Yes, there are several alternatives to Suhagra 25 mg (sildenafil) for individuals experiencing erectile dysfunction (ED) due to performance anxiety. These alternatives include:

1. 
   

   Other PDE5 Inhibitors: Drugs like Viagra (sildenafil), Cialis (tadalafil), Levitra (vardenafil), and Stendra (avanafil) are also PDE5 inhibitors like Suhagra and can help with ED by increasing blood flow to the penis.

   
   


2. 
   

   Counseling or Therapy: Psychological interventions such as cognitive-behavioral therapy (CBT), sex therapy, or couples therapy can address the underlying anxiety contributing to ED.

   
   


3. 
   

   Relaxation Techniques: Practices such as deep breathing exercises, mindfulness meditation, or progressive muscle relaxation can help reduce anxiety and improve sexual performance.

   
   


4. 
   

   Lifestyle Changes: Adopting a healthy lifestyle, including regular exercise, a balanced diet, adequate sleep, and stress management, can improve overall sexual health and reduce anxiety.

   
   


5. 
   

   Herbal Supplements: Some people find relief with herbal supplements like ginseng, L-arginine, or horny goat weed. However, it's essential to consult a healthcare professional before trying any herbal remedies, as they can interact with medications or have side effects.

   
   


6. 
   

   Adjustment of Medications: If ED is a side effect of medications you're taking for another condition, your doctor may adjust your dosage or switch you to a different medication.

   
   


7. 
   

   Vacuum Erection Devices (VEDs) or Penile Implants: For individuals who do not respond to oral medications or prefer non-drug options, VEDs or penile implants can be considered.