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Sexual performance anxiety

Performance anxiety can shift attention from arousal toward monitoring, worry, and fear of failure. That can make erection difficulties more likely, which can then reinforce the anxiety at the next encounter.

Common patterns

Worry about staying hard, a previous difficult experience, self-consciousness, relationship tension, stress, and low confidence can all contribute. But erection problems can also have physical causes, so anxiety should not be assumed to be the whole explanation.

Can anxiety cause erection problems? and physical vs psychological ED are the best next reads.

Core medical sources