• Anxiety causes higher levels of cortisol (a stress hormone) to be released, which can suppress the sex hormones that affect libido and sexual desire.
• When you have anxiety it may make you more conscious of what you perceive to be flaws in your body, especially if you are overweight and concerned about some parts of your body, feelings which can make you unable to relax and enjoy sex as fully as you should.  
• The physical symptoms of anxiety and tense muscles, also make it difficult to relax.

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