This archive report was first published on 16 November 2019.
On a typical day at the Sexology Clinic, patients like James, a 34-year-old construction foreman, present with a range of issues related to erectile dysfunction.
According to his wife, Diana, a school teacher, James had been experiencing persistent headaches, weakness, and generalised body pains for six months.
"My troubles started six months ago when my erection failed; I could not rise to the occasion," James explained. "I have suffered ever since!"
As a sex therapist, I have seen many cases of performance anxiety, which can lead to a range of physical and emotional problems.
When a man experiences erection failure, he may feel anxious about his ability to perform, leading to a vicious cycle of anxiety and stress.
This can cause a range of symptoms, including high blood pressure, heart palpitations, and a weakened immune system.
"I dread getting my wife awake in bed; I fear disappointing her; I always think the erection will fail," James said.
Having a supportive partner like Diana can make a big difference in managing performance anxiety.
However, in James' case, it took a combination of medication to treat anxiety and sex therapy to help him overcome his performance anxiety.
After two months of therapy, James was able to regain his confidence and "stand to the occasion" once again.