Brief Answer:
You can take medicine, see below

Detailed Answer:
Hello Mr. XXXXXXX

Thanks for writing to us.

I can understand your situation.Premature Ejaculation(PME) is very common problem now-a-days.
PME is defined as ejaculation of man occurs before female partner reaches to orgasm during intercourse.

There are two types of treatment for PME.

One is medicines:
Clomipramine (Dose 10-25 mg), Paroxetine (10-20 mg) and depoxetine(30 mg) are useful.
Clomipramine or paroxetine can be taken initially daily and later on just before 2-3 hour of sex under doctor's guidance.While depoxetine should be taken 2 hours prior to intercourse only, however availability of depoxetine is the issue.
No significant side effects of these drugs.

As your anniversary is approaching and If I were your treating doctor, I would go with 10 mg clomipramine to start with daily after dinner.

Another type of medicine for PME is local anesthetic lignocaine available in gel and spray form.But it has own side effects and preferably used when oral medicines don't work.

As you are suffering from Diabetes, I would like to recommend use of medicine called Tetrafol Plus(containing vitamins i.e methylfolate,mecibylamine and pyridoxal phosphate) two times after meal. In my many patients with diabetes it has shown good response particularly in erectile dysfunction and somewhat in PME. No side effect issue with this.You can take it for 1 month.If you feel improvement, continue for 3 months.

As you are at age of 35 and long run to go, I suggest you should try second approach as below after anniversary.
Second is sexual counselling: In which couple counseling matters as sex is an act of two partners.In this "stop and squeeze technique" , "Master & XXXXXXX technique" to be learnt from qualified sexologist or psychiatrist.If during counseling issues of performance anxiety found out, they can be solved also.


Hope I have answered your query,I will be happy to help further.
regards,
Dr.Chintan Solanki.

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