Brief Answer:
SSRI medications are considered first-line treatment

Detailed Answer:
Hello,
There may be many factors involved with premature ejaculation, including psychological and sexual habits (such as pornography use). However, the first-line treatment in most cases is SSRI medications, which are often used for depression as well. Paroxetine is especially effective for this condition, but the full effects can take 2-3 weeks. Tramadol and topical anesthetics (such as lidocaine spray) can also be considered. Studies have also shown that psychotherapy, such as with someone who specializes in sexual disorders, can also be helpful along with the medications.

I hope that helps, please let me know if you have any other questions about that, and I would be glad to discuss it with you further.
Thanks.

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