What are the causes of premature ejaculation?

Organic causes: Primary and Secondary ejaculation

  • Primary: they have been the most frequent in our 19 years clinical experience and they are related to an increased sensitivity in the penis, which makes male to ejaculate 30 seconds or 1 minute after penetration moving actively. This occurs in 70 to 80% of the cases.

  • Secondary: they are some disturbances of the genitourinary organs because of a sexual dysfunction (impotence), neurological alterations, degenerative, vascular alterations, use of drugs, (antidepressant, antihypertensive, stimulants, etc.) hormonal alterations, and all those diseases which affect the reflex mechanism of ejaculation.

  • Psychological: they are less frequent. Its characteristic is to be caused by antisexual messages in childhood, lack of sexual information (sexual education) pressure by the partner, problematic family environment, anxiety, stress, fear of failure and difficulty to control stimulation.