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premature ejaculation during sex
Sexual Health & Disorders
Question #26370
319 days ago
1,456

premature ejaculation during sex - #26370

sif
$3.51

I ejaculate in less then 60 second during penetration, age 29 no health issues , male , sleep cycle is very bad, this is causing frustration and anger and also anxiety, i never took any pills just need solution

Age: 30
Chronic illnesses: None
Question is closed
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Doctors' responses

1.Aswagandarishtam 15ml twice daily after food 2.Narasimha rasayana 1tsp after breakfast 3.Kapikachu churnam 1tsp at bedtime with milk

🔺PATHYA-APATHYA (DIET & LIFESTYLE)

📌Pathya: -Warm, nourishing, sweet food -Cow’s milk, ghee, dates, nuts, jaggery -Adequate sleep, stress-free routine

📌Apathya: -Dry, spicy, salty foods -Smoking, alcohol, over-exertion -Excessive sexual indulgence, mental stress Fasting, dry and light food *Excessive thinking, anxiety, depression *Vata-aggravating diet and lifestyle *Night awakenings, sleep disturbances *Cold exposure and suppression of urges

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sif
Client
310 days ago

Mam , my digestive system is so bad , anything I eat never feels on my body , I always have this loose stool issue

Hi sif, totally understood your situation. But the fact is for your issues we need proper medication along with some lifestyle modifications and dietary changes as I mentioned.

So other than medication (since you are not interested to take medicines), we need YOGA THERAPY,which include asanas( postures like Bhujangasana, Vajrasana ,etc which will improve your sexual health , then PRANAYAMA which can helps to reduce your stress and anxiety along with some DEEP BREATHING EXERCISES also you can practice. You must follow the diet as I mentioned. You can have tender coconut water/water boiled with crushed coriander Seeds to Soothens your stomach and thus helps to regulate your PITA DOSA…

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Avoid addiction if any. Avoid spicy. Oily and processed food. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Tab.Confido 2-0-2 Tab.Brahmi 2-0-2 Count plus granules 15gms twice with milk. Spend more time in foreplay.

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Premature ejaculation can often be influenced by an imbalance of the doshas, particularly Vata and Pitta, which are linked to stress and overactivity of the mind. One of the first things to consider is calming and grounding your lifestyle. Improving your sleep cycle is essential, as poor sleep can exacerbate Vata disturbances. Aim to establish a routine where you go to bed and wake up at the same time every day, ensuring 7-8 hours of uninterrupted sleep.

A useful herbal concoction may include Ashwagandha and Shatavari, which are thiruvally recommended in Siddha-Ayurveda for strengthening the reproductive system and reducing anxiety. You might take these as powders, a teaspoon mixed with warm milk at bedtime. To better enhance sexual performance, practicing deep breathing or pranayama can really help stabilize your mind and focus, reduce anxiety before initiating intercourse.

A diet rich in grounding and nourishing foods is vital. Incorporate warm, cooked meals, like soups and stews, to balance the Vata dosha. Adding ghee to meals can enhance the quality of the dhatus, especially Shukra Dhatu related to reproductive health. Include nuts, seeds, and fruits like bananas to naturally uplift body energy levels.

Importantly, set time aside for relaxation, meditation, or yoga to help control anxiety levels. Brahmi oil can be used for abhyanga (self-massage), helping to calm the nervous system. Too, limit stimulanting substances like caffeine and alcohol that might worsen your anxiety or sleep disturbances.

If anxiety or frustration persists or worsens, consulting with a healthcare professional for further guidance would be prudent. This ensures comprehensive and timely support.

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HELLO,

Premature ejaculation is a common. issue and can be managed effectively with a combination of lifestyle changes, ayurvedic remedies, and psychological techniques. Since you’ve already tried allopathic medicine with limited results, an Ayurvedic approach can be helpful- but remember, consistency and holistic lifestyle are key.

In Ayurveda, premature ejaculation is associated with an imbalance in vata dosha, particularly apana vata, which governs the reproductive system.Excessive heat(pitta) or weakness of the shukra dhatu(reproductive tissue) can also contribute

#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

#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

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

REGARDS,

DR.HEMANSHU MEHTA

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Start taking1.Ashwagandha choorna 1tsf with lukewarm milk twice in a day. 2.Atamgupta choorna 1tsf with lukewarm milk at bed time. 3.Shilajeet gold cap.1-0-1 4.Tab. Neo 1-0-1 **Daily Massage your full body with Balaashwagandhadi oil followed by mild fomentation. **Avoid excessive spicy, sour and salty food etc… Follow up after 45 days…

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Can start on Yavanamrita vati One tablet to be taken after food with warm milk Shilajit sat-one drop with warm milk at night once daily Do kegle exercises

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sif
Client
310 days ago

Can u suggest which shilajit ?

HELLO SIF,

Premature ejaculation is when a man ejaculates too early during sexual activity- often within 1 minute of penetration- and is unable to control it.

In Ayurveda, PE is mainly due to -Vata aggravation, especially Apana vata= controls semen ejaculation. -Shukra kshaya- low reproductive tissue vitality -Manasika doshas like china(worry), bhaya(fear), and Tama(mental dullness)

These lead to loss of control over ejaculation, weakness in nervous and muscular coordination, and reduced semen quality

INTERNALLY START WITH

1)ASHWAGANDHA CHURNA- 1 tsp with warm milk twice daily, morning and night for 3-6 months =adaptogen, reduces stress, strengthens reproductive organs

2)KAUNCH BEEJ CHURNA- 1 tsp twice daily with honey+milk for 3-4 months =boosts libido, sperm quality, stamina

3)SHILAJIT CAPSULE(GOLD)- 1 cap once daily with lukewarm milk for 2-3 months =aphrodisiac, energy booster, balances vata and kapha

4)SAFED MUSLI CHURNA- 5 fm twice daily with warm milk =potent vajikaran herb fr strength and semen thickening

5)VRIHAT VATCHINTAMANI RAS- 125 mg with honey at night =nervine weakness, excessive vata, tremors, psychological weakness

6)CONFIDO TABLET(HIMALAYA)- 1 tab twice daily =reduces performance anxiety, increases control over ejaculation

EXTERNAL APPLICATIONS

1)ASHWAGANDHA BALA TAILA -massage penis base, thighs and lower abdomen daily -for 5-10 min -do not apply on glans(tip) or urethral opening =strengthens nerves and improves blood flow

2)SHUKRA VARDHAK LEPA- local herbal paste -apply on pubic region or inner thighs- not on private part directly

DIET -DAIRY= milk, ghee, panner- nourishes shukra dhatu

-DRY FRUITS= almonds soaked, walnuts and figs- improve sperm and energy

-VEGETABLES= carrots, beetroot, spinach- boost blood and vitality

-SPICES= shatavari, saffron, cardamon- aphrodisiac and calming

-SWEET TASTES= rice, jaggery, dates- builds Ojas and shukra

AVOID STRICTLY -tea, coffee,aclohol, smoking -junk food, processed food -excessive spicy or sour items -cold,stale or fermented food -night awakening(Rathi jagran)

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.

DO FOLLOW CONSISTENTLY,

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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hello sif,

Thanks for sharing clearly. Premature ejaculation (PE), especially when ejaculation happens in less than a minute after penetration, is quite common and often linked to lifestyle, sleep disturbance, performance anxiety, and sometimes excessive stimulation sensitivity. The good news is this can be managed very well without pills, using a combination of Ayurvedic support, mental conditioning, and daily habits.

Your early ejaculation can happen when the nervous system is overactive, due to poor sleep, stress, or excessive focus on the act. Also, if you’re not sleeping well, your testosterone cycles and mental control get disturbed, making things worse. This is not a disease but a condition that needs nerve control, cooling herbs, and practice.

Treatment Plan: 1. Ama Pachana (First 3 days)

To improve digestion and energy metabolism:

Hingwashtak Churna – 1 tsp with warm water after lunch and dinner

2. Internal Medications (Start after 3 days):

Ashwagandhadi Lehyam – 1 tsp with warm milk morning and night (improves stamina, delays ejaculation) Shukra Vallabh Ras – 1 tablet twice a day after meals (for shukra dhatu strength) Jatamansi Churna – ¼ tsp at bedtime with warm water (for calming nerves and better sleep) Brahmi Vati – 1 tablet at night after dinner (reduces anxiety, enhances control)

3. External / Practice:

Practice “start-stop technique” during self-stimulation or intercourse (pause when you feel close to ejaculation and resume after 10 seconds) Kegel exercises – helps you control pelvic muscles. Do 10 reps, 3 times daily. Apply Dhatupaushtik oil locally 10 mins before bath – not before intercourse.

Sleep Correction (Very Important): Sleep by 10:30 PM, avoid screen 30 mins before Warm milk with nutmeg powder (jaiphal) at bedtime Keep fixed wake-up time, even on weekends

Investigations (if not done): Serum Testosterone (morning sample) Thyroid Profile (TSH)

Do you get morning erections regularly? Have you experienced any past emotional stress or fear of performance?

Let’s start step-by-step. You don’t need pills just regularity, nerve-strengthening, and calmness. You’ll see change in 3–4 weeks. Feel free to follow up. Warm regards, Dr. Karthika

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Premature ejaculation is a common complaint. It is only rarely caused by a physical problem.

Premature ejaculation early in a relationship is most often caused by anxiety and too much stimulation. Guilt and other psychological factors may also be involved. The condition usually improves without treatment.

Non-drug Therapy

The “stop and start” method:

This technique involves sexually stimulating the man until he feels like he is about to reach orgasm. Stop the stimulation for about 30 seconds and then start it again. Repeat this pattern until the man wants to ejaculate. The last time, continue stimulation until the man reaches orgasm.

The “squeeze” method:

This technique involves sexually stimulating the man until he recognizes that he is about to ejaculate. At that point, the man or his partner gently squeezes the end of the penis (where the glans meets the shaft) for several seconds. Stop sexual stimulation for about 30 seconds, and then start it again. The person or couple may repeat this pattern until the man wants to ejaculate. The last time, continue stimulation until the man reaches orgasm.

Evaluation by a sex therapist, psychologist, or psychiatrist may help some couples.

1) Tab. Chandraprabha Vati- before food with warm milk 2 times a day

2) Akarakarabhadi Vati-2 tab. Jatiphaladi vati-2 tab.+Ashvagandha churna-2gm+Shuddha Kuchala-30mg- 30 min before food 2 times with ghee and honey

3.Srigopala Taila - local massage 2 times

4.)Makaradwaja-125mg 30 min before food 2 times with ghee honey

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sif
Client
310 days ago

Squeeze method never works for me , I just ejaculate , If I sqeeze

Take Cap ashwashila 1 -0-1 after food with water Divya youvanamrit gold 0-0-1 after food with water Brahmi vati 1-0-1 after food with water Apply ashwagandha bala oil / Shilajit oil on penis externally twice daily. Have early dinner and light dinner. Do pranayam lom -vilom bhastrika bhamri 5-10mins daily twice. Be relaxed and stress free.

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sif
Client
310 days ago

How long shall I continue this tablets ?

Premature ejaculation can definitely be challenging, affecting not just physical aspects but also mental well-being. In Ayurveda, it could be linked to imbalances in Vata dosha or even Pitta, especially if anxiety and anger are prevalent. Let’s look into some solutions rooted in ayurvedic wisdom.

First, addressing your sleep cycle is crucial. Try to stabilize your routine by sleeping and waking up at the same time every day. A pre-sleep regimen involving a warm bath and drinking warm milk spiced with a pinch of nutmeg can help calm your nervous system, easing Vata which is often disruptive in sleep disturbances.

Diet can also play a big role. Focus on grounding foods like whole grains, cooked vegetables, dairy, and ghee, which nourish the body and stabilize Vata. Avoid spicy, hot foods and stimulants like caffeine as they aggravate Pitta and might contribute to anxiety and irritability.

Ashwagandha is an excellent adaptogen to incorporate. It’s known to balance Vata and Pitta, and support sexual health. Take it as a capsule or powder, about 1-2 grams in warm milk, in the evening. But it’s best to consult with a healthcare provider before starting it.

Alongside these, specific physical exercises like yoga can be beneficial. Poses that emphasize relaxation and deep breathing, such as Balasana (Child’s Pose) and Viparita Karani (Legs-Up-the-Wall Pose), can help calm your mind and maintain physical well-being. Regular practice of pranayama, especially Nadi Shodhana (alternate nostril breathing), can support your emotional balance.

Finally, considering practioner-guided abhyanga or self-massage using warm sesame oil, which is soothing and helps balance Vata. Massage for at least 20 minutes before a warm shower or bath. This routine can be done few times a week for best results.

Keep nurturing these lifestyle changes patiently for a few weeks. If your symptoms persist, visiting an ayurvedic practitioner for a more personalized plan might be a wise decision.

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