Erectile Dysfunction Radio Podcast

Urologist Interviews Sex Therapist about Performance Anxiety

Apr 3, 2023
Dr. Amy Pearlman, a urologist specializing in men's health, interviews sex therapist Mark Goldberg about performance anxiety. They discuss managing expectations and setting realistic goals, how performance anxiety affects pleasure and orgasm, tools to enhance confidence and partner pleasure, the link between mental health and physical aspects of erectile dysfunction, and the significance of education and tracking for men's empowerment.
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ADVICE

Talk Before The Moment

  • Communicate with your partner ahead of big moments to align expectations and reduce pressure.
  • Discuss what you both want so the encounter feels realistic instead of catastrophically anticipated.
INSIGHT

Delay Inflates Expectations

  • Delaying intimacy inflates expectations and creates pressure that fuels performance anxiety.
  • High fantasy buildup often clashes with real-life constraints and leads to disappointment.
ADVICE

Lower Expectations, Not Quality

  • Lower unrealistic expectations rather than the overall quality of intimacy to reduce reactivity when things go off script.
  • Allow sexual encounters to develop naturally instead of rigidly following imagined scripts.
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