Category Archives: Achieving Orgasm

The Heartbreak of Male Performance Anxiety

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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!

The Sex Wisdom of Mikaya Heart — Podcast #297 — 09/07/11


Hey sex fans, welcome back!

I hope you’re ready for some mighty fine SEX WISDOM, because that’s what’s comin’ your way. That’s right; this is the podcast series that is all about chatting with the movers and shakers in the field of human sexuality — researchers, educators, clinicians, pundits and philosophers — all who are making news and reshaping how we look at our sexual selves. And today I have the honor of welcoming a woman of distinction; an award winning author, holistic healer, sought after public speaker, activist, shaman and even a kitesurfing instructor, don’t cha know. I have with me the one and only Mikaya Heart.

Mikaya is the author of The Ultimate Guide To Orgasm For Women; How to Become Orgasmic For A Lifetime. It is by far the best book about women’s sexuality that I have read in the past decade, if not longer. And that’s saying a lot, sex fans. Listen; if you’re a woman, or you know someone who is, this is a must read for you. I’m tellin’ ya; if this amazing book doesn’t change the way you look at yourself and your sexual responses, or change the way you relate to the women in your life, then my name isn’t Dr Dick!

Mikaya and I discuss:

  • Women’s sexuality in general and orgasmic sexuality in particular;
  • The pervasive ambivalence women have about sex;
  • Her memoir, My Sweet Wild Dance;
  • Her book tour and workshops;
  • Her background;
  • The incredible variety of women’s sexual response and arousal;
  • How she found the interviewees for her book;
  • The power of thinking and talking about sex;
  • Defining sex and orgasm.

Mikaya invites you to visit her on her site HERE!  And look for her on Facebook HERE!

(Click on the book cover below for more information and to buy Mikaya’s book)

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: DR DICK’S — HOW TO VIDEO LIBRARY.

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It’s Only Natural!

Hey sex fans,

It’s Product Review Friday again and we have two more Intimate Organics products  to tell you about. I say “more”, because we reviewed one of their other products a couple of weeks ago. You can find that review HERE!

This week’s reviews come to you by way of Dr Dick Review Crew members Denise and Karen.

Intimate Organics Intense – clitoral gel —— $15.60

Karen
I thought to myself: Oh goodie, Intimate Organics Intense clitoral gel sounds simply delightful. I can’t wait to give it a whirl. Alas, once I did, I found that it didn’t live up to my, perhaps inflated, expectations.

Allow me to explain. It appears the Intimate Organics people and I have a completely different take on what the word “intense” means. When I think “intense” I think WOW, totally awesome! Intimate Organics Intense didn’t even come close to WOW or awesome. That’s not to say it didn’t work at all; it did. It’s just that it was mild, not wild.

Now, I’m the first one to acknowledge that every woman’s naughty bits are different from every other woman’s naughty bits. A woman’s response to a product like Intimate Organics Intense will be very subjective. What is thrilling to one may not be all that exciting to another. So how this clitoral gel panned out for me may not predict your experience.

Intimate Organics Intense is a clear gel, easy to use and it isn’t runny. I am totally stoked that this product is certified paraben-free, pure vegan and DEA-free. In fact, I couldn’t be more pleased in this regard. I’ll choose an organic product over an alternative every time.

I’m guessing the active ingredient in Intimate Organics Intense is the peppermint oil. It has a slight peppermint taste and the warming/stimulating/cooling effect is probably due to that too. I just wished they had kicked it up a notch.

I used Intimate Organics Intense on myself first. Than Jack and I used it together. I used it on my clit and I dabbed it on my nipples. There was an increase in sensations, but like I said there was nothing intense about it.

It works best when you apply it and then wait about 2 minutes and will last for about 10 minutes or so.
Full Review HERE!

Defense Protection Lubricant —— $8.78

Denise
Before I started to use Defense Protection Lubricant I thought I’d better do a little background check. You see, we’ve reviewed dozens of lubes on this site, but this is the first one that suggested it protects. But protects what, or protects against what; was my question.

This is what I discovered. Defense Protection Lubricant contains both caarrageean (sea kelp) and guava bark, an anti-bacterial extract. Apparently there are studies that show carrageenan inhibits the virus (HPV) that cause cervical cancer and genital warts. Guava bark has been traditionally used as a douche to treat and prevent yeast infections. I really think this is a great idea. I just hope that folks don’t get the wrong impression and think that use of Defense Protection Lubricant is a sufficient means of protecting oneself from all STIs.

I also want to point out that carrageenan is a vegan alternative to gelatin.

Defense Protection Lubricant is a light, water-based, glycerin-free, propylene glycol-free, condom friendly lubricant. All of these fine GREEN attributes make this lube worthy of your serious consideration. If I have one quarrel with the product it is that Defense Protection Lubricant dries out very quickly. It doesn’t get sticky, mind you, but it does dry out. Ken and I found that we needed to reapply several times even before we got to the main fucking event.
Full Review HERE!

ENJOY

A Spring Q&A Show — Podcast #268 — 03/21/11

Hey sex fans, welcome back!

Hey everybody, Happy Vernal Equinox! It’s the first day of SPRING, at lest it is here in the northern hemisphere. I can’t tell you how happy I am to see the end of winter. The Pacific Northwest is finally waking up to the new season and there are loads of beautiful spring flowers, longer days and warmer weather ahead and all appears right with the world

Ok, so maybe that’s a bit of an exaggeration. The world is sure-enough not so right for lots of people, including the sexually worrisome out there, don’t cha know. But that’s why I’m here! This is my first Q&A show since Valentine’s Day so I have a bunch of very interesting questions and some snappy answers to dazzle you with today.

  • Rod is clueless about oral sex. He need some pointers on tongue lashing his GF.
  • Pushpendra and a shit load of other guys, just like him, have a short fuse.
  • Ozboy is letting his fears and anxiety overrule his cock.
  • Rick wants to know about sounds and urethra play.

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 Advice With An Edge — Podcast #70 — 07/07/08

Hey sex fans,

We have a big sweet load of very stimulating questions from the sexually worrisome. I, of course, respond with an equal number of clever, resourceful and oh so informative responses! Hey, it’s what I do.

  • Pete is rubbin’ his dick the wrong way!
  • Heater is no longer into her husband of 10 years.
  • Scott gets nauseous when someone thinks he sexy.
  • Afeisha can’t cum with a partner.
  • Grant wants to pump himself a big one!

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.

I wanna take a moment to alert you to a new feature here on DrDickSexAdvice.com. It’s my PRODUCT REVIEW page. That’s right sex fans, now you can see what’s hot and what’s not in the world of adult products.

From time to time I will be posting reviews of all kinds of adult related goodies — sex toys for sure, but also condoms, lubes, fetish gear as well as educational and
enrichment videos.

DON’T MISS A SINGLE ONE!

Look for the Product Reviews tab right there at the top of DrDickSexAdvice.com.

Today’s Podcast is bought to you by: Access Instructional Media.new_aim.jpg

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