Premature ejaculation causes

According to the National Health and Social Life Survey, men with poor to fair health or suffering from stress or emotional problems have a higher incidence of PE. Like ED, PE can be defined as primary, meaning that the man has had it all his life (though he may not have known until he began having sexual intercourse), or secondary, meaning that it followed a period of normal functioning. Primary PE is usually attributed to abnormalities in the brain's 5HT receptors, whereas secondary PE is usually attributed to psychological factors and is usually associated with ED. Recent studies suggest, however, that both primary and secondary PE are multifactorial, with overlapping physical, psychological, and contextual etiologies.

The major psychological factors in PE are sexual inexperience; stress or anxiety disorders; infrequent intercourse or complete abstinence; guilt, fear of failure, or interpersonal conflicts; early sexual experiences. Additional causal factors in PE are fear of pregnancy or venereal disease, ineffective ejaculatory control techniques, spinal cord injury, alcoholism, inadequate understanding of the sexual response, surgery, and certain prescribed medications, most commonly, some antipsychotics, antidepressants, narcotics, antihypertensives, sedatives, and 5-alpha reductase inhibitors (for benign prostate enlargement). As noted, PE is also a frequent symptom of withdrawal from recreational drugs.

It is important to consider that some patients with ED may end up with PE as well because their aggressive and overzealous efforts to achieve an erection can lead to rapid orgasm and ejaculation. Conversely, many men with PE can subsequently develop ED because of high performance anxiety, fear of failure, their partner's negative reaction, depression, and/or other psychogenic disturbances.