Overcoming Performance Anxiety: Why Self-Stimulation Helps During Sex - Urology

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During sexual intercourse, it is necessary to rely on masturbation to facilitate penetration into the vagina?


Hello Doctor, I have a question.
When I think about having sex with my girlfriend, my penis can be quite firm and hard.
However, when we actually undress and start foreplay, my penis tends to become softer and less firm, especially before penetration.
Often, I have to rely on masturbation to make it harder, and sometimes it takes a while to achieve the desired firmness.
Watching adult films nearby can help, but I usually have a normal masturbation routine.
I have seen a doctor and had blood tests done, which showed that my testosterone levels are normal, even slightly high.
I also exercise regularly and have a normal physique (177 cm, 68 kg).
I generally have a healthy sex drive, and I do experience erections when I touch myself during the night or when I wake up, but I don’t always wake up with an erection in the morning.
I would like to ask if this could be caused by psychological factors.
Is it possible that my subconscious is tense and unable to relax during sex, or am I too focused on foreplay to ensure my partner is aroused, which causes me to become distracted? Are there any methods to improve this situation? Thank you, Doctor!

Xiao Lin, 20~29 year old female. Ask Date: 2018/02/12

Dr. Du Shixi reply Urology


Hello: Your function seems to be generally fine, but it's important to reduce reliance on masturbation and adult films.
If it becomes a habit, it may affect real sexual experiences.
Wishing you good health.

Reply Date: 2018/02/12

More Info


Overcoming performance anxiety during sexual encounters is a common concern for many individuals, and it can often be linked to psychological factors rather than purely physiological ones. Your experience of having a firm erection during masturbation but facing difficulties during intimate moments with your girlfriend is indicative of performance anxiety, which is a psychological condition that can affect sexual performance.


Understanding Performance Anxiety
Performance anxiety can stem from various sources, including fear of inadequacy, pressure to meet expectations, or concerns about pleasing a partner. When you find yourself in a sexual situation, the pressure to perform can lead to heightened anxiety, which may cause your body to react in ways that are counterproductive to achieving and maintaining an erection. This is often exacerbated by the fact that sexual intimacy is not just a physical act but also an emotional one, where vulnerability and connection play significant roles.


The Role of Self-Stimulation
Self-stimulation, or masturbation, can serve as a useful tool in managing performance anxiety. It allows individuals to explore their bodies, understand their sexual responses, and become more comfortable with their own sexuality without the added pressure of a partner's expectations. When you engage in masturbation, you are in control of the situation, which can lead to a more relaxed state of mind. This relaxation can translate into better performance during sexual encounters with a partner.


Psychological Factors
Your observation that you feel more relaxed and able to achieve an erection during masturbation compared to sexual intercourse suggests that psychological factors are at play. The subconscious mind can create a narrative of pressure and expectation during intimate moments, which can lead to anxiety and distraction. This is often referred to as "performance pressure," where the focus shifts from enjoyment to the fear of not performing well.


Strategies for Improvement
1. Mindfulness and Relaxation Techniques: Practicing mindfulness can help you stay present during sexual encounters. Techniques such as deep breathing, progressive muscle relaxation, or guided imagery can reduce anxiety and help you focus on the sensations of intimacy rather than the pressure to perform.

2. Communication with Your Partner: Open communication with your girlfriend about your feelings can alleviate some of the pressure. Discussing your concerns can foster intimacy and understanding, allowing both of you to approach the experience with less anxiety.

3. Gradual Exposure: Instead of jumping straight into intercourse, consider engaging in more extended foreplay or intimate activities that do not involve penetration. This can help you build comfort and reduce performance pressure.

4. Focus on Pleasure, Not Performance: Shift your mindset from focusing on the act of penetration to enjoying the overall experience of intimacy. This can help reduce anxiety and allow for a more natural sexual response.

5. Professional Help: If performance anxiety continues to be a significant issue, consider seeking help from a therapist or counselor who specializes in sexual health. Cognitive-behavioral therapy (CBT) can be particularly effective in addressing anxiety and changing negative thought patterns.

6. Limit Distractions: While it may seem helpful to have pornography nearby, this can sometimes create unrealistic expectations and further complicate the situation. Instead, focus on the connection with your partner and the sensations you are experiencing together.


Conclusion
In summary, performance anxiety is a common issue that can affect sexual performance, and it often has psychological roots. Self-stimulation can be a helpful way to manage anxiety and understand your body better. By employing relaxation techniques, communicating openly with your partner, and focusing on the pleasure of the experience rather than performance, you can work towards overcoming these challenges. If necessary, do not hesitate to seek professional guidance to address underlying issues and develop effective coping strategies.

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