Hi, Thanks for writing to HCM. I understand your concern. One thing what you should remember is size of the penis will not matter for sexual satisfaction. Getting 5 - 6 inches penis following erection is pretty good enough to gain sexual satisfaction. All it requires is use of proper technique while having intercourse. For your premature ejaculation, it would be better you go first for behavioral therapy . This is by practice of pause-squeeze technique, which over a period of time will help you to hold on for longer. In case it has not worked well in your case, you can combine it with medications for better results. You can use lidocaine spray, which would reduce the sensation. Also you can take orally selective serotonin re-uptake inhibitors (SSRIs), such as sertraline , paroxetine, fluoxetine which would help to delay ejaculation. Hope the information provided would be useful. All the best.