Hello dear
Understand your concern
I think you have more erectile dysfunction rather than premature ejaculation.
Treatment is depend on the cause of it.
Following are the causes: severe depression, anxiety, fatigue, obesity, hypertension, diabetes, damage to back nerve, prostate problem, orchitis/epididmytis, smoking and alcohol consumption, low testosterone.
You have to consult the psychiatric/urologist for proper treatment after proper investigations. Doctor may give following advise:
Start regular exercise like yoga and walking, avoid smoking and alcohol, use double condoms or condoms with lidocaine jelly, hold urine before urination, try women on top position, squeeze technique, start and stop technique of sex, engage more in foreplay before intercourse, masturbate before sex, Eat Healthy diet and regular fruits, Take tablet gonadil F and antioxidant tablet Co Q.
You can take sildenafil plus paroxentine 30 minutes before sex after proper evaluation if above advise will not work.
Hope this may help you
Best regards
Dr. sagar

Dear service user,
Thank you for writing to Healthcaremagic.
I can understand your concern about premature ejaculation and quality of ejaculation.
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.
3. Double condom
4. Medicines like Fluoxetine 20 mg day or Paroxetine CR 25 mg per day with Tab Sildenafil 50mg to be taken 1 hour before sex.
(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.
8. Leading partner to orgasm by exploring and stimulating other erogenous zones. (Other than vaginal containment movements only)

One can gain ejaculatory control over a period of time by practicing behavior methods mentioned above REGULARLY. You can consult psychiatrist for this.

I hope, I addressed all the concerns properly.
Wish you good sexual life ahead.