Hey buddy, I can relate. It stems back to high school for me. I was a lady killer then haha. But seriously though, I really was good with the ladies - to the point where I got the "manwhore" reputation, which I embraced! Then I started dating this hot girl instead of whoring around. I don't think i meant for it to get as serious as it did, but we ended up dating for 5 years! 4 of those years was through college, but then we broke up the summer after I graduated due to distance, mostly. So here I was, a former manwhore, out of the game for 5 years. A lot changes in the interactions between males and females from age 17 to age 23. After we broke up, I had the mentality that I needed to pick up where I left off in high school and just start getting with random good looking girls. But at this point I no longer had the reputation I used to, which was a major factor to my game. That made it harder to meet/ get with girls, or at least girl that I thought met my old standards. (I know I sound like an asshole but that was just who I was, sorry). This really added to my anxiety, which was much less severe before me and my gf broke up. I had expectations for myself that I wasn't meeting. Then I started getting paranoid about what my friends thought, kinda like how you say you feel like you need to "deliver results". Same for me. I felt like my college buddies all knew me as the guy with the hot gf, so he must be able to get hot girls. But after we broke up, I wasn't getting any! I had a few flings, but they were more or less below my standards. Unsatisfactoy. Nowadays I find myself nervous to talk to really hot girls and I hate to admit it, but I guess I've lowered my standards - which kills me because i look the same way I did before, and I know that based on looks alone I could compete with the best of em. But my, temporary personality we'll call it, is the only thing in my way. If I could get past my nervousness I know I could be in any girl's league. So, I can relate to you man. I'd say your biggest problem, like me, is fear. You fear the consequences and dwell on the "what ifs", just like I do. "What if I can't get it up?", "What if she doesn't like me like that", "What if my friends think I have no game". Constantly asking yourself questions like that will only make you focus on those consequences, and ultimately fear them. One solution to that is to avoid the interaction, like we've done. No risk taken, then no negative consequence, right? But it's like they say, Big risk = Big reward. I'm no one to give advice. I'm a sufferer like you and not an expert. But I think that makes sense. If we can just convince ourselves to act on it...