What causes premature ejaculation?

Patient's question:

I have been with my girlfriend for four years this year. Since the second year, I have started to feel the symptoms of premature ejaculation again. Almost every day we have sex, and sometimes it hurts on the right side of my abdomen during intercourse. What is the reason for this? What is this symptom, and how should it be treated?

Doctor's answer:

Premature ejaculation refers to the condition where a man reaches orgasm and ejaculates quickly during sexual activity, either before or shortly after the penis enters the vagina, without allowing the woman to reach orgasm and making sexual intercourse unable to continue. If a man ejaculates without the penis entering the vagina or before any physical contact with his partner, it is considered severe premature ejaculation. Treatment primarily focuses on addressing the underlying cause, which may include: psychological factors, prostatitis, excessive foreskin, or high sensitivity of the glans. It is recommended to seek medical examination and diagnosis to confirm the condition and then receive targeted treatment. When patients face the issue of premature ejaculation, we should actively adopt treatment measures and avoid hesitation about seeking medical help. If premature ejaculation does not improve with treatment, it is important to promptly adjust the treatment plan.

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