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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Where did you get the priligy? I have been looking for that but can’t seem to get it in the us. Have you tried doing pelvic floor exercises to relax the area down there and have more control?