Causes of Premature Ejaculation Premature ejaculation as a separate disorder lacks a widely accepted definition. As a result, there is not much research on its etiology. However, its etiology can be understood by deducing from theories. As we know, during sexual activity, ejaculation starts at a certain level of arousal. This is like filling a glass with water. If soon to diffuse out there are several possibilities? One is that there was water in the cup, or the cup is too small. Generally speaking, if there is glans penis, inflammation of the reproductive tract, etc. may lead to additional stimulation, so that it is easy to ejaculate prematurely, which is equivalent to the cup would have been water, or not to a person is filling the cup with water. There is also the problem of nerve center control, for example, we have developed a certain pattern of sexual behavior that has been a very short time that is ejaculation. This is controlled by the brain, which is equivalent to a cup that is too small. Also, ejaculation is not only controlled by the brain, a high center (medical term), but also by the spinal cord, a lower center (i.e., a slightly lower level of the central nervous system). This control is in the lumbar spine. So a herniated disc in the lumbar spine may also cause premature ejaculation. This also probably amounts to a small cup problem. Of course there are other complex mechanisms and mechanisms that cannot be explained in such a simple way, and the causes of premature ejaculation are often not unique to most patients in clinical practice. Therefore, the specific treatment needs to be determined after a detailed outpatient consultation. Sometimes it is also necessary to consider the next treatment plan in conjunction with the results of the treatment, which is very complicated. This is why no doctor can be 100% sure. In any case, the relationship between the couple is the most important.