Hi Thank you for asking HCM I have gone through your query. Anxiety can be the most likely reason for this behavioural therapy with psychologist might be helpful in such case. If no improvement then taking SSRI drugs like dapoxetine priore to intercourse will be helpful. If this is not helping then a consultation with Urologist should be done and ultrasound examination might be needed to rule out any organic problems. Testosterone level in blood also should be checked. If it is low then taking protein rich food and doing regular exercises especially muscle building exercises and leg exercises will be helpful to boost it. Hope this may help you. Let me know if anything not clear. Thanks.