Hello dear I understand your concern Treatment will depend on the cause Following are the causes of premature ejaculation: Stress, performance anxiety, elevated penile sensitivity,fatigue, obesity and prostatitis. Following advice will helpful: Distract your mind from sexual stimulation, withdrawing the penis altogether, purposefully ejaculating before sexual intercourse Use more than one condom with lidocaine gel Use squeez technique to reduce excessive arousal Try women on top position and avoid stress. If not resolves then drug like sildenafil and paroxetine should be used 30-40 min before sex under the advice of urologist. Do regular exercise, avoid stress, take healthy diet rich in anti oxidant. Hope this may help you Contact HCM for further health query Best regards Dr. Sagar