THANK YOU AND VERY PLEASED TO ANSWER YOU Premature ejaculation is rarely due to a physical, organic problem; The causes are essentially of psycho-behavioral origin. There are two main types of premature ejaculation according to its mode of appearance, when this difficulty persists since the beginning of the sexual life with one or several partners we speak of primary premature ejaculation. And when it appears after a period of satisfactory sexuality we speaks of secondary premature ejaculation. The basis of therapeutic support is to teach you how to better manage, or in any case to manage differently, your bodily reactions, your emotional states and to better identify and modulate rises of excitement. The help you can get can be in the form of sex therapy, pharmacological management or a combination of both. The sexotherapeutic management, is a specific care undertaken by a professional and will allow you to better know you, to better know your reactions and to better react to the perilous excitement. This support will lead you to better manage or control the arrival of ejaculation. Several techniques have been proposed and the most commonly used form is cognitive-behavioral management. This management typically includes an education on sexual reactions in both men and women, a section on the type of mastery sought and training in the management of ejaculations generally focused on the principle of stop and go. Depending on the case, the couple may be taken into account before, during or after the specific treatment. If the voltages in your couple are not attenuated prior to the specific management, the expected results of the latter will not be obtained as quickly and easily. Different drug treatments acting in particular on peripheral neurotransmitters of the mechanism of ejaculation have been proposed in the management of premature ejaculation. Only one of them, dapoxetine, taken before sexual intercourse, received marketing authorization in this indication from the health authorities. This pharmacological aid is only available on prescription and must therefore be issued by a doctor after a clinical examination. Like any pharmaceutical product, this medication may contain contraindications or precautions for use which will be sought or reported by the healthcare professional consulted. Combined management where pharmacological help in this area does not have the ambition to cure and its efficacy will only be present as long as the organism is under its control. Premature ejaculation can be assimilated to a behavioral disorder. This can help you find yourself in the proper conditions for learning new behavior by acting primarily on anxiety, slowing down of information transmitted to the brain and the latency time of the ejaculatory phase. This implies that medicinal help, coupled with sex therapy, aims to achieve lasting results, even when the drug is no longer used. It would be interesting for your to consult sexotherapyst. MAY THOSE INFOS HELP YOU AND BEST WISHES