What are the actual reasons for a short ejaculation time

Patient's question:

Now I am 48 years old. Recently, I've noticed that my performance in bed isn't as strong as it used to be. Additionally, I often finish prematurely from the very beginning. I would like to ask: What are the reasons that can cause a short ejaculation time?

Doctor's answer:

The causes of premature ejaculation mainly include the following factors. Currently, it is primarily psychological issues that the patient faces, such as having had negative experiences in past sexual encounters or marital dissatisfaction, among others. Many men who lack sexual knowledge, who engage in prolonged masturbation or self-pleasuring, are one of the main causes of premature ejaculation. Additionally, if a man suffers from certain diseases, such as prostatitis or urinary tract infections, or has suffered from pelvic fractures, these can also trigger premature ejaculation. The main causes of premature ejaculation are primarily these aspects, and targeted prevention measures can be taken.

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