How To Overcome Sexual Anxiety

Medically reviewed by Laura Angers Maddox, NCC, LPC and Andrea Brant, LMHC
Updated October 10, 2024by BetterHelp Editorial Team

Sexual anxiety is a common yet often overlooked issue that affects many individuals and couples. It can manifest in various ways, from fear of intimacy to performance concerns, and can significantly impact one’s overall well-being and relationship satisfaction. Addressing sexual anxiety is crucial for regaining confidence, enhancing intimate experiences, and fostering stronger emotional connections with your partner. 

How to overcome sexual anxiety

In this article, we will explore seven effective ways to overcome sexual anxiety and embrace a more fulfilling sex life.

iStock/AsiaVision
Finding support online

Sexual anxiety is a form of anxiety that manifests in relation to sex and intimacy. While not a recognized anxiety disorder in the DSM-V, it can significantly impact a person’s life, self-esteem, and intimate relationships. 

Sexual anxiety can take many forms. Most common among them is sexual performance anxiety, in which a person worries that they may not be able to adequately satisfy their partner. This type of sexual anxiety is thought to affect between 6-16% of women and 9-25% of men. In other cases, a person may experience a general fear of intimacy and the vulnerability that it entails, which can make it challenging to enjoy sex.

The mental block that often occurs with sexual anxiety can cause sexual dysfunction, where the body is unable to ready itself for sex. This may result in erectile dysfunction in men and lack of lubrication in women. 

While the physical, mental and emotional effects of sexual anxiety can feel overwhelming, sex therapists and mental health professionals can offer support and strategies specific to overcoming this type of anxiety.

Body image issues and causes of sexual anxiety

Sexual anxiety can stem from a multitude of factors, both psychological and physical. Common causes include: 

  • Unpleasant or traumatic past experiences: Adverse sexual experiences in the past can contribute to ongoing sexual anxiety, particularly when rooted in an unpleasant first time or early experience. Sexual abuse or assault can also lead to deep-seated anxiety and fear related to sexual activities. 
  • Body image issues: Negative self-perception of physical appearance can lead to self-consciousness and anxiety during sexual activity. Comparing oneself to unrealistic media portrayals or fearing judgment from partners can further exacerbate these feelings.
  • Sexual performance anxiety: The pressure to meet a partner’s expectations can create significant stress and hinder sexual enjoyment. Worries about sexual performance and physical responses, such as erections or lubrication, can also contribute to performance anxiety
  • Stress and mental health: General stress from work, life, or relationships can negatively impact sexual desire and performance. Stress can make it difficult to feel aroused, or interfere with the ability to be present with a partner. Mental health conditions such as anxiety and depression can also contribute to sexual anxiety.
  • Lack of sexual education: Limited understanding of sexual health and function can lead to misconceptions or unrealistic expectations about sex and intimacy. This may create situations where individuals find it confusing or uncomfortable to talk openly about sexual preferences and boundaries.
  • Relationship issues: Unresolved conflicts, lack of emotional intimacy, and trust issues can interfere with the ability of partners to feel at ease with each other, leading to sexual anxiety. Communication barriers in discussing sexual needs and concerns can further strain the relationship. 
  • Societal and cultural pressures: Societal norms and expectations about sex can create pressure to conform to certain behaviors or roles. Cultural taboos and stigmas surrounding sexuality can also contribute to feelings of shame, which can impair a person’s ability to feel comfortable being intimate.

Understanding these causes can provide insight into the origins of sexual anxiety and guide you in taking appropriate steps to address and manage your anxiety in the bedroom.

iStock/Rawpixel

Overcoming sexual anxiety

While sexual anxiety may be frustrating, there are some ways to work through troubling thoughts and feelings and regain sexual confidence. Here are some tips to help you cope with sexual anxiety:

  1. Understand the cause

Recognizing the root causes of your anxiety is the first step towards overcoming it. Reflect on any past experiences or thoughts that may be contributing to your feelings of unease. It may help to write down any issues that could be getting in the way, or even discussing it with a partner, close friend, or therapist. In identifying these triggers, you can begin to address them directly.

  1. Explore and educate yourself

It’s not uncommon for sexual anxiety to stem from a lack of understanding about one’s own body, needs, and desires, or even misunderstandings about sex in general. 

You can use reliable resources like books or reputable websites to broaden your understanding of sex, or connect with a qualified sex therapist or sex-positive sex educator to help you. Self-exploration through practices like masturbation can also help you become more attuned with your body and learn what feels good for you. 

  1. Communicate with your partner about sex

When it comes to a healthy and fulfilling sex life, open communication is paramount. Discussing your fears, desires, and boundaries with your partner helps build trust and intimacy, allowing you to understand each other's needs and work together to address any issues that may be interfering with mutual pleasure.

By being honest and open, you can create a safe space where both partners feel comfortable and supported, leading to a more satisfying and anxiety-free sexual relationship. 

  1. Try mindfulness and relaxation techniques

Like other types of anxiety, sexual anxiety manifests as a complex interplay between the mind and body. Mindfulness and relaxation techniques offer a way to calm the mind and alleviate stress in the body. You can learn mindfulness through guided meditation, progressive muscle relaxation, and deep breathing. 

In understanding how to exert mindful control over your conscious experience, you can implement the principles of mindfulness during sex. For example, next time you find yourself feeling worried or frustrated during sex, you might shift your focus to your breath, the pleasant sensations in your body, or the passionate touches and actions of your partner.
  1. Focus on sensuality rather than performance

Worrying about your sexual performance can get in the way of pleasure and trigger anxiety. Rather than concentrating on achieving specific outcomes, such as orgasm, try to prioritize the pleasure of the journey. 

To help you ease into sex or work through an anxious moment, opt for other pleasurable activities like massage, kissing, and sensual touching. This approach helps reduce performance-related stress and allows both partners to enjoy the physical and emotional aspects of their connection. 
  1. Maintain a healthy lifestyle

It can be difficult to get intimate when we don’t feel our best—particularly if life stress or body image issues are interfering with the ability to enjoy sex and intimacy. Check in with your lifestyle habits to see whether there could be some positive changes that might help you feel less stressed or more confident in the bedroom.

Exercise, for example, is known to improve sexual function in both women and men, while diet has also been found to improve sexual health in bothsexes.

  1. Seek professional therapy

If sexual anxiety persists despite your efforts, it may be worth connecting with a therapist. Sex therapists and mental health professionals specialize in addressing concerns related to sex and anxiety and can help you understand and overcome your intimacy issues. Therapies like CBT and mindfulness training have shown potential in treating sexual and performance anxiety.

Professionals can also guide you through specific techniques and exercises to improve your sexual confidence and enjoyment. Don’t hesitate to seek help; addressing sexual anxiety with professional support can significantly enhance your overall well-being and intimate relationships.

Getty/Vadym Pastukh
Finding support online

Therapy for sexual performance anxiety

If you’re struggling with sexual anxiety—whether it’s related to concerns about sexual performance, past trauma, or body image issues—therapy can help. In therapy, you’ll explore the origins of your sexual issues and identify practical ways to help you feel more confident and at-ease during sex.

Online therapy has been found to be just as effective as in-person therapy, and may be preferable for those who find it challenging to make it to weekly in-person appointments. Through BetterHelp, you can attend by phone, video call, or live chat, plus benefit from tools and features like group therapy, digital therapy worksheets, and guided journaling. 
Takeaway
It’s not uncommon to experience anxiety around sexual intimacy, but these feelings do have the potential to negatively affect a person’s relationship and their own mental well-being if they’re not properly managed. If you want to overcome sexual anxiety, some strategies to consider include open communication with your sexual partner(s), relaxation exercises, and meeting with a therapist.
Regulate anxiety in a compassionate environment
The information on this page is not intended to be a substitution for diagnosis, treatment, or informed professional advice. You should not take any action or avoid taking any action without consulting with a qualified mental health professional. For more information, please read our terms of use.
Get the support you need from one of our therapistsGet started