What can cause premature ejaculation?

The causes of premature ejaculation remain unknown, but experts speculate that a variety of psychological and physical factors could contribute to it.

Potential psychological causes could include:

  • depression
  • stress
  • anxiety
  • body image issues
  • low self-esteem
  • sexual repression
  • sexual trauma or history of abuse
  • post-traumatic stress disorder
  • sexual performance anxiety
  • relationship problems 

Potential physical causes could include:

  • penile sensitivity