Hello Vamsi. You’re 35, married for a year, already blessed with a child (which is great!), but now struggling with PE (Premature Ejaculation) and ED (Erectile Dysfunction). You’ve already taken allopathic treatment and succeeded in conception once — which confirms your reproductive system works, but the strength, stamina, and timing need to be rebuilt.Also, your request is clear — you want long-term improvement, not temporary effects. And since you had an open-heart surgery in childhood, we’ll keep that in mind — we’ll choose medicines that are gentle but effective, and won’t burden the heart.Your symptoms show clear Shukra kshaya (low reproductive tissue strength) and Vata vitiation in the reproductive and nervous system — causing quick discharge and weak erection. Stress, irregular sleep, and past weakness from heart surgery could be contributing to low stamina. You need to rebuild Ojas and Shukra dhatu gradually, with Rasayana + Vajikarana herbs.
Internal Medicines (minimum 3 months): • Ashwagandhadi Lehyam – 1 tsp in morning with warm milk • Vrushya Vati – 1 tab twice daily after food • Shilajit Capsule (pure) – 1 daily with warm water • Swarna Makshik Bhasma + Yashada Bhasma – 125 mg each once daily with honey (if available) • Phala Ghrita – 1 tsp at night before sleep with warm milk
Optional Ayurvedic Rasayanas (If planning second child after 2–3 years):
Start after 3–4 weeks of the above: • Musli Pak – 1 tsp daily at bedtime • Kapikacchu Churna – ½ tsp with milk in evening • Gokshura + Ashwagandha + Yashtimadhu combo is great for long-term fertility reserve
Shodhana Karma (only if under supervision): • Abhyanga (massage) with Dhanwantharam Taila or Bala Ashwagandhadi Taila • Bashpa Swedana (steam bath – mild, not too hot due to cardiac history) • Matra Basti with Kshirabala Taila (small daily oil enema for 5 days to restore Vata & semen strength)
Pathya (What to Do Daily): • Use cow ghee in food — 1 tsp per meal • Soaked almonds (5), dates (2), black raisins (7) every morning • Warm milk at bedtime with pinch of nutmeg + Ashwagandha • Sleep by 10:30 PM • Evening walk or gentle yoga • Avoid mobile use and stress late at night
Apathya (Strict No): • Fried snacks, tea/coffee in excess • Cold water, curd at night • Skipping breakfast or long gaps between meals • Watching sexual content or pressure-based intercourse • Overthinking, comparing performance
Investigations (If not done recently): • Serum Testosterone (Total & Free) • FBS/PPBS • Lipid Profile • LFT, KFT • ECG or Echo (routine check since cardiac surgery history) • Vitamin D3, B12
This is absolutely reversible. Many men have rebuilt stamina and timing naturally with Ayurvedic Vajikarana and Rasayana chikitsa. Just be regular, calm, and patient your strength will return and stay.
If you have any doubts, you can contact me. Take care, Regards, Dr. Karthika
Avoid addiction if any. Avoid spicy, oily and processed food. Regular exercise. Increase intake of raw vegetables and fruits. Tab.Confido 2-0-2 Cap.Stresscom 1-0-1 Tab.Neo 2-0-2
Vamsi with above medicines you should also follow diet,
Foods That Help:
Warm milk with dates, almonds, saffron every night
Ghee, especially desi cow ghee
Fruits: banana, pomegranate, watermelon
Add black sesame seeds, pumpkin seeds, nutmeg (jaiphal in tiny amounts)
High-protein vegetarian diet with lentils
Avoid:
Spicy, fried, or junk food
Alcohol, tobacco, and porn (if applicable)
Excessive masturbation
4. Yoga + Exercise (15–30 mins daily)
Asana / Kriya Benefits
Ashwini Mudra Strengthens pelvic floor, delays ejaculation Mula Bandha Improves erection control Sarvangasana Enhances testosterone and nerve health Kegel exercises Essential for PE & ED Anulom Vilom Nervous system relaxation, reduces performance anxiety
5. Ayurvedic Oils for Massage
Bala Taila or Ashwagandha Taila – gentle massage on groin & thighs (not directly on penis)
Helps improve blood flow and nerve sensitivity
HELLO,
YOU ARE FACING 1. LOW LIBIDO 2. WEAK OR NO ERECTION- INCOMPLETE ERECTION OR DIFFICULTY SUSTAINING IT. 3. PREMATURE EJACULATION- LEAKING SEMEN QUICKLY WITHIN MINUTES OR BEFORE PENETRATION 4. SEXUAL FATIGUE- NO ENERGY OR CONFIDENCE AFTER THE ACT OR FEAR OF FAILURE
PROBABLE CAUSES- -PSYCHOLOGICAL STRESS=PERFORMANCE ANXIETY,DEPRESSION,LOW SELF IMAGE -POOR BLOOD FLOW= LACK OF NITRIC OXIDE TO PENILE TISSUE -NERVE WEAKNESS= DELAYED STIMULATION AND REDUCED SENSATION -HORMONAL IMBALANCE= LOW TESTOSTERONE OR HIGH PROLACTINE -EARLY EJACULATION= OFTEN DUE TO SENSITIVE NERVES AND LACK OF STAMINA.
#AYURVEDIC UNDERSTANDING YOUR SYMPTOMS ARE CLASSIC OF SHUKRA KSHAYA+ VATA DUSHTI, SPECIFICALLY:- -KLAIBYA=ERECTILE DYSFUNCTION-FROM LOW VITALITY -SHUKRA VEGA= INABILITY TO HOLF EJACULATION-FROMM WEAK SEMEN -OJAKSHAYA= LOW ENERGY,FATIGUE,MENTAL STRESS
TREATMENT GOAL 1)IMPROVE ERECTION STRENGTH AND DURATION 2)INCREASE LIBIDO AND CONFIDENCE 3)CONTROL PREMATURE EJACULATION 4)NOURISH SHUKRA DHATU-SEMEN AND VITALITY 5)REDUCE MENTAL STRESS/ANXIETY
#START TAKING THIS MEDICINES FOR 3MONTHS CONTINUES
*MORNING(EMPTY STOMACH) 1)SHILAJIT GOLD CAP- 1 CAP WITH WARM MILK=IT BOOSTS STAMINA, TESTOSTERONE, AND LIBIDO
2)ASHWAGANDHA CHURNA- 1 TSP WITH WARM MILK HALF A GLASS= ADAPTOGEN:REDUCES STRESS AND IMPROVES SEMEN QUALITY
#AFTER MEALS(TWICE DAILY AFTER LUNCH AND DINNER)
3)VRIHAT VATCHINTAMANI RAS(PLAIN)- 1 TAB WITH HONEY= STRENGTHENS NERVES AND IMPROVES ERECTION CONTROL
4)SWARNA MAKSHIKA BHASMA- 125 MG WITH KAUNCH BEEJ CHURNA-1TSP MIX WITH WARM MILK= IMPROVES SPERM RETENTION AND STIMULATES MOOD
#AT BEDTIME
5)YOHIMBINE OR ATMAGUPTA CHURNA- 1 TSP WITH MILK AT BEDTIME= NATURAL APHRODISIAC ,INCREASES DOPAMINE FOR AROUSAL
#EXTERNAL THERAPY
1)WARM OIL MASSAGE-FOCUSED PELVIC MASSAGE- WITH SHATAVARI TAILA OR ASHWAGANDHABALA TAILA AREA- LOWER BACK,ABDOMEN,INNER THIGHS, AND GROIN AREA TIME- DAILY OR 3-4TIMES/WEEK DURATION- 15-20 MIN -ALWAYS WARM THE OIL BEFORE USE -USE GENTLE CIRCULAR STROKES OVER LOWER ABDOMEN AND GROIN -FINISH WITH A WARM TOWEL WIPE OR LUKEWARM SHOWER
2)LOCALISED HERBAL STEAM THERAPY -APPLIED AFTER OIL MASSAGE -HELPS IN VASODILATION-OPENS BLOOD VESSELS AND ENHANCES ERECTION -VERY USEFUL. IN NERVE RELATED ED OR WEAK SENSITIVITY -TAKE A BIG VESEEL OF HOT WATER WITH HERBS LIKE DASHMOOL,TRIPHALA,VACHA -COVER THE LOWER BODY WITH A CLOTH, LET THE HERBAL STEAM PASS ON THIGHS, LOWER ABDOMEN,BUTTOCKS DURATION= 10-12 MIN
3)SHUKRA TAILA- TAKE 2-3 DROPS AND APPLY OVER THE SHAFT OF PENIS(NO GLANS), GENTLY MASSAGE FOR 5 MIN BEFORE BED
4)SESAME OIL WITH CAMPHOR- WARM MIX 2 DROPS OF CAMPHOR OIL, APPLY ONLY ON SHAFT,MASSAGE LIGTLY=DAILY
NOTE- USE HIGH QUALITY CERTIFIED AYURVEDIC BRANDS LIKE DOOTPAPESHWAR, BAIDYANATH, UNJHA OR DIVYA PHARMACY PRODUCTS ONLY
#SEMEN-NOURISHING DIET-VERY IMPORTANT EAT THESE DAILY - COW’S GHEE , MILK WITH DRY DATES OR CARDAMOM -WHITE ONION JUICE OR GARLIC MILK AT NIGHT -BLACK SESAME SEEDS, PUMPKIN SEEDS, SOAKED ALMONDS -BOILED EGG , BANANA, AVOCADO, FIGS, DATES -HERBAL TEA OF SAFED MUSLI+GOKSHURA+ASHWAGANDHA
#STRICTLY AVOID -FRIED, SOUR, OVER SPICY FOOD -EXCESS TEA, COFFEE, COLD DRINKS -SMOKING, ALCOHOL,PORN USE,FREQUENT MASTURBATION -LATE NIGHT FOOD OR MOBILE PHONE USE AT NIGHT
NOW COMES THE MOST IMPORTANT PART TO FOLLOW
1)KEGEL EXERCISES(MOOLA BANDHA IN YOGA) PURPOSE- STRENGTHEN PELVIC FLOOR MUSCLES THAT SUPPORT ERECTION AND SEMEN CONTROL
HOW TO DO- -SIT/LIE DOWN AND TIGTHEN THE MUSCLES YOU USE TO STOP URINE MID STREAM -HOLD FOR 5-10 SECONDS, THEN RELEASE -REPEAT 15-20 TIMES, 3 SETS DAILY-MORNING,AFTERNOON,NIGHT
ADVANCED- TRY KEGEL CONTRACTIONS SURING AROUSAL , FOREPLAY, OR URINATION CONTROL TO STRENGTHEN EJACULATION DELAY
2)PELVIC THRUST EXERCISE(BRIDGE POSE) -LIE ON BACK, BEND KNEES, FEET FLAT -RAISE HIPS UPWARDS WHILE SQUEEZING BUTTOCKS AND HOLDING CORE -HOLD FOR 10 SECONDS AND RELEASE -DO 15 REPS*3 SETS
3)YOGA ASANA FOR SEXUAL STRENGTH -BHUJANGASANA=BOOSTS PELVIC CIRCULATION -PASCHIMITTANASANA= INCREASES SEMEN QUALITY -VAJRASANA AFTER MEALS= IMPROVES DIGESTION AND SHUKRA DHATU -ASHWINI MUDRA(ANAL LOCK)=CONTROLS PREMATURE EJACULATION
#PRANAYAM-DO 10-15 MIN DAILY -ANULOM VILOM- NERVE BALANCING -BHRAMARI- CALMS MIND, REDUCES OVER EXCITEMENT -UDGEETH- CONFIDENCE+OJAS BOOSTING
#EMOTIONAL AND MENTAL BALANCE WHAT YOU MAY BE FACING- -FEAR OF DISAPPOINTING PARTNER -GUILT OVER PAST FAILED EXPERIENCES -OVERDEPENDENCE ON PORN/ARTIFICIAL TRIGGERS -TIREDNESS FROM LACK OF SLEEP/DIET
WHAT TO DO -ACCEPT IT- SEXUAL WEAKNESS IS REVERSIBLE , DONT PANIC -TALK- EMOTIONAL INTIMACY>PHYSICAL PERFORMANCE -ENJOY SLOW FOREPLAY-DON’T RUSH -PRACTICE BRAHMACHARYA-BASED DETOX- 10-15 DAYS ABSTINENCE(NO SEXUAL ACT, NO MASTURBATION,NO AROUSAL), THEN SLOW RETURN -SLEEP MINIMUM 7 HORS DAILY AT NIGHT -AVOID PORN, OVER MASTURBATION STRICTLY
FINAL ADVICE -START THIS PROTOCOL FOR 8-12 WEEKS AND SEE VISIBLE IMPROVEMENT IN 1 WEEK -AVOID PERFORMANCE STRESS -STAY NATURAL,GROUNDED, AND COMMITTED TO HEALING.
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DO FOLLOW CONSISTENTLY
DR. MAITRI ACHARYA
Yavanamrita vati Yauvan gold capsule 1 tab twice daily after food with lukewarm milk Do kegle exercises
Take Cap Ashwashila 1-0-1 after food with water Divya youvanamrit gold 0-0-1 at bedtime with warm milk. Apply ashwagandha bala oil/ Shilajit oil on penis externally twice daily. Do kegel exercises 3-4 times daily. Have an early and light dinner. Be stress free and relaxed. Follow up after 45 days.
ERECTYLE DYSFUNCTION OR PREMATURE EJACULATION IS COMMON NAWDYS DUE TO STRESS/ANXIETY/UNEVEN LIFESTYLE/EXCESSIVE MASTERBATION ETC… ITS COMPLETELY CUREABLE THROUGH AYURVEDIC TRETMENT…DO FOLLOW:-
BASANTKUSUMAKAR RAS 2GM MAKARDWAJ 4GM TRIVANG BAHSMA 5GM LOH BHASMA 10GM SWARNA MAKSHIK BHASM 10GM ABRAK BHASMA 5GM SWARNA VANG =5GM RAS SINDOOR=5GM AKARKARA POWDER 5GM SALAM PANJA POWDER 5GM KUCHLA POWDER=10GM… MIX ALL AND TAKE 1/3RD TSP TWICE DAILY WITH HONEY/MILK EMPTY STOMACH
DIVYA YOWAN CHURAN=100GM VIDHARI KAND POWDER=10GM VANSLOCHAN POWDER=10GM…MIX AND TAKE 2 TSP WITH MILK AT BED TIME…
ROGAN BEER BAHUTI OIL== MASSAGE ON PENILE REGION DOWNWARDS …
AVOID .SOUR/SPICY/FERMENTED FOOD
DO KEEGAL EXERCISE (MOOL BAND)=20 min daily…
Take 3 months this nushka you can cured eaisly
Experiencing premature ejaculation (PE) and erectile dysfunction (ED) can be challenging. Ayurveda offers holistic methods to address these issues by focusing on balancing doshas, particularly Vata, which often contribute to sexual dysfunction. Let’s delve into practical ayurvedic strategies that can aid in improving your condition.
Firstly, an essential aspect of Ayurveda is diet—ensure you’re consuming a balanced diet that harmonizes with your prakriti. Foods like almonds, walnuts, sesame seeds, ghee, and dairy have nourishing properties good for reproductive health. Try avoiding stimulants like caffeine, alcohol, and spicy foods that might aggravate Vata dosha. Consider taking Ashwagandha and Shatavari—well-known herbs that help enhance sexual vigor and stamina. You can take Ashwagandha powder with warm milk daily, preferably at night for best absorption.
Regular exercise, especially yoga, aids in improving circulation and reducing stress, which can favorably affect erections. Specific asanas like the Bhujangasana (cobra pose) and Dhanurasana (bow pose) can be particularly beneficial. Pranayama techniques, like Nadi Shodhana (alternate nostril breathing) can help calm the nervous system and improve control.
Besides, practicing mindfulness through meditation might help in managing psychological factors associated with PE and ED. It’s also essential to maintain a consistent sleep routine to balance your body’s internal clock and energy levels.
For personalized herbal formulations, consulting with a skilled ayurvedic practitioner would provide a tailored approach. They could make specific preparations considering your unique constitution and health status.
Keep in mind that while these remedies are often effective, they might take time to notice differences. Meanwhile, if there’s any severe or sudden change in your condition, it would be wise to consult a healthcare professional immediately for further evaluation. Keep exploring this ancient wisdom with consistent practice and patience!
HELLO VAMSI,
At age 35, -premature ejaculation -erectile dysfunction
These can happen due to -poor blood flow -nerve damage -hormona decline- testosterone decreases with age -obesity or loss of muscle tone -side effect of medications
Ayurveda sees sexual health as governed by shukra dhatu(reproductive tissue), and dysfunction can be due to imbalance in vata, pitta or kapha especially vata in neuropathy and aging
AYURVEDIC MEDICATIONS
1)ASHWAGANDHA CHURNA- 1 tsp with warm milk at bedtime =rejuvination, nerve tonic, improves improves strength and libido
2)SHILAJIT RESIN- 500 mg resin once daily with warm water =aphrodisiac, enhances blood flow and energy, antioxidants
3)GOKSHUR CAPSULE- 1 cap twice daily =urinary system support, mild diuretic, improves stamina
4)KAPIKACCHU POWDER- 3-5 gm powder with warm milk twice daily =dpoamine precursor, improves erection and libido
5)SAFED MUSLI POWDER- 5 gm with milk twice daily =aphrodisiac, strength-promoting , improves erectile function
EXTERNAL USE -ASHWAGANDHA BALA TAILA -warm the oil and gently massage lower back, thighs, and lower abdomen daily
DIET -warm, cooked nourishing foods -add ghee, dates, almonds, saffron, milk -avoid cold, dry, spicy, fried food -avoid smoking, alcohol, and heavy night meals
YOGA+PRANAYAM -moola bandha-pelvic floor tightening= 10-15 reps/day -vajrasana, bhujangasana, pavanmuktasana -anulom vilom, bhramari, deep breathing -Do kegel exericses
DO FOLLOW
THANK YOU
DR. HEMANSHU MEHTA
