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Anxiety may coincide with sexual arousal. Same sympathetic and parasympathetic pathways involving in both conditions may be responsible for this coincidence and anxiety and sexual arousal have similar physiological features. In this case report, we present a 20 year old male patient experiencing spontaneous ejaculations that occur without a prior sexual arousal, and without erection during panic attacks. The ejaculations were not reported to be pleasurable and the content of though included thoughts of guilt due to spontaneous ejaculations. The patient recovered from both panic attacks and spontaneous ejaculation after receiving pharmacological treatment.