Premature ejaculation and erectile dysfunction can arise from a mix of psychological, biological, and lifestyle factors. Understanding these causes can help guide appropriate treatment and management.

1. Premature Ejaculation (PE) Causes

   • Psychological factors such as stress, anxiety, depression, or relationship issues often play a significant role.
   • Biological factors include hormonal imbalances, abnormal neurotransmitter activity, or infections/inflammation of the prostate or urethra.
   • Other contributors may be early sexual experiences, performance anxiety, or certain medications.

2. Erectile Dysfunction (ED) Causes

   • Physical causes include cardiovascular diseases, diabetes, high blood pressure, obesity, hormonal disorders like low testosterone, and neurological conditions such as Parkinson’s disease.
   • Psychological causes overlap with PE and include stress, anxiety, depression, and relationship problems.
   • Lifestyle factors like smoking, excessive alcohol use, drug abuse, and lack of exercise can also contribute.
   • Some medications, including certain blood pressure drugs and antidepressants, may worsen ED.

3. When to Seek Medical Advice

   • If symptoms persist and affect your quality of life, it is important to consult a doctor for a thorough evaluation to identify underlying causes.

4. Relevant Medical Specialties and Tests

   • Urologists specialize in these conditions, and mental health professionals such as psychiatrists or psychologists may also be involved.
   • Tests might include blood work to check hormone levels, cardiovascular assessments, and psychological evaluations.

5. Treatment Overview

   • Treatment depends on the cause and may include counseling, lifestyle modifications, and medications such as phosphodiesterase type-5 (PDE5) inhibitors (e.g., Suhagra-100) for erectile dysfunction.

Consult a urologist to discuss your symptoms and receive personalized care tailored to your situation. If you want, I can explain treatment options or lifestyle changes in more detail.