The cause of premature ejaculation is divided into primary and secondary. Primary in the sense that these disorders occur in men since he began sexually active (post-puberty). Secondary causes means this condition occurs in individuals who previously were able to control his ejaculation and for no apparent reason, he began experiencing premature ejaculation.
The primary cause of ED can occur in men who have never had sexual intercourse without experiencing premature ejaculation. This generally occurs because of emotional disturbance or cause can be multiple. Other causes of anxiety during intercourse related to sexual trauma (sexual abuse, incest)
Secondary causes of ED can be associated with multiple causes both organic, substances, or psychic in which anxiety is the cause
The human sexual response is divided into three phases, namely libido (desire / lust), feeling aroused, and orgasm (climax). The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) classifies sexual disorders into four categories:
primary
Associated with health problems (organic)
Affected by drugs
not specified
Each category of the DSM-IV disorders in the third mnegklasifikasikan sexual phase or disturbances in libido, feelings aroused, and orgasm. In some men, premature ejaculation can lead to erectile dysfunction.
psychology
Premature ejaculation for the first time at most be categorized as non-specific (based on DSM-IV) in which no one knows the cause and psychological factors are suspected of being the main cause of ED. Disease involving the male reproductive tract (organic disorders) or the influence of drugs is rarely the cause of ED.
If ED occurs before penetration (entry of the penis into the vagina) in couples who are expecting pregnancy, it is not possible pregnancy can occur except by artificial insemination. This will result in emotional and psychological disturbance for the pair.
One theory why psychological disorder is said to be the main cause is conditioned because of the social pressure to reach a climax in a short time. For example, the basic causes of ED can be associated with the fear of being caught masturbating during adolescence or may be associated with the first sexual experience before marriage (at the girlfriend's house, hotel, car) that are associated with discomfort and guilt. This pattern will be difficult to change after the man married.
Psychiatric aspects
Moreover, the fact that terangsangnya a woman and female orgasms longer and more difficult than men. This will lead to a feeling of premature ejaculation for men who orgasm faster than their partner.
Feelings of fear of rejection, fear of sexual partner or his penis hurt themselves, as well as fears of failure are psychological factors cause of ED.
Some researchers found no difference between the latent period and the difference hormones in men with ED and normal men. The theory says that some men have excess sensitivity (oversensitive) or hyperexcitability (inflammable) of their genitals which prevents reduced sympathetic activity and accelerate the occurrence of ejaculation. Men with hyperexcitability will easily experience ED.
