Premature ejaculation is the most common sexual dysfunction in men, with some statistics showing that 75% of men experience premature ejaculation in their lifetime. Epidemiological surveys show that the incidence of premature ejaculation in adult men is close to 30%.
There is no unified definition of premature ejaculation, and true premature ejaculation refers to those who ejaculate immediately before entering or just entering the vagina. It is generally considered to be premature ejaculation when ejaculation occurs within 2 minutes. Some people define premature ejaculation by the standard of less than 50% of women reaching orgasm during sexual intercourse, which is inappropriate. The ejaculation latency of men is often affected by the length of abstinence, libido, physical ability and psychological factors, while female orgasm is also affected by emotions, sexual desire, sexual experience and the surrounding environment. So, what are the specific causes of premature ejaculation?
1, psychological factors
(1) long-term sexual fantasy, not satisfied, causing sexual anxiety.
(2) inadequate knowledge of sexual life, worrying about damage to the body, the so-called “one drop of sperm, ten drops of blood”. Excessive worry causes premature ejaculation instead.
(3) Tension in the relationship between husband and wife, insufficient communication, fear of the other party is not willing, do not cooperate, there is a fear of the psychology, sexual life when operating tension, anxiety.
(4) poor living environment (such as two or three generations living in the same room), sexual life for fear of being known, too hasty, prone to premature ejaculation.
2.Physiological factors
(1) Long-term, frequent masturbation history when young, forming the habit of rapid ejaculation; or sex before marriage, due to nervousness, excitement comes quickly, ejaculation in a hurry, and after marriage it is difficult to change the way of ejaculation that has been established.
(2) The glans sensitivity of the penis is too high (there are special instruments that can measure it), and the ejaculatory excitement threshold is too low, that is, the excitement required from erection and the excitement required for ejaculation are about the same.
(3) Excessive sexual desire, which is difficult to manipulate at the first touch.
(4) Abstinence is too long, the seminal vesicles are too full and easy to ejaculate.
(5) Poor physique, easy to ejaculate prematurely.
3.Organic factors
(1) Inflammation of the genital tract (seminal vesiculitis, seminitis, urethritis, prostatitis), short penile foreskin ties, reducing the ejaculatory excitement threshold. The chronic prostatitis with premature ejaculation is more common, and when prostatitis is controlled, premature ejaculation will gradually be restored.
(2) Diabetic neuropathy, polyneuritis, hyperprolactinemia.
(3) Premature ejaculation is associated with hypogonadotropic hypogonadism.
(4) Some of the primary or secondary premature ejaculation has insufficient arterial blood supply, or venous leakage, or both, indicating that premature ejaculation is related to erectile dysfunction. Some clinical erectile dysfunction is often accompanied by premature ejaculation, which may have this cause.
4.Other reasons
Insufficient sexual experience or sexual skills to find the “platform period” of sexual excitement, that is, the stable period of sustained erection.