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Can Low Testosterone Cause Premature Ejaculation?

Michael Garrico
Published by Michael Garrico | Co-Founder & Marketing Director
Last updated: September 19, 2023

In a recent conversation with an endocrinologist specializing in men’s health issues, he emphasized low testosterone as a common cause of premature ejaculation.

I know that anxiety and depression play a role in rapid climax, but I also wanted to find out if there’s more research linking premature ejaculation and low testosterone.

So, I spent the day with the endocrinologist reviewing studies exploring this connection.

Here are our insights.

Quick Summary

  • People with low testosterone are likely to develop premature ejaculation because of psychological issues such as stress and depression.
  • Testosterone levels begin to diminish as men age, leading to erectile dysfunction.
  • Boosting low testosterone levels can treat some erectile dysfunction conditions.

Can TRT Address Premature Ejaculation Due to Low Testosterone?

Looking down while sitting in bed with no energy

Yes, low testosterone can cause premature ejaculation directly and indirectly.

Studies have found that some patients suffering from rapid climax have low serum testosterone [1].

Many of these studies and treatments are often discussed and provided by the best online TRT clinics.

In another study, scientists found that patients with testosterone deficiency experienced a 4.8-fold improvement in ejaculation time during sex after testosterone replacement therapy (TRT) [2].

This is not definitive proof, but it does show a strong correlation between low testosterone and premature ejaculation (PE).

However, there are some studies that show conflicting data, particularly among males between 25 and 40 [3].

Psychological issues such as anxiety, stress, and depression, often due to low testosterone, may also negatively impact bodily functions and lead to premature ejaculation [4].

What’s more, age-related low testosterone may even lead to erectile dysfunction (ED).

So, by negatively impacting sexual function, it may render the problem of premature ejaculation much less relevant.

5 Main Causes 

Man with wet pants

Premature ejaculation occurs because of several factors. Below are some of them.

1. Hormonal Imbalance

According to scientists, rapid climax could occur due to hormonal issues such as hyperthyroidism (when a man’s body overproduces thyroid hormone) [5].

The same study also asserts that treating individuals with low testosterone and hyperthyroidism could reverse PE in those cases.

2. Neurological Imbalance

Neurotransmitters (chemical messengers which carry signals from one neuron to the next) can affect premature ejaculation.

Specifically, low levels of the serotonin hormone, which plays a crucial role in ejaculation, may lead to rapid climax [6].

The opposite is also true; high levels of serotonin may delay ejaculation.

3. Penile Sensitivity

Small and big banana on a boxer shorts

Men with sensitive penis react fast to stimulation and are more likely to experience PE problems than others [7]. Testosterone plays an important role in this as well.

4. Genes

Studies also show that medical problems like hypersensitive nerves in the penis can be genetic [8].

5. Anxiety and Depression

One study has found a link between acquired premature ejaculation and performance anxiety during sex [9].

Acquired premature ejaculation is when you have normal ejaculatory control and then you suddenly begin experiencing early ejaculation without any underlying physical issues.

According to advanced biomedical research, men with mental health issues and depression are more susceptible to PE problems, as well as erectile dysfunction [10].

How Improving Testosterone Treats PE

Holding long banana in front of pants

Increasing the testosterone volume in your body does the following to help your PE problem.

1. Fixes Erectile Dysfunction

According to researchers, low testosterone leads to erectile dysfunction, which also makes them likely to experience PE problems.

Therefore, scientists assert that treating erectile dysfunction, which may involve boosting low testosterone levels, could also treat premature ejaculation [11].

Related: Can Testosterone Boosters Help With Erectile Dysfunction

2. Fixes Low Sex Drive

Treating libido, which is associated with low testosterone, might fix premature ejaculation.

This is especially the case for those with secondary/acquired premature ejaculation.

“PE is connected to low testosterone, and testosterone is related to sex drive; having a lower libido may be connected with PE. If somebody’s sex drive is low, then that could be a reason why they may have problems with PE.”

- Dr. Amin Herati, John Hopkins

3. Improves Serotonin Levels

Happy person giving thumbs up

As we’ve seen, one potential way to delay premature ejaculation is by boosting your serotonin levels.

And because studies are showing that testosterone treatment can improve serotonin levels, T booster treatment options might indirectly fix premature ejaculation [12].

Treatments for PE

Besides medication, below are some treatment methods for premature ejaculation:

The Start and Stop Method: This is where you stop sexual stimulation right before orgasm to delay ejaculation [13].

The Squeeze Method: Here, rather than halting, you gently squeeze the penis until the urge to ejaculate ends.

Ways to Increase Your T levels Naturally

Man flexing his biceps

Below are a few ways to boost your T levels naturally.

1. Vitamin D

Exposure to the sun and consuming foods like fatty fish and mushrooms, which are rich in vitamin D and can boost your testosterone [14].

2. Zinc

Beans, nuts, and whole grains are rich in zinc nutrient, which plays a role in the regulation of testosterone [15].

3. Protein Diet

A protein-rich diet might also help you last longer in bed.

4. Exercise

Exercising outdoors

By losing weight, engaging in weight training, and intensity exercises, you stand a chance of boosting your T levels which goes a long way in boosting your libido and improving your sex life.

5. Natural Testosterone Boosters

As we’ve mentioned, boosting testosterone might help with premature ejaculation and erectile dysfunction issues.

Testosterone-boosting supplements consist of natural science-backed herbs and nutrients that support the body’s natural testosterone production.


Are Testosterone Levels Affected by Ejaculation?

No, testosterone levels are not affected by ejaculation. Studies show that they don't affect serum T levels [16].

Can Low Testosterone Cause Weak Ejaculation?

Yes, low testosterone can cause weak ejaculation by releasing less seminal fluid. That's because the seminal vesicles and prostate need testosterone to function properly.

Maintaining Normal Levels of Testosterone to Prevent PE

If you’re experiencing premature ejaculation and have confirmed low testosterone levels, consult your medical professional to see whether your situation requires therapy.

However, if you do not have some underlying health issue, there are some natural ways to deal with the problem, primarily diet and exercise.

I also advise my clients with this issue to include natural T-booster supplements into the mix as they are specially designed to support the body’s natural production.

We’ve thoroughly tested all the products on this list, and both our testing data and client feedback reports show that they are effective in improving T levels.


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