Premature ejaculation was once thought to be caused by drugs or certain infections such as urethritis, but popular wisdom suggests it is more psychological in nature. The exact cause of the condition, however, still remains a mystery. Premature ejaculation often occurs during the first experiences with sex, and in this case is most commonly attributed to anxiety. The majority of men gradually learn to control their orgasm, and have no lasting effect. Some men will develop a longer-term anxiety toward sex, which can cause a prolonged experience with premature ejaculation.
Sexual behavior is also a factor.
The longer the period since last ejaculating, the quicker young men typically reach orgasm. Younger men tend to ejaculate more quickly than older men, as experience seems to be associated with ejaculatory control. The best way to fighting premature ejaculation is learning how to identify and control the sensations leading up to orgasm. The Masters and Johnson method does just that. The Masters and Johnson method requires a great deal of patience and practice, but is very effective.