What are the causes of short sexual intercourse duration?

Patient's question:

Male, currently 19 years old. In the past half year, he has noticed that his sexual performance seems to be declining. Additionally, he often reaches orgasm prematurely, even before the sexual activity begins. He is asking: What are the causes of a short duration of sexual intercourse?

Doctor's answer:

The causes of premature ejaculation primarily include these factors. Currently, it is mainly due to psychological issues in patients, such as some men having witnessed negative events during their childhood or having had an unpleasant first sexual experience. It may also be due to a lack of sexual knowledge in patients, prolonged masturbation, which is one of the main causes of premature ejaculation, or underlying diseases in men, including prostate abnormalities, urinary tract infections, or hip fractures. Additionally, cardiovascular diseases may also contribute. The causes of premature ejaculation are not singular, and it is essential to understand them for proper prevention.

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