Hello dear I understand your concern Causes of premature ejacualtion are: anxiety, stress, fatigue, low testosterone, alcohol, smoking, obesity, diabetes. Consult the urologist/psychiatrist for proper management and undergo following investigations: blood sugar, lipid profile, serum testosterone, semsn analysis Doctor will give following advises: Avoid stress and talk to your doctor and partner Distract your mind from sexual stimulation, withdrawing the penis altogether, purposefully ejaculating before sexual intercourse Wear double condom or condom with lidocaine gel Do kegel exercise to strengthen the pelvic exercise. Use squeez technique to reduce excessive arousal. Do regular exercise like walking and yoga Eat high protein diet, tablet gonadil F and CO Q, fresh fruits, green leafy vegetables and drink plenty of water If problem persists then Tablet sildenafil and paroxentine is helpful: 30 -40 minutes befor sex after proper evaluation Cognitive behavioral therapy by consulting the psychiatric Testosterone shot useful in low testosterone Hope this may help you Contact HCM for further health query Best regards Dr. Sagar