Category Archives: Performance Anxiety

A Labor Of (self) Love

Our brief summer holiday is coming rapidly to an end. The Dr Dick Review Crew is straggling back home and our podcasts will resume on Wednesday, 09/05/12. But today is Labor Day and I think we should acknowledge those who labor at self-love.

Name: Amy
Gender: female
Age: 23
Location: salt lake city
I have this weird thing that when I masturbate with a vibrator I can’t seem to bring myself to an orgasm. It feels really good and everything, but I get almost there but can’t quite cum. Does that make sense? It’s been awhile since I had a guy…but I digress. I was just wondering if you have any advice, or if I’m doing it wrong, or…I just need some help. Thanks a lot.

Hold on there, darlin’, are you tellin me you can jill-off just fine using your hand, but when you kick start your vibrator and apply it to your naughty bits you can’t cum? Is that what you’re tellin’ the good doctor? Or maybe I’m assuming things I shouldn’t. Maybe you’re not masturbating to orgasm at all, by hand or by gadget.

Since you’re not here to fill me in, so to speak, the best way to handle this is with a scatter gun approach. If you’re unable to jill-off to completion by any means, manual or mechanical, you may be preorgasmic. I’ve written a lot about this already, so there’s no need for me to repeat myself. Here’s what you do; check the CATEGORY pull down menu in the sidebar to your right.  Look for the main category — Sex therapy and under that look for the subcategory ‘Preorgasmic Women‘. Or check out the main category — Sexual Performance and look for the subcategory ‘Female Masturbation‘. You’ll find loads of swell information about this very topic.

If, perchance, you can masturbate just fine using your hand, but the rub (no pun intended) comes when you introduce a vibrator, then that’s a horse of a different color. In that instance, I’ll need more information before I can be of much help. Like, I’d want to know what kind of vibe are you using? Is it an all purpose wand type? A dildo kinda thingy that you insert in your pussy? Is it a rabbit, a G-spot vibe, a bullet or an egg-shaped vibrator? Are you doing any direct clitoral stimulation?

If you can make yourself cum through manual stimulation, how different a sensation is the vibrator? Is it possible that you need more vroom? Is it too intense?

What about other stimulus? Like what’s going on between your ears while you’re diddlin’ yourself? Are you thinking dirty thoughts? Watching some delicious smut? Reading some kick-ass erotica? Or are you concentrating so much on making the big “O” happen to actually let it happen? Chicks get performance anxiety too, even when they are by themselves. Performance anxiety is not just a guy thing.

I discussed your question with my friend, Joy. She asked me to ask you about the position you are in when you’re jillin-off. She said she had the damnedest time throwing herself her first screamin’ meme, even with a vibrator until she discovered that getting into a squatting position with her back against a wall did the trick. Stands to reason, orgasms are all about building sexual and muscle tension. Joy found that squatting tensed her hamstrings, quadriceps, glutes and even her PC muscle. This tension was just the thing to deliver the goods. Joy did add, however, that getting out of the squat after the event was really tricky. She said that in the end, she just learned to simply topple over with a bit of a thud. I had to laugh when she told me this, because I couldn’t help seeing Joy in my mind’s eye (she’s a big girl, don’t cha know) all breathless and topsy-turvy on the floor with a big ol’ shit-eatin grin on her face after finally delivering herself from the land of the preorgasmic.

One final thing, I’ve often heard women speak of the high success rate of jillin-off to orgasm in the bath. Again, this stands to reason too. Here you are all relaxed, warm and cozy, all wet and squishy. Why not add a little jet of warm water or a waterproof vibe and you’ll be havin’ an orgasm as easy as fallin’ off a log…or so I’m told. Just remember, baths and plug-in, electrical kinda vibes definitely don’t mix! A miscalculation here and you’ll find your ass in the sweet hereafter.

Listen, Amy, why not write back sometime with either more information or to report a success. I’d love to hear from you.

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!

The Last Day of April Q&A Show — Podcast #330 — 04/30/12


Hey sex fans,

I have a delectable Q&A show in store for you today to close out the month of April. We will be hearing a bunch of very interesting questions from the sexually worrisome, each will surely amaze and entertain. There’s a distinct religious overtone to some of these questions and there’s also more than a hint of desperation. Oh how I feel their pain.

  • Brian calls in while he’s jerkin’ off.
  • Nick calls in to tell us about his massive ass toys.
  • Richie is troubled by what the Church told him about being gay.
  • Lyn has been around the block a time or ten, her new BF is a virgin.
  • Hamlet is so stressed out he can’t keep his hardon.
  • Éric is wasting his money trying to grow himself a bigger dick. I suggest that he take a look at this POSTING.
  • Dan isn’t even through puberty yet and he’s worried about the size of his willie. I suggest he take a look at this VIDEO.

 

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.

SEX WISDOM With Dr Cheryl Cohen Greene — Podcast #326 — 03/28/12


Hello sex fans! Welcome back.

Holy cow, do I have a fantastic show in store for you today. Despite the numerous remarkable guests that have appeared on this the SEX WISDOM series, there’s no one who can lay a hand on today’s guest. I’m so pleased to welcome my good friend, my trusted colleague and my bosom buddy for nearly 20 years, the amazing Dr Cheryl Cohen Greene. I can’t wait for you to meet her, because I know you will love her as much as I do.

Cheryl is a fellow sexologist, however her career path has been significantly different than mine. She is certified surrogate partner, don’t cha know. And she’s been working as such for 38 years. She is renowned in her field, so much so that she and one of her former clients are the subjects of a major motion picture, staring John Hawkes, Helen Hunt and William H. Macy, which comes out later this year. You can be certain that I will press Cheryl for all the juicy details.

Cheryl and I discuss:

  • How we met;
  • Her lengthy career;
  • The shift from sex surrogate to surrogate partner;
  • Her friend and colleague Shai Rotem;
  • Common issues she sees in her practice;
  • Role modeling good relationships;
  • Her former client, poet and journalist, Mark O’Brian;
  • Being at Sundance for the movie premiere;
  • Surrogate as sex worker;
  • The legality of surrogate partner work;
  • Surrogate partner training;
  • How prospective clients find her.

Cheryl invites you to visit her on her site HERE! Find her on Facebook HERE and her noteworthy blog 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: Hot Plus Size Lingerie.
Plus Size Lingerie

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!

A High-Summer Q&A Show — Podcast #293 — 07/25/11

Hey sex fans, welcome back!

Holy cow, where has the time gone? Here it is the end of July and we haven’t had a Q&A show since early last month. And because of that my email in-box is overflowing! Besides a big hot load of questions from the sexually worrisome out there I have a special treat for you today. I am pleased to announce that my most excellent summer intern, Monique, will be joining me for today’s show.

That’s right, sex fans, someone high up at the University of Washington made the ill-advised decision to let me mentor an impressionable young lass for the summer. I mean, what in the world were they thinking, right? Well, as it turns out, my most excellent summer intern, Monique, is pretty gal-darn amazing, as you will soon hear for yourself.

  • Jessie can’t get off by herself or with her BF.
  • Ruben has a big hard dick, but only when he’s by himself.

Monique and I discuss:

  • Joe who jerks off to porn a lot.
  • Claire who claims she is a 31-year-old lesbian virgin.
  • Nipple Dude who’s into DYS nipple torture.

Finally

  • Sammy and her GF have a messed up relationship.
  • Owen wants to restore his foreskin.

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

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.

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