What factors cause rapid ejaculation?

Patient's question:

At the age of 39, in the past six months, I've noticed a decline in sexual function, and each time I start, I finish prematurely. Could you please tell me: what factors can cause premature ejaculation?

Doctor's answer:

The causes of premature ejaculation are related to many factors, with psychological issues being one of the main ones. For example, unpleasant experiences during past sexual activity, such as sudden interruptions or being startled, can contribute to premature ejaculation. Additionally, a lack of proper understanding of sex, frequent exposure to stimulating images or videos, can also lead to the condition. Certain medical conditions, such as inflammation or infections of the prostate or urinary system, pelvic fractures, or high blood sugar, are also potential triggers. The causes of premature ejaculation are not singular, and it is essential to understand them and take proper preventive measures.

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