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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!

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


Hey Dick!
As you know, I am an escort. My business is doing very well. In fact, so well I need to ask if you know of any meds, besides Viagra, that I can take that will help me maintain an erection over a longer period of time?
Can I be frank? Here’s the deal, let’s say I have I have two one-hour clients during the day. Then a regular of mine calls and wants an all-nighter. That’s not a problem other than the fact that this particular client wants to get fucked hard. I mean real hard, for hours at a time. He’s an insatiable power bottom.
I want to be able to ride his ass, like the bitch he is. Hell, I’m even attracted to him. I just can’t stay hard enough to fuck him like he likes (especially after having had the two clients before him that same day). Sometimes I have difficulty getting it up for him, and wind up finger-fucking him till my hand is sore. I do not want to lose this client. And shifting days is not the solution. Because when he wants it he wants it and I have to produce. That’s what I do, I sell “muscle.” I have a reputation for giving the best hard driving, dominating and controlling sex around.
Again, is there a medication I can take to maintain the erection?
— Works Hard

Dear WH,

Your life reads like a cheap porn movie script. Lordy, the good doctor nearly got the vapors simply reading through your very explicit missive. (As you can see, I had to edit out some of the more gory details so I could protect your identity in this public forum.) Of course, as you suggest, it never hurts to advertise. You’re so bad!

I thoroughly understand the pressures you and other sex workers face. It’s not as glamorous a life as it is often portrayed, huh? Ok, so you’re beautiful, men idolize you and crave your attention. You’re getting loads of sex, putting all those “bitches” in their place, and crying all the way to the bank to boot. It’s a tough job, but someone’s got to do it. But then again, there are all those sniggling performance issues that even a he-man like you must contend with.

The trouble lies in the fact that you are a workaholic. And that’s never good, regardless of the work one does. Sex work, like any other work, will burn you out if you’re not careful. If you don’t learn to pace yourself, darlin’, you’ll fizzle. (How’s that for an appropriate euphemism?) And from what you tell me, this is already beginning to happen. Keep it up (no pun intended), and you won’t be the first causality in this line of work, nor will you be the last. But If you ask me, and I happen to know a little something about sex work myself, the object here is to grow old (or older in your case) in your chosen profession.

I’m tellin’ ya, WH, if the erectile burnout don’t get ya the psychological torment will. I’ll bet you’re terrified the word will get out that Mr. Big-Beautiful-29-year-old-Stud-Power-Fucker can’t get it up. That would be real bad for business. And you know how those johns can gossip. Bitches! They don’t know that you’re servicing men at a rate that would make a superhero blush. All they see is limp willie and that spells trouble right there in River City.

It’s not surprising that you are having erection concerns given the number of clients you are seeing in one day. I mean, girlfriend, when do you find time to eat? You don’t need a new med, you need a vacation. If Viagra and a good cock ring don’t do the trick, then, in my humble opinion, your body is telling you to slow the fuck down.

And here’s another tip; research is beginning to show that prolonged and persistent use of Viagra can have some very unpleasant side effects. Those who overuse this potent cardiovascular drug, particularly young men who use it recreationally, may be in for some very unpleasant surprises down the road. So, I have one simple suggestion, WH, have a care about your sexual wellbeing and treat your dick gently. Despite the pounding you can inflict with it, it is a very delicate mechanism.

Good Luck

A Spot of Heavy Breathing

Name: Bob
Gender: male
Age: 40
I’m a bisexual male. Recently I’ve been seeing this black guy, 25 years old, with a very big 9” very thick cock. We’ve been suckin’ and he’s been fuckin me. But most recently he’s been wanting me to get together with two or three of his friends and have a party. I mostly want to do it, but I’m a little scared. Would I be able to handle 2 or 3 guys? Would I be able to take all their cocks up my ass? I need some advice.

Bob, you are a little breathless, huh? I’m so delighted you stopped by with this tantalizing tidbit. So let’s get this straight, so to speak. You’ve got this heavy hung black dude, 15 years your junior, rockin’ your world with his thick 9”. Oh sure, count your money in front of the poor, why don’t cha? Say, all of us here at Dr Dick’s Sex Advice are wondering; how in the world did you get this dazzling urban specimen to tap your honky ass in the first place?

But there’s more…besides your amazing good fortune with this one fella, your young playmate wants to introduce you to a few of his big boned bruthas for some hot group action. Mmmm, how you do go on, sir! I suppose it’s only natural to be a bit intimidated, what with all that weighty pipe that will be swinging around. All I can say is I hope you film the event for posterity, darling. Because if you don’t no one, not even me, will ever believe you.

You want some advice? How could I possibly advise someone who can handle…and I quote “a very big 9” very thick cock.” If that’s truly the case, you don’t need nothin’ from me. Let’s just hope your hole will be able to withstand the massive gang fuck. And that’ll depend on one thing — you being as big of an insatiable bottom as you are a braggart. If you are, you’ll have no trouble at all.

Good luck…you’re gonna need it.

Name: Ben
Gender: Male
Age: 17
Location: New York, New York
Dr- I have read up on some of the questions you have answered and realized why my penis is curved. Because I began to masturbate in sixth grade! (The older boys on the bus encouraged me too) Now I know that this may sound dumb. But is there any way to fix this? I haven’t ever even had a blowjob, or hand job because I’m so timid about a girl seeing my penis. I’m also scared to call anywhere, and when the doctor asks me if I have any questions about my body I’m even to scared to say yes to that. Should I ask the doctor about it just too see if there is a way to fix my penis, or is there a natural way to fix it with a special kind of vitamin that I can take? Thanks a ton! -Ben

Hey Ben, why are you being such are a scaredy cat? I mean how bad a curve does your dick have that you would avoid a blowjob or even a hand job when offered? Is it really that misshapen? I mean, how many erect cocks have you seen in your short life span that you can say for sure that your unit is so fatally flawed? Can you be absolutely certain that the curve of your johnson isn’t just a normal variation on an otherwise handsome and hearty tool?

Listen pup, even a precocious masturbator like you is unlikely to change the shape of his willie simply by jerking off. That’s not to say that one’s dick can’t run into trouble from injury or abuse. For as hearty a plaything as it is, our cock, it is a relatively delicate instrument. When you get a woody, your cock is engorged with oxygen-rich blood, which is essential for the upkeep of the smooth muscle tissue. This kind of tissue makes up about 90% of your cock. So you can see how a healthy circulatory system is to a vibrant sex life.

If you dissected your woody and looked at a cross-section you’d see three distinct spongy tubular structures, each are made up of smooth muscle tissue. Two of these tubular structures — one on either side of your cock, both of which run the length of your cock — are called the corpora cavernosa. These marvelous structures become engorged with blood lifting and thickening your cock to erection. The corpus spongiosum, the third tubular structure is located just below the corpora cavernosa. This baby houses your urethra, through which urine and semen pass during urination and ejaculation, respectively. This may also become slightly engorged with blood, but less so than the corpora cavernosa.

An oxygen-deprived cock will build up a kind of plaque, which resembles scar tissue. This will cripple a dude’s rod (Peyronie’s disease) or rob him of his wood altogether. However, I don’t think this is the case for you.

So before you start tryin to “heal” or “fix” yourself with some contraption or herbal supplement visit a doctor first. If you’re too timid to make an appointment with your family physician, go to a free clinic, or neighborhood clinic near you. You’re living in the big apple for crying out loud; you have all these great resources available to you.

Good luck

Kink for Yuppies

Hey sex fans!

It’s another Product Review Friday. Today we have two LELO products to tell you about.  And, as you know, every time you hear the name LELO you know something up-scale is in the offing.

Today’s reviews are brought to you by Dr Dick Review Crew members Gina & Kevin.

Boa Pleasure Ties —— $80.45
Intima Silk Blindfold —— $59.55

Gina & Kevin
Gina: “We have two LELO Pleasure Products to tell you about today. Generally, we would do separate reviews for each, but in this instance, since the two products are companion pieces; we thought we’d tie them together in one review.”
Kevin: “Tie then together! You’re such a punster, Gina. The two products are the Boa Pleasure Ties and the Intima Silk Blindfold. If you haven’t already guessed these items are sheshe bondage toys.”

Gina: “The Boa Pleasure Ties are two 42” lengths of luscious 100% pure scarlet silk to be used as restraints. At one end of each tie is a lightly weighted pouch, at the other end stylish metal rings. This is divine decadence at its…well most decedent. You use the Boa Pleasure Ties as you would any restraint. Use them to secure wrists and/or ankles to a bedpost, or the like, for some lie-down bondage.”
Kevin: “You can also sling the weighted pouches over a door. When the door is closed the pouches keep the ties from slipping through, allowing for some stand-up bondage.”

Gina: “The Boa Pleasure Ties work like a typical two O-ring belt does. You make a loop around the parts you are restraining; the end is pulled through the two O-rings, then doubled back around one o-ring to keep the restraint in place. The silk moves smoothly and effortlessly over the skin.”
Kevin: “The Intima Silk Blindfold, on the other hand, is designed to offer sensual sensory deprivation along with your sensual bondage. It too is made of 100% pure scarlet silk. I have to say; the concept, craftsmanship and production values of both these products are exquisite. The attention to detail is remarkable. But then again, I wouldn’t expect anything less from the venerable LELO brand.”
Gina: “And while we’re talking about presentation, we should also say a few words about the packaging. Both packages are identical and in a word, elegant. Both the blindfold and ties come in a simple, understated black matte box that is encased in an outer box of glossy cardboard. The outer box features a stunning image of the product and it is embossed with the LELO logo. Inside the inner black matte box, the products are wrapped inside attractive high-quality tissue paper. All the packaging is biodegradable. Congratulations on GREENING your packaging, LELO.”
Kevin: “OK, so that’s all the good stuff. Let’s take a closer look, shall we? The Boa Pleasure Ties are basically extravagant playthings. They are not intended for a real bondage scenario. The oversized O-rings let the silk material slip between them with ease. This will frustrate anyone but the rank amateur or a silly dilettante.”
Gina: “And the Intima Silk Blindfold doesn’t actually work when put to the test. The design is very peculiar. It is a one-piece blindfold that has a tight elastic band in back. It did not fit comfortably on my head; it was way too tight. The curious thing is that the blindfold comes with attached ties that would have served much better for securing the blindfold to one’s head. Why it has both an elastic band and ties is beyond me.”
Kevin: “And although the blindfold is attractive, it simply doesn’t provide the sensory deprivation any true blindfold should. You can see light through it and it doesn’t cover ones eyes properly.”
Gina: “And whatever you do, don’t get either the Boa Pleasure Ties or the Intima Silk Blindfold dirty. Body oils, makeup and perspiration will ruin the silk. And if you should accidentally get lube on either one of these toys, you can forget about it.”
Full Review HERE!