Hello dear, Understand your concern. Be positive. Do not be anxious. How can you tell you have not sufficient sex performance. Anxiety and stress itself cause premature ejaculation. First try without medicine, if u will face problem than use medicine given below. Also note that Hello dear, Following are the causes of premature ejaculation: Stress, performance anxiety, elevated penile sensitivity,drug induced and prostatitis. Advice are below: 1. Distract your mind from sexual stimulation 2. withdrawing the penis altogether, 3. purposefully ejaculating before sexual intercourse 4. using more than one condom 5. use squeez technique to reduce excessive arousal 6. drug : paroxetine 10 mg 30-40 min before sex 7. Tablet viagra 25/50 mg taken about one hour before sexual activity. It may be taken between 30 minutes and four hours prior to sexual activity. Do not use more than one time daily 8. Alprostadil urethral suppository-By applicator to insert the suppository into yourpenile urethra, erection usually starts within 10 minutes and lasts between 30 and 60 minutes. 9. Do discussion with your partner that help in gaining psychological trust Hope this may help you. Have a nice time. Best regards Dr. sagar