Performance Anxiety

The brain is a major sex organ. It controls both sex hormones (female,Male) and sex thoughts. And what you think can make sex pleasurable - or a bit of a worry. Worry in the form of performance anxiety is a more likely cause of erectile dysfunction in younger men than physical issues, although the latter shouldn't be dismissed.

Physical causes in young men can include too much alcohol, not enough rest (fatigue), and smoking because it narrows the arteries that pump the blood that drives the erection. There are also possible genetic causes. That's why you need to visit your GP to get an accurate diagnosis and, if required, a referral to the right expert. Don't waste time and money on dodgy sex clinics or 'cures' ordered over the Internet. The real cure could start with good communication with your doctor, a therapist and your partner. Definitely don't leave your partner in the dark. It could make him or her feel rejected and make it all seem worse than it is.

Maybe you're anxious during sex because:
- It's your first time
- It's your first time with that partner
- You find using condoms awkward
- You're worried about whether you're doing it right
- Your partner isn't having an orgasm
- Your partner is having an orgasm and you're not
- You think your penis is too small
- Your partner's parents are coming home any moment!

Practising putting condoms on before you're with a partner will give you confidence. Taking your time during sex and communicating to ensure you're both comfortable will take the pressure off. Talking to qualified experts can set you straight about the rest. If it's a bit embarrassing, maybe you could start by calling a sex advice helpline.