I am in no way a medical professional but you could give anti depros a try. Doctor will start you out on a low dose, give you a month to report back to him. After it you could get a higher dose. These things aren't that extreme, look at the method of action of SSRIs and NDRIs, really smart drugs, nothing to be afraid of. Just loads of stigma amongst the lesser educated. Just gotta make that choice, you wanna ejaculate but be jumpy at loud noises or not ejaculate at all. Further to that. Hit the gym, cook for yourself, practice self love. Survive in style. Good Luck.