What are the underlying causes of premature ejaculation?

Patient's question:

A 40-year-old male has noticed in the past year that his sexual performance seems to be declining, and he reaches orgasm within less than 2-3 minutes. What are the possible causes of premature ejaculation?

Doctor's answer:

The occurrence of premature ejaculation is related to many aspects, and the emergence of psychological issues is one of the more significant factors. This includes factors such as high stress, emotional anxiety, and excessive worry about sexual life. Additionally, a lack of sexual knowledge, frequent exposure to stimulating content, can lead to premature ejaculation over time. Furthermore, certain physical conditions can also cause premature ejaculation, such as prostate and urinary tract issues, or pelvic fractures. Therefore, the occurrence of diseases is related to many aspects of life, and prevention requires a multifaceted approach.

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