Category Archives: Discussing Sexual Issues

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!

300th Podcast – A Q&A Plus Much More Show — Podcast #300 — 09/26/11


Hey sex fans, welcome back!

I have a special announcement. Today’s program marks a milestone. This is my 300th podcast. I know; can you stand it? We’ve come a long way since I timidly began this audio educational and enrichment effort on February 12, 2007.

In the interim I launched four interview series: The Play With It series, the Sex EDGE-U-cation series and the SEX WISDOM series, all of which appear on Wednesdays. And The Erotic Mind series, which shares Mondays with my traditional Q&A format like today’s show.

This week we hear from

  • Edward is wondering about the pleasures of ass fucking after a prostatectomy.
  • Jim and his wife watched some porn and now they want to try some funky new stuff.
  • I offer ya’ll a tutorial on How To Handle Opening a Relationship.
  • I address some questions about the nature of Sex Therapy and Relationship Counseling.

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.

Give To Get

Name: Suzanne
Gender:
Age: 25
Location: Auckland
I often fake an orgasm to keep my partner happy. Actually, I fake it every time. Do you think there’s a problem with that? I mean, I’d love for him to get me off but he’s pretty clueless about the whole sex thing. Besides the dreadful sex, he is a sweet guy.

Brilliant idea, Susanne! Rather than help your ineffectual lover overcome his inadequacy by telling him the truth and then offering him a little tutorial on how to make you cum — go ahead and lie to monkey about his sexual prowess. What could possibly be wrong with that?

I see absolutely nothing wrong with what you’re doin’…except maybe that when you’re done fuckin’ him, or he’s done fuckin’ you, the next unlucky chick he happens upon will have twice the work cut out for her. Not only will she have to tell him the truth — that he sucks as a lover (and not in a good way) — but she’ll also have to contend with his ego. Thanks to you and your deception, he’ll be totally convinced that he’s a fabulous lover when, of course, he’s not.

Here’s the thing, I keep hearing from women who tell me the same sad story that you are telling me, Suzanne. They’ve saddled themselves with some clueless chump and rather than take him aside for a little show and tell, they just go with the follow, or lack there of. And then one fine day, when they finally get fed up with the whole fuckin’ mess, they write to me for advice.

And my advice is always the same. Ladies; if you imagine that whatever dude you welcome to your bed will somehow magically and innately know the finer points of pleasing you without your input, you’re living in a dream world. Us men folk generally know nothing about women’s sexuality besides what we learned from previous partners and from the porn we watch. And for the most part, that is precious little.  And since a lot of your sisters are dumping their inadequate lovers back on the market without so much as a warning to other women to keep clear of the Neanderthal, the whole sorry disappointing cycle keeps repeating itself.

Ladies; do yourself, your lovers and all human kind a favor by taking responsibility for your own pleasure. By doing so you will necessarily have to inform the men you fuck on the specific dos and don’ts of doin’ you. This task will not only reward you with greater pleasure and satisfaction, but it will improve the lot of all your sisters. Because if/when you’re ever done with the guy he will be the richer for the experience of having known, I mean really known, something of your particular sexual response. And the next woman to have him will have less a chore in showing him around her particular pussy.

Good Luck

Back To School Q&A Show — Podcast #296 — 09/05/11

Hey sex fans, welcome back!

Happy Labor Day! I really loved having the last several weeks off from podcasting. As much as I love doing the podcasts they are loads of very hard work and a breather, from time to time is just what the doctor ordered. But now I’m back, all refreshed from the hiatus, and ready to address the concerns of the sexually worrisome who have been contacted me with their questions and concerns.

And I am delighted to welcome back my most excellent summer intern, Monique, again this week for her last show with us before she returns to the ivy-covered walls of academia. As you probably discovered last time she joined me, in Podcast 293, Monique is smart as a whip and has a remarkable talent for sex advice.

This week we hear from

  • Mystery Woman is involved in a very dangerous relationship.
  • Jerry is a crossdresser and he treats his wife like shit.
  • Worried has a “GF” but she won’t kiss him on the lips.
  • JGrant hasn’t been using protection while fucking around.
  • Laura is afraid she’ll fart at an inopportune time.

 

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

Today’s podcast is bought to you by: Hot Plus Size Lingerie.

Plus Size Lingerie

SEX WISDOM With Jo Langford — Podcast #282 — 06/01/11

Hello sex fans! Welcome back.

I have some more fantastic SEX WISDOM for you today. This is, of course, the series where I chat with researchers, educators, clinicians, pundits and philosophers who are helping us take a fresh look at our sexual selves. And this week I have a very special show in store for you.

What if I told you that there is an entire population of people in this country and abroad who are woefully underserved with regard to access to clear and unambiguous information about human sexuality? You’d be outraged, huh? But would you even know what demographic I’m talking about?

Well, in case ya don’t, my guest today is here to help wake you up, so to speak, about this very pressing need. I am proud to welcome a fellow Seattlite and a new friend, the exceptional Jo Langford.

He is a top-notch therapist, educator and author and his primary outreach is to teens and young adults. He is the first of my guests in this series who works primarily with kids and the information he is about to share is both revealing and startling. Listen; if you are a teenager or know someone who is, then you’ll not want to miss this show, sex fans.

Jo and I discuss:

  • His style of presenting to teens and their parents;
  • “The Talk”;
  • His background in forensic sexology;
  • Sexually precocious kids;
  • The sexual double standard for girls and boys;
  • The dearth of sex resources for young people;
  • Why parents avoid their role as primary sex educator;
  • His soon to be published book;
  • Kids getting their sex ed from porn;
  • What kind of information do kids really need;
  • Abstinence only programs;
  • No one’s addressing the sexual needs and concerns of gay and lesbian kids;
  • What young people think constitutes “sex”.

Jo invites you to visit him on his site HERE!  And be sure to follow him on Twitter HERE!

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.

Today’s Podcast is bought to you by: Adam & Eve.com.

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