Hello, Medicines are given to help better blood flow for strong erection and to prolong the ejaculation time. Hyperexcitability of the brain waves commonly cause premature ejaculation. You are suggested to stay calm and not to get excited. Do not take performance stress as that causes anxiety and hence affects you psychologically. Sex is a normal physiological activity and need of a adult, so don t take stress. Just stay relaxed when you are with your partner. Avoid watching pornography. Porn stuff excites the brain & affects not only performance but also relationship with your partner in long run. There are many techniques that can help improve it, like stop and start technique, Kegel s exercises that helps to strengthen the weak pelvic floor, squeeze technique, etc. Get connected with a Urologist. Get clinically examined and assessed. You will be accordingly treated. If obese lose weight, fat layer on the penis interferes with the blood flow and may affect erection and ejaculation time. Maintain healthy weight. Avoid smoking, do not take alcohol or recreational drugs. Tazzel 10 - tadalafil, helps to increase the blood flow to the penis and treats Erectile dysfunction. But it should not be taken by people who have heart problems, hypertension or liver dysfunction. Dura 30- duralast, helps to maintain control over ejaculation. It increases the time it takes to ejaculate. It should not be taken if suffering from liver problem, hypertension, heart problem, glaucoma, kidney problem, fainting or syncope. Do regular exercises and avoid sedentary life. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician