For the past few months I’ve been dating a lovely man but our relationship is at risk because he can’t get it up. He says he fancies me and always seems turned on. Sometimes he gets hard - but when we try for sex he loses his erection. On the few occasions he has got hard, he doesn’t orgasm. I’ve always been a very sexual person and would like a lot of sex. We’re hardly having any. I find it difficult to orgasm even if he tries other things because I keep thinking. Why can’t he have proper sex with me?
What’s going on with him?
For younger men, erection problems usually go hand-in-hand with anxiety. It goes something like this. He fancies you and wants to turn you on. But he’s also worried he might not get, or keep, his erection (particularly if he really likes you and/or if this has been a problem in past relationships). These worries mean that when you try and have sex he doesn’t get hard at all, or loses his erection when he tries to penetrate you.
Of course, this now confirms his worst fears. And because he is anxious - sure enough - the problem repeats itself. He can’t hide this from you, or dismiss it as a one-off. And the shame, embarrassment and fear of losing you (and concern others may learn of his difficulties) can make sex into a source of stress rather than something pleasurable.
Unsurprisingly many men in this situation, regardless of their sexuality, avoid talking about it, hope it gets better, or avoid affection and sex.
What causes erection and orgasm problems in men?
Aside from the sexual worries outlined above, there may be other reasons why he experiences erectile problems.
Might any of the following apply to him?
Why do you feel he doesn’t fancy you?
It’s not unusual to react to a partner’s erection problems with self-blame. That you might not be turning him on, or be attractive enough, or that he doesn’t really love you. Some women worry erection problems are a sign their partner’s cheating or is planning to end the relationship.
These are understandable but unhelpful fears that add to an already anxious situation. And makes conversation difficult - because you don’t want to ask him if you are the problem. Plus, it causes tension if he is struggling with an embarrassing issue and feels you’re making it all about you - when he thinks it is all about his difficulties.
You’ve described him being caring and loving, that he wants to please you sexually, and he has told you he finds you attractive. Rather than assuming these things are not true you may want to focus on building your own confidence and believe him when he tells you nice things about yourself and the relationship.
It may helpful to focus on what is good in other areas of your relationship, as well as things that may make sex more enjoyable (see below).
Making it better
Accepting this is a common problem and learning more about erection worries can help. You and he may want to read this excellent answer on erection problems from Cory Silverberg.
He may also want to try relaxation and mindfulness techniques to reduce his anxiety overall and particularly in relation to sex. Or talk to a therapist if he feels he needs additional support in tackling any underlying issues that are causing the problem.
You both may want to redefine sex, so you take away the pressure of your orgasm or his erections being the goal of all sexual experiences. Or frame ‘proper sex’ as sex that involves penetration.
You get to decide what is normal for you. That might include him still experiencing pleasure from you touching his penis even if he’s not hard. Some men can still orgasm without an erection. Or he may prefer not to have any touching while he is dealing with his erection problems. It is okay for you to orgasm even if he doesn’t. Reading about what might bring you pleasure, or considering how you think about sex can make this something enjoyable to explore together.
If penetration is important to you for orgasm, you may want to consider using sex toys on your own, or during intimacy regardless of whether he is hard or not. This will need a sensitive introduction so he doesn’t feel you are turning to a toy because he cannot perform.
Often in situations where erection problems persist, people avoid sex but also avoid comfort and cuddles. Sharing physical affection in the form of massage, hair brushing, hand holding, or other ways to connect can help you feel bonded even if you aren’t having sex as often as you would like.
One thing to avoid is him self-treating with sex drugs sold online. These herbal or generic ‘cures’ for erection problems will at best do nothing aside from waste your money. But at worst they can cause health problems and even harm him physically.
If this continues and he is distressed by it then he may want to speak in confidence to his GP who can rule out there aren’t other health issues contributing to his sexual problem and/or refer him to a psychosexual therapist.
Petra Boynton is a social psychologist and sex researcher working in International Health Care and studying sex and relationships. She is The Telegraph’s agony aunt. Follow her on Twitter @drpetra.