Is PE Psychogenic or Biological?

PE stands for premature ejaculation, and this physical reaction to sex is sometimes debated to be more of a psychogenic, or psychological process, than a physical one. So is PE really more of a psychogenic? This article will explain the crucial information about PE as well as an opinion on whether it merits being called a psychogenic.

The Basics of Premature Ejaculation

As the name implies, PE takes place when a man ejaculates during sexual intercourse before anticipated. This can be detrimental to the concept of sex, for PE often occurs earlier than the man’s sexual partner wants. This premature sexual function is often the subject of complaints related to intercourse, as well as the topic of desires to last longer in bed. On average, about one in three males experience PE at some point in their lives, and premature ejaculation strikes men regardless of having normal sexual functions or not.

PE can be diagnosed in men who exhibit the following sexual traits during intercourse: they just about always ejaculate almost immediately after penetration; they are nearly always unable to control their premature ejaculation and find it hard to delay the process during intercourse; they experience stress and anger at not being able to ejaculate late, and as a result, abstain from sexual intercourse most of the time.

Premature ejaculation can really make an impact on both the affected male and their sexual partner. Sexual intercourse is meant to be an enjoyable act, and PE can put a damper on it. Researchers, doctors, and scientists have found both biological and psychological factors that play a role in PE. In fact, premature ejaculation is quite common and can be treated with counseling, medication, and sexual practices.

Unfortunately, the exact cause of PE is not known. At first, doctors believed it to be a psychogenic problem, but more and more research is proving that PE is a result of a combination of psychological and biological aspects. Therefore, it is best to argue that PE is not primarily psychogenic, but involves a mixture of psychological and physical components.

PE is Too Complex to be Only Psychogenic

In terms of the psychogenic causes that lead to PE, doctors have found that some men who experience sexual acts earlier in life usually exhibit increased symptoms of PE. For example, young men may strive to reach climax very quickly, or may feel guilt and shame that causes them to speed up sexual intercourse. Other psychological factors that can lead to PE include high levels of stress and anxiety, whether they had about sex or something unrelated. Anxiety can result in ejaculating earlier and can lead to another factor that may contribute to PE: relationship issues. Having a rocky or strained relationship can lead to men prematurely ejaculating and causing dissatisfaction and conflict within an intimate relationship. Finally, men who are worried about obtaining or having a lasting erection may tend to rush into ejaculating, thus enabling PE and erectile dysfunction to become more pronounced.

These are all psychogenic reasons for developing and experiencing PE, yet there are a number of biological factors that also come into play. For example, researchers have found that men with PE also exhibit abnormal hormone levels, abnormal levels of neurotransmitters in the brain, abnormal reflexes in the ejaculatory system, thyroid conditions, prostate infection or inflammation, nerve damage or trauma from surgery or accidents, or an inheritance of PE. Some men display one or a combination of these biological aspects, in conjunction with one or more of the psychological causes mentioned above. Therefore, it is valid to say that PE is not strictly psychogenic; it is much more complex.


While it is true that PE is a physical condition that often results from psychological factors, such as stress and brain activity, premature ejaculation can also be caused by chronic diseases, inherited genes, and abnormal physical processes and levels of hormones in the body. It seems quite certain that people cannot simply label premature ejaculation as a psychogenic condition. There is enough evidence to declare that the condition results from more than just one factor. As with many other diseases, disorders, and conditions, PE is not one-sided, nor one-size-fits-all. An important thing to remember is that it can be decreased with proper treatment.