Dear Patient, Thank you very much for your question. I donot think you do not need any medications for premature ejaculation. Instead of taking medications to treat premature ejaculation, you can practice masters and Johnson pause-squeeze technique to prolong your time of ejaculation. In Pause and squeeze technique, you may ask your partner to stimulate your penis untill you feel the urge of ejaculation. Once you have the urge to ejaculate, ask your partner to squeeze area where glans penis connect to shaft untill the urge disappears. Practising this method you can delay your ejaculation. However, anxiety or stress can be the underlying cause for your problem. In you have anxiety, it can affect both your erection and ejaculatory mechanism. Therefore, my advice is to see your family physician if pause and squeeze technique finds less effective. Low testosterone level also causes poor erection and maintaing a good erection during sexual intercourse. If you consult your family doctor, he or she can check your blood for testosterone, do physical examination to find any biological causes for premature ejaculation and treat anxiety if it is the cause for your problems. Even some drugs like Fluoxetine which is used to treat anxiety, can be used to treat premature ejaculation too. Therefore, see your family physician if you do not have help from pause-squeeze technique. If you have more questions, please let me know. Good luck! Dr. Dinesh Nuwan Weerasinghe. MD