When it comes to premature ejaculation, there is always the possibility that psychological factors (poor body image, depression, relationship issues, and so on), are working in tandem with the physiological causes (abnormal hormone levels, abnormal levels of neurotransmitters, inflammation and infection of the prostate or urethra, and so on). By understanding the full spectrum of the disease, you will be able to begin treating the issue so that sexual intimacy can be improved.