Premature ejaculation is a highly treatable condition. Since Shilajit Gold, a herbal supplement, did not work, clinically proven medical options are recommended. First-line treatments include oral medications like selective serotonin reuptake inhibitors (SSRIs), specifically dapoxetine taken on-demand, or daily paroxetine, which help delay ejaculation. Alternatively, topical anaesthetic sprays or creams containing lidocaine can be applied before intercourse to reduce sensitivity. Behavioural techniques like the 'stop-start' method are also highly effective. I strongly advise consulting a urologist or general practitioner for a personalised prescription and to ensure these options are safe for you. Please do not worry, this is a very common issue with straightforward medical solutions.