Patient's question:
A 46-year-old man has noticed a significant decline in his sexual performance over the past two years, often experiencing premature ejaculation from the very beginning of sexual activity. Could you please explain the various factors that can contribute to male premature ejaculation?Doctor's answer:
The reasons for premature ejaculation in men include the following: First, it may be due to psychological issues experienced by the patient, such as unpleasant experiences during past sexual activity, whether due to sudden interruptions or being startled, among others. Additionally, a lack of sexual knowledge can lead to premature ejaculation, especially if a man frequently masturbates. Furthermore, if a man suffers from certain illnesses, including infections of the prostate and urinary system or cardiovascular diseases, these can also be causes of premature ejaculation. The causes of premature ejaculation are numerous and complex. Understanding them can help in proper prevention.