Category Archives: Erection Concerns

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!

LORDY, LORDY, LORDY!

Hey Dick!
As you know, I am an escort. My business is doing very well. In fact, so well I need to ask if you know of any meds, besides Viagra, that I can take that will help me maintain an erection over a longer period of time?
Can I be frank? Here’s the deal, let’s say I have I have two one-hour clients during the day. Then a regular of mine calls and wants an all-nighter. That’s not a problem other than the fact that this particular client wants to get fucked hard. I mean real hard, for hours at a time. He’s an insatiable power bottom.
I want to be able to ride his ass, like the bitch he is. Hell, I’m even attracted to him. I just can’t stay hard enough to fuck him like he likes (especially after having had the two clients before him that same day). Sometimes I have difficulty getting it up for him, and wind up finger-fucking him till my hand is sore. I do not want to lose this client. And shifting days is not the solution. Because when he wants it he wants it and I have to produce. That’s what I do, I sell “muscle.” I have a reputation for giving the best hard driving, dominating and controlling sex around.
Again, is there a medication I can take to maintain the erection?
— Works Hard

Dear WH,

Your life reads like a cheap porn movie script. Lordy, the good doctor nearly got the vapors simply reading through your very explicit missive. (As you can see, I had to edit out some of the more gory details so I could protect your identity in this public forum.) Of course, as you suggest, it never hurts to advertise. You’re so bad!

I thoroughly understand the pressures you and other sex workers face. It’s not as glamorous a life as it is often portrayed, huh? Ok, so you’re beautiful, men idolize you and crave your attention. You’re getting loads of sex, putting all those “bitches” in their place, and crying all the way to the bank to boot. It’s a tough job, but someone’s got to do it. But then again, there are all those sniggling performance issues that even a he-man like you must contend with.

The trouble lies in the fact that you are a workaholic. And that’s never good, regardless of the work one does. Sex work, like any other work, will burn you out if you’re not careful. If you don’t learn to pace yourself, darlin’, you’ll fizzle. (How’s that for an appropriate euphemism?) And from what you tell me, this is already beginning to happen. Keep it up (no pun intended), and you won’t be the first causality in this line of work, nor will you be the last. But If you ask me, and I happen to know a little something about sex work myself, the object here is to grow old (or older in your case) in your chosen profession.

I’m tellin’ ya, WH, if the erectile burnout don’t get ya the psychological torment will. I’ll bet you’re terrified the word will get out that Mr. Big-Beautiful-29-year-old-Stud-Power-Fucker can’t get it up. That would be real bad for business. And you know how those johns can gossip. Bitches! They don’t know that you’re servicing men at a rate that would make a superhero blush. All they see is limp willie and that spells trouble right there in River City.

It’s not surprising that you are having erection concerns given the number of clients you are seeing in one day. I mean, girlfriend, when do you find time to eat? You don’t need a new med, you need a vacation. If Viagra and a good cock ring don’t do the trick, then, in my humble opinion, your body is telling you to slow the fuck down.

And here’s another tip; research is beginning to show that prolonged and persistent use of Viagra can have some very unpleasant side effects. Those who overuse this potent cardiovascular drug, particularly young men who use it recreationally, may be in for some very unpleasant surprises down the road. So, I have one simple suggestion, WH, have a care about your sexual wellbeing and treat your dick gently. Despite the pounding you can inflict with it, it is a very delicate mechanism.

Good Luck

meat substitutes or give me the beef

Name: Carol
Gender: female
Age: 32
Location: Scottsdale, AZ
I’ve got an odd question. You know how there seems to be no end to the methods and devices available to bolster a man’s equipment. Everything from cock rings to Viagra. I know guys are all ego involved with their stuff and everything, but it seems to me that instead of all this gadgetry and pharmaceuticals why don’t they just strap one on? Most women I know wouldn’t much care if was the “real thing” and a dildo. I mean, is the “real thing” all that superior? I don’t think so, because a woman could choose the girth, length and texture of her “object of desire” or change it depending on her mood. The guy would not have to worry about being “worn out,” “premature” or not being able to “get it up” at all. Best of all, both could enjoy sex for longer periods. I’m quite serious. Let’s face it; the male refractory period is really a drag. It seems to me that strap-on sex would be a great way to put off ejaculation, extend the time we have for lovemaking and “keep the fire burning” for as long as the woman wants and needs.

OUCH, Carol! For a chick who says she understands that us guys are all ego involved with our stuff, you sure are rough as hell on us penis owning people. Holy cow!

You’ll get no argument from me — most us men folk are way to obsessed with our cocks. If only we spent a fraction of the time we fritter way worrying about the size and shape of our poor willies on something worthwhile, something that would actually make us more interesting; the world would be a much better place. But let’s face it, that ain’t gonna happen. And when all the boys out there get a load of your message, which suggests that most women would actually choose a strap on over the real thing, well…you know for sure the anxiety level is gonna go through the roof.

Frankly, I don’t believe that most women would choose a dildo over the real thing, even though the “real thing”, as you so generously point out, has its deficiencies like the pesky male refractory period.  And if I had to guess, and it would indeed be a guess, most women would prefer the animate thing, with all its shortcomings, no pun intended to the inanimate things with all their variety. I guess this because most of the women I know think that there is more to sex and intimacy than penetration sex, even though penetration sex is all fine and dandy. I’ve also had my share of women tell me they’re not overly disturbed when the hubby or BF can’t get it up, because that means less barkin’ at their front door, or (god forbid) back door…if you catch my drift.

I also get loads of letters from women who complain that the dudes in her life don’t know squat about how to use the dick nature gave them. It’s hard for me to imagine how awkward and clumsy penis/vagina sex would be if the guy pluggin’ the chick couldn’t feel the thing he was pluggin’ her with. I’d be willing to wager that there’d be a whole lot more bruised pussies out there if men were strappin’ their tool on, instead of using the one that came “standard issue” with their birthday suit.

But let’s just say you’re right; let’s say that most women would prefer to have fake as opposed to real, how would these women break the news to their benighted men? I mean, would she just come right out and say, “hey mister, tonight we’re gonna have you strap on old junior here.” As she pulls out some big vibrating monster wang and a harness. How do you suppose that would affect the guy’s ego? I suggest, not very well. Like I said at the beginning, us guys are already nervous about our adequacy. How are we supposed to compete with something that never loses its boner and can vibrate all at the same time?

No darlin’, I don’t think that’s gonna fly. Imagine for a moment if the shoe were on the other foot, so to speak. And men started to bring home blow up dolls to compensate for all the times their women were too tired, or too headachy, or too pregnant or too turned off to the idea of giving their man some well-deserved head. Imagine the female consternation if their male partners asked them to move over in bed to make way for Missy Blow-up…you know the one with the eveready mouth, pussy and asshole, the one that never complains and has those really perky tits, albeit made of plastic.

You see where I’m going with this, don’t ‘cha? Most of the women I know can’t even bear the idea their man might be jerkin’ off to porn let alone having to share their bed with an inanimate object that is there simply for the sexual gratification of their male partner.

Now that I’ve debunked the idea of real verses fake, I do believe that most couples I know — straight, bi, gay, what have you — would benefit from adding a sex toy…or six to their love making. I mean that’s why I hawk all those fabulous “marital aids” in the Dr Dick’s Stockroom for my kinkier friends  and my other, more vanilla toy emporium HERE.  I’m a big advocate of spicing up things with all this stuff, but never at the ego expense of one or the other partner.

So by all means Carol, if you’re bedding a man that has the ego strength to hear you suggest he strap one on when his peters out…so to speak…good for you! Knock yourself out! But then you’d have to be as agreeable to his toy suggestions too, right? I mean turn about is fair play, right darling?

I am of the mind that most people, both women and men are still too skittish about the whole notion of toys, at least as part of partnered fun. And that’s really too bad. For the most part, us Americans, particularly straight Americans, are not particularly adventurous when it comes to sex in general, and partnered sex with toys in particular. And those who are including toy play in their sex play generally use toys that are no threat to the ego of their partner. They tend to save their dildos and masturbation sleeves for when they are alone, again, too bad about that. I think that more people would have more enjoyable sex — together, if they were more comfortable jerkin’ off and jillin’ off WITH their partner and their toys. As it is now, most masturbation is still a furtive, solitary affair, again, too bad about that.

In the end, the answer to your query might reside with the kind of guy you fuck, Carol. Hopefully he, or they are open minded and fun loving sex freaks who are dying to try new things. If he, or they are, you’re in luck. All you’ll have to do is come up with a politic way of introducing “old junior” and his harness to your man. If by chance, the guy or guys you fuck aren’t quite so enlightened, maybe you’ll have to introduce the idea of toys first by getting him one. Imagine his surprise if you showed up in bed one day with a vibrating masturbation sleeve, one that looks like a real live pussy. Then you could tell your man to have a ball and bust a nut while you watch with joy. After he’s spent himself on the inanimate pussy, you could whip out the strap-on and tell him to go to town on your real thing.

Good luck!

3rd Anniversary Show — Podcast #185 — 02/15/10

Hey sex fans,

Holy cow, it’s another milestone, sex fans!  This week’s show marks my third anniversary of podcasting.  I know!  Isn’t that fuckin great?  I mean who would have guessed that we’d have such a long run. And what a year it has been too.  I launched two podcast series last year — the Sex EDGE-U-cation series and the SEX WISDOM series, both of which appear on Wednesdays.  The Erotic Mind podcast series, which is nearly two years old, continues to shares Mondays with my traditional Q&A podcasts like today’s show. As usual, I have a very hot load of oh so stimulating questions to start year #4 off with a bang.  And I have a feeling that a few close friends will drop by to say howdy too.

  • Jesse wants to know if he can test dirty from swallowing a meth-head’s nut.
  • Terri has yet to cum.
  • Mariah is a cock in a frock, but he wants to quit.
  • Miguel can’t keep it up.
  • Andrew is keeping all his hot monkey love to himself.
  • Some chick from Boston wants to know about boners and butt sex.

BE THERE, OR BE SQUARE!

Check out The Lick-A-Dee-Split Connection. That’s Dr Dick’s toll free podcast voicemail. Don’t worry people; no one will personally answer the phone. Your message goes directly to voicemail. Got a question? Perhaps you have a comment. Wanna rant or rave? Or maybe you just wanna 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 fine 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.

I wanna take a moment to remind you to check out another great website in the Dr Dick family of sites. It’s my new PRODUCT REVIEW site — drdicksextoyreviews.com

That’s right, sex fans, now it’s so easy to see what hot and what’s not in the world of adult products. I review of all kinds of adult related goodies — sex toys for sure, but also condoms, lubes, herbal products, fetish gear as well as educational and enrichment videos. DON’T MISS A SINGLE ONE!

Look for the drdicksextoyreviews.com. You’ll be so glad you did.

Today’s Podcast is bought to you by: Eden Fantasys.

Sex toys - EdenFantasys adult toys store

Sex Advice With An Edge — Podcast #90 — 12/01/08


Hey sex fans,

I have a whopper of a show for you today. We return to our usual question and answer format this week, because I have a steamy load of stimulating questions from all overt the freakin’ place. And I respond with an equal number of cheeky, charming and oh so enlightening responses! Hey, it’s what I do.

  • Joe wants to know about Hepatitis-B and cock sucking.
  • Donna and her BF wanna start bumpin’ parts.  But where to begin?
  • Gregg thinks he needs a sex coach.  I think he does too.
  • Naf wants to top, but he is a little short of wood!
  • Anonymous wants some tips on ball stretching.

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. 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: ROPEX.

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