What are the causes of premature ejaculation?

Patient's question:

Sometimes during sex, it always happens that premature ejaculation occurs. The time is too short. It often leads to discord between my wife and me. Anxiety and fear during intercourse. What is the reason for this?

Doctor's answer:

The causes of premature ejaculation include:
1. Differences in physical fitness leading to premature ejaculation: The sensitivity of the corpus cavernosum muscle in premature ejaculation patients is faster than that in non-premature ejaculation individuals. This may be due to higher testosterone levels in the blood, which increases the excitability of the ejaculation center and raises the threshold, making the ejaculation center easily stimulated and leading to premature ejaculation.
2. Premature ejaculation caused by diseases that result in organic damage to the sympathetic nervous system: Such as pelvic fractures, benign prostatic hyperplasia, arteriosclerosis, diabetes, etc. These directly affect the control center, impairing its ability to regulate the ejaculation center and resulting in premature ejaculation. The condition of premature ejaculation is prone to recurrence, requiring long-term oral medication.

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