Ejaculatory Dysfunction encompasses a range of conditions affecting a man's ability to ejaculate, which can significantly impact sexual satisfaction and fertility. This category includes premature ejaculation (PE), the most common form, where ejaculation occurs sooner than desired during sexual activity; delayed ejaculation (DE), characterized by a prolonged time to ejaculate or a complete inability to ejaculate; and anejaculation, the inability to ejaculate despite sufficient stimulation. While the exact causes of ejaculatory dysfunction are varied and can include psychological factors, neurological conditions, certain medications, and chronic health issues, hormonal imbalances such as low testosterone levels have also been implicated in some cases. Testosterone plays a role in the regulation of sexual function and libido, and alterations in testosterone levels can affect ejaculatory reflexes and sexual response. Treatment for ejaculatory dysfunction is tailored to the underlying cause and may involve behavioral therapy, medication, changes to sexual routines, or hormone therapy in cases where hormonal imbalance is identified. Addressing any associated testosterone deficiency through testosterone replacement therapy (TRT) may improve symptoms for some men, but it's essential to approach treatment holistically, considering all potential contributing factors.