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    In the simplest terms, premature ejaculation occurs when a man does not have control over ejaculation, and as a result, he and his partner are not sexually satisfied, says Dr. Kramer. Premature ejaculation can happen in as little as 30 seconds to a minute, and may even occur before penetration.

    Contrary to the unrealistic depictions seen in pornographic films, the average time it takes before a man ejaculates during intercourse is about four to five minutes, says Kramer.

    Premature ejaculation may occur alongside erectile dysfunction (ED), but not always. “ED can happen to men of all ages, but in younger men, the issue is usually premature ejaculation,” says Kramer. “For men in their sixties and seventies, there is usually some degree of ED. Sometimes the [penis] just ejaculates when it’s flaccid.”

    What Causes Premature Ejaculation?

    The exact cause of premature ejaculation is unknown, but it’s often rooted in physical, psychological, or emotional issues. “A lot of it is psychological,” explains Kramer. “When working with a patient, I may ask, ‘Are you comfortable with your partner? Or do you feel anxious around your partner?’”

    Anxiety, as well as other emotional and psychological factors such as stress or depression, can also contribute to premature ejaculation.

    How Can Premature Ejaculation Be Treated? All hopes are not lost 

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