A middle-aged man had main complaints of premature ejaculation since last 3-4 years. He would also feel tired and weak after sexual activity. He had taken several different herbal preparations, Ayurvedic and homeopathic combinations, and conventional medicines but none of them worked. His other complaints were constipation with bleeding piles since last 5-6 years and chronic acidity. Mentally, he was worried about his condition. He was overly concerned about his performance and he felt guilty about being unable to satisfy his wife. He felt that he was doing injustice to his wife. He was prescribed Causticum. Within 1 week, his problem of bleeding piles had completely stopped and there was marginal improvement in his ejaculation. After a month of homeopathic treatment, he could sustain for a longer time. Within 6 months there was no anxiety regarding ejaculation.