Sex is supposed to be a pleasurable experience, but it's hard to feel sexy or intimate with your partner when you have sexual performance anxiety. When you're constantly wondering, "Am I doing this right?" "Is my partner enjoying this?" or "Do I look fat?" you become too preoccupied to enjoy sex.

Constant worry over your appearance or ability in bed can make sex stressful and nerve-wracking. It can even make you want to avoid having sex.

Sex is more than just a physical response. Arousal is tied into your emotions, too. When your mind is too stressed out to focus on sex, your body can't get excited either.

Causes of Sexual Performance Anxiety

Many different kinds of worries can lead to sexual performance anxiety, including:

  • Fear that you won't perform well in bed and satisfy your partner sexually
     
  • Poor body image, including concern over your weight
     
  • Difficulties in your relationship
     
  • A man's worry that his penis won't 'measure up'
     
  • A man's concern about ejaculating prematurely or taking too long to reach orgasm
     
  • A woman's anxiety about not being able to have an orgasm or enjoy the sexual experience
     
  • These anxieties cause your body to launch a response called "fight or flight." Stress hormones like epinephrine and norepinephrine are released in a series of reactions that were actually designed to prepare your body to run or confront a threat. Of course, your partner isn't a threat, which is why this response is so counterproductive to intimacy.

    Symptoms of Sexual Performance Anxiety

    Your state of mind can have a big impact on your ability to get aroused. Even if you're with someone who you find sexually appealing, worrying about whether you'll be able to please your partner can make it impossible for you to do just that.

    In men, one of the effects of the stress hormones is to constrict blood vessels. Less blood flowing into the penis makes it more difficult to have an erection. Even men who normally don't have any trouble getting excited can become unable to get an erection when they're overcome by sexual performance anxiety.

    TREATMENT

    In person consultation is more preferred the doctor has to first identify whether the problem is psychological, physical or simple lack of technique or knowledge. As part of consultation the doctor Will inquire about the patient's complete lifestyle, sex life, daily routine, food habits, relationship with spouse, job profile, knowledge of sex etc and will effectively diagnose your condition first, then accordingly the solution will be advised.