Specialist Support for Anxiety-Related
Erectile Difficulties
Performance anxiety is a common issue for men, particularly when it contributes to erectile dysfunction (ED). Worrying about sexual performance can create a cycle where anxiety interferes with erections, which then increases anxiety further. At MansMatters, we provide non-invasive treatments designed to break this cycle by addressing both the psychological and physiological elements of sexual function.
Understanding Performance Anxiety and ED
Performance anxiety is the stress or fear of not meeting expectations during intimacy. It may arise from past experiences, relationship concerns, work pressures, or daily stress. While the cause begins in the mind, the effects can be physical. Sexual Performance Anxiety affects 9-25% of men and contributes to premature ejaculation and psychogenic erectile dysfunction (ED).
The autonomic nervous system plays a central role:
- Sympathetic system: triggers “fight or flight” responses, diverting blood away from extremities.
- Parasympathetic system: promotes relaxation and blood flow through the “rest and digest” response.
When the sympathetic system is overactive, it can reduce blood flow to sensitive areas, making it difficult to achieve or maintain an erection. Supporting the parasympathetic system helps restore balance and improve sexual function.
Symptoms and Impact
Performance anxiety often shows itself through a mixture of psychological stress and physical responses. While many men can achieve normal erections in some settings, anxiety can interrupt the process during intimate situations. Recognising these patterns is the first step towards addressing the issue.
- Erections that occur during masturbation or sleep but not in partnered situations
- Inconsistent erectile function depending on stress levels
- Overthinking or worrying during intimacy
- Avoidance of sexual activity due to fear of difficulties
Causes of Performance Anxiety
There is rarely a single reason behind performance anxiety. Instead, it usually develops from a combination of experiences, lifestyle factors and personal expectations. These can trigger heightened stress responses in the nervous system, making it harder for the body to respond naturally.
- Previous negative sexual experiences
- Stress from work, lifestyle, or relationships
- Concerns about self-confidence or body image
- Pressure to meet a partner’s expectations
MansMatters Treatment Philosophy
At MansMatters, we take a multi-modal approach to male sexual health. For performance anxiety and ED, treatment focuses on calming the sympathetic nervous system, strengthening parasympathetic responses and supporting the body’s natural balance. This integrated philosophy helps reduce anxiety, improve erectile function and provide longer-term resilience.
Expected Results
Outcomes will vary between individuals, but men who undergo treatment at MansMatters can expect progress that reflects both the calming of anxiety and the support of normal erectile function. Improvements are typically gradual, allowing confidence to return in a sustainable way.
- Relief from anxiety-linked erection difficulties
- Improved ability to achieve and maintain erections in partnered situations
- Reduced stress responses that interfere with intimacy
- Personalised treatment planning and progress monitoring
Treatment Options at MansMatters
NESA (Neuro-Electro Stimulation Therapy)
Originally pioneered by a Japanese scientist in the 1970s, NESA technology is designed to support the balance between the sympathetic and parasympathetic nervous systems. Gently influencing nerve signalling, it helps reduce the stress responses that trigger performance anxiety. Progress can often be observed in real time during therapy sessions.
NanoVi Exo
The NanoVi Exo complements NESA by further promoting relaxation within the parasympathetic nervous system and stimulating the vagus nerve. It also supports cellular health and helps maintain oxidative balance, which plays a role in overall well-being. Used together, NESA and NanoVi Exo create a calmer internal state that supports more consistent erectile function.
What to Expect in the MansMatters Clinic
We are experts in the field of men’s health. We offer our patients the safest, most advanced and effective men’s health treatments in a comfortable, relaxed and premium environment.
Complimentary Initial
Consultation
This 20 minute consultation with our knowledgeable clinical advisors to assess your goals, initial evaluation of your medical history, and determination of the best approach to achieve the desired outcomes.
Consultation
Pre-Treatment
This involves detailed information on the treatment being undertaken and allows the practitioner to answer any questions you have, as well as providing instructions on preparing for the treatments, including any pre-requisite actions prior to undertaking the treatments.
Treatment
We are committed to solving your men’s health challenges by administering procedures and providing personalised care. Let us guide you with confidence and comfort at every step of your journey, reclaiming the best version of yourself.
Post-Procedure
Consultations
We provide personalised attention and support for your comfort and recovery. With our expert team by your side, we ensure a smooth journey to renewed confidence, delivering optimal results and satisfaction.
Why Choose
MansMatters?
Choosing where to seek help for performance anxiety and erectile dysfunction is an important decision. At MansMatters, our focus is solely on men’s sexual health, allowing us to deliver treatment programmes that are both specialised and comprehensive. We combine advanced technologies with a supportive clinical environment to provide care that goes beyond quick fixes.
- Specialist focus: We concentrate exclusively on conditions such as ED, performance anxiety, Peyronie’s disease, premature ejaculation and chronic pelvic pain.
- Proven track record: With over 6,000 treatments delivered, our clinic has extensive experience in men’s health.
- Multi-modal treatment philosophy: We bring together different technologies, including NESA and NanoVi Exo, to address both physical and psychological elements of performance anxiety.
- Non-invasive solutions: All treatments are pain-free, drug-free and designed to allow men to continue their daily activities without interruption.
- Patient-centred care: We provide free consultations, transparent guidance and ongoing support throughout the treatment process.
FAQs
Frequently Asked Questions
Is performance anxiety the same as erectile dysfunction?
No, performance anxiety is a psychological condition that creates stress around intimacy. Erectile dysfunction may have physical, psychological, or combined causes, though the two are often linked.
How can I tell if my ED is linked to anxiety?
A common sign is being able to achieve erections during masturbation or sleep but not in partnered situations. This pattern suggests a psychological rather than physical origin.
Do treatments like NESA and NanoVi Exo involve medication?
No, both NESA and NanoVi Exo are completely non-invasive technologies. They work by supporting nervous system balance and relaxation without the use of drugs.
How quickly do men usually see results?
Many men report improvements within 4–8 weeks of treatment. However, the timeline can vary depending on individual circumstances and treatment response.
Can performance anxiety improve without treatment?
In some cases, performance anxiety may reduce over time if stress levels naturally improve. Structured treatment, however, helps break the cycle more reliably and reduces recurrence.
Will treatment help if I also have physical causes of ED?
Yes, addressing nervous system balance can support erectile function even when physical factors are present. This is why treatment is tailored to each man’s individual needs.
Is performance anxiety common?
Yes, it is a frequent issue that many men experience at some point in their lives. It is also one of the leading psychological contributors to erectile dysfunction.
What makes MansMatters different in treating performance anxiety?
MansMatters combines advanced non-invasive technologies with a multi-modal approach. This allows us to address both psychological and physiological aspects in one tailored programme.
Can lifestyle changes help with performance anxiety ED?
Yes, stress management, regular exercise and adequate sleep can all support nervous system balance. These changes are most effective when combined with targeted treatment.
Is treatment for erectile dysfunction and performance anxiety permanent?
Results are designed to be long-lasting when both mind and body are addressed. Ongoing healthy habits and follow-up support help maintain improvements over time.
Take the Next Step
If you are experiencing erectile dysfunction linked to performance anxiety, you are not alone. At MansMatters, we provide tailored treatment programmes designed to restore balance and support sexual function. Book your free consultation today to explore non-invasive options created specifically for men dealing with anxiety-related ED.


