Hi welcome to HCM... Here your detail sexual history needs to be taken ... The problem in history is seems to be early semen discharge before orgasm achieved . So it could be premature ejaculation problem.... For that following can be useful.... / female can have active role with different position like on top while doing sex /double conom technique might useful /in some case kegel exercise useful /master and johnsons stop and start technique , penile squeezing technique etc also useful... /Avoid stress and performance anxiety /yoga and exercise useful /if needed fluoxetine might prescribed Rule out diabetis and hypertension also ... Advise : Consult psychiatrist or sexologist for detail history and examination and subsequent work up.... If needed behavioural therapy also useful. Take care