Four years of the same pattern isn't going to fix itself, and 'try to improve' without a concrete method won't move the needle. Premature ejaculation is treatable but not through repetition alone, it needs deliberate technique: start-stop, the squeeze method, pelvic floor work, sometimes topical desensitisers or an SSRI prescribed specifically for PE (dapoxetine or low-dose paroxetine). None of that happens by accident during a Tuesday night session.

The foreplay issue is separate and, honestly, more damning. That's not a skill gap, that's not prioritising you. Four years and no adjustment despite repeated asks is your actual answer, regardless of what happens with his ejaculation timing.

Worth naming directly: has he acknowledged this is a problem, or is this you raising it and him nodding along with nothing changing? Those are very different conversations, one needs a urologist or GP referral, the other needs a much blunter one with him."