The prefix ex- comes from Latin ex-, e-, meaning out of, from. It usually occurs with word roots that come from Latin verbs. Thus combining ex- with the Latin verb tendere, to stretch, gives us extend, to stretch out. Similarly, in express, ex- combines with the root press, which comes from the verb premere, to squeeze. So when we express ourselves, we squeeze out our thoughts. When followed by f, ex- becomes ef-, as in efface. Sometimes ex- takes the form of e-, as in emit (from Latin mittere, to send"). Today ex- only forms new words when it means former, and it is always followed by a hyphen: ex-President.