What are the factors that cause premature ejaculation?

Patient's question:

I have a good relationship with my wife, but we are not harmonious in terms of sex life. I noticed that I always reach an inexplicable climax and ejaculate before entering her body. This makes me feel embarrassed and I don't know what to do. I want to ask the doctor how premature ejaculation is caused.

Doctor's answer:

You might be new to sexual activity, and the intense sexual arousal could be causing premature ejaculation. Apart from that, excessive tension could also be a reason. However, based on your description, it's likely that your glans is too sensitive. Check for any issues with the foreskin. If the glans cannot be fully exposed after an erection, it indicates a condition called phimosis, which may require consideration for surgical removal. Additionally, using double-layered condoms during intercourse can reduce the sensitivity of the glans, thereby shortening the duration of sexual activity. However, during sex, it's important to vary the positions and actions to enhance the experience.

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