Does Low Testosterone Cause Premature Ejaculation?

A man worried about whether low testosterone is the cause for his premature ejaculation

No, low testosterone does not directly cause premature ejaculation. Testosterone is a sex hormone that has significant effects on our sexual function. For example, low testosterone levels are related to erectile dysfunction and low sexual desire in men.

With that said, low testosterone is not considered to be a cause for premature ejaculation. On the contrary, this 2014 study found that men with premature ejaculation might have higher levels of testosterone. But, further research is still needed to explore the relationship between the two.

Low testosterone is also associated with delayed ejaculation, the opposite problem of premature ejaculation.

Will testosterone help me last longer in bed?

If by “lasting longer in bed” you mean last longer until ejaculation then the answer is no. Testosterone replacement therapy might help men who suffer from symptomatic low testosterone and from erectile dysfunction to have erections for longer.

There are a lot of false suggestions online that certain foods can help you cure premature ejaculation by elevating your testosterone levels. Some also suggest taking testosterone boosters for premature ejaculation. This is completely false.

Low testosterone and premature ejaculation

Low testosterone can be indirectly related to acquired premature ejaculation. Acquired premature ejaculation happens when a man has normal ejaculatory control and then suddenly begins to ejaculate early.

Men with erectile dysfunction are more likely to develop premature ejaculation. This usually happens because they get excited and rush to penetrate the moment they achieve an erection and then accidently ejaculate prematurely. Over time, this become a fixed habit that is not easy to reverse.

Low testosterone can also be caused by stress and anxiety. Sexual performance anxiety is one of the leading causes for premature ejaculation. Premature ejaculation also leads to stress, anxiety and depression, which in turn can lead to low testosterone.

What are the real causes of premature ejaculation?

The most common underlaying causes of premature ejaculation are:

  1. A learning behavioral problem (When a man accidently “trains” himself to ejaculate early during masturbation)
  2. Genetics
  3. Sexual performance anxiety
  4. General stress or depression
  5. Low serotonin levels

Read this article to learn more about the causes of premature ejaculation.

How to cure premature ejaculation?

Most cases of premature ejaculation can be cured or significantly improved. Behavioral sex therapy exercises can help “cure” the problem.

If the exercises don’t help, you can manage the symptoms of PE using medications or desensitizing sprays and creams.

Medically reviewed by Oreoluwa Ogunyemi, MD.

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