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premature ejaculation is caused by several factors and these factors are more detailed in underlining causes.


One cannot solve a problem without first getting to the base of it so you must understand the causes of Premature ejaculation to last longer in bed so your partner can enjoy sex. Premature ejaculation is caused by several factors and these factors are more detailed in underlining causes.

1- Underactive Thyroid:

This is also known as hypothyroidism. The condition is caused by the inability of the thyroid gland to produce sufficient hormones such as thyroxine.

Hypothyroidism leads to a wide range of symptoms that may manifest in fatigue, depression, and a drop in libido. These symptoms lead to Premature ejaculation.

Fatigue and depression will make the man’s sexual organs not perform well, and not respond well to delay ejaculation. a drop in libido will lack the sex drive to penetrate the vagina and stay a long time to initiate sexual excitement.

2- Diabetes:

Diabetes is a medical condition where there is excess glucose or sugar in the bloodstream. Sugar levels that are poorly managed cause damage to the autonomic nerves which control sexual arousal.

Diabetes affects blood flow and all kinds of sexual activity. the outcome of the predicament is Premature ejaculation and Erectile dysfunction.

3- High Blood Pressure:

Medically, this is termed hypertension. It is common in these modern times. Occurring due to pressure exerted on the walls of the artery as blood flows through them.

The arteries that pump blood to the penis are damaged by high pressure leading reduction in blood flows into the penis resulting in an inability to gain an erection, which then leads to Premature ejaculation.

4- Multiple Sclerosis:

This disease occurs as a result of the damage to the coating around the nerve fibers, called the myelin, which then inhibits the transmission of signals from the brain to the body.

Muscle weakness, poor coordination, blurred vision, and muscle spasms are the likely symptoms that emerge. These symptoms reduce the person's desire for sex leading to Premature ejaculation.

5- Prostate Disease:

Medically, this is termed benign prostatic hyperplasia. It occurs when there is a sudden enlargement of the prostate gland. This increase exerts pressure on the urethra, impeding the flow of urine and semen down the tube and out of the body through the penis to cause Premature ejaculation.

6- Excessive Alcohol Intake:

The excessive intake of alcohol is known to be one of the most potent causes of Erectile dysfunction, it also causes Premature ejaculation.

Too much alcohol in the body is responsible for what is medically known as ‘Brewer's Droop', a state which affects sexual performance and is equally responsible for Premature ejaculation.

7- Drug Use:

Some men have been exposed to drugs that make them last longer in bed. But when used in the wrong way, can cause a lot of damage to sexual performance.

The opioid family of drugs is a category that was developed to serve as painkillers, including morphine, tramadol, and methadone. These drugs are highly effective, but they tamper with men’s sexual systems and organs. Such drugs can cause Erectile dysfunction and Premature ejaculation.

8- Stress:

Men who perform tasking or odd jobs all day long or men who work stretches of hours sitting on a chair are the ones that will be stressed out more at the end of the day.

When a man is stressed, the entire body is weak and cannot function normally, as it did before. When stressed men engage in sex, they often do not enjoy it. Erectile dysfunction may be caused, and then Premature ejaculation kicks in.

It should be noted that when the human system undergoes stress, it also affects him psychologically, making him want to simply ejaculate fast and get to rest.

9- Sexual Inexperience:

Lacking sexual experience is often viewed as a thing of shame and weakness in the world of men. Younger men especially, go through phases of Premature ejaculation because they lack orientation on the pros and cons of how to have long-lasting and enjoyable sex.

10- Traumatic Background:

Traumatic experiences previously in one's early life can cause sexual problems, as well as Premature ejaculation. It may make the problems permanent and also cause socially inappropriate behavior.

Sexually related traumatic experiences can range from being caught in the act of masturbation to being discovered while having sex, or being sexually abused as a child, adolescent, or teenager.

11- Depression:

Depression symptoms range from mood swings, down feelings, disturbed sleep patterns, low morale, and reduced sex drive.

Persons who are depressed often lose interest in sex and the symptoms of the illness affect their libido and their inability to get and sustain an erection. So when this set of people disinterestedly engages in sex with their mood issues on, they experience Premature ejaculation.

12- Performance Anxiety:

This usually occurs with men that have either not had sex at all or haven't had it in a long time. Anxiety or pre-excitement of sexual intercourse often leads to them ejaculating all too early.

13- Teenage Masturbatory Practices:

In cases where men train in such conditions and train themselves to ejaculate quickly to avoid getting caught in the act of masturbation, the habit often stays with them for ripe old ages in which the Premature ejaculation problem is posed. The habit becomes very hard to break once they become sexually active.

14- Unresolved Relationship Conflicts:

When there are a series of disagreements, fights, quarrels, and turmoil in the relationship. There is bound to be discomfort, depression, and sadness, which often makes the man prone to not being able to have a suitable sexual performance level.

In many cases, an unhappy man would want to condition himself to have sex quickly and get over it. Premature ejaculation often culminates in broken relationships.




Dr.Hassan Elghaiaty had MBBS in 2004. He had a master's degree in urology and andrology in 2010. He has experience in urology and andrology disease evaluation and management for 16 years.
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