Search Results: Male

You are browsing the search results for male

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!

What a pain in the ass!

Name: Garth
Gender: Male
Age: 44
Location: South Africa
Hi, I fissured my butt sometime ago and I think it has healed. I have undergone a Lateral Sphincterotomy twice – inner and outer. Unfortunately the area is now VERY sensitive and when I defecate the area ‘screams’ in pain. The softer my stool the worse the pain. When my stool is firm, the pain is less. Will this go away? Is there any medication that I can use?

Everyone in my audience please listen up! I am not a medical doctor, nor do I play one on the internet. The Dr Dick moniker I use refers to my Ph.D. I am a clinical sexologist or a sex therapist if you prefer, not a physician. Get it? Got it? Good!

That being said, anal fissures are a common proctological problem, especially for the heavy ass play crowd. An anal fissure is a tear at the anal tissue. The most common complaint is pain in the anal region during and after taking a dump, itching and possibly some bleeding. Pain and irritation result in spasm of the internal anal sphincter muscle, which then fails to relax during defecation further aggravating the condition.ass-pain

The lateral sphincterotomy you mention is a surgical procedure that removes the fissure. This operation remains the primary form of treatment for chronic anal fissure.

From all that I could learn from my medical consultants, if your surgeries healed properly you shouldn’t be experiencing pain, let alone “screaming pain” when you shit. We all understand that the area will continue to be sensitive, but the pain you describe is not a good sign. You may very well have an infection. You need to have that looked at ASAP. This is nothing to roll around with.

Here’s a tip for all everyone in my audience: pain, of any sort, is one way our body talks to us. Its message is: things are not as they should be; get it fixed NOW. Sometimes the pain will subside when we stop doing something…like holding our hand too close to a flame, or being flogged senseless by Christian Grey. Some pain will only subside when a condition is fixed…like getting a cavity in one’s tooth filled. Other pain, like the emotional pain that come with depression is harder to soothe, but it is important to try. Finally, pain like Garth is experiencing means something is very wrong. And if not attended to immediately, things will only get worse.

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
Gender:
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: crystalmeth.org. 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

The Little Engine That Could

Name: Terri
Gender: Female
Age: 24
Location: ND
I’m having a problem with knowing when I am feeling an orgasm. I feel like I have to fake it around my husband because I am unsure. Sometimes when I’m alone I just feel like I have to go to the bathroom so I stop myself and then other times I feel like my legs are paralyzed but that’s it. I don’t ever feel like I’m sexually stimulated. Just tired. Any ideas as to what I am doing or not doing or what might be causing it?

I’m gonna go way out on a limb here and guess that your are, what we in the business call, preorgasmic. My experience tells me that if you’ve actually had an orgasm, you’d know it. All the symptoms you list — feel like you have pee; feel like your legs are paralyzed; or just plain exhausted, don’t sound orgasmic to me.

clitoral anatomyI can’t actually say I know what you are doing wrong, if anything. You don’t really go into detail on how you pleasure yourself. But I will hazard a guess as to what is causing this. And that would be inadequate stimulation to your pleasure centers.

Even in this day and age where sexually laden messages abound in the popular culture, there are still some women, even young women, who are unversed about orgasms in general and how they could go about getting one for themselves in particular.

Orgasms don’t always come easily for some women, and that’s a fact. I suppose there are as many reasons for this as there are preorgasmic women. A woman’s pleasure center (her clit) is more subtle and less obvious than a man’s raging boner. Women are socialized about sexuality — even nowadays — in a much different way then men are. Men have more cultural permissions to be sexually adventuresome than do women. And if the truth be told, us men folk, — we don’t need no stinkin’ permission to get our self off!clit

The basic formula for achieving an orgasm is acquainting yourself with your pussy. Map out all the points of interest. Find out what feels good, and repeat it. The object of this first step is not to stress about having an orgasm it’s all about reconnecting with your cunt.

The more you know about this marvelous part of you the better you’re gonna be at slammin yourself a screamin’ meme when the time comes. Knowing your way around your pussy is also gonna be helpful in partnered sex, especially if your partners are men.

The first part of this exercise is called a self-sexological exam. Get a hand mirror and find a really detailed diagram of female genitalia on the internet. Using the diagram as a guide, work at familiarizing yourself and making friends with your pussy. Once you are certain you know all the parts, I want you to do a detailed touch test. I want you to test for sensitivity very square inch of your body from your asshole to your navel. I want you to draw pictures of your own cunt and surrounding area, then color them to represent the levels of sensitivity — red being the hottest and most pleasurable areas to blue being the more neutral areas and all the colors in-between. I encouraged you to try this exercise with both a wet hand and a dry hand. I suggest a nice personal lubricant for your wet hand exploration. Spend at least 30 minutes a day for three consecutive days on this home-play. You have a lot of reacquainting to do, don’t cha know. And this is private time; your partner(s) is not invited.

hitachi-magic-wandThe next step in your home-play will include a vibrator. If you don’t already have one, shop for one. There are plenty of suggestions for vibes on my product reviews site: DrDickSexToyReviews.com. (There’s a vast array of pleasure products on that site and all the guesswork has been eliminated. The Dr Dick Review Crew painstakingly reviewed each product so that you’ll be able to see what’s hot and what’s not.)

Now using the pictures you created of your genitals in part one of this exercise, I want you to kick-start that vibrator, throw it into first gear and start making small lazy circles around the blue areas, and work your way to the bright red areas. Do this privately for 30 minutes for three consecutive days or until there was a breakthrough.

The next step is masturbation. You may have tried it before without success, that’s ok. This time you’ll be better informed about all the hot spots of your cooch that you learned in step one. I’m a big fan of full body masturbation. So while you’re diddlin’ yourself spread the sexual energy all over your body — tits, ass, feet, mouth, whatever.Aloe Cadabra

Vary your technique: stroke, pinch, pat, massage, and rub yourself all over. Vary your breathing, gyrate your hips, listen to sexy music, rent some porn, watch yourself in a mirror, or throw in some Kegel exercises. Try a wet hand. Play with yourself in the bath. Hell, dance around naked with a jewel in your navel…whatever it takes.

Many women experience their first orgasm with the help of a vibrator. I encourage you to be adventuresome and experiment with one too. Try a dildo or another sex toy.

Be sure to keep a journal during this exploratory period. This will help you later to bridge the gap in communicating with your partner(s).

Finally, Terri, I want to turn you on to a fantastic website, www.Clitical.com. This is a one-stop shop for all things relating to female sexuality.

Good luck

The Dark Side of Love

Just in time for Valentines Day, I feature an exchange I had with an earnest and, I might add, very nervous young man about a prevalent STI. Our friend is freaking out about genital warts.  I know, I’m such a buzz-kill.

 

Name: Ryan
Gender: Male
Age: 20 something
Location: Lowell MA
A few years back, a friend confided that he contracted genital warts from his ex-girl friend. He had the genital warts on his genitals, anus, hands, feet and in his mouth. His ex-girl friend had it on her hands, in her vagina, mouth, anus and cervix. I can understand having it on the genitals and hands and in the anus, mouth and cervix. I didn’t ask how he got it on his feet.
He went to work in another state, but came back here two years later. He told me he liked a girl he met and would like to bring the relationship into a more intimate level. I asked him about his genital warts. He said he was cured of it. I read that genital warts cannot be cured. That it can be treated, but will remain incurable and contagious although dormant for a while.
Will the girl get it after they had sex? My friend comes to my house very often, drinks beer with my girl friend and me. He uses the bathroom and the hand towel. Even after scrubbing the bathroom and washing the hand towel, can my girl friend and I get the genital warts? As for my friend, was he condemned not to have sex for life? Or, is it safe to have sex if there was no outbreak or external signs?

I’ve seen several bad cases of genital warts, but never a case that included hands feet and mouth. I know that’s possible, of course, but I’ve never seen it. And without a doctor’s diagnosis, a particular outbreak could be something else. That’s why, something like this, needs to be diagnosed and treated properly.

the dark side of love

You are right; technically genital warts remain incurable, though non-contagious, and dormant if treated correctly. And proper treatment is the key. For more information you might consult WebMD.

Casual contact, the kind you describe below — bathroom, towels, etc. — cannot pass on the virus. Transmission is dependent on intimate genital contact. Does your friend (or his GF) have an outbreak going on now? Can you see something on his (her) hands and face?

     I know my friend is a responsible person and he will not knowingly infect me with his genital warts. But, how can he be sure that the wart is dormant and non-contagious? I am now wary because he told me his genital warts were cured. This makes me wonder whether he was given the wrong medical advice or he was just trying to put my mind at ease. Aside from using the bathroom and towels, he also eats dinner at my home and could infect my dishes, utensils, cloth napkins, etc. and pass the virus to me and my girl friend.
This matter has the potential of becoming a dilemma for me and my friendship with him. I don’t want to ask him details such as who is his doctor, what kind of treatment he is getting (it seems the infected person must be tested periodically and the treatment ongoing) and how is he going to determine when he is not contagious. He is a sensitive person and I know that he will get angry if I asked him these questions. I can make excuses not to see him at my house (this only goes so far). If I ask or make excuses, I’d lose his friendship. I don’t want to lose him as a friend. But, I don’t want him to infect me and my girl friend with the virus either, knowingly or unknowingly.
I don’t see any warts on his hands and on his feet (he wears sandals sometimes). I don’t know if he plans to tell the girl he plans to get intimate with.
My girl friend doesn’t know about this. She will freak out if I tell her and that will cause more problems. Help!!!???!!!

If I were you I would ask him about the treatment he received for his warts. That would put your mind at ease. Besides, your friendship sounds like it’s on the brink anyway. And here’s a tip: you probably have lots of casual contact with many other people with genital warts without even knowing it — it’s a very common malady.

     Thank you very much. I think he should also tell the girl about his genital warts before having sex with her. She must be given the option to reject or accept it. I also read that the virus can be passed just with skin-to-skin contact when there is a flare up. Is this true?
I feel bad about this. Although my friend is a responsible person, there is still a chance he could get carried away in the heat of passion and throw precaution and caution to the wind.
I imagine it is difficult to enjoy sex when you have to do and think of many things that could go wrong.      Giving him my sympathy will not help. He alone has the burden of doing what has to be done before having sex to prevent contaminating his girl friend or spreading he genital warts around.
I will appreciate any additional information/clarification/advice you can give me about this.
Thank you again for your help.

Again, genital warts, like herpes, are contagious only when there’s a flair-up. Skin to skin contact can pass the virus at that point. Also, like herpes, if the genital wart virus has been treated, the likelihood of passing on the virus is negligible.

I am of the mind that we all ought to be responsible and up-front with our sex partners about any health related issues that may impact on the health of our partners.

Good luck

SEO Powered by Platinum SEO from Techblissonline
Get Adobe Flash player