The final method in the book is the one that works most reliably, with one firm condition: your doctor has to approve it.
It uses prescription erectile dysfunction medication in an unusual way. Not as a permanent solution, and not because your body needs it. It's a tool for breaking the fear loop, after which the goal is to stop needing it.
What the medication changes
These medications don't create desire. You still have to be attracted and engaged. What they do is make an erection much more stable once you're aroused, so it doesn't vanish the instant an anxious thought shows up.
That's precisely the thing an anxious man fears most: "what if I lose it?" For a while, the question stops mattering. And that gives him something he may not have had in a long time, a firsthand experience of sex without the fear running the show.
One success rewrites the story
Every man with performance anxiety carries a memory loop that says he fails. One good experience breaks it. His brain updates its belief to "I can do this," and from there, everything starts to change.
This is the core insight. The pill isn't the cure. The belief it gives you is. The medication opens the door, but you're the one who walks through it.
Two ways to step down
The book describes two structured approaches for reducing your reliance over time, both built on the same idea: show your brain, step by step, that you don't need the support. One focuses on simply knowing a backup exists. The other gradually reduces how much you rely on it across encounters. The full details, and how to discuss them with your doctor, are in the book's final chapter.
Training wheels help you learn to balance. Once you can balance, you stop noticing them, and eventually you take them off.
Using it the right way
Talk to a doctor before taking any medication. They can confirm it's safe for you, check for interactions, and make sure there's no physical cause that needs attention. If you ever hit a rough patch later, using it again isn't a failure. You're in control of when and how you use it, not the other way around.
The long game is trusting what your experiences have already shown you: your body works when the fear is gone.
