Hello
Premature ejaculation (PE) at age 21 is common and treatable. In many young men, it is related to increased sensitivity, conditioning from early sexual habits, performance pressure, or anxiety, even if overall mental health feels good. The occasional loss of erection can happen due to stress about ejaculation timing.
Helpful steps:
* Practice start–stop technique and squeeze technique during sexual activity. * Use condoms (especially thicker condoms) to reduce sensitivity. * Avoid rushing during masturbation; learn better control of arousal. * Focus on relaxation, breathing, and communication with your partner. * Regular exercise, good sleep, and limiting excessive pornography use may help.
Medical treatments (only after evaluation by a doctor) may include:
* Topical numbing agents (such as lidocaine/prilocaine sprays or creams) used correctly to reduce sensitivity. * Prescription medicines such as SSRIs (e.g., dapoxetine where available) may help some men.
Do not self-medicate with Viagra or other erection medicines, especially since your main issue is ejaculation timing and your blood pressure sometimes reaches 140.
A consultation with a urologist or sexual medicine specialist is recommended, especially because you also report occasional erectile difficulty. They can assess for contributing factors and suggest the safest treatment plan.
Take care
