Performance anxiety is typically caused by negative thoughts about one's ability to perform well during sexual activity. This may include feelings of sexual inadequacy or the inability to please a partner.
These feelings may be influenced by body image, penis size, or by perceptions about manliness or a man's role. More generalized negative thoughts about one's life may also contribute to performance anxiety.
Dealing with stress at work, in the family, or with money may also influence a man's mental state and contribute to performance anxiety.
ED is a symptom caused by a range of complex contributing factors. ED can occur when there is a disruption in any of the processes related to getting an erection, including the man's mental state. ED can also be related to the nerves, hormones, or even circulation of blood.
In addition to performance anxiety, other things that may contribute to ED include:
Performance anxiety affects everyone differently, as everyone responds to stress and anxiety in different ways. In the body, this could produce various symptoms, such as premature ejaculation, inability to orgasm, or loss of interest in sex.
The physical symptoms of ED include trouble getting or keeping an erection and may also lead to a loss of sexual desire.