What are the reasons for a short ejaculation time?

Patient's question:

At the age of 41, in the past year, I have noticed that my sexual performance has significantly declined. Additionally, I have been experiencing premature ejaculation, as I can only last for a short time inside. I would like to ask: What are the possible reasons for premature ejaculation?

Doctor's answer:

The main causes of premature ejaculation are related to the following aspects, with psychological issues being the most significant. For example, some men may feel (insecure) in front of their partner or experience high work pressure and anxiety. In addition to psychological factors, if men lack knowledge about sexual health and engage in frequent masturbation, it may lead to premature ejaculation. Apart from these two points, if men suffer from certain urological conditions, such as problems with the prostate or urinary system, or even cardiovascular diseases, it can trigger premature ejaculation. 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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