Pillow Talks

E261: ED, PE & Everything In Between: Your Performance Problems Solved (Part 2)

54 min
May 21, 202610 days ago
Listen to Episode
Summary

Pillow Talks hosts Vanessa and Xander Marin tackle common penis performance issues in part two of their episode series, providing practical advice on erectile dysfunction, premature ejaculation, and delayed ejaculation. They emphasize that most sexual performance problems are psychological rather than medical, and stress the importance of communication, vulnerability, and reframing sex beyond spontaneity to build confidence and intimacy.

Insights
  • 80% of penis performance issues are psychological or relational rather than purely medical, making anxiety and communication the primary drivers of dysfunction
  • Shame and fear of judgment prevent men from disclosing ED medication use to partners, creating baseline anxiety that paradoxically worsens performance
  • Redefining sex to prioritize partner pleasure first removes performance pressure and often naturally improves stamina and erectile function
  • Spontaneity in long-term relationships is unrealistic; planned, communicated sex with clear goals creates more excitement and satisfaction than waiting for spontaneous moments
  • Sleep, stress levels, and fitness are foundational to sexual function and often overlooked in favor of medication-only solutions
Trends
Growing acceptance of ED medications and sexual health discussions among couples, driven by direct-to-consumer telehealth servicesShift from viewing sexual performance as male-centric to collaborative pleasure-focused models that reduce performance anxietyIncreased recognition that psychological factors (anxiety, shame, communication gaps) are primary drivers of sexual dysfunction, not just medical issuesNormalization of sex therapy and relationship coaching as mainstream wellness services for couplesRising awareness that hormonal health (testosterone levels) should be evaluated before defaulting to ED medications alone
Topics
Companies
Quince
Sponsor offering cashmere jogger sets and home goods at 50-80% less than similar brands through direct-to-consumer model
Birch Living
Sponsor providing organic and natural mattresses with 120-night trial and lifetime warranty for better sleep quality
Cozy Earth
Sponsor offering bamboo viscose pajamas, robes, and loungewear for comfort and softness
Remi
Sponsor providing FDA-cleared at-home custom nightguards for teeth grinding at 80% less cost than dentist options
Blissy
Sponsor offering silk pillowcases to reduce frizz, wrinkles, and sleep creases while protecting hair and skin
People
Vanessa Marin
Sex therapist with 20+ years experience co-hosting podcast and providing clinical insights on sexual dysfunction
Xander Marin
Co-host providing male perspective on sexual performance issues and relationship dynamics
Quotes
"Vulnerability is an essential component of our sex lives. We don't have relationships without vulnerability. We don't have intimacy without vulnerability. We don't have connection without vulnerability."
Vanessa MarinMid-episode
"80% of the time it's a psychological or a relational dynamic. It's actually quite rare for it to be a purely biological or medical issue."
Xander MarinEarly-mid episode
"Spontaneity is so overrated. I think that people use spontaneity as an excuse to not actually put effort into their sex life."
Vanessa MarinMid-episode
"The biggest mistake that you can make is express disappointment in that moment. Because I guarantee you that he is already expecting that."
Xander MarinLate episode
"If you're not sleeping enough, if you are stressed all the time, and if you are not taking good care of your body, you are in survival mode."
Xander MarinLate episode
Full Transcript
Waiting to take Viagra has killed the spontaneity in our sex life. How do we get that back? How do I bring it up to my partner that I think he may have a penis performance issue, but he doesn't seem to recognize it? What do I do if he loses his erection in the middle of sex? What would you want me to do if you lose your erection? ["Sex," by Hello and welcome to the Pillow Talks podcast. We're your hosts, Vanessa and Xander Marin. I'm a sex therapist with over 20 years of experience and I'm just a regular dude. We share the ups and downs in our relationship while giving you step-by-step techniques for improving yours. Make sure you subscribe for your weekly double date full of totally doable sex tips, practical relationship advice, hilarious and honest stories of what really goes on behind closed bedroom doors and so much more. It's the sex education you wish you'd had. Today we are talking about penis problems again. We did an episode about this a while back and we put a call out to Instagram for all of your penis performance issues, penis performance problems, and PPPs. And we got so many questions. It became pretty clear pretty quickly that we needed to do a part two of the episode as well. So today we're going to be sharing practical tips for handling challenges in the moment, bringing the spark back, and not letting a penis performance problem get in the way of both of you enjoying your sex life. And we're going to let our resident penis haver. Penis person? Penis person. Designated penis person? I don't like penis person. That's weird. Penis haver. Penis owner. Penis haver. Penis employer. Penis guy. Penis guy. Which would that be your new title? Like, I'm a sex therapist and my husband is the penis guy. That might give the wrong impression about what our business is or does and what I do in it, but for the sake of this podcast, sure. Okay, so here's- I'm your penis guy. Let's talk. Here's our first question. I'm going to direct our questions at you. I'm taking ED meds, but I haven't told my wife. Is that something I need to share with her? What's your take on this? This is an interesting question. I don't know if I have a simple yes-no. On the one hand, I would wonder why wouldn't you want to share with your partner? That's where my brain goes to right away. Yeah, well, it's- Yeah. First, I go to why wouldn't you? So why wouldn't you? Probably because you feel some amount of shame that you are taking the meds. Right? I think that's kind of the only reason I can think of as to why you wouldn't want to share is that, oh, she'll judge me, she'll think less of me. I don't really want to fully admit to myself that I need to take ED meds. And so if I don't tell anybody about it, then I can just pretend that I'm not taking them, even though I am. Because I think a lot of guys think, oh, I'm somehow lesser than if I need help, whether that is an ED medication, whether that's getting on hormone replacement therapy, anything where you are somehow not naturally yourself or the way that you were born to be, that somehow you're less of a man. I mean, it fits into a broader stereotype that I think there is a lot of truth to it, that men struggle to ask for help in general. Yes, I think men struggle to ask for help. Men won't quite go all the way, which is, hey, I'm struggling. One, I need some help. And two, part of getting that help is actually talking with people about the help that I am needing and what I am going through. And I think that a lot of men will get to this point of like, okay, yeah, I guess I do need some help. But if I don't have to tell anybody, if I can get the help and not actually tell anybody about it, then maybe I didn't even need the help or something. Or it's as if I didn't have to do as much of the vulnerable stuff. So, yeah, I can understand why you might not want to tell your partner. I think that there's a lot of fear that, oh, I'm somehow less of a man. And also when it comes to sex, a lot of men think sex is the way that I provide physically in our relationship. It's so important. But we built it up as this huge thing. Like, oh, my penis is everything. It's the way that we have sex and the way that I give her a good experience and the way that I kind of measure up as a man. And if something is wrong with it, then something's wrong with me. Now, that being said, I would beg you to this guy to consider all the women that we have writing in all the time being like, hey, I think my guy might have an issue. How can I talk to him about getting some help? How could I get him on meds? How could I get him to talk to a doctor? How could I get him to just talk to me about it? We literally have women banging down our door being like, not literally, figuratively. Wait, that's such a California thing. It is literally so much. Let's say I'm banging on our door. Literally. So actually it's not literally and they're not banging. But like 90% of the time we use literally and we don't actually mean literally. So yes, we have women figuratively banging on our door that maybe we do or don't have since our house is under construction currently. But you know, begging help me get my partner to get help. Help me get my partner to open up to me to admit that maybe something is going on. Because spoiler alert, actually talking about what is going on with you will alleviate so much of the anxiety that is likely partially driving this penis problem. I mean, can you speak a bit to just penis problems in general and how often it is an actual legitimate medical issue versus how often it is psychosomatic or a combination of the two? Oh, I mean, I don't have specific data that I can point to. But anecdotally, like in my own experiences, I would probably say 80% of the time it's a psychological or a relational dynamic. It's actually quite rare for it to be a purely biological or medical. Like it definitely does happen. There are conditions, there are medications, there are illnesses and injuries, but it almost always is simply that you've gotten in your head. So I would venture a guess that for a person like this that is taking ED meds currently, but is definitely scared to tell their partner about it, that is creating a constant level of anxiety within you around sex and within just communication in general in your relationship. You're trying to keep something a secret from your partner. And so that creates a baseline level of anxiety for you, especially around sex. And so if you're feeling anxious around sex every time you want to have sex, you have that anxiety, which is going to be counterproductive towards you, your body operating in the way that you want it. So you're taking ED meds, you're kind of forcing your body to respond. But I think I would be really interested to see if you were to let your partner in on what is going on for you and how helpful the ED meds are for you, how grateful you are that you did go to a doctor and get some help. And you are excited that you feel like, oh, I can, I have the ability to have sex whenever I want to now. It might be interesting to see if that anxiety goes away. And even if you dial back on the ED beds, who knows, like you might actually find yourself performing more the way that you used to without the meds, without all that anxiety that you've built up in your head. That's not to say that you don't need them, but I think that so many of us just think like it has to be this big secret or something. The other thing that I would say about this on the other hand, I can see the perspective of like, it's my body, it's my medical situation. If you operate in your marriage and your relationship where you go to the doctor, maybe you don't tell your partner about every single medication that you're prescribed to or something like that, I could understand the idea of, okay, well, it's a medical prescription that my doctor made to me. It's between me and my doctor. I don't need to talk to, I don't owe that information to anybody else. If that is how you operate your relationship, then I guess like, if you don't want to tell, you don't need to tell. That being said, I think most people would be like, well, it's generally a good idea to tell your partner what drugs you're prescribed to because if, you know, God forbid you have some unexpected interaction between things, it's helpful for somebody to know what you're on. Yeah. Yeah, I would heavily advise you to tell your wife. I just, there's no good reason not to. I get that it feels vulnerable and maybe it feels a little embarrassing. Obviously, we don't know any backstory why you might be hesitating to tell her this, but vulnerability is an essential component of our sex lives. So many of our questions that we get on a wide variety of topics at the root of it is, how do I avoid being vulnerable with my partner? How do I get XYZ without talking about ABC or without needing to be vulnerable at all? But vulnerability is the whole freaking point. Like we don't have relationships without vulnerability. We don't have intimacy without vulnerability. We don't have connection without vulnerability. So I'm never going to give you tips for avoiding vulnerability. Maybe for making it a little softer, a little easier. Maybe I'll help you get the words for how to share it with your partner. But we're vulnerability junkies over here because it's important. So I definitely think that you should tell your wife. The other thing is your wife is going to find out at some point, whether you like it or not, and that's going to hurt her. She's going to wonder, why didn't you tell me? Why did you keep this a secret? And I bet that her brain is going to go to, is there some other reason why you didn't want to tell me? Are you using these medications with somebody else? So I just think it's going to be a way bigger deal when your wife inevitably finds out later than it will be taking 10 seconds to be a little bit vulnerable with her now. Yeah. Also, if there are some unintended side effects of not telling your partner too, that means that you're having to guess when you should take them and take them in secret. That probably means you're going to end up taking them more often than you really need to. Like what if you're like, oh yeah, I think we're definitely going to have sex in 20 minutes. So I'm going to pop one of these guys. And then your wife says no. And then you've taken one and that's not necessarily pleasant. So yeah, why would you want to put yourself in that situation? Okay, let's move on to the next question. How can I get out of my head about my PE? Oh, and you know what? We didn't really go over the acronyms before we even launched in. God. So let's back up for a second. We're really talking about three major penis issues here. ED is erectile dysfunction, otherwise known as having difficulty getting or keeping an erection. PE is premature ejaculation, orgasming too quickly. But there is no real threshold for what that truly means. There's no medical definition. Exactly. It's not like, oh, if you last two minutes, less than two minutes, you have PE. It's more broadly defined by the person, the penis owner themselves, saying I feel like I can't control my ejaculation. I'm just doing it very quickly. And then we also have delayed ejaculation, which actually, I'm not sure if we have any questions about that. No one calls it DE. No one calls it DE, which is strange. But delayed ejaculation is that you struggle to orgasm, or it takes you a very long time to get there. So those are the three main ways that the penis can go awry. Okay, how do I get out of my head about my premature ejaculation? So this person is orgasming quicker than they want to be orgasming. I get anxious before sex, and it makes it worse. My first question would be, all right, let's set aside the anxiety that you have. What does sex look like for you and your partner when you have it? I would imagine if you are very consistently getting in your head about this, the timeline of your sexual interaction looks like it does for most people, which is 30 seconds of making out, a couple minutes of fumbling around, getting clothes off, touching each other, a little manual stimulation, maybe a tiny bit of oral stimulation. And then once you're hard and ready to go, you're straight onto intercourse, where basically the assumption with that type of sex and that type of timeline is that it's all about getting to the point of intercourse, because that's the real sex. And that is where the experience and the pleasure are meant to be had and maximized for both partners. If that's the type of sex that you're having, that puts a hell of a lot of pressure on your penis. It puts all the pressure on your penis. And not in a good way. Yeah, not in a way that's going to make you come really fast, especially if you've started coming quickly. And then of course, as soon as you're getting hard, you're thinking about, oh, God, is it going to happen again? It's probably going to happen again. Then you start, oh, God, this is getting out of control. This is, I can't stop. What do I do? Oh, no, no, it's happening. Right? But interestingly, what is the definition of insanity? It's doing the same thing over and over and over, expecting a different result. My first piece of advice here, and then we can turn it over to Vanessa, our resident therapist here, who has worked with tons and tons of men on this to give some other ideas. But my first advice would be, change the way that you are having sex. Prioritize her pleasure first before you do anything with your penis. You're kind of acknowledging the situation that you're in. Hey, once my penis starts getting stimulated, it's like a ticking clock. And that clock doesn't go for very long. And if that happens, then I feel like I'm inadequate. I feel like I haven't been able to please my partner. It's been a bad experience for both of us. So let's acknowledge that. That is the current situation. So what are we going to do? We're going to focus on her first. We're going to make sure that she has a really great time. And I would even say at the very beginning, let's give her a full orgasm before we even move on to you. But for now, just 100%, give her an orgasm with your hands and or with your mouth, or both. That way, you're changing your definition of sex. So sex starts with me just really focusing on my partner, giving her the very best experience that we can give her, making sure, guaranteeing that she is going to come away from this sexual interaction, completely satisfied with an orgasm. What most guys find is that once they take the pressure off of them to perform during intercourse, things start to fall into place. Because then you've you've short circuited that anxiety. The anxiety is, God, I'm not going to last long enough for her to have a good time. You've already given her a good time. But I think that most people find that once they take that pressure off of themselves, all of a sudden they're like, Oh, great, I can actually enjoy this experience more. And they find themselves not coming quite as quickly. But I'm curious, what if this guy's like, Oh, well, that's what we already do. And it's still killing me. Like, what else could he do? I have to admit, lately, I have been in a season of life where I'm just like reaching for pajamas every day. I'm like not getting dressed. And I decided I need to take this up a notch. I can't just be living in workout pants. So I bought this incredible set from Quint. It's a jogger set. So it's like joggers and a sweater, but it is made from cashmere, Mongolian cashmere. So it looks elevated. It's not pajamas. It's elevated. It's cashmere. It doesn't look like pajamas, but it feels like pajamas. I was actually so obsessed with it. I bought it twice. And this is my own money. This is not because they're a podcast sponsor. I bought it two times with my own money in gray and in black. It looks great. I encourage you to wear this every day. I have a ton of stuff from Quint. They not only make clothing, but they also have tons of home goods. I mean, they're always adding new categories every time I go on their website. I'm like, wow, I can't believe they sell this too. And everything that we've bought has been high quality, but very, very affordably priced. Everything is 50 to 80% less than you would find at similar brands because they work with ethical factories and cut out the middlemen. So premium materials without all of the markup. Refresh your every day with luxury you'll actually use. Head to quints.com slash pillow for free shipping on your order and 365 day returns. I've never seen a return policy like that. Yeah, that's great. That is Q-U-I-N-C-E dot com slash pillow for free shipping and 365 day returns. Quints.com slash pillow. Yeah, I mean, you covered it super well. That's definitely the main advice that I give to is really being able to focus on your partner because that builds your confidence up so much. Truly, a lot of these penis performance issues are issues of confidence. So the more that you're able to build your confidence up, the better. But I think that another big dynamic that comes up is when you start getting into your head, it feels like any time that you get into your head feels like a failure. You're going into everything telling yourself, don't get into your head, don't get into your head, don't get into your head, I'm in my head, I fucked it up again. And so I think that we need to break that cycle. And it's important to recognize you are going to get into your head. There is no way to just flip the switch and all of a sudden you go from getting anxious about it to not being anxious about it. You're in this cycle right now and you can't immediately hop out of it. So instead, if you normalize that and expect that, hey, I'm going to get into my head. This is just the little cycle that I'm in right now. I'm going to get into my head and it's okay. So ironically, giving yourself permission can make the anxiety levels come down a little bit. So what I would do is I would remind yourself, I would come up with some other goal or some other thing that you want to think about during sex. So most people are like, oh, I just don't want to think about, have that anxious thought of like, I'm going to come too fast, I'm going to come too fast. But you can't tell yourself, don't think about X. Like when you say don't think about X, you're thinking about X. That's automatically in your head. You're guaranteeing that you're going to think about it. Yeah. So we have to come up with something else. So I would think of what is a different goal that you have for sex rather than just last longer. So if you're with a committed partner, which I assume you are because this is, that's the target audience, our target audience here with pillow talks, I would think like, I want to feel intimate with my partner. I want to feel connected to my partner. I want to give my partner a good time, whatever that is. So I would have that on loop in your head. I'm going to get into my head. I know I'm going to feel anxious, but I want to remind myself to focus on feeling connected with my partner. I want to remind myself to focus on just being present in the moment. I want to remind myself to focus on having more fun in the bedroom. So let the anxious thoughts be there, but also have some other goal that you're thinking about in the moment. Did you know that couples who get better sleep have more sex? I mean, the more sleep I get, the more up for it. I certainly am the next day. If you want to get a better night's sleep, we highly recommend a birch mattress. People are always asking us for our mattress recommendations, and we are obsessed with our birch mattress. It's so comfortable, firm, but still cozy, really supportive. And most importantly, it is made without fiberglass, without polyurethane foams. 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That's birchliving.com slash pillow talks to get 27% off site-wide. Great question is, do you masturbate regularly? And if so, what does that look like for you? If you are like most men, most men have trained themselves from puberty when they start masturbating to come very quickly. So if you're masturbation and also it's like, a lot of us, it's like we feel this sort of shame or it's like, oh, we're not something we're doing something that is generally accepted, but like no one wants to know about it. No one wants to see it. Right. So it's like, it's got to happen quick. It's okay. I got a little moment here. I'm alone. Blah, blah, blah. Like gotta, gotta, you know, bang this thing out. Right. And so most of us get used to from a very young age, just going all out and honestly, very, very quickly. Right. Most men don't, don't stretch out the masturbation and, you know, kind of like enjoy it and take their time. But you could also work on training yourself with your own masturbation to start to get better at identifying a when, when am I reaching that point of no return? How can I stop before that? Stop. No stimulation for 30 seconds. Then start back up again and just get more used to that feeling of what is, you know, what is it like, how, how close can I get to the edge and actually stop myself so that I don't get into the situation in the bedroom where it's like, Oh God, like I can't even like once I start, there's just no way to stop. Then you can translate that into the bedroom too. And, you know, talk this includes needing to talk to your partner about this of, Hey, like I would love to, you know, I would love to I'm trying to train myself to last longer during intercourse. And so, you know, can we do something where, you know, we have intercourse for 30 seconds and then we take a break and I will, I'll finger you for a couple of minutes or I'll go down on you and then we'll start back up again. So you can, I think so many people just get in their head once intercourse starts, like that's all that's on the menu and you can, you can stop. You can take a break. We take breaks all the time. It's great. Like, and yeah, and like as a guy, you can really, I know for me, like I can, I can tell the moment that I go from like full hardness to like a slight decrease and then that is the moment to start back up again. You know, it's not necessarily a full reset, but it's definitely a very much a partial reset and that can really help. We have been trying out some of the new cozy earth products and I'm just blown away at how soft they managed to make everything. They keep knocking it out of the park. We've had their sheets for forever. They're super soft. They also make great towels too, but they have a jogger set. If you just want absolute softness draped over your body at all times, you got to check out this jogger set. It's made from viscose from bamboo. So it's super lightweight, breathable, just really nice and drapey against your skin. We also have their pajama sets, which have a really similar feel to you can like literally just live in them all day. They came out with some clogs as well. We recently gave their bathrobe to my sister, a brand new mom, and she's like, I needed this. I've never seen her so excited about it. Truly. I felt so good being able to give that to her. She's like, just having those little moments when you're a brand new mom, I'm just being able to like put a nice bathrobe on. I feel like the best older sister in the world. So cozy earth truly makes some incredible products. We would love for you to try them out this spring. Give yourself the kind of comfort that lives with you all day, not just the moment you get home. Head to cozy earth.com and use our code pillow for an exclusive 20% off. And if you see a post purchase survey, please mention that you heard about cozy earth right here on pillow talks. Cozy earth comfort lives here. A bike goes small when you can go grand. Meet the new Vauxhall Grandland Griffin. Striking alloys, sleek black roof, heated front seats and 10 inch touchscreen. Everything you need for life on the move. Grand on style, grand on tech, grand on value. And during the Vauxhall sales event, get a grand off the new Grandland Griffin or any other new Vauxhall on top of all other offers. Search Vauxhall car offers. Offer to private individuals, £1,000 including the AT saving on new car orders between 15-31st of May. Must be registered for 30th of June, 2026. 18 plus season C supply. Okay, next question. Waiting to take Viagra has killed the spontaneity in our sex life. How do we get that back? Okay, I mean, if this is a true medical issue and you're prescribed Viagra, you can absolutely talk to your doctor about getting a different prescription because Viagra is not the only ED medication. There are other medications. Viagra is basically like a one-time use medication, my understanding of it. You take it 20 minutes later, it basically is effective and it lasts for, I don't know, some number of hours. There are other medications that are meant to not be momentary that last for more like 48 to 72 hours and give you the ability to get hard. Similar to Viagra. You can do a daily low dose option like C.L.S. or something like that. Yeah, so we're not medical professionals. Don't take that as medical advice. Talk to your doctor. But yeah, I know. I mean, I feel like there are more and more options that are coming out constantly and there's a whole variety of things. Viagra is only one of them. So definitely talk to your healthcare provider. I want to say though, my hot take is that spontaneity is so overrated. And I think that people use spontaneity as an excuse to not actually put effort into their sex life. Or not have to really talk about it too much. Yeah, and I don't blame people to be totally clear. I'm not saying you're a bad person or anything like that. All that we have ever been fed about sex is all about spontaneity. And fireworks. Yeah, if you're, you just look at each other and it's on and you're supposed to feel this like wild, hot, passionate chemistry and it just happens. Nobody has to do anything. Nobody has to talk about it. So of course, all of us have internalized that in our heads that that's how sex is supposed to work. But that's not. And especially not in a long-term relationship. Most of us lead lives that are not very spontaneous. Like I always ask people, you want spontaneous sex? Where's the space in your life for spontaneity? What else do you do in your life that's spontaneous? If you're truly like a nomad and your life is completely spontaneous and you can do whatever you want, you have no kids, you have no pets, you have no responsibilities, you just like have that space for it. Sure, you can have a spontaneous sex life. But everybody else, we need to put some effort into it. We need some planning. We need some communication. And again, honestly, I believe that communicating and putting effort into it make our sex lives better. So I think that what you're really saying is I want sex to still feel exciting. Let's differentiate spontaneous from exciting because we can still have exciting without the pressure and the just not what's really not possible of spontaneity. Like improbability. Improbability, there. There's not possibility. Or just look for ways to. If you are truly like spontaneity in some form or other in my life is so important and sex is the only place left that I can have it, I would challenge you. See if you can find some spontaneity in other areas of your life because you're shooting yourself in the foot. If you're like sex is the only place that I am willing and able to get enjoyment out of spontaneity. Yeah, I think again, it's you can still have excitement, but you can create the space for excitement. I always think about how we think about your friend. I won't name him your friend who never wants to plan anything. Oh, he's gotten so much better. He's got now. I know. But like back in the day, he never wanted to plan anything. And he always wanted to do these like spontaneous trips or spontaneous adventures. And like, sure, maybe there's an example or two that you have of something worked out like the stars. Oh, yeah. Very occasionally. But yeah, it was like chasing. It was like chasing a high that was fewer and like fewer and farther between. But the vast majority of the times it's like, no, we can't just take a spontaneous trip to Spain because the tickets are stupid expensive and there are no hotels that we can rent. Or no, we can't spontaneously go out to dinner because that restaurant that we wanted to go to is completely booked up. Yeah. It's like, oh, it's Friday night in San Francisco and like we can go to a crappy restaurant that no one is eating at. There's a reason why I was eating there. Or we can go somewhere good, but it's like 8 p.m. on Friday night and literally everywhere is slammed for two hours. Yeah. So you can often have a lot more fun with a little bit of planning. We travel so much now and we plan our trips like a year in advance, but we have so much fun because we've had the ability to pick the places that we want to go to and find cool adventures. And so I know I'm going on a tangent here, but my point that I'm trying to make is that oftentimes creating the environment for excitement feels just as good, if not way better than just waiting around, hoping that it's going to fall into your lap. All that being said though, you can still have so with Viagra, yes, there is this, this period of time between you take the pill and you're going to get hard, but you don't have to just sit around waiting for somebody to get hard. Like you can still spontaneously decide, hey, we want to have a fun night together tonight. Okay, go grab your Viagra. And then you've got that fun 20 or 30 minutes or however long it takes your unique body to kick in. You've got that time for you guys to do some fun stuff together. Maybe you take a shower together. Maybe you have like a little sexy dance party together. Maybe you spend time picking out lingerie that she's going to wear. Maybe you talk through a couple of different role play fantasies and decide what you're going to do. Maybe you make this game out of talking dirty to each other and seeing how riled up you can get before you're actually able to have sex. Maybe he spends 20 minutes focusing on her and giving her an orgasm before you even start. Like there are a million things you can do other than just sitting around like, okay, where's your boner? Come on, where's the boner? Yeah, and it's not like, it's not like you are completely useless sexually unless you're hard. Like you got fingers, you got, you got hands, you got a mouth. You, like, yeah, I mean, I feel like you could be very spontaneous of like, oh, like, want to fuck? Okay, boom, I'm taking my Viagra. All right, get down on the bed. You're getting a back rub. All right, we're going to let's make out for a little while. Like let's get her fired the fuck up. Right? Morgan, whoever it is. Yeah, but yeah, I'm making assumptions here. But I do think that, you know, unless your partner is like, oh God, I don't want to do anything unless your penis is hard. And if that's your partner's perspective, that is maybe something you guys might want to talk about. Because that's not very supportive. But I would imagine if your partner is a woman, especially if we were like, hey, so how would it sound to you if your, if a typical sexual interaction looked like, you know, 15 to 20 minutes of real focused attention on you before you moved on the intercourse, 99% of women would be like, sign me up for that yesterday. Also, guys, placebo is a hell of a drug. You take one of those things in your mind, you're, you're, there's not an actual clock running like you might find that you get hard in 10 minutes or in five minutes, just because the idea that something is going to happen is going to make it happen. All right, I have another question for you. We actually did like part one of this in the original episode. So the question was, how do I bring it up to my partner that I think he may have a penis performance issue, but he doesn't seem to recognize it. So in the first round of this, we answered that specifically about erectile dysfunction, like having a hard time getting erect. But let's talk about like premature or delayed ejaculation here. So let's imagine I want to put you, I want you to put yourself in this, in this scenario and tell me what you would want me to do. So I think that you're coming too quickly or you're taking way too long to come. What would be the best way for me to bring that up to you? Okay, I think that, I guess, let's start, let's, I feel like the approach for each of those situations would be different. So let's start with. You're coming too quick. Yeah, I'm coming too fast. I think that you framing it as let's experiment, let's learn each other's bodies better on framing it as a really fun, exciting thing that we get to do rather than a, oh man, it's such a bummer that you're coming so fast. So I guess we're going to have to like do this thing where we can only have sex for 30 seconds. And then we switch to some lesser activity and then we go back to it for 20 seconds. And then, you know, like if you share it like that, like, well, that's super not supportive. And you're going to make your partner, you're going to cause further damage and trauma to your partner. Yeah. And if that's truly how you feel, like it's probably isn't the right partner for you anyway. So like kind of a mean person. But yeah, no, I mean, I think like. You sound like a mean person. Yeah, I mean, that's only explanation. You can't be telling our listeners you sound like a mean person. That was a theoretical. I created the whole situation. No one wrote in. Our listeners are nice people. Saying, this is what I've been saying to my husband. Why isn't it working? Said nobody ever. But anyway. Oh my God. Oh my God. But you know, I think it's just would be positioning it as, hey, let's try something fun. Or like, or like if that is even too much pressure, it's gonna be like, hey, I want to play around with just like edging you with my hand or my mouth. Let's just try that tonight. Tonight's all about you, but I want to, I want to experiment with this and you know, I want you to, you know, tell me when you're like 50% of the way there. Okay, you got that. All right, we did that once or twice. All right, now try to tell me when you're like 70% of the way there, you know, and work your way up. Just start with that where it's like, hey, this is all about you. Let's just totally take the pressure off of you. I want to, I want to focus on you and let's play around with this thing called edging. Yeah, I think that could be a good option. I think you could also ask your partner to focus on you first. So you give them, you know, that confidence boosting experience of, of knowing that they've made you feel good. You could also say something like, hey, I'd really love for us to slow down and take our time tonight. Something like that, that could also be beneficial. Yeah, those are good tips. So what about for delayed ejaculation though? Delayed ejaculation can be really tricky because sometimes what I've come across is men think, so this is specific to male-female relationships, men think that intercourse should last way longer than most women want it to. So men, like sometimes men are purposely trying to prolong the experience when in reality, she's like, I'm done. Like I don't need it to go on this long. Or maybe he got himself used to that earlier on of like, you know, he almost trained himself to last a really long time. And then almost like broke himself a little bit of like, oh yeah, no, I got so used to that that now this is what happens all the time. Yeah, so I always recommend that all couples have a conversation about how long you would like sex to last. So you can use this podcast as an excuse, say like, oh, they were talking about like intercourse length and it made me realize we've never really talked about that before. Like what's your ideal length? And you, I like to think of two different categories, like the random middle of the week sex when it's like life's chaotic, but we're trying to squeeze it in versus maybe times like on the weekends or whatever fits with your schedule those times. You're on vacation. Yeah, you have like more time to do it like the more special occasion sex. I think those timelines can be very different. So I would talk about that. But if it truly is a case of him like actually having delayed ejaculation, one of the most common causes is being like on an anti-depressant or an anti-anxiety medication. Those can make it really difficult for men to orgasm. Or possibly alcohol. Yeah, like if that's the case, it's challenging because he deserves to have an orgasm too, right? And I don't want him feeling like, oh, you know, in the same way that we counsel women, like, hey, however long you take to reach orgasm, that's however long you take. And like you deserve that. We all deserve to have that experience. Men deserve to have orgasms too. And yes, we have to be realistic that like, of course, if we're talking about 40, 60 minutes, like, of course, logistically, that can be a challenge sometimes and bodies get tired sometimes. And we all still deserve to have pleasure and satisfaction and enjoyment. So I would probably bring it up typically when a man has real delayed ejaculation. And then he is very stressed out during sex. Like you can see him just like working so hard, trying to focus so hard, really trying to get there. So I think there could be a gentle way to bring it up in those terms of like, hey, I've noticed that sometimes during sex, it seems like you're just like, you're really focused and kind of in your own little world. And I wonder like what that's like for you. Like just, and I wouldn't even phrase it as like, it's taken too long for me. I'm getting bored. I'm getting you rubbing me raw, anything like that. Like I would start with something very gentle, like what's that like for you? And hopefully that opens the door for him to say like, yeah, it sucks. I feel like I have to like, I feel like I have to focus so much. And you know, from there, then maybe it's a conversation about talking to your doctor about sexual side effects or going to see a doctor in the first place. But I think that phrasing it like really gently like that. Like I'm just curious what is your experience like for you? Yeah, I mean, I think if it turns out that you're not on any medications that could be impacting this, it truly is like a, you know, it truly is a, you know, your body is just not able to get the stimulation that it needs to get there in a reasonable timeline. A better outcome for everybody would be rather than have you like huffing and puffing for 45 minutes totally checked, you know, totally checked out eyes closed, like focused on just desperately trying to get there. Because like that's not a good experience for your partner, right? Like the point of the point of intercourse is for it to be intimate and an experience together, right? Like you're not, your partner is not meant to be your sex toy where you're just like doing it to it. So yeah, why don't we change the way it looks? I'd much rather have five to 10 minutes of super connected intercourse between the two of us. And then, you know, I'll hop off and I can use a hand on you, you know, look into, look into like some male sex toys. There's a lot of sex toys out there that can heighten the experience that she could use on him or you just your partner can use on you or you can use on yourself and you'll make that then a joint experience. Because honestly, like how much of a good experience are you really having with intercourse? If you're totally in your head, a lot of the pressure is going to come off. You are creating all this false pressure. I have to come from intercourse. You take that pressure off. Oh, yeah. No, you don't have to come from intercourse. You got to come however you want with this menu of like hands or toys or whatever available to you. I think that could be a fun experiment of, hey, let's let's go shopping and find something that is really, really enjoyable that my partner can use on me and take that pressure off of me, take the pressure off of them to keep going. 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Because I guarantee you that he is already he is already expecting that he's already in his mind playing. He's already assuming, Oh, gosh, he's so disappointed. He feels emasculated. He feels he feels all these things all these things without you needing to say or do anything. And so then when you do it on top of that, all it does is confirm all the stuff that he's already thinking on. And I guarantee you it will not be helpful in the long term for this problem ever being solved. But I think the easiest way around that is to just immediately pivot to, all right, let's let's switch to another activity that's going to be really pleasurable for me. Like let's let's not let this hiccup get in the way of, you know, having a good experience. Then like the best thing that you could do for me is you immediately pivot me into taking action on you in the way that's going to get you an orgasm. Right? Because then I go, Oh, okay, cool. It's not all on my penis. She like she still wants to keep going. She still wants to come. And she still wants me to be involved. She's telling me what to do. So I think that that is great. That's a great pivot that I can quickly get him out of his head and get him to focus on and on what he can do rather than what he can't do. Yeah. Long term, if this is something that's happening, it is ultimately got to be up to him to make that evaluation of do I think I can get this back? Or would I rather move on to another activity? Because those are two very different pathways. Right? If you switch to like her spending some time on you, then I think it can kind of feel like, okay, if that works out, great, we go back to it, boom, problem solved. But if it doesn't, then it can kind of feel like, oh, God, now now it feels kind of weird, like pivoting again back to her. So it's, you know, I think that it's ultimately like you guys got to talk about it and figure out which approach is going to feel best to you. And does he feel comfortable in the moment saying, yep, yep, focus, you know, let's do two minutes on me. Or like, you know what, I'd rather pivot to you and then you hit me back afterwards. Okay. I'll tackle this next question. When is it time to seek medical help? So I did say earlier that the vast majority of cases are not typically medical in cause, but it's definitely never a bad idea to check in with your doctor if you're concerned. I definitely would check in with your doctor if it's like a brand new thing that feels like it started happening out of the blue. I would also check in if it feels like it's, maybe you've had it for a while, but it feels like it dramatically worsened like in a really quick period of time. Or just if it's gotten to the point where it's really interfering with your sex life, with your relationship, like, yeah, it's just never a bad idea to check in with a doctor. And I think for ED in particular, it's really beneficial to check in sooner rather than later if you're having trouble with your erections. ED issues can sometimes be like early signs of other issues like cardiovascular, hormonal, neurological stuff, medication related stuff as well. So that's definitely one to check in with your doctor. And you know, even if it has nothing medical related, just being able to hear from your doctor like, hey, medically, you're all good, you're in the clear, that can really help alleviate some of the anxiety too. And two other things to consider as well. We talked about this a bit in my testosterone replacement journey episode as well. And again, I'm not a doctor, I'm not trying to push anything here. What I do know is that most kind of standard issue, general practice, family practice doctors are in this day and age, especially with all these other online doctor services that send these medications to your doorstep. Most doctors are not going to proactively say, Hey, let's check your hormones, they're gonna say, Oh, you're struggling to get erections. Here's a viagra prescription. Here's a Cialis prescription. Because it's a, it feels like a very silver bullet thing. Oh, yeah, this is the symptom. Boom, this thing will give you an erection. It is very worth asking, you know, if you haven't had your testosterone levels checked, it is very worth asking for that. I know a lot of guys similarly get in their head about this just like they do with asking a doctor about ED meds. But you know, it's like, if this is the situation you're in, don't you want all the data? Because there could be some very easy fixes to this. We know if you're if your hormone levels are out of whack, if your testosterone is low, it is going to be much harder to get an erection. If your testosterone levels are higher, if you do TRT, not only is it much often, you know, very often much easier to get erections. There's a lot of other positive side effects in terms of how you feel, how you sleep, all kinds of stuff. So if your hormones are out of whack, like taking going and getting ED meds is like, you know, just putting a band aid on something rather than actually, you know, like, you know, it's like, you have a big cut and you're like, Oh, I could put a band aid over this, or I could go get stitches. Like you might as well get the stitches, right? So I think that that is another thing to look at. Also, I hate to say it, I think people tune this out, but you got to look at a couple other fact, you got to be really honest with yourself. Are you getting enough sleep? How much stress do you have in your life? Which is also for most people analogous with how much are you working? And also really honest with you, how is your fitness? All three of those things, if they are low, it is not going to be a surprise that you are not thinking about sex very much, that you're struggling to get hard, that you're struggling in the bedroom, because your sex drive is a nice to have. Once you have all of those things, it is, it is going to go you are in survival mode, if you are not sleeping enough, if you are stressed all the time, and if you are not taking good care of your body. So again, ED meds can mask the problems that those things create temporarily, but they will catch up to you eventually. And so I think there are a lot of, there are a lot of kind of everyday solutions to many of these problems. And unfortunately, most of us aren't really able to look in the mirror and get honest with ourselves about where we're at on those things. All right, well, those are all the questions that we have time for today. Is that the right, that's all the time we have for questions today. That you said it right the first time. You said it right the first time. I was like, why are you stopping? I cannot figure out, we don't have any more time, we're done. We can't answer any more questions. But times up. That put your pencils down, turn in your assay. You know, sometimes your brain just, I've had a long couple of days, sometimes your brain just kind of fritzes out. But we do have a great resource for you. If you are a penis owner, penis boss, and you want more, penis guy, penis guy, if you're a penis guy, we have, we have more tools, tips, and resources for you. We created the Modern Man's Guide to Conquering Performance Pressure. Why don't we call it the penis guy's guide? Penis guy's guide. Well, I originally called it the Modern Man's Guide because there's so much weird crap out there. And there's some bullshit that's been around for decades. Like there's like some alf, there's like weird alpha stuff. There's also weird kind of like spiritual supplement, crunchy stuff. Like, yeah, just like, so I was just like, just for like normal dudes, like someone like you who's like, yeah, I want to have a good time in bed. I want my partner to be satisfied, but I am struggling. So I put together all of my like step by step techniques from, you know, working with thousands of men over the years, real tools, real techniques, zero fluff. It covers all three of the main performance challenges that we talked about today, getting and staying hard, lasting longer, and being able to reach orgasm. There are exercises that you can do on your own, things that you can do with your partner, ways to build your confidence. There's even a whole chapter written specifically for partners. You don't have to use it if you don't want to, but it's really easy to just like let your partner take a gander at it. So it's practical, shame free, no fluff actually works. You can grab it at VMtherapy.com slash modern man. That's VM therapy.com slash modern man. We will also put the link to check that out directly in the show notes. All right, that is all for today's episode of pillow talks. Thank you so much for listening and join us again next week. We release new episodes every Thursday.