Ejaculation from nervousness

   Hi, about a year ago I have been diagnosed with performance anxiety, but I have one problem associated with it that I think is physical in nature. When I get nervous, my heart starts racing and then I start feeling sensations in my penis as if, Iam about to ejaculate. Sure enough as I get very nervous there comes a point where I do ejaculate, and I'd like to note that as this is happening, my penis is very flaccid. This has been happening to me for a very long time, since 15 I would say, iam now 32. This happens in situations where I get extremely nervous.
  You can see how embarrasing this can be when it happens in public, I just have no control over it. I'd like to know if this indeed is a physical problem, and what can I do about it. thank you
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Dear John,
I  think your problem, like performance anxiety, is not a physical but rather an emotional problem. You need the care of a sexual therapist (psychiatrist/psychologist/social worker who specializes in treating sexual problems)fits into the category of premature ejaculation. Your physiologic response to nervousness may require medication to reduce the  extent of your anxiety.
This information is provided for general medical educational purposes only.  Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.  More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-AK
*keyword:Premature Ejaculation, anxiety
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