Persistent performance anxiet
Erections may be possible, but pressure, fear, or anticipation keeps interfering with partnered sex.
For Urologists & Men's Health Clinicians
When the medical treatment is working — but the patient is still struggling.
Fran Frye works with men whose sexual concerns are being complicated by performance anxiety, compulsive porn use, shame, relationship distance, or loss of sexual confidence.
She complements medical care by helping patients address the emotional, relational, and behavioral factors that can keep the problem in place.
■ Talk-based · Confidential
Confidential.
Direct.
Talk-based.
Non-shaming.
Counseling for the human side of men's sexual health.
When to consider a referral
When another kind of
When another kind of
support may help.
Consider a referral when the workup and treatment are sound, but the patient keeps running into one of these:
Porn affecting sexual response
Compulsive porn use, low arousal with a partner, escalating content, secrecy — or a man who's started to worry about the pattern himself.
Relationship distance or avoidance
The symptom comes with withdrawal, lost intimacy, ongoing conflict, or a man who can't talk to his partner about any of it.
Lost sexual confidence
He's rebuilding after prostate cancer treatment, Peyronie's, ED, or another change that shook how he sees himself sexually.
Low desire or delayed ejaculation
The workup doesn't fully explain the low desire, the trouble reaching orgasm, or how disconnected he feels during sex.
Shame that limits treatment
He cancels follow-ups, minimizes, or can't quite say what's going on. Shame is doing the talking.
A complement to medical care
You address the medical factors. Fran helps address what may be keeping the problem in place.
How the referral worksSexual function doesn't sit apart from stress, relationships, self-image, and the nervous system.
She helps a patient see how performance pressure, secrecy, compulsive patterns, grief, shame, and relationship dynamics are shaping his sexual life.
The work is talk-based — she complements your treatment, she doesn't replace it. It addresses the part of the problem that medication, testing, and procedures can't reach directly.
What your patient can expect
Direct counseling.
Direct counseling.
No judgment, no vague therapy-speak.
A confidential first conversation
He can say what's going on without being rushed, moralized at, or reduced to a diagnosis.
A practical read on the pattern
Fran helps him see what's driving it, and why the fixes he's already tried didn't hold.
A focused path forward
Structured around real goals: loosening shame's grip, changing the pattern, rebuilding confidence, and becoming more honest and present with his partner.
"The goal isn't simply to stop a behavior. It's to understand the pattern well enough that it no longer runs his life."
The referral process
Refer a patient ■
Three straightforward steps.
01
Share Fran's information
Give him Fran’s card or website. A formal written referral isn’t required, though she’s glad to take one if your practice prefers.
02
The patient contacts Fran directly
Fran takes it from there: the first conversation, scheduling, all of it. Nothing routes back through your office.
03
Care continues alongside yours
He stays under your care. With his consent, Fran coordinates with you when it helps.
Why Fran Frye
Focused on the concerns men find hardest to say out loud.
Her practice is built around men dealing with compulsive sexual behavior, porn, performance anxiety, sexual disconnection, shame, and relationship strain. Her job isn't to second-guess your diagnosis. It's to help him with the human factors shaping his recovery, his confidence, and his relationship.- Extensive experience working almost exclusively with men, and the concerns they find hardest to discuss
- Talks about sex directly, without flinching
- Practical and non-shaming — no moralizing, no willpower lecture
- Real respect for the medical work you've already done
- Treats compulsive behavior as a pattern that can change, not a permanent addict identity
- Holds compassion and accountability at the same time
"You address the medical factors. Fran helps him address the human ones."
For your exam room
A card for the desk drawer.
A short reference for your team — so the referral is easy to make in the moment, not something to remember later.
Request referral cards ■
Have a patient in mind?
Let's find out if Fran's the right next step.
Refer him directly, or have a short conversation with Fran first. No intake burden on your office, no sales pitch — just a straight conversation about whether it’s a fit.
For urgent medical or mental-health concerns, patients should contact an appropriate licensed healthcare provider or emergency service.