What is the link between performance anxiety and ED?

Performance anxiety and ED may be linked in several ways. Stress and anxiety about performing sexually or pleasing a partner can cause sexual dysfunction in anyone, regardless of their sex.

When a person feels unable to meet a partner’s sexual expectations, they may start feeling unworthy or incapable.

These feelings of inadequacy and low self-esteem may lead to physical symptoms, such as ED.

Researchers list psychological factors as one of several causes of ED. In other words, a person’s state of mind can affect their ability to perform sexually.
Causes of performance anxiety

Performance anxiety typically results from a person’s negative thoughts about their ability to perform well during sexual activity. A person may be worrying about sexual inadequacy or the inability to please a partner.

Factors that can influence these feelings include:

body image
penis size
perceptions of virility
ideas about gender roles
relationship issues
the use of internet porn

Dealing with financial concerns, family issues, or stress at work may also affect a person’s mental state and contribute to performance anxiety.

For more research-backed information and resources for men’s health, please visit our dedicated hub.
Causes of ED

ED can happen when various contributing factors interact, including:

hormonal balance
neurological factors
blood circulation
mental health and psychological factors

Other things that may contribute to ED include:

depression
disinterest
loss of attraction
stress
low testosterone levels
smoking
alcohol or drug abuse
chronic illnesses
kidney disorders
nerve damage from diabetes
stroke
injury
pelvic irradiation
recent surgery

Some medications may also cause ED, especially those that disrupt or alter the hormones, nerves, or blood pressure.

They include:

antidepressants
anti-inflammatory medicines
high blood pressure medications
drugs for an irregular heartbeat
muscle relaxers
hormone therapy
chemotherapy
drugs that affect the prostate

A doctor or pharmacist can help identify potential side effects before a person starts a new medication.