How to Reduce Sexual Anxiety

Written by Harriet Town
Published on: 08 August, 2024
Updated at: 31 March, 2025
How to Reduce Sexual Anxiety

Sexual anxiety is common and can affect confidence, relationships, and overall well-being. It can stem from body image concerns, past experiences, performance pressure, or cultural influences. Learning how to manage it can improve your sexual health and personal relationships. Understanding its causes and addressing them through practical steps can help you build confidence and enjoy more fulfilling intimacy. 

 

What is Sexual Anxiety?

Sexual anxiety refers to feelings of nervousness, fear, or stress related to sexual activity. It can manifest in various ways, such as excessive worry about performance, fear of intimacy, or physical symptoms like increased heart rate and muscle tension. For some, sexual anxiety may be linked to past negative experiences, while for others, it can stem from a lack of confidence, misinformation about sex, or unrealistic societal standards.

People experiencing sexual anxiety may avoid intimate situations altogether or feel extreme distress when engaging in sexual activity. It can impact relationships, self-esteem, and overall quality of life. Understanding that sexual anxiety is a common and treatable issue is the first step in addressing it.

Learning coping strategies, improving communication, and focusing on emotional connection can help reduce these feelings over time.

 

1. Identify the Cause

The first step in overcoming sexual anxiety is recognising its source. Anxiety can arise from low self-esteem, past trauma, negative past experiences, relationship issues, or a lack of knowledge about sex.

Some people develop sexual anxiety due to unrealistic societal expectations, pressure to perform perfectly, or concerns about body image. Identifying the root cause helps in developing a plan to address it. If past trauma plays a role, seeking professional support from a therapist can be beneficial.

Speaking to a trusted friend, counsellor, or doctor can provide reassurance and guidance.

 

2. Challenge Negative Thoughts

Negative thinking patterns can reinforce anxiety. If you constantly worry about whether you will perform well, whether your partner is satisfied, or whether you measure up to unrealistic standards, these thoughts can make the experience stressful rather than enjoyable.

Start by identifying these negative thoughts and questioning their validity. Many people hold onto myths about what sex should be like, often influenced by media and pornography.

Challenge these unrealistic ideas and replace them with a more balanced and realistic view of intimacy.

Remind yourself that sex is about connection, not perfection. Self-compassion and positive affirmations can gradually shift your mindset and reduce the pressure you put on yourself.

 

3. Improve Body Confidence

Feeling good about your body can significantly impact how you experience intimacy. If you constantly focus on perceived flaws, it can be difficult to relax and enjoy the moment.

Instead of criticising your body, focus on its strengths and abilities. Regular exercise can improve body image by increasing confidence and promoting positive feelings. Engaging in activities that make you feel strong, such as yoga, weight training, or dancing, can help.

Dressing in clothes that make you feel attractive and comfortable can also boost self-assurance. Avoid comparing yourself to unrealistic images in the media, as these often set unattainable standards.

Remember that confidence is attractive, and learning to appreciate your body can enhance both your self-esteem and your intimate experiences.

 

4. Manage Performance Pressure

A common cause of sexual anxiety is the fear of not meeting expectations. Many people worry about lasting long enough, pleasing their partner, or performing in a certain way.

These pressures can make sex feel more like a test than an enjoyable experience. Shift your focus from performance to pleasure. Rather than obsessing over how well you are doing, concentrate on how you feel in the moment. Communication with your partner can also help reduce pressure.

Expressing your concerns and discussing what feels good can foster a more relaxed and satisfying experience. Additionally, avoid relying on pornography as a reference for what sex should be like.

Pornographic content often portrays exaggerated performances that do not reflect real-life intimacy. Instead, educate yourself through reliable sources to develop a healthier understanding of sexual experiences.

 

5. Reduce Stress and Anxiety Overall

General stress and anxiety can contribute to sexual anxiety. If you experience high levels of stress in daily life, it can carry over into intimate moments. Practising relaxation techniques such as deep breathing, meditation, or progressive muscle relaxation can help.

Exercise is another effective way to reduce anxiety, as it releases endorphins that promote a sense of well-being. Ensuring you get enough sleep is crucial, as fatigue can make anxiety worse.

Limiting alcohol and caffeine intake can also help, as these substances can increase nervousness and affect performance.

Taking time for self-care and engaging in activities that bring you joy can improve your overall mental health, making it easier to feel relaxed and confident during intimacy.

 

6. Build Emotional Intimacy

Emotional connection plays a significant role in reducing sexual anxiety. If you feel disconnected from your partner, anxiety may be heightened. Strengthening emotional intimacy can create a sense of trust and safety, making physical intimacy more enjoyable.

Open communication is key. Share your thoughts, feelings, and concerns with your partner, and encourage them to do the same. Engaging in non-sexual touch, such as cuddling, holding hands, or giving each other massages, can help build comfort and closeness.

Spending quality time together outside the bedroom, such as going on dates, engaging in shared hobbies, or simply having meaningful conversations, can strengthen your bond.

Addressing any unresolved relationship conflicts can also ease anxiety and create a healthier intimate connection.

 

7. Educate Yourself About Sexual Health

Lack of knowledge about sex can contribute to anxiety. Misconceptions about how the body works or what is considered normal can lead to unnecessary worries. Educating yourself about sexual health can ease these concerns.

Reliable books, reputable websites, and conversations with medical professionals can provide accurate information. Understanding that sexual function varies from person to person can help you develop more realistic expectations.

If you suspect that a medical issue is affecting your confidence, consulting a doctor can be beneficial. Certain conditions, such as erectile dysfunction, hormonal imbalances, or medication side effects, can impact sexual performance.

Seeking professional advice can help you find solutions and regain confidence.

 

8. Seek Professional Help If Needed

If sexual anxiety significantly impacts your life and relationships, seeking professional support can be beneficial. Therapists and counsellors trained in sexual health can help address underlying concerns, such as past trauma, negative thought patterns, or deep-seated self-esteem issues.

Sex therapy can provide guidance on overcoming specific anxieties, improving communication, and enhancing intimacy. If you suspect a physical condition is contributing to anxiety, speaking to a doctor can help identify potential medical solutions.

Seeking help is not a sign of weakness but a proactive step towards improving your well-being and overall quality of life.

 

9. Practical Tips for the Moment

If you find yourself feeling anxious before or during intimacy, there are immediate strategies you can use. Taking things slow and focusing on physical sensations rather than intrusive thoughts can help shift your attention to the present moment.

Practising relaxation techniques, such as deep breathing or progressive muscle relaxation, before intimate moments can help reduce tension. Using humour can also ease nervousness and create a more relaxed atmosphere.

Talking to your partner about what makes you feel comfortable and setting mutual expectations can foster a more enjoyable experience. Remember that sex is a shared experience, and both partners should feel comfortable and respected.

Developing mindfulness practices, such as body scanning and guided visualisation, can also help you feel more at ease.

Harriet Town
Content Writer

Harriet Town is a Content Writer and Sex & Relationships expert at Skins Sexual Health. She creates insightful, supportive content to promote sexual well-being, aiming to educate and empower readers in navigating intimate relationships and sexual health.

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