Hello and welcome to Healthcare Magic. Thanks for your query. I understand that you are quite distressed about your sexual problems. From the description of your symptoms it appears that you are mainly suffering from premature ejaculation. Now, there can be a variety of causes for this problems - both medical causes as well as psychological causes. So, the first and most important step in management is proper evaluation. This will include a detailed medical, sexual, personal and social history, a thorough physical examination and certain investigations, as per the necessity. However, the good news is that in young males, the cause is most often psychological - due to excessive anxiety. So, I would advise you to consult a Psychiatrist or Sexologist in your place for a detailed evaluation and further treatment. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist