Stage fright: vicious cycles & self-fulfilling propheciesĮvaluating our “performance” while we are performing typically results in hurting our performance. In addition, these medications sometimes have the effect of reinforcing the tendency to focus on “performance” rather than pleasure, which keeps the problem alive. In addition, there are medications available that can help with these sexual problems, although sometimes with side effects. But if you are unsure, consult with your physician first for an assessment. If you experience these problems frequently while being sexual with someone else, but seldom experience them while being sexual by yourself, then it is unlikely that a medical problem or medication is the principle cause. These sexual problems can be caused by various medical conditions, or may even result from-or be made worse by-various medications you may taking. This in turns often results in bringing about the very problem they were worrying about in the first place: erectile dysfunction, premature ejaculation or difficultly experiencing orgasm.

This performance mindset leads many men to be self-conscious, self-critical, worried, tense and anxious while being sexual. “Performance” anxiety, indeed! That’s precisely the problem: thinking of sex as a performance, as something we are doing that is being scrutinized and evaluated by an audience.

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