Nothing seems to work…

I have had PE since my first ever sexual experience (in a tent about 20 years ago now), it’s plagued me my entire adult life, nearly every sexual experience

I’ve tried mojo , I’ve tried coach app , I’ve tried hypnotherapy , I’ve tried anaesthetic cream , I’ve tried viagra and siladifil, I’ve tried Dapoxetine (Priligy) and even then I only last 30-seconds or so. Only Priligy at a really high dose (60mg) combined with anaesthetic cream seems to work but then I can’t finish at all (plus it makes you extremely nauseous and you need two hours notice / no booze which isn’t always practical).

I’ve been trying start-stop for years and it’s fine but doesn’t make a real difference . I’ve basically quit porn as like many men in their 30s, we kind of grew up with it which is probably the root of the issues tbh .

I’m at a loss of what to do, and where to go from here and wondering if anyone has gone through similar and has advice please

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