A lot of factors can lead to stress, anxiety or depression, which include lack of physical or sexual self-confidence, relationship problems, one’s employment situation, environmental factors, diet and nutrition, conflicts, financial issues, and illness, just to name a few common things.
Stress and anxiety can contribute directly and indirectly to sexual problems or sexual dysfunctions. For instance, stress can lead to cardiovascular issues, which in their turn obstruct a healthy blood supply to the genital organs causing possible prostate disorders, Erectile Dysfunction (ED), or Premature Ejaculation (PE), among others. This again can lead to increased stress, and as such we arrive at a vicious circle.
Chronic stress can also directly or indirectly lead to low libido (decreased sex drive) due to a decrease of hormone levels, a restricted blood flow, or simply because one is distracted and sex has become of a very low priority. Low self-esteem (either due to one’s physical appearance or due to psychological factors) can also lead to low libido.
As such it’s important to resolve underlying issues. For instance, stress related to a lack of self-confidence caused by having (or thinking to have) a small penis could be resolved through penis enlargement, job-induced stress could be resolved by changing jobs, or, another example, ED caused by a prostate disorder could be resolved by regaining a healthy prostate.
Sex Coaching, Sex Counseling, or other psychological help can also be an option to clarify for oneself where exactly the root problems originate, and to gain insight in the tools needed to resolve issues.
In other cases, medication or surgery may be the simplest solution to tackle problems of self-confidence that may have been leading to stress and anxiety and a subsequent inhibited and joyful sexual life.