What is sexual performance anxiety (SPA)

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Feeling anxious about sex is normal. However, feeling so nervous that you cannot have sex, or enjoy sex, could mean that you may have sexual performance anxiety, also known as SPA. A person who has this anxiety condition will be overcome by a fear that they will be unable to perform either before sexual activities or during the actual sexual encounter.  

Apparently, if it happens before sex, a man may most likely be unable to have or sustain an erection.

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