Performance anxiety is a common challenge that many young men face, but it’s essential to recognize that help is available.

What is Sexual Performance Anxiety?

Sexual performance anxiety is fear, worry, or anxiety related to sexual activity. These feelings can be a result of negative experiences from the past, sexual dysfunctions, stress, or a variety of other factors. It is one of the most common sexual issues, affecting roughly 25% of men and 16% of women.

The impact of sexual performance anxiety on an individual or a relationship can be far-reaching. A person may lose self-confidence, start avoiding sex, and experience relationship difficulties or intimacy issues with a partner if they have one.

Whether it’s a new relationship or even a long-term partnership, the pressure to perform can sometimes lead to feelings of anxiety and stress. Factors contributing to performance anxiety in young men may include societal expectations, body image concerns, relationship issues, or previous negative experiences.

Understanding the Underlying Causes:

Societal Expectations: Young men often grapple with societal expectations that dictate what it means to be a man. The pressure to conform to perceived norms, especially in the realm of sexual performance, can lead to anxiety and self-doubt.

Body Image Concerns: In a world bombarded by idealized images, young men may find themselves struggling with body image issues. Feeling inadequate or insecure about physical appearance can significantly contribute to performance anxiety.

Relationship Dynamics: The dynamics within a relationship can impact sexual confidence. Communication issues, unresolved conflicts, or a lack of emotional intimacy can create an environment conducive to performance anxiety.

Fear of Judgement: The fear of being judged, whether by a partner or oneself, can be a powerful driver of performance anxiety. The perceived need to live up to certain expectations can overshadow the enjoyment of intimate moments.

Symptoms Of Performance Anxiety

If you feel anxious or nervous before sexual activity for a long time, you may be suffering from performance anxiety. Some of the following symptoms include:

  • Continuous palpation and restlessness
  • Fast heartbeats and fatigue
  • No concentration and focus
  • Being grumpy and irritable
  • Muscular contraction and tension
  • Overwhelmed and no control over emotions
  • Sleep disorder, such as insomnia or lack of a good night’s sleep

Effects on Mental Health:

The psychological toll of performance anxiety can lead to feelings of inadequacy, low self-esteem, and even avoidance of intimate situations. This can create a cycle of anxiety, as the fear of underperformance becomes a self-fulfilling prophecy, affecting both the individual and their partner.

Seeking Help from a Sex Therapist:

Recognizing and addressing performance anxiety is a courageous step towards a healthier, more fulfilling life. Sex therapists specialize in addressing specific concerns and can provide a safe and confidential space for individuals to explore their thoughts and feelings. Here are some benefits of working through performance anxiety with a sex therapist:

Non-Judgemental Environment:

Sex therapists offer a safe and non-judgemental space for individuals to express their concerns without fear of criticism. This facilitates open communication and fosters trust between the individual and the therapist.

Identifying Root Causes:

Sex therapists specialize in unraveling the complex factors contributing to performance anxiety. By identifying the root causes, they can tailor interventions to address the specific needs of each individual.

Coping Mechanisms and Skill Building:

Sex therapists equip individuals with practical coping mechanisms and skill-building exercises to manage anxiety and enhance sexual confidence. These tools empower young men to navigate intimate moments with greater ease.

Couples Counseling:

If performance anxiety is affecting a relationship, sex therapists can provide couples counseling. This collaborative approach addresses the concerns of both partners, fostering understanding and support.


Remember, there is strength in acknowledging and addressing these challenges, and with the right guidance, young men can rise above performance anxiety and embrace the fulfilling, intimate connections they deserve.

Seek help from our sex therapist, Maggie Bain – the only certified sex therapist in The Bahamas. All sessions are private and confidential.

ZOOM sessions are available.