Other, seemingly unrelated medical conditions can be relevant to premature ejaculation. Concerns about health, and especially a fear of dying, may increase anxiety and interfere with performance. For instance, a patient with a medical history of angina may have an underlying fear of heart attack during orgasm. In such a case, resolution of the cardiac problem usually suffices and no therapy may be needed for premature ejaculation.
Psychiatric conditions are more common in males with lifelong premature ejaculation than in the general population, and a lifelong disorder is generally more difficult to treat. Premature ejaculation may be secondary to erectile dysfunction and resolve when the patient becomes able to maintain an erection.
For more on the presentation of premature ejaculation, read here.
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Cite this: Stephen Soreff. Psychiatry Fast Five Quiz: How Much Do You Know About Premature Ejaculation? - Medscape - Dec 28, 2016.