Performance anxiety refers to the fear or stress experienced during sexual activity due to concerns about one’s ability to perform well. This anxiety can interfere with normal sexual response and may lead to problems such as difficulty achieving or maintaining an erection, premature ejaculation, or reduced sexual satisfaction. It is often related to stress, low confidence, past negative experiences, or relationship concerns. With proper counselling, psychological support, and appropriate medical guidance, performance anxiety can be effectively managed and sexual confidence can be restored