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The Heartbreak of Male Performance Anxiety

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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!

Your Cock; A Complete Owners Manual (abridged)

Name: Hector
Gender: male
Age: 17
Location: Tujunga, CA
I’m afraid my penis isn’t right. I worry because it doesn’t look like other guys. For one thing I’m a lot smaller. I’m afraid to have sex or show my penis. Is there any way for me to know for sure? I hope to hear from you because this is making me real nervous. Thank you.

first-life-form-with-a-penis-humor

I’d chill out, if I were you, Hector. Lots of guys your age mistakenly think there is something wrong with their unit, when actually their willie is quite normal. This heightened concern, as you suggest, can lead to anxiety or even a complex about one’s cock size and shape. You don’t really give me much to go on as to why you think your pinga is not like the other guys. That leads me to think you don’t really know all that much about your package in general. Do you? I mean, who are you comparing yourself to anyway?

Since I don’t have a lot of information to go on, I suppose we oughta start with some essentials. Here’s Part 1 of my primer — Your Cock; A Complete Owners Manual (abridged). That’s supposed to be funny, BTW.

We all know that there are big ones and little ones, fat ones and skinny ones. Some are bobbed; some are whole. Some curve and bend; some are straight as an arrow. Some have a mushroom cap; some sport more of a helmet look. Some grow; some show. And they come in a veritable rainbow of colors.

Despite the amazing diversity, there are lots of things that each of our members has in common with everyone else’s. The average length of a flaccid cock is 3.7 inches with a diameter of 1.25 inches. The average length of a hardon is 5.1 inches, with a diameter of 1.6 inches. If you are over the age of 17, you pretty much have all the cock you’re gonna have. That’s not to say that as we age and as our muscles slack, our pal won’t hang a bit differently than when we were a young buck. But there’s not gonna be significant change in length or girth after puberty is done with us. Keep in mind that all this stuff is determined by genetics and heredity, like your overall body type, the color of your eyes, your hair pattern, and how tall you are. So the likelihood that any guy will add even one permanent inch to his dick either in length or girth, without surgery, is about as likely as him adding even an inch to his height.

The head of your dick is called the glans. (It’s the thing that can be shaped like a mushroom or a helmet.) It is made up of soft tissue called the corpus spongiosum. Just below the glans, on the underside of your cock is a waddle of skin called the frenulum. This puppy is chock-full of nerve endings that make it ground zero for dick-centered pleasure.

Male_anatomy

All uncut (uncircumcised) men have a prepuce, or foreskin that covers and protects his dickhead. Cut (circumcised) men don’t, because it has been surgically removed. If you are lucky enough to be intact, your foreskin is a highly specialized, sensitive, and functional organ of touch. No other part of the body serves the same purpose. Please note: circumcision actually removes 50% of the skin of a guy’s dick.  And who among us would choose that if we were allowed to choose?

You know the old adage, “Use it or lose it”? They may have had a penis in mind when that maxim was coined. Researchers agree — erections are good for you. 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. You can see how a healthy circulatory system is vital to a vibrant sex life. An oxygen-deprived cock will build up a kind of plaque in your cock, which resembles scar tissue. This will cripple your rod (Peyronie’s disease) or rob you of your wood altogether.

penis mesureI also want to alert you of some startling new data that came out of recent research about masturbation. Australian researchers questioned over 1,000 men who had developed prostate cancer and 1,250 men who had not, about their sexual habits. They found those who had ejaculated the most between the ages of 20 and 50 were the least likely to develop prostate cancer.

The protective effect was greatest while the men were in their 20s. And get this; men who ejaculated more than five times a week were a third less likely to develop prostate cancer later in life. But let’s not get off topic too much.

The other big part of your package is the family jewels. We mind as well take a look at them too while we’re at it. Your nuts (testis) and the sack (scrotum) they’re housed in are an evolutionary marvel. Your testicles are about 4°F cooler than your core body temperature. Lucky for us, this is the ideal climate for healthy sperm production. 90% of the male hormone, testosterone, is manufactured in our balls. Evolution has even provided that one nut, generally the left, hangs slightly lower than the other. The lower nut will also be slightly larger. I suppose this keep them from knocking into each other so much.

Ok so you think the outside of your junk is pretty impressive, well you ain’t seen nothin’ yet! Here’s where things get really interesting. First, there is no “bone” in your boner. Don’t laugh! Humans are one of the few mammals (horses, donkeys, rhinoceros, marsupials, rabbits, whales and dolphins, elephants and hyenas are the others) that don’t have a penis bone. Most males of our species have a unique bone called baculum in their penis. The baculum is designed for speed fucking. Sliding a bone in and out of a sheath is much faster than waiting for hydraulics to kick in. This enables our mammalian relatives to spend very little time actually mating. Which is, after all, a vulnerable position for them to be in.happy penis

If there’s no bone in there what make our dick hard? Good question. 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.

There are several points of interest in and around your balls too. I already mentioned your urethra, which stretches from your bladder to the tip of your dick. It carries your piss and cum, but not at the same time, I’m happy to report. Your prostate is an almond shaped gland that sits between your bladder and the root of your dick. Slightly in back of that is a pair of glands called the seminal vesicles. These tubular glands open into the vas deferens as it enters the prostate gland. They secrete the lion’s share of your spooge (ejaculate) about 70% to be precise. Most of us have two vas deferens tubes to correspond to the pair of ball (testicles) most of us have. These convey your mature sperm, the ones that have been comfortably relaxing in the epididymis, which is a tube filled mass at the back of each of your balls.

To conclude, the average male, between the ages of 15 and 60 will ejaculate 30 to 50 quarts of jizz (semen), containing 350 to 500 billion sperm cells. How amazing is that?

Good luck

A Very Surprising Gift

Name: Shauna
Gender: Female
Age: 38
Location: Des Moines, IA
I work with this really terrific girl, who’s around 10 years younger than I am. Lately, even though I am happily married, I find myself awkwardly attracted to her. I am actually masturbating while fantasying about her. Like I said, I am married to a great guy and I don’t want to hurt him, but I have to get advice on this. I’m so confused.

Anytime there is a noticeable change in one’s eroticism, regardless at what stage of life it happens, the shift can be a bit disconcerting. Here you are, a mature, confirmed, card-carrying straight married lady who has an unanticipated crush on a much younger female coworker. That can’t be sitting very well in your buttoned down world there in the heartland, huh?Lesbian Bed Death2

I suppose you could view this as a major problem or you could accept this as a gift. That’s right, a gift. This surprising event, even at your seriously advanced age of 38, indicates to me that you’re still growing. Personally, I think that’s wonderful. The fates have gifted you with this sweet, young sexy female muse. You can either reject the fates and deny yourself, or embrace this opportunity to explore the yet uncharted areas of your sexuality.

Even if you never act on your same-sex sexual impulses, I think it’s safe to say you are finally encountering your latent bisexuality. Don’t be too surprised by that; most all of us are naturally bisexual in one fashion or another. Unfortunately, our sex-negative society discourages and disallows these very natural tendencies. So when they pop up, as often they do, we are usually unprepared to acknowledge them, let alone accept and welcome them. Will you cave to the pressures of the popular culture, or buck the social trend? I’m in no position to guess. All I know is that this relatively benign sexual adventure could be an opportunity to expand your sexual options.

Like I said, there are several ways to proceed. You could deny yourself the adventure and sublimate your desires. I don’t recommend this, because it rarely works. Healthy, natural feelings like the ones you’re having can fester and embitter the one practicing the self-denial. Another option is to go with the fantasy, enjoy it for what it is worth. Keeping your bisexual proclivities fantasy material allows you to remain safe and pretty much maintains the status quo. Then there’s the option of pursuing your fantasy and making it a reality. Obviously, this option carries the greatest potential for disrupting your life.

Wild girls wild nightsIf you choose the path of keeping your bisexual urges a fantasy, you might want to pursue them to see if you are attracted to other women. You could do this through reading some hot lezzi-themed erotica, or checkin’ out some swell (authentic) Sapphic porn. If you discover you are not interested in other women, but that you only have a jones for your charming coworker of yours; you may be a situational bisexual. Regardless if you are a “real” bisexual or a “situational” bisexual, imagine the fun you’ll have with your little secret. My only caution would be to treat your coworker the way you would treat any other coworker you might have a crush on — the best thing to do is; do nothing. Workplace flings, of any stripe, rarely turn out happily. And of course, you also have your marriage to consider. Fantasies are fine as long as they don’t fuck up your real-life relationships.

One other thing, don’t automatically assume your husband would be put off by your newly awakened sexual tastes. That is if you ever get around to telling him. It might actually be a big turn-on for him too. Most straight guys get off on the idea of two women together. Some husbands encourage their wives’ occasional bisexual encounters for this very reason. Your husband may even be interested in a threesome with you and another woman somewhere down the line. Again I advise that it not your coworker, though.

In the end, this is an exciting time for you, Shauna. Is it challenging? You betcha! But it’s also very rewarding.

Good luck

10 Reasons Why Women Lose Their Libido

Ladies, libido means sexual desire. Women having decreased libido is one of the most common complaints I hear in the office, especially for those stressed out supermoms. Trust me – you’re not alone, ladies. It is estimated that more than 40% of women experience some sort of sexual dysfunction in their lifetime. Here’s why, and what you can do about it.

Dried Rose On Old Vintage Wood Plates

Female sexual dysfunction can include problems with desire, arousal, achieving orgasm and sexual pain that causes significant distress in your life. More specifically, decreased libido is when you don’t want to engage in any type of sexual activity, including masturbation, and you don’t want to have any sexual thoughts or fantasies. Sound like someone you know? Let’s review some reasons why you may not want to have sex with your significant other:

1. Bad Relationship.

Fighting with your partner is an easy way to kill your sex drive. When you are angry or hurt, sex is the last thing on your mind. Fix your relationship — go to couples’ therapy.

2. Stress.

It doesn’t matter where the stress comes from, all of it can cause your libido to drop. It doesn’t matter if you’re stressed out from financial problems, from trying to get pregnant, or from worrying about your job – it all negatively impacts your libido. Stress can also lead to you being fatigued, which worsens the problem. Find ways to chill out ladies – I mediate daily to deal with stress, and that might work for you, too.

3. Alcohol and Smoking.

Both of these drugs have been shown to decrease sexual desire and satisfaction. While alcohol in moderation is okay, when you binge drink, sexual dysfunction starts to occur. On the other hand, any kind of smoking is bad – just quit!

Easier said than done, right? You have to know why you are smoking. Substitute that why with something else. For example, if you smoke because you are bored, instead of lighting up go to the gym.

4. Mental Illness.

Mental conditions such as depression and anxiety can also cause your libido to drop. Talk to your doctor and get treated. Sometimes medications used to treat these conditions can also cause a drop in libido – but not every medication does, so talk to your doctor.

crying girl

5. Birth Control.

Hormonal birth has been shown to decrease testosterone in your body, which could lead to a lowered libido. This is because testosterone is one of the hormones that makes you horny.

Other medications such as antidepressants, anti-seizure meds, opioids, medical marijuana, antihistamines, and hypertensive medications can also decrease your sexual desire. Talk to your doctor about switching your medications if you think any are giving you a problem. Your healthcare provider can also potentially switch you to a non-hormonal birth control option, like the Paragard IUD.

6. Trauma in your Past.

Negative sexual experiences in the past can cause issues with decreased libido. Women who were raped or have been victims of domestic violence may, understandably, have issues here. Going to therapy to work through your pain can help.

7. Poor Body Image.

In a world full of fake butts and boobs, it isn’t hard to image women struggling with their body image. Not thinking you are sexy enough can cause your sex drive to plummet. If you don’t like something about yourself, change it – in a healthy way, of course. Eat clean, drink water and exercise – though, keep in mind that a lot of times this is something that you have to work out in therapy.

8. Medical Conditions.

Medical illnesses such as diabetes, hypertension, thyroid disease, congestive heart failure, or cancer can all affect libido. They can alter hormones that have an impact on your sex drive. Proper treatment of the underlying disease can often improve libido.

9. Pregnancy and Breastfeeding.

Hormones fluctuate during pregnancy and breastfeeding, which can decrease your sex drive. Being pregnant can cause you to be tired and not feel sexy, which certainly doesn’t help your libido! Do your best to focus on intimacy with your partner — also, when you have the baby, get help. Let those grandparents help out with babysitting!

10. Aging.

In menopause, estrogen levels drop drastically because the ovaries aren’t working anymore. Low estrogen causes, among other things, a dry vagina, which makes sex painful. This can lead to decreased sexual desire. Arthritis in the aging population can make having sex less fun. When vaginal dryness makes sex uncomfortable, use lubricants (try a free sample of Astroglide Liquid or Astroglide Gel, which temporarily relieve dryness during intercourse). Some women find using vaginal estrogen also helps.

Complete Article HERE!

I am slightly paranoid about being a clean bottom

Name: Carl
Gender: Male
Age: 45
Location: Seattle
I am a 45 year-old gay man who has not bottomed in over 15 years (which included a 10 year monogamous relationship). I am interested in doing bottoming again. However, I am worried about my cleanliness and smell. As a top, it never bothered me that much with my bottom partners, and it was rarely a problem. I never asked them if they prepared ahead of time.

I am slightly paranoid about being clean as a bottom. Should I use an enema, and if so, with what liquid? How does diet help? I am basically vegetarian, although will occasionally eat meat if it’s served to me (no pun intended). Obviously, this apprehension will not help when the time comes because I’ll likely just tighten up. I know this based on past experience.
I could go on with other details but will stop here and see about your reply.

Thanks!

Hey Carl,

Worrying about stuff is just about the best way to mess up a sexual experience of any kind. But I’m sure that you know that already, huh? This is particularly true for someone reacquainting himself with the pleasures of being a bottom.

I’ve written and spoken extensively about this very thing. I’d like to direct your attention to the CATEGORIES section in the sidebar of my site. It’s a pull-down menu. You will notice that the second category is ANAL. Under this is a whole bunch of subcategories. Click on any one of those you will be taken to all the posting I’ve made on that particular subject. Of particular interest to you would probably be my tutorial for being a good bottom: Liberating The B.O.B. Within.

In terms of douching, warm water is all you need. Never use soap. Some people add lemon juice or vinegar (1-2 Tbs per quart) of the warm water. Others dissolve (2 Tbs) of baking soda in a quart of warm water.Ergo Speed Douche

Stay away from commercially produced douches, most contain harmful and irritating chemicals. And trust me, you don’t want that. Besides, commercial douches are expensive and all that packaging is definitely not Eco-friendly. And we all want to be green sodomites, don’t we?

Finally there is always the ever-versatile shower or bath bidet option. You can find one model, the Ergo Speed Douche, in My Stockroom. Look for the Dr Dick’s Stockroom banner in the sidebar of my site.  (Everyone here at Dr Dick Sex Advice is a big fan of the Perfect Fit Brand line of adult products.)  Look for our review of the Ergo Speed Douche HERE.

I also know that a vigorous fucking will introduce more air into a bottom’s rectum expanding it and making for that “OMG, I gotta take a dump” feeling. So take it easy the first few times you get back into the saddle, so to speak, as it were.

Diet can indeed make a difference in the composition of your shit and how you and it smell. But, that being said, you have to realize your bowels are working properly when they eliminate waste from your body, so don’t try and mess with that. And just so you know, there are often some unpleasant side effects to rootin’ around in someone’s hole, regardless how fastidious the bottom is about his hygiene. So why not just relax and if there’s a little mess, clean it up with some soap and water. Its not the end of the world.

Good luck