I guess some performance anxiety is definitely there. In the back of my mind, I always have the fear of failure, but sometimes the feeling is stronger. But I don't really know what causes what: is my PA that causes my ED or is the absence of the spark downstairs that raises my anxiety in the moment? The fact that most of the times I have an ED episode I end up arguing with my gf does not definitely help me to feel calm and relaxed when I am in intimacy with her. I tried to explain her what I am going through and that does not depend on her but she still takes the episodes personally. About cialis or viagra, I took some ED pills few times but I am not really a big fan of taking those drugs, especially because I know that when my body feels good, I can have good erections without those pills.