Why does sudden premature ejaculation occur when condoms are not used?

Patient's question:

Our couple is still young, and we mainly focus on our careers now. We don't want to have children. I always use condoms during sex. Is it true that suddenly not wearing condoms after frequently using them can lead to premature ejaculation? The last two times I didn't wear one, I ejaculated within less than a minute.

Doctor's answer:

Hello, according to the situation you described, premature ejaculation refers to the performance of sexual activity lasting less than two minutes. Condoms do have a certain effect in shortening the duration of sexual intercourse, while unprotected sex will never cause premature ejaculation—it is caused by psychological factors and discomfort. For patients, the first step is to adjust their own mindset, followed by gradually transitioning to unprotected intercourse, and it is also necessary to prepare adequately for conception.

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