Thanks for contacting HCM From you description you are suffering from two problems. Erectile dysfunction and premature ejaculations. There are two different approaches to deal with these problems. In my practice for the erectile dysfunction I recommend and prescribe sildenafil and tadalafil. This medication will give you better erections and allow you to maintain your erections. For the premature ejaculations I have m patients use fluoxetine. This helps prevent you from ejaculating early. Together these medications will improve your sexual performance and lead to a more satisfying sex. Hope this answered your question. Please contact HCM again with your medical concerns and questions