Anxiety is one of the most influential psychological factors affecting human sexual functioning. While sexuality is often viewed as a biological process, contemporary research demonstrates that psychological variables significantly influence desire, arousal, performance, satisfaction, and relational intimacy. Anxiety-related disturbances can affect both men and women, contributing to difficulties such as erectile dysfunction, premature ejaculation, reduced sexual desire, orgasmic problems, avoidance of intimacy, and relationship dissatisfaction. This study examines the relationship between anxiety and sexual performance from psychological, physiological, behavioral, and interpersonal perspectives. The article reviews current literature regarding performance anxiety, anticipatory fear, cognitive distortions, neurobiological mechanisms, and therapeutic interventions. Findings indicate that anxiety affects sexual functioning through multiple pathways involving attention, autonomic nervous system activation, hormonal regulation, self-esteem, and relationship dynamics. Understanding these mechanisms may facilitate more effective clinical interventions and improve sexual health outcomes.
https://doi.org/10.5281/zenodo.20577798