### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am 36 year old and i got married in April 2010. I am 6ft and I weigh 65 Kgs. I never had sex prior to my marriage with anyone or even my wife ( then girlfriend ). Its been an year now and since the first time, i am facing this Premature Ejaculation. That is, i ejaculate within a minute while intercourse.Before getting married, I used to Mastrubate. I am not sure if Mastrubation has anything to do with Premature Ejaculation. ( Let me know, if it is related in some way). Moreover, I do smoke and I had been smoking for almost 15+ years now.Also, my foreskin is tight and it doesnt retract while the penis gets erected. For past couple of days I am manually retracting it on daily basis on a doctors advice ( locallly ).  During the first month of my married life ( sex life, to be precise ), I even had kind of erection problem. I couldnt hold an erection for even a minute. The penis goes flacid right when I try to insert ( probably tight foreskin, not sure though ). I would like to confirm, if tight foreskin could cause Premature Ejaculation.?My wife gave birth to a Baby Boy on March 12th 2011. Please advice on how to get rid of this Premature Ejaculation as we will be resuming sexual life again shortly. I want to satisfy my partner. She doesnt have anything to complain but still...

### output:

Hi, Prone masturbation can cause this issue. What type of masturbation do you follow - regular hand in penis or penis on bed? Regular masturbation won't cause premature ejaculation. Foreskin tight can be due to fibrosis. Share a picture for confirmation. Yes, fibrosis can cause premature ejaculation. Circumcision is an option if it is fibrosis. Finding the cause for your issue is also important. Share your blood sugar value. Hope I have answered your query. Let me know if I can assist you further. 