Overview
- Urologist Prof. Axel Merseburger underscores that ejaculating early is not a character flaw and encourages affected men to seek support.
- Clinicians often use a threshold of about one minute after penetration to define the condition, with even earlier events termed ejaculatio ante portas, while individual distress can vary.
- Many patients describe a loss of control, with both heightened physical sensitivity and psychological factors such as stress, anxiety, and performance pressure playing roles.
- Low‑risk strategies include the squeeze technique, start‑stop pacing, condom use, paced breathing, and distraction to delay climax.
- Treatment options range from desensitizing sprays or creams that may weaken erections to short‑acting Dapoxetine taken 1–2 hours before sex, which is approved in Germany but not widely used by some clinicians, with sexual therapy offered to reduce stress and performance pressure.