Guides for Men

Straight answers, written for adults

Most of what men read about sex online is either sales copy or squeamish. These guides are neither. They explain what is actually happening in the body, what the research supports, what you can practice on your own, and where professional help earns its keep. No euphemism, no scare tactics, no promises nobody can make.

They are written by Paul R. Nelson, Licensed Mental Health Counselor (NY), Licensed Professional Counselor (CT), AASECT Certified Sexuality Educator, whose practice is men's sexual health. If you would rather read about a specific concern than a technique, start with What We Help With.

How to Last Longer in Bed

The full picture: what 'too fast' actually means, the techniques that work, the anxiety loop, and what medication does and does not do.

How Long Do Men Actually Last?

What the research on ejaculation latency really shows, and why the number most men imagine is wrong.

The Start-Stop Technique

Where it came from, exactly how to practice it solo and with a partner, and the mistakes that stall progress.

The Squeeze Technique

How it works, how it differs from start-stop, and how to choose between the two.

Pelvic Floor Training for Men

What those muscles do in erection and ejaculation, how to find them, and how to train without overdoing it.

Peyronie's Disease Treatment Options

Traction, oral agents, injections and surgery, who provides each, and the sexual side none of them address.

Pentoxifylline for Peyronie's Disease

What it is, why it gets discussed, what the evidence supports, and why it is a urologist's off-label decision.

Penile Traction Therapy for Peyronie's

The mechanical rationale, realistic expectations, and why sticking with a months-long daily protocol is the hard part.

Penile Traction Devices, Compared

Rod-based, vacuum-based and low-profile designs compared by category, plus a plain warning about online marketing.

Sex With Peyronie's Disease

Positions and adaptation, pain, what to tell a partner, and when avoidance becomes the bigger problem than the curve.

Peyronie's and Erectile Dysfunction

Why the two travel together, which is driving which, and why straightening a curve often leaves the ED behind.

Why Can't I Finish?

A plain entry point for men who stay hard, last a long time, and cannot reach orgasm with a partner.

Curing Delayed Ejaculation

What a cure realistically means, why identifying the cause matters more than any technique, and what changes outcomes.

Delayed Ejaculation Treatment Options

The full landscape: medication review, behavioral work, partner involvement, and what to try first.

Idiosyncratic Masturbation and Delayed Ejaculation

The cause almost nobody names publicly, why partnered sex cannot reach the threshold, and how retraining works.

SSRIs and Delayed Orgasm

The most common reversible cause, and why any medication change belongs with your prescriber.

Cabergoline and Delayed Ejaculation

What it is, why it comes up, what the evidence supports, and why prescribing is a physician's decision.

Kegels for Delayed Ejaculation

Why pelvic floor work cuts both ways here, when it helps, and when more squeezing makes things worse.

Is Delayed Ejaculation Permanent?

Honest prognosis, broken down by cause: medication, learned patterns, anxiety, and medical factors.

Sexual Therapy for Erectile Dysfunction

What sex therapy for ED involves, when it is the right call alongside medication, and what a first session looks like.

Hypertension and Erectile Dysfunction

Why ED is often the first visible sign of vascular disease, and why that makes a doctor visit urgent rather than optional.

Medications That Cause ED

Antihypertensives, antidepressants, finasteride and others, and why the conversation belongs with your prescriber.

Shockwave Therapy for ED

What it is, what the evidence supports and does not, who provides it, and how to read aggressive clinic marketing.

Vacuum Pumps for Erectile Dysfunction

How they work, who they suit, safe use, and their real role in rehabilitation after prostate surgery.

Beetroot Juice and Erectile Dysfunction

A real mechanism, dietary nitrate and nitric oxide, that still does not do what the internet claims.

Erectile Dysfunction Gummies

An unregulated category, and the documented danger of undisclosed prescription ingredients with heart medication.

Baking Soda and Erectile Dysfunction

No credible evidence, where the claim came from, and what the search is usually really about.

Vicks VapoRub and Erectile Dysfunction

Why it does nothing for erections, and the genuine risk of putting a mentholated topical on genital skin.

Does Weed Cause Erectile Dysfunction?

What the evidence says, why dose and frequency matter, and the anxiety interaction nobody mentions.

Retrograde Ejaculation

Semen going into the bladder instead of out. Why it happens, what it means for fertility, and why it feels bigger than it is.

Get Started

Reading helps. Working on it helps more.

Sessions are available to men in New York and Connecticut. Private, direct, and you do not have to explain yourself first.