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Acquired premature ejaculation is often caused by performance anxiety. The anxiety can be about sexual performance, fear of being caught in a sexual act or anxiety related to a specific situation, such as a new relationship. Some religious beliefs may also make a man feel anxious about having sex.
Severe cases of premature ejaculation may be caused by illness, such as a urinary tract infection. Cigarette smoking and certain over-the-counter cold medicines may also cause premature ejaculation. For some men, psychological factors such as stress, anxiety, and guilt are the culprits. For others, something as simple as the aging process can contribute to premature ejaculation to a large degree. Alex Santoso, Ph.D.