Severe Premature Ejaculation Is Affecting My Confidence — Please Help

Good day, everyone. I have severe premature ejaculation and often finish within a few seconds during sex. It has affected my confidence badly and made me avoid relationships. I used to masturbate heavily years ago, but I stopped more than four years ago. Even then, I could last much longer during the first round. I am physically fit and exercise regularly, so I do not think this is simply a fitness issue. I have tried pelvic floor exercises and several home remedies, including watermelon and a ginger, garlic and honey mixture, but I have not noticed any improvement. Has anyone successfully managed this through medical treatment, medication or other proven methods? I would appreciate honest advice because the anxiety and embarrassment are becoming overwhelming.

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