Premature ejaculation

The causes are varied and can be both physical and psychological in nature. Physical causes include inflammation of the prostate, thyroid disorders and the use of certain medications. The abuse of stimulants and addictive substances such as heroin or amphetamines can also lead to this disorder. Psychological causes include stress, anxiety and other mental illnesses. Often a learned behavior also plays a role, in which the man has developed a rapid ejaculation pattern over the years that is difficult to break.

• Uncontrollable and rapid ejaculation with minimal sexual stimulation
• Frustration and anxiety associated with sexual activity
• Negative impact on sexual relationship and self-esteem

The diagnosis is based on a detailed medical history and physical examination by a urologist. A thorough examination helps to rule out organic causes and find the right therapy. Questionnaires and self-assessment tools can also be used to assess the severity of the disorder and its impact on the patient's life.

Behavioral therapy: Techniques such as the stop-start method or the squeeze method can help to improve control. These methods do not require medical intervention and can be used in the home environment.

Drug therapy: Antidepressants such as SSRIs (Selective Serotonin Reuptake Inhibitors) can help to prolong the time to ejaculation. These medications are taken orally and can have side effects that need to be monitored regularly.

Local anesthetics: Creams or sprays applied to the penis before intercourse can reduce sensitivity. This treatment is easy to apply and has an immediate effect.

Psychotherapy: For psychological causes, therapy can help to reduce anxiety and stress. Talk therapy or couples therapy can address the underlying psychological problems.

Specific preventive measures include reducing stress and psychological strain, adopting a healthy lifestyle and avoiding addictive substances. Stress management techniques such as meditation and professional psychological support can also be helpful. Regular consultations with a urologist and, if necessary, sex therapy are also recommended.