Hello dear Understand your concern I think you have delayed ejaculation. It broadly due to psychological cause or medical cause (diabetes, obesity, enlarged prostate, smoking, alcohol, hypertension). I think your problem is due to psychological mainly relation problem. You should have to consult the psychiatric and need the treatment like active cognitive behavioral therapy, talk to your partner about your problem. After resolving psychiatric problem following advice will helpful: engage more in foreplay before sex, use condoms with lidocaine jelly, make romantic environment, after evaluation you can use sildenafil plus paroxentine 30 minutes before sex Hope this may help you Best regards Dr. Sagar