Hi Dr.Hitam.
Thanks for the query.
Since you know that
premature ejaculation is mainly psychological in etiology, you need to understand that stress,
sleep deprivation, excess caffeine, smoking, alcohol can contribute adversely to premature ejaculation and
erectile dysfunction.
Besides these, un-diagnosed psychiatric disorders like mood disorders in the form of dysthymia, depression, anxiety are common causes of the same.
Do not try any medication without being diagnosed and treated first by
Psychiatrist because you may know Paroxetine can cause
retrograde ejaculation which may be more problematic for you.
Eat a healthy diet rich in fresh fruits and green leafy vegetables. Drink 1-2 litres of water daily. Do daily brisk walking for 40 minutes a day. All these increase stamina, energy and reduce stress and and anxiety. Do not worry. If you adopt healthy lifestyle these problems shall be curbed.
You can try squeeze technique with the help of your wife to get relief from premature ejaculation.
Kindly visit a leading Psychiatrist as soon as possible for early diagnosis and treatment.
Wishing good health.
Regards,