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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.
This usually occurs when there is a psychological conflict in a relationship and difficulty with one partner. In total or complete anejaculation the man is never able to ejaculate, either during intercourse or through masturbation. In the absence of spinal cord injury or multiple sclerosis, deep-rooted psychological conflicts may be the cause for this scenario.