Dear user, Thank you for writing to us. I have gone through your question and understand your concerns of inability to ejaculate inside vagina and premature ejaculation. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection/ejaculation, ejaculation occurs fast. 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. 4. Medicines like Fluoxetine 20 mg day or Paroxetine CR 25 mg per day. (To be taken under medical supervision only) 5. Kegel exercise also helps in some cases. You can learn the same from internet. (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. 9. You should do masturbation before sex (at least 2 hours before). It will make seminal vesicles somewhat empty. So, at the time of sex, semen will take more time to come out One can gain ejaculatory control over a period of time by practicing behavior methods mentioned above REGULARLY. Practice makes a man perfect. You can consult psychiatrist for this. If you are planning for pregnancy then, have unprotected sex during 7 th to 21 st day of menstrual cycle. Another option is to go with artificial insemination with infertility specialist. Wish you good health.