Common "Performance Anxiety" queries answered by top doctors | iCliniq

Performance Anxiety

Performance anxiety is the exceeding anxiety levels that a person experiences thinking of the performance or act even before it happens. The act can be anything like performing on a stage in front of a crowd, giving an examination, talking to new people, sex, etc. The thought of failure stops them from doing the act or underperform compared to their skills, ultimately leading to low self-esteem and self-doubt. People with social anxiety tend to develop performance anxiety. As a result, tremors, nausea, dizziness, breathlessness, sweating, etc., occur. Deep breathing exercises, meditation, and psychological therapy can help.

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Please explain whether neurological disorder affects ejaculation.

Query: Hello doctor, I am struggling with severe premature ejaculation (PE) with intravaginal ejaculation latency time (IELT) of 10 seconds or less. I cannot control during masturbation too. I am a 35 year old unmarried male. My physical health is good. Also, I do not think that my problem is a psychologic...  Read Full »

Dr. Hardik Nareshbhai Rajyaguru

Answer: Hi, Welcome to Your question is valid. There are many neurological conditions that can present with PE (premature ejaculation). Ejaculation is actually a reflex being controlled at spinal level. So, disease like multiple sclerosis, which affects the white areas of cord and spinal cord ...  Read Full »

I am losing erection during sexual activity. Please help.

Query: Hi doctor, During sexual activity with my wife, initially I am getting erection. But at the time of penetration, suddenly I am losing erection. I found sudden decrease in sexual interest too. What to do?  Read Full »

Dr. Bharat Udey

Answer: Hello, Welcome to This is a common problem that many men do come across while having coitus. This is called performance anxiety. This happens due to excessive thoughts in mind related with sexual performance at the time of performing coitus. Due to these excessive worries, mind gets hay...  Read Full »

I am having trouble maintaining an erection. Please help.

Query: Hello doctor, I got married last month. I am not able to maintain a strong erection that is needed for penetration. And, my libido is also low nowadays.  Read Full »

Dr. Ashok Kumar

Answer: Hello, Welcome to I read your query and understand your concerns. I request you to provide following information so the diagnosis can be made and suitable remedy can be offered. Have you experienced the same issues while masturbating or doing sex in the past? How did the problem start...  Read Full »

Why do I have difficulty in having intercourse?

Query: Hello doctor, I recently got married and I knew my partner for long before marriage. My query is I am finding it hard to have intercourse. I am very active while doing foreplay, but when I am about to insert somehow I end up ejaculating outside. We as a couple are planning for pregnancy at the earli...  Read Full »

Dr. Saraswat Kumarshri Shriniwas

Answer: Hello, Welcome to As per your history, you seem to be suffering from erectile dysfunction (difficulty in sustaining erection) after marriage. The commonest cause of erectile dysfunction after marriage is performance anxiety. If you are worried about erection and your performance durin...  Read Full »

What solution is available for my premature ejaculation?

Query: Hi doctor, I am a 48 year married male suffering from quick ejaculation. I do not have diabetes or BP issue. Please help.  Read Full »

Dr. Saraswat Kumarshri Shriniwas

Answer: Hello, Welcome to Premature ejaculation is defined as ejaculation with minimal sexual stimulation, before the patient desires and before or within one minute of penetration. Frequently, performance anxiety could be a cause of premature ejaculation. In that case, you can take deep brea...  Read Full »

I have anxiety during sexual intercourse. Kindly help.

Query: Hello doctor, I am engaging in vaginal intercourse for the first time. I have tried a couple of times, but I get a bit too anxious and failed. I could not get a completely erect penis. One time I did not get any erection at all. I am sure I do not have an erectile disorder because I get a completely...  Read Full »

Dr. Ashok Kumar

Answer: Hello, Welcome to I read your query and understand your concerns. First of all, I like to inform you that one can handle performance anxiety with the use of the right psychotherapeutic approach. In my own experience, around 70 to 80 % of individuals report dramatic improvement in erec...  Read Full »

I have performance anxiety. How to overcome it?

Query: Hello doctor, I just turned 20 and find it difficult to get and keep a strong erection for sex. I am certain this problem is mental as I feel like I suffer from anxiety and performance anxiety whether it be sex or sports. I am good looking and good with people and girls but do not know how to fix th...  Read Full »

Dr. Vishal Anilkumar Gandhi

Answer: Hello, Welcome to It is most likely that you are suffering from performance anxiety. You need to be confident about yourself. Forget about your last performance failure, or it will start a vicious cycle of performance anxiety and erection failure. Be bold. Spend enough time on foreplay ...  Read Full »

I have premature ejaculation. How to treat this?

Query: Hi doctor, I am 32 years old married male. Since two years I am suffering from premature ejaculation. I tried to control it, but did not get better result. My wife is very much unsatisfied. How to cure this issue?  Read Full »

Dr. Hitesh Sharma

Answer: Hi, Welcome to As you know that the first thing in medicine is establishing a diagnosis which is correct. So, I would like to ask you a few questions. Did you consult a psychiatrist before this consultation for your problem? Since when have you been married? Was this problem since marri...  Read Full »

I am approaching 40 and have performance issues in bed. Can any medication be used to treat it?

Query: Hello doctor, I am approaching 40, my height is 5 feet and 7 inches, and my weight is 171 pounds. For the last two months, I am facing performance issues in the bedroom and cannot hold onto the erection for long as I used to. I do not drink or smoke. My purpose of this consultation will be to unde...  Read Full »

Dr. Raveendran S R

Answer: Hello, Welcome to I can understand your concern about your symptoms. There are many reasons for premature ejaculation. These include the following. Stressful work like night duties, and twenty-four-hour jobs. Diabetes, hypertension, and thyroid issue have an effect on premature ejacu...  Read Full »

I feel anxious during sex. Please help.

Query: Hi doctor, I am 35 years old. My height is 5'10" and weight is 68 kg. A month before, I got married. Suddenly, I realized that my penis is not strong enough for sex. I used to masturbate for the past 15 years and have nightfalls too. My testosterone level is 5.54. I took Tadalafil 4 tablets, but I w...  Read Full »

Dr. Ashok Kumar

Answer: Hi, Welcome to I read your query and understand your concerns. From the available description it appears that you are suffering with performance anxiety, which is common with inexperienced persons. At this moment I advise you a few things. Spend long time with foreplay and leave aside ...  Read Full »

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