Sexual performance duration can often be improved through safe lifestyle and medical approaches. Many men experience early ejaculation due to stress, anxiety or reduced control, and this can improve over time. Regular exercise, good sleep, stopping smoking and reducing alcohol intake help improve blood flow and stamina. Techniques such as the start-and-stop method and pelvic floor muscle exercises may help improve control. Some men benefit from thicker condoms or doctor-prescribed numbing creams that reduce sensitivity. In certain cases, medicines such as selective serotonin reuptake inhibitors may be used under medical supervision. Counselling is helpful when anxiety plays a role. Regarding penis size, there is no proven safe or permanent medical treatment to increase it. Most advertised pills or exercises are not effective. Vacuum devices may provide only temporary results, and surgery carries risks and is not recommended for cosmetic reasons. Focus on sexual health, confidence and communication with your partner, as these are more important for satisfaction. If the problem persists or you have concerns, consult a doctor for assessment.