What should I do if I have a short coital time and quick ejaculation?

Patient's question:

Having short intercourse time and rapid ejaculation with a partner, with occasional morning erections and sometimes none. What should I do?

Doctor's answer:

Premature ejaculation is caused by various factors:
1. Psychological factors: Due to anxiety, strict prohibition, guilt, restlessness, etc.;
2. Organic factors: Due to increased penile sensitivity or heightened excitability of sensory nerves, leading to impaired discriminative function of the ejaculation center, or endocrine disorders;
3. Others: Prevalence, balanitis, prostatitis.
It is recommended to improve relevant examinations before treating the primary disease. For primary premature ejaculation, dapoxetine can be used for treatment.

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