Premature ejaculation: side effects on mental health

By Ena Liew

What is premature ejaculation? Premature ejaculation is something every man is afraid of happening to him – and more often that not it has happened before. It can be defined as ejaculation that occurs with minimal stimulation, prior to a predetermined time and the wishes of the man and his partner.

In situations like this, men don’t normally seek treatment. In populations where 50% of men reported premature ejaculation, only 3% had sought treatment with a doctor for this distressing condition. Instead, men usually try to deal with premature ejaculation with methods such as taking illegal drugs or drinking alcohol before sex, avoidance of sex or masturbating before having order to decrease sensitivity and therefore delay premature ejaculation.

Premature ejaculation may cause a series of ill effects on mental health, and should be evaluated by a doctor if it is causing significant issues in sexual and emotional functioning.

What are some of the impacts of premature ejaculation on mental health?

1.Significant reduction of sexual functioning and satisfaction

In several medical studies carried out of late, it has been established that men with premature ejaculation do have the same degree of interest in sex and ability to get aroused as men who do not suffer from premature ejaculation, however the afflicted men were found to have less satisfaction during intercourse as well as significant problems with relaxing during intercourse, as well as a dramatic decrease in sexual frequency due to an inability to discuss said issue with their partners. Not only that, a small amount of men who experience premature ejaculation also report that they developed erectile dysfunction after some time.

  1. Deterioration of confidence and self-esteem

Unlike in erectile dysfunction, men with premature ejaculation are still able to have an orgasm. Nevertheless, over 88% of men rated the partner’s need as extremely important, and deterioration in sexual performance would definitely prove a damper on a man’s perceived self-esteem. Some large-scale surveys have shown that men with premature ejaculation do suffer lower confidence and self-esteem, self-rated, compared with men who do not.

3.Issues with interpersonal relationships

Studies have shown that there is a correlation that single men who experience premature ejaculation may avoid getting into new relationships due to the fear of underperforming, while men who are already in a relationship have higher rates of fear of partner dissatisfaction and hence failure of the relationship.

Intimacy issues do also spill over to other areas, as most men with premature ejaculation do report lower emotional, social, and intellectual intimacy with their partners as compared to sexually functional men.

4.Feelings of anxiety and shame

Much like erectile dysfunction, premature ejaculation proves to be a frustrating issue for many men. Most men see premature ejaculation as an extremely distressing problem, which led to increased feelings of anxiety about sexual intercourse as compared to men who were sexually functional. A large number of men with premature ejaculation also report concomitant psychiatric issues such as depression and anxiety, thus indicating that men suffering from premature ejaculation do experience a lower quality of life than men who do not. As a result, this may lead to a dramatic avoidance in sex, and segue into further sexual dysfunctions such as a low libido or erectile dysfunction.

It is safe to conclude by saying that premature ejaculation is a condition with a high level of psychological distress, and can be treated effectively with education on techniques of sensation as well as with medications which can delay orgasm in men and women. If you suffer from this issue, please don’t be ashamed to consult a doctor for further advice – it may potentially offer a much-needed relief to you from an unhappy sex life and ineffective communication with your partner.