What are the real causes of premature ejaculation?

Patient's question:

Now I'm 18 years old. Recently, I've noticed that my performance in bed has declined significantly, and every time I start, I finish prematurely. I'd like to ask: What are the causes that lead to premature ejaculation?

Doctor's answer:

The main causes of premature ejaculation are influenced by these factors. The most common ones are psychological factors related to the patient, such as unpleasant experiences in past sexual life or being startled. Additionally, men who lack knowledge about sexual health may experience premature ejaculation due to excessive masturbation. Furthermore, certain physical illnesses can also lead to premature ejaculation, including inflammation and infections of the prostate and urinary system, or conditions like hip fractures and cardiovascular diseases. After understanding the causes of premature ejaculation, it is recommended that you take appropriate preventive measures.

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