31 Days

Day 21

Boost Your Libido
& Endurance

Man sexual performance anxiety

It’s a common problem. According to the Cleveland Clinic, studies show that sexual performance anxiety is more common than you might expect. It's estimated that one in four men under the age of 40 will struggle with it and Yale Medicine estimates that more than 300 million men globally this year will have issues. Having erection trouble from time to time isn't necessarily a cause for concern, but because this is such a delicate area—both physically and emotionally, if you ignore it, you can make it worse.

Man sexual performance anxiety

Maybe this is a familiar situation: Things are heating up in the bedroom and you're clearly excited, but then ... “no, no, no ...” The erection that was strong just moments ago suddenly begins to soften. And you can feel your face flush and you try to push down the rising anxiety.

According to relationship therapists, this starts a chain reaction in your body. You try to relax, but the stress keeps rising and your erection keeps dropping. The desire is clearly there, but your body's no longer cooperating. This only has to happen once or twice to really start messing with your head. And your brain is clearly tied to your little brain. Once that feedback loop is out of whack, it can be challenging to get things back on track.

Years ago, it was an awkward experience to get help. You had to see your regular doctor, explain the situation and then maybe get referred to a specialist. Most men would rather schedule a root canal. But today, with the internet, you can rely on dedicated telemedicine companies that specialize in this topic and have designed more modern and convenient treatments. You can connect online (even on your phone) and have your symptoms reviewed by a doctor. If you're approved, they will provide you with a prescription and send the meds right to your door in a discreet package in about a week.

How does it work, according to Dr. Charles Walker, MD, a urologist who specializes in ED, men in generally good health who use terms such as “performance anxiety” usually suffer from stress-induced or substance-induced ED, which is caused by anxiety, distraction or too much drinking of alcoholic beverages. These patients often respond to such drugs as Cialis, Levitra and Viagra, all of which enhance the effects of nitric oxide, a natural chemical in the body that relaxes the penis muscles and increases blood flow. “The drugs work well in these patients because once they get their erectile function back, their confidence improves, their performance anxiety gets better, and they get better,” Dr. Walker says.

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And whereas traditional prescriptions like Viagra are pills that take about an hour to kick in, companies like Ro and Hims now have flavored mints and sublingual tabs that can get you ready for action in as little as 15 minutes. These treatments only give you an erection when you're aroused—so you don't have to worry about battling one when you're not ready. Just start the foreplay and let go of your anxiety.

There are other options online and countless sketchy “supplements” being marketed to help, but these two are trusted leaders in the field and we've tested both and know that they're worth your time and money to get your bang back in the bedroom.

Ro Sparks

This two-in-one treatment is a combination of the medications sildenafil and tadalafil (the active ingredients in Viagra and Cialis). You place the citrus-flavored tablet under your tongue and let it dissolve. This maximizes the amount of medication delivered directly to your bloodstream for a faster effect. You're able to get hard almost instantly (in as little as 15 minutes) and it keeps you ready for up to 36 hours.

From $12 per dose on a monthly subscription plan at Ro

Hims Mints

To help you be ready for sex when the mood strikes, these mints are formulated with tadalafil (the active ingredients in Cialis). You simply bite into and chew the mint until you can comfortably swallow it—no water required. The dissolved medication starts working and you'll get noticeably harder in as little as 30 minutes and it keeps you ready for up to 36 hours.

From $6 per dose on a monthly subscription plan at Hims

The Non-Rx Option

Mojo is an app that uses psychology tactics to help you harness your anxiety and redirect your body’s “fight or flight” stress response that’s responsible for many guy’s emotional ED. It works to improve confidence and build a performance mindset to take back control.

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