Hello dear Understand your concern Early ejaculation is due to psychiatric problem and medical cause. First do not get depress as it cause increased in problem. Most common cause of early ejaculation are: stress, anxiety, fatigue, obesity,alcohol, smoking, diabetes, nerve problem in back, prostate problem. Best is to consult the psychiatric for your problem. Take following advice: Cognitive behavioral therapy, start exercising like yoga, stretching and relaxation exercise, loose weight, engage more time in fore play, kegel s exercise, start and stop method of sex, masturbate before sex, squeeze technique, use more than two condoms or condoms with lidocaie jelly, squeeze technique, women on top position, healthy diet rich in protein and vitamins, fresh fruits, Co Q tablet, tablet gonadil F. If above method do not responds, Take sildenafil plus paroxentine 30-40 minutes before sex. Hope this may help you Thanks and regards Dr. Sagar