What are the reasons that lead to a short sexual intercourse time?

Patient's question:

A 51-year-old man has noticed that his sexual performance has been declining over the past two years. He has also experienced premature ejaculation every time he starts. He is asking: What are the possible reasons for a short duration of sexual activity?

Doctor's answer:

The main causes of male premature ejaculation include the following several factors, with psychological issues being one of the primary ones. For example, sudden interruptions during sexual activity, or being influenced by negative external factors, can contribute to premature ejaculation. Many men with limited sexual knowledge who engage in prolonged masturbation or self-stimulation are also a major cause of premature ejaculation. Additionally, certain physical conditions can lead to premature ejaculation, such as prostate diseases or urinary tract infections, or conditions like diabetes or fractures. It is recommended to regularly educate oneself about sexual knowledge, promptly address psychological issues, undergo physical check-ups, and take proper preventive measures.

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