Hello
Thanks for posting your query at DoctorSpring.com
I have gone through your question in detail and I can understand what you are going through.
Over these many years, nothing new has come up in the treatment of premature ejaculation. Its a type of anxiety disorder and the person normally suffers from performance anxiety where in he is anxious if he can perform or not.
I understand that you are averse to the start stop technique. Your wife is supposed to start stimulating you and the moment you are about to ejaculated she is supposed to stop all the stimulaton and and hold your penis head hard. Now this should be repeated. Now this start stop technique also known as squeeze technique is as effective as medications. If done properly, it has a good remission rate. If it has not worked for you, you and your partner should get proper training from a clinical psychologist.
Perineal exercises also help. These are the muscle exercises that occur when you contract the perineal muscles like when you are trying to stop the urine or feces. You have to do this contrations repeatedly daily to tone up the perineal muscles.
No new medical solutions have come up. I generally prescribe my patients 12.5 mg paroxetine at night and they are doing good. Normally one should try until 25mg of Paroxetine. It has to be given 1 hour before having sex and will prolong the sexual interval.
Hope this helps,
in case you have any further query, do let me know.
Kind regards
Dr. Srikanth Reddy

Hello,
It is unfortunate that it is not available in your country.
I have prescribed the same medicine to my patients in India and US, and it has benefitted them immensely.
Also perineal exercises work for my patients, so please try it.
Regards.