Premature ejaculation (PE) can be caused by a mix of psychological and biological factors. Common psychological causes include stress, anxiety, and depression, which can significantly impact sexual performance and control. On the biological side, hormonal imbalances, abnormal neurotransmitter levels, and certain medical conditions such as prostatitis or thyroid issues can contribute to PE. Additionally, lifestyle choices such as excessive alcohol consumption and lack of exercise can exacerbate the problem. Understanding these causes is crucial for effective treatment and management. By identifying the underlying factors, healthcare providers can develop personalized treatment plans that address both the psychological and biological aspects of PE, leading to better outcomes and improved sexual health. Recognizing and addressing these diverse factors can help individuals regain control and enhance their quality of life.