What are the causes of premature ejaculation?

Patient's question:

A 48-year-old man has recently noticed a significant decline in his sexual performance over the past two weeks, with each session lasting less than two minutes. Please ask: What are the possible causes of his short ejaculation time?

Doctor's answer:

The main cause of male premature ejaculation is associated with many factors, with psychological factors being the most common, such as marital dissatisfaction or an unpleasant first sexual experience. Additionally, a lack of sexual knowledge and prolonged exposure to videos can lead to premature ejaculation. Moreover, men may have certain diseases, with common ones being prostate and urinary system issues, or conditions like diabetes or fractures. Once premature ejaculation occurs, it can be very difficult to treat. It is recommended that men take active preventive measures in their daily lives.

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