Dear Welcome to HCM We understand your concerns I went through your details. I suggest you not to worry much. Erectile dysfunction or premature ejaculation are mostly psychological problems and you may not need any medical treatment for that. Sex is divine and don t take it as just sex. To perform proper sex, you need to have love, affection and sincerity to your partner. I don t think your wife is not satisfied with you. I think you are misunderstanding her. Please talk to her. Together find a way to improve your sex life. Remember, sex is not life, but it is part of happy life. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck.