SPA is not a recognised medical condition and has no single cause. This makes an accurate diagnosis difficult, as can relate to a range of biological and physical factors. Here are some factors which can indicate sexual performance anxiety:
- Body image and self-esteem issues make people overly concerned about height, weight, or the appearance of certain body parts which may come to the fore during sex.
- Emotional issues with your partner leave you feeling disconnected from your partner, and yourself.