Various factors can increase your risk of premature ejaculation, including: Erectile dysfunction. You may be at increased risk of premature ejaculation if you occasionally or consistently have trouble getting or maintaining an erection Fear of losing your erection may cause you to consciously or unconsciously hurry through sexual encounters. Health problems. A medical concern that causes you to feel anxious during sex, such as a heart problem, may cause you to unknowingly rush to ejaculate.
Stress. Emotional or mental strain in any area of your life can play a role in premature ejaculation, often limiting your ability to relax and focus during sexual encounters.
Certain medications. Rarely, drugs that influence the action of chemical messengers in the brain (psychotropics) may contribute to premature ejaculation
While premature ejaculation doesn’t increase your risk of serious health problems, it can cause problems in your personal life, including:
Relationship strains. A common complication of premature ejaculation is relationship stress. If premature ejaculation is straining your relationship, ask your doctor about including couples therapy in your treatment program.
Fertility problems. Premature ejaculation can occasionally make fertilization difficult or impossible for couples who are trying to become pregnant. If premature ejaculation isn’t effectively treated, you and your partner may need to consider infertility treatment