1. Fast masturbation done quickly with the fear of being caught
2. Feelings of sinning or guilt
3. Excessive dependence on the partner
4. Thoughts of paying a price
5. Sexual myths
6. Negative thoughts about sexuality underlying in the subconscious
7. Sexual intercourse done in a hurry in inappropriate environments
8. Rejection by the partner
9. Some physical conditions: Fatigue, illness, nutrition (consuming too much sugar and its derivatives), alcohol and substance addiction, being sexually inexperienced
10. Being raised under sexual pressure
11. Fear, anxiety and worry (impotence and performance anxiety)
12. Fear of contracting a disease
13. Traumatic sexual experiences (being exposed to sexual abuse)
14. Troubled marriages
15. Fear of causing pregnancy
16. Causes such as cardiovascular diseases, diabetes, pelvic fractures, prostate hypertrophy (enlargement), prostatitis (inflammation of the prostate), urethritis, urinary tract diseases, hyperthyroidism
17. Due to physical injuries (spinal cord injuries, penile trauma, pelvis and genital area injuries.
