Premature ejaculation (PE) can have significant psychological effects, particularly if it persists over time or leads to feelings of embarrassment or inadequacy. Many men with PE experience heightened anxiety, particularly related to sexual performance. This anxiety can create a cycle where the fear of premature ejaculation actually contributes to the problem, leading to even earlier ejaculation. Over time, the emotional toll of repeated PE episodes can erode self-confidence and increase feelings of shame, which can exacerbate the condition. These feelings of inadequacy can also negatively impact relationships, as individuals may avoid intimacy or feel frustrated with their inability to perform as they desire.

Additionally, the stress and frustration caused by PE can contribute to depression. Men with PE may feel that they are not meeting their partner's needs or may avoid sexual activity altogether, leading to emotional isolation. The condition may also affect their overall well-being and mental health by preventing them from enjoying a fulfilling sex life, which is an important part of intimacy and self-esteem. Seeking professional help and undergoing therapy, whether cognitive-behavioral or couples therapy, can be an effective way to address the psychological challenges associated with PE.

There are several treatment options available for premature ejaculation (PE), ranging from behavioral techniques to medical interventions. One of the first-line treatments is behavioral therapy, which includes methods such as the "start-stop" technique or the "squeeze" technique. These methods involve practicing control over ejaculation by pausing during sexual activity or applying pressure to the base of the penis to delay ejaculation. Cognitive-behavioral therapy (CBT) can also be helpful, particularly if anxiety, stress, or performance issues are contributing to PE. This type of therapy helps address any underlying psychological factors that may be influencing sexual performance.

Medications are another treatment option for PE. Selective serotonin reuptake inhibitors (SSRIs), which are primarily used to treat depression, are often prescribed as they have the side effect of delaying ejaculation. Topical anesthetic creams or sprays, which reduce sensation and help delay ejaculation, can also be effective for some men. In more severe cases, doctors may recommend other options like counseling or couples therapy to improve sexual communication and reduce performance anxiety.