Hello dear I understand your concern Premature ejaculation could be due to Stress, performance anxiety, elevated penile sensitivity. Take following advises Use women on top position Use Stop and start method of sex: it is thought diversion technique use just before ejaculation. Masturbating before sex: increase time Spend more time in for play Do Kegel exercise: by holding urine while urination for few seconds Use condom lubricated with lidocaine jelly Avoid stress and relax while having sex Do regular exercise, take healthy diet, green leafy vegetables and fresh fruits. If not responds then Drugs like sildenafil and paroxentine should be used after proper evaluation by urologist. Hope this may help you Contact HCM for further health query Best regards Dr. Sagar