Feelings of anxiousness are fairly common before sex. But it may be Sexual Performance Anxiety if you are unable to have or enjoy sex due to Anxiety.
Sexual Performance Anxiety has a wide prevalence among both men and women.
This article will attempt to equip you with all the information we have on Sexual Performance Anxiety, from its symptoms to its causes.
What is Sexual Performance Anxiety
Sexual Performance Anxiety (SPA) is a feeling of nervousness and Anxiety before and during sex.
It is one of the most prevalent sexual complaints among men and women. It affects about 9-25% of men and 6-16% of women.
It severely inhibits sexual desire in women. It can also contribute to Premature Ejaculation and Psychogenic Erectile Dysfunction (ED) in men.
Sexual Performance Anxiety signs
Different people experience SPA differently. For this reason, Sexual Performance Anxiety signs can differ from person to person.
Symptoms of Sexual Performance Anxiety may include:
- Little to no desire to engage in sexual activity
- Trouble having an orgasm
- Difficulty achieving or maintaining erections
- Early ejaculation during sex
SPA signs may look a little different in women. These symptoms may include
- Pain during sexual intercourse
- Vaginal dryness
- Trouble getting aroused
It can be challenging to identify and diagnose Sexual Performance Anxiety. But it is not necessary to experience all of these symptoms to receive a SPA diagnosis.
Causes of Sexual Performance Anxiety
Sex is both physical as well as emotional activity. When you are too nervous to have sex, your body may not respond. Several causes can lead to this problem.
- Fear of performing poorly or being unable to satisfy your partner
- Poor body image, including concern over your weight
- Relationship problems
- Men may have a concern about the size or length of their penis
- Concern about ejaculating too early or taking too long to reach orgasm
- Feeling anxious about not being able to have an orgasm or enjoy the experience
These concerns can result in the release of stress hormones in your body. This can affect your ability to have a satisfying sexual experience.

How to overcome Performance Anxiety
The first step in your journey to overcome Sexual Performance Anxiety is to see a doctor.
They will help you determine if health conditions and medicines are the cause of your problems.
Treating the underlying health condition that may cause such problems may aid you in overcoming the problem.
But you may need other approaches if medical issues are not the reason for SPA.
Doctors may recommend Propranolol for treating Performance Anxiety as it can reduce physical symptoms of Anxiety. But we need further research to use it as a stand-alone treatment.
Cognitive Behavioral Therapy (CBT) can offer an effective treatment for Performance Anxiety. You can consult a therapist with whom you can talk openly about your sex problems.
Open communication with your partner may help you overcome concerns about body image.
Trying different ways to get intimate with your partner may help. Sexual activity does not necessarily mean sex. You can try sensual massage or taking turns to please each other with masturbation.
Don’t beat yourself up for feeling too anxious about sex. Take your time and communicate openly with your partner to have a satisfying sexual experience.
The takeaway
Sexual Performance Anxiety is a widespread problem among men and women. It involves feeling anxious before and during sexual activity.
Symptoms of SPA may include early ejaculation, Erectile Dysfunction, or trouble having an orgasm. Whereas in women, SPA may involve vaginal dryness or difficulty getting aroused.
It can be challenging to diagnose SPA as it can have different symptoms in different people.
It can result from several issues, such as body image concerns or relationship problems.
Open communication with your partner may be an effective way to eliminate SPA. Seeking therapy can also help as they help you identify the exact cause of your problems.
Frequently Asked Questions
Is Sexual Performance Anxiety only experienced by men?
No, Sexual Performance Anxiety can affect individuals of all genders. It is not limited to men and can affect anyone who engages in sexual activity.
Can past traumatic experiences contribute to Sexual Performance Anxiety?
Past traumatic experiences, such as sexual abuse or assault, can contribute to Sexual Performance Anxiety. These experiences can create psychological issues and lead to fear and Anxiety during sexual encounters.
Can alcohol or drug use contribute to Sexual Performance Anxiety?
Yes, excessive alcohol or drug use can contribute to Sexual Performance Anxiety. These substances can impair sexual functioning and increase Anxiety levels, making it harder to perform sexually.
Can performance pressure from a partner contribute to Sexual Performance Anxiety?
Yes, pressure from a partner to perform or meet certain expectations can contribute to Sexual Performance Anxiety. Open and honest communication about desires, expectations, and concerns can help reduce Anxiety and foster a supportive sexual environment.
Can lifestyle changes help with Sexual Performance Anxiety?
Yes, making positive lifestyle changes can significantly impact Sexual Performance Anxiety.
Improving overall health through regular exercise, balanced nutrition, adequate sleep, and reducing stress can enhance sexual well-being and reduce Anxiety.