How is premature ejaculation caused?

Patient's question:

I am only forty years old and have premature ejaculation, which makes me feel very ashamed in terms of sex life. Every time I have sex, I ejaculate right at the beginning, and many times I also feel dizzy and weak. Besides being a bit tired of sex, I am mainly afraid of affecting my relationship with my wife. Please ask how premature ejaculation is caused?

Doctor's answer:

The organic factors leading to premature ejaculation are currently being discussed. Some believe that spinal cord system diseases, such as multiple sclerosis or spinal cord tumors, seizures, or organic inflammation of the cerebral cortex, such as stroke, can cause loss of control over ejaculation. There are also reports suggesting that conditions like diabetes, cardiovascular diseases, pelvic fractures, and urogenital system diseases, such as urethritis, prostatitis, seminal vesiculitis, and benign prostatic hyperplasia, are all associated with premature ejaculation. The condition of premature ejaculation tends to be recurrent, requiring long-term medication for management. It is necessary to seek medical attention immediately at a professional and reputable hospital. Treatment should be considered based on the results of thorough examinations.

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