Performance Anxiety: Frequently Asked Questions

Causes & symptoms

What is Sexual Performance Anxiety?

Sexual Performance Anxiety (SPA) is the stress or worry you feel about your sexual performance. It can make it hard to relax, enjoy intimacy, or maintain an erection. The good news is, with the right strategies, you can manage it and regain confidence in the bedroom.

How common is Sexual Performance Anxiety?

Sexual Performance Anxiety (SPA) is quite common. A study published by Oxford Academic in 2025 shows that it affects about 5%-25% of men and women. While most experience low to moderate levels, around 14% report moderate to high anxiety, making it a frequent concern for many people. 

What usually triggers Performance Anxiety linked to sexual dysfunction?

Performance Anxiety often occurs when you worry about satisfying your partner, fear messing up, or have had stressful past experiences. Physical issues like Erectile Dysfunction (ED) or Premature Ejaculation (PE) can also add pressure, making intimacy feel more stressful than it should.

What are the signs of Performance Anxiety?

You might notice Performance Anxiety if you feel tense or nervous before sex, struggle to get or maintain an erection, or ejaculate sooner than you’d like. You may overthink during intimacy, feel self-conscious, or find it hard to enjoy the moment fully.

How long does Sexual Performance Anxiety last?

Sexual Performance Anxiety can last for days, weeks, months or even years, depending on the cause. There is no fixed duration of SPA. Sometimes it’s short-lived, like during stressful events or with a new partner, but if left unaddressed, it can become persistent and affect you for years.

Is Performance Anxiety a disorder?

No, Performance Anxiety is generally considered a normal response to stress or pressure in sexual situations. However, if it becomes persistent, severe, and starts affecting your relationships or quality of life, it may be classified as a sexual dysfunction that requires professional help.

How can men improve their sexual confidence?

You can improve sexual confidence by managing stress, staying physically fit and active, and addressing any underlying health issues. Honest communication with your partner, relaxation techniques, and positive self-talk can also help you feel more comfortable and confident during intimacy.

Diagnosis & treatments

How do I treat Sexual Performance Anxiety?

You can manage SPA by reducing stress, engaging in therapy or counseling, and communicating openly with your partner. Healthy habits like exercise, addressing underlying sexual issues, and confidence-building exercises or gradual exposure can also help you feel more relaxed and confident during intimacy.

Should I use Viagra for Performance Anxiety?

Viagra can help if you’re having trouble getting or keeping an erection, but it won’t fix the anxiety or stress behind the problem. To really tackle Performance Anxiety, combining it with therapy, stress management, and open communication with your partner works best.

How do I differentiate performance anxiety from ED?

If you can get an erection alone or due to sexual arousal but struggle during sex, it’s likely Performance Anxiety. ED tends to cause consistent difficulty getting or keeping an erection, even when you are sexually aroused. In such cases, consult a doctor for the best approach.

Can sexual anxiety go away?

Yes, sexual anxiety can improve or even go away with the right approach. By managing stress, talking openly with your partner, practicing relaxation techniques, and addressing any underlying health or sexual issues, you can regain confidence and feel more at ease during intimacy.

What exercises are good for sexual anxiety?

You can try exercises like deep breathing, yoga, and mindfulness that can calm your mind, help you relax and make you feel more in control. Kegel exercises can improve pelvic strength and build confidence, while regular workouts enhance overall sexual health and lower anxiety.

How can I help my boyfriend with his Performance Anxiety?

You should be patient, understanding, and non-judgmental with your boyfriend. Talk openly about his worries, focus on intimacy rather than performance, and create a relaxed, pressure-free environment. If you show small gestures of reassurance, try relaxation techniques together, and celebrate progress, it can help him feel more confident in the bedroom.

What medication is used for Performance Anxiety?

There is no specific medication for Performance Anxiety itself, but certain treatments can help. Doctors may prescribe anti-anxiety medications, antidepressants, or ED medications like Viagra if physical issues are involved. Therapy and lifestyle changes are usually the first line of treatment.