Dear service user, Thank you for writing to healthcaremagic. I can understand that you are likely to be suffering from premature ejaculation. (Early orgasm in male than his partner). Its unfortunate to learn that you suffered for last 15 years. Medications alone rarely help in such situation. Following methods, in combination often help to delay the climax. 1. Stop-start technique of behavior therapy. 2. Female on top with active role. 3. Double condom 4. Medicines like Fluoxetine 20 mg day or Paroxetine CR 25 mg per day. (To be taken under medical supervision only) 5. Pelvic muscle strengthening exercise. (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. One can lead the partner to orgasm by stimulating other erogenous zones rather than vaginal containment only. I recommend you to consult psychiatrist trained in psychosexual medicine, who will guide you how to utilize all these techniques effectively best suited for you. I hope this will help you. Wish you good health.