Condition

Premature ejaculation

Ejaculation before you want it, often already at penetration, and a feeling that you cannot control it. Here are the causes, what the exam with a urologist looks like and how it is treated.

What is premature ejaculation?

Premature ejaculation is persistent or recurrent ejaculation that occurs before the man wants it, with a feeling that it cannot be delayed, and that bothers him or the couple. Once or occasionally, after a long break, fatigue or excitement, it happens to most men and is not a disorder. It is considered a complaint when it recurs for months and when the man avoids intercourse because of it.

There are two forms. In one, the problem has been present since the first sexual experiences; in the other, it appears later, after years without a problem. The second form more often has a physical cause that can be found and treated.

What are the causes?

In the form present from the start, the cause usually lies in sensitivity and the transmission of nerve signals, not in behaviour or experience. In the form that appears later, the cause may be inflammation of the prostate or urethra, a thyroid disorder, weakening erection that makes the man hurry so as not to lose it, as well as stress, anxiety or relationship problems. The causes are often combined, so all of them are looked for, not just one.

What does the exam look like?

The exam is with a urologist and is mostly a conversation: how long the problem has lasted, whether it has always been there or appeared later, whether it happens always or only sometimes, what the erection is like, which medicines you take. A clinical exam follows and, depending on the findings, an ultrasound or blood tests if the urologist suspects inflammation, hormones or blood vessels. Blood can be drawn at the clinic. You receive the findings at the exam, with an explanation of where the most likely cause is and what the first step is.

You book a urological exam, without stating the reason. You tell the doctor the reason for your visit in the consulting room.

How is it treated?

Premature ejaculation is treated with medicines prescribed by the urologist, according to the cause and the form of the problem. When the cause is inflammation or a weakening erection, that is treated first. When stress or anxiety contribute, the urologist takes that into account when choosing the treatment. The effect of the medicines is assessed at a check-up; the urologist then says whether to continue, change or stop.

The exam is paid privately; no referral is needed and the appointment is arranged directly. Medicines are bought at a pharmacy on prescription. Prices are valid for 2026.

Specialist and team

The exam is led by a specialist in urology. Speciality: urology — exam, diagnostics and treatment.

Frequently asked questions

Is premature ejaculation a disease? When it recurs for months and is bothersome, it is a medical complaint that is treated, not a matter of willpower or experience.

Does it go away on its own? The form present since the first sexual experiences as a rule does not go away on its own. The form that appeared later goes away when the cause is treated.

Do I need a referral? No. The exam is paid privately and booked directly, without a referral.

Does my partner have to come to the exam? No. You come to the exam alone; if you wish, you can come together.

Can I also have a weaker erection at the same time? Yes, they often go together: the man hurries so as not to lose the erection. In that case the erection is treated first. What is done for a weakening erection is described on the Impotence and erection problems page.

→ Impotence and erection problems

How to choose a clinic and a doctor?

• The exam is led by a specialist in urology.
• The cause is looked for; no medicine is prescribed without an exam.
• The price of the exam is published.
• You receive the findings and a plan immediately, with an explanation.
• You book without stating a reason; you discuss the problem only with the doctor.

Medical review: doctors of Poliklinika Barbel · October 2026.