Search Results: Sexual Anxiety

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Shape Up Or Ship Out

Name: Bill
Gender: Male
Age: 51
Location: Knoxville, TN
I was listening to one of your Q&A podcasts recently. In it you responded to several women who were in relationships with men they liked (or even loved) but who didn’t sexually satisfy them. Your advice was for the women to tell their men to essentially “shape up or ship out.” Even considering the reasoning you gave in the podcast, is this really the best advice? I’ve heard similar advice from other “sex positive” commentators, which makes it seem that “sex positive” is a synonym for “relationship negative.” It didn’t appear as if any of the women involved were looking for a way out of their relationship, just a way to improve the sexual aspect — and it’s not entirely clear how the approach you suggested would do that. If the men didn’t have performance anxiety, a blunt discussion would almost certainly provoke it. If I remember correctly, one of the women was about my age — early 50s. Surely you must know the ever-increasing difficulty women have finding a happy relationship as they get older, and that a woman must know how lucky she is just to be with a man she likes, even if the sex could be better. Besides, there are probably very few women these days who need to be told they can leave a relationship if they choose. If the women’s sexual complaint had seemed to be just the tip of an iceberg of unhappiness, I could see the efficacy of your advice — but that’s not how their queries came across.

Listen Bill, I stand by my advice. And yes, I think it was the best advice I could give these two women. And ya know why I say that? I say that because had it been a couple of men writing in about the same concern, I would have given them the very same advice. If you are unhappy in your relationship because the sex has dried up then that’s a pretty serious concern in my book.

shape-up-or-ship-outBeing sex positive is not being relationship negative. But, settling for the lowest common denominator in terms of sexual expression is. Here’s another thing I know for certain, by the time someone makes an appointment to see me or writes to me about their sexual complaint, I can be pretty certain that they’ve struggled with it on their own for a long time. This is particularly true for women.

I also want to take issue with your statement: “Surely you must know the ever increasing difficulty women have finding a happy relationship as they get older, and that a woman must know how lucky she is just to be with a man she likes, even if the sex could be better.” So you’re sayin’ older women can just kiss their sexual needs goodbye after they reach a certain age, because the relationship they have is as good as it gets? Is that what you’re sayin? Because, if it is, it’s hogwash! Women of any age don’t need a man to be happy or fulfilled and they certainly don’t need one who to tell them to suck it up and settle for what ya got.

Besides, if I remember my advice correctly, and I think I do, I suggested that my correspondent give her husband the right if first refusal. That means she offers her old man her sexual energy first. If he doesn’t rise to the occasion, so to speak, she’s free to take her sexual energy elsewhere. This strategy takes the pressure off the sexually uninterested partner, it can overcome the disparity in libido between the couple, as well as saving the relationship. No need to throw out the baby with the bathwater, right?

To my mind we do too much “settling for” as it is. Complacency is the real enemy. You got issues in your relationship; hash them out. If your partner won’t join you in that effort he/she is telling you that your needs don’t matter. And when that occurs, regardless of what else you may have in place, your relationship is in its death throws. And you can bank on that!

Good luck

Notching the belt

Hey Doc,

So I’ve asked you a question anonymously before and you were a huge help so here I am again.
My names Mike and I’m 17 years old. For some reason it takes me a ridiculously long time to “finish” with my girlfriend. It’s not her, because this has happened with about 4 or 5 other women before her. It’s an annoying flaw that it takes me about 90 minutes to finish, if I finish at all. My GF and I get tired and eventually just stop because it’s too tiring and just plain tiresome. Is it performance anxiety or something? My first time having sex was anal with a girl, and I have done anal with girls many times before so it was a lot tighter than vaginal intercourse, not sure if that affects anything… I am really tired of lasting so long; I just want to be done when she is, much earlier.

I’ll be glad to answer any questions or anything you might need to know,
Thank you so much in advance, Mike.

finger fuck00445Where to begin, Mike? You’re 17, you’re having performance problems with your GF and you have had with about 4 or 5 other women before her. Holy Cow! you certainly are a sexually precocious lad, aren’t you?

I can’t help but notice a bit of sexual bravado in your message. I don’t know if that’s intended or if it’s more of a subliminal message. Either way, I have a feeling that there is some belt notching goin on here and that may be the root of your problems.

Here’s why I say this. There is nothing in your message that communicates that the sex you’re having is fun, or that it’s play. All I hear is that you’re a young man on a mission. You want to get off in a timely fashion and you’re currently being frustrated in that pursuit. You sound so goal oriented and your sex sounds like a task, rather than a playful adventure.

Us men folk get like this sometimes; and we’re the poorer for it. We’re all about solving a problem instead of enjoying the moment. The curious thing about this is that enjoying the moment is often the best way to solve a sexual performance problem.bryan_tony_box

When I hear men and/or women talking about their sex life like it’s work, I know there will be problems ahead. And you, Mike, sound like your sex is way more work than fun. If you were a sex worker or a porn star, I’d understand your predicament. But I suspect that you are neither a sex worker nor a porn star. You are, however, a young man who has, for one reason or another, scuttled all the joy and wonderment from your sex play. And that, my friend, is a crying shame…and at your tender age too. How do you suppose you’ll behave when you’re an old man of 25?

This path you’re on will continue to lead you into a sexual wilderness. You will become increasingly frustrated in your efforts to cum “on time”…and I use that term in quotes, because you’re all about bangin’ something rather than pleasuring and being pleasured by someone.

The comment you make about the difference between butt sex and pussy sex also tells me a lot about the kind of tightness you need to get off. I’d be willing to guess that you have a death grip on your johnson when you wank; am I right? Obviously your average asshole is a tighter orifice than your average pussy. But, if you were really turned on and enjoying the mutual pleasure available to you and your partner, instead of worrying about busting your nut during the fuck itself, you could jettison all those “shoulds” you have when you’re supposed to be enjoying yourself in the company of your lover.

beltWhy not stop what you are doing and take a look at why and how you are doing it. You may surprise yourself with what you find. And if you are man enough, have a heart-to-heart chat with your GF and get her feedback on what she encounters when she fucks you. Again, I’d be willing to guess she’d have some timely advice to offer you on how to fuck and get fucked.

Good Luck

5 Ways to Make his Cock go from LIMP to LIVELY

Erectile Dysfunction (ED) means your man can’t get it up or keep it up during sex. Many men suffer from this condition — approximately 30 million men to be exact. To explain what causes this, let’s review the basic anatomy of the penis and what happens during an erection.

erection

The penis has four main parts: glans (the head), corpus cavernosum and corpus spongiosum (the shaft), and the urethra (the hole that you urinate or ejaculate from). When a man is aroused from sexual thoughts or direct stimulation, nerves and hormones work to cause the muscles in the penis to relax and the corpus cavernosum and spongiosum will fill with blood causing the shaft to get hard — an erection. Another set of muscles cuts off the blood supply when the penis is erect to maintain its hardness. Once he orgasms, the blood will drain and the penis softens.

So what causes erectile dysfunction? There’s more than one answer. Taking prescribed medications to control blood pressure, allergies, anxiety, depression, peptic ulcer disease and or your appetite can lead to ED as can aging, and being depressed. Chronic illnesses such as diabetes, high blood pressure, or high cholesterol which can lead to poor blood flow to the penis can cause a penis to be limp. Drinking too much alcohol, smoking cigarettes, doing illegal drugs, even being too tired, having relationship problems, being stressed out about work or being anxious can cause this problem.

Any type of damage to the penis, nerves, and arteries that help maintain his erection can also lead to ED. The good news is that ED can be treatable. Just talk to your doc — an urologist. They will do a history and physical and order lab tests. If embarrassment has caused you to turn to the Internet for treatment options, be warned that this can be dangerous. You just don’t know what is in the medications that you get from many online sites. Before you turn to medications or even surgery to fix this problem, let’s discuss some ways to cope with a man who can’t get or maintain an erection NATURALLY.

  1. Make him do more Cardio exercises. He needs only 30 minutes a day. This will boost his testosterone. He may also lose weight, which can help the testosterone to work better. Testosterone is one of those important hormones that work to get an erection. Exercising also reduces stress and increases blood flow — all factors that can help! Read all about sex hormones HERE!
  2. Cook for him. There are nitrates in leafy greens, lycopene in tomatoes, and zinc in oysters. These essential nutrients will help keep his penis erect. Diet is so important. Read all about sex and food HERE!
  3. Have more FOREPLAY with him. Try oral sex. And remember, oral doesn’t just mean the penis. Play with his nipples or the back of his neck. KISS him more. Add sex toys in the bedroom BUT make sure they are smaller than his penis. Read all about foreplay HERE!
  4. Purchase a vacuum penis pump. This fun device will draw blood into the penis to help get it erect. If you have an increased risk of bleeding, have sickle cell anemia, or other blood disorders, this is NOT for you. And be careful — if not used correctly, this can cause bruising. Read all about penis pumps HERE!
  5.   Try using a cock ring. Once you get the penis erect, this sex toy will keep it that way.  Read all about cock rings HERE!

You should also make sure your man gets his diabetes, cholesterol, and/or high blood pressure under control. Quit smoking. Make sure he doesn’t drink alcohol or do hard drugs. Find ways to reduce his stress and anxiety. Make sure he is getting enough sleep. Get help if you are suffering from depression. Ladies (and guys) try not to be discouraging. You both will overcome this.

Good luck

Homophobia linked with psychoticism and dysfunctional personality traits

By

Gay pride london

People taking part in the annual Pride in London Parade on 27 June

Homophobic attitudes have been linked with psychoticism, a psychological trait present in several severe conditions that can also contribute to heightened states of hostility and anger. Researchers say this is the first time psychological and psychopathological characteristics and the prediction of homophobia have been assessed.

Led by researchers at the University of L’Aquila in Italy, the team asked 551 university students, aged between 15 and 30, to complete several psychometric tests to examine the psychological factors that could correlate with homophobia. Using questionnaires, they assessed homophobia levels, psychopathological symptoms, defence mechanisms and attachment styles.

“Homophobic behaviour and a negative attitude toward homosexuals are prevalent among the population,” they wrote in The Journal of Sexual Medicine. “Despite this, few researchers have investigated the psychologic aspects associated with homophobia, as psychopathologic symptoms, the defensive system, and attachment styles.”

Researchers found that people who scored highly on the psychoticism tests were more likely to have homophobic attitudes. This was also true of those who have immature defence mechanisms – which are the coping techniques helping people reduce anxiety produced by threatening people or uncomfortable situations. People who have immature defence mechanisms tend to be difficult to deal with. Finally people who have a fearful style of attachment, in that they find it difficult to form attachments, were also more predisposed to homophobic attitudes.

In contrast, the findings showed people with depression, neurotic defence mechanisms and a secure style of attachment had a lower risk of being homophobic. “If we suppose that subjects with a high level of psychoticism perceive external reality as a threat and project their anger, for example, against homosexual people, people with depressive traits could direct the anger mainly at themselves,” they suggest.

Concluding, the team say homophobia is a huge social problem involving specific personality features in subjects. They said the findings highlight a “remarkable association between dysfunctional aspects of personality and homophobic attitudes” and that this association could lead to victims of homophobia. “Moreover, our study follows a controversial issue regarding homophobia as a possible mental disorder, and it also discusses the possible clinical implications that cross inevitably into the area of psychiatric epistemology.”

Lead author Emmanuele A Jannini, president of the Italian Society of Andrology and Sexual Medicine, said: “After discussing for centuries if homosexuality is to be considered a disease, for the first time we demonstrated that the real disease to be cured is homophobia, associated with potentially severe psychopathologies.”

 Complete Article HERE!

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.