Many patients with erectile dysfunction develop PE. In many cases this is due to excessive stimulation based on a concern about maintaining rigidity. In patients with both ED and PE, therefore, treatment directed at ED improves both conditions.
Chronic prostatitis and a related condition called chronic pelvic pain syndrome (CPPS) has been associated with PE. Chronic prostatitis and CPPS are conditions characterized by inflammation of the prostate, sensation of burning when urinating, urinary frequency and urgency, and testis, rectal, or general pelvic pain. Not surprisingly, given the area of the body affected, sexual problems such as ejaculatory and erectile dysfunction are common. Although there is clearly an association between chronic prostatitis/CPPS and sexual problems (including PE), no cause-and-effect relationship has been established. Treatment of chronic prostatitis/CPPS typically requires a urologist who specializes in these conditions. The standard treatments for PE are usually appropriate for men who also have chronic prostatitis/CPPS.
Depression and/or anxiety are also highly associated with PE. Other mental health issues, such as stress about sexual performance, feelings of guilt related to sexual activity, and relationship problems can lead to PE.
This information is not, nor is it intended to be, a substitute for professional medical advice, diagnosis, or treatment, and should never be relied upon for specific medical advice. If you have any questions or concerns, please talk to your doctor.