Curing Performance Anxiety

Performance Anxiety in the bedroom is a common and powerful blocker of enjoyment and can actually destroy an otherwise good relationship. Here I want to address Performance Anxiety (PA) as it effects men, or in other words PA as a leading cause of Erectile Dysfunction. Women too of course, can be effected where PA gives rise to a condition known as vaginismus. But I will talk about that another day.
PA as a leading cause of erectile dysfunction or impotence can literally happen overnight. All it takes for PA to give rise to a lifetime of erectile dysfunction is just one single mishap. It could have been too much to drink, or maybe just a throwaway comment about your size or preparedness for intercourse, or perhaps it was a new relationship that you were worried about, the smallest thing can give rise to a single "failure" leaving a man wondering about his potency forever thereafter.
Do you see, for an erection to develop there must be no distractions whatsoever. What is required is pleasure, desire, arousal and excitement. With these emotions running high the blood supply to the penis increased and the man has an erection. It's like magic. Questions in the mind like is it hard enough, is it long enough, will I put it in now - any little niggling doubts at all will kill off the magic and erection process stone dead in the water.
And, another thing to remember. It is not your fault that this is happening and it is not her fault that its happening and it is very important that that be made clear and that you discuss it between yourselves. There is no room here for any blame games. Once negative thoughts begin to invade the bedroom it is extremely difficult to banish them. The thing can become a self-fulfilling prophecy and a vicious circle all rolled into one.
So what is the remedy doc? Today we are lucky -- we have two choices. Twelve years ago, we had only one. Which you choose depends on your circumstances. It does not necessarily have to be one or the other either, a little of both can also be very effective. Remedy number one is predominately for couples in a stable relationship and remedy number two is predominately for men not in a steady relationship.
Number one: Stop performing. If you, the man, are not expected to perform then you cannot have performance anxiety. This may take a week or two of practice of course but you the woman do all the pleasuring creating an erection and allowing it to die down until you are eventually confident enough with this. Now kneel over your partner, one knee on each side and place his penis in you vagina. Over the next few weeks move along from there. A sense of humour might also help.
Number two: Ask your doctor for a prescription for tadalafil 20mg. Take one a day for a few days. Then take on only on day you expect to be having intercourse. These should give you PA resistant erections and return your confidence such that you will not need to take them all the time. Please visit my website for more information and help.

Dr Andrew Rynne
http://www.doctorrynne.com

Dr Andrew Rynne is a medical practitioner and writer. He has thirty years experience in treating Sexual Dysfunction but most particularly Erectile Dysfunction and Premature Ejaculation.

Erectile Dysfunction

Nothing works for my Erectile Dysfunction; am I now stuck with this condition for life?

Quite simply, the answer to this is an unequivocal no. In today's world, with a wide range of treatment methods available, no one should ever feel that there is no solution for their own particular type of Erectile Dysfunction. In younger men, it can sometimes be that their performance anxiety is so entrenched that even large doses of Viagra, Cialis or Levitra will not provide a cure.
However, for these men there are sex strategies that they can adopt that, with a bit of practice, can yield very satisfactory results. Where this is not possible, there are other, lesser-known medications that will bring about a satisfactory erection no matter how anxious they may be.
The situation can be very similar in older men. For example, in post-prostatectomy cases, Viagra and similar drugs will seldom work. However, these men also can benefit from alternative medications in the form of gels or via painless injections.
This also applies to men with spinal cord damage, advanced Multiple Sclerosis, Parkinson's disease, stroke or coronary artery disease.
The main message here is that despite your natural and, completely understandable concerns, there is always a solution and all that is required is the right specialist with a dedication and a willingness to help you find the right one for you.
This is critical however. You must fully understand your own erectile dysfunction and what is causing it and this is where a specialist professional comes in. You need to have the exact cause of your unique ED pinpointed and only a doctor with a specialist interest and training in this subject can do that for you. Understanding your own erection problems is part of the cure and diagnosing the cause is central to proper treatment.

Dr Andrew Rynne. http://www.doctorrynne.com Dr Andrew Rynne is a medical practitioner and writer. He has thirty years experience in treating Sexual Dysfunction but most particularly Erectile Dysfunction and Premature Ejaculation.

Pain During Intercourse. Painful Sex. Dyspareunia.

Pain During Intercourse. Painful Sex. Dyspareunia.

Not being able to enjoy intercourse due to pain can put a real strain on your daily life, as well as your sex life, and before too long this can spiral into a major problem. Indeed you may well feel that you'll never find a cure for this. It can make a woman feel utterly inadequate and miserable. Her sex partner also will often incorrectly blame himself and this can make matters even worse.
Dyspareunia takes a great deal of patient analysis. It is very important that the doctor or therapist is clear in their mind as to when and where the woman experiences pain during intercourse. It is easy to feel that no one fully understands what you are going through, or is prepared to take your dyspareunia seriously. There usually is no quick fix for your problem but with proper history taking and careful consideration a solution can be found.
The key to fixing dyspareunia is making the correct diagnosis. Dyspareunia, or pain during intercourse can be caused by either something inside the vagina or outside in the pelvic organs. Inside the vagina some common causes are:
Vaginismus or painful spasm of the vaginal muscles.
Female Sexual Arousal Deficit.
Vaginitis or infection.
Perineal tear.
Vulvar trauma from childbirth.
Outside the vagina some common causes are:
Endometriosis.
Ovarian Cyst.
Uterine fibroids.
Diverticular disease.
Pelvic Inflammatory Disease'
Each of these problems has additional symptoms other than dyspareunia and their presence can often be elicited through careful history taking. Finding that solution, tailor-made to address your specific needs, can be a challenge. Too many people think that by just throwing tablets at it, female dyspareunia can be cured. It does not work that way however.
Just one final note. Pain felt around or inside your vagina may not be arising from there at all. Referred pain, arising from some source distant from the vagina but felt there is not uncommon. Damage to the Iliolumbar ligament or endometriosis are good examples.

Dr Andrew Rynne. http://www.doctorrynne.com Dr Andrew Rynne is a medical practitioner and writer. He has thirty years experience in treating Sexual Dysfunction in men and women.

Female Sexual Arousal Disorder

Female Sexual Arousal Disorder

Because they are often confused, it is important from the beginning to distinguish between sexual desire or libido and arousal. Desire comes first arousal second. Here we are considering a woman's inability to experience arousal in spite of strong desire or libido. Not being able to enjoy intercourse due to an inability to become aroused can put a real strain on your daily life, as well as your sex life. It can spiral into a major problem you feel you'll never find a cure for. It can make a woman feel utterly inadequate and miserable. Her sex partner also will often incorrectly blame himself and this can make matters even worse.
If that happens to you, it is very easy to feel that no one fully understands what you are going through, or is prepared to take your lack of genital arousal seriously. Searching for a quick fix for your problem on the internet can make matters even worse. It is tempting for you to consider the many pills, potions, lubricants and gels available both online, and in some cases, as a prescription via your GP who may also not understand this problem.
Female Sexual Arousal Disorder (FSAD) is a major component of female sexual dysfunction. It may be defined as the persistent or recurring inability of a woman to achieve or maintain an adequate lubrication/swelling response during sexual activity. This occurs in spite of strong desire (libido) and sexual stimulation. Lack of desire or libido is a separate problem and it is important not to confuse the two issues.
The causes may be either physiological or psychological. The effects may be either lifelong or acquired, generalised or situational. The consequences are the same however--- pain and discomfort during intercourse, sexual avoidance and sexual tensions in a relationship. Treatments are as many and as variable as are the causes and ramifications of this common sexual dysfunction.

 

Dr Andrew Rynne.

For more information please visit: http://www.doctorrynne.com

A Broken Penis – it can happen.

A Broken Penis – it can happen.

This morning I had a young man from Toronto on to me. I’ll call him Tony for now. Toney’s story was particularly tragic. What made it all the more so was the feeling that I could not do much to help him. Aged 36 now he related the story of how he had been in an abusive marriage up to eight years ago when he became divorced. Towards the end of this traumatic period of his life Tony became so frustrated and angry that once, while masturbating, he made some particularly violent movement with his erect penis. I will let him take up the story here:

“While masturbating I made a sudden sideward’s manoeuvre with my erect penis. I can’t really remember the exact details of what happened but whatever it was, I do remember hearing and feeling something snap deep within my penis back towards my testicles. There was sudden pain and my erection disappeared before I ejaculated. Ever since then the quality of my erections are very poor”

Now, when I heard this story, perhaps because I have heard similar ones before, it immediately occurred to me that Tony was in some considerable trouble. He said he heard and felt something snap within his penis. His erection disappeared and he felt pain. To me immediately this could only mean one thing. Tony had damaged or broken a structure within his penis called the “tunica Albuginea”. This is the strong membrane that lines the chambers that holds the blood in the penis to give an erection. It is a strong membrane but it is not impervious to injury.

That was eight years ago. At the time of the accident Tony did nothing about it. This of course is all too understandable. He was embarrassed and angry. Some weeks later, mainly because his erections did not return and he was worried Tony went to his GP, told him his story and was, correctly in my view, referred to an urologist. But this is where his luck really ran out altogether. The urologist that Tony consulted opined that his erectile dysfunction was “all in his head” and offered no further advice.

Years rolled by during which Tony was having considerable difficulty getting any erections at all and during which he consulted a further two urologists. Amazingly, they both held the same erroneous opinion that his problem was all “psychological”. It beggars belief that two consultants, on hearing this man’s story of something “snapping” within his penis, did not twig the diagnosis or take any measures to diagnose a fractured penis properly.

It was not until yesterday, through Internet consultation with me that Tony, for the first time in eight years finally heard the true story of what happened all those years ago. I am telling this story, not to show how clever I am because in truth the diagnosis should have been obvious to any doctor. I’m telling it as a very salutary tale and a warning and it is this: If you hear something snap within your penis, or your partner thinks he hears something snap within his penis while up to some sexual high jinks, then please treat this immediately as an emergency. Treated in time a fractured penis can be repaired. Left for a few hours and it may be too late.