What aspects can cause premature ejaculation in men?

Patient's question:

At the age of 44, recently in the past six months, I've been feeling that my performance in bed isn't very satisfying, and it's usually less than two minutes each time. Could you please tell me what might be the reasons for premature ejaculation in men?

Doctor's answer:

The main causes of premature ejaculation include the following several factors. It is relatively common for patients to have psychological issues, such as high work pressure, prolonged anxiety, or dissatisfaction with sexual life. Additionally, surveys have found that many men with premature ejaculation have very limited knowledge of sexual health. Frequent self-masturbation often leads to premature ejaculation. There are also some organic diseases, such as certain prostate conditions or cardiovascular problems. Therefore, there are many factors that can lead to premature ejaculation, and prevention should be approached from multiple aspects.

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