The Big Dilemma: How Size Fuels Bedroom Anxiety For Men

  • By Cole
  • Jan. 15, 2026, 2 p.m.

The Pressure of Perfection

For many men blessed with larger-than-average endowments, the bedroom isn't all fun and games. Concerns about possibly hurting a partner or not living up to sky-high expectations can cast a shadow on intimate moments. Sexologist Dr. Mindy DeSeta sheds light on this issue, explaining how societal norms and adult media have created a standard that's tough to meet. "Many men feel they must deliver an 'out-of-this-world' experience, but this often collides with the fear of causing physical pain, leading to anxiety," she notes.

“Men feel they must live up to societal ideals while also protecting their partner from discomfort,” said Dr. DeSeta. “The conflict can be stressful and emotionally draining.”

Understanding Empathic Injury

Sex therapist Dr. Rod Mitchell, who specializes in trauma recovery, has observed that repeated instances of causing discomfort can lead to what he calls "empathic injury." This emotional toll can manifest as performance anxiety and stress-related sexual dysfunction. Mitchell explains that when the nervous system perceives sex as potentially harmful, it can lead to difficulties with arousal, premature ejaculation, or even avoidance of intimacy altogether.

The Influence of Media and Society

Data shows that younger generations, particularly Gen Z, are heavily influenced by social media and pornography. A campaign by LADbible revealed that nearly half of Gen Z viewers feel porn has shifted their sexual expectations, with 77% seeking more guidance on navigating intimacy. While society often equates size with skill, experts like Dr. DeSeta emphasize that empathy, communication, and consent play far more critical roles in fostering healthy sexual relationships.

The Path to Better Intimacy

Therapists recommend that men struggling with performance anxiety engage in open dialogues with their partners and seek professional counseling. By enhancing education around intimacy and promoting realistic expectations, couples can alleviate stress and improve their sexual experiences. It's essential to remember that while size can be a factor, it's certainly not the defining one in the bedroom.

Cole
Author: Cole
Cole

Cole

Cole covers the infrastructure of the creator economy - OnlyFans, Fansly, Patreon, and the rules that move money. Ex–fact-checker and recovering musicologist, he translates ToS changes, fees, and DMCA actions into clear takeaways for creators and fans. His column Receipts First turns hype into numbers and next steps. LA-based; sources protected; zero patience for vague PR.