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Acquired premature ejaculation is often caused by performance anxiety. The anxiety can be about sexual performance, fear of being caught in a sexual act or anxiety related to a specific situation, such as a new relationship. Some religious beliefs may also make a man feel anxious about having sex.
The paradox of stress/cortisol is that anxiety produces cortisol, which produces anxiety which produces more cortisol, which causes you to feel more anxious...etc.... Soon you find yourself in this never ending cycle of anxiety and depression. What you must do to get well is ACCEPT your anxiety. get night terrors so I often wake up in the night in a high state of anxiety thinking there are things in my room that aren't there. But when I first wake up in the morning for work it usually takes about 5 minutes for my mind to go into overdrive and the anxious feelings to start up.