What aspects lead to premature ejaculation?

Patient's question:

54-year-old male, recently discovered that his sexual performance seems to be declining. Additionally, he reaches orgasm shortly after penetration. Please ask: What are the factors that can lead to premature ejaculation?

Doctor's answer:

Common causes of premature ejaculation include the following, with the most common being psychological factors in the patient, such as negative experiences in past sexual life or marital dissatisfaction. Additionally, a lack of knowledge about sexual health can also lead to premature ejaculation, especially if the individual frequently masturbates. Furthermore, other diseases in the patient may also trigger premature ejaculation, such as prostate and urinary tract issues, cardiovascular diseases, or high blood sugar. 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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