Dear service user, Thank you for writing to healthcaremagic. I can understand your concern about erectile dysfunction(ED) and premature ejaculations with your partner. You have ED before starting these medications. The medications can cause ED or make preexisting ED more badly. ED is also a symptom of depression. You may switch over to antidepressant medication like Bupropion 150 mg per day and Trazodone 50 mg to be taken bedtime daily. Discuss with your treating doctor. These medications should be taken under medical supervision. If it persists after switching, add Tadalafil or Sildenafil to the regimen. One need to rule out other causes of ED also. When clients with premature ejaculation come to my clinic, I recommend them one or more of the following strategies which often help them. 1. Stop-start technique of behavior therapy. 2. Female on top with active role. 3. Double condom 4. Medicines like SSRI (To be taken under medical supervision only) 5. Pelvic muscle strengthening exercise. (As if try to hold urine intermittently during voiding) 6. Penile squeeze technique applied at the point of ejaculatory inevitability. 7. Applying a local anesthetic ointment to glans penis prior to penetration. 8. Leading partner to orgasm by exploring and stimulating other erogenous zones. (Other than vaginal containment movements only) One can gain ejaculatory control over a period of time by practicing behavior methods mentioned above REGULARLY. You can consult psychiatrist for this. I hope, I addressed all the concerns properly. Wish you good sexual life ahead.