There are many reasons for premature ejaculation

Yes, you may experience Andropause (similar to menopause in women) because you are 64 years old. Likewise, your wife may be experiencing menopause. Remember that sexual desire/interest depends not only on sex hormones, but also on psychology (thought). If a woman experiences good sexual pleasure before menopause, she will continue to be interested in sex in the early stages of menopause.

Due to menopause, she may have other difficulties, such as vaginal dryness and contraction, but these diseases can be effectively treated with hormone replacement therapy. However, other factors that may cause sexual difficulties must be ruled out. Consult your doctor in person.

Qi is a healthy 31-year-old man who got married 7 months ago. Since the honeymoon period, I was unable to have sex with my wife because of the premature ejaculation. Before getting married, I was addicted to masturbation. Is there any connection between premature ejaculation and masturbation? What should I do to solve my problem? Is there any medicine for this problem?

Masturbation itself has no connection with premature ejaculation, but the method of masturbation has it. If you have the conditions to ejaculate quickly (to prevent others from knowing what they are doing), then you are most likely to ejaculate quickly during sex. In addition, constitutional factors such as diabetes, multiple sclerosis, short films, prostate problems, etc., and situational factors such as expected anxiety can also lead to premature ejaculation. If it is due to a situation, it can be overcome by sexual therapy. If it is caused by constitutional factors, appropriate medical or surgical measures must be formulated. Some drugs can effectively manage premature births, but they have some major side effects and therefore can only be performed under medical supervision.