Premature ejaculation
Premature ejaculation is one of the most common problems in a man’s intimate life. It is a condition in which ejaculation occurs too soon after intercourse begins and the man is unable to control it. It is a treatable problem, and the sooner you start dealing with it, the simpler the treatment tends to be.
- Discreet examination by experienced urologists, overseen by MUDr. Ľuboš Rybár
- A tailored combination of medication, behavioural techniques and topical treatment
- Fast appointment, usually within a few days, no referral needed
- We speak English
Bratislava – Bernolákova 9 (STEIN II)
What is premature ejaculation
We speak of premature ejaculation when ejaculation occurs sooner than the man or the couple would wish, repeatedly and without the ability to delay it. It is not a one-off failure but a persistent pattern that puts a strain on intimate life.
The exact cause is not always known – the brain centres responsible for arousal and the experience of orgasm are involved. What matters is that it is a treatable condition that should not be ignored. Your examination is carried out by a team overseen by the urologist and urologic oncologist MUDr. Ľuboš Rybár, sensitively and discreetly.
Primary and secondary forms
Distinguishing the form helps choose the right treatment.
Primary form
The problem has been present since the start of sexual life. Inborn factors tend to play a larger role.
Secondary form
Appears only later, after a period without problems. It is often linked to stress, prostatitis or other factors.
Situational
Occurs only under certain circumstances or with a particular partner, where the psychological component predominates.
Persistent
Occurs during every intercourse regardless of the situation and partner, and requires targeted treatment.
What can contribute to the problem
The causes may be physical or psychological, and often a combination of both.
Psychological factors
Stress, performance anxiety, insecurity or tension in the relationship are among the most common causes.
Prostatitis
Chronic prostate problems can contribute to premature ejaculation, so we consider them during the examination.
Hormonal influences
Disorders of certain hormones can affect the sensitivity threshold and the timing of ejaculation.
Hypersensitivity
Increased sensitivity of the glans or a short frenulum can speed up ejaculation.
How diagnosis works at our office
The aim is to find the cause and put together tailored treatment.
Consultation and medical history
We go through the course of the problem, its form, your medication and the situations in which it occurs. The conversation is sensitive and fully discreet.
Urological examination
The initial examination with ultrasound helps rule out prostatitis and other physical causes.
Additional tests
Where needed, we add a urine test and possibly a hormone profile to detect other factors.
Treatment proposal
We go through the findings together and put together treatment tailored to your form and needs.
Treatment options
The best results come from a combination of approaches.
Medication
Medicines that delay ejaculation are effective for many men. The doctor sets the right product and dose.
Behavioural techniques
Practising delay (for example the squeeze or stop-start technique) helps you gain better control over timing.
Topical treatment
Numbing sprays or creams reduce hypersensitivity of the glans and lengthen the time to ejaculation.
Treating the cause
If prostatitis or a short frenulum lies behind the problem, treating it is often the key to lasting improvement.
If the psychological component predominates, we will also recommend suitable psychological or sexological support.
When to see a urologist
Do not give up – no condition is anything to be ashamed of.
- The problem persists, keeps recurring and puts a strain on your intimate life
- The problem appeared suddenly after a period without difficulties
- Ejaculation is accompanied by pain or other symptoms
- The situation is negatively affecting your relationship or mental well-being
Book a discreet appointment
Fast appointment, usually within a few days; acute cases are seen as a priority. Call +421 948 687 667.
Frequently asked questions
Yes, in most cases. Once the cause and form are identified, we can propose effective treatment that significantly improves the quality of your intimate life.
The primary form has been present since the start of sexual life; the secondary form appears later, after a period without problems, often in connection with stress or prostatitis.
Medication tends to be effective, but the best results come from combining it with behavioural techniques, topical treatment and addressing any underlying cause.
A discreet consultation and a urological examination with ultrasound; where needed, we add blood or urine tests. The initial urological examination also includes an ultrasound.
No. Both the examination and the treatment take place discreetly. Who you involve in the matter is entirely up to you.
No. We are a private office with no contracts with health insurers, so no referral is needed and you book directly.
Related topics
Erectile dysfunction
Another common intimate problem that can be treated discreetly and effectively.
Prostatitis
Prostate disease can contribute to premature ejaculation and other problems.
Sexually transmitted diseases
Discreet testing and treatment of infections that can affect intimate health.
Who will take care of you
Urologist and urologic oncologist · lead specialist for urology at Proctocare
MUDr. Ľuboš Rybár specialises in the diagnosis and treatment of urological and urologic oncology conditions, with an emphasis on modern diagnostic and therapeutic procedures.
- Urologist and urologic oncologist at Bory Hospital
- Clinical fellowships at urology departments in Sweden and Lithuania
- Author of publications in professional journals
Urologist · Bratislava office
MUDr. Patrik Hesko focuses on the diagnosis and treatment of urological conditions, with an emphasis on modern diagnostic procedures and an individual approach to each patient.
Author and medical review: MUDr. Ľuboš Rybár, PhD. – urologist and uro-oncologist, head medical guarantor of urology at Proctocare. · Last medical review: July 2026
Do not give up – there is a solution
Book a discreet examination with experienced urologists in Bratislava – no waiting and no embarrassment.
Bratislava: Bernolákova 9, 811 07 (STEIN II) · Mon–Fri 07:30–19:30, Sat 07:30–12:30
info@proctocare.sk
Premature ejaculation
Premature ejaculation is one of the most common problems in a man’s intimate life. It is a condition in which ejaculation occurs too soon after intercourse begins and the man is unable to control it. It is a treatable problem, and the sooner you start dealing with it, the simpler the treatment tends to be.
- Discreet examination by experienced urologists, overseen by MUDr. Ľuboš Rybár
- A tailored combination of medication, behavioural techniques and topical treatment
- Fast appointment, usually within a few days, no referral needed
- We speak English
Bratislava – Bernolákova 9 (STEIN II)
What is premature ejaculation
We speak of premature ejaculation when ejaculation occurs sooner than the man or the couple would wish, repeatedly and without the ability to delay it. It is not a one-off failure but a persistent pattern that puts a strain on intimate life.
The exact cause is not always known – the brain centres responsible for arousal and the experience of orgasm are involved. What matters is that it is a treatable condition that should not be ignored. Your examination is carried out by a team overseen by the urologist and urologic oncologist MUDr. Ľuboš Rybár, sensitively and discreetly.
Primary and secondary forms
Distinguishing the form helps choose the right treatment.
Primary form
The problem has been present since the start of sexual life. Inborn factors tend to play a larger role.
Secondary form
Appears only later, after a period without problems. It is often linked to stress, prostatitis or other factors.
Situational
Occurs only under certain circumstances or with a particular partner, where the psychological component predominates.
Persistent
Occurs during every intercourse regardless of the situation and partner, and requires targeted treatment.
What can contribute to the problem
The causes may be physical or psychological, and often a combination of both.
Psychological factors
Stress, performance anxiety, insecurity or tension in the relationship are among the most common causes.
Prostatitis
Chronic prostate problems can contribute to premature ejaculation, so we consider them during the examination.
Hormonal influences
Disorders of certain hormones can affect the sensitivity threshold and the timing of ejaculation.
Hypersensitivity
Increased sensitivity of the glans or a short frenulum can speed up ejaculation.
How diagnosis works at our office
The aim is to find the cause and put together tailored treatment.
Consultation and medical history
We go through the course of the problem, its form, your medication and the situations in which it occurs. The conversation is sensitive and fully discreet.
Urological examination
The initial examination with ultrasound helps rule out prostatitis and other physical causes.
Additional tests
Where needed, we add a urine test and possibly a hormone profile to detect other factors.
Treatment proposal
We go through the findings together and put together treatment tailored to your form and needs.
Treatment options
The best results come from a combination of approaches.
Medication
Medicines that delay ejaculation are effective for many men. The doctor sets the right product and dose.
Behavioural techniques
Practising delay (for example the squeeze or stop-start technique) helps you gain better control over timing.
Topical treatment
Numbing sprays or creams reduce hypersensitivity of the glans and lengthen the time to ejaculation.
Treating the cause
If prostatitis or a short frenulum lies behind the problem, treating it is often the key to lasting improvement.
If the psychological component predominates, we will also recommend suitable psychological or sexological support.
When to see a urologist
Do not give up – no condition is anything to be ashamed of.
- The problem persists, keeps recurring and puts a strain on your intimate life
- The problem appeared suddenly after a period without difficulties
- Ejaculation is accompanied by pain or other symptoms
- The situation is negatively affecting your relationship or mental well-being
Book a discreet appointment
Fast appointment, usually within a few days; acute cases are seen as a priority. Call +421 948 687 667.
Frequently asked questions
Yes, in most cases. Once the cause and form are identified, we can propose effective treatment that significantly improves the quality of your intimate life.
The primary form has been present since the start of sexual life; the secondary form appears later, after a period without problems, often in connection with stress or prostatitis.
Medication tends to be effective, but the best results come from combining it with behavioural techniques, topical treatment and addressing any underlying cause.
A discreet consultation and a urological examination with ultrasound; where needed, we add blood or urine tests. The initial urological examination also includes an ultrasound.
No. Both the examination and the treatment take place discreetly. Who you involve in the matter is entirely up to you.
No. We are a private office with no contracts with health insurers, so no referral is needed and you book directly.
Related topics
Erectile dysfunction
Another common intimate problem that can be treated discreetly and effectively.
Prostatitis
Prostate disease can contribute to premature ejaculation and other problems.
Sexually transmitted diseases
Discreet testing and treatment of infections that can affect intimate health.
Who will take care of you
Urologist and urologic oncologist · lead specialist for urology at Proctocare
MUDr. Ľuboš Rybár specialises in the diagnosis and treatment of urological and urologic oncology conditions, with an emphasis on modern diagnostic and therapeutic procedures.
- Urologist and urologic oncologist at Bory Hospital
- Clinical fellowships at urology departments in Sweden and Lithuania
- Author of publications in professional journals
Urologist · Bratislava office
MUDr. Patrik Hesko focuses on the diagnosis and treatment of urological conditions, with an emphasis on modern diagnostic procedures and an individual approach to each patient.
Author and medical review: MUDr. Ľuboš Rybár, PhD. – urologist and uro-oncologist, head medical guarantor of urology at Proctocare. · Last medical review: July 2026
Do not give up – there is a solution
Book a discreet examination with experienced urologists in Bratislava – no waiting and no embarrassment.
Bratislava: Bernolákova 9, 811 07 (STEIN II) · Mon–Fri 07:30–19:30, Sat 07:30–12:30
info@proctocare.sk
Premature ejaculation
Premature ejaculation is one of the most common problems in a man’s intimate life. It is a condition in which ejaculation occurs too soon after intercourse begins and the man is unable to control it. It is a treatable problem, and the sooner you start dealing with it, the simpler the treatment tends to be.
- Discreet examination by experienced urologists, overseen by MUDr. Ľuboš Rybár
- A tailored combination of medication, behavioural techniques and topical treatment
- Fast appointment, usually within a few days, no referral needed
- We speak English
Bratislava – Bernolákova 9 (STEIN II)
What is premature ejaculation
We speak of premature ejaculation when ejaculation occurs sooner than the man or the couple would wish, repeatedly and without the ability to delay it. It is not a one-off failure but a persistent pattern that puts a strain on intimate life.
The exact cause is not always known – the brain centres responsible for arousal and the experience of orgasm are involved. What matters is that it is a treatable condition that should not be ignored. Your examination is carried out by a team overseen by the urologist and urologic oncologist MUDr. Ľuboš Rybár, sensitively and discreetly.
Primary and secondary forms
Distinguishing the form helps choose the right treatment.
Primary form
The problem has been present since the start of sexual life. Inborn factors tend to play a larger role.
Secondary form
Appears only later, after a period without problems. It is often linked to stress, prostatitis or other factors.
Situational
Occurs only under certain circumstances or with a particular partner, where the psychological component predominates.
Persistent
Occurs during every intercourse regardless of the situation and partner, and requires targeted treatment.
What can contribute to the problem
The causes may be physical or psychological, and often a combination of both.
Psychological factors
Stress, performance anxiety, insecurity or tension in the relationship are among the most common causes.
Prostatitis
Chronic prostate problems can contribute to premature ejaculation, so we consider them during the examination.
Hormonal influences
Disorders of certain hormones can affect the sensitivity threshold and the timing of ejaculation.
Hypersensitivity
Increased sensitivity of the glans or a short frenulum can speed up ejaculation.
How diagnosis works at our office
The aim is to find the cause and put together tailored treatment.
Consultation and medical history
We go through the course of the problem, its form, your medication and the situations in which it occurs. The conversation is sensitive and fully discreet.
Urological examination
The initial examination with ultrasound helps rule out prostatitis and other physical causes.
Additional tests
Where needed, we add a urine test and possibly a hormone profile to detect other factors.
Treatment proposal
We go through the findings together and put together treatment tailored to your form and needs.
Treatment options
The best results come from a combination of approaches.
Medication
Medicines that delay ejaculation are effective for many men. The doctor sets the right product and dose.
Behavioural techniques
Practising delay (for example the squeeze or stop-start technique) helps you gain better control over timing.
Topical treatment
Numbing sprays or creams reduce hypersensitivity of the glans and lengthen the time to ejaculation.
Treating the cause
If prostatitis or a short frenulum lies behind the problem, treating it is often the key to lasting improvement.
If the psychological component predominates, we will also recommend suitable psychological or sexological support.
When to see a urologist
Do not give up – no condition is anything to be ashamed of.
- The problem persists, keeps recurring and puts a strain on your intimate life
- The problem appeared suddenly after a period without difficulties
- Ejaculation is accompanied by pain or other symptoms
- The situation is negatively affecting your relationship or mental well-being
Book a discreet appointment
Fast appointment, usually within a few days; acute cases are seen as a priority. Call +421 948 687 667.
Frequently asked questions
Yes, in most cases. Once the cause and form are identified, we can propose effective treatment that significantly improves the quality of your intimate life.
The primary form has been present since the start of sexual life; the secondary form appears later, after a period without problems, often in connection with stress or prostatitis.
Medication tends to be effective, but the best results come from combining it with behavioural techniques, topical treatment and addressing any underlying cause.
A discreet consultation and a urological examination with ultrasound; where needed, we add blood or urine tests. The initial urological examination also includes an ultrasound.
No. Both the examination and the treatment take place discreetly. Who you involve in the matter is entirely up to you.
No. We are a private office with no contracts with health insurers, so no referral is needed and you book directly.
Related topics
Erectile dysfunction
Another common intimate problem that can be treated discreetly and effectively.
Prostatitis
Prostate disease can contribute to premature ejaculation and other problems.
Sexually transmitted diseases
Discreet testing and treatment of infections that can affect intimate health.
Who will take care of you
Urologist and urologic oncologist · lead specialist for urology at Proctocare
MUDr. Ľuboš Rybár specialises in the diagnosis and treatment of urological and urologic oncology conditions, with an emphasis on modern diagnostic and therapeutic procedures.
- Urologist and urologic oncologist at Bory Hospital
- Clinical fellowships at urology departments in Sweden and Lithuania
- Author of publications in professional journals
Urologist · Bratislava office
MUDr. Patrik Hesko focuses on the diagnosis and treatment of urological conditions, with an emphasis on modern diagnostic procedures and an individual approach to each patient.
Author and medical review: MUDr. Ľuboš Rybár, PhD. – urologist and uro-oncologist, head medical guarantor of urology at Proctocare. · Last medical review: July 2026
Do not give up – there is a solution
Book a discreet examination with experienced urologists in Bratislava – no waiting and no embarrassment.
Bratislava: Bernolákova 9, 811 07 (STEIN II) · Mon–Fri 07:30–19:30, Sat 07:30–12:30
info@proctocare.sk