What causes premature ejaculation in men?

Patient's question:

In the past two years, I've lost interest in sex. My legs feel weak, and during sexual activity, I twitch and climax prematurely without reaching an orgasm. It's very embarrassing. I've tried many methods to alleviate the symptoms, but none have worked. The doctor said it's premature ejaculation. How did this happen?

Doctor's answer:

What are the causes of premature ejaculation? Due to psychological factors, there are several common reasons for premature ejaculation:
1. Too few sexual encounters. Once sexual activity leads to excessive sexual excitement (sympathetic nerve arousal), it can easily result in early ejaculation.
2. Unharmonious relationships, whether interpersonal, familial, or marital, can trigger anxiety, tension, and fear, all of which may lead to premature ejaculation. This is a very important cause of premature ejaculation.
3. A lack of self-esteem, feelings of failure, guilt, shame, or self-deprecating emotions can also cause premature ejaculation.

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