What Might Cause Trouble Maintaining an Erection When Using a Condom, and Is It Linked to Low Testosterone?

When a man has trouble maintaining an erection while using a condom, it can be due to several factors. Sometimes, using a condom may create extra worry or distract a man, which can interrupt his focus on sexual pleasure. This extra stress or anxiety can make it harder to maintain an erection. Other factors may include the feeling or fit of the condom that reduces sensitivity, making the experience less enjoyable. Overall, most research shows that these difficulties are more related to psychological or behavioral issues rather than a hormonal imbalance like low testosterone. Although low testosterone can affect overall energy and sexual function in some cases, the problems seen with condom use, often called condom-associated erection problems, are generally not caused by low testosterone. Instead, they are more about the experience, emotions, and physical sensations that change when a condom is involved in sexual activities. If these issues continue, talking to a healthcare provider might help to address any underlying concerns.