Hi, Thanks for posting in HCM. I understand your concern. What medications you are taking will definitely help you to increase your sperm count and also to produce good quality sperms. Along with this, you can take you can take L-carnitine, CoQ10 and alpha lipoic acid preparation to improve your sperm quality. Regarding problem of premature ejaculation problem, it does not come in way of your fertility issues. It appears more of psychological problem than physical one. However, you can try with behavioral therapy first. You need to practice regularly pause and squeeze technique, which will help you to hold on for long than before in few months. You can also take when necessary medications like selective serotonin reuptake inhibitors (SSRIs) namely fluoxetine, paroxetine or sertraline and tricyclic antidepressants, such as clomipramine upon doctor s consultation. Hope the information provided is clear. All the best.