Ayurvedic Treatment for Premature Ejaculation

Ayurvedic Treatment for Premature Ejaculation starts with bowel correction and aims at the permanent correction of the issue. Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation is a very common complaint. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time in his life.

As long as it happens infrequently, it does not cause concern. However, it is diagnosed with premature ejaculation if:

Always or nearly always ejaculate within one minute of penetration

Are unable to delay ejaculation during intercourse all or nearly all of the time

Feel distressed and frustrated, and tend to avoid sexual intimacy as a result

Both psychological and biological factors play a role in premature ejaculation. Although most men are ashamed of talking about it, premature ejaculation is a common and treatable condition. Medications, counselling and sexual techniques that delay ejaculation — or a combination of these — can help improve the person’s sexual life.

 

Signs & symptoms

 

The key symptoms of premature ejaculation include:

• Ejaculation without or very little sexual stimulation and with no control.
• Decreased sexual pleasure because of poor control over ejaculation.
• Feelings like guilt, embarrassment or frustration.

Premature ejaculation can be classified as:

• Primary where the premature ejaculation happens in all or nearly all of the time beginning with first sexual activity.
• Acquired or secondary where the problem develops after a period of normal sexual experiences.

 

 

Causes

 

• Depression or anxiety, especially about sexual intercourse and performance.
• Thought of rejection by a sexual partner.
• Expecting failure.
• Negative experiences, like sexual abuse in childhood.
• Religious thoughts and concepts
• Stress
• Problems within the relationship

Sometimes biological factors might be the reason behind premature ejaculation, including:

• Abnormal hormone levels
• Abnormal levels of brain chemicals called neurotransmitters
• Inflammation and infection of the prostate or urethra
• Inherited traits
• Erectile dysfunction

 

Pathophysiology

 

Premature ejaculation is considered to be a psychological problem and in most cases, it is not related to any disease of the male reproductive tract or any known lesions in the brain. The areas directly affected by premature ejaculation are:

• Male reproductive tract (penis, prostate, seminal vesicles, testicles, and their appendages)
• Portions of the central and peripheral nervous system controlling the male reproductive tract
• Reproductive organ systems of partners that may not be stimulated enough

The impact of premature ejaculation is mostly psychological: Both partners are mostly not satisfied emotionally and physically. Attempted pregnancy is a particular concern. In severe cases, ejaculation happens before the commencement of sexual intercourse, conception will not happen and artificial insemination will be needed.

Differences in nerve conduction/latency times and hormonal differences in men who experience premature ejaculation compared with individuals who do not are observed. Studies show that some men have hyperexcitability and oversensitivity of their genitalia, which stops their regulation of sympathetic nerves delaying orgasm.

A group of nerves in the lumbar spinal cord is observed as the possible generator of ejaculation. This plays a role in excitatory and inhibitory dopamine pathways in the brain, controlling sexual behaviour. Higher free and total testosterone levels can also lead to premature ejaculation.

Some researchers say that less acid phosphatase and alpha-glucosidase are present in the semen of men with PE. The researchers concluded that it may point to the dysfunction of the prostate and epididymis, possibly aiding in premature ejaculation.

Another study shows that many men with premature ejaculation have low serum prolactin levels. Such parameters have only a partial role,  added to emotional and psychological causes.

Psychological factors contribute mostly to premature ejaculation, beyond merely reducing the time.  Although premature ejaculation probably is not a purely psychological disorder, studies show that psychological factors play an important role in its pathogenesis.

Diagnosis

Physical examination

History taking including sexual history

Blood tests for male hormone (testosterone) levels and other routine tests

Treatments

A wide variety of treatment options are available for premature ejaculation including behavioural techniques, topical anaesthetics, medications and counselling. In most cases, a combination of these techniques is found useful.

Behavioural techniques

• In many cases, simple techniques such as masturbating an hour or two before intercourse so that ejaculation is delayed during sex.
• Avoiding intercourse for some time and focusing on other types of sexual play so that stress is avoided can also help.
• Pelvic floor exercises – Weak pelvic floor muscles might impair the ability to hold the semen and delay ejaculation. Pelvic floor exercises (Kegel exercises) can help strengthen these muscles.
• The pause-squeeze technique
• Begin sexual activity as usual, including stimulation of the penis, until you feel almost ready to ejaculate.
• Have your partner squeeze the end of your penis, at the point where the head (glans) joins the shaft, and maintain the squeeze for several seconds, until the urge to ejaculate passes.
• Have your partner repeat the squeeze process as necessary.

By repeating as many times as necessary, the person will know how to delay ejaculation and it will become a habit that no longer requires the pause-squeeze technique. Condoms, especially climax control condoms contain numbing agents such as benzocaine or lidocaine or are made of thicker latex, which might decrease penis sensitivity, which can help delay ejaculation.

Medications

External application of topical anaesthetics like anaesthetic creams and sprays that contain a numbing agent, such as benzocaine, lidocaine or prilocaine, are sometimes used to treat premature ejaculation.

A prescription cream named lidocaine-prilocaine cream for premature ejaculation (EMLA) is available. Lidocaine sprays for premature ejaculation are available over-the-counter.

Although topical anaesthetic agents are effective and well-tolerated, they have potential side effects. For example, some men report temporary loss of sensitivity and decreased sexual pleasure. Sometimes, female partners also have reported these effects.

Oral medications – Many medications might delay orgasm, including antidepressants, analgesics and phosphodiesterase-5 inhibitors.

Psychological & clinical counselling will help treat premature ejaculation

Prognosis

In many men, premature ejaculation improves on its own after a brief period. Even for men who require medical treatment, the outlook is usually good.

Complications

• Stress and relationship problems are mainly due to unsatisfactory sex
• Fertility problems due to faulty ejaculation & lack of fertilisation

Ayurvedic Concept of Premature Ejaculation- PE

        Suklagata vaata

Ayurvedic Nidana of Premature Ejaculation- PE

Dhaatukshaya (degeneration of body tissues) or Aavarana(obstruction in channels of the body)

Ayurvedic Purvaaroopa of Premature Ejaculation- PE

        General weakness, no interest in sexual activities

Ayurvedic Samprapti of Premature Ejaculation- PE

        Due to the causative factors, Vaata gets obstructed or redirected from its normal path. When it reaches the channels that carry sukra, the disease manifests.

Ayurvedic Lakshana of Premature Ejaculation- PE

        Seeghramutsargam suklasya – premature or early ejaculation of semen

Sangam or vikruti to garbha – blockage or deformity of conception/foetus

Ayurvedic Divisions of Premature Ejaculation- PE

Not mentioned

Ayurvedic Prognosis of Premature Ejaculation- PE

Saadhya in new cases

Yaapya in chronic cases with complications

Ayurvedic Chikithsa for Premature Ejaculation- PE

Ayurvedic treatment of Suklagatavaata involves both physical and emotional satisfying & pleasure of the patient. Also, a nutritious diet which improves strength & vitality is advised. If there is any blockage in the channels, medicines for kaayavirechana & sukravirechana should be given first. Ballya, harshana like nourishment therapies should be done only after the peyaadikrama(restricted diet after Panchakarma, here Virechana)

Ayurvedic Samana for Premature Ejaculation- PE

Lepanam with suklakara & sothaharadravyas

Abhyangam

Harshanam

Brumhanam

Ayurvedic Sodhana for Premature Ejaculation- PE

Virechanam

Peyaadikrama

Commonly used Ayurvedic medicines for Premature Ejaculation- PE

        Aswagandharishtam

Chyavanaprasam

Sukumaram kashayam

Rasnasaptakam Kashayam

Chiruvilwadi Kashayam

Vidaryadi Kashayam

Narasimha Rasayanam

Brahmarasayanam

Ajamamsarasayanam

Amruthaprasam

Balaswagandhadi Tailam

Dhanwantharam Tailam

Ksheerabala Tailam

        Brands available

AVS Kottakal

AVP Coimbatore

SNA oushadhasala

Vaidyaratnam oushadhasala

Home remedies

No home remedy has been proven t cure premature ejaculation. But a healthy diet & lifestyle can help improve the condition.

Diet for Premature Ejaculation- PE

• To be avoided

Heavy meals and difficult to digest foods – cause indigestion.

Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine

Carbonated drinks – makes the stomach more acidic and disturbed digestion

Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)

Milk and milk products – increase kapha, cause obstruction in channels and obesity

Curd – causes vidaaha and thereby many other diseases

• To be added

Light meals and easily digestible foods

Green gram, soups, nuts, fresh fruits & vegetables

Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc

Behaviour:

Protect yourself from extreme climate changes.

Better to avoid exposure to excessive sunlight wind rain or dust.

Maintain a regular food and sleep schedule.

Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc.

Avoid sedentary lifestyle. Be active.

Yoga

Regular stretching and mild cardio exercises are advised. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended.

Regular exercise helps improve the bioavailability of the medicine and food ingested and leads to positive health.

Yoga can maintain harmony within the body and with the surrounding system.

Yoga for premature ejaculation

https://www.youtube.com/watch?v=s6tK6A7KUpc

Pavanamuktasana

https://youtu.be/EK1ov1cP4UE

Nadisudhi pranayama

https://youtu.be/RUFzLVf5wL4

Bhujangasana

https://youtu.be/fOdrW7nf9gw

All the exercises and physical exertions must be decided and done under the supervision of a medical expert only.

Research articles

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2721550/

https://pubmed.ncbi.nlm.nih.gov/31351659/

*These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake. All the Ayurveda Supplements mentioned here are in the Indian Market with GMP Certification from India

Writer:
Dr. Rajesh Nair, the co-founder and chief consultant of Ayurvedaforall.Com, is a graduate of prestigious Vaidyaratnam Ayurveda College (affiliated with the University of Calicut), Kerala, India. Additionally, he holds a Postgraduate Diploma in Yoga Therapy from Annamalai University.

Dr. Nair offers consultation at two busy clinics in and around Haripad, Alleppey, Kerala, the southern state famous worldwide for authentic ayurvedic treatment and physicians. While offering consultation on all aspects of ayurvedic treatments Dr. Nair has a special interest in Panchkarma, Yoga, and Massage.

Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India.

Dr. Nair is a regular speaker at Ayurveda-related conferences and has visited Germany to propagate Ayurveda. You can write directly to him-
rajesh@ayurvedaforall.com

Whatsapp – +91 9446918019, +91 8075810816

URLs: https://www.ayurvedaforall.com/

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Dr. Rajesh Nair

Licensed Ayurvedic doctor focused on providing individual Ayurvedic consultation services. Specialized in work related stress, Womens’ issues, diabetes, Pecos, arthritis, male and female sexual problems and infertility. Interested in academic work as well. Now working with www.ayurvedaforall.com as senior consultant, Ayurveda.

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