What aspects cause a short sexual duration?

Patient's question:

Male, currently 46 years old, in the past year, feels, sexual performance has declined significantly. Additionally, he ejaculates immediately upon entering. Please ask: What factors can cause a short sexual duration?

Doctor's answer:

The causes of premature ejaculation in men are often related to these aspects, with psychological issues being one of the main factors. These include high stress, emotional anxiety, and excessive worry about sexual life, among others. Additionally, a lack of proper understanding of sexual knowledge in men, such as frequently viewing stimulating images, texts, or videos, can lead to premature ejaculation. Alternatively, certain physical conditions, primarily issues with the prostate or the urinary system, or conditions like cardiovascular diseases, can also cause premature ejaculation. Therefore, there are many factors that can lead to premature ejaculation, and prevention should be approached from multiple angles.

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