A young man in his early thirties had suffered from premature ejaculation for many years and sought treatment at various hospitals. After consultations, almost all doctors attributed his condition to psychological factors. Western medicine practitioners primarily offered psychological reassurance and occasionally prescribed sedatives, but the results were not satisfactory. He later turned to a traditional Chinese medicine (TCM) practitioner, who, after understanding his condition, prescribed Xiaoyao Powder and vitamins. The practitioner assured him that this was a particularly effective treatment for premature ejaculation and would extend intercourse time by over 20 minutes. As a result, the patient experienced significant improvement and soon resolved the long-standing issue of premature ejaculation that had troubled him for years.

Image

In fact, in the treatment of the above case, the TCM practitioner provided strong psychological暗示, leading the patient to firmly believe in the "miraculous efficacy" of the medication and benefit from it. This also indicates that his premature ejaculation was closely related to psychological factors. So, what are the main psychological factors contributing to premature ejaculation? Fundamentally, premature ejaculation in most cases is due to a low stimulation threshold required for ejaculation. Causes for this low threshold include psychological factors and ejaculatory habits, both of which are linked to mental and emotional issues. These factors manifest in various ways, which can be summarized as follows:

Image

Premarital Sexual Behavior: Some young individuals engage in premarital sex, where nervousness and excitement lead to rushed ejaculation, making it difficult to alter the established ejaculatory reflex after marriage.

Interrupted Intercourse: Some couples avoid using condoms or intrauterine devices for contraception and resort to the withdrawal method. The intense focus on withdrawing the penis before ejaculation creates significant tension for the male, often resulting in premature ejaculation.

Infrequent Sexual Activity: Due to work, study, or life pressures, long-distance relationships, or frequent business trips, some individuals experience prolonged periods without sexual intercourse. This can lead to excessive sexual desire and susceptibility to premature ejaculation. Others, fearing premature ejaculation, intentionally reduce sexual activity, which builds up sexual tension and exacerbates the condition.

Limited Interaction with the Opposite Sex and Lack of Sexual Knowledge: Limited social interaction with women, coupled with restraint and shyness in their presence, can contribute to premature ejaculation. Additionally, a lack of sexual knowledge and a sense of mystery or fear regarding sexual organs may lead to tension and anxiety.

History of Masturbation: While masturbation itself does not directly cause premature ejaculation, individuals with a history of excessive masturbation may develop a habit of rushing to ejaculate due to fear of being discovered by parents or roommates.

Poor Marital Relationship: In households where the wife dominates, excessive fear, admiration, or feelings of inferiority toward the wife, as well as underlying hostility, can lead to premature ejaculation. When a husband is dissatisfied with his wife, he may rush through intercourse as a means of releasing sexual desire. Additionally, if the wife suffers from reproductive tract inflammation, intercourse may cause pain, leading her to request quick completion, which can also result in premature ejaculation.

Image

Poor Living Environment: For example, when two or three generations share a single room, sexual activity may be rushed, increasing the likelihood of premature ejaculation.

Self-Perceived "Physical Weakness": Some individuals place excessive importance on semen ejaculated during intercourse, influenced by the belief that "one drop of semen equals ten drops of blood." This leads to concerns that sexual activity may harm their health, and such excessive worry can result in rapid ejaculation. Of course, excessive indulgence leading to sexual dysfunction can also cause premature ejaculation.

All the factors mentioned above fall within the realm of psychological factors. Addressing these underlying causes can contribute to the recovery from premature ejaculation. Additionally, organic factors can also lead to premature ejaculation, but they account for only about 10% of cases clinically. Therefore, psychological factors are the primary cause of premature ejaculation.