Skip to content
Start consultationStart
CONDITION · Czechia

Performance anxiety, Czechia

When worry about performance sabotages the experience.

  • Assessed by an EU-licensed doctor
  • Oral, topical or compounded treatment
  • Full refund if not approved
Explore Sexual health

What is it?

Sexual performance anxiety is excessive worry about one's own sexual performance, creating a fear-of-failure cycle that ends up interfering with the sexual response. It can affect erection, ejaculation and desire.

It is one of the most common causes of sexual difficulties, especially in younger men, and is often confused with pure erectile dysfunction. The difference matters because the approach is distinct.

The doctor can help distinguish whether the main problem is anxiety or whether there is an underlying organic cause. In many cases, a combination of psychological guidance and, when necessary, occasional pharmacological support can break the anxiety cycle.

Treatments a doctor considers

One-off consultation

One consultation, one doctor, one decision.

Learn more

Licensed EU doctors

Every case read by a registered doctor.

Reply in under 2 hours

On average, in writing, no video call.

Pay only if approved

Not approved? Refunded in full, automatically.

Rated excellent on Trustpilot

4.8 from 540+ independent reviews.

Valid across the EU

E-prescription accepted at EU pharmacies.

FAQs

About performance anxiety

Sexual health4 questions
Does Hi-Doctor treat Performance anxiety directly?
Performance anxiety falls within sexual health, but it isn't always the primary indication of our treatments. The doctor reviews your case and tells you clearly whether Performance anxiety fits our current scope or whether you should be referred on.
An individualised medical review within sexual health, no algorithms. If your case is eligible, we propose a treatment plan with clinical evidence and EU authorisation. If it isn't, the doctor tells you and the consultation is refunded.
The doctor tells you during the consultation and points you to the most appropriate route. Hi-Doctor does not issue prescriptions outside the scenarios we can review safely via telemedicine.
Yes. Hi-Doctor runs 100% online across the EU, so from Czechia you can fill in the questionnaire and receive the medical review without travelling. The electronic prescription issued by the licensed doctor is valid at any EU pharmacy under Directive 2011/24/EU; outside Spain the pharmacist dispenses the locally marketed equivalent of the same active ingredient.

Saying it is the first step

Answer a few simple questions and a doctor reviews your case in under 2 hours on average.

Explore Sexual healthNo charge unless a doctor approves your treatment.
All content on this page has been medically reviewed by: Dr. Alejandro Infante, General medicine, on 27 July 2026. Registration: 080869277 View profile

Pay nothing if a doctor doesn't approve your treatment. Every consultation is fully refundable. How refunds work

More about your care
Read the full condition information

Performance anxiety is more common than pure erectile dysfunction. The doctor helps tell one from the other and decide the next step.

HOW COMMON IT IS

A very common cause of sexual difficulties, especially in younger men. Many cases of erectile dysfunction have a significant anxiety component.

CAUSES

  • Pressure to meet self-imposed or partner expectations
  • Previous experience of sexual failure
  • Rigid beliefs about sexuality
  • General or work-related stress
  • Lack of communication with partner
  • Perfectionism or high self-demand

TREATMENT APPROACHES

  • Sex therapy or psychological counselling (cognitive behavioural therapy)
  • Mindfulness techniques and anxiety reduction
  • Sexual education and expectation restructuring
  • Partner communication
  • Occasional medication if concomitant erectile dysfunction exists

WHEN TO SEE A DOCTOR

If worry about performance is recurring and affects your sex life or relationship, a doctor can help distinguish it from other problems and guide the most appropriate treatment.

Yes. All communication happens in the private chat of your account, GDPR-compliant. The doctor treats discretion as a core of the service and there is no history visible outside your consultation.
The private electronic prescription (Receta Médica Privada Electrónica) is issued by a licensed doctor in Spain. It is a PDF carrying every field required by EU Directive 2011/24/EU (patient, prescriber with country of registration, active ingredient, dose), which makes it legally recognised across all 27 EU member states. In Spanish pharmacies it is dispensed from the QR; outside Spain, the pharmacist dispenses the locally marketed equivalent of the same active ingredient.

Other conditions we review

Also available in