Premature Ejaculation (PE) and Impaired Ejaculation have Mental and Physical Causes

man and a woman talking

Premature ejaculation (PE) is the most common type of sexual dysfunction in males, affecting up to 30 percent of the male population.

It occurs when a man can reach orgasm, but ejaculates too quickly with little or no control. PE can come with negative thoughts such as, “I’m an inadequate lover,” or “I’m coming too fast!”

It can lead to feelings of distress, shame and frustration for both partners, which can lead to secondary symptoms, such as anxiety and depression. This can create a vicious cycle where the fear of not lasting long enough contributes to the problem.

Other possible PE factors include:

  • lack of sexual experience,
  • sexual abuse,
  • poor body image,
  • depression, or
  • sex-related shame that could subconsciously cause someone to rush through the process.

Delayed or impaired ejaculation

Delayed ejaculation, also called impaired ejaculation, affects about 8 percent of men. It’s not commonly recognized by many in the medical field, as it’s the least studied and least understood of male sexual dysfunctions.

Impaired ejaculation is when a man takes longer than 30 minutes to ejaculate while performing penetrative intercourse. Impaired ejaculation can be a source of infertility, blocked sexual pleasure, and can disrupt relationship intimacy.

Aging and Impaired Ejaculation

Most men are unaware of impaired ejaculation and other normal changes associated with aging. Erections may be less firm, and it may take longer to ejaculate. Testosterone levels may decrease, which can affect energy, strength and sexual function.

Causes of PE and Impaired Ejaculation and Solutions

The causes of PE and impaired ejaculation can be psychological, physical, or both. Medication for premature ejaculation is most effective when paired with a psychosexual skills program. This method is beneficial when integrated with the couple’s sexual style of intimacy.

If PE is not addressed, it can set unrealistic expectations in the bedroom for both partners.

In the case of delayed ejaculation, there are several psychological causes that can be explored in couples therapy. Being unable to climax can become a more common problem with age, and it is often misdiagnosed as an erection problem.

Anxiety and Ejaculation Issues

Generally speaking, the psychological issues related to PE and impaired ejaculation most often fall under the anxiety category.

Anxiety is usually a physical manifestation of fears or emotions that have been avoided and not resolved. Therapy is the perfect place to address them, and if the cause turns out to be physical, a referral to a specialist can be given.