Patient's question:
I recently had sex with my wife, and I quickly ejaculated. Except for that time, I couldn't get hard at all. Forcing it out was very painful, and I was too embarrassed to go to the hospital for a thorough check-up. Please ask how erectile dysfunction is caused.Doctor's answer:
1. Psychoneural factors.2. Neurological inflammation: Hypothalamic-pituitary tumors or tumors in other locations, focal brain damage such as localized epilepsy, encephalitis, cerebral hemorrhage compression, spinal cord injury, spinal cord tumors, chronic alcoholism, multiple sclerosis, and pelvic surgery-induced damage to the autonomic nervous system can all lead to premature ejaculation.
3. Endocrine inflammation.
4. Urogenital organ inflammation: Conditions such as prostatitis, benign prostatic hyperplasia, epididymitis, and varicocele often cause premature ejaculation. Some middle-aged and elderly patients develop premature ejaculation specifically due to prostatitis and benign prostatic hyperplasia.