Hi, Thanks for posting in HCM. I understand your concern. The problem you are having with erection and premature ejaculation during sexual intercourse is mainly due to psychological factor than physical one. You can overcome this problem by doing the following. 1. Take medication like Tablet. Tadalafil 30 minutes before intercourse to increase blood supply to the penis and get good erection. 2. Kindly practice pause and squeeze technique, which over a period of time helps you to sustain erection for a longer duration. 3. Overcome fear or anxiety by practicing meditation to keep your mind calm. 4. Spend more time during foreplay and gain proper confidence before doing the act. 5. Include in your diet - almonds, banana, pineapple, saffron, cardamom, figs, honey and pumpkin. 6. Particularly for premature ejaculation, use of topical anesthetics creams and sprays that contain a numbing agents, such as lidocaine or prilocaine, which is available over-the counter. 7. Intake of selective serotonin re-uptake inhibitors (SSRIs) such as sertraline would delay ejaculation. As you gain confidence in your performance, you can stop using these medications. Hope the information provided would be helpful. All the best.