Hello dear
I understand your concern
You have performance sexual anxiety, stress as you have did first time are the cause of
erectile dysfunction and premature ejacualtion
Take following advice:
Start exercising (60-80 minutes in morning with relaxation and yoga), losing weight, stopping smoking and alcohol,
Healthy diet with proteins and vitamin A, C, E. Take anti oxidant like CO Q, More fore play before sex will lead to more excitement,
Do discussion with your partner that help in gaining psychological trust,
use more than one condom or apply
lidocaine gel
Try women on top position, be relax while having sex,
Use start and stop technique of the sex, do pelvic exercise, ejaculate purposefully before the sex.
If problem will persists then consult the
urologist for proper examination
Following medicine can be provide by doctor: Tablet viagra: about one hour before sexual activity,
Testosterone Replacement Therapy,
paroxetine 30-40 min before sex
Hope this may help you
Best regards
Dr. Sagar