Premature ejaculation often cause a lot of emotional and relationship distress. To overcome your problem of premature ejaculation, I would like to give you the following advise: 1) Firstly stop becoming more anxious about this problem - because your anxiety will only worsen the problem. during sexual intercourse try to stop monitoring your sexual performance. you try to be relaxed. rather than thinking about the time you should focus only on the pleasure you are getting from the act of love. fore play is very important for good and satisfactory sexual act. Arouse your partner well before starting intercourse and make sure that you start penetration only after your partner is fully turned on. 2) There are certain specific sexual techniques (like stop-start technique or queeze technique) which have been proven to be successful in increasing the ejaculatory time. In the stop-start technique, the penis is stimulated (by sexual intercourse or by masturbation) till a point when you feel close to orgasm. At that point, the stimulation is stopped for some time and after a small gap, it is continued. This process is repeated repeated a few times. In the squeeze technique, the penis can be stimulated by hand (by masturbation or by your partner) till a point when you feel close to orgasm. At that point, the lower part of the head of the penis is squeezed tightly with the index finger and thumb around for a few seconds till the erection decreases. Then the stimulation is restarted and the process is repeated a few times. Both these techniques, if practised regularly can definitely prolong the time for ejaculation. 3) There are certain medication like Dapoxetine, which can help you control premature ejaculation. The usually recommended dosage of Prilyxet is 30mg. this medication is usually taken 30 minute to one hour before the act. 4) there are some few other medications like escitalopram (10 mg), sertraline (50-100 mg), paroxetine (10-20 mg), fluoxetine (20-40 mg) . these medication should be taken daily. after sometime these medication will delay ejaculation. 5) alternatively there are some anesthetic cream, spray are available in the market. some condom with anesthetic cream are also available. these product decrease the sensitivity of penis and thus prolong the act. however one must apply these only after getting erection. 6) I would also advice that you see a psychiatrist in person so that he could make an accurate diagnosis and provide you proper treatment along with monitoring your treatment response. I m sure that you will be able to overcome your problem of premature ejaculation very soon. Wish you all the best. Regards, Dr. Rakesh Yaduvanshi MBBS, M.D. Consultant Psychiatrist