How to treat premature ejaculation in a 56-year-old with anxiety and depression? - #54286

At your age, PE is often strongly linked to anxiety, stress, and depression, not just a physical problem. –Your symptoms suggest an imbalance of Vata dosha, affecting both the mind and nervous system, along with weakness of Shukra Dhatu (reproductive tissue) and reduced Ojas (vital energy and confidence). This imbalance can lead to anxiety, obsessive thoughts, low mood, low energy, and early ejaculation. Mental stress and fear further aggravate Vata, creating a cycle of restlessness and loss of control. Treatment focuses on calming Vata, strengthening Ojas, improving digestion, and supporting mental stability through diet, lifestyle, herbs, and mind–body practices. –Rx: 1) Himalaya Mentat – 1 tab at bed time at night 2) aimil Serenite – 1 cap OD at bedtime 4) Chyawanprash – 1 tsp morning with warm milk For 3 months —Advice: Yoga (Anulom Vilom, Bhramari), early sleep, avoid stress & caffeine.

1.Ashwagandha capsules 2 cap twice daily with warm milk after meals 2.Virya sthambhan vati 1 tab twice daily with warm milk after meals 3.Musli pak 1 tsp twice daily with warm milk after meals 4.Saraswatrishta 15 ml with 15 ml water twice daily after meals ADV: -Mind-Body Practices: Practice Anulom Vilom (Alternate Nostril Breathing) and Bhramari Pranayam (Bee Breath) for 10–15 minutes daily to stabilize your nervous system. -Sleep Hygiene: Aim for an early bedtime (by 10:00 PM or 11:00 PM) to allow your body to recover. -Dietary Changes: Strictly avoid caffeine (tea/coffee) and excessively spicy foods, as these further aggravate Vata and increase restlessness.