Many men or Assigned Males at Birth (AMAB) face difficulties in lasting longer in bed. If this occurs regularly, then the condition is known as Premature Ejaculation.
Premature Ejaculation is a common condition affecting 20% – 30% of men. It affects their sexual confidence and satisfaction.
But the question is, what causes a man not to last longer in bed?
In this guide, we will delve into the various factors that can contribute to a man not lasting longer in bed.
Understanding these causes will allow you to explore potential solutions to improve your sexual endurance.
What causes a man not to last longer in bed
There are many causes of Premature Ejaculation.
These causes can be biological or psychological. It can also include lifestyle factors and behavioral aspects.
Let’s discuss these causes individually.
Psychological causes

Psychological causes of Premature Ejaculation include factors affecting the mental health of an individual.
Some of the psychological factors that will cause a man not to last longer in bed are:
- Depression
- Stress
- Sexual performance anxiety, especially at the beginning of a new relationship or when a male has had problems with sexual performance in the past
- Early sexual experiences
- History of sexual abuse
- Negative body image/lack of confidence
- Unrealistic expectations about sexual performance
- Guilty feelings (it can cause you to rush through sex)
- Narcissism
- Distorted thinking
- Several other underlying mental health issues
Biological causes
Biological causes of PE include factors that affect an individual’s physical health.
- Erectile Dysfunction
- Hypogonadism
- Low Serotonin (ejaculation time reduces when an individual has low Serotonin levels)
- Conditions like Multiple Sclerosis
- Abnormal hormonal levels of prolactin or Thyroid-stimulating hormone
- Ejaculatory hyperreflexia
- Diabetes
- Genetic predisposition
- Prostate or urethra inflammation and/or infection
Lifestyle factors
Lifestyle factors that cause a man to not last longer in bed include aging, alcoholism, and relationship problems.
- Aging
- Alcoholism
- Recreational drug use
- Relationship problems
- Sleep deprivation (leads to low Serotonin levels)
- Unhealthy diet
Did you know that several men drink alcohol to last longer in bed without knowing the effects of alcohol on their sexual health?
If you want to know how alcohol affects men sexually, read Exploring the Impact: How Does Alcohol Affect a Man Sexually?
Conclusion
Understanding the causes of PE is essential in addressing and managing this common concern.
Psychological factors like Anxiety and Depression and biological or physical issues like Erectile Dysfunction and Hypogonadism can cause PE.
Additionally, lifestyle factors, including unhealthy diet, alcoholism, and relationship issues, can contribute to difficulties in lasting longer in bed.
By recognizing and addressing these underlying causes, individuals can take proactive steps toward improving their sexual experiences.
Seeking professional guidance and exploring treatments might help an individual address what causes a man not to last longer in bed.
Your doctors might prescribe PE medicines like Sertraline and Paroxetine to manage PE symptoms.
Frequently Asked Questions
Are there any medical conditions that can contribute to difficulties in lasting longer during intercourse?
Yes, certain medical conditions can contribute to difficulties in lasting longer during intercourse.
Conditions such as Diabetes, prostate problems, thyroid disorders, and hormonal imbalances may affect how long you last in bed.
It is advisable to confer with a healthcare professional for a proper diagnosis and guidance.
Can relationship problems or stress impact a man’s ability to last longer in bed?
Yes, relationship problems and stress can impact a man’s ability to last longer in bed.
Emotional stress, performance anxiety, unresolved conflicts, and communication issues within a relationship can affect sexual performance.
Addressing these issues and seeking support from a therapist or counselor may be helpful.
Why does my husband only last 30 seconds in bed?
If your husband is regularly ejaculating within a minute, he might have Premature Ejaculation.
There can be various reasons why a man may experience PE.
These reasons include Anxiety, Depression, relationship problems, Hypogonadism, and ED.
It’s best to consult with a healthcare professional for a comprehensive evaluation and personalized guidance.
Is lasting 30 seconds in bed normal?
No, if a person consistently ejaculates within a minute or less during sexual intercourse and experiences distress or dissatisfaction.
As a result, they may have Premature Ejaculation.
It is advisable to consult a healthcare professional for a proper diagnosis and to discuss potential treatment options.
How can I determine if my Premature Ejaculation is due to physical or psychological causes?
To determine if physical or psychological factors cause Premature Ejaculation, a healthcare professional can conduct a thorough evaluation. This may include discussing medical history, performing physical examinations, and assessing psychological factors such as stress, Anxiety, or relationship issues.
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