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

Patient's question:

A 24-year-old male has noticed in the past two years that his sexual performance seems to be declining. Specifically, he often reaches orgasm prematurely, even before intercourse begins. He is asking: What are the underlying causes of his short sexual endurance?

Doctor's answer:

Actually, the causes of premature ejaculation are commonly divided into several types, among which psychological issues are relatively major. For example, past unpleasant experiences during sexual activity, such as sudden interruptions or being startled, can contribute to premature ejaculation. It may also be due to a lack of sexual knowledge in the patient, as frequently viewing stimulating images or videos can lead to the condition. Additionally, certain physical illnesses, such as prostatitis or urinary tract infections, as well as cardiovascular or cerebrovascular diseases, can also cause premature ejaculation. It is recommended that every man pays attention to these factors.

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