Erected for twenty minutes without inserting into the vagina and then ejaculated

Patient's question:

Patient is male, 22 years old, in good health

Doctor's answer:

General premature ejaculation is divided into primary and secondary forms. Primary premature ejaculation is often caused by excessive sensitivity of the penile nerves. Secondary premature ejaculation has many causes, including both psychological and organic factors. The organic factors mainly include the following aspects:
1. Chronic inflammatory diseases such as prostatitis, seminal vesiculitis, posterior urethritis, and seminal colliculus inflammation.
2. Long-term masturbation leading to chronic congestion of the reproductive organs.
3. Excessive sensitivity of the glans caused by phimosis or paraphimosis, resulting in premature ejaculation.
4. Other lesions of the reproductive organs, such as a short frenulum, which can cause pain during erection and lead to premature ejaculation.
Psychological factors, such as excessive fatigue, lack of energy, or mental tension, can also weaken the control of the ejaculation center, leading to premature ejaculation. It is recommended to visit a hospital for relevant examinations to identify the cause, confirm the diagnosis, and receive targeted treatment.

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