Premature ejaculation is a common male sexual dysfunction characterized by the inability to delay ejaculation and can cause distress. It is classified as lifelong or acquired and has prevalence rates ranging from 2-33% depending on age and region. While the exact etiology is unknown, potential contributing factors include anxiety, penile hypersensitivity, serotonin receptor dysfunction. Treatment involves behavioral techniques like start-stop and squeeze methods as well as pharmacotherapy with SSRIs or topical anesthetics. Prognosis is generally good with most men achieving success with behavioral therapy alone or combined with medication, though some may require lifelong treatment or experience relapse.