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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How to maintain erection and overcome anxiety during sexual intercourse?

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 »

How can I cure my premature ejaculation?

Query: Hello doctor, I am suffering from premature ejaculation problem. It happens under 15 seconds. Please advice the prescription or medicine to cure it. I am 27 years old.  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to It is commonly associated with performance anxiety. With repeated practice of intercourse, it will be cured. If no improvement, then you can take help of psychiatrist or sexologist. Fluoxetine like drug can be prescribed in such case. Local topical Lignocaine jelly a...  Read Full »

Are Xanax and premature ejaculation related?

Query: Hello doctor, My problem is very common with statistically around 30% of men face, which is premature ejaculation. There is no erectile dysfunction. It is just that I discharge at an extremely swift pace, that is within 30 seconds to 2 minutes of sexual activity. I have tried all techniques like st...  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 breath ...  Read Full »

Is Pregabalin the right medicine for social and performance anxiety?

Query: Hi doctor, I am a 30-year-old male. Medications: Started Lyrica (Pregabalin) yesterday 25 mg (moving to 50 mg tomorrow). Issues: Generalized anxiety (Social and Performance anxiety). Query: Did my general physician prescribe the right medicines? I mainly suffer from social and performance anxiet...  Read Full »

Dr. Parth N. Nagda

Answer: Hello, Welcome to Yes, Pregabalin is a SNRIs (serotonin and norepinephrine reuptake inhibitors) class of medicine. You have tried SSRI and TCAs (tricyclic antidepressants). SNRIs do help with anxiety disorders. Pregabalin is not the best SSRIs (selective serotonin reuptake inhibitors)...  Read Full »

My 15 year old son shows a lot of anger and aggressiveness. Why?

Query: Hello doctor, My 15 year old son is showing a lot of anger and aggressiveness. Please see his attached files for the details. I want your second opinion. I need your opinion on the possible treatment of my son to reduce his extreme angriness, lack of patience, and restlessness. His exams are around...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I have seen all the attached reports (attachment removed to protect patient identity). I would like to know a more detailed history of your son: Since when is he having such behavior? You also mentioned that he is very sincere about his study, and his behavior is...  Read Full »

I am a medical aspirant and I am scared that I will fail in my medical entrance exams. How can I overcome this fear?

Query: Hello doctor, I am a medical aspirant and I have my medical entrance exam after three days. I want you to tell me how I can fall ill because I am scared and want to avoid this exam. I do not want to disappoint my parents. I aim to be a doctor, but I need one more year. I will try my best this year a...  Read Full »

Dr. Vishal Anilkumar Gandhi

Answer: Hello, Welcome to I think you should stop getting worried. Just give your exam and learn from your failure. If you score less or fail, ask your parents to give you one more year or the last chance for exam preparation. Finally, face your situation with courage. To be a doctor, you need ...  Read Full »

What causes a sensitive penis tip and difficulty in erection during sex?

Query: Hello doctor, I am a 28-year-old male, and I have two questions that I need your help with; Firstly, the head of my penis, especially the tip, is really sensitive, and I get an extreme ticklish sensation when I touch it. It happens just after the lubricating fluids come out before ejaculating durin...  Read Full »

Dr. Vaibhav Vishal

Answer: Hello, Welcome to I have read your query and can understand your concern. 1) Regarding your first question, an extremely sensitive penis tip can be due to balanitis (inflammation of the penis head and foreskin). In this condition, the tip will be slightly red and very sensitive and r...  Read Full »

Please help me overcome my public speaking anxiety.

Query: Hi doctor, My interview is at the end of this month. I have public speaking anxiety. Taking Propranolol 120 mg helps a lot. But still, I feel uneasy, anxious, and sweaty. My dreams will come true if I pass on the interview. What to do?   Read Full »

Dr. Vishal Anilkumar Gandhi

Answer: Hi, Welcome to I understand your concern. Stay relaxed. Have faith in yourself. Do not be afraid of anyone. Start preparing for your interview. If it is oral, then practice it with someone. You must talk with a proper eye to eye contact. You should stand in front of the mirror and...  Read Full »

Does BPA overexposure cause problems with erection?

Query: Hi doctor, I am 20 years old and have recently been having problem with erection and loss of sexual energy. These symptoms started about two months ago and have been slowly getting worse. There are several factors that I believe are contributing to this, but one in particular is exposure to BPA. I...  Read Full »

Dr. Khant Shahil Ramesh Bhai

Answer: Hi, Welcome to Erectile dysfunction can occur because of many reasons. The most common is psychological that is excessive stress, performance anxiety, etc. Also, smoking and alcohol are major factors contributing erectile dysfunction. If you have night erection (erection during sleep...  Read Full »

Does neurological disorder affect ejaculation?

Query: Hello doctor, I am struggling with severe PE with 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 psychological one. My question is, whether neurological disorders affect e...  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 »

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