What are the underlying causes of a short ejaculation time?

Patient's question:

A man is 18 years old. Recently, he has noticed that he is not performing well in terms of sexual performance. Additionally, he has been experiencing premature ejaculation from the very beginning of sexual activity. He wants to know: What are the main causes of premature ejaculation?

Doctor's answer:

The causes of early ejaculation in men can be categorized into several types, with psychological issues being the most significant. For example, some men may experience feelings of inferiority, feeling unable to stand up to their partner, or suffer from work-related stress and anxiety. Additionally, a lack of sexual knowledge and excessive masturbation can also lead to premature ejaculation. Furthermore, certain medical conditions can also be a contributing factor, such as prostate diseases, high blood sugar, or cardiovascular issues. The causes of premature ejaculation are not singular, and it is essential to understand them in order to prevent it correctly.

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