Dear service user, Thank you for seeking help with Healthcaremagic. I understand your concern for premature ejaculation. Hypertension and high lipids can narrow the blood vessels and may lead to erectile dysfunction. Ensure proper control of blood pressure and discuss this with your treating doctor. When clients with premature ejaculation come to my clinic, I recommend them one or more of the following strategies which often help them. 1. Stop-start technique of behavior therapy. 2. Female on top with active role. 3. Double condom 4. Medicines like Fluoxetine 20 mg day or Paroxetine CR 25 mg per day. (To be taken under medical supervision only) 5. Pelvic muscle strengthening exercise. (As if try to hold urine intermittently during voiding) 6. Penile squeeze technique applied at the point of ejaculatory inevitability. 7. Applying a local anesthetic ointment to glans penis prior to penetration. 8. Leading partner to orgasm by exploring and stimulating other erogenous zones. (Other than vaginal containment movements only) One can gain ejaculatory control over a period of time by practicing behavior methods mentioned above REGULARLY. You can consult psychiatrist for this. I hope, I addressed all the concerns properly. Wish you good sexual life ahead.