Wondering what causes premature ejaculation in men?

Patient's question:

I have premature ejaculation and get easily excited. During sex with my girlfriend, foreplay is often rushed, and I just want to go straight to penetration. My girlfriend has complained several times, and since then, I've felt a bit of pressure every time we have sex. Besides not sleeping well, I also have trouble with deep sleep. What are the causes of premature ejaculation in men?

Doctor's answer:

For premature ejaculation, it refers to the recurrence of ejaculation before the penis enters the vagina, or shortly after entering the vagina, when the woman has not yet reached sexual climax, leading to sexual dysfunction. The diagnosis of premature ejaculation is based on how the female enjoys it. The causes can be divided into organic and non-organic, with the main reasons for premature ejaculation primarily categorized into psychological and physiological aspects. From a treatment perspective, addressing premature ejaculation solely through psychological or physiological means is still challenging to achieve.

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