Today I received a handsome young man in his early 30s, he sex Liu, is a university teacher, this visit before he has been in several other hospitals to see a doctor, so to me to tell his story, I can see that the heart is very anxious. 3 years ago, Mr. Liu made a girlfriend, dating for a period of time, each other feel very compatible, with both sides of the understanding of the depth, so there was sexual contact. The first sex he was in extreme excitement, but, to his disquiet, he had not penetrated the ejaculation, he felt very disgraceful, good girlfriend did not blame him. Unfortunately, every time he had sex after that, he felt very nervous, and it seemed that the more he tried to control his ejaculation, the faster it came. Then it developed to the point that he could not even get an erection, or he could barely get an erection but it was not hard enough to penetrate. His girlfriend couldn’t stand it anymore and often blamed him, and then simply broke up with him. Recently, Xiaoliu got a new girlfriend, but unfortunately, his erection has not improved, and he often can’t penetrate or weakens without ejaculating after penetration. Liu is very painful and has no confidence to do it again, so he tries to avoid having sex with his girlfriend; Liu knows that if he continues like this, his girlfriend will break up with him again. Situations like Liu’s are often seen in my outpatient clinics. The quality of most men’s first sexual experience is not ideal. Can not be inserted or just inserted on the ejaculation and the end of the situation is very common, there are people in the penis is not fully erect or not simply in the absence of erection in the state of ejaculation, this situation is often due to excessive tension. With the passage of time, men and women gradually deepen their understanding, sexual life gradually from unsuccessful to successful, and become harmonious. However, there are some men who have the same problem as Xiaoliu, due to the first time failed, excessive worry about sexual life again failed, and thus every time to sexual life is in a state of excessive anxiety. If the woman is stronger and takes a reproachful attitude, which is undoubtedly worse for the man, the mental burden will appear every time you have sexual intercourse, and there is also a sense of guilt towards the woman, which in turn will cause a decline in sexual desire, impotence and premature ejaculation. This state is called sexual operation anxiety, why does it affect sexual function? Medical experts have done a lot of research on this. First of all, sexual anxiety can affect sexual function through the nervous system, nervous system excitation makes blood vessels constriction, just as it is well known that anxiety state can be our blood pressure rise and heart beat speed up, the blood vessels innervating the corpus cavernosum of the penis constriction, so that leads to the difficulty of penile congestion (that is, can not be erected), and the speed of weakening. In addition, recent studies have shown that anxiety can also increase blood levels of glucocorticoids, which inhibit the production of androgens by the testes. Although androgens do not directly stimulate erections, the adverse effects of chronically low androgen levels on libido and erectile function are well known. From the onset of Mr. Liu’s condition, it is clear that his sexual dysfunction is somehow related to anxiety about sexual manipulation caused by dissatisfaction with his first sex life. So how to deal with this situation? The first thing is to reduce pressure, which requires both men and women to work together, the man needs to know more about the physiological knowledge of sex, erection is affected by many factors, occasional failure is very normal; at the same time, the woman should also be more understanding and encouragement, in order to build up the confidence of the man. For some special character of men (such as introverted character, easy to anxiety and nervousness of men), can be appropriate to assist with drugs, in order to build up their confidence. If the onset of short time (such as newlyweds), can temporarily take drugs to assist erection, and then according to the condition of the gradual reduction or discontinuation of drugs.