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The Heartbreak of Male Performance Anxiety


I get a dozen or so messages a month on this topic. I’ve written about it in numerous postings and spoken about it in several podcasts, but still the email comes.

One of the real bugaboos for anyone, regardless of gender, is living up to our own expectations of sexual performance. So many things can get in the way, literally and figuratively, of fully enjoying ourselves and/or pleasuring our partners.

The arousal stage of our sexual response cycle is particularly vulnerable to a disruption. And when there’s trouble there, there’s no hiding it. A limp dick or a dry pussy can put the kibosh on all festivities that we may have hoped would follow.

However, performance anxiety can strike any of us, regardless of age, and at just about any point in our sexual response cycle. This is a particularly galling when it seems to come out of the blue. And regaining our composure can be more far more difficult than we imagine.

Today we will be focusing on male performance anxiety.  I’ll address female performance anxiety at a later date.

Here’s Bob, he’s 26:
Doc, this has never happened before. But I couldn’t get it up tonight, and this chick was H.O.T. Now I’m not gay at all, but I haven’t had sex in about 3 years because I was locked up…so I masturbated pretty regularly, about 3 or 4 times a week. But I can’t figure out why I was soft… the only thing I can think of is I ate clams tonight and I’ve never had them before. Could it be that or should I get checked out?

It weren’t the clams, darlin’! And I don’t think you need to get “checked out” either…at least not right away. If you could back away from the situation a bit and stop freaking out, I think you’d discover the source of your problem all on your own.

Here’s the thing—while you were out of commission there in the slammer, you relied, as you say, on jerking off. Okay, cool. We all do what we gotta do. Now the first time you try to score after your release…you go soft. This tells me you have a mild case of performance anxiety. We all get that from time to time.

There’s probably nothing wrong with you or your johnson. You just got the jitters first time you tried to get you some after being away, that’s all.

The anticipation of boning this H.O.T. chick—fueled by some predictable self-consciousness; what with just getting out of the big house and all—pulled the plug on your wood. No surprise there, right?

What I don’t want to see happen is for you to replay the incident over and over in your mind’s eye til that’s all you can think about. If you do, this proverbial molehill will become a mountain. You’ll then bring all this anxiety to your next encounter, setting yourself up for even more disappointment. You can see how this shit can snowball? If you interpret every less than satisfying encounter as a failure, your fears will become self-fulfilling. You’ll begin to avoid partnered sex and you’ll develop a full-blown sexual dysfunction. And your self-esteem will take a nosedive, too.

If you’re preoccupied with your performance, it’s less likely that you’ll be fully present during sex with a partner. This pretty much fucks up your sexual responsiveness and any hope for spontaneity. Why not just relax into the whole sex thing and not try to prove your manhood with your pecker?

Then there’s Steve with a slightly different take on this meddlesome problem:

My partner and I have been together for just over 3 years now in a monogamous relationship. I am the top and he the bottom. Our problem is not premature ejaculation on his part, but his inability to have an orgasm at all. No matter what I try and even if he masturbates, sometimes it is impossible to get him to cum. Is this a medical issue? Have you ever heard of this?

Delayed ejaculation is the difficulty one has ejaculating even with a firm erection and sufficient sexual arousal and stimulation. This problem is not uncommon. For most men, delayed ejaculation occurs during partnered sex more frequently than while masturbating. In fact, 85% of men with delayed ejaculation can usually cum by jacking off. However, in partnered sex, the guy may be unable to ejaculate at all, or only after prolonged partnered stimulation. This problem can be very frustrating and cause distress for both partners involved, as you already know.

What causes delayed ejaculation? Well, it could be a number of things. It could be something as simple as performance anxiety, or inadequate stimulation, or there could be neurological damage.

I don’t want to be too reductionist here, but most of us experts believe that the majority of instances of delayed ejaculation aren’t physical in nature, but rather are the product of psychological concerns. Simply put, there’s a difference between the psychosexual response we have when we are alone and the one we experience with a partner. There’s probably nothing wrong with your partner’s unit. It’s all in his head…or his mind, to be more exact. If I had to guess, I’d say he’s got a real bad case of performance anxiety.

When I see this sort of thing in my private practice, I always begin the therapeutic intervention by calling a moratorium on fucking of any kind. This immediately takes the pressure off the couple. From there we begin to rebuild the partnered psychosexual response one step at a time. We begin with sensate focus training (Sensate Focus is a series of specific exercises for couples that encourage each partner to take turns paying increased attention to their own sensations. More about these helpful exercises in the weeks to come.), stress reduction and relaxation exercises. These applications are designed to reduce performance pressure and instead focus on pleasure. The idea is to get them to stay in the moment; absorb the pleasure present without worrying about what is “supposed” to happen.

Finally we address as frankly and openly as possible any fears or anxieties that they may have—as individuals or as a couple. I have the greatest confidence in this method; it succeeds over 90% of the time.

Ok, let’s recap shall we?

Overcoming sexual performance anxiety is dependent on five simple things.

  • First, a guy needs to be attuned to his sexual response cycle — arousal, plateau, orgasmic and resolution phases. He should know what kind of stimulation he needs at each phase to fully enjoy himself and satisfy his partner.
  • Second, the more worried a guy is about a performance issue, the more likely that problem will present itself. A bad experience in the past can often set the stage for its recurrence.
  • Third, don’t be afraid to talk this over with your partner. Withdrawing from your partner or shying away from sex altogether will only increase the likelihood that the problem will persist.
  • Forth, be proactive! Fearing the loss of your sexual prowess or feeling sorry for yourself is counterproductive. Confront the challenge head on. Employ sensate focus training stress reduction techniques and relaxation exercises to help you push past this temporarily impasse and regain your self-confidence.
  • Fifth, free yourself from the mindset that your dick is the center of the universe. Your manhood or your capacity to be a great lover does not reside in your genitals. Expand your sexual repertoire. Remember, pleasure centers abound in your body as well as your partner’s.

Good luck!


A Scary Halloween Q&A Show — Podcast #306 — 10/31/11


Hey sex fans, welcome back!

It’s time, once again, to delve into my email in-box to see what’s up with the sexually worrisome. I know I’ve billed this as a scary Halloween show, but to tell you the truth; it’s always a bit scary opening the email I get. I never know what frightful question or dreadful situation will pop out at me.

So ok; maybe it’s not all that scary all of the time, but regardless of what my correspondents toss my way, you can count on me, your intrepid sex therapist, to respond with clever, resourceful and oh so informative answers. Hey, it’s what I do!

This week we hear from

  • Alexia wants to know about genital warts and getting her tubes tied.
  • Stevie O wonders if butt fucking will change the color of a butthole. He also laments getting older.
  • Aaron and his GF are experiencing a major dry spell.
  • No Tan Lines wants to swing, but is afraid to let her man touch another woman.
  • Jai is missing the good sex she had with her BF, but he don’t care no more.
  • Luke says sex with his GF is painful…for her.

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


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.


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.


Oh sweet mystery of life at last I found you


In lieu of Product Review Friday, we have some interesting Q&A about sex toys.

Name: Tadd
Gender: Male
Age: 31
Location: Arizona
In one of your podcasts you told some guy about a strap on kit he could buy for his GF. Could you repeat that? I’ve been trying to find one.

I responded to an inquiry from Karol from Poland a while back. He asked about a strap-on kit. I told him: “As to your question about a strap-on and what a guy should know about buying one for his female partner. I suspect the overriding concern for the amateur butt pirate is to get his gal a comfortable harness that can accommodate a couple different sized dildos. I suggested that he turn his attention to the Dr Dick’s Stockroom banner in the sidebar. I told him to click through there and search for the Bend Over Beginner Harness Kit (B664).  The good people at Dr Dick’s Stockroom have painstakingly put together everything you need for your first pegging!”

  • Is there someone in your life who is curious about strapping it on, but doesn’t know quite where to begin? Well, we have the perfect starter kit! Everything a beginning sensuous player would need to strap it on is included in this package (except their favorite water-soluble lubricant – sold separately).
  • This strap-on harness is low-riding with a fuzzy, deep purple velvet front and highly adjustable nylon straps. The kit has 2 color coordinated, shimmery purple dildos. These hypoallergenic silicone dildos are shaped and sized appropriately for those just beginning anal play adventures. The smaller is approximately 4″ long and 3⁄4″ wide, while the larger one is 5″ long and 11⁄4″ wide.
  • A powerful variable-speed mini-vibe sits in a secret pocket behind the dildo to give the wearer an extra jolt of fun. The straps are adjustable, fitting up to 50″ hips. The 1.5″ O-ring can be exchanged for play with other sized dildos (sold separately). Washable, smart, and sexy. Bottom line – this is one hot strap-on package!

Name: Gary
Age: 58
Location: Tampa
I’m a widower; my wife of 29 years died a little over a year ago. I’m just now getting back into the swing of thing. The sex I had with my wife was very conventional now I want to try something different. I want to go to a dominatrix. I’ve always had a fantasy about a woman owning and punishing my privates. It’s a big turn on. Is there anything I should know about this?

I love it, another kinkster in the making. Coming out as a perv, in my opinion, is better done late than never. My first suggestion is that you find a better term for your privates than “privates”. You sound like your mommy. I suggest cock and balls, it pretty much says it all very succinctly.

Have you done your homework in terms of finding the right dominatrix? I suppose you have at least a couple in mind, right? Might I suggest that when you make contact with one or another of these professional women that you be very specific about what you want and how you want it. You can ask for some hot CBT (cock and ball torture). Ya see, knowing the right vocabulary will often expedite your getting precisely what you are looking for.

Here’s a tip…a good submissive, or sub — that’s you, Gary, will want to bring his dominatrix, or dom a little gift to start things off on the right foot. May I suggest this little number: A Male Chastity Kit (B702). Look for it in the Dr Dick’s Stockroom.

  • The CB-3000 represents the latest design in modern male chastity devices from the same designers who invented the best-selling CB-2000 and The Curve. Some customers wanted a size mid-way between the CB-2000 and The Curve. The manufacturers listened to our customers’ requests and have allowed us to bring you this exciting new male chastity device.
  • The natural flow of lines in this model represents the cock and conforms to the body. The slim, smooth lines permit the CB-3000 to be worn easily under clothing. It is slightly vented with curving lines and custom openings for comfort and hygiene. The material, a highly durable transparent polycarbonate, is functional and appealing, and its strength exceeds that of acrylic and many other plastic blends.
  • Some men find it possible to use the urinals while wearing the CB-3000, though most find it more practical to sit. When locked with a plastic lock, the device will not set off metal detectors in airports or at other security checkpoints. So it is possible to wear the device 24/7 without interfering with travel or business routines. (Just make sure to use the plastic lock and not the brass lock under these circumstances.) This compact design involves no uncomfortable belts, straps or chains.
  • The CB-3000 consists of two main parts, the cage portion (inside length 3″ – inside diameter 1 3/8″) and the cuff ring. They easily slide together by means of two guide pins and a locking pin. The guide pins extend from the cage portion. Different-sized spacing rings are provided to allow a personalized fit.
  • The five rings included in the kit have inside diameters of 1_”, 1 5/8″, 1_”, 1 7/8″, and 2″. Once you find the right spacing, simply use a pair of side cutter pliers to snip the ends of the guide pins and then smooth the edges with an emery board or file. The locking pin is slightly recessed into the body cuff.
  • The Body Cuff comes in five different sizes, and swivels open at the bottom so that it can be closed easily around the cock and balls. Align the locking pin holes with the locking pins on the main part of the cage, add the proper amount of spacers, and then install the cage portion. The balls will then be trapped between the cuff and the cage. The smooth, rounded design minimizes pinching and chafing while being worn.
  • Finding the right-sized Body Cuff is extremely important for reasons of comfort and security. It should be as tight as possible without cutting off any circulation. If you are wearing a cuff that is too tight, it will cause some swelling and discoloration of the ball sac. If you see any discoloration, or experience numbness or aching discomfort, you definitely need to go to the next larger size. If you have a particularly high (short/tight) ball sac, you may find that you will need to stretch the ball sac slightly before the CB-3000 becomes comfortable and suitable for longer-term wear. For the most comfortable fit, the balls should hang below the cage and cuff ring. to prevent pinching.
  • I highly recommend applying baby oil/gel (or a similar product) to your cock with a cotton swab after showering. This practice allows your willie to move naturally up and down in the cage portion. Then you should be able to wear it 24/7 for indefinite periods of time. Some people have kept it on for months.
  • The CB-3000 kit includes the following: One brass padlock with 2 keys, 5 individually numbered, tamper-proof plastic locks, 3 different lengths of locking pins and 5 differently-sized spacers.

Good luck


Tease and Tickle


Hey sex fans!

It’s not just a Friday; it’s a Product Review Friday. And today we bring you a review of another product that comes to us from our favorite retailer — Adult Sex Toys .com.

Here to tell us all about her new vibrator is Dr Dick Review Crew member, Jada.

Crystal Chic Wand — $36.45


You’ve probably noticed that the Dr Dick Review Crew has had a number of wand type massagers to review lately. All of them have been a variation on the granddaddy of wand massagers, the Hitachi. All have that distinctive bulbous head on a sturdy shaft. This classic wand shape is turned on its head with today’s offering, the Crystal Chic Wand.

There is nothing bulbous or bulky about this dandy. In fact, it is on the other end of that spectrum. It’s slim and sleek. It has comfortable to hold handle, a bendable shaft made up of gradually smaller beads and it’s topped of by a glorified bullet vibe. It’s 11.5” long, but only 7″ of that is the bendable beaded section. By the way, it’s just the tip of the Crystal Chic Wand that vibrates.

The three-speed controller, basically just a single button, is in the base of the handle. The handle is also studded with six crystals (rhinestones?). It’s also waterproof. The entire thing has a lovely velvety feel to it and it is easy to grip even with lubed fingers. It operates on one AA battery (not included).

I was completely under whelmed at first sight. The Crystal Chic Wand comes in a cheesy plastic package that is decidedly un-GREEN. I was all prepared to not like this thing, but I gave it a go anyhow. Sure glad I did, because I liked it immediately. Once out of its ugly packaging I discovered that the Crystal Chic Wand is really fun and versatile. I admit; my first impressions were totally wrong.

You can use the Crystal Chic Wand either internally or externally. I have a preference for external; it’s just the thing on my clit. I did try it as a G-spot vibe and that worked too. What’s great about it internally is that it’s not bulky, so you can pinpoint the vibration precisely where you want it. I tried to talk my husband into trying it as a prostate massager. The vibrating tip is no wider than my index finger. But he declined; he’s not ready for even a little butt play yet. That was disappointing, because I know he’d enjoy it. So you see what I mean when I called the Crystal Chic Wand versatile.

I want to call your attention to the bendable feature, because this was my favorite part. You can shape it however you want and it will hold that shape. BRILLIANT! The battery compartment in the handle is easy to open and close. Just remember to tighten it securely to keep the Crystal Chic Wand waterproof. I used the vibe for over 6 hours on just one battery, which is pretty amazing. If I have one complaint it’s that it’s not very quiet, particularly on the medium and high speeds.
Full Review HERE!



Purely Sensual


Hey sex fans,

I have a swell, and oh so special, Product Review Friday for ya. Today is a twofer, don’t cha know. We’re experiencing a bit of a backlog in our reviews and while generally I post only one review a week, today we have two. One product comes to us from a new company joining our review effort for the first time. The other product comes to us from a good friend and stalwart in the industry. Please join me in welcoming Intimate Organics and welcoming back LELO.

These reviews are brought to you by Dr Dick Review Crew members Brad and Jada.

Intimate Organics Adventure – anal relaxing spray — $17.78

Hey everyone, I’m here to tell you about Intimate Organics Adventure. It’s an anal relaxing spray. Curiously enough this product is marketed exclusively to women. But ya know what? Men have assholes too. And Intimate Organics Adventure is equally effective on a dude’s bunghole as it is on a chick’s.

When I haven’t bottomed for a while, and I’m talking about either diddling myself with a dildo while I beat off or having my GF peg me, I want to ease into the experience. Gettin bum-fucked is a kick when it is worry free. So anything I can use to take the edge off is a big plus in my book.

Ok, after saying that I just realized that didn’t come out right. I don’t want to suggest that “anything” that takes the edge off is good. The reason I’m correcting myself is that I have tried other anal relaxers. Actually they were anal anesthesizers and that was the problem. Some of the products I tried in the past used benzocaine and it numbed the shit out of my hole. This was way over-kill and it was also dangerous. If I couldn’t feel what was going on down there I couldn’t tell if I was about to injure myself, nor could I be any help to my partner with the strap-on. So no more of that stuff for me!

Intimate Organics Adventure is different. Their herbal-based spray does not numb, because it doesn’t contain any anesthetic elements. Their unique formula contains a certified organic extract blend with the natural potency of clove, goji berry, aloe and lemongrass. It’s great. My GF, Kitty, thinks so too. Once she saw how much I enjoyed my butt she decided to give up her ass too.

I’m certain that the Intimate Organics Adventure was a big part of her decision to try anal. This chick is super fussy about what she puts in and on her bod. The fact that this product is organic really impressed her. The lady-friendly packaging didn’t hurt the effort either.

Intimate Organics Adventure is a spray, I already mentioned that, and it’s the consistency of a light lube. But ya gotta know that this product does not replace the need for a high-quality lube. When it come to anal penetration of any kind, you’re gonna want to use lots more lube than a couple of spritzes of this product. only thing ya got to remember is ya have to wait about 10 minutes after applying the Intimate Organics Adventure before applying the additional lube. This product is also latex and condom friendly.
Full Review HERE!

LELO Flickering Touch Massage Candle —— $29.15

I’m a sucker for scented candles. I have them all over the house. I once took a class in aromatherapy and I learned a lot about how essential oils, and other aromatic compounds can alter a person’s mind, mood, cognitive function or health.

So when Dr Dick offered me the Flickering Touch Massage Candle to review I knew I was in for a treat. I am very fond of my LELO pleasure objects. I reviewed The SORAYA way back in January and was so impressed that I’ve picked up two others LELO vibes since. One I gave as a gift.  I know, how generous!

The Flickering Touch Massage Candle did not disappoint. It lives up to the LELO name in every way. Lets start with the packaging. It came in a simply elegant black box, with mauve and black accents. And all the packaging is biodegradable. The candle itself comes in a gorgeous black glass container with a designer silver lid. It dresses up anywhere you put it.

I received the Vanilla & Crème De Cacao candle, but there are two other candles in the LELO line — Black Pepper & Pomegranate and Snow Pear & Cedarwood. (Please Mr LELO, send us others to review!)

The candle is made from natural soy wax, shea butter and apricot oil. And because it is a massage candle as well as aromatherapy, when you dab it on your skin, or your lover’s skin, the effect is outstanding. It absorbs nicely, like a fine body oil should. And it leaves your skin delectably smooth and lightly fragranced.

If you are into sensual massages and romantic play the Flickering Touch Massage Candle is just the thing for you. My husband and I went to the San Juan Islands for an amorous weekend get away for our anniversary last month. I made certain that the Flickering Touch Massage Candle would accompany us. My husband liked the scent too. He’s sometimes critical of my aromas, because he claims some are too sweet or feminine. But he liked the Vanilla & Crème De Cacao just fine.
Full Review HERE!