For most of my (M42) life, I've had issues with premature ejaculation. I was the one pump chump a lot of the time, but my wife never seemed to be bothered by it, probably because my oral skills were pretty good.

Last year, we hit a pretty bad rough patch in our relationship and as a result, earlier this year she agreed to make my cuckolding fantasy a reality and turned a friend into a friend with benefits. We had always agreed if it happened or if we opened our relationship in any way, open and honest communication would be key to it working out. She ended up telling him it was either the best sex or most fun sex she ever had during their first night together.

Obviously this had an effect on me and I went from premature ejaculation issues to having issues just getting and maintaining erections. So, I looked into and started using Tadalafil (Cialis) through Hims. (They are their hard mints version, not a tablet)They started me on 8.5 mg daily. So now I don't have a problem with getting and maintaining erections, however, now it seems I'm unable to orgasm as often. Basically it went from orgasming too fast to not being able to orgasm at all.

The cuckolding also started giving me a lot of anxiety or panic attacks (angst) so I let my doctor know about that along with my lifelong social anxiety and she started me on Escitalopram (Lexapro) 5mg daily.

Tl;dr: So, currently on Cialis 8.5 mg and Lexapro 5mg daily and dealing with delayed orgasm.

What suggestions would you have of fixing the delayed orgasm? We still have sex and it's great, just can't finish easily. The anxiety is also not nearly as much an issue. I know when my prescription refill comes up in April they're switching it to 5mg daily and a tablet instead, but was looking for something more immediate if possible.