Low sex drive and early ejaculation is cause by?

Many possibilities: There are many possibilities: anxiety, relationship conflict, depression, infrequent sex leading to quick ejaculation…. Is depression or anxiety a part of your life? If so, you might want to have a psychological or psychiatric consultation.

2 different issues: Low sex drive or libido is a different condition unrelated to premature or early ejaculation. You can have one w/o other. As dr. Weiner noted, infrequent sexual activity can lead to premature ejaculation but so can short episodes of masturbation. On the other hand, stress over money, job, relationship, family, friends etc can affect your libido. So can poor health ; some medication. Go see ur doc.