Does Low Libido Cause Premature Ejaculation?

Low Libido Word Cloud

What is the relationship between low libido and premature ejaculation, and what can you do if you suffer from both?

Did you know that low libido can cause premature ejaculation? In fact, not only can low libido cause premature ejaculation, but these issues also appear to be highly interconnected.

A study examining 3,714 men with low libido found that 28% of them also suffered from premature ejaculation.

But the connection seems to be bidirectional. Researchers from Germany analyzed 12,646 men and concluded that sexual issues, such as premature ejaculation and erectile dysfunction, were significant predictors of low libido.

Why would low libido cause premature ejaculation?

There could be several ways in which low libido can lead to premature ejaculation. One theory suggests that men who experience low libido may unconsciously desire to end sexual activity sooner rather than later. This unconscious desire to terminate unwanted encounters may lead to the development of premature ejaculation.

Another possibility is that men with low libido are more susceptible to performance anxiety, a leading cause of premature ejaculation. In a comprehensive study involving 5,255 participants, it was found that 39% of men with low libido suffered from performance anxiety, compared to 15% of men without low libido.

Additionally, low libido may result from chronic premature ejaculation. The burden of premature ejaculation can create a dislike for sex, leading to avoidance. This avoidance can establish a cycle of performance anxiety, premature ejaculation, and low libido, causing some men to altogether avoid sexual activity.

Furthermore, some men with premature ejaculation resort to SSRIs medications, known for their side effect of delaying ejaculation. However, these medications also have the undesirable side effect of decreasing sexual desire.

What can you do if you suffer from both low libido and premature ejaculation?

The first thing to consider is the underlying cause of both issues. Depending on the root cause and the connection between the two problems, you can determine the best treatment path for your individual situation.

When to treat premature ejaculation first?

We recommend men who suffer from low libido due to their frustration with experiencing premature ejaculation to focus on treating premature ejaculation first. In many cases, overcoming PE will also resolve low libido.

A structured premature ejaculation exercise plan, based on sex therapy exercises such as the stop-start method and the squeeze technique, can teach you how to naturally prolong sex and control your ejaculation reflex.

Since it’s essential to have a structured training plan to gain the ability to delay ejaculation naturally without relying on these techniques during sex, it’s important to be guided by a professional.

For that reason, we created the PE Program – a web app that trains you step-by-step to overcome premature ejaculation using effective exercises.

Another thing to consider: If you started taking medications for premature ejaculation and immediately experienced low libido, a good idea might be to consider switching medications or trying another treatment method for PE.

When to treat low libido first?

If low libido is the root sexual issue that’s plaguing your sex life, and premature ejaculation is the secondary issue, the best idea would be to first treat the low libido. Then, if after regaining your sexual desire, you’re still having issues with premature ejaculation, you can tackle this issue individually.

Although less common in our experience, if there is a medical issue behind low libido, such as low testosterone or thyroid disease, it’s best to consult a medical doctor.

In many cases, low libido is the result of other psychological issues such as stress, performance anxiety, relationship issues, or depression.

A great therapeutic tool that has been shown to be effective in helping men regain their sexual desire is mindfulness meditation. What’s great about mindfulness is that it is known to address many of the same underlying causes for low libido, even in cases where they don’t directly lead to low libido.

If you prefer a more tailored approach, speaking to a certified sex therapist could be the best option. A sex therapist could help you diagnose the root cause of the issue and build a therapeutic action plan, which could involve various techniques.


Navigating the intricate connection between low libido and premature ejaculation can seem daunting at first, but with the right approach, most men could achieve a satisfying sex life, free of desire and premature ejaculation issues

The research underscores a bidirectional relationship, revealing how low libido contributes to premature ejaculation and vice versa. Crucially, addressing the underlying issues is essential for overcoming both problems.  

Generally speaking, if premature ejaculation is the primary cause and low libido is the secondary issue, treat PE first. If it’s the other way around, treat low libido first. If there is a common underlying cause, such as performance anxiety, address it first.

Often, treating the primary issue will also resolve the secondary one. And if not, remember that there are treatment options for both. Don’t let sexual dysfunction ruin your sex life!

About The Between Us Clinic

Sex Therapy Online Programs

The Between Us Clinic is an online sex therapy clinic that aims to help both men and women overcome a variety of sexual disorders by bringing the proven and trusted methods used in traditional, in-person sex therapy to a wide audience via the Internet.