What causes premature ejaculation?

May 07, 2025 Source: Cainiu Health
Disease description:

I am a 28-year-old male. Recently, I have noticed that I ejaculate very quickly during sexual intercourse, and I have absolutely no control over it. This situation frustrates me greatly and has affected my relationship with my wife. I have tried to relax, but it hasn't helped. Could you please explain what causes premature ejaculation?

Doctor's answer (1)
Dr. Yang Ziqi

Early ejaculation may be related to multiple factors including psychological, physiological, and lifestyle aspects. Psychologically, excessive tension, anxiety, or high expectations regarding sexual activity can lead to a decrease in control ability. Physiologically, an overly sensitive nervous system, abnormal hormone levels, or conditions such as prostatitis may be contributing factors. Additionally,不良 lifestyle habits such as long-term lack of exercise, insufficient sleep, and irregular eating patterns can negatively affect overall physical condition, potentially leading to this issue. Understanding the specific cause is an important step in resolving the problem, so it is essential to comprehensively assess one's physical condition and lifestyle to identify the root cause.

It is recommended to visit a reputable hospital for thorough examinations, especially tests of the urinary and endocrine systems, to rule out the possibility of organic diseases. In daily life, you can appropriately increase physical exercise to improve your physical fitness while adjusting your schedule to ensure adequate sleep and a healthy diet. Learning relaxation techniques, such as deep breathing or meditation, can help relieve mental stress. If the situation does not improve, professional treatment or counseling under a doctor's guidance may be necessary. It is important to avoid self-medicating or ignoring the issue.