SHANE​ WARREN

There are moments in men’s sexual health where confusion speaks louder than pain. One of them is this: “I climaxed… but nothing came out.”

Painful ejaculation isn’t talked about much, particularly in gay men’s spaces where sex is often framed as performance, stamina, confidence, and intensity. But when orgasm is followed by burning, aching, sharp discomfort, or deep pelvic pain, it can trigger anxiety very quickly.

Sexual Aversion Disorder (often now understood under broader frameworks of sexual interest/arousal difficulties and trauma-informed models) describes a persistent fear, disgust, or anxiety response toward sexual contact. It is not simply a quiet libido. It is a protective response. And protection is always meaningful.

Penis size is a topic that can cause a great deal of anxiety and insecurity in men. Many men feel envious of those who have a larger penis size and may struggle with confidence and self-esteem as a result. Holistic psychotherapy and hypnosis can offer a solution to help individuals overcome penis size envy and develop confidence and self-esteem.