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How to treat premature ejaculation in a 56-year-old with anxiety and depression?
Sexual Health & Disorders
Consultation #54286
73 days ago
451

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

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I am 56 and suffer from Premature ejaculation. I also have anxiety ocd obsessive compulsive disorder ( handwashing),depression, lack of self confidence, social anxiety, inferiority complex

How long have you been experiencing premature ejaculation?:

- More than 1 year

How would you rate the severity of your premature ejaculation?:

- Moderate — frequent concerns

Do you notice any specific triggers for your anxiety or OCD symptoms?:

- Certain thoughts or reminders

How often do your anxiety and depression symptoms affect your daily life?:

- Always — overwhelming

How is your overall energy level throughout the day?:

- Very low — constant fatigue

Have you tried any treatments for your anxiety or premature ejaculation before?:

- No, this is the first time seeking help

How would you describe your social interactions?:

- Very anxious

Doctors' responses

Dr. Sara Garg
Bachelor of Ayurvedic Medicine and Surgery
73 days ago
5

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.


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

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.


0 replies
Dr. Snehal Tasgaonkar
Bachelor of Ayurvedic Medicine and Surgery
72 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. Maitri Bhavesh Kumar Acharya
Bachelor of Ayurvedic Medicine and Surgery
31 days ago
5

Hello, Premature ejaculation means the release of semen sooner than expected – often before or immediately after penetration – causing dissatisfaction or distress for you or your partner. It is not a disease, but rather a functional imbalance related to your penis, nerves, and reproductive system. What causes it? 1) Hypersensitivity = The tip (head) of the penis is overly sensitive -> rapid arousal -> premature climax 2) Anxiety and stress = Fear of failure or overthinking causes the brain to initiate ejaculation prematurely. 3) Excessive masturbation = The habit of finishing quickly trains the brain for premature ejaculation. 4) Weak nerve control = Poor control over pelvic muscles and reproductive nerves. 5) Hormonal/Physical problems = Sometimes low testosterone, prostatitis, or thyroid imbalance. In Ayurveda, premature ejaculation is seen in: - Shukra Kshaya = Weakness of the reproductive system/tissue - Vata Vriddhi = Increase in Vata dosha leading to premature ejaculation - Klaibya = Lack of power or stability in sexual performance Treatment Goals - Reduce hypersensitivity of the glans and strengthen local nerves - Stabilize mind-body coordination by balancing Vata dosha - Improve reproductive tissue nourishment - Calm anxiety and improve confidence - Boost stamina and overall vitality Start Internally 1) Ashwagandha powder - 1 teaspoon with warm milk twice a day, morning and night for 3-6 months = Adaptogen, reduces stress, strengthens reproductive organs. 2) Kaunch Beej powder - 1 teaspoon with honey and milk twice a day for 3-4 months = Increases libido, sperm quality, and stamina. 3) Shilajit Capsules (Gold) - 1 capsule once a day with lukewarm milk for 2-3 months = Aphrodisiac, energizing, balances Vata and Kapha. 4) Safed Musli Powder - Twice a day with warm milk for 5 minutes = Powerful aphrodisiac herb for strength and thickening of semen 5) Brihat Chintamani Ras - 125 mg with honey at night = Nervous debility, excessive Vata, tremors, mental weakness 6) Confido Tablets (Himalaya) - 1 tablet twice a day = Reduces performance anxiety, improves control over ejaculation Duration = 6-8 weeks External Use 1) Ashwagandha Bala Oil - Massage daily on the base of the penis, thighs and lower abdomen - For 5-10 minutes - Do not apply to the tip of the penis or the urethral opening = Strengthens nerves and improves blood flow 2) Shukra Vardhak Lep - Local herbal paste - Apply to the pubic area or inner thighs - not directly on the genitals Avoid = Frequent chemical delay sprays - Occasional use is safe, but regular use can be harmful. Causes numbness and long-term insensitivity - Prefer mild herbal formulations such as - Himcolin Gel (Himalaya) - Ayushman Vajikaran Oil Diet - Dairy products = Milk, Ghee, Paneer - Nourishes Shukra Dhatu (reproductive tissue) - Dry fruits = Soaked roasted almonds, walnuts and figs - Increases sperm count and energy - Vegetables = Carrots, beetroot, spinach - Increases blood and vitality - Spices = Asparagus, saffron, cardamom - Aphrodisiac and calming - Sweet taste = Rice, jaggery, dates - Increases Ojas and Shukra (vitality and reproductive fluid) Completely avoid these - Tea, coffee, alcohol, smoking - Junk food, processed food - Excessively spicy or sour foods - Cold, stale or fermented food - Staying up late at night (Ratri Jagaran) Now comes the most important part, follow these: 1) Kegel Exercises (Mula Bandha in Yoga) Objective - Strengthen the pelvic floor muscles which help in erection and ejaculation control. How to do it- - Sit/lie down and tighten the muscles you use to stop urination mid-stream. - Hold for 5-10 seconds, then release. - Repeat 15-20 times, 3 sets daily - morning, afternoon, night Advanced - To strengthen delayed ejaculation, try Kegel contractions during arousal, foreplay or urine control. 2) Pelvic Thrust Exercise (Bridge Pose) - Lie on your back, bend your knees, feet flat on the floor. - Lift your hips while squeezing your buttocks and engaging your core. - Hold for 10 seconds and release. - Repeat 15 times * 3 sets. 3) Yoga Asanas for Sexual Power - Bhujangasana (Cobra Pose) = Improves pelvic blood circulation. -Paschimottanasana = Improves semen quality -Vajrasana after meals = Improves digestion and Shukra Dhatu (reproductive tissue) -Ashwini Mudra (anal contraction) = Controls premature ejaculation #Pranayama - Do for 10-15 minutes daily -Anulom Vilom - Balances the nervous system -Bhramari - Calms the mind, reduces overstimulation -Udgeeth - Increases confidence and vitality #Emotional and Mental Balance What problems are you facing? -Fear of disappointing your partner -Guilt due to past unsuccessful experiences -Excessive dependence on pornography/artificial stimuli -Fatigue due to lack of sleep/poor diet Home Remedies -Nutmeg + Honey = 1/4 teaspoon nutmeg powder and 1 teaspoon honey at night - Improves nerve control -Warm milk with Ashwagandha powder = Natural aphrodisiac and stress reliever -Soaked almonds 5-6 + dates 2 daily = Increases stamina -Fenugreek seeds soaked overnight - Helps in hormone balance and rejuvenation What to do -Accept - Sexual weakness can be overcome, don’t panic -Communicate - Emotional intimacy > physical performance -Enjoy slow foreplay Take your time – don’t rush. - Practice a brahmacharya-based detox – abstinence (no sex, no masturbation) for 10-15 days (without any arousal), then gradually ease back into it. - Get at least 7 hours of sleep every night. - Completely avoid pornography and excessive masturbation. Final Advice: - Start this protocol, continue for 8-12 weeks, and you will see noticeable improvement within a week. - Relieve performance anxiety. Avoid it. - Be natural, stay grounded, and be committed to the treatment. Follow this regularly. Hope this helps. Thank you. नमस्ते, शीघ्रपतन (Premature ejaculation) का मतलब है उम्मीद से पहले वीर्य का निकल जाना – अक्सर पेनिट्रेशन (संभोग) से पहले या तुरंत बाद – जिससे आपको या आपके पार्टनर को असंतोष या परेशानी होती है। यह कोई बीमारी नहीं है, बल्कि आपके लिंग, नसों और प्रजनन प्रणाली से जुड़ी एक फंक्शनल असंतुलन (कार्यप्रणाली में गड़बड़ी) है। इसके कारण क्या हैं? 1) हाइपरसेंसिटिविटी (बहुत ज़्यादा संवेदनशीलता) = लिंग का अगला हिस्सा (head) बहुत ज़्यादा संवेदनशील होना -> जल्दी उत्तेजना -> जल्दी चरम सीमा (climax) तक पहुँचना। 2) एंग्जायटी और स्ट्रेस (चिंता और तनाव) = फेल होने का डर या ज़्यादा सोचने से दिमाग जल्दी स्खलन (ejaculation) शुरू कर देता है। 3) ज़्यादा हस्तमैथुन (masturbation) = जल्दी खत्म करने की आदत दिमाग को शीघ्रपतन के लिए तैयार कर देती है। 4) कमज़ोर नर्व कंट्रोल = पेल्विक मांसपेशियों और प्रजनन नसों पर कमज़ोर कंट्रोल। 5) हार्मोनल/शारीरिक समस्याएँ = कभी-कभी टेस्टोस्टेरोन की कमी, प्रोस्टेटाइटिस या थायरॉयड असंतुलन। आयुर्वेद में, शीघ्रपतन को इन स्थितियों से जोड़कर देखा जाता है: - शुक्र क्षय = प्रजनन प्रणाली/टिश्यू की कमज़ोरी - वात वृद्धि = वात दोष का बढ़ना जिससे शीघ्रपतन होता है - क्लैब्य (Klaibya) = यौन प्रदर्शन में शक्ति या स्थिरता की कमी इलाज के लक्ष्य - लिंग के अगले हिस्से (glans) की संवेदनशीलता कम करना और स्थानीय नसों को मज़बूत करना - वात दोष को संतुलित करके मन और शरीर के तालमेल को स्थिर करना - प्रजनन टिश्यू के पोषण में सुधार करना - चिंता कम करना और आत्मविश्वास बढ़ाना - स्टैमिना और कुल मिलाकर जीवन-शक्ति (vitality) बढ़ाना अंदरूनी इलाज शुरू करें 1) अश्वगंधा पाउडर - 1 चम्मच गर्म दूध के साथ दिन में दो बार, सुबह और रात को 3-6 महीने तक लें = एडाप्टोजेन, तनाव कम करता है, प्रजनन अंगों को मज़बूत करता है। 2) कौंच बीज पाउडर - 1 चम्मच शहद और दूध के साथ दिन में दो बार 3-4 महीने तक लें = कामेच्छा (libido), स्पर्म की क्वालिटी और स्टैमिना बढ़ाता है। 3) शिलाजीत कैप्सूल (गोल्ड) - 1 कैप्सूल दिन में एक बार गुनगुने दूध के साथ 2-3 महीने तक लें = कामोत्तेजक (aphrodisiac), ऊर्जा देने वाला, वात और कफ को संतुलित करता है। 4) सफ़ेद मूसली पाउडर - दिन में दो बार गर्म दूध के साथ = ताकत और वीर्य को गाढ़ा करने के लिए असरदार कामोत्तेजक जड़ी-बूटी 5) बृहत् चिंतामणि रस - रात में शहद के साथ 125 mg = नसों की कमजोरी, बढ़ा हुआ वात, कंपन, मानसिक कमजोरी 6) कॉन्फिडो टैबलेट (हिमालय) - दिन में दो बार 1 टैबलेट = परफॉर्मेंस एंग्जायटी (प्रदर्शन की चिंता) कम करता है, स्खलन पर नियंत्रण बेहतर करता है समय - 6-8 हफ़्ते बाहरी इस्तेमाल 1) अश्वगंधा बाला तेल - रोज़ाना लिंग के निचले हिस्से, जांघों और पेट के निचले हिस्से पर मालिश करें - 5-10 मिनट तक - लिंग के अगले हिस्से (टिप) या मूत्र मार्ग के छेद पर न लगाएं = नसों को मज़बूत करता है और रक्त संचार बेहतर करता है 2) शुक्र वर्धक लेप - हर्बल पेस्ट - प्यूबिक एरिया (जननांगों के आस-पास का हिस्सा) या जांघों के अंदरूनी हिस्से पर लगाएं - सीधे जननांगों पर नहीं क्या न करें = बार-बार केमिकल वाले डिले स्प्रे (देरी करने वाले स्प्रे) का इस्तेमाल - कभी-कभी इस्तेमाल सुरक्षित है, लेकिन नियमित इस्तेमाल नुकसानदायक हो सकता है। इससे सुन्नपन और लंबे समय तक संवेदनशीलता खत्म हो सकती है - हल्के हर्बल फ़ॉर्मूले चुनें जैसे - हिमकोलिन जेल (हिमालय) - आयुष्मान वाजीकरण तेल आहार - डेयरी उत्पाद = दूध, घी, पनीर - शुक्र धातु (प्रजनन ऊतक) को पोषण देते हैं - ड्राई फ्रूट्स = भीगे हुए भुने बादाम, अखरोट और अंजीर - स्पर्म काउंट और ऊर्जा बढ़ाते हैं - सब्ज़ियां = गाजर, चुकंदर, पालक - खून और जीवन शक्ति (वाइटैलिटी) बढ़ाते हैं - मसाले = शतावरी, केसर, इलायची - कामोत्तेजक और शांत करने वाले - मीठा स्वाद = चावल, गुड़, खजूर - ओज और शुक्र (जीवन शक्ति और प्रजनन द्रव) बढ़ाते हैं इनसे पूरी तरह बचें - चाय, कॉफ़ी, शराब, धूम्रपान - जंक फ़ूड, प्रोसेस्ड फ़ूड - बहुत ज़्यादा तीखा या खट्टा खाना - ठंडा, बासी या फर्मेंटेड (खमीर वाला) खाना - देर रात तक जागना (रात्रि जागरण) अब सबसे ज़रूरी हिस्सा आता है, इनका पालन करें: 1) कीगल एक्सरसाइज (योग में मूल बंध) उद्देश्य - पेल्विक फ़्लोर की मांसपेशियों को मज़बूत करना जो इरेक्शन (लिंग में तनाव) और स्खलन पर नियंत्रण में मदद करती हैं। कैसे करें- - बैठें/लेट जाएं और उन मांसपेशियों को कसें जिनका इस्तेमाल आप पेशाब को बीच में रोकने के लिए करते हैं। - 5-10 सेकंड तक रोकें, फिर छोड़ दें। - इसे 15-20 बार दोहराएं, रोज़ाना 3 सेट करें - सुबह, दोपहर और रात में। एडवांस्ड - देर से स्खलन (delayed ejaculation) की समस्या को ठीक करने के लिए, उत्तेजना, फोरप्ले या पेशाब रोकते समय कीगल एक्सरसाइज (मांसपेशियों को सिकोड़ने की कसरत) करें। 2) पेल्विक थ्रस्ट एक्सरसाइज (ब्रिज पोज़) - पीठ के बल लेट जाएं, घुटने मोड़ें और पैर ज़मीन पर सपाट रखें। - अपने कूल्हों (hips) को ऊपर उठाएं और साथ ही अपने बटक्स (नितंबों) और कोर की मांसपेशियों को सिकोड़ें। - 10 सेकंड तक रोकें और फिर छोड़ दें। - 15 बार * 3 सेट दोहराएं। 3) यौन शक्ति के लिए योगासन - भुजंगासन (कोबरा पोज़) = पेल्विक क्षेत्र में रक्त संचार बेहतर करता है। - पश्चिमोत्तानासन = वीर्य की गुणवत्ता में सुधार करता है। - भोजन के बाद वज्रासन = पाचन और शुक्र धातु (प्रजनन ऊतक) में सुधार करता है। - अश्विनी मुद्रा (गुदा की मांसपेशियों को सिकोड़ना) = शीघ्रपतन (premature ejaculation) को नियंत्रित करती है। #प्राणायाम - रोज़ाना 10-15 मिनट करें - अनुलोम-विलोम - तंत्रिका तंत्र (nervous system) को संतुलित करता है। - भ्रामरी - मन को शांत करता है, अत्यधिक उत्तेजना को कम करता है। - उद्गीथ - आत्मविश्वास और ऊर्जा बढ़ाता है। #भावनात्मक और मानसिक संतुलन आपको किन समस्याओं का सामना करना पड़ रहा है? - पार्टनर को निराश करने का डर - अतीत के असफल अनुभवों के कारण अपराधबोध (guilt) - पोर्नोग्राफी/कृत्रिम उत्तेजना पर अत्यधिक निर्भरता - नींद की कमी/खराब खान-पान के कारण थकान घरेलू उपाय - जायफल + शहद = रात में 1/4 चम्मच जायफल पाउडर और 1 चम्मच शहद लें - नसों पर नियंत्रण बेहतर करता है। - अश्वगंधा पाउडर के साथ गर्म दूध = प्राकृतिक कामोत्तेजक (aphrodisiac) और तनाव कम करने वाला। - रोज़ाना 5-6 भीगे हुए बादाम + 2 खजूर = बढ़ाता है…स्टैमिना बढ़ाएं - रात भर भिगोए हुए मेथी के बीज - हार्मोन बैलेंस और शरीर को फिर से ऊर्जावान बनाने में मदद करते हैं। क्या करें - स्वीकार करें - सेक्स से जुड़ी कमज़ोरी को ठीक किया जा सकता है, घबराएं नहीं। - बातचीत करें - शारीरिक परफॉर्मेंस से ज़्यादा ज़रूरी है इमोशनल नज़दीकी। - धीरे-धीरे फोरप्ले का आनंद लें, जल्दबाज़ी न करें। - ब्रह्मचर्य पर आधारित डिटॉक्स अपनाएं - 10-15 दिनों तक संयम रखें (बिना सेक्स या हस्तमैथुन के, और बिना किसी उत्तेजना के), फिर धीरे-धीरे सामान्य स्थिति में लौटें। - हर रात कम से कम 7 घंटे की नींद लें। - पोर्नोग्राफी और ज़्यादा हस्तमैथुन से पूरी तरह बचें। आखिरी सलाह: - इस तरीके को अपनाएं और 8-12 हफ़्तों तक जारी रखें; आपको एक हफ़्ते के अंदर ही साफ़ सुधार दिखेगा। - परफॉर्मेंस को लेकर होने वाली घबराहट (एंग्जायटी) से बचें। - नैचुरल रहें, ज़मीन से जुड़े रहें और इलाज के प्रति समर्पित रहें। इसे नियमित रूप से अपनाएं। उम्मीद है इससे मदद मिलेगी। धन्यवाद।


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Client_ecfa68
7 days ago
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12 days ago
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13 days ago
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13 days ago
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