Hello and welcome to Healthcare Magic. Thanks for your query. I understand that you are quite distressed due to your sexual problems of premature ejaculation and erectile dysfunction. Now, there can be a variety of causes for these sexual problems - both medical causes as well as psychological causes. So, the first and most important step in management is proper evaluation. This will include a detailed medical, sexual, personal and social history, a thorough physical examination and certain investigations, as per the necessity. Only if the cause is identified correctly, appropriate treatment can be given. So, I would advise you to consult a sexologist in your place for a detailed evaluation and further treatment. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist