Hello,
Stop watching porn, avoid looking at stuff that seduces you visually. If you get seduced visually the brain gets triggered but your performance with your partner is not good. Try to concentrate on real life. Give yourself feedback about love and not lust. This will help you to develop better chemistry with your wife.
Connect with a physical therapist. Do
pelvic floor exercises to strengthen those muscles as they help get better erections and delay ejaculation. Do Kegel exercises. Pause and squeeze technique also helps to delay ejaculation.
CBT is helpful also, meet the therapist / counsellor. Talk to your therapist and your partner. Don't keep secrets. You will be taught couple-communication techniques. You will be given mindfulness-based therapy, emotion-based therapy, aroma therapy, etc. In the meantime, get clinically examined by a
urologist to rule out any other factor / pathology that may cause you symptoms.
If obese, lose weight, fat deposition in the penile area will affect blood circulation and hence cause PE or ED. Take healthy, homemade, balanced food that is rich in minerals and protein. Apply numbing gels or creams before sex containing
benzocaine or lidocaine. Oral medicine to delay
premature ejaculation are
sildenafil (Viagra),
tadalafil (Cialis), it is quite effective.
Counselling helps.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Nupur K., General & Family Physician