Sexual Performance Anxiety

Sexual Performance Anxiety: All You Need to Know

Having anxiety on stage is ordinary. Watching thousands of people all of a sudden or giving a presentation is anxious. But have you ever gone through sexual performance anxiety? If yes, don’t worry. We have got your back. We associate sex with fun and enjoyment, but when anxiety kicks in, all the fun turns into a horrible dream. 

A study shows that sexual performance anxiety impacted erectile dysfunction patients’ self-evaluation and coping. It is one of the major contributing factors to erectile dysfunction in men.

To understand the reason behind sexual performance anxiety and how to treat it, read this blog till the end.

In this blog, we have covered everything about sexual performance anxiety and its treatment. 

What is Sexual Performance Anxiety?

Performance anxiety simply means when you get anxious or nervous about a task. However, when the same sensation arises between sex or any intimate activity, it is known as sexual performance anxiety. It can happen during or before sex. The stress or continuous thinking hammers your mind and body to act quickly, making it difficult to enjoy sex and end up on different sides of the bed.

Stress during sex can happen for many reasons—the feeling of not being good enough in bed or the looks and appearances. Both men and women experience this problem, but the ratio of men is much higher than women. 

Sexual performance anxiety may arise due to stress or anxiety.

It can come in different forms. Symptoms of sexual performance anxiety are:

  • No or almost no interest in sex
  • Sweating
  • Increased heart rate
  • Unable to get an orgasm
  • Inability to get or maintain an erection
  • Premature ejaculation
  • Delayed ejaculation
  • Vaginal dryness for women

Sometimes, sexual performance anxiety is also associated with erectile dysfunction. It comes under the psychological causes of ED in men.

What Causes Sexual Performance Anxiety?

Various reasons can lead to sexual performance anxiety. The feeling of not satisfying the partner or insecurities about looks, body image, or even penis size can increase anxiety levels. Comparing themselves with other men also leads to performance sexual anxiety. When men compare themselves, insecurity crumbles in the mind, and they start thinking less of themselves. 

With growing age, men go through many changes. Transformations in their bodies, hormonal imbalances, and sexual dysfunctions worsen the situation. The fear starts taking an edge over the enjoyment of sex. It constantly reminds them that they aren’t good enough, thus leading them to experience performance anxiety. 

Some major causes of sexual performance anxiety are:

  • Low self-esteem: Men who care so much about their body image, age, and weight tend to get anxious before sex. Low confidence leads to doubt themselves.
  • Mental health conditions: Mental health problems like depression or any form of anxiety disorder also become a reason for sexual performance anxiety. 
  • Past sexual trauma: Any history of sexual trauma can trigger the incident and increase the chances of sexual performance anxiety or the fear of happening again.
  • Lack of sexual experience: Doing first-time sex can be very tricky. It ignites self-doubt and makes men anxious about sex, leading to performance anxiety. It starts with minor nervousness, but if not tackled, it ends with erectile dysfunction.

When the mind becomes anxious, it leads to sexual performance anxiety. Relationship conflicts with the partner or excessive watching of porn forces your mind to have difficulty performing well. 

How to Treat Sexual Performance Anxiety?

1) ED and PE Medications

Consistent problems with erections can lead to erectile dysfunction. ED is connected with mental health, and you can treat performance anxiety by taking ED medication. With ED medications, you will get firmer erections, and the stress of performing well will vanish. 

Likewise, medicines that help with ejaculation problems can treat performance anxiety. Consult a healthcare provider and seek a precise diagnosis. It will help you understand the primary cause of sexual performance anxiety and provide you with the best medications. 

You can take Cialis and Viagra or opt for generic forms of these medications, such as Cenforce, Fildena, or Vidalista. The medicines will help to cure erection problems at the moment and help in reducing sexual anxiety.

If you are experiencing erectile dysfunction or premature ejaculation, you can see our wide variety of medications for each. 

2) Therapy

Therapy can treat sexual performance anxiety. Psychotherapy or talk therapy is the best therapy that helps with treating sexual anxiety. CBT (Cognitive Behavioural Therapy) is a psychotherapy that helps understand a person on a behavioral level. 

The main goal of psychotherapy is to change the thinking and behavior of a person to strengthen them in challenging situations. It helps you to think clearly and rationally. When you get a good understanding of your inner thoughts, you manage the fear and anxiety, leading to assist in sexual performance anxiety. 

Coping Strategies

Sometimes, what medicines can’t achieve, other ways can do. Try these strategies to cope with sexual performance anxiety. 

1) Mindfulness Meditation

Mindfulness meditation is a technique that helps with social anxiety and sexual performance anxiety. It allows you to feel the sensation that you are feeling at the moment without any judgment. 

It helps in regulating the emotions to manage anxiety. When the anxiety level increases, the blood flow in the pelvic area decreases, which leads to erectile dysfunction. Mindfulness meditation helps one to live in the present moment and enjoy it. It encourages positive thoughts and calms the mind. 

2) Communication

Building communication with your partner helps in understanding them. Talking is the best exercise to reduce stressful thoughts and lighten the burden. Sometimes, what is prominent in your mind may not be so terrible in real. Talking about it allows you to listen to your problem and summarise it to you, which makes the situation look easy. 

Additionally, talking with your partner also reduces the communication gap. It helps in building stronger relationships and reduces performance anxiety. 


Sexual Performance anxiety is a physical condition that invites other problems like erectile dysfunction or premature ejaculation. Being anxious before sex leads to unsatisfied sexual activity. It increases the chances of ED in men under 40. It can occur for many reasons, such as insecurities, low self-esteem, or societal pressure.

However, treating this problem is possible. Medications, mindfulness practices, lifestyle changes, and talking can help. Don’t allow anxiety to ruin your sex. 

Erectile dysfunction is a devastating problem. It affects men mentally. To treat this problem, we have high-quality ED and PE medications that will help you get your confidence back. Don’t worry about the price. They are very affordable and easy to find. So, are you ready to enjoy your sex again?


Q1. How do I overcome sexual anxiety with ED?

You can overcome sexual performance anxiety in various ways. Take the right medications and consult a healthcare provider. Talk therapy helps to manage stress levels and is beneficial for erectile dysfunction.

Bring some changes in your lifestyle- take a healthy diet, exercise daily, and practice mindfulness meditation. By implementing these, you can tackle sexual anxiety and enjoy sex again.

Q2. Can Sexual Performance Anxiety Cause ED?

There are chances that sexual anxiety can cause erectile dysfunction. This form of ED is called psychogenic erectile dysfunction. It is caused by high stress or anxiety levels.

Q3. How Common is Sexual Performance Anxiety?

According to a study, sexual performance anxiety affects 9-25% of men, which leads to premature ejaculation and psychogenic ED.

On the other hand, sexual performance anxiety affects 6-16% of women with sexual drive.

Q4. What ED Pills Are Good for Performance Anxiety?

Medicines that have PDE5 inhibitors can also help with performance anxiety symptoms. Generic forms of medications like Cenforce 100, Fildena 100, and Vidalista 40 contain PDE5 inhibitors and increase the blood flow to the penis.

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