<s>[INST] i ejaculate very early with in minute,we want child,is it satify to get pregnent my wife. DOes pre ejaculation affect pregnancy .also semen comes immediately out of vagina after sex. [/INST] Hi;welcome to Chat Doctor Premature ejaculation is more of a mental hurdle than a physical problem. It is a problem that comes on due to mental stress;tiredness;work pressure;depression;to name a few. See whether you have any of this.Also, to increase the time you can do keels exercise (ask doctor near you to explain it) to strengthen pelvic muscles or start & stop method ;where in you need to stop before ejaculation & after the desire of ejaculation subsides again restart sex. Try these methods to increase the timings also do more foreplay before doing intercourse and as you said it will help satisfy your wife. The second part is to get pregnant;if the semen analysis shows good amount of motile sperms (more than or equal to 50 %) then there should be no problem to get pregnant if your wives reports are normal which a GAEC doctor will examine & tell. Hope this answer helps to guide you properly. Thanks </s>