Causes of premature ejaculation is divided into primary and secondary. Primary means that this disorder occurs in the male since he was began sexually active (post-puberty). Secondary cause means that this condition occurs in someone who previously were able to control ejaculation and then suffered from premature ejaculation for no apparent reason.
The cause of primary premature ejaculation can occur in men that have never had sexual intercourse. This is generally may occur because of emotional disturbance. Another cause is anxiety when intercourse related to sexual trauma (sexual harassment, etc.)
Causes of secondary premature ejaculation can be related to several causes whether organic, chemical, or psychic where anxiety is the most cause.
The human sexual response is divided into three phases, namely libido (desire / lust), feelings of arousal, and orgasm (climax). The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) classifies sexual disorders into 4 categories:
*Primary
*Associated with health problems (organic)
*Influenced by drugs
*Nonspecific
Premature ejaculation for the first time most categorized as non-specific (based on DSM IV) in which no one knows the cause and psychological factors suspected as a major cause of premature ejaculation. Disease involving the male reproductive tract (organic disorders) or the influence of drugs are rarely cause premature ejaculation.
If premature ejaculation occurs before penetration (entry of the penis into the vagina) on the couple who expects the pregnancy, then pregnancy unlikely to happen except by artificial insemination. This will result in emotional and psychological disturbance on this couple.
One theory states that psychological disorders is main cause of premature ejaculation. This occurs because of social pressure so that a man will reach climax in a short time. For example, the basic cause premature ejaculation can be related to fear of someone will be known by others while he was masturbating hile he was a teenager, or may be associated with first sexual experience before marriage (at the girlfriend’s house, hotel, car) that associated with discomfort and feelings of guilt . This condition will be difficult to change until he was married.
Moreover with the fact that a woman is longer to get aroused, and female orgasm is longer and harder than men. This will cause feelings of premature ejaculation for men who orgasm more quickly than his partner.
Fear of rejection, fear of hurting the sexual partner, or his penis alone, and fears of failure are psychological factors cause premature ejaculation.
Some researchers have found differences homon on men with premature ejaculation and normal men. This theory says that some men have excessive sensitivity (oversensitif) or hipereksitabilitas (easily aroused) from their genitalia which prevents reduction of sympathetic activity and accelerate the occurrence of ejaculation. Men with hipereksitabilitas will be prone to premature ejaculation.
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