Sixty-Year-Old George Suffered from Premature Ejaculation Before and During His

Sixty-year-old George suffered from premature ejaculation before and during his marriage, as well as during a recent extramarital affair. George has a

A) primary condition that is most likely caused by performance anxiety.
B) primary condition that is most likely biological in origin.
C) situational condition that is most likely caused by performance anxiety.
D) situational condition that is most likely biological in origin.
E) secondary condition triggered by guilt over his affair.