Improvement begins with thinking or talking to a therapist about what is happening, and trying to understand the causes. Think about what makes it better and what makes it worse, and any self help things you have tried.

In therapy, you will almost certainly be asked to do some homework tasks, in your own time and place. If you need a lot of stimulation, you can learn to ejaculate with lighter and lighter touch. Using fantasy may be another useful way to help yourself, and a therapist could advise you aon making good use of it. It can have a directly stimulating effect.

If you have a partner, then he or she will be able to help with sex therapy exercises, which work in many different ways.

Remember that with this particular problem you have to be quite determined and persistent. Some men give up half way because they think it is taking too long. Don't give up.