What aspects cause premature ejaculation in men?

Patient's question:

A man, 51 years old, has noticed in the past two years that his sexual function has declined. Additionally, he has been experiencing premature ejaculation every time he starts. He asks: What are the causes of premature ejaculation in men?

Doctor's answer:

Common causes of premature ejaculation are influenced by multiple factors, with psychological issues being one of the main contributors. Negative influences during sexual activity or marital discord can also lead to the condition. Additionally, a lack of proper understanding of sexual knowledge and prolonged masturbation may cause premature ejaculation. Furthermore, other diseases in the patient, such as certain male health issues like prostatitis or benign prostatic hyperplasia, or cardiovascular problems, may also trigger premature ejaculation. Therefore, the occurrence of diseases is related to many aspects of life, and prevention requires a multifaceted approach.

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