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What is the best medicine for premature ejaculation and erectile dysfunction in a 46-year-old male to increase muscle mass and sperm count?
Sexual Health & Disorders
Consultation #52864
97 days ago
787

What is the best medicine for premature ejaculation and erectile dysfunction in a 46-year-old male to increase muscle mass and sperm count? - #52864

Client_84e01a
$3

I am 46 years old, male and weight 56 kg. Single, facing premature ejaculation, and ED. Suggest me medicine for good erection and increase muscle mass and sperm count.

Doctors' responses

Dr. Nayan Wale
Bachelor of Ayurvedic Medicine and Surgery
97 days ago
5

Well, understanding your problem, I will prescribe some medicine and also suggest some remedies to prevent this problem from recurring. You should continue this for 5 to 6 months. ●Equal amounts: Brahmi Powder Jatamansi Powder Shankhapushpi Powder Bhringraj Powder Mixing Method: Mix all four ingredients in equal quantities and store in a glass bottle. ●Dosage (30 days): 1 teaspoon (about 3 grams) Stick in 1 cup of hot water, covered, for 10 minutes • Morning on an empty stomach and evening 1 hour before meals Benefits: Neuron nourishment, anxiety relief, memory stability ●Pranayama and Yoga (Daily) Anulom-Vilom - 7 minutes • Bhramari - 11 repetitions • Sarvangasana/Halasana - 2-3 minutes • 30 minutes of brisk walking improves oxygen delivery and reduces stress ●Daily routine discipline • 7 hours of sleep • Limit screen time • Practice memorizing by writing • Limit caffeine Memory training = Lifestyle Training ●What to avoid - Smoking, alcohol Staying up late Excessive stress Caffeine on an empty stomach These increase anxiety and forgetfulness. ●Ashwagandha Churna, Gokshura churna ,Safed musali churna , Kaunch churna,Vidarikand churna. Mix all and make 60 packs and take it with warm water 2 times a day after food ● Shilajit + suvarna bhasma with warm water at bed time ●Do massage with bala Ashwagandha , almond or neem oil


0 replies
Dr. Haresh Patel
Doctor of Medicine in Ayurveda
97 days ago
5

आप तीखा खाना बंध कर दो सुबह खाली पेट १ चम्मच गाय घी पीवो गर्म पानी के साथ Tab promactil 2-0-2 Tab bramhi 2-0-2 tab ajex 1-0-1 after food take all medicine take all medicne for 180 days get good result if any need for book persnol consultion Do nasya with cow ghee 2 drop each nostirl 2 times day


0 replies
Dr. Gursimran Jeet Singh
Bachelor of Ayurvedic Medicine and Surgery
95 days ago
5

✓Medicines Ashwagandha Lehyam – 10 gm morning + 10 gm night with warm milk + ½ tsp ghee Confido Tablet (Himalaya) – 1 tablet morning + 1 tablet night after food Shilajit Capsule (pure) – 250 mg morning with warm water Gokshura Capsule – 500 mg twice daily after food ✓Oil (Nightly – Most Important) Shrigopal Taila – gentle massage on penis, scrotum & lower abdomen 8–10 min followed by warm towel wrap 5 min ✓Daily Must-Do Kegel exercises – 50 reps × 3 sets daily (hold 5–10 sec) – strongest for control Completely stop porn & masturbation for minimum 90 days (most powerful step) 30–45 min brisk walk or exercise daily (already doing – good) Sleep strictly 10 pm – 6 am, no phone after 9 pm ✓Diet Morning: 4 soaked almonds + 2 dates + banana Meals: moong khichdi + ghee, pomegranate, milk with ghee Avoid: junk, spicy, cold drinks, caffeine after 4 pm Regards Dr Gursimran Jeet Singh MD Panchakarma


0 replies
Dr. Ravi Chandra Rushi
Master of Surgery in Ayurveda
97 days ago
5

Don’t worry Take Musalipak 1tsp with milk Ashwamedh 1tab 2times after food Jatipaladivati 1tab 2times after food srigopala tail or balashwagandha tail external application Avoid oily spicy food meat alcohol smoking u ll get results And take some ghee and sugar milk products if ur not diabetic patient Take 45 days and follow up


0 replies
Dr. Raghuveer SN
Bachelor of Ayurvedic Medicine and Surgery
97 days ago
5

Ashwagandha churna 5 grams at night with milk. Kaunch beej churna 3 grams at night with milk. Shilajit capsule 1 capsule twice daily after food. Gokshuradi guggulu 2 tablets twice daily after food. Eat soaked almonds 5–10 daily. Drink 1 glass milk daily with 1 tsp ghee. Do strength exercise or walking daily. Avoid daily masturbation and porn. Sleep 7–8 hours regularly. Continue for 2–3 months for good results.


0 replies
Dr. Khushboo
Bachelor of Ayurvedic Medicine and Surgery
97 days ago
5

The condition you describe about a erectile dysfunction and premature ejacuation Is due to depletion of shukr dhaatu tissue in your body so here we will focus on vajikaran Nourishing therapy which improve over all tissue strength 1) Vigromax Forte-1 tablet twice daily after food with warm milk 2) Musli Prime-1 capsule twice daily after food with warm milk 3) Ashwagandhadi Lehyam-1tsf once daily at bed time with warm milk 4) Chyavanaprash-1 tbsp early morning on empty stomach Include urad dal in your diet which is very beneficial and healthy cow ghee full fat milk use this in your Daily Meal include soaked 5 Almonds to walnut overnight and consume them in morning Avoid excessive salt sour spicy food caffeine You can blend one ripe banana with one glass of warm milk A Pinch of Cardamom and a teaspoon of Honey or jaggery daily Practice pelvic flour exercise daily includes Surya Namaskar in your daily exercise A full body massage with dhanvantaram oil at least twice a week before bath Your 7 to 8 hours of sleep As you are 46 year old and low weight approx 56 kg so it is very important to rule out the underline cause so if you feel no relief within 4 to 6 week you can go for a blood test which are total testosterone lipid profile and hba1c


0 replies
Dr. Anjali Sehrawat
Bachelor of Ayurvedic Medicine and Surgery
96 days ago
5

1.Ashwagandha capsules 2 cap twice daily with warm milk after meals 2.Kapikacchu churna 1/2 tsp twice daily with warm milk or honey after meals 3.Musli pak 1 tsp twice daily with warm milk after meals 4.Shilajit capsules 1 cap once daily with warm milk after meals


0 replies
Dr. Raj Ladani
Bachelor of Ayurvedic Medicine and Surgery
96 days ago
5

At 46 years old with a weight of 56 kg, your symptoms Erectile Dysfunction (ED), Premature Ejaculation (PE), and a desire to increase muscle mass suggest a state of Dhatu Kshaya (depletion of bodily tissues), specifically affecting the Mamsa (muscle) and Shukra (reproductive) tissues. In Ayurveda, this is often driven by an aggravated Vata Dosha, which causes dryness, weakness, and “quickness” in the nervous system. ​To address all three goals (stamina, muscle mass, and sperm count), the treatment must be Brimhana (nourishing) and Vajikarana (aphrodisiac). ​ ​1. Ashwagandhadi Lehyam This is a primary “Pusthi” (nourishing) jam. It is specifically designed to increase body weight, muscle mass, and physical strength while calming the nervous system to help with PE. ​Dose: 1 tablespoon (approx. 10–15g) twice daily, followed by a cup of warm milk. ​2. Musliyadichoornam Safed Musli is one of the most potent herbs for increasing sperm count (semen quality) and improving the strength of erections. ​Dose: 1 teaspoon (5g) mixed with warm milk and a little honey, taken at bedtime. ​3. Dhanwantharam Gulika While often used for respiratory Vata, in this context, it helps stabilize the “Prana” and “Udana” Vata, which can reduce the performance anxiety often associated with ED and PE. ​Dose: 1 tablet twice daily after food. ​4. Maharajaprasarini Thailam (External) This is a powerful oil for strengthening the nerves and muscles of the pelvic region. ​Usage: Gently massage the lower back and the groin area (avoiding the sensitive tip) once a day. This improves local blood circulation and nerve conduction. ​Strategy for Muscle Mass and Stamina ​Since you are 56 kg at age 46, your metabolic fire (Agni) needs to be strong enough to convert your food into muscle. ​Dietary Protocol: * Incorporate Black Gram (Urad Dal), as it is a traditional Vajikarana food that builds muscle and semen. ​Eat Soaked Almonds and Walnuts daily. ​Use A2 Cow Ghee in your meals to provide the healthy fats necessary for testosterone production. ​The “Banana-Milk” Tonic: A classic Ayurvedic weight and stamina builder is a shake made of 1 ripe banana, 2 dates, a pinch of cardamom, and warm milk, taken an hour after breakfast. ​Managing PE and ED ​Breathing Technique: PE is often a result of “High Vata” in the mind. Practicing Nadi Shodhana Pranayama (alternate nostril breathing) for 10 minutes daily is clinically shown to calm the sympathetic nervous system, which governs ejaculation. ​The “Squeeze” and “Stop-Start” Method: Since you are seeking a “good erection,” focus on pelvic floor health. Practice Ashwini Mudra (rhythmic contraction and relaxation of the anal sphincter) to strengthen the muscles that maintain an erection. ​Important Health Check ​At 46, sudden onset of ED can sometimes be an early indicator of cardiovascular health or blood sugar issues (Diabetes). ​Recommendation: Ensure your blood pressure and fasting blood sugar levels are within the normal range. If you are a smoker, quitting is the single most effective way to improve erection quality by restoring vascular health.


0 replies
Dr. Maitri Bhavesh Kumar Acharya
Bachelor of Ayurvedic Medicine and Surgery
95 days ago
5

Hello You are facing 1. Low mood or libido-you start the act but lack excitement or interest. 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, low sperm count- 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 reps3 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 Regards,


0 replies
Dr. Snehal Tasgaonkar
Bachelor of Ayurvedic Medicine and Surgery
89 days ago
5

Diet and Nutrition 1. Balanced diet: Focus on whole, unprocessed foods like fruits, vegetables, whole grains, lean proteins, and healthy fats. 2. Foods rich in antioxidants: Include foods high in antioxidants like berries, leafy greens, and nuts to help reduce oxidative stress. 3. Omega-3 fatty acids: Find omega-3 rich foods like fatty fish, flaxseeds, and walnuts to support heart health. Exercise and Physical Activites 1. Regular exercise: Engage in moderate-intensity exercise, like brisk walking, cycling, or swimming, for at least 30 minutes a day. 2. Pelvic floor exercises: Practice Kegel exercises to strengthen pelvic floor muscles. Stress Management 1. Mindfulness and relaxation: Try techniques like meditation, deep breathing, or yoga to reduce stress and anxiety. 2. Get enough sleep: Aim for 7-8 hours of sleep per night to help regulate hormones and reduce stress. 3. Practise yogasan: Molband, setu bandhasan, chakrasan, veer bhadrasan, halasan, gomukhasan. Other Lifestyle changes 1. Quit smoking 2. Limit alcohol consumption 3. Maintain a healthy weight ??Medication?? Cap. Boostex Forte 2 caps twice a day before food. Tab. Kapikachu Ghana Vati 2 tabs twice a day before food. Tab. Khadiradi Vati 2 tabs twice a day before food. Tab.Makardwaj Ras 2 tabs twice a day before food. Shilajit Gold gum 1 small spoon (the one that comes in the pack) with one cup of hot milk early in the morning. Shwet Musli Pak 1 tsp with a cup of hot cow milk in the morning


0 replies
Dr. Surya Bhagwati
Bachelor of Ayurvedic Medicine and Surgery
83 days ago
5

Start with Ajax capsules 1-0-1 after food with water Promactil capsules 1-0-1 after food with Ashwagandha lehyam 0-0-1tsp after dinner with water Apply balashwagandha oil on penis externally twice. Avipattikar choornam 1tsp daily before lunch with water Remain relaxed and stress free Have early dinner Avoid smoking, alcohol .


0 replies

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