Glad I'm not the only one having an issue with this. My anxiety is so bad that I use viagra just about every time before intercourse. It sounds horrible but the feeling of letting my wife down is so much worse. How I've managed to deal with it is by simply accepting it and seeking treatment. My treatment was getting viagra. My doctor is rather old and a male so it was pretty easy. I told him I was simply suffering from performance anxiety. If you're shy about telling the nurse tell her that it's for men's health. The doctor will prescribe you 100mg pills. With those pills I got a pill cuter and cut them into half and then into half again. They say it's best to take with a full stomach, I however like to feel the symptoms to know I'm ready. My symptom is simply a side of my noise clogged up, almost like a stuffy nose from sinuses. Usually the doc prescribes me 6 pills per refill and after cutting them into 1/4 usually I'm left with about 20-24. Usually lasting 1-2 months depending how active you are. It's embarrassing and hard to talk about, it this is how I've managed to deal with it.