This can sometimes give you a false perception of what sex should look and feel like. Having had negative sexual experiences in the past, either with your current partner or a former partner can lead to sexual performance anxiety. Previous negative sexual experiences/trauma.Sometimes SPA could be brought on because you are stressed at work or by some other situation. Stress affects all aspects of our lives, including our sex lives. People who have less sexual experience might feel some performance anxiety when they first begin to have sex. Depression and generalized anxiety disorder may contribute to sexual performance anxiety. Dealing with mental health conditions.Sometimes SPA is brought on by emotional issues you might be going through with your partner. Feeling emotionally disconnected from your partner.People who are overly concerned about their height, weight, or appearance of particular body parts might experience sexual performance anxiety when they engage in sexual activities. Having body image and self-esteem issues.