Performance IssuesEver since man climbed down from the trees, the ins-and-outs of sexual performance as a topic of conversation has been all the rage. “What do you do?” “How do you do it?” “How can I do it better?” The stories that accompany these conversations and the tendency of people to exaggerate their level of panache, skill and maneuverability within the confines of the bedroom hasn’t been helped along by Hollywood either. The perpetuation of certain urban myths involving particular ‘moves’ during intimacy has left many of us scratching our heads as to what exactly is expected of us. Are we really going to disappoint if we don’t end up hanging from the rafters executing moves that only a highly trained Eastern European gymnast would otherwise be capable of? For those of us without a step-by-step copy of the Karma Sutra printed indelibly into our subconscious, the experience of anxiety over the quality of our sexual performance is understandable. Unfortunately, sub-optimal sexual performance, defined as the inability to achieve an orgasm or orgasms through sexual intercourse, is also likely to result in the decreased enjoyment of sex. There can be any number of causes – stress and depression are common, as are feelings of self-consciousness and how comfortable we are with our partners. Physiological factors include erectile dysfunction, lowered libido, endometriosis and prostatitis. What is important is that, very often, sexual performance issues are treatable.
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