Premature Ejaculation

PE is one of the most common forms of sexual dysfunction for men under 40.


Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. Recent studies have shown there is no clear time limit associated with PE. Most simply put, if you ejaculate too quickly and if this condition bothers or upsets you, it is likely that you have PE.


In addition to many biological and physical reasons, PE can be a side effect of erectile dysfunction, where the anxiety associated with not being able to maintain an erection can often lead to a habit of early ejaculation. 

Biological Reasons

There can be many biological reasons for PE, including:
-Hormonal imbalances
-Thyroid issues
-High blood pressure
-Kidney disease
-Prostate cancer
-Neurotransmitter abnormalities
-Abnormal reflex activity of the ejaculatory system
-Inflammation and infection of the prostrate or urethra

Psychological Causes

Psychological causes of PE are often associated with “performance anxiety” – anxiety relating to sexual intercourse.  The man focuses only on the process of ejaculation, and not on the enjoyment of sexual intercourse, leading to increased tension and usually premature ejaculation.  Men may avoid sex because they fear not satisfying their partner. This can cause further difficulties in the relationship or make it difficult for him to find a partner. 

One of the most frequent patient complaint is the stress, anxiety and worry that PE causes in relationships; especially in the initial stages. Performance anxiety may also lead to erectile dysfunction as the fear and stress associated with sexual intercourse makes achieving and maintaining an erection much more difficult.

Physical Causes

The physical problem associated with premature ejaculation can be simply described as “over-sensitivity” of the penis.  In these cases, the man responds far more rapidly to normal sensations, resulting in rapid ejaculation, much sooner than he expected.

PE usually leads to a lack of communication, internalized guilt feelings and outward resentment. Sometimes stress, depression, anxiety, guilt or low self-esteem may cause it.


PE can be treated in various ways.  However, it is very important to first discover if there is a direct medical cause.


The first step is to make an appointment with an experienced and skilled physician that will order a medical workup that includes a male panel of lab work, review of your current and past health history, your lifestyle and any other factors needed to discover the root cause. In some situations, it may be related to a medical cause such as hormonal problems, injury or the side effect of certain medicines.


Dr. Roberto Tostado has many years of experience treating men with premature ejaculation both with medicines and other forms of natural treatments.  Make your appointment now to be seen by a caring and experienced male physician who understands the problem and can offer you privacy and confidentiality throughout the entire therapy process.


Begin your journey to a healthier and more fulfilling life.