What are the factors that cause male premature ejaculation?

Patient's question:

Now I am 39 years old. In the past half year, I feel that my sexual performance has declined significantly. At the same time, I often finish prematurely from the very beginning. I would like to ask: What are the factors that cause male premature ejaculation?

Doctor's answer:

The causes of premature ejaculation are influenced by multiple factors. Firstly, it may be due to some psychological issues of the patient, such as the high pressure modern men face, leading to prolonged states of intense stress. It could also be because the patient lacks sexual knowledge, and frequent masturbation may become a trigger for premature ejaculation. Additionally, certain diseases can contribute, such as prostate and urinary tract issues, or even fractures of the femur, as well as cardiovascular diseases. Once premature ejaculation occurs, it can be very difficult to treat. It is recommended that men take proactive measures to prevent it in their daily lives.

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