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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!

Don’t Try This At Home

And now for a couple of very disturbing questions…

 

Name: Abe
Gender: Male
Age: 31
Location: NV
what will happen or is there any side effect if i put a single ball in the ass, but won’t come out?

Abe: let me ask you a question: Do you think your rectum was designed to hold man-made spherical objects? Leading doctors say NO.

All kidding aside. What the fuck were you thinking? Were you loaded on some substance or just bored to death? And why didn’t you include your email address so that I could actually respond to this pressing inquiry in a timely fashion?

By now you’ve either shit out the ball or you took your sorry ass to the hospital to have it removed.

Sex fans, NEVER, and I do mean NEVER put anything in your ass that you don’t have tethered to something that will not be going in your ass. You’re just asking for serious trouble if you do.

dont-try-this-at-home

 

Name: Sandy
Gender: Female
Age: 45
Location: California
During sex, I got an object stuck in my rectum. It went past the small outlet in the top of my anal cavity. To be honest, I’m scared. I cannot “fish it out.”  It is up past the holding area. We were using a hangable broom handle (plastic), which has a tip on it for hanging. I keep a rubber on it so it won’t come off in me, well the rubber broke; the lube I used caused the breakage. So what can I do? The tip/cap/hanger thing is as wide as a broom and about a half inch deep, but has the capability to act like a suction cup if it gets stuck. Next time I will make an air hole so it cannot get adhered in me. But how can I get it out? I have no insurance, so I cannot go to the DR. Help!

Sandy, I sincerely hope you haven’t been waiting patiently by the computer all week waiting for my response.

Again, this person didn’t include her email address with her query, just like Abe above.

This distresses me no end! There are so many things wrong here; I simply don’t know where to start. You’re 45 years old and yet you don’t know better than to fuck yourself with a broom handle? Holy cow! And you are using an oil-based lube while you have your broom handle, with its plastic hanging doohickey rapped in a latex condom? My god, teenagers know better than that.

And what is this about NEXT TIME you’ll make an air hole so it cannot get adhered in you? Are you completely out of your mind? If this one extremely embarrassing, if not downright dangerous stunt hasn’t taught you a lesson; then I suppose there’s no hope for you.

Like said to Abe above — By now you’ve either shit out the thingy in bum or you’ve taken your sorry ass to the hospital emergency room to have the object removed.

NEXT!

If that don’t beat all!

Hey sex fans!

A new edition of Product Review Friday is on tap for today. This week we feature a third product from the creative minds at Zini. A couple of weeks ago we reviewed a couple of male-oriented toys from their extensive line. Today it’s a unisex vibe that is being marketed to couples.

Here are Dr Dick Review Crew members, Jack & Karen, to show and tell.

Zini Donut —— $145.99

Jack & Karen
Karen: “There’s no getting around it, the Zini Donut is a winner!”Zini Donut
Jack: “Nothin’ like spilling the beans right out the gate, huh Karen? I thought we were gonna build up the suspense a bit first. You know, tease our audience with some of the particulars before we pass judgment.”
Karen: “Yeah, I know. Sorry! It’s just that I’m so jazzed about this product. I simply couldn’t help myself. Just look at it; it’s so adorable. I’ve never seen anything like it. It’s fun, it’s functional, and it resembles one of my favorite foods.”
Jack: “So now that you know we absolutely love the Zini Donut, maybe we better double back and tell you what it is and why we like it so much. I’ll bet that you can tell by the name that the Zini Donut is shaped like a doughnut or bagel if you prefer. It’s about the same size too. It’s very unassuming when you see it sitting in its box, in fact you’d never guess at its versatility by just looking at it.”
Karen: “That’s why I was so wowed by the Zini Donut. Opening the stylish gift box, which by the way, makes for a beautiful presentation, the Zini Donut sits in its plastic shell. I went, ‘OK, that’s nice, I suppose, but what the heck is it?’”donut_02-1
Jack: “We knew we were in for a treat at first touch. The Zini Donut has a skin of silky silicone. And as you know, silicone is latex-free, nonporous, phthalate-free, and hypoallergenic. It’s our favorite sex toy material. Once out of the box we began to realize its potential. The Zini Donut is actually an amazing C-shaped vibe and both ends of the thing vibrate with independent motors, but they vibrate in unison. The shape has a bit of give to it so that I can easily fit it around my cock, for example. I can position it around the base of my dick, like a cockring, or at the head of my dick to stimulate my frenulum. I can even use it like a stroker. But, just out of the package, the ends of the vibe are fit snugly into a matching cuff, thus making the doughnut shape. What a brilliantly innovative concept!”
Karen: “And I can use the Zini Donut internally, which provides hands-free intense simultaneous stimulation to both my G-spot and my clit. Just be aware that, despite its flexibility, it immediately resumes its C shape. This creates a clamping sensation that may be too much for some women, but I love it. At the same time, the clamping action is ideal for use on either side of my clit and/or nipples. It can just as easily be used anally, providing P-spot and perineum stimulation simultaneously. The truth is that the Zini Donut can be use anywhere on the body to stimulate your naughty parts or soothe away muscle tension or a headache.”
Jack: “I know that there are still a lot of guys out there who resist the idea of vibrator use during partnered sex. And most of you guys resist because you have an outmoded notion about what vibrators look like. I know because I used to be one of those guys. I didn’t want Karen using a phallic shaped vibe to pleasure herself while we were having sex together. But then I was introduced to the vast array of couple oriented vibrators that don’t look like a cock, and I was sold. The Zini Donut is one such vibrator.”donut_03
Karen: “Jack already mentioned the dual motor. Their harmonized system of vibration offers 4 intensity levels and 15 distinct pulse patterns. The 3-button control panel is very easy to operate although it does take some finger pressure. There’s a (+) button that turns on the vibration and escalates the intensity, and a (–) button that deescalates the vibration intensity and turns it off. The (0) button, between the other two buttons, cycles through the pulse patterns. And this thing is super quiet; I mean, really, really quiet. It provides more of a buzzing sensation than a rumbling sensation, if that means anything to you.”
Jack: “The Zini Donut is both completely waterproof and rechargeable. It’s perfect for bath and shower use. There’s a tiny dimple near the top of the vibe, which serves as the recharge port. You insert the recharging USB cable there. When you withdraw the cable, after the charge, the dimple closes and creates a watertight seal. This is one of my favorite ways of recharging a toy. I like it better than a recharging stand that other high-end vibes are offering these days.”
Karen: “Because the Zini Donut is waterproof and made of silicone it’s super easy to clean. Mild soap and warm water does just fine for everyday cleaning. But you can also wipe it down with a lint-free towel moistened with peroxide, rubbing alcohol or a 10% bleach solution to sanitize for sharing. But get this; we wanted to see how well this thing was made so we dropped it into a pot of boiling water for a couple of minutes to actually sterilize it. It stood up that like a pro. Then we ran it trough the dishwasher and that didn’t phase it either. This thing is made to last.”
Jack: “Remember, you can only use a water-based lube with a beautiful silicone toy like this. A silicone-based lube would mar the finish, and you certainly don’t want that.”
Karen: “Besides the beautiful gift box there is a sweet little drawstring storage pouch that is perfect for travel. For those of you who might be thinking that the price tag is a bit steep, let me remind you that you are paying for quality—design, engineering, and materials. And you’ll never have to buy batteries. The Zini Donut is, as I already said, gonna last. I am so stoked about the innovative design, its power, and how quiet it is. It gets my highest recommendation.”
Full Review HERE!

ENJOY!

My Oh My

Q&A with an international flare!

Name: Devin
Gender: Male
Age: 25
Location: India
My foreskin cannot be drawn back the dick head, is it normal? Does it in anyway hinder the growth in length of the penis?

Nope, your tight foreskin will not hamper the growth, in the length, of your cock. In fact, darlin’, by age 25 you have all the dick you’re gonna have. You’re well past puberty, Devin, so there’s no more dick-growin’ in your future. I can assure you of that.foreskin

As to the tight foreskin issue, I am of the mind that uncut men need to pay particular attention to cleaning their cock. If you’re not careful to completely retract your foreskin over your dickhead when you shower or bathe; you will have a problem with smegma buildup (that’s that cheesy lookin’ stuff under your hood) and its accompanying odor.

Poor hygiene can also contribute to other, more serious concerns, like phimosis. The popular wisdom about cleaning under your foreskin is that soap is unnecessary. A full rinsing with warm water should be sufficient. If soap is desired, one ought use a very mild, hypoallergenic soap for this delicate area. Ether way, fully retracting your foreskin is essential. I’d also encourage you to retract your foreskin fully when you take a leak. That way you won’t have that unpleasant pissy smell about you.

If you need information on how to stretch your foreskin, use the search function at the top of the sidebar to your right. Type in the key words: “stretching my foreskin,” and Presto! You’ll be presented with all my posting and podcasts in which I address this important issue.

Good luck

Name: Louise
Gender: Female
Age: 18
Location: Bristol, UK
Why do guys get such a thrill by “cumming” on their partner? Several times I’ve ended up with sperm on my stomach, boobs, or face because a guy decided that would be fun to do and pulled out at the last second. Is that meant to degrade me?

Louise, let’s talk turkey. Or gravy, as it were. Boys are like any other haired beast instinctively programmed to smear their bodily fluids all up and down their territory.

moneyshotYa see, us boys think all the world is as enamored with our spunk as we are. And so we think we’re doing everyone a big favor by spreading our baby batter all around. We’re particularly fond of getting as much of our joy-juice on our partners as humanly possible; and the messier we are doin’ it the better. We’ll tell you that we do this because we love you and we just whipped up this tasty little batch of seed just for you. But of course, that’s simply bullshit.

What we’re really doing is marking you as part of our territory, just like I said above. Did you ever notice how pleased with himself a male dog is when he’s blissfully lifting his leg to pee on everything in sight? I’d be willing to bet you’ll see a similar shit-eatin’ grin on your BF face as he merrily pops a nut on your tits.

The upside of this is that our little nut concoction is heavily laden with protein, so you’ll not find a better skin emolument. Just make sure he doesn’t get any of his spooge in your eyes, cuz that shit burns!

Good luck

What do you think about sex work?

Ravishly invited me to contribute to an online conversation they are sponsoring on sex work.  They allowed me 500 words.

The Conversation is in the lower right-hand corner of their site.

ravishly

The question posed:

 

Is female sex work empowering or enslaving?

Current and former sex workers, a clinical sexologist (me), a lawyer, an author-activist and a community advocate debate the sex work industry.

My contribution is titled:  Sex Work Is!

I invite you to take a look at all the contributions and add your thoughts.

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