Patient's question:
Here is the English translation of the provided text, with the newline characters kept as they are:Ejaculation time is short. Previous treatment history and effectiveness: Had the glans sensitivity-reducing surgery and it improved, but now it has started to get bad again. What kind of help is desired: The kind doctor who showed me what to do
Doctor's answer:
The main causes of premature ejaculation are functional and organic factors. Functional factors are primarily psychological, such as tension before sexual activity, marital dissatisfaction in sexual life, and anxiety about masturbation, which can lead to a reduction in excitement in the cerebral cortex and result in premature ejaculation. Organic factors are more common in inflammatory conditions of the reproductive organs, such as prostatitis, orchitis, and seminal vesiculitis. If you experience any discomfort, it is recommended that you visit a formal specialized hospital promptly for relevant and thorough examinations. After a clear diagnosis, timely symptomatic treatment should be administered based on the identified cause.