Hello Thanks for query . In your query you have not mentioned about your age,marital status and whether you get early ejaculation while having intercourse with your female partner or while masturbating .. In majority of patients in absence of any major health issue cause of ED and premature ejaculation is mind related and due to performance anxiety. Consult qualified Urologist for evaluation and to get basic blood tests done. Taking Sildenafil with Dapoxetine as on demand will help to get good hard sustainable erection to have enjoyable sex and delay ejaculation. Dr.Patil.