Premature ejaculation

Explanation

Premature ejaculation is the unintentional ejaculation that occurs after minimal sexual stimulation, accompanied by a subjective sense of malaise among the men affected.
A rule of thumb value for an ejaculatio praecox is a time of under minute between the moment of penetrating the vagina and ejaculation.

This is the most common sexual dysfunction; it is estimated that the condition affects 20% of all men.

Causes

In addition to psychological causes, the discussion also takes into consideration oversensitivity of the glans and a dysfunction of the serotonin receptors on the nerve cells.

Treatment

Sexual behavioural therapy is possible as is medicinal treatment. Medications include PDE-5 inhibitors (as with erectile dysfunction) and, in particular, certain antidepressants (so-called SSRIs).