Smoking does not increase the risk for premature ejaculation. Its main cause is related to emotional factors. It is possible that the causes of premature ejaculation are biological and psychological such as anxiety, hypersensitivity of the penis and nervous system changes.
Premature ejaculation is the most common sexual disorder in men up to age 40. It may be primary when you start with your first sexual experience and you maintain it through life, or secondary, when it appears progressively or suddenly after having previously had normal ejaculations.
Premature ejaculation usually occurs or always before vaginal penetration or up to a minute later with the inability to delay ejaculation causing discomfort, anguish, frustration and aversion to sexual intimacy.
The treatment of premature ejaculation is done with medications, behavioral therapy and psychosexual. Although the man usually is inhibited in discussing this problem with the doctor, this must be done because the treatment can contribute much for the improvement of his sexual activity.
The urologist is the doctor indicated to guide the treatment for premature ejaculation.
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