Wondering what causes premature ejaculation in men?

Patient's question:

I have been dealing with premature ejaculation for a long time, and sexual intercourse has always been around 2-3 minutes. It's neither enjoyable for me nor for my partner. I want to understand the causes of premature ejaculation and treatment options. It's truly unbearable when this situation reoccurs. What are the reasons that cause premature ejaculation in men?

Doctor's answer:

Long-term or frequent sexual activity keeps the central nervous system in a state of constant, unrestrained excitement, forming physical inertia; frequently wearing tight underwear compresses the nerve endings of the penis, causing prolonged stimulation and excitement; a long-term diet of spicy, hot foods and alcohol leads to severe internal dampness and heat, which flows downward to the penis, causing neurological variations; constantly viewing pornographic media keeps the penis in a state of prolonged congestion, straining the sensory nerves; accumulated kidney deficiency and weak kidney qi result in a loss of control over seminal retention, making it difficult to hold sperm.

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