Research has found that gay men are substantially more likely to experience erectile dysfunction than heterosexual men, whereas heterosexual men are more likely to experience premature ejaculation than gay men. So what’s up with that? In this episode, we’re going dive into the science that can help to explain this curious pattern, as well as discuss tips for dealing with ED.

I am joined once again by Tom Bruett, a licensed marriage and family therapist, trainer, consultant, and author who works extensively with the queer community. He is the founder of the Queer Relationship Institute, and author of the book The Go-To Relationship Guide for Gay Men: From Honeymoon to Lasting Commitment, which will be published in March 2025.

Some of the specific questions we answer in this episode include:

• How common is ED among gay men?


• How does performance anxiety impact gay men, and how do you deal with this?


• How do recreational drugs impact sexual functioning?


• What are some strategies to improve erectile function?


• How might rapid ejaculation be viewed differently in gay vs. heterosexual contexts?

You can learn more by checking out the Queer Relationship Institute’s Linktree.

Got a sex question? Send me a podcast voicemail to have it answered on a future episode at speakpipe.com/sexandpsychology.

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Thank you to our sponsors! 

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Passionate about building a career in sexuality? Check out the Sexual Health Alliance. With SHA, you’ll connect with world-class experts and join an engaged community of sexuality professionals from around the world. Visit SexualHealthAlliance.com and start building the sexuality career of your dreams today.

The Kinsey Institute at Indiana University has been a trusted source for scientific knowledge and research on critical issues in sexuality, gender, and reproduction for over 75 years. Learn about more research and upcoming events at kinseyinstitute.org or look for them on social media @kinseyinstitute.

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Credits: Precision Podcasting (Podcast editing) and Shutterstock/Florian (Music). Image created with Canva; photos used with permission of guest.