Performance Anxiety ED: How to Overcome Fear Of Sex

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Is sex giving you more stress than fun? Performance anxiety and erectile dysfunction (ED) are the most common sexual problems faced by men. Find out how these issues are related and how to overcome them.

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Performance Anxiety: An Overview

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Performance anxiety is often associated with negative thoughts such as fear and worry, which leads to sexual dysfunction. This may be caused by underlying insecurity about genital size and body image and pressure to please their partner sexually and stress.

Other causes include:

  • Problems in your relationship
  • Feelings of inadequacy
  • Concern about premature or delayed ejaculation
  • Worries about taking too long to reach orgasm or not at all


Performance anxiety may reflect symptoms differently as everyone responds to stress and anxiety in different ways. These symptoms could be premature ejaculation, erectile dysfunction (ED), inability to orgasm, or total loss of interest in sex.

Men and women experience performance anxiety, but men of all ages tend to face it more often. Although common, this type of sexual dysfunction is entirely normal and treatable.

The Link Between Performance Anxiety and ED

Performance anxiety and ED may be connected in several ways.

Erectile Dysfunction (ED) is the inability to get or maintain a firm erection because of physical and psychological factors. ED itself and its underlying physical and psychological causes may result in unsatisfactory sex life, low self-esteem, relationship problems, stress, and anxiety. 

Physical conditions that may lead to ED include hypertension, diabetes mellitus, and some lifestyle factors such as lack of exercise, obesity, heart disease, urinary tract infection (UTI), and low testosterone levels. Meanwhile, psychological factors that contribute to ED may be associated with depression, anxiety, stress, and other mental health conditions.

Research points out the relationship between the state of mind and the ability to perform sexually. When a man experiences stress and anxiety before or during intercourse, this may lead to difficulty getting and maintaining an erection. This interconnectedness may lead to a lack of self-confidence, feelings of incapability, and relationship problems.

RELATED: The Science of Self-Assurance: How to be More Self Assured

ACV does not have any nutritional value. This means it has no protein, dietary fiber, no fat, no carbohydrates, and no calories unless sugar is added. Nevertheless, ACV is used as a home remedy for common health conditions, including ED.

How to Overcome Fear of Sex

The following are several ways you can try to manage performance anxiety:


Exercise improves your stamina, flexibility, and strength in bed. Lack of exercise is linked to symptoms of ED here. To improve your performance, you can do some sit-ups, push-ups, crunches, and squats to strengthen the upper and lower body. Plus, when you exercise, you may feel better about your body image and perform better.

Focus on What’s In Front of You

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Most men who experience performance anxiety focus too much on what may go wrong during sexual intercourse or keep reliving that time when they could not perform well. The emotion of embarrassment, worries, and fear may pile up, and this could lead to a cycle.

One thing you can do is focus on your senses and divert your attention to the person or objects around you. This may help block negative thoughts. In addition, you can enjoy sex itself by making the mood romantic with scented candles and music.

Open Up to Your Partner

Most often than not, sexual anxiety stems from the pressure about what your partner might think of you if you fail to perform or rise to the occasion. Being open about what is bothering you may put you at ease and address underlying relationship issues.

Other Things to Try

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Some alternatives you can try include:

  • Sex therapy
  • Talk therapy
  • Reducing stress in your life
  • Clearing negative thoughts
  • Meditation that helps with anxiety
  • Guided imagery
  • Couple counseling to help with relationship problems


When to See a Doctor

If performance anxiety keeps recurring after you have tried personal efforts to manage it, seeing a doctor can help you overcome this issue.

Your doctor may do a physical exam and recommend medications that help with ED. If ED causes performance anxiety, testosterone replacement therapy may be recommended. Also, questions may be asked to address mental issues such as stress and anxiety.

Sexual problems encompass a variety of factors ranging from physical to psychological. Performance anxiety is normal, and it commonly happens in men due to stress, pressure, and fear of underperforming, which may lead to ED. This sexual dysfunction is treatable. It is important to see your doctor determine the underlying causes and help you overcome sexual dysfunction.

Is performance anxiety keeping you from having a satisfying sex life? Opt Health reconnects men with health, happiness, strength, and sexual vitality. Get personalized support and insight from top-tier physicians available for you 24/7. Contact us today.

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