Tags: ED, erectile dysfunction, sexual health, sexual performance anxiety
Sexual performance anxiety and erectile dysfunction (ED) are both troublesome issues, and it’s possible for a man to have both. But they do have some clear differences.
A man with sexual performance anxiety has worries about his sexual function or his ability to please his partner sexually. He might have questions like these:
Will I be able to get a firm erection?
Will I ejaculate too quickly?
Will I have an orgasm?
Does my partner find me attractive?
Is my penis big enough?
Am I sexually skilled enough?
Will my partner reach orgasm?
What will happen if my partner is not sexually satisfied?
Men who use pornography can develop sexual performance anxiety if they compare their real-life experiences to what they see in adult films and videos. Usually, such depictions are not realistic, but men may feel nervous or inadequate if they don’t perform the same way.
Sometimes, a man may become so concerned about his performance that he develops erectile dysfunction (ED). The anxiety triggers the production of stress hormones (such as epinephrine and norepinephrine) which can narrow blood vessels in the penis and make it difficult for blood to flow in and form an erection.
Erectile dysfunction (ED) occurs when a man cannot get and maintain an erection firm enough for sex. As noted earlier, ED can be a result of performance anxiety.
But health situations can affect erections, too. Here are some examples:
High blood pressure
Cancer treatment (such as prostatectomy – removal of the prostate gland)
Medication side effects
Attention deficit (especially in young men)