Can premature ejaculation be treated after several years?

Patient's question:

For several years, now it doesn't take more than a minute to leak.

Doctor's answer:

Hello! Premature ejaculation refers to a person who reaches orgasm before or shortly after the penis enters the vagina, with the duration often being less than 2 minutes. The causes of premature ejaculation can be categorized into psychological premature ejaculation, organic premature ejaculation, and premature ejaculation caused by other factors.
There are many reasons that can lead to psychological premature ejaculation, such as marital conflicts, anxiety or fear during sexual intercourse, and nervousness, all of which can increase the excitability of the cerebral cortex and central nervous system, thereby causing premature ejaculation. Organic premature ejaculation may be caused by chronic prostatitis, seminal vesiculitis, urethritis, and other conditions. Premature ejaculation caused by other factors, such as excessive foreskin or a history of masturbation, can also lead to the condition.
Since the causes of premature ejaculation vary, the treatments also differ. To effectively treat premature ejaculation, it is essential to first diagnose the underlying cause before proceeding with targeted therapy.

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