What are the reasons for ejaculation in two minutes during sexual activity?

Patient's question:

My husband's erection isn't firm enough and he finishes within two minutes sometimes he even has premature ejaculation. What could be the reason?

Doctor's answer:

In clinical diagnosis, sexual activity duration of approximately five minutes to half an hour is considered normal, while less than five minutes is termed premature ejaculation. Premature ejaculation is a sexual dysfunction, and the causes of sexual dysfunction are numerous, such as neurovascular factors, endocrine factors, and also organic factors: primarily due to chronic inflammatory diseases like prostatitis, seminal vesiculitis, posterior urethritis, and bulbourethral gland inflammation, or long-term sexual intercourse, or changes in neuropathology, or other genital inflammatory factors such as a short preputial frenulum, which cause pain during penile erection and lead to sexual dysfunction. The harm of premature ejaculation should not be underestimated. Therefore, men who suffer from premature ejaculation absolutely cannot feel ashamed to speak up, adopt a negative attitude, or resort to blind treatment.

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