Psychological factors such as excitement, anxiety, guilt, trauma, depression, or demands from partners to provide the best performance are the most common and fundamental causes of premature ejaculation. Climax that is too fast than desired may occur only in certain sexual situations (for example, first sex), hypersensitivity from stimuli that are too intense, or the distance between ejaculations that are too short or long. Premature ejaculation can also occur with new partners or as a result of conflicts and / or tensions in relationships.

The psychological factors above can affect men who previously even have normal ejaculation - and often can develop into primary sex dysfunction, alias for life.

The inability to control ejaculation is rarely caused by a medical condition, although the doctor will need to eliminate the possibility, such as:

1. Diabetes
2. Impotence
3. Prostate disorders
4. Heart disease
5. High blood pressure (hypertension)
6. Levels of abnormal chemical compounds in the brain (neurotransmitters)
7. Abnormal hormone levels (problems with the thyroid gland)
8. History of alcohol, substance and drug abuse
9. Nervous system damage; by trauma or former surgery
10. Urethral inflammation
11. Side effects of prescription drugs for certain conditions

It is difficult to determine the root causes of premature ejaculation, whether it is caused by psychological factors, penile structural problems, or even a combination of both. Premature ejaculation can involve complex interactions of psychological and biological factors.

Therefore, when consulting a doctor about this problem, he will discuss your sexual life. In addition to asking about your sex life, your doctor will ask you about your medical history and maybe do a physical examination. If you experience premature ejaculation and difficulty getting or maintaining an erection, your doctor may order a blood test to check your testosterone level or other tests.