Hello and thanks for your query. I shall make an effort to provide you with good professional recommendations specific to your questions. Most cases of premature ejaculation do not have a clear cause. Many cases resolves on its own over time without the need for medical treatment. Practicing relaxation techniques or using distraction methods may help you delay ejaculation. For some men, stopping or cutting down on the use of alcohol, tobacco, or illegal drugs may improve their ability to control ejaculation. If you are using any of the above mentioned stuff, stop them immediately. Anxiety is one of the cause, so relaxation may help. Other options include using a condom to reduce sensation to the penis or trying a different position (such as lying on your back) during intercourse. Counseling or behavioral therapy may help reduce anxiety related to premature ejaculation. Yet again, I duly appreciate your query to me, I do hope that have found something useful to help you and I shall be glad to answer any further apprehensions. Sincerely,