This podcast is for you, the Modern Man.

I'm Dr Anne Truong, your host.

I'm an intimate health medical doctor and best selling author of the book, Erectile Dysfunction Fix.

I'll do a deep dive into sexual health and performance and how it affects men of all ages and backgrounds.

So let's get started, and be sure to visit my website at sexualhealthformenpodcast.com for more information and resources from the show.

See you on the inside.

Hello there, Modern Man.

I'm Dr Anne Truong.

I'm a sexual health specialist, treated over 7000 men.

Have you ever wondered what you need to do if you have performance anxiety that you feel like you're lost?

Well, in today's episode, we're gonna talk about what you need to do to get effective treatment for performance anxiety.

So what is performance anxiety?

Performance anxiety is a feeling of panic, feeling of worry, feeling of anxiety when you're about to get it on, because maybe you had past experience in that didn't go well and you didn't perform, or maybe someone has made a comment, negative comment, that kind of lingers on here (the brain).

It's almost like a little PTSD, that you keep thinking about and reliving over and over again.

And the reason why I'm talking about this is because I see this a lot in my patients in the office, as well as in our coaching groups, the Modern Man Club.

Is that performance anxiety almost follow physical erectile dysfunction, and then even if we treat the physical part of ED, the performance anxiety still somewhat linger, because it's in here (the brain).

And the reason why I stress that is because the largest sexual organ for you to get the erection is really come from the brain.

And even if we work together and I treat erection, and then the erection has better flow, but if the brain is not treated, then no erection can happen.

So I try want to focus on today's session on performance anxiety, and what's the research is showing and what I feel that you need to know so that way you can find resources to help you.

And I feel that every man that has ED had some component of performance anxiety.

Now there is a treatment is primarily recommended for men with ED with performance anxiety, and that is called CBT, C like cat, B like a boy, T, like tall.

CBT stands for Cognitive Behavioral Therapy, and it stands out as the most effective intervention because it directly addresses the psychological mechanism that maintain performance anxiety and affect erectile function.

And researcher demonstrate that CBT specifically targets the cognitive and behavioral factors that create and perpetuate the anxiety performance cycle.

Now performance anxiety creates a vicious cycle where fear of sexual failure lead to increased stress and anxiety, and then anxiety causes physiological changes, including reduced blood flow to the penis.

And then poor sexual performance reinforces the original fear, creating a self perpetuating cycle.

And you need to know that, because the further you think about your erection, the more stress you're gonna get.

And when stress is high, erection goes down.

Because when stress is high, that's when you activate the sympathetic nervous system.

And at the sympathetic nervous system will lose the blood from your penis out to your arms and your legs.

So stress decrease blood flow to your penis.

CBT break this cycle that I just mentioned, of the cycle of fear, failure, anxiety and poor performance, and it reframe.

CBT help men by reframe the negative thought patterns and then help you develop healthier coping mechanism to deal with performance anxiety.

Studies have shown in the landmark study, men receiving CBT alongside with low dose PDE-5 inhibitors such as tadalafil shows continued improvement in their ED months after CBT treatment has finished.

While those receiving just medication alone without the CBT shows no further improvement or even decline.

Decline even if you stay just the medication alone.

Now, CBT has shown to reduce not only ED symptoms, but also anxiety and depression that co-exist as well, and I want to mention and stress at this point is that combining CBT with breathing that I talk about, check out the episode where I talk about breathing out of erection, where there are several mechanism of breathing that will help lower your heart rate.

When your heart rate is lower, stress is lower, erection comes back.

Heart rate high, no erection.

So the breathing technique that I talk about, the box breathing technique where you breathe in for four, you hold it for four, and you breathe out to your mouth for four, and then you hold for four.

But make sure you breathe into your nose, because if you go into your nose and go to the nasal sinuses up here, which then help you create more nitric oxide.

Breatheing to the nose, help you create more nitric oxide.

Nitric oxide bring in more blood flow.

And also box breathing will also decrease your heart rate as well.

So decrease heart rate, nitric oxide, erection, all right?

But high heart rate, stress, decrease erection.

So the key CBT component addresses performance anxiety at this point.

So keep that in mind, that if you mix it with breathing that I talk about, and then maybe just low dose, five milligrams of tadalafil or Cialis daily will actually treat your ED, and it may even last once you finish the therapy.

Now, how long should you do CBT therapy?

Between 8 to 12 weekly sessions for optimal results.

About two to three months.

Pretty fast if you're with a partner doing a couple days.

You're also going to be given homework and exercises.

And CBT addresses the root cause of performance anxiety, and it has longer lasting effect beyond just medication, and, of course, no side effects, and it's holistic.

You can even do this on Zoom.

You don't even need to come in and see a therapist in the office.

So where can you find therapists that are certified?

I really like therapists that are certified by the American Association of Sexuality Educators, Counselors, and Therapists.

Now the AA is certified sex therapist, and the very rigorous process, they spend 150 hours on sexual education, 60 hours sex therapy specific training, and 300 hours of supervised clinical experience and 50 hours of direct supervision by another AASECT certified supervisor, and also advanced clinical degree with psychotherapy training as well.

Now check out this link right here, or you can go directly to their website at www.AASECT.org, or the link that I have on here, check it out.

Just you can find a certified therapist that are qualified to treat your performance anxiety with CBT.

All right?

So I hope that help, and I can't stress to you how important it is to also treat the psychological component of ED and the physical part, because they are intertwined, and they probably 99% of time coexist.

And I see this a lot, where my patients get better physically, but they're still unable to perform because they're still need to go get rid of the performance anxiety, which they have lifted for years, and going through doing CBT, is about to do that.

And I know as men, you know my husband's same way.

They're like, going to see a therapist.

It's nothing wrong with going to see a therapist.

It doesn't mean that you're weak.

It doesn't mean that you're any different.

It just means you need help all of these therapists are no different than going to see physical therapy to do therapy on your back.

And so there is no difference, now you're going to have chance to do it on Zoom and on virtual, or do you not have to come in for an office evaluation.

And some insurance will cover for this as well.

You have to kind of find out, and you can go on their website, type in your location, and you can find out therapists that are certified, that are feel you or work with a therapist that you feel that you like to work with, because now it's all virtual.

So I just want to be a resource for you and give you a resource for performance anxiety, because it's very, very common, and I don't want you to miss out.

Okay?

So I hope you find this useful.

Let me know if you have any questions, and it will mean the world to me if you get notified and subscribe and share this with somebody that you care about.

A lot of our viewers are non-subscribers, so I hope you guys will subscribe to our channel.

It will mean the world to me and don't forget, do not suffer with ED in silence.

You do not have to suffer alone.

We have a resource for you that's called the Modern Man Club.

It's a space where I will coach you and together with community of men that has ED, where we work together and getting you out of ED breakthrough to sexual confidence and sexual clarity and performance anxiety as well.

And so check it out at noedman.com at the link right here.

So I'll see you in the next episode.

Okay, Modern Man, you are not alone and you don't have to suffer anymore.

ED can feel isolating, frustrating, and even defeating.

The endless guessing, the quiet shame, the weight of not feeling like yourself is exhausting.

But here's the truth, you are not broken.

You are not alone.

You don't have to figure this out alone anymore.

The Get Wood Now Boost Program is your step by step, path to sexual confidence and restoration.

No more suffering in silence, no more trial and error, just real solution, real result and the confidence you deserve.

It's time to take back your power on your term.

Let's get this journey started together.

Check out the course at getwoodnow.com.

I'll see you there.

Thanks for listening to the Sexual Health for Men Podcast.

If you love this episode, then please take a screenshot on your phone and post it on Facebook, Instagram, or wherever you post, and be sure to tag me and let me know why you like this episode and what you like to hear in the future.

That will help me know what's great for you and I would love to give you the most incredible free gift designed to help you improve performance quickly.

Go to my website at sexualhealthformenpodcast.com to get the book, The Five Common Costly Mistakes Men Make When Facing ED.

I would appreciate if you subscribe, leave a review on Apple podcasts or wherever you listen.

And just know that you can have sexual vitality for life.

I appreciate you until next time.