Ayurvedic treatment of Premature Ejaculation

Premature Ejaculation means;
Premature Ejaculation should be termed as persistently or recurrently early orgasmic response. It indicates a state of gap between the person’s expectation and his performance vis-à-vis his orgasm.
The clinician needs to consider factors that affect the duration of the excitement phase such as age, novelty of sex partner, frequency and duration of sexual union (coitus).

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Types of Premature Ejaculation:
Premature Ejaculation could be primary or secondary. In primary type, the problem is from the very beginning (without normal ejaculation in past) and in secondary type, the problem starts later on, following normal ejaculation in past. It is seen among young collegians with less sex knowledge.
1)  Primary Premature Ejaculation:
Sexual inexperience, Anxiety, Victimization by partner may lead failure to learn control and ultimately Premature Ejaculation occur.
2)  Secondary Premature Ejaculation:
Relationship deterioration, Abstinence for a long period, Diabetes mellitus or other Neurological disorders may lead failure to control and ultimately Premature Ejaculation take place.

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Causes of Premature Ejaculation:

• Psychological
• Congenital: Genital anomalies
• Neurological disorders: Diabetes neuropathy, spinal cord injury etc.
• Irritative  inflammatory lesions of genitourinary tract, accidental injury to genitourinary system

Psychological Premature Ejaculation: The commonest one-
Psychological disorders are the commonest cause of Premature Ejaculation. In the primary type, the patient has no sexual experience and often has anxiety about his capacity. Victimization by the partner about sexual dissatisfaction makes it worse. This is obvious in history. In secondary type, the cause is mainly due to deterioration of relationship between partners and abstinence for long period.
Ayurvedic treatment of Premature Ejaculation:

• Human understanding and empathy is important to reassure the patient.
• Clearing of myths, misconceptions and misdirection help to reduce anxiety. Offering of adequate knowledge of sex and sexuality helps to combat sex anxiety.
• Ayurvedic herbs having anti-anxiety and anti-depressant properties can helpful in some extent such as…
  Medhya Rasayan: Take powders of Brahmi (Centella asiatica), Shankhpushpi (Convolvulus pluricaulis), Yashtimadhu (Glycerrhiza glabra) and Guduchi (Tinospora cordifolia) in equal proportions and mix it well. This formula is known as ‘Medhya Rasayan’. This remedy should be taken around 5-10gms, twice a day with cow milk during empty stomach. ‘Medhya Rasayan’ is a good brain tonic as well.
• Excellent Ayurvedic herbal remedy for treatment of Premature Ejaculation:
  How to prepare Herbal remedy:
  Take herbal powders of Aakarkarabh (root of ‘Anacyclus pyrethrum’), Sunthi (Dry Ginger or ‘Zingiber officinale’), Kankol ( fruit of ‘Piper cubeba’), Kumkum ( Saffron or ‘Crocus sativus’), Pippali (fruit of ‘Piper longum’), Jatifal (Nutmeg or ‘Myristica fragrans’), Lavang (Clove or ‘Syzygium aromaticum’) and Chandan (Sandal wood or ‘Santalum album’)-10 gms each with Ahifen( Opium or ‘Papaver somniferum)-40gms and mix it well.
  Dose:  Take 1 gm of this herbal powder each time and mix it well with 1 teaspoonful of Honey and take it before go to bed at night.
  Duration of treatment:  For period of one month (can be extend up to 2 months as per requirement)
  Action:  This natural Ayurvedic herbal formula controls the process of premature ejaculation from its root.
  Reference:  Sharangdhar Samhita
• External application of herbal oils for Treatment of Premature Ejaculation:
  These oils can be apply on and around penis which gives penile strength such as…
  Shree Gopal Taila (Shree Gopal oil), Zoman oil (Dhanvantri Ayurved Pharma, Anand)
• Squeeze technique and stop-start technique:
  Both the techniques are based chiefly on understanding sensation premonitory to orgasm. Participation and cooperation of the partner, tranquil condition and improving of relationship are very much essential for this treatment. The treatment consists of manual stimulation of penis by the partner until he reaches a degree of excitement approaching impending orgasm. Just prior to the stage of orgasmic or so called ejaculatory inevitability, the male signals the partner to stop further stimulation or at this point the partner applies steady pressure squeezing the glans penis by thumb at frenulum and index and middle finger on either side of the coronal ridge (on glans and the shaft respectively) for 3 to 4 seconds or until erection decreases. The man should relax, be in touch with his own sensations and not get worried during this technique about partner’s sexual needs. The squeezing process needs to be resumed three or four times before orgasm occurs. After three or four successful sessions he may proceed to vaginal containment in female above position and later side to side and male above position, depending upon the individual progress. A few weeks treatment often cures this condition.
• Surgery if required.

Please consult an Ayurvedic Physician before trying any remedy or treatment as treatment and medicines’ need may differ from individual to individual.
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