Hi for such type of presentations in my clinic, I often find that most of the patients actually don t suffer from sexual problem.... rather the problem arises somewhere from the unstable psychology. Following factors were often observed in 90 - 95 % of the male patients... (a)- Fear or anxiety of better performance of sexual act. (b)- Absence of safe environment e.g. - fear of being caught while performing the act. (c)- Extremely tired due to the working hours. (d)- Stressful environment at office and home. Factor (a), (d) and (c) tops the list. In my clinical practice I suggest such patients not to focus on their performance and the sexual organ.... rather the patients are advised to enjoy the moment and let the sexual organs play their role independently when the right time comes in the scene. After practicing this for several times the patient find that the perfect erection and ejaculation at the right time start occurring gradually. P Remember for a perfect sexual life, MIND and BODY both should be healthy and strong. Your mind / psychology get strengthened by the above method. To strengthen the both you may follow the followings - - Take sufficient dose of sleep for better performance. - regular do yoga practice. - take healthy foods regularly (avoid fast / canned food). - you can take some herbs often proved beneficial in case of Premature ejaculation (depending upon the cause), e.g.- . jatamanasi . brahmi . guduchi . putrajivak . ashwagandha etc. You also need to focus on your WEIGHT management for which above told instructions will also be helpful. Hope I have answered your query and it will be helpful. Warm regards Dr. Ranjeet Sharma