Tramadol can delay ejaculation by affecting serotonin and norepinephrine pathways, and some studies show modest improvement in Premature Ejaculation. However, it’s not a first-line treatment due to risks of dependence, nausea, dizziness, and withdrawal. Effects vary between individuals. Safer, guideline-recommended options include behavioral techniques and SSRIs. Use tramadol only under medical supervision, not regularly or recreationally, because benefits may not outweigh potential harms.