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An (extremely long) Tale Of Woe

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First Name: Sam
Age: 22
Gender: Male
Location: North Carolina, USA
Wow, where do I even begin….

I am a 22-year-old gay male and believe that I may have SOME form of erectile dysfunction. I emphasize “some” because it is possible for me to get hard, firm erections, but I’m ALWAYS by myself when I do.

I have been able to give myself orgasms since I was in preschool. I did not masturbate the “traditional” way that men do (or ejaculate) until I was in 6th grade. Before that, I would lay down with my hands cupped around my crotch area and would “hump” into them until I felt an orgasm sensation and would then stop. In 6th grade I began to look at gay internet porn, and, seeing how most of those men masturbated, began to emulate the process. I even practiced “edging” often, beginning in 6th grade, as I had read on the internet at that time that it built up sexual stamina and led to powerful orgasms.PERFORMANCE_ANXIETY_pic_02_3

I would say that since I’ve been able to have orgasms (beginning in preschool), I would have one usually at least once a day. There were days here and there where I wouldn’t, but I guess an average would be 6 out of 7 days per week, with an average of twice per day. Of course, it’s hard to average them out since I’ve been having them for so long.

I did not start having sexual intercourse until my freshman year of college when I was 18, with my roommate at that time. Even that first time, I had problems maintaining my erection. I also had to use my hand and masturbate in order to have the orgasm, which took much longer than when I’m by myself. My roommate and I engaged in sexual intercourse regularly for the latter 2 and a half months of my freshman year, and every time, I had to have an orgasm by masturbating. Oral sex would not work, his hand would not work, and we did not engage in anal sex.

From ages 19-20, I had very little intercourse, but regularly masturbated (almost always to porn), and had no problems maintaining an erection and achieving orgasms. I hooked up with older men occasionally during this time, and again, could not have an orgasm unless I masturbated. It was also slightly more difficult to get an erection than by myself watching porn, and always took me longer to achieve orgasm than by myself. I had my first experience with anal sex (as a “top”) during this time as well, and could not ever reach orgasm, same with oral sex and hand-jobs.

When I was 20 I met and began dating my first boyfriend. We were together for 10 months, and while I enjoyed my time with him, our sex life was poor. We did not engage in anal sex except once, because we both considered ourselves tops. The one time we engaged in anal sex I tried to be the bottom, but did not enjoy it at all and had to stop. We did engage in oral sex, but I could never achieve orgasm that way. Again, I had to masturbate in order to have an orgasm. Not only that, but I began to have significant trouble sometimes to get an erection. Also, it took a lot longer for me to reach orgasm when I masturbated with him. By myself with porn, I could reach orgasm as quickly as 5-7 minutes. With him, it often took me at least 20 minutes, and it was usually 25-35 minutes.

loving legsAfter we broke up, I began to hookup a little more frequently then I had in the past, but it was not that often. Whenever I did, again, I always had to masturbate to achieve orgasm, and it took me a long time to do so. AND, during some of these hookups, I simply could not even achieve orgasm myself, as I started to have difficulty maintaining or even getting an erection. I highly doubt it was because of my sexual partners, because I would not hookup with someone I was not sexually attracted to. Also, I usually could have erections during foreplay, but when it came to the “big finish” my erection would start to wane or just become completely soft, and nothing I did or thought about changed that. Once, I achieved orgasm from barebacking (which I have not done since and luckily did not contract HIV or an STD), and there was also only one time where I hooked up with a guy and achieved orgasm from him giving me oral sex, although I believe this was because I refrained from masturbating for the past few days beforehand.

I am 22 now, and am starting to worry that I will not be able to ever have any good sex with someone else other than myself. In almost all of my most recent hookups, I have had to use a cockring to get an erection, and even then sometimes it doesn’t even help. Also, in almost all of my most recent hookups, it either takes me around 30 minutes to masturbate to orgasm, or I simply can’t have an orgasm because of lack of an erection. However, if I am by myself watching porn, I do not have any trouble getting and maintaining “rock-hard” erections and reaching orgasm.

I have become particularly concerned about this problem now, because I have begun to date someone and engage in sex with him for the past few weeks. When we first had sex I topped him anally and had a good erection. But we still masturbated together to completion. Ever since the first time though, I have had a LOT of difficulty just getting an erection period. Cockrings do not help, and oral sex and foreplay don’t really help either. Sometimes when we make out for a while I’ll start to get kind of hard, but then when I try to get ready to penetrate him or simply masturbate with him, I’ll go soft again. I’ve been able to reach orgasms sometimes when I masturbate with him, but my penis is usually semi-soft when I reach orgasm, and again, it takes more effort and certainly more time to do so then when I’m alone watching porn. He is incredibly good FleshJacklooking, good at sex, and very passionate, so I know it is not him. Luckily, he does not mind when I cannot perform, he says he likes me for me and that everything is fine, and he thinks that I shouldn’t worry about it. But at this point, I really can’t help but worry about it…

The last time this problem happened I had willingly decided to not have an orgasm for three days beforehand, hoping that it would help the issue. But unfortunately, it did not help or change anything. I’ve decided to completely stop viewing or watching any pornography whatsoever, and have also decided that when I masturbate I will avoid as much contact with my hand and, instead, use my FleshJack (the gay version of FleshLight) with the “Squeeze” texture (their most “realistic” anal texture). I have not had sex with him since I decided this (which is the day I’ve written this question, May 27, 2015).

I apologize for this EXTREMELY long inquiry, but I didn’t want to leave out any details of my sexual history in case they were important. I’m wondering if masturbating regularly since preschool has anything to do with my poor performance. And I’ve considered that I’m “overthinking everything” when I engage in sex and maybe that’s preventing me from getting erections with other men, but I’m such a sexual person that I can’t think of anything but dirty, sexual thoughts when I’m with another man, yet it just doesn’t seem to work. I do start to focus on not being able to get an erection if I’m not getting one for 5-10 minutes, but during that time beforehand, I’m not thinking about anything other than the pleasure, so I don’t see what I’m doing wrong. The problem is beginning to be REALLY embarrassing and I’m concerned that if I’m already having these problems at only 22 years of age, I’ll likely have the worst of erectile dysfunction problems in the future.

I suppose my main questions are:
1) What could be causing this to happen?
2) Is my proposed method of completely avoiding porn and masturbation via my hand an appropriate solution?
3) Do you have any specific suggestions or general advice that can help me with this problem and/or my sex life?

Again, I apologize if this is way too long; I’ve just never been so concerned about it before. I’m 22, I should be able to get rock hard erections easily, but I feel like a 70 year old man who just “can’t get it up.” ANY advice you can give me will be sincerely appreciated.

Whew, Sam, that was like the War And Peace of sex advice questions.

It’s perfectly clear that you are worried about your sexual response. But I’m gonna guess that your worry is actually making things worse. Before I respond to your three questions, I want to say; get thee to a therapist! You need to sit down with a sex-positive therapist and work through this stuff with him/her. This is super important, don’t just blow it off. If you need a referral, see the Directory of the American College of Sexologists to find someone in your neck of the woods. I also offer remote therapy via Skype or phone. See my Therapy Available page.

whewNow to your questions in the order you asked them…
1) What could be causing this to happen?
Everything you tell me points to performance anxiety. I’ve written and spoken a great deal about this issue over the years. Use the CATEGORIES pull down menu in the sidebar to your right. Scroll down till you find the main category, Sex Therapy. Under it you will find the sub category, Performance Anxiety.  You’ll find tons of information.

2) Is my proposed method of completely avoiding porn and masturbation via my hand an appropriate solution?
It might be, but not for the reason you suspect. Again, you need to discuss this with a therapist. It’s important and more involved than I have time and space to lay it out for you.

3) Do you have any specific suggestions or general advice that can help me with this problem and/or my sex life?
Yeah, chill the fuck out! Honesty, that’s the best thing you can do right now. Then, with the help of a therapist, work through your problems, put in place a program to rebuild your partnered psychosexual response one step at a time. You’ll probably begin with sensate focus training, stress reduction, and relaxation exercises.

If That Don’t Beat All!

Name: Ned
Gender: Male
Age: 59
Location: usa
My wife enjoys using my penis as a tic tac dispenser. I insert one (or several) into my urethra. Shortly afterwards, she sucks them out. It’s enjoyment for both of us. My question: sometimes there’s a little discomfort that usually goes away in a day or two. Is there something I can use to lessen this sensation? Is this practice too risky to continue? Can I do damage to myself?

tic-tac-fresh-mintAlrighty then; this is pretty out there, Ned. I have to say; no one’s ever reported being a human tic-tac dispenser before. So you get some extra points for the novel use of your pecker. But I’m sitting here trying to imagine how this play got started. I mean, who had the brilliant idea to shove tic-tacs in your piss slit first — you or your wife?

It’s not like I haven’t had guys tell me about the odd things they’ve slipped into their urethra. And ya know what? It’s generally a guy thing. I’ve not had a woman report such activity. I do know a couple of women who are into using urethral sounds, but nothing more exotic than that. In terms of the guys though, I could tell you stories that would make your hair stand on end.

You say “sometimes there’s little discomfort that usually goes away in a day or two.” Ya don’t say! Several things could cause the discomfort you report. Two come immediately to mind. 1) The mint in the tic-tacs will no doubt be an irritant to the sensitive mucosa in your urethra. 2) You’re probably forcing the tic-tacs into your piss slit without using lubrication too, right?a little nuts

Is the practice risky? Probably! I’d never suggest anyone insert anything into his urethra that is not sterile. However, if you insist on continuing this play; the least you could do is add a drop of lube on each tic-tac before insertion. Just know that if you’re not careful such behavior carries a risk of severe irritation; tearing your urethra; or a nasty urinary tract infection, which can become more serious if it spreads to your bladder or kidneys.

My rule of thumb when considering unique uses for one’s body parts is if there is pain, something is amiss. If you can diminish the pain by being more thoughtful and careful about how or what you are doing then, things will probably be better than if ya don’t.

Good luck

Hey, Where’s My Big “O”?

Name: BJ
Gender: Female
Age: 23
Location: PA
I’ve been sexually active for several years now and have yet to reach an orgasm. Oral sex, intercourse nor masturbation have been effective. Is there something wrong with me, what might help?

I’d be very much surprised if there was actually something physically wrong with you. But you clearly have some difficulty letting go. And simply put, an orgasm is letting go of built up sexual tension.the big O

Lot of preorgasmic women don’t feel entitled to an orgasm, for one reason or another. Other women are simply unversed on how to make the big “O” happen in their own fine self. Sometimes it’s a combination of both resistance and a lack of know how.

I once had a client, a woman in her late 30’s, the mother of three and a devote Catholic. She was preorgasmic too. Her big stumbling block was fear. You got it; fear of having an orgasm. She had heard from other women over the years how powerful orgasms were and how much fun they were. My client somehow got it in her head that if she were to ever let go and give up that long-awaited screamin’ meme, her entire world would collapse. She’d become a sex addict, neglect her children, divorce her husband and turn her back on God…the whole enchilada.

With that kind of mindset, this little lady wasn’t gonna let herself cum no how.

the big O 2I had to reassure her that, as delightful as orgasms are, they are not like crack cocaine. I told her there was no chance that she’d fly to pieces as a mother, wife and friend of Jesus if she were to diddle herself once in a while. I had to keep repeating this over and over till it finally sank in. You talk about hardheaded! In the end, she had her precious orgasm, joined the ranks for the sexually satisfied and lived happily ever after. …Well, I can’t honestly say about the happily ever after part, but she sure did smile a whole lot more afterwards.

Back to you BJ, I don’t suppose there’s any way you could have one of your gal-pals show you how it’s done, is there? The reason I ask is most guys learn how to choke the chicken by watching, or being instructed by another guy. Us men folk are really good about doin that for one another. Women, on the other hand, don’t seem to do this for one another as much. Which is a freakin’ pity, if ya ask me.

If you can’t (or won’t) get a pal to show you around proper pussy pleasuring, I have another suggestion for you. Mozie on over to DR DICK’S HOW TO VIDEO LIBRARY  and check out a swell instructional video. (There’s a link to this marvelous resource in the header.) Do a quick search for “female masturbation” and let the experts show you a thing or two. You’ll be so glad you did.

Another great resource: The Ultimate Guide to Orgasm for Women: How to Become Orgasmic for a Lifetime by the brilliant Mikaya Heart. By the way, you can find a dynamite two-part interview with Mikaya HERE and HERE!ultimate-guide-to-orgasm-for-women-lg

Here are a few tips:

Get in the mood

Relax as much as you can. Whatever that means for you. Take a warm bath or have a glass of wine. Ensure your privacy: turn off the phone, lock the door for privacy from roommates, kids, whoever. Find a comfy position. Most women start out lying on their backs, legs bent and spread apart, with feet on the ground. Remove most or all of your clothing (or as much as your comfortable with).

Explore your body

Run your hands along your body, lingering along areas that are more responsive to touch than others. If you’re able to do it, and you’ve never done it before, you might want to try to look at your genitals in a mirror. Because so many women are raised with negative messages about their bodies, and particularly their genitals, being able to see while you touch can be powerful and surprising. Find and touch your inner and outer labia, your clitoris, your vagina and your perineum.

Touch yourself

Using one or two fingers, rhythmically stroke the different parts of your vulva, paying particular attention to your clitoris and labia. Experiment with different types of pressure, speed and motion. Try placing a finger on either side of the clitoris and stroking up and down, or placing two fingers on the clitoral hood and rubbing in a circular motion.

Experiment

Try different types of touch: stroke, tickle, knead, pinch, or lightly pull your genitals. Try using one or several fingers, the palm of your hand, even your knuckles.

Build up excitement

Learn to hold onto sexual excitement by building up and then reducing or temporarily stopping the stimulation. (Men do this all the time when they jack-off.  It’s called edging.) Pay attention to how your body is responding. It will tell you the particular stroke that feels best and when to pick up or slow down the tempo.

Don’t forget to breathe

Many women hold their breath as they get excited. Be mindful of your breath and learn to play with breathing during arousal. Try to breathe deeply rather than hold your breath. This can help release the sexual energy, rather than fight it.

Moving a little

In addition to often holding our breath, many women tense up and don’t move much at all when wtheye masturbate. This might work for you just fine, but if you haven’t explored movement, it’s worth a try. Moving while you are getting turned on, and moving during orgasm can change the way you experience pleasure in your body. For some women this means rocking their pelvis. For others it means moving their legs or torso side to side. Find what movement works for you and then intentionally start doing it while you masturbate.

Letting go

If your hand gets tired, give yourself a rest, switch hands, or try a vibrator. If you’re on the brink of orgasm, but can’t quite get over the hump, try to become more conscious of your breathing, give yourself extra stimulation: caress your nipples, or try thrusting your other fingers or a dildo in and out of your vagina.

Ride the Wave

As you begin to orgasm, continue the stimulation through the orgasm. Lighten up on the stimulation during the first extremely sensitive moments but keep it going to enjoy those little pleasurable aftershocks. Your first orgasm may feel like a blip or a blast, but the more you practice, the more variety you will experience.

Fantasizing

Sexual fantasy can be a double edged sword when it comes to masturbation. If you have trouble getting yourself in the mood or getting over the top, a hot fantasy may be just the ticket. I often suggest reading erotica to get in the mood. However, when we fantasize some of our attention is taken away from what’s happening in our bodies in the moment. Sometimes what is getting in the way of us enjoying masturbation is that distance from our bodies. It’s good to try everything, but be mindful of whether or not your fantasies are acting as an enhancer or a distraction.

hitachi-magic-wand-2Some final thoughts…
Vibrators take some of the manual labor out of masturbation by providing direct, intense physical stimulation to the clitoris.  check out all the marvelous vibrators we’ve reviewed for you at Dr Dick’s Sex Toy Reviews.

Many women learn to jill-off in the bath or shower. A direct the stream of water on your vulva and clitoris can be a game changer. Vary the pressure, the pulsation, and the temperature. Alternate methods: slide your butt over the drain so your legs are up in the air and your genitals are up under the tub faucet (rather awkward but do-able for some), or use Jacuzzi jets.

Rub against something–a pillow, the corner of some furniture, a washing machine in operation.

Dildos can be a pleasurable accompaniment to clitoral masturbation, as they offer the fullness of penetration and can also stimulate the g-spot.

Write back again, BJ, and let me know how things go. If you’re not successful, I still have a few other tricks up my sleeve.

Good luck

A Good Man Is Hard To Find

I got email from a friend of mine that I haven’t had contact with for ages. We worked together on a couple projects in the past so I was delighted to hear from him. What follows is the exchange we had concerning his love interest. (All names have been changed.) I share all of this with you because I know other people, gay and straight, who have found themselves involved with someone they probably shouldn’t be involved with. Perhaps my friend’s dilemma will strike a chord with others in my audience.

Hello Dr. Dick
I think it’s been about 13 years now since we worked together. Ahhh the good ol’ days, and oh how I miss them.

I came across a recent post of yours on Google + and it reminded me I could use some of your professional guidance.hug in the butt

I don’t want to bias my story any or waste your time with unimportant details as to the nature of events. I would like you to hear (read) my situation word for word, exactly as it has been playing out.

I have about 50 pages of text messages compiled in PDF format over the past year or so between me and a guy I really like. I don’t want to walk away from him too soon, also don’t want to wait around for something that may never materialize (It’s been 3 years since we first started having sex).

Could I ask you to review these texts and give me your thoughts about it all?

Thanks for your time
Jackson
(PS this 40y.o. guy I like identifies as being STR8, he is a total redneck, he is married to a younger 27-year-old female, he loves to fuck me and be fucked by me, he loves to suck cock and get his sucked too, he is hard from minute he walks in my door…it is the best sex of my life no question about it. And that’s sayin’ something.)

Hey YOU!
So nice to hear from you after such a long time. Yeah, I hear ya about the good old days. Unlike you, however, I don’t really miss them.

biker I would be happy to help you. Are you sure you just want me to read what you’ve compiled? Or do you want to talk about it?

Without prejudicing my appraisal of your document, what you tell me is very indicative of a problem that I have seen over and over throughout the years. And it sounds like you’ve got it bad.

Anyhow, how do you want to proceed? We can set up a Skype call, if you’d like. I do a lot of remote counseling these days, and Skype makes that possible.

I look forward to hearing back from you.

Great to hear back from you. A quick note on ‘the past’, I think what I miss the most is the social life I used to have. I had a lot of friends and always made time to see them.

The last 7 or so years have been very stressful but it’s paid off in the end. My home was foreclosed on; I fought hard, went to court many times and it took over two years but I did manage to save it. In 2010 (About a year after getting my home out of foreclosure) the state began a road construction project literally right outside my back door. It caused major damage to my 100-year-old home during the 3+ years the project went on. I am still fighting the state in an effort to resolve the issues that the construction caused.

Lol, I am not all negative like everything is all bad, or I never get a break from the weird stuff, it’s just been very unusual for me to have such a string of bad luck.hot

So back to Kevin & I. Would it be all right if you just read one short recent conversation, and then you tell me if you feel you could help? I imagine it will only take a couple minutes. Basically we are at a point where we get along amazing well in person, sex is incredible, & he loves everything the way it is. (We see each other for sex, nothing more). I, on the other hand, want to hang out sometime besides sex. This text exchange comes after not seeing or talking to him in about 10 days, which is pretty common.

Let me know Dr. :)

[Attached to the above email was a lengthy document that contained the contained the transcription of this latest text exchange between Jackson and Kevin. I’ll spare you the gory details.]

There’s a lot goin’ on here…beside the fact that the last part reads like a porn script. 😉

Here’s what I see. I see two men who have a “hook” in one another. One is happy on the hook the other is tortured on the hook.

Kevin, despite, or even because, of the hot sex you guys are having, is at a crossroads. If things continue as they are going, he will have to make adjustments to his life and have to make some very painful admissions about who he is at least to himself. He doesn’t sound even remotely ready for that. And even if he wanted to make this life-altering decision, he is probably ill equipped to do so. I’m guessing that he has been running from facing his true identity for decades.

Jean CocteauYou, on the other hand, know exactly what you want and how to get it. For you falling in love with this guy and living happily ever after would be as easy as falling off a log. You’re in love and you know how to handle yourself when love happens. We both know this is not your first time at the rodeo.

It’s like you’re dating a Martian. He only knows how to be a Martian. Despite, or even because, you appeal to him to stop being what he is (straight) and be this other thing with you (gay), he is petrified. And he may actually hate the very thing that you love about him.

Another thing that is really obvious is that Kevin’s sex with you is shame-based, not affection-based. He probably does get off on the hot monkey sex you guys have together, but he’s also probably crippled with guilt and shame afterward.

Stop and look over the document you sent me. Choose any one of those pages and count the words that you typed and then count the words that he typed. I’m sure that you will immediately see that you overwhelm him. You bare your soul; you write paragraphs of self-disclosure. He responds in monosyllables. I’m pretty sure he can barely stand the barrage. He’s trapped between what he wants and what he will allow himself to have and it is sheer torture.

Despite the fact that is wants, maybe even desperately wants, what you have to offer, and not just the sex, he can’t allow himself to have it. It would shake his world to its foundation. And since he can have the hot sex without the emotional attachment, he’s getting everything he (thinks) he wants. You, on the other hand, are living a life of non-to-quiet desperation. You’re at heaven’s door, but he won’t cross the threshold with you.

If I had to guess, I’d say there’s no future beyond the wham-bam-thank-you-sir part bumpin’ you’re already getting. And I also speculate that this arrangement has a half-life. I’d be willing to guess that ya’ll are already past the mid-point. Your dissatisfaction will grow and begin to manifest itself in the way you treat him. There will be an ultimatum. Then there will be an end. With a little luck it will end well, but there is also a big chance that it will end very poorly indeed. Violence is not unheard of in situations like this and I think you know this already.redneck

In his defense, I don’t think Kevin is holding out on you. He probably would if he could. But he simply can’t. And if I had to guess, he’s not ever gonna turn this around. You said he’s in his 40’s, right? That’s a lot of life lived falsely, no? I’d be willing to wager that you aren’t the first man he’s fooled around with over the years and I don’t think you’ll be the last. He’s gotta have his fix even if it compromises his perception of himself.

I don’t envy you this conundrum, my friend. You are in anguish; I hear that. This is not a happy place for you and all I can say is, I hope you don’t give up any more ground.

Let me know if you want to talk about this at some point. No need to walk through this on your own if you don’t want to.

Good luck.

That gave me chills… Its like you were here the whole time. You identified every detail exactly as I have been living it.

One part in particular, Kevin said pretty much word for word as you did. He said, “I’m not holding out on you. I would if I could, but I simply can’t.” I got to admit I don’t understand.

Tuesday I sent him this text:
“Why is this normal social shit so awkward in your mind? All I want to do is hang out sometime. Let me repeat, I want to do something other than hookup one time. That’s it, if you don’t like it I won’t ask again.

I know you like the other shit more, I likely do as well. But is it that big of a deal to just hang out like regular dudes as well?

I’m not asking for anything else whatsoever no emotional connection or expectations of any kind.”

redneck buttHis reply:
“I can’t. I’m sorry.”

His response blows my mind; it makes no sense. Sounds like an adult telling a child NO! I don’t have to explain, no means NO!

I think the truth is he just doesn’t WANT to do anything, even though he surely could. Ughhhh anyway.

I want to talk more with you about this Richard. I’ll hit you up later about the Skype thing. Thanks for being a sounding board for me.

Wow, that is interesting. Poor guy!

Again, in Kevin’s defense, he does have a wife. Maybe he thinks if he keeps his sex with you on the down low it’s not really infidelity. You know, guys doin’ guy things together. An emotional attachment to you would blow that delusion out of the water. It’s like being between a rock and a hard place. He can’t win for losing.

Anyhow, thanks for entrusting your woes with me. I look forward to connecting with you on Skype in the near future. All the best till then.

A molehill becomes a mountain

My problem is Sexual dysfunction, I can have a hard on and keep it for penetration but if I have to use a condom I lose my erection, most of the time. I also take to much time to cum. Most of the time I loose my erection and I can’t finish what I’ve started. I would like to find a solution for this, because I have been like this for a long time, and it is really frustrating for me. I do appreciate your help and look forward to hear from you.
Miguel.

Sounds to me like you’re racing to the finish line. Hey, where’s the rush? You may be experiencing a bit of performance anxiety, but I don’t think it’s a full-blown sexual dysfunction quite yet.

Look for the category pull down menu in the sidebar to your right. Scroll down till you find the category — Sex Therapy. Under that category you will find a subcategory labeled PERFORMANCE ANXIETY.

You’ll find loads of information about this issue in both written and podcast form.performance anxiety

Here’s an example of what you’ll find…

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 unit. It’s all in your head…or your mind, to be more exact. And I’m not being flippant.

Here’s how performance anxiety 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.

Get thee to a sex-positive therapist ASAP! Believe me this is nothing to fool around with. Check out the directory at The American College of Sexology for a therapist near you.  If you can’t find anyone near you and you really need to talk to someone, check out my Therapy Available page.  I do remote therapy/counseling via Skype or phone.

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 psychosexual 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

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