Sometimes, life just deals you a bad hand. It can often feel like everything bad just hits you at once, leaving you wondering when the reprieve will set in. After all, there was a time when you weren’t struggling with erectile dysfunction, but then it seemingly popped up out of nowhere, leaving you struggling for answers. Now, it seems as though when you do manage to achieve an erection, you struggle to last for long in bed. Despite your best efforts, sex has become a mix of fighting to get an erection and fighting to last in bed. But shouldn’t these problems be mutually exclusive? Can a man actually deal with both erectile dysfunction and premature ejaculation simultaneously?

Unfortunately, you really can. While developing another sexual issue while dealing with an already embarrassing sexual issue may just feel like adding insult to injury, a man actually can struggle with both ED and PE.

However, the manner in which the issues develop is of some importance. Typically, a man that already has issues with premature ejaculation is more likely to develop erectile dysfunction. This is due to stress or anxiety related to lasting in bed, leading to the development of mental-based erectile issues. This is actually a very common issue, and as the ED is purely in your head, it can be easy to overcome with the help of a mental health expert.

But if the premature ejaculation should rear its ugly head after a man is already dealing with erectile dysfunction, this can be a cause for concern. If a man that struggles with premature ejaculation consistently cannot achieve an erection, this could indicate one of two things: Either the man is struggling with a deep-rooted sexual issue (guilt, anxiety, etc.), or the man could have an issue physically leading to problems with his penis.

That’s not to say developing ED when a man has PE is the end of the world. Speak to a doctor, and work to figure out what the problem may be. Both premature ejaculation and erectile dysfunction can be beaten with hard work. But, just to be safe, work with your doctor to make sure that these issues aren’t red flags for something even worse.