Am suffering from premature ejection

what is the treatment of premature ejaculation

1. self distraction , as sexual arousal is highly controlled by emotions and thinking
2. kegel excersice those focuse on strengthenning for pelvic floor muscle
3. uses of paroxitin or dapoxitien or clomipramine , but these drugs might reduce the sexual desire
4. adn surgical solution is under studies and it is used in some countries as south korea , which might include cut of nerve that supply the glans of penis , or augment the glans of penis so it will be less sensitive 

what are the causes of premature ejaculation

1. anxiety
2. the habit of masturbating quickly during adolscent
3. genetic cause
4. inflammation of prostate or seminal vesicle

how does it diagnosed

according to patient story if ejaculation of semen happened during sexual intercourse before or immediately after penetration.