Conversation: The conversation between human and AI assistant.
[|Human|] Hi doctor, I am 40 yrs old, and I am suffering from severe premature ejaculation for more than 18 yrs as far as I can remember, I consulted with so many doctors and used a lot of medications but all in vain. So, my question is can you assist me with anything to get rid off that thorny problem on my heart ?
[|AI|]  Hi ... The cause for premature ejaculation is mainly stressed, anxiety, guilt and depression... This psychological factors are main causative factors... So performance anxiety should be avoided... You can consult psychiatrist for various helping therapy like...../master and Johnson stop start technique for desensitizing man response/penile squeeze technique /focus, breathing exercises /keel exercise to make pelvic floor muscle strong /distraction procedures.../you can discuss with partner when to slow down stimulation /more than one condom /SSRI Chat Doctor. . If still no benefit discuss with doc for searching other cause like trauma, hormonal problems etc... Take care ...