Hello, You are married since 14 years and are suffering from ED and premature ejaculation problem. You are suggested to get physically examined by a Urologist. You may need the help of a counselor and physical therapist for CBT and some specific exercises. You will have to do pelvic floor exercise, pause-squeeze technique and certain medicines like Modafinil (Provigil) and numbing agents may help. Take food that helps to increase testosterone. Take home made nutritious food rich in minerals and high in protein. Avoid junk food oily food, packaged food, refined flour, trans fat, full fat dairy products. If obese lose weight, if underweight try to gain weight. Stay away from addictions like smoking, recreational drugs, alcohol, etc. Take adequate sleep at night and avoid stress both physical and emotional. Take lots of veggies, fruits, dry fruits, etc. To be on the safer side, get STD tests done, this is for both the partners. If tests come positive, you will be treated with antivirals and antibiotics. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician