don't want to advocate the easy way out but pills can help. iirc there is some evidence to support on demand SSRI .. like taking paxil an hour before sex. I used to use tramadol a lot. All I needed was 25mg and for 7 hours i'd be rid of any PE issues. Could go for 20-30 min in the first few hours after dosing, and maybe 10 min in the last hour after dosing.