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Nov 27, 2025
11:38 PM
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Malegra FXT could help somewhat in men whose sexual difficulties are partly due to performance anxiety. But it is not a guaranteed fix, and there are important caveats. Here’s a breakdown of what we know (and don’t know). There is some evidence that PDE-5 inhibitors (like sildenafil) can help men who experience anxiety related to erection failure: by providing a more predictable erection, they can ease the cycle of “fear ? anxiety ? failure ? more fear.” Elivena Why it’s uncertain / may not solve Malegra FXT anxiety Performance anxiety is primarily psychological — stress, mindset, fear of “failing” — and while improving the physical side of erection might help, it won’t treat the root cause (your thoughts, fear, emotional state). Medications can’t replace psychological coping or therapy. TheTechyLife +1 In men whose main problem is purely anxiety (i.e. erection is physically fine, but mental pressure causes failure), even a drug may not guarantee success. Anxiety can blunt sexual arousal and interfere with the brain’s signals, undermining the drug’s effect. Many medical reviews advise combining pharmacological treatment with behavioral or psychological therapy in such cases. Mississippi Valley State University +2 Mississippi Valley State University +2 The evidence for combining PDE-5 inhibitors with SSRIs (or antidepressants like fluoxetine) is limited and not robust: many studies of PE or ED focus on either PDE-5 inhibitors or SSRIs separately — results for combo therapy (especially for anxiety-linked sexual dysfunction) are mixed. PMC +2 Mississippi Valley State University +2 Using such drugs without medical supervision — especially combination drugs — carries risk. Underlying health conditions (heart problems, blood pressure issues, other medications) can make them unsafe.
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