Hello dear
Understand your concern
First you have to find causes of premature ejaculation that help in improvement. Do not use numbing spray repeatedly as it cause lots of side effects. You have to consult the urologist to diagnose the cause of problem.
Following are the common causes: obesity, hypertension and its medicine, diabetes, prostate enlargement, alcohol and smoking consumption, low testosterone etc. (investigation needed are: blood sugar, lipid profile, color doppler of penile and scrotum area, serum testosterone, PSA)
Take following advise:
Be relax while doing sex, use double condoms pr condom with lidocaine jelly, try women on top position, start and stop method of sex, squeeze technique, be relax while doing sex, hold urine before urination, pelvic exercise, do masturbation before sex.
Take healthy diet and fruits (rich in anti oxidant), revital tablet, tablet co Q, start exercise like walking and yoga (kapal bharti)in morning for 1 hour.
If above advice not responds you can try sildenafil plus paroxentine after proper evaluation. Tablet Co Q also help.
Hope this may help you
Best regards
Dr. Sagar

Dear service user,
Thank you for writing to HCM.
I understand your problem of early ejaculations.
To cure your condition I would suggest following behavior modifications. You can choose any one or combination of methods from 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.
(To be taken under medical supervision only)
5. Kegel exercise also helps in some cases. You can learn the same from internet. (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)
9. You should do masturbation before sex (at least 2 hours before). It will make seminal vesicles somewhat empty. So, at the time of sex, semen will take more time to come out.

One can gain ejaculatory control over a period of time by practicing behavior methods mentioned above REGULARLY. Practice makes a man perfect. You can consult psychiatrist for this.
Hope, I addressed all the concerns properly.
Wish you good sexual life ahead.