Most people think sexual performance anxiety and erectile dysfunction are one and the same but they are not though performance anxiety could be a precursor for erectile dysfunction. It is very natural for men to suffer from some amount of anxiety or sexual tension just before the act that could lead to sexual performance anxiety. This can happen to men of all ages the common outcomes of performance anxiety are loss of erection premature ejaculation and erectile dysfunction (inability to get an erection). Performance anxiety and erectile dysfunction are not the same. The most common causes of performance anxiety are