Premature ejaculation

Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation is a common sexual complaint.

• Inability to delay ejaculation for more than one minute after penetration.
• Frustration 
• Anxiety.

Exact cause is unknown causes

Predisposing factors: 

• Stress
• Depression
• Performance anxiety
• Age related
• Relationship problems.
• Certain health problems such as thyroid problems.
• Infection of prostate or inflammation of urethra.
• Family history.
• Damage of nerve cells due to trauma.

According to Ayurveda, there are three doshas or elements present in our body : vata, pitta and kapha which should be in balance. Premature ejacuation can be correlated with Shukra Gata Vata, where vitiated vata enters the ejaculatery system.

Treatment protocol aims at:

1. Delay the ejaculation or arrests premature ejaculation
2. Enhancing or maintaining sexual ability
3. Balancing hormones and providing adequate nutrients for a healthy reproductive system

The first line of treatment should always be avoiding the causative factors. If the problem persists then consider the following treatment protocol.

• Inability to delay ejaculation - Jatiphala, Gokshura, Shatavari, Musali, kapikacchu are effective in this condition by normalising vitiated vata, vajikarana (aphrodisiac) and Shukrastambhaka (medicines which delay the ejaculation or arrest premature ejaculation) dravyas or aushadhi. 
• Frustration, anxiety - can be managed with help of Ashwagandha which helps to calm down the mind and relieve stress.

 (The above mentioned Ayurvedic drugs are Herbs and Herbomineral preparations)

Other therapies-  Abhyanga (oil massage),  Swedam (steam therapy), Snehapana, Virechanam (Purgation therapy), Elakizhi, Pizhichil, Navara/mamsa kizhi fomentation therapy with poultic  made up of Shashtika shali rice or Flesh )Vasti (medicated enema through anal root) and Uttara vasti (medicated enema through urethra) , Counseling, Yoga ,Meditation treatments are usually done.

Jatiphala, Gokshura, Shatavari, Musali, kapikacchu , Ashwagandha .