Premature ejaculation (ejaculatio praecox): Causes and treatment

Premature ejaculation—medically known as ejaculatio praecox—is the most common sexual dysfunction in men. Approximately one in four men is affected by it at some point in their lives. Despite its high prevalence, only about 9 percent of those affected seek professional help—even though effective treatment options are available today.

What is premature ejaculation?

Premature ejaculation is defined as a condition in which a man cannot adequately control the timing of ejaculation during sexual intercourse, and ejaculation regularly occurs earlier than desired. This often leads to frustration and dissatisfaction for those affected and their partners.

Types of Ejaculatio Praecox

Two main types are distinguished:

• Primary (lifelong) type: Premature ejaculation has been present since the onset of sexual activity
• Secondary (acquired) type: The problem arises later in life, after previously having normal ejaculation patterns

Possible Causes

The causes of premature ejaculation are varied and require a thorough medical evaluation:

• Neurological factors: Hypersensitivity of the glans or disturbances in signal transmission
• Psychological factors: Performance pressure, fear of failure, stress, or relationship problems
• Hormonal influences: Imbalances in serotonin or testosterone levels
• Inflammatory conditions: Prostatitis can contribute to premature ejaculation
• Erectile dysfunction: Some men ejaculate prematurely out of fear of losing their erection

Why professional help is important

Many men feel ashamed and do not discuss the problem with either their partner or a doctor. Yet open communication is the key to a solution. In a sensitive urological consultation with expertise in sexual medicine, those affected can address their concerns and fears without feeling ashamed.

Treatment options

After a thorough diagnosis, various treatment approaches are available:

• Behavioral therapy techniques: Targeted exercises to improve ejaculation control
• Medication: Specific medications can prolong the time until ejaculation
• Local anesthesia: Numbing creams or sprays reduce sensitivity
• Sex therapy: Addressing psychological causes, including couples therapy
• Combination therapy: Combining multiple approaches often yields the best results

The first step is crucial

You don’t have to face this problem alone. A specialist evaluation by a urologist and andrologist is the first step toward a better quality of life and a fulfilling sex life.