate a guy’s dong. SEE YOUR DOCTOR RIGHT AWAY!

Hey wait a minute! Maybe he’s the one with the problem. Maybe he has some kind of a skin irritation or rash or something. And his willie is gettin irritated inside you. HE OUGHTA SEE HIS DOCTOR RIGHT AWAY!

Say, have you seen his dick up close and in good light lately…ever? I am painfully aware that lots of couples never see one another fully naked even when their doin’ the nasty. This is not a good practice. You should not only know all about your own pussy and how to keep it in perfect working order, but you should have some working knowledge of how a healthy cock looks and operates. If you’re not clear on this you have some homework to do.

And what the fuck are you two doin screwin’ around without using a condom? Are you on the pill? You’d better be. Cuz if you ain’t ya’ll are gonna have a whole lot more to worry about than cock burns, if ya catch my drift.

Good luck

Name: Chris P.
Gender: Male
Age: 21
Location: Montgomery AL
Can it be unhealthy to deliberately avoid male ejaculation for long periods of time? Months, Years? Is it practiced maybe by religious? Can it be done?

Yes, it can be done. And no, it’s not necessarily an unhealthy practice! Some people practice total sexual abstinence for their entire adult life. Some of these people do so for religious reasons, others simply because they aren’t particularly interested in sex. Either way, there’s no real evidence that this practice is injurious to one’s health. What I can say for sure is that if one chooses or embraces sexual abstinence as a means to a higher goal, it is virtuous. If abstinence is mandated or practiced out of fear or repression, there is no virtue.

That being said, I do want to remind you of something I’ve written about a lot recently. It concerns the groundbreaking research on the connection between masturbation and prostate cancer. Australian researchers questioned over 1,000 men who had developed prostate cancer and 1,250 men who had not, about their sexual habits. They found those who ejaculated the most between the ages of 20 and 50 were least likely to develop prostate cancer.

The protective effect of frequent ejaculations was greatest when the men were in their 20’s. Get this; men who ejaculated more than five times a week were one third less likely to develop prostate cancer later in life. Kind of amazing, huh?

I think you should also know that even if you don’t purposely ejaculate, like through jerkin off or partnered sex, your body still needs to rid itself of old stale semen in another way. Think of it like this, when your bladder gets full you take a wiz. When your prostate and seminal vesicles get full you take a jizz. It’s as simple and natural as all that. If you don’t relieve yourself of your joy juice on your own, your body will rid itself of your old spooge in a wet dream, or it will flush it out of your system in your urine. It’s like if you didn’t relieve yourself when your bladder got full, you’d piss anyhow, only it wouldn’t be able to properly direct it. Get it? Got it? Good!

Good luck

The Heartbreak of Male Performance Anxiety

I get a dozen or so messages a month on this topic. I’ve written about it in numerous postings and spoken about it in several podcasts, but still the email comes.

One of the real bugaboos for anyone, regardless of gender, is living up to our own expectations of sexual performance. So many things can get in the way, literally and figuratively, of fully enjoying ourselves and/or pleasuring our partners.

The arousal stage of our sexual response cycle is particularly vulnerable to a disruption. And when there’s trouble there, there’s no hiding it. A limp dick or a dry pussy can put the kibosh on all festivities that we may have hoped would follow.

However, performance anxiety can strike any of us, regardless of age, and at just about any point in our sexual response cycle. This is a particularly galling when it seems to come out of the blue. And regaining our composure can be more far more difficult than we imagine.

Today we will be focusing on male performance anxiety.  I’ll address female performance anxiety at a later date.

Here’s Bob, he’s 26:
Doc, this has never happened before. But I couldn’t get it up tonight, and this chick was H.O.T. Now I’m not gay at all, but I haven’t had sex in about 3 years because I was locked up…so I masturbated pretty regularly, about 3 or 4 times a week. But I can’t figure out why I was soft… the only thing I can think of is I ate clams tonight and I’ve never had them before. Could it be that or should I get checked out?

It weren’t the clams, darlin’! And I don’t think you need to get “checked out” either…at least not right away. If you could back away from the situation a bit and stop freaking out, I think you’d discover the source of your problem all on your own.

Here’s the thing—while you were out of commission there in the slammer, you relied, as you say, on jerking off. Okay, cool. We all do what we gotta do. Now the first time you try to score after your release…you go soft. This tells me you have a mild case of performance anxiety. We all get that from time to time.

There’s probably nothing wrong with you or your johnson. You just got the jitters first time you tried to get you some after being away, that’s all.

The anticipation of boning this H.O.T. chick—fueled by some predictable self-consciousness; what with just getting out of the big house and all—pulled the plug on your wood. No surprise there, right?

What I don’t want to see happen is for you to replay the incident over and over in your mind’s eye til that’s all you can think about. If you do, this proverbial molehill will become a mountain. You’ll then bring all this anxiety to your next encounter, setting yourself up for even more disappointment. You can see how this shit can snowball? If you interpret every less than satisfying encounter as a failure, your fears will become self-fulfilling. You’ll begin to avoid partnered sex and you’ll develop a full-blown sexual dysfunction. And your self-esteem will take a nosedive, too.

If you’re preoccupied with your performance, it’s less likely that you’ll be fully present during sex with a partner. This pretty much fucks up your sexual responsiveness and any hope for spontaneity. Why not just relax into the whole sex thing and not try to prove your manhood with your pecker?

Then there’s Steve with a slightly different take on this meddlesome problem:

My partner and I have been together for just over 3 years now in a monogamous relationship. I am the top and he the bottom. Our problem is not premature ejaculation on his part, but his inability to have an orgasm at all. No matter what I try and even if he masturbates, sometimes it is impossible to get him to cum. Is this a medical issue? Have you ever heard of this?

Delayed ejaculation is the difficulty one has ejaculating even with a firm erection and sufficient sexual arousal and stimulation. This problem is not uncommon. For most men, delayed ejaculation occurs during partnered sex more frequently than while masturbating. In fact, 85% of men with delayed ejaculation can usually cum by jacking off. However, in partnered sex, the guy may be unable to ejaculate at all, or only after prolonged partnered stimulation. This problem can be very frustrating and cause distress for both partners involved, as you already know.

What causes delayed ejaculation? Well, it could be a number of things. It could be something as simple as performance anxiety, or inadequate stimulation, or there could be neurological damage.

I don’t want to be too reductionist here, but most of us experts believe that the majority of instances of delayed ejaculation aren’t physical in nature, but rather are the product of psychological concerns. Simply put, there’s a difference between the psychosexual response we have when we are alone and the one we experience with a partner. There’s probably nothing wrong with your partner’s unit. It’s all in his head…or his mind, to be more exact. If I had to guess, I’d say he’s got a real bad case of performance anxiety.

When I see this sort of thing in my private practice, I always begin the therapeutic intervention by calling a moratorium on fucking of any kind. This immediately takes the pressure off the couple. From there we begin to rebuild the partnered psychosexual response one step at a time. We begin with sensate focus training (Sensate Focus is a series of specific exercises for couples that encourage each partner to take turns paying increased attention to their own sensations. More about these helpful exercises in the weeks to come.), stress reduction and relaxation exercises. These applications are designed to reduce performance pressure and instead focus on pleasure. The idea is to get them to stay in the moment; absorb the pleasure present without worrying about what is “supposed” to happen.

Finally we address as frankly and openly as possible any fears or anxieties that they may have—as individuals or as a couple. I have the greatest confidence in this method; it succeeds over 90% of the time.

Ok, let’s recap shall we?

Overcoming sexual performance anxiety is dependent on five simple things.

  • First, a guy needs to be attuned to his sexual response cycle — arousal, plateau, orgasmic and resolution phases. He should know what kind of stimulation he needs at each phase to fully enjoy himself and satisfy his partner.
  • Second, the more worried a guy is about a performance issue, the more likely that problem will present itself. A bad experience in the past can often set the stage for its recurrence.
  • Third, don’t be afraid to talk this over with your partner. Withdrawing from your partner or shying away from sex altogether will only increase the likelihood that the problem will persist.
  • Forth, be proactive! Fearing the loss of your sexual prowess or feeling sorry for yourself is counterproductive. Confront the challenge head on. Employ sensate focus training stress reduction techniques and relaxation exercises to help you push past this temporarily impasse and regain your self-confidence.
  • Fifth, free yourself from the mindset that your dick is the center of the universe. Your manhood or your capacity to be a great lover does not reside in your genitals. Expand your sexual repertoire. Remember, pleasure centers abound in your body as well as your partner’s.

Good luck!

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