In about half of all cases of premature ejaculation, a psychological factor (not purely physiological) is dominant — anxiety, stress, or past negative experiences.
The “spectator effect” When attention is focused on one’s own “performance” (whether or not I meet expectations) rather than on sensations, this paradoxically speeds up ejaculation—psychologists call it “spectatoring.”
The new relationship factor Statistically, anxiety is higher when having sex with a new partner — this is a temporary and normal phenomenon that usually decreases as the relationship develops.
Cognitive-behavioral approaches: Techniques used in sex therapy (challenge of negative thoughts, gradual exposure) are clinically effective in reducing this type of anxiety.
When to see a specialist If anxiety prevents you from having a consistent intimate life, consulting a sexologist or psychotherapist is recommended rather than trying solitary techniques.
