Hello, Avoid doing sex when you are stressed up, do not focus on performance or it will lead to more anxiety. Your penis is extra sensitive. Low serotonin or low dopamine may be a contributing factor to your symptoms. Get your hormones tested / checked. You may need to consult a urologist and a counselor. Physical therapy is helpful and effective, get connected to a physical therapist, you need CBT, talk therapy together with your partner. Stop and start therapy, distracted thinking, squeeze therapy are also effective and helpful to control your symptoms. Get clinically examined by a urologist, you may require a course of anti-depressants and serotonin reuptake inhibitors that may help to delay ejaculation. Use a condom and talk to your partner, get comfortable with her. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician