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Heightened Awareness: Anxiety Can Lead to Pain During Sex


Clearly anxiety can be an obstacle to a healthy sex life and needs to be talked about.

By Carrie Weisman



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!


How to build sexual confidence



Having sex for the first time is nerve wracking but it isn’t the only time when the thought of sex can feel daunting. Many of us will go through periods of abstinence later in our lives and the thought of engaging in sexual activity again can spark feelings of insecurity.

There are a variety of reasons why someone might have experienced an extended amount of time without having sex (divorce, a breakup, the loss of a loved one, or difficulty meeting the right person) and often by the time we get round to having sex again it feels as if we are back to square one with our sexual confidence.

Here, we speak to Valeria Chuba, PhD, MS, ACS, a board certified clinical sexologist and a certified intimacy coach. She helps her clients overcome sexual shame and anxiety, achieve sexual confidence, and create pleasure-filled intimate relationships. She is the creator and host of the Get Sex-Smart podcast, which offers expert information and guidance to listeners around the world.

“Finding that special spark with a new partner can often take a long time,” she explains. “Regardless of the reasons why we may find ourselves without a lover, when the time comes to get back into the groove, most of us experience feelings of fear, anxiety and low self-confidence.”

So to help anyone who is feeling less than empowered about the idea of a new sexual encounter, we asked Valeria to give us some practical advice on how to feel less nervous and more confident when starting a new sexual relationship…

1. Learn from the past

Each new relationship offers a promising beginning, which means an opportunity to do things differently and better than before. “Now is the perfect time to look back at your past sexual experiences,” Valeria advises.

“What were some of the things that worked well (or didn’t work) in your intimate relationships? What partners were the most memorable, and why? What would you like to do differently this time around? For example, would you speak up more about your need for sensual foreplay, or share more of your sexual imagination with your partner? Getting clarity around your needs and boundaries will help you start a new sexual relationship in a more proactive way, which in turn will help you feel more safe and grounded.”

2. Know what gives you pleasure

“As a sexologist, I often tell my clients that masturbation is the foundation for partner sex,” says Valeria.

“The more you know about what turns you on and helps you experience pleasure and orgasm, the better you’ll be able to share these things with your partner, leading to a more positive intimate experience.”

Reacquainting yourself with your body in this way will help you to first accept and then to gain confidence when it comes to being with someone else. It’s easy to forget the positive things about our body when we are feeling insecure and focusing on the parts we don’t like as much.

“If you are new to self pleasure or just want to broaden your sexual repertoire, sex-positive books like Come As You Are or fun and instructional sex ed DVDs will both inform you and spark your sensuality. It’s important to note that you should always consider seeking professional help for specific sexual concerns, like trouble experiencing orgasm with a partner, early ejaculation, erectile difficulties, or performance anxiety. Working with a sex-positive, compassionate professional can be a huge boost to your sexual confidence.”

3. Communication is key

“I often tell my clients that they should begin a new relationship as they mean to go on; and good communication is a big part of any successful sexual relationship,” says Valeria.

“There are few things more attractive in a lover than the confidence to speak up about his or her needs and desires, and the ability to listen to his or her partner. Speaking up improves your chances of getting what you want from your sexual relationship; and being accepting of your partner will make him or her feel special and appreciated. Either way, you will come across as a generous and thoughtful lover, which is sure to boost your self-confidence.”

4. Focus on pleasure and not performance

Whenever we begin a new relationship, especially after a long time without partner sex, we tend to feel anxious about things like our attractiveness; our size, shape and weight; and how well we will ‘perform’ during sex.

“This mindset keeps us caught up in our heads and disconnected both from our bodies and pleasure, and from our lovers and the process of lovemaking. Whenever you feel yourself getting caught up in performance pressure, focus instead on your body sensations. Breathe deeply and if need be, slow down. Pay attention to how things feel as opposed to how perfect you appear to be. As a bonus, a lover who is focused on pleasure and sensuality comes off as a lot more empowered and confident than someone who is insecure about their ‘performance’.”

5. Have a sense of humour

Sex can be complicated and intimidating at the best of times, let alone when we’ve been celibate for an extended period. Because of this, we tend to forget that at its core, sex is about connection, pleasure and fun. And since partner sex happens between bodies, it can also be a messy, embarrassing and unintentionally hilarious experience. Using this as a point of connection with your lover, rather than something to be ashamed of, can help you lighten things up. Chances are your partner is also feeling nervous, so bonding lightheartedly over your shared anxiety and the absurdity of it all can be both relaxing and very, very sexy.

Complete Article HERE!


Finding power through play: How BDSM can fuel confidence


By Emerald Bensadoun

Marianne LeBreton is suspended in mid-air, tied in an upside-down futumomo, legs bound together. The ropes cascade in intricate patterns, beginning at her ankles and working their way all the way around her wrists. The ropes arch her body backward. Her breathing steadies. Serenity washes through her. The slight discomfort of certain positions causes slow burns to spread across her body—but the pain is secondary to the relief. LeBreton becomes entrenched in a state of flow. Her mind is quiet. She’s enjoying the intensity, both emotionally and physically.

For LeBreton, bondage has become a meditative experience. When it comes to receiving pain, which she enjoys, it takes a certain focus and determination. LeBreton finds rope— especially Japanese rope bondage—to be particularly meditative. She equates BDSM to an empowering “sense of calm,” but it didn’t start out that way.

“What colour should it be?” thought LeBreton. She wanted her boyfriend to like it. As an 18-year-old student on a budget, it couldn’t be too expensive. For almost a week she scrolled through the internet until she finally came across what she was looking for. It was even in her price range. This was the one. Satisfied, she clicked “purchase.” LeBreton had just bought her first flogger—a whip with long tendrils coming out the end. “It felt like the beginning of something for me,” said LeBreton.

When asked about her first experience with BDSM, she grins from ear to ear, trying to visualize the details. “There wasn’t Fifty Shades of Grey but there was hentai,” she says. At the age of 13, LeBreton became fascinated with Bondage Fairies, an erotic manga about highly sexual, human-shaped female forest fairies with wings who work as hunters and police protecting the forest.

Now 30, LeBreton has an MA in sexology from Université du Québec à Montréal and owns KINK Toronto, an up-and-coming BDSM boutique in Toronto’s Annex. BDSM, she says, is about much more than pain—it’s about empowerment. LeBreton says we could use a little more playfulness in our lives. More sensuality. More discovery. “That’s usually what I hear from customers who are curious; they are excited and thrilled to be daring and to be doing this for themselves or their partners,” says LeBreton. “It’s definitely a journey of self-discovery and acceptance.” In her workshops, being naked and engaging in play publicly, she says, has helped with her confidence and body image.

In 2015, Christian Joyal, who has a PhD in psychology from the Université du Québec à Trois-Rivières, and his colleagues published a paper on fantasies; ranging from sex in a public places, to tying up a sexual partner, to watching same-gender sex and pornography. But there were also fantasies about being dominated sexually. These were present in 65 per cent of women and 53 per cent of men; dominating someone sexually, present in 47 per cent of women and 60 per cent of men; being tied up for sexual pleasure which appealed to 52 per cent of women and 46 per cent of men.

“From what we’ve seen, most people have a very strict image of what [BDSM] should look like, which is very restricting,” she says. BDSM, she notes, doesn’t have to involve leather. It doesn’t have to involve pain. Another mistake is attributing masculine or feminine traits to erotic behaviour. For many people, BDSM is a healthy way to express their sexuality and grain a sense of control in their lives and of their bodies.

In her workshops, being naked and engaging in play publicly, she says, has helped with her confidence and body image

When it comes to dominance and submission, negotiations, and boundaries, safety and consent are crucial. While the words “dominant” or “top” may conjure up images of complete control, those in the BDSM world know that the submissive, or “bottom” hold true power. “The bottom is the one who gets to decide what they would like, what they do not want, what their limits are,” says LeBreton, “It’s the top’s responsibility to follow that through. Of course some people have very specific kinks where it’s kind of like ‘I want you to take control.’ But that’s negotiated and within limits set by the bottom.”

Feeling in control can also be about letting go. Relinquishing that sense of control they exert in every other part of their lives can be therapeutic. For this reason, LeBreton says that men, especially those in positions of higher power, will often identify as submissives in the bedroom.

Alex Zalewski says he’s always been a little rough. But in a seven-year “vanilla” relationship, it was difficult to break routine. Months later, for the first time in Zalewski’s life, he felt horribly unsure of himself. He’d been flirting with a new girl for some time whose friends invited him to their apartment. But he was confused. “Spit in my mouth,” she demanded. “Slap me.” Zalewski was torn between arousal and inner turmoil. If there was one thing he’d ever been taught from a young age, it’s that good boys don’t hit women.

For Zalewski, empowerment is a quiet confidence, and feeling a level of control that builds pleasure from the knowledge that he is fulfilling his partners’ desires. Zalewski, who lives in Toronto’s downtown core, offers relationship and personal coaching for various clients in his spare time, but he doesn’t charge money for it. The women in his life kept asking him for advice on BDSM. He decided he would try his best. In 2016 he created Authentic Connections, to help people overcome their barriers in exchange for a relationship they’ve always wanted. His goal was to have someone open up to him enough about the types of barriers that were preventing his clients and their partners from having the sex life they wanted to have.

“What are your fantasies? What are your desires? What do you want out of your partner or partners?” He would ask them. Once he could get them to admit what they actually wanted, they would work out a plan. Develop themselves, develop their skills to be able to do the things that would help them achieve their goals. Zalewski says a lot of the time, this is the most difficult step for the people he’s met with. It’s hard for people to step outside their comfort zones sometimes, he says, because they’ve been conditioned into associating kink and BDSM with abuse and mental instability.

A person becomes curious in BDSM. They don’t tell their friends. Maybe they’re afraid of being ridiculed or judged. Maybe rejection. But maybe it’s none of those things. Maybe they just want to keep their personal life, personal.

In 2006, the Journal of Psychology and Human Sexuality published an article that compared BDSM practitioners to published norms on 10 psychological disorders. Compared to the normative samples, those who actively engage in BDSM had lower levels of depression, anxiety, post-traumatic stress disorder, psychological sadism, psychological masochism, borderline pathology and paranoia.

But just because a person likes to be controlled in the bedroom doesn’t necessarily mean those needs translate into the real world and can have dangerous implications for parties involved.

Jen Chan was 16. Her boyfriend was 24. He was her dominant and she was his submissive. “That was generally the dynamic of how our relationship went,” she says. But chipping away at her self-esteem, her boyfriend would pressure her into doing things she wasn’t sure if she was comfortable with, and she would go along with them, afraid of appearing inexperienced and childish to her older boyfriend. While BDSM allows you to play out different scenarios from that of everyday life, she says her first experience with dominance and submission was just an extension of the life she already had.

It’s hard for people to step outside their comfort zones sometimes, he says, because they’ve been conditioned into associating kink and BDSM with abuse and mental instability.

After their relationship ended, Chan says it took her several years until she felt confident enough to engage in BDSM again. Coming out as queer, she says, has also made all the difference. Chan now identifies as a switch, which is someone who enjoys partaking in both dominant and submissive roles, or both topping and bottoming.

“There is something very staged, controlled and intentional about BDSM, at least that’s the way I interact with it,” says Chan, who adds that her empowerment with BDSM lies in feeling like she’s doing something adventurous in an environment of her choice. Feeling satisfied sexually, she says, has made her feel more confident in the real world.

Is what you’re doing safe? Is what you’re doing consensual? Zalewski says risk awareness, the amount of risk a person is comfortable taking in order to attain the pleasure plays a large role in BDSM. From flesh hook suspension to unprotected sex, it’s important to understand the personal level of risk you are comfortable with when it comes to the acts you want to perform.

Chan says that while engaging in BDSM gave her the opportunity to try new things and step into new roles, most importantly, it allowed her to reclaim control, sexually. As a person begins to immerse themselves in BDSM, Chan says, they start to learn more about what makes them comfortable, where their boundaries lie, all while pushing themselves to continually learn new things—and to her, that’s all empowerment really is.

Complete Article HERE!


Consensual sex is key to happiness and good health, science says




It’s not just that sex is fun – it’s also good for your physical and mental health.

Some of my research is focused on how men and women differ in the links between sexuality, mental and physical health, and relationship quality. In this article, I write from my findings and that of others on how sex is important to our love, mental health, relations and survival. At the end, I suggest a solution for individuals who are avoiding sex for a common reason – chronic disease.

Good sex makes us happy

Good sex is an inseparable part of our well-being and happiness. Those of us who engage in more sex report better quality of life. Sexual intercourse is linked to high satisfaction across life domains. In one of my studies on 551 married patients with heart disease, individuals who had a higher frequency of sexual intercourse reported higher marital quality, marital consensus, marital coherence, marital affection expression and overall marital satisfaction. These results are replicated in multiple studies.

In a study by another team, partners who both experienced orgasm during sex were considerably happier. These findings are shown inside and outside of the United States.

Sex keeps us alive

Although early initiation of sex such as during adolescence is a risk factor for mortality, having a sound sexual life in adulthood is linked to low mortality. In a seven-year follow-up study of men 17 years old or older, erectile dysfunction and having no sexual activity at baseline predicted increased mortality over time. Similar findings were shown in younger men. This is probably because more physically healthy individuals are sexually active.

No sex and forced sex makes us depressed

There is a two-way road between bad sex and depression. Depression is also a reason for bad sex, particularly for women. And, men who are depressed are more likely to sexually abuse their partners.

And it’s important to note, in the wake of continuing news of sexual assault and abuse, that forced sex in intimate relations make people depressed, paranoid, jealous, and ruins relationships. Couples who experience unwanted sex have a higher risk for experiencing other types of abuse, as bad habits tend to cluster.

Sex different for men and women?

Men and women differ in the degree to which their sexual act is attached to their physical, emotional, and relational well-being. Various reasons play a role among both genders, but for women, sexual function is heavily influenced by mental health and relationship quality.

By contrast, for men sexual health reflects physical health. This is also intuitive as the most common sexual disorders are due to problems with desire and erection for women and men, respectively.

Reasons for avoiding sex

As I explained in another article in The Conversation, sexual avoidance for those who have a partner or are in a relationship happens for a long list of reasons, including pain, medications, depression and chronic disease. Common diseases such as heart disease interfere with sex by causing fear and anxiety of sexual intercourse.

Aging should not be considered as a sexless age. Studies have shown that older adults acquire skills and strategies that can buffer age-related declines in their sexual life, particularly when they are in a positive relationship. This is called seniors’ sexual wisdom.

Back on track

Because people avoid sex for a variety of reasons, there is no single answer for those who want to become sexually active again. For many men, physical health problems are barriers. If they suffer from erectile dysfunction, they can seek medical help for that.

If fear of sex in the presence of chronic disease is a problem, there can be medical help for that as well. For many women, common barriers are relational dissatisfaction and mental health. For both men and women, the first step is to talk about their sexual life with their physician, counselor or therapist.

At least half of all medical visits do not cover any discussion about sexual life of patients. Embarrassment and lack of time are among the most common barrier. So make sure you make time to talk to your doctor or health care provider.

Neither the doctor nor the patient should wait for the other person to start a dialogue about their sexual concerns. The “don’t tell, don’t ask” does not take us anywhere. The solution is “do tell, do ask.”

Complete Article HERE!