What are the underlying causes of a short sexual intercourse duration?

Patient's question:

A 54-year-old man has recently noticed that his sexual performance has not been up to par. Additionally, he has experienced premature ejaculation every time he enters. He is asking: What are the underlying causes of a short sexual duration?

Doctor's answer:

The causes of premature ejaculation in men are influenced by various factors, with psychological issues being the most significant. For example, high work pressure, prolonged anxiety, or dissatisfaction with sexual life can contribute to the problem. Additionally, a lack of sexual knowledge and excessive masturbation or self-pleasuring are also major causes of premature ejaculation. Of course, apart from these points, men who suffer from certain illnesses are also more prone to premature ejaculation, especially conditions like prostatitis, urinary system disorders, or pelvic fractures. Therefore, the occurrence of diseases is related to many aspects of life, and prevention requires a multifaceted approach.

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