Premature ejaculation is very common and highly treatable. First, behavioral techniques like the 'stop-start' or 'squeeze' methods can help. For medical treatments, options include: 1. Topical anesthetics: Lidocaine or prilocaine creams/sprays applied before sex to reduce sensitivity. 2. Oral medications: Prescription SSRIs (such as dapoxetine, paroxetine, or sertraline) which naturally delay ejaculation. Erectile dysfunction medications like sildenafil can also sometimes assist. I highly recommend consulting a healthcare provider to discuss these options safely and find the best personalized plan for you.