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He Can’t Cum!


Name: Alice
Gender: Female
Age: 19
Location: Minnesota
My new boyfriend is really frustrated and doesn’t want to have sex anymore because he can’t come. He says he’s had this problem for a while and hasn’t come with any girl for over a year. I see how upset he is and I know he still wants to sleep with me, but says it hurts when he gets excited and nothing happens. Is there something I can do? I tell him to see a doctor but I don’t think he will. Thanks a lot!

Wow, that’s a bummer Alice. Unfortunately, you don’t supply me with enough information for me to make an educated guess about what might be up with him. Does he have erections? Does he masturbate? Is he on any medications? These are the first questions I’d ask him. Since he isn’t here and neither are you, I’m gonna make a stab in the dark.cover up

If I had to guess, I’d say your man is suffering from a real bad case of performance anxiety. He doesn’t need a medical doctor; he needs to learn to relax and be in the moment. If this is an arousal phase issue then that should help. If it’s and orgasmic phase issue, relaxing and enjoying the pleasure will also help.

Here’s how performance anxiety works. Say a fella has a less than satisfying sexual experience for one reason or another. Before he know it, he replaying the incident over and over in his head, till that’s all he can think about. The proverbial molehill becomes a mountain. He brings his anxiety to his next sexual encounter. His hyper-consciousness primes him for more disappointment. And he’s ready to interpret all disappointment as a failure. And this can interrupt either the arousal phase or orgasmic phase of our sexual response cycle.

Well, you can see where I’m going with this, huh? His fears become self-fulfilling. Before he knows it, he begins to avoid sex. His relationships suffer. He develops a full-blown sexual dysfunction. And his self-esteem takes a nosedive. His preoccupation with his problem makes it less likely that he’ll be fully present during sex with his partner, which pretty much fucks up his sexual responsiveness and any hope for spontaneity.

It sounds to me like performance anxiety is putting a damper on his sexual arousal and thus short-circuiting the rest of his sexual response cycle, including orgasm.

This is nothing to fool around with, especially for someone at his tender age. 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 psycho-sexual 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

Monkey on my back

And now for one of our regular, semi-obligatory Meth-related questions. I get at least a half dozen of these questions a month. And each and every one of them breaks my heart. I know nothing about the fellow writing me; I don’t know where he lives or his age. I don’t suppose it really matters, does it?

I need some help and I hope you can point me in the right direction. I am recently divorced and trying to move on in life but I’m depressed all the time and also using meth a lot. I have tried to have different sexual partners since my divorce and every time I’m with someone new I can get a erection when we are messing around with no problem, but soon as its time for penetration I loose my erection I feel like I’m having anxiety issues and also I’m very nervous, and I’m not impotent so can it be the meth preventing me to keep it up, or do I need medication for my anxiety? How can I overcome this problem?

I’m certain I can point you in the right direction. Thanks for asking. Allow me to speak plainly. Quit the meth! Quitting won’t solve all your problems, but it is the first and most important step. And frankly, if you choose not to quit, all your other efforts to pull your life together are doomed.

MonkeyBackMeth is not a therapy for depression, nor is it gonna help you connect with a new partner. It most assuredly will not help your erection problems; in fact, it is the cause of your erection problems. But I’ll wager you know that already, huh?

You also have an underlying performance anxiety problem that needs to be addressed ASAP.

Find a competent sex therapist to help you. look to the directory of The American College of Sexology for someone near you. Or you can check out my Therapy Available page.

In the meantime, take a look at some of the stuff I’ve written and podcasts where I talk about meth. Use the pull-down CATEGORIES menu in the sidebar, to your right, and scroll down till you fine the SEX & SUBSTANCES category. It’s under that category that you will find the subcategory Crystal Meth.

You’ll also want to take a look at some of the stuff I’ve written and podcasts where I talk about performance anxiety. Again, use the pull-down CATEGORIES menu in the sidebar and scroll down till you fine the SEX THERAPY category. Under that category you will find the subcategory Performance Anxiety.

Here are examples of the stuff you’ll find.

On meth:

Name: Joey
Age: 22
Location: Southern Calif
Love doing tina with masturbation and watching really hot porn. Think this is just social fun?

Nope, I don’t Joey. Despite the prevalence of this dastardly drug, there is nothing fun about tina…crystal meth for those unfamiliar with the term “tina”. If you love doing tina for whatever reason, I’d wager you’re hooked on that shit.

Listen, I’m not prude when it comes to using some crystalmakesmesexy.jpgdrugs recreationally. But I think that we’d do well to stick to those drugs that are more natural. The less processing involved (and meth is the worst in that regard) and fewer added chemicals (OMG, the crap they put in crystal) the better, in my humble opinion.

Despite the admitted high ya get, recent research shows that long-term meth use destroys nerve cells in the brain that regulate dopamine, muscle movement, memory, and decision-making. This damage can be wide-spread and permanent.

Your body reacts to crystal meth the same way it reacts to danger. Crystal floods the body with adrenaline — the same hormone that prepares us for emergencies. Adrenaline gives a super-charge of strength and endurance so the body can deal with danger and injury. But artificially triggering this response over and over again will have serious consequences.

When you use crystal, your nervous system shifts into high gear. The brain floods your body with “danger” messages. Your body responds immediately to what it thinks is a threat. It prepares to fight or to run away. Common body responses to perceived danger include:

  • Pupils dilate to let in more light.
  • Hair stands on end (“getting goose bumps”).
  • Blood vessels just under the skin constrict.
  • Body temperature goes up

Regular, long-term crystal use will diminish sores of neurotransmitters. Episodes of paranoia and anxiety become more frequent and longer lasting. Blocked blood vessels within the brain can lead to increased chances of stroke.

Crystal fucks with your dopamine levels. Dopamine delivers a sense of reward and pleasure. It is also associated with body movement. Too little dopamine causes paralysis or a Parkinson’s-like tremors and rigidity. Too much dopamine and a person can become paranoid, hear voices and get twisted thoughts. Sound familiar?

Crystal fucks with your serotonin levels. Serotonin is involved in regulating sleep and sensory perception. It plays a role in moods and regulating body temperature. Serotonin is involved with many emotional disorders like schizophrenia, phobias, super-aggressive states and obsessive-compulsive behavior. Too much serotonin can make it difficult (or impossible) to have an orgasm. And of course there’s the dreaded “crystal dick”…the inability to get it up.

Joey, listen up! You’re way too young with too much of your life ahead of you to self-inflict so much serious irreparable damage on yourself. If this weren’t such a troublesome drug, there wouldn’t be such a virulent anti and reformed tweeker community out there. Want to know the real truth about “tina” check in at: You’ll be glad you did.

On 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.
Complete Article HERE!

Good luck

Trouble Down Below

Name: Marcus
Gender: Male
Age: 20
Location: New Jersey
I have a problem that is really fucking with my head, causing all sorts of performance anxiety and, long story short; I’m still a virgin at age 20. And because of it, a few failed sexual encounters. I can get a raging boner when I’m wacking off alone, but I feel humiliated by my dick whenever I get the chance to show it off. I have what’s known as a “skin bridge.” I’ve asked a doctor about plastic surgery to correct it, and he told me it originated when my circumcision didn’t heal correctly. (And the statute of limitations to sue the bastard expired long before I knew he was at fault.) Anyway, now I’m looking at a choice between this freakish tunnel of skin that goes halfway around my cock and a different, who-knows-what-kind-of-hideous scar might result from a second surgery. The situation is ruining my life. Maybe it’s the root of some psychological complex driving me toward homosexuality too, but don’t worry about that. If I still can’t get it up for a girl after I find some peace of mind on this issue, then I’ll drop the bi attitude and come out as gay no problem. What’s your two cents on the surgery? I realize this might be one of your toughest questions to date.

This isn’t a particularly tough question at all. And you want my two cents? Here it is: get over it! I mean, pup, really? Skin bridges from botched circumcisions are not particularly uncommon. In fact, I know two guys right here in Seattle who have the very same thing and one is a former porn star. Trust me, his skin bridge did not get in the way of him waving his thang all over the place, don’t cha know.keep-calm-and-don-t-be-a-dick

Here’s a tip: stay away from the surgeon. More cutting on your willie ain’t the answer.

Here’s the thing, if, when you drop trou, and your audience, male or female, gets a gander at your johnson; and they point and shriek, “OMG, that thing is hideous! Please, please, please put it away;” then I think you’ve got a legitimate problem. However, if no one does that, ever, then your shame and humiliation is all in your head. You’ve probably created a mountain out of a molehill. But, if by chance, you think I’m being unfair, or cavalier about your concern, then take a photo of your hideously deformed wiener and send it to me for my evaluation.

Now there are two ways to go in this instance. The first option is to grow up and realize that your “condition,” if you can call it that, falls within the natural variance of dick size and shape. The second option is to capitalize on the very thing that makes you different. Ya know how some guys have their dick pierced and then put a ring or rod through the piercing, just to doll things up a bit? Well, you already have a natural piercing. Why not take your cock down to your local piercing parlor and get it fitted for a nice piece of genital jewelry. Then you can say with pride that you adorned what you once though as a defect and made your cock even more beautiful than it was before.

Finally I have to ask; what’s up with the…if I don’t get this fixed; I’m gonna go all queer. You think gay guys are less self-conscious about their equipment than straight men? If ya do, you are living in a dream world, darling.

Good luck


Name: r68tool
Gender: Male
Age: 52
Location: Montana
Doc, I have been an insulin-dependent diabetic for 25 years. I’m also a post-operative kidney transplant recipient. I have not been able to achieve nor maintain any kind of erection for the past 19 years. I have visited several urologists, but they have been useless. I am able to manipulate my cock to have a semi-hard erection by tying a leather string around my scrotum and cock. I can sometimes get very erect. But when I orgasm, I NEVER ejaculate sperm. I’m convinced that there must be blockage to prevent an erection and semen flow. Any suggestions? Do I need surgery?

Do you ABSOLUTELY need to ejaculate when you orgasm? Lots of guys with medical issues, like yours, don’t. There are also many men who practice ejaculation control as part of Tantric sex.cock,schlong, dong

I don’t believe you have a blockage of any sort. The glands that produce the bulk of your ejaculate may have atrophied due to the diabetes. This is not uncommon. If this is the case, no surgery is gonna fix that.

That being said; I have a tip for you. If you are self-conscious about not having an ejaculate when you cum, check out Spunk Lube. It’s the lube that looks and feels just like jizz.

Good luck

Name: Emily
Gender: Female
Age: 26
Location: Ohio
I have been having sex with this guy I met for a week now and he’s only cum once. We have foreplay and then we have sex… We try all positions but then his dick goes limp. Is it because of me? He says he likes to have sex with me but I’m confused, why isn’t he cumming? We usually have sex for hours at a time… I squirt and keep my pussy moist so what’s the problem here?

Performance anxiety causing delayed ejaculation. That would be my guess.

Use the search function at the top of the sidebar to your right, type in performance anxiety and you’ll be presented with a load of information about this issue and how to handle it.

Here’s a little taste of what you will find:

Most of us experts believe that the majority of delayed ejaculation concerns are not physical in nature, but rather they are the product of psychological problems. Perhaps your friend would benefit from a professional evaluation.

cordially invitedGenerally, the object of a sexological intervention is to diffuse the guy’s sexual anxieties so that he can comfortably cum with his partner without difficulty.

When I see this issue in my therapy practice, I offer my clients a series of homework assignments that are designed to reduce performance pressure and focus on pleasure. These are relaxation exercises and sensate focus exercises.

I call a moratorium on fucking for a limited period of time, so the couple can learn other means of sexually pleasuring one another. I try to get my clients to stay in the moment; absorb the pleasure that is present without worrying about what is “supposed to” happen. I encourage my clients to create a relaxed, sexy atmosphere, free of pressure to perform in one-way or another. Finally, we address as frankly and openly as possible any and all fears or anxieties they may have as individuals or as a couple. The most common are a fear of intimacy, of being gay, of being in a relationship or of disease.

Some guys report success with hypnosis. But I don’t practice that myself, so I have no first hand knowledge of its efficacy.

However, I do encourage you guys to get to the bottom of this, so to speak, ASAP. To leave this unaddressed will only cause greater difficulties later on. Just remember, you cannot will a sexual response, just like you cannot will yourself to go to sleep or enjoy something you don’t. And the harder you try to have a certain response, the more inhibited you become.

Good luck

I am a male and I am interested in having another man give me oral sex. My question is can I get any STDs by allowing another man to perform oral sex on me? Can you direct me to some information regarding this topic? Thanks!

Ya know, that Google thing really works, my friend! Search for “STD (or STI) and oral sex” and presto! You’ll get a shit-load of info.need a good fuck

Here’s what you will learn: Oral sex is considered a lower risk activity for STDs (or as we prefer to call them, STIs Sexually Transmitted Infections) than are anal and vaginal sex. Even so, it is still possible to get an STD/STI whether you are giving or getting oral sex. Blowjobs can put you at risk for infections like herpes and gonorrhea. If you don’t know where your partner’s mouth has been, and you want to extra protection, use a condom.

Good luck

Hi. I was hoping that maybe you could help me out with this problem.
I really only have minimal experience giving oral sex to a man.
I read your bit about the gag reflex and thank you. I will work on that. I want to talk about teeth. My mouth is not that big, and it is hard for me to keep from scraping my man’s cock with them. My partner wants to fuck my throat. We try, but that seems to always cause problems. I was wondering if you knew of any devices out there that are designed to cover the teeth while only reducing the oral cavity size minimally.

Ya know your jaw is a remarkable thing. With just a little exercise, it can be stretched so that your mouth will open wider. Many people never see the need to stretch their jaw and so the gape of their mouth never increases.

The wider your mouth opens the less your teeth will get in the way of whatever you are inserting in your mouth. It just stands to reason.

Start by doing some simple stretching exercises. Open your mouth as wide as you can and hold it for a count of 5. Do a set of 10 stretches like this at least 3 times a day. You will find that in no time your gape will be larger. You can employ the use of a cock shaped vegetable like a cucumber to aid you in your stretching. Just so you know, this is how the experts (porn stars) ready themselves for the really big ones.

You can get teeth guards as well. But I don’t think the problem lies with your teeth.

Practice these exercises and let me know how you make out, so to speak.

Good luck

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We’ve Only Just Begun…

Name: Donna
Gender: Female
Age: 18
Location: Salt Lake City.
I’m turning to you for help, because I don’t have anyone else to ask. My boyfriend, who is 19, and I are very much in love. We plan to marry next year. But we both want to start having sex now. We are both virgins and we think we need help overcoming the natural obstacles, if you know what I mean.

Gee, I’m not sure I know what you mean by natural obstacles. Are you talking about physical things? Emotional things? Maybe you just need a little tutorial on how to get started. I’ll try to at least touch upon all these things, but first I want to thank you for entrusting me with your concerns. I’m sorry to hear that you don’t have others in your community to approach. I guess that says a lot about the family values and community standards where you live.

teen_sexuality.jpgI have lots to say about beginning a sexual life with another person. Curiously enough the information I am about to share is applicable to both women and men and it applies to any and all sexual orientations. That’s the beautiful part of human sexuality. There is so much common ground. In fact, there is way more that we have in common than what separates us.

Ok, so here goes. Be yourselves. Let your natural feeling of affection for one another lead you. Always use a condom (This applies to penis/vagina and/or anal sex.) Be gentle; be curious; seek your partner’s pleasure before your own; and most importantly, have a sense of humor about the whole damned thing.

Just about everyone who is sexually inexperienced will also lack sexual confidence. It can be nerve-wracking not being sure what to do to satisfy your partner. Sometimes this nervousness is contagious. Your anxiety can make your partner anxious. The surefire way to get around this is to not pretend you know what the fuck you’re doing, if ya don’t. The best way to find out what to do is to ask your partner what he/she likes and how she/he likes it. If they don’t know or can’t tell you, then you can find out together with some sex play. And I do mean play, not work.1sexual_response_cycle_male

This is where our natural sexual curiosity comes in. And we all have that to one degree or another. Sexual confidence comes from knowing. Curiosity will bring you knowledge.

There will be no room for curiosity if the only thing on your mind is the old in an out. That’s why I suggest you put off full-on fucking till you get the lay of the land, so to speak. Besides, there are lots and lots of ways to pleasure yourself and your partner that doesn’t involve intercourse.

Like I said, sexual confidence comes with understanding the mysteries of our sexual response cycle. Each one of us is different and the differences are most pronounced between the sexes. If you haven’t discovered at least the fundamentals of your own response cycle through masturbation; then you’re really not really ready to gift yourself to another person just yet.

female sexual response cycleYa see, the more you know about your body; how it works; where your pleasure centers are; the kind of stimulation you need and want to come to full arousal; the more information you’ll have to pass on to your partner. Even if your partner is more experienced than you, he/she will still need to get to know the intricacies of your individual response cycle.

Sexual confidence stems from being able to please your partner. When you know what you are doing you project an air of self-assurance. This is not the same thing as cockiness, mind you, although that might be a very fun attribute to have too.

The best lovers look to pleasure their partners before they expect to be pleasured. Delaying your own pleasure, particularly if you’re a guy, so that you can provide multiple orgasms to your partner will reap great pleasurable rewards for you when it’s your turn. Besides, giving pleasure is often as pleasurable as being pleasured.

Sexual confidence translates into sexual assertiveness. Each partner should take equal responsibility for initiating sex. Trust me, this is not merely a man’s role. And sexual assertiveness translates into sexual creativity. If you’re timid about trying new things, you’re gonna short-circuit a whole lot of teens

Learn to ask for what you want and how you want it. Communication is key to a healthy and vibrant sex life. Never underestimate the your partner’s ability to develop and grow sexually. Check in with your partner on a regular basis. Don’t assume you know what turns him/her on today, just because it turned her/his crank the other day.

Feelings of sexual inadequacy, discomfort with your body, anxiety about your skills will destroy your sex life. If you are plagued with any of these things get help with them before your bring them to a sexual partnership.

sexual confidenceSexual confidence comes down to knowing yourself and being able to communicate your likes and wants to your partner. If you’re simply gonna be passive about your pleasure, you’ll wind up getting only what is dished out to you. And for many women, that is woefully insufficient. Don’t expect your partner to know any more about pleasuring you than you do, even if she/he has had more partners then you.

Allow yourselves the time or space you need to feed your intimacy needs. If you expect to discover sexuality with your partner in the backseat of a car, you’re gonna cum up short. Passion and spontaneity is great, but what I’m talking about is different from that. Think of it as learning to walk before you run.

Being a terrific lover is dependent on know-how. Skill comes through practice. So practice, practice, practice! Keep it fun. When it stops being play and starts being work, put it aside for another day.

Good luck

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