What is the cause of severe premature ejaculation during sexual intercourse?

Patient's question:

Doctor, in recent years, premature ejaculation has been particularly severe. Sometimes, I experience nocturnal emissions every 2 or 3 days, especially when I take afternoon naps. Additionally, I am very sensitive during sexual intercourse and lose my erection within 1 to 2 minutes. This is because I had sexual intercourse when I was in my teens.

Doctor's answer:

You should not have regular sexual activity yet, although you do have sexual activity. However, you are still young and have a history of sexual intercourse. This is quite disruptive to you, so the first step for your current situation is to abstain from sexual intercourse. Additionally, it is too early to say that you have premature ejaculation at this point; this requires a comprehensive evaluation and speculation. It is important to arrange your sexual life reasonably, avoid forcing it when you don’t want to, and exercise your body.
Ejaculation during sleep can be stabilized, but the treatment period is generally long, and it is prone to recurrence after treatment. Therefore, during treatment, it is crucial to actively cooperate with your doctor, use medication appropriately, and also develop good lifestyle habits and maintain a balanced diet during the treatment period.

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