Female Friday: Vaginismus

Here is a great informative blog from our friends and colleagues at Pelvic Health & Rehab Clinic. Time to learn about Vaginismus. What is Vaginismus? A painful spasmodic contraction of the vagina in response to physical contact or pressure (especially in sexual...

Premature Ejaculation: A Mel Magazine Feature

Another article contribution that the offices of Joshua Gonzalez MD, Board Certified Urologist, is sharing here. Our friends at Mel Magazine have an article discussing the topic of Premature Ejaculation. Below is an excerpt taken from that article. Premature...

About Dr. Gonzalez

Joshua Gonzalez, MD, is fellowship-trained in Sexual Medicine and specializes in the management of male and female sexual dysfunctions.  These include issues surrounding hormone deficiency, menopause, sexual arousal, orgasm, ejaculation, libido/desire, sexual pain, penile curvature, and erectile function. Read More >


Sexual function and fertility are vital components of a man’s overall health, which is why we employ a comprehensive approach to address the sexual and reproductive concerns of our male patients.


Sexual health issues can affect women at any age, but are often ignored by female patients and their providers. We believe sexual health is a fundamental part of your life and definitely worth talking about.


Our practice strives to provide men and women the best in behavioral, medical, and surgical treatments for many common urological conditions.


Hormone health isn’t just about anti-aging. Hormones are an important part of your quality of life and should be balanced carefully so
you can continue living your very best life.

Common Issues

Sexual health describes a careful balance of physical, psychological, and social factors surrounding sexuality.  Sexuality is a central aspect of the human experience throughout a person’s life and encompasses sex, gender identities and roles, sexual orientation, eroticism, pleasure, intimacy and reproduction.  Sexuality and sexual health mean different things to different people and as such patients can present with a number of sexual health issues.  Here are just a few issues that our practice works to better for our patients. View All >

Hypogonadism (Low T)

Hypogonadism is a medical condition based on specific signs and symptoms including low energy, low sexual desire, erectile dysfunction, depressed mood, and decreased muscle strength. Testosterone naturally declines in all men by about 1% per year after age 35-40, but low testosterone can occur in men of any age. Hypogonadism affects up to 30% of the adult male population, but unfortunately as few as 5% of hypogonadal men receive treatment. If you have experienced any of these symptoms, contact us to learn about safe, effective options to restore you back to your former self. read more >


Menopause happens to all women eventually, but the ravages of this new stage in your life is not something you have to tolerate. Carefully tailored and closely monitored hormone replacement therapy can safely alleviate many of the symptoms associated with menopause including hot flashes, irritability, weight gain, decreased sexual interest, memory loss, and even painful sex. Menopause does not have to be the end of your sex life or result in a decreased overall quality of life. read more >

Erectile Dysfunction

Erectile dysfunction (ED) is a consistent inability to achieve or sustain an erection sufficient for sexual activity. It is a common condition that affects more than 30 million American men and can occur in men of all ages. If your erections are holding you back from leading a satisfying sexual life, contact us about a number of ways to improve your potency. read more>

Sexual pain

Sex should never hurt. If sex is painful, then something is wrong. Too many women have been led to believe that uncomfortable or painful sex is normal and there is nothing that can be done. This could not be farther from the truth. Talk to us today about how we can help make your sexual activity pain-free. read more >


Dr. Gonzalez has been an asset for our male and female patients suffering from pelvic pain syndromes such as Vulvodynia, Interstitial Cystitis, Pudendal Neuralgia, and Chronic “Prostatitis.” His expertise in these disorders has helped many of our patients eliminate their pain and restore their sexual health. Any person who has had pelvic pain will tell you it is a challenge to return to sexual activity following the resolution of these painful disorders. Dr. Gonzalez’s sensitivity and specialization in sexual medicine has rendered him one of the few physicians in Los Angeles that can help patients with or without pelvic pain have the type of sex life they want to have. We are very grateful that he successfully tackles issues that other providers are not comfortable treating. 

– Stephanie Prendergast, MPT, Cofounder of Pelvic Health and Rehabilitation Center


As a patient of Dr. Joshua Gonzalez, I can’t recommend him highly enough!. My pain was under control for about 4 years until April 2016 when I began to experience continuously escalating pain and recurrent pelvic infections over a period of several months. I live near the medical miracle centers in Houston, yet … none of them were able to identify why I was experiencing this pain. When my pelvic physical therapist from Los Angeles where I seek treatment often recommended that I see Dr. Gonzalez for evaluation, he immediately identified the root cause of my issues upon his initial physical exam of me and began hormone treatment that day. He made me feel extremely comfortable and respected my emotional state of mind back then just as he does today. Dr. Gonzalez is very kind, compassionate, professional, diligent, and successful in providing exceptional care for me. He has successfully treated me for more than a year now from California while I remain in Texas. He is easy to reach when I need his medical expertise, and he always takes the time to listen and provide support both emotionally and physically. I feel great again, I no longer have infections or continuous pain! I whole-heartedly encourage you to take the opportunity to experience the superior medical care Dr. Joshua Gonzalez can provide for you … you will be extremely pleased with your decision! 

– Natalie, Patient


Doctor Gonzalez is the reason my life in my seventh decade has been turbocharged. I saw him for all the usual embarrassing and inconvenient complications of an enlarged prostate and he guided me to a minimally invasive procedure that was just short of miraculous giving me back full nights’ sleep.
Once we explored my testosterone level which we found to be abysmally low I got a thorough education in hormone replacement that cut through the fear and misinformation and led me to a regimen that feels as if I’ve dropped decades off my age.
I’m grateful to Doctor Gonzalez for his professionalism and his easygoing manner, his encouragement and his availability. He’s an essential member of my health team. 

– Sheldon Roth, Patient

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© 2017 Joshua Gonzalez MD

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