In this podcast episode, host Estela Citrin speaks with Michelle Sampaio from Brazil about performance anxiety and erectile dysfunction. Together, they discuss how anxiety can interfere with erections by activating the body’s fight-or-flight response and making it difficult to relax and remain present during sexual activity. The conversation explores how social media, pornography, and cultural expectations around masculinity can create unrealistic ideas about sexual performance and contribute to anxiety. Michelle also explains that normal fluctuations in erections are often mistakenly viewed as erectile dysfunction and emphasizes that sexual intimacy does not need to focus solely on penetration. They discuss how psychotherapy, sexual education, and open communication between partners can help challenge negative thoughts, reduce performance pressure, and create more realistic expectations around sexuality. This episode highlights the importance of understanding the psychological and cultural factors behind performance anxiety and encourages a more relaxed, communicative, and pleasure-focused approach to sexual well-being.