Hello dear Understand your concern Treatment of ED and PE depends on the cause of problem. Two main causes: Psychiatric problem: stress, sexual anxiety ( I think it may be cause in your case) Medical cause: obesity, diabetes, hypertension and its treatment, excessive smoking and alcohol, low testosterone, back nerve problem/spinal problem etc. I advice you to consult the urologist/psychiatric to evaluate problem after proper investigations like: blood sugar, Hb1 AC, blood pressor measurement, lipid profile, penile nocturnal tumescence test, intracavernous injection test, color doppler of penile area, seminal fluid examination. Doctor give you following advice: Cognitive behavioral therapy to find cognitive dysfunction (active therapy with psychiatric), be relax while doing sex , engage more in foreplay before sexual intercourse, use double condoms or condoms with lidocaine jelly, use comfortable position like women on top position, hold urine before urination, do pelvic exercise, use stop and start and squeeze technique of sex, start regular exercise like morning walk, evening walk and medication, eat healthy diet rich in protein, antioxidant rich item like almond, fresh fruits and tablet Co Q, tablet gonadil F. If above advice will not help, then take tablet sildenafil plus paroxentine 30 minutes before sex after proper evalutaion, testosterone injection weekly can be given in low testosterone . Do not use any oil and medicine available in market without advice of doctor. Hope this may help you Best regards Dr. Sagar