
The Big O... Oh No!
Authored by Thomas Andrew Porteus, MBCSOriginally published 8 Dec 2025
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In this series:Coming, Ready or NotLust or BustVictims and VillainsMe-Topia The Arousal ParadoxWhat is Sex Anyway?A Dangerous Liaison? Losing It!
Clare and Janet discuss orgasms - and what can help if it isn’t happening for you or your partner. Also the myths surrounding female orgasm. Do you really know what the clitoris looks like?!
This podcast contains explicit language and content of a sexual nature.
In this reassuring and myth-busting episode, Clare and Janet talk openly about something many men experience but rarely discuss: losing an erection. They explore why erection difficulties can feel frightening or shameful, how partners often misinterpret them, and why the first - and most important - step is talking honestly with each other.
Drawing on years of therapeutic work, they explain the many reasons erections can become unreliable, from stress, anxiety and lifestyle factors to medications, health conditions, poor sleep, and the impact of porn habits or long-standing masturbatory techniques. They also highlight the importance of ruling out medical causes, reminding listeners that erection changes can sometimes be an early sign of treatable health issues.
Clare and Janet offer a wide range of practical solutions - from Viagra-type medications and vacuum pumps to Kegels, lifestyle changes, and exploring pleasure beyond penetration. They introduce psychological tools such as the “wax and wane” technique, strategies to reduce performance anxiety, and ways couples can rebuild intimacy without pressure.
Above all, they emphasise that erection difficulties do not define masculinity, desirability or the health of a relationship. Erections can ebb and flow, and sex can still be intimate, playful and fulfilling. With communication, curiosity and the right support, this is a problem most couples can navigate together.
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About the authorView full bio

Thomas Andrew Porteus, MBCS
HealthTech
MBCS
Thomas writes to inform, inspire, and equip practice leaders and health professionals navigating change, drawing on two decades of hands-on work across the UK health system.
Article history
The information on this page is peer reviewed by qualified clinicians.
Article also available in English, German, Spanish, French, Italian, Portuguese, Hindi, Hebrew, Arabic, and Swedish.
8 Dec 2025 | Originally published
Authored by:
Thomas Andrew Porteus, MBCS

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