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It Must Be Something In The Air!

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A rash of pretty bizarre messages have been arriving the past few days. I’m so lucky.

While I want ya’ll to know that I’m delighted to hear from each and every one of you, particularly those of you from the far-flung corners of the globe, there’s just so much I can offer by way of advice.

Often, the best I can do is offer some generic information about one thing or another, then suggest that if the concerns persist, that person ought to seek professional help nearer to hand than me. So regardless how many people write in with further questions, the only thing I can do is repeat myself. (See below for examples.)

Others write to me with a pressing problem, but fail to include enough information for me to advise them properly. Thus I find myself asking more questions of them than they do of me.

Name: glen
Gender:
Age: 42
Location: Santa Ana CA
Is it possible to give coitus to a vagina while another man’s penis stays inside the same vagina?

Yep, you betcha! It’s called double penetration, DP for short.

Name: y
Gender:
Age: 35
Location: Indiamalia7.jpg
Will breasts become bigger due to having sex?

Not from just having sex, darling! But if you get pregnant from having sex, you can rest assured that your boobs will get larger then.

Name: aamir khan
Gender:
Age: 22
Location: pakistan
hi sir… i have a problem when i talk to girls so there will b little cum going from my penis. and i m dischargig vry soon. so whts dis??? and wht shold i do??

image-1.jpegI do believe you are referring to what is commonly called “pre-cum”. This clear alkaline fluid produced by your Cowper’s gland during sexual arousal lubricates and neutralizes the acidity of the urethra that will soon carry your jizz, with its payload of up to five hundred million sperm. Your urine, which also passes through this shared tube, leaves your urethra acidic. And if your body didn’t neutralize the acidity before you shot your wad, all your sperm would die.

Name: Jim
Gender:
Age: 50
Location: Portland
I have red balls! I have noticed many porn fellows with similar red balls, but I do not find this condition attractive. I have tried fungicides and hydrocortisone. I try to keep my crotch dry, even using cornstarch powder after a shower. Any advice?

f9905211-bf1a-48bd-b58e-26853f54503c.jpgRED BALLS? I’ve heard of blue balls, but not red balls, per se. Porn fellows often have red balls because their cockring is too tight or they have been using one for too long.

Your problem sounds, however, like a bad case of jock itch. That’s no fun! Jock itch is a pretty common fungal infection of the groin and upper thighs. If you’re using an over the counter antifungal cream and a cornstarch-based powder to keep things dry down there, and you’re still having a problem, SEE YOUR DOCTOR!

You may simply need a pharmaceutical grade fungicide. Or you could have scabies.

Name: james
Gender:
Age: 31
Location: CA
hi, i am not getting proper erection while intercourse,,,got recently married what shud i do?

I need more information! Are you not aroused enough before you start the fuck? Can you get fully hard when you jerk off? Were you a virgin when you married? This must be a bummer for a newly weds.

Name: Jim Beans
Gender:
Age: 24
Location:
What pornographic resources are available for blind folk? Do you have any suggestions?

Have you tried SexAudia.com? Besides being able to hear my weekly podcast on SexAudia.com, you can hear loads of other hot and steamy erotic stories, music and other entertainment. Check it out. Tell ‘em Dr Dick sent you.

Name: Mohan
Gender:
Age: 30
Location: Malaysia
can i have children with my hypospadias condition? Should i get an operation?

I have no way of knowing how severe your hypospadias is, or if it might interfere with you having children. SEE YOUR DOCTOR! Although, if you’ve lived with this condition for 30 years, it can’t be too severe, right? Corrective surgery is a last resort and should only be considered in the most severe cases.

Name: john
Gender:
Age: 31
Location: new zealand
Hello doc .i have hypospadias and my dick is only 3 inch if fully erect..pls advice me.

That’s small, for sure. But 3” erect is not uncommonly small. There’s not much a fellow can do about tiny meat, except learn to love it and let it give you all the joy it can. Not much you can do about the hypospadias either. But since you’ve lived you’ve lived with your dick this way for 31 years, you probably know all of this already, huh?

Name: jake
Gender:
Age: 16
Location: Grove City
im at 6 inches and I wanna get to 7 or a lil lower how can i do this? could i get pills at this age? and if so what should i get?

You could leave it the fuck alone till you finish puberty at least. You could also be happy with what you have, because some folks, like the guy above you, would be delighted to be as hung as you.

BTW, there are no pills that work for growing a dick longer. Wake up, puppy!

Name: sheema
Gender
Age: 41
Location:
hi dr, i am 41yers old lesbo mom. i love lesbian sex. i have 4kids. one dughter and 3 sons. my sons ages is 22 18 12. my dughter age is 16yers. i have one girlfriend for sex. my girlfriend come my home and we make sex. one day we having sex then my dughter see us. she ask me what you doing with aunt. i dont tell her. but in my mind a idea. i want having lesbian sex with my dughter. tell me what shold i do. plase.

SERIOUSLY! A forty-one year old woman, and a mother of four, needs to ask if it’s ok to have lesbian sex with her underage daughter? Get otta of here!

What kind of mother are you? If your daughter wants to dabble in muff-divin’, let her play with someone her own age.

Incest, particularly the adult to child type, is considered taboo in nearly every culture, both past and present. There’s plenty of good reason for this. While lesbian sex doesn’t involve the genetic concerns (inbreeding); it would involve the most devastating aspect of incest — the secrecy. No one violates this universal taboo in the open. The secrecy and the inevitable shame and guilt will, sure as shootin’, destroy you family dynamic.

People, if you find yourself in a seductive situation with family member, don’t give in to the temptation.

Good luck everyone!

Stop, I Want To Get Off!

Name: Stefanni
07.jpg

Gender:
Age: 28
Location: California

Dr Dick: I get off on making out or having sex in public spaces? Is this illegal? Am I Sick? Stefanni

All depends, Stefanni. Most jurisdictions, particularly there in the Golden State would

probably wink at a couple making out in public. I suppose you’d be pushing the envelope if the make-out session included heavy petting. And as to full-on sex in public…CumOn, honey, a 28 year-old female who can’t discern if fucking in public is illegal or not, needs to be in supervised care 24/7. You’re not sick, dearie, you’re retarded.

Good Luck!

Name: stefan
Gender:
Age: 24
Location: GA

Is it weird if I can suck my own dick? Sometimes I do it when I’m really horny?

dares-selfsuck.jpg

Reminds me of the old joke about two guys sittin’ around shootin’ the shit. When they notice a dog over yonder lickin his balls. One guy turns to the other and says; “I wish I could do that!” And the other guy says, “Gee, I hope the dog doesn’t bite!”

Is it weird that you can suck your own cock? Dude, it’s every man’s freakin’ dream! Anyone who is limber enough and/or has a big enough dick to blow himself — wins, IMHO.

Good Luck!

Name: Chris
Gender:
Age: 18
Location: TN

Dr Dick: I’m an uncut male, but am thinking about getting circumcised for the sake of appearance? I don’t like how my dick looks like an anteater. Is this safe? Any suggestions where or what type of doctor to consult? Should I go to a urologist? Plastic Surgeon? Thanks, Chris

Whoa, puppy, stop right there. This ain’t like getting a haircut or trimmin’ your toe nails or even gettin pierced. Circumcision is irreversible and it’s mighty risky too.

I need to say one thing from the outset. Circumcision is a particularly thorny issue for

ijk2.jpg

me. I firmly believe in the right of an adult to augment, adorn and embellish, or in any other way customize his or her body. Just as long as that person has taken enough time to think it through. None of this, “OMG, I got so drunk and then the next thing I know I have this tattoo emblazoned across my chest!”

At the same time I am a furious proponent of genital integrity. So you see my conflict.

There are, of course, medical reasons for adult circumcision. But having a foreskin that looks like an anteater is not one of them. Besides, no self-respecting physician is gonna start cutting on an 18 year old guy’s cock, just because the fella doesn’t like the way his unit looks.

Here’s what I want you to do, Chris. Take a really close look at your foreskin. I mean a really close look. What do you see? Veins, right? Now pinch your foreskin between

your thumb and forefinger as hard as you can. OUCH! Ya know why that is? Your foreskin is just chock-full of nerve endings, darlin’. Your foreskin contains about 240 feet of nerve fibers and tens of thousands of specialized nerve endings, which can feel the slightest pressure, the lightest touch, the smallest motion, the subtlest changes in temperature, and the finest gradations in texture.

In many ways, your foreskin is just like your eyelid. It covers, cleans, and protects your dickhead just like your eyelid covers, cleans, and protects your eye. Your foreskin keeps the surface of your dickhead healthy, clean, shiny, warm, soft, moist, and sensitive. And there are a whole lot of us who think a foreskin is like totally hot.

Your foreskin is a specialized, sensitive, and functional organ of touch. No other part of the body serves the same purpose. You may be too young to have noticed how pleasurable having an intact dick can be, how it enhances your sexual enjoyment. You

certainly have no frame of reference to the contrary. Therefore, I encourage you to hold on to your lace curtains till you have a little more experience. Besides, if you get cut it removes 50% of the skin of the cock. Do you really have that much to give away?

Finally, I’m of the mind that millions of years of evolution has provided us a covering for our dickhead for a purpose. And to remove it is simply unnatural.

So, Chris, keep your skin unless there’s a medical necessary to remove it!

Good Luck!

Name: Nick
Gender:
Age: 64
Location: Chicago

Are there any vitamins or minerals that will increase the amount of ejaculate? Thanks…your site is very cool and provides a great service!

Why, aren’t you a sweetheart, Nick. Thank you for your kind words.

There sure are loads and loads of companies out there who claim to have products that will increase the volume of a man’s ejaculate. When I search the web for products that promote male sexual enhancement of any sort, I do so as a skeptic. That’s how anyone should go about such a search. If you keep your eyes open and look beyond the pseudo-medical babble you’ll discover two things, as I did.

First, every site I visited advertises their product as a miracle medical breakthrough. Often there is a testimonial or two from some doctor (MD) or doctor (Ph.D.) who substantiates the claims being made. We never really discover who these professionals are, but we are encouraged to take their words as gospel…well because we all know that professional types would never knowingly try and hoodwink us. Exactly! And if you buy that we have some swampland in Louisiana for you too.

Each site also claimed that the product they hawk has undergone rigorous clinical studies proving its efficacy. But they never actually cite any of the studies in question or where these supposed studies were published. Here’s a tip, If there is a sited study and that study was sponsored by the company that produced the product, or is published by them, then you know you’re in trouble.

Second, inevitably each product makes the most outlandish claims. Take this one for instance. I’ll not disclose the product name, because that would be like shooting fish in a barrel. But this is actual copy from one site. Product X will…

  • Intensify ejaculatory contractions due to the strengthening of the vas deferens muscle (the muscle responsible for the expulsion of semen)
  • Increase volume of released ejaculate
  • Produce faster recovery for second orgasms
  • Improve semen quality
  • Produce more satisfying orgasms due to increased contractions and ejaculate
  • Improve prostate health
  • Improve Erectile Dysfunction caused by diabetes
  • Increase sexual well-being and vitality
  • Cure cancer
  • End world hunger

Ok, I made the last two up.

One only has to look closely at the claims to realize they’re hogwash. Besides, they don’t really tell us anything other than the product in question might somehow improve something that may have something to do with male virility. The same could be said about a glass of water. Please read on…

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The truth is, Nick, you can probably do just as well with a modest daily intake of zinc and lecithin supplements. For some, these nutrients have a noticeable effect on the volume of ejaculate. And they’re a whole lot cheaper and easier to get then the trumped-up stuff you see online.

Also keeping yourself hydrated also will also increase the volume of your spunk. It just

stands to reason, the more hydrated you are the easier and more efficiently all your glands responsible for secreting a watery substance, like your prostate, will have getting water from the bloodstream. If you’re dehydrated, your prostate will not have as much water available, and subsequently you’ll spooge considerably less.

Good Luck!

The Yin and Yang of Desire

Today I’d like to talk about: The Yin and Yang of Desire — Dopamine, Prolactin and Testosterone.

Let’s talk about love, lust and desire. But instead of looking at these things as social phenomena, let’s look at the chemical reactions going on inside our bodies that make us feel and behave the way we do.

sex-on-the-brainThere are clear links between certain chemicals and our most basic drives, which explains, for example, why we feel horny one moment and utterly disinterested the next. Or why our sex drive peaks after exercise. At the core of our sexual and affectional interests and behaviors lie the two chemicals — dopamine and prolactin. In many ways they are complimentary to one another; dopamine turns on desire and prolactin turns it off.

Dopamine is a neurotransmitter. This is basically your body’s pleasure and reward system. Our brains releases dopamine, to one degree or another, when we see, read or think about something sexy, taste something sweet, puff a cigarette, or come into skin-to-skin contact with another person. When dopamine levels are high, our libido goes into overdrive. Sometimes levels can be so dramatic that a person will neglect other essential bodily functions like eating and sleeping. Some “street” drugs —meth and coke among them — can mimic the body into thinking it’s dealing with dopamine.

Dopamine is critical to the way the brain controls our movements. If there’s not enough dopamine, we can’t move, or control our movements. If there’s too much dopamine, we are plagued with repetitive moments like jerking, tapping and twitching.

Get this; novel situations can increase dopamine releases. For example, hooking up with someone for the first time triggers especially high levels of dopamine. Curiously enough, these same high levels will not occur again during subsequent hookups with that same person. This is called the one-night-stand phenomenon; it’s why you can be attracted to someone at first encounter but not afterward.hormones and the brain

However, falling in love with someone can sustain high dopamine levels for a longer period of time. This explains why physical infatuation is at its peak in the beginning months of a relationship. Also dopamine floods the brain when we get drunk or take certain drugs, which is why drinking alcohol can make a potential partner look more attractive.

Prolactin is dopamine’s foil. It causes dopamine levels to plummet. Prolactin is a hormone, as opposed to a neurotransmitter, like dopamine. It floods the body during orgasm, virtually shutting down the sex drive, which is nature’s way of allowing us to attend to other essential bodily functions like eating and sleeping. Prolactin release in men will temporarily disable our ability to have an erection. This is called the refractory or recovery phase of our sexual response cycle. And prolactin is at least partially responsible for that happy, relaxed state after we cum. This is precisely the release women get while breastfeeding; in fact, the word “pro-lactin” directly indicates its role in milk production.

growing larger and largerProlactin primes the mind for long-term attachment — a role that helps the mother bond with her suckling child as well as lovers to each other. This means that if you stick around cuddling with your partner right after sex, you may actually start to like him/her more and more. This is called the pair-bonding effect. But prolactin’s dopamine-reducing action has a darker side. It cancels the tolerance you may have for your partner’s flaws.

While dopamine and prolactin are good indicators of the immediate workings of sexual pursuit, it is testosterone that best explains long-term changes in courtship. Testosterone is responsible for the masculinization of the adolescent male body during puberty. And it increases the dopamine levels that regulate our sex drive. But testosterone leaves its fingerprint on the body as much as the brain. It’s the catalyst for changes in skin tone, fat distribution, musculature and demeanor, which are signals to others that this individual male is sexually mature and in good health.

However, if you get a fever or become depressed, your testosterone levels can drop significantly. Malnutrition or high levels of anxiety or stress will also interfere with testosterone levels. The most immediate effect of this is a decrease in libido, and a noticeable drop-off in energy levels as well as confidence. There’s no doubt about it; testosterone levels will signal to potential mates that you are in the throws of depression, stress, anxiety or malnutrition. You will appear a little less attractive to people subconsciously. That’s why a confident, dominant male with high-testosterone levels generally enjoy more mating success.tits

Testosterone levels are highest in the morning, then wanes throughout the day. It’s also much higher in men in autumn and lowest in the spring.

However, sexual desire is still more complicated than is known to science, and there may be multiple archetypes of partners we’re drawn to — there is evidence that aggressive high-testosterone men appear sexier to women and gay men for a one-night stand. But softer, more sensitive balanced men are more likely to tug at our heartstrings in a relationship. Scientists reason that the bulkier mate is more likely to be physically powerful and carry good genes to create strong children. While the slimmer guy is a more loving, reliable partner likely to help raise the kids so they survive to adulthood. The effect of this strange contradiction seems to be a biological predisposition against monogamy and sexual exclusivity.

But none of this is carved in stone. A man’s hormone’s levels increase when he is in a competitive environment or carries out acts of aggression, which can explain how guys seem to bulk up quickly when they go to prison or join sports teams. These levels decrease when he feels intimidated or humiliated, which might explain why those who get picked on at school stay skinny and mild-mannered compared to their peers. This in turn made them easier targets and only increased the likelihood of them being bullied.

butt shakeThis is not uncommon behavior among primate colonies that have huge alpha males looming over a population of smaller, submissive males and females. While this is not a perfect parallel to human social groups, it does go a long way in explaining how a social environment can be a precursor to physical body changes. And just so you know, our testosterone levels also drop during long-term relationships, giving the male brain a sense of stability and mellowness, easing off the drive to forage for new sexual partners.

Science alone lacks a moral element, and fails to explain, in a modern context, why we should desire to be masculine, aggressive, potent or dominant in the first place. In nature, the alpha-male is the most likely to enjoy reproductive success, but that isn’t what gives our lives value today. We might have more success being an average male that falls in love and becomes a good provider. And in the modern world it’s probably the more stable and sensitive man who is most likely to sire children.

Still, science gives important clues to what’s going on in our minds and bodies and that of our potential partners. A lot of our basic inclinations are out of our control, but when we know what causes them or what to expect, we can work with them for the best outcome.

An (extremely long) Tale Of Woe

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

A molehill becomes a mountain

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

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

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

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

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

Simply put, there’s a difference between the psychosexual response we have when we are alone and the one we experience with a partner. There’s probably nothing wrong with your unit. It’s all in your head…or your mind, to be more exact. And I’m not being flippant.

Here’s how performance anxiety works. Say I have a less than satisfying sexual experience for one reason or another. Before I know it, I’m replaying the incident over and over in my mind’s eye till that’s all I can think about. The proverbial molehill has become a mountain, don’t ‘cha know. I then bring my anxiety to my next encounter. My hyper self-consciousness primes me for more disappointment. And I’m all prepared to interpret the disappointment as a failure. Well, you can see where I’m going with this, huh? My fears become self-fulfilling and I find I’m beginning to avoid partnered sex and my relationship flounders, I develop a full-blown sexual dysfunction and my self-esteem takes a nosedive. My preoccupation with my problem makes it less likely that I’ll be fully present during sex with my partner, which pretty much scuttles my sexual responsiveness and any hope for spontaneity.

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

When I see this sort of thing in my private practice, I always begin the therapeutic intervention by calling a moratorium on fucking of any kind. This immediately takes a great deal of the pressure off the couple. From there we begin to rebuild the partnered psychosexual response one step at a time. We begin with sensate focus training, stress reduction and relaxation exercises. I have the greatest confidence in this method; it succeeds over 90% of the time.

Good luck

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