Anxiety is the most common intrapsychic component in male sexual dysfunction. Metacognition is considered to be the way of thinking about "thinking" which could be associated with anxiety. The aim of the study was to investigate the metacognition level of patients with premature ejaculation. Forty patients with premature ejaculation and 40 with erectile dysfunction, and a matched number of healthy people participated. Participants were asked to fill out Meta-cognitions Questionnaire-30, Beck Depression and Beck Anxiety Inventories. The total metacognition score was significantly higher in patients with premature ejaculation (p < .05) and erectile dysfunction (p < .05) than healthy controls. Total metacognition score was not significantly differed between sexual disorder groups (p > .05). The positive beliefs, negative beliefs scores were significantly higher in patients with sexual disorders (p < .05). The cognitive self consciousness score was significantly higher in patients with premature ejaculation than erectile dysfunction group (p < .05) and healthy controls (p < .05). Patients with sexual disorders might endorse the metacognitive belief that worrying about worriable problems can have positive effects in solving problems and avoiding unpleasant situations, which may be associated with sexual disorder.