Malegra FXT Plus is a medication that combines Sildenafil (100 mg) and Fluoxetine (60 mg). Like Malegra FXT, it is used to treat erectile dysfunction (ED) and premature ejaculation (PE), but with a higher dose of Fluoxetine (the active ingredient commonly used to treat depression and anxiety). While Malegra FXT Plus is primarily prescribed for ED and PE, it can also indirectly help with performance anxiety, which is a common issue for men who experience these conditions. Performance anxiety is often triggered by fear of failure or not being able to perform sexually, which can worsen ED and PE. How Malegra FXT Plus Helps with Performance Anxiety: Sildenafil (100 mg): It improves blood flow to the penis, helping to overcome erectile dysfunction. For men suffering from performance anxiety, the fear of not being able to achieve or maintain an erection can cause more anxiety. Sildenafil helps reduce that fear by addressing the underlying ED, which can reduce anxiety during sexual performance. Fluoxetine (60 mg): As an SSRI (Selective Serotonin Reuptake Inhibitor), Fluoxetine helps increase serotonin levels in the brain, which is not only effective for treating premature ejaculation but also beneficial for reducing anxiety. Anxiety and performance pressure can make it harder to relax, leading to difficulties in sexual performance. Fluoxetine's anxiolytic (anti-anxiety) properties can help men manage anxiety associated with sexual performance. Who Should Consider Using Malegra FXT Plus for Performance Anxiety? Men with Performance Anxiety, ED, and PE: If you experience both ED and premature ejaculation, combined with anxiety about sexual performance, Malegra FXT Plus could help manage these issues simultaneously.