Dear Tuclan,
Thank you for your post and your willingness to open up about this issue. It seems you have fine combed not only the threads about PE on this board, but done a massive amount of research in other places as well.

Unfortunately, I don't have much to add to the matter. I am a psychotherapist and not a physician, so all I can offer is what you've already tried - the Masters & Johnson stop-start-squeeze treatment protocol.

I find it interesting that these British physicians prescribed SSRI's AND Yohimbine together. Yes, the stimulating effect of Yohimbine on someone sensitive would pack a wallop. Not to mention the side effects of taking SSRI's if you really do not have primary depressive symptoms. In addition, Trazodone is sometimes recommended for depressed individuals who also suffer from insomnia. I'm curious as to who is prescribing these "cocktails." Taking SSRI's or any psychopharmaceuticals when not indicated for primary symptoms is never a good idea, PE or not.

Since you address a psychological component in your posting, I would like to go along with it, and suggest the following:

Going from provider to provider when one is nervous and tense will definitely contribute to the problem at hand. Maybe you can find an ATF, with whom you can relax in a very deep and soothing manner. A beautiful and emotionally sensitive tantra practitioner might do the trick since tantric sex concerns delaying ejaculation. The tantric environment is also soothing and takes away the focus on "performance," "shoulds" and "musts."

I have this sneaking feeling that if you get with one lady with whom you can have a deeply sexual and mutual connection, the problem may not seem so overwhelming. OK, so you'll ejaculate very quickly at first, then recharge, then go for a second round that will last a little longer. But at least the focus will be on having a languid, sensual time, rather than a driven chase with a good amount of despair in it - although your frustration is certainly valid.

Please try the natural route before you go for the synthetic brain chemicals again. These are powerful substances and their use can have some unintended and troublesome effects.

Hoping for you,
the Love Goddess

This worked for me:

Masturbate using your hand and some lubricant using very slow steady strokes, then stop as soon as you begin to feel like you are about to come to the point of no return.

Stop completely, even distract yourself if you need to (Look at baseball trading cards, they work.)

Then start over again and repeat for as many times as you can.

Over a period of a few months, you will learn to recognize the signals your body gives you as you approach ejaculation and learn to control them.

It's a form of yoga and meditation.

"Unfortunately, Dapoxetine is not available (not approved by the FDA and may never be) to try. "

What's the FDA problem, I think they are worried they will create a recreational drug. They (FDA) don't realize how many people they may help.