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What to do for erectile dysfunction and premature ejaculation in a diabetic patient?
Sexual Health & Disorders
Question #56762
21 days ago
22

What to do for erectile dysfunction and premature ejaculation in a diabetic patient? - #56762

Client_b17bbf
$3

Sar namaste sar mujhe Parivar songs diabetes hai vah mujhe sex samasya a rahi hai Sahi samay per na to khada ho raha hai na hi jaldi discharge ho ja raha hai FIR to khada nahin ho raha hai dusra jaldi discharge ho ja raha hai uske liye koi acchi Si dawai bataen sar Mera shukr 200 plus rahata Hai fasting

How long have you been experiencing these sexual health issues?:

- More than 6 months

How would you rate the severity of your erectile dysfunction?:

- Severe — inability to maintain an erection

Have you noticed any specific triggers for your symptoms?:

- No clear triggers

How is your overall blood sugar control?:

- Frequent high levels

What medications are you currently taking for diabetes?:

- Oral medications

How is your digestion and appetite?:

- Poor appetite

How often do you exercise?:

- Not at all
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Doctors' responses

●Namaste🙏. Welcome to Ask Ayurveda.Understanding your health concerns is the first step toward effective management. Given that your fasting blood sugar is consistently above 200 mg/dL, it is crucial to address the underlying diabetes while managing the resulting sexual health issues. Persistent high blood sugar often affects nerves and blood flow, which are the primary reasons for the symptoms you described. ●Integrated Ayurvedic Approach for Diabetes and Reproductive Health The following protocol combines traditional ▪︎Vajikarana (virility-enhancing) therapy with necessary lifestyle adjustments. Please note that while these herbs support sexual function, they work best when blood sugar levels are controlled. ▪︎Ashwagandha (Withania somnifera): Renowned as a potent adaptogen, it is semen-enhancing and effective in increasing testosterone levels and improving overall muscular power, which helps combat general weakness. ▪︎Kaunch (mucuna pruriens): An excellent Vajikarana substance and powerful sperm enhancer. It contains L-Dopa, a precursor to dopamine, which is essential for healthy sperm production and maintaining neuro-hormonal balance. ▪︎Gokshur (Tribulus terrestris): Traditionally used to destroy urinary disorders and purify the body’s dhatus (tissues). It provides significant erectile power due to its active compound, Protodioscin, which is known to improve sexual desire and sperm quality. ▪︎White Musli (Chlorophytum borivilianum): Primarily used to increase “sperm strength” and semen lubricity. It is rich in natural steroids and saponins, which enhance physical stamina and overall fertility. ▪︎Vidarikand (Pueraria tuberosa): A vital sperm enhancer that supports fertility. Its phytoestrogenic elements specifically nourish and rejuvenate the reproductive organs. ●Preparation and Usage To maintain the potency of these herbs, proper preparation is essential: ▪︎Preparation: Grind all the above herbs separately into a fine powder (60-80 mesh). Mix them thoroughly and store the mixture in an airtight glass or tin container to protect it from moisture and light. This ensures the shelf life and efficacy of the formulation. ▪︎Dosage and Consumption:Take 1 teaspoon (approximately 3–5 grams) of this powder. The recommended method is to mix it with lukewarm milk—however, since your fasting blood sugar is 200+ mg/dL, please omit the sugar candy (mishri) entirely. Use only warm milk. Consume this at bedtime to allow the body to absorb the nutrients during the night. ▪︎Duration: For noticeable results in Vajikarana therapy, consistent daily consumption for at least 3 months is necessary. ●Local Application and Lifestyle In addition to internal medicine, external support is vital for erectile health: ▪︎Massage Therapy:Perform a gentle massage on the genital area using Bala Ashwagandha oil or Almond oil. Do this twice a day. This improves localized blood circulation and helps in strengthening the supporting tissues. ▪︎ High glucose levels can cause diabetic neuropathy, which directly interferes with the ability to maintain an erection. Ayurvedic herbs are most effective when your blood sugar is brought closer to the target range.


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नमस्ते। यदि आपको मधुमेह (Diabetes) है और शुगर फास्टिंग 200 mg/dL से अधिक रहती है, तो इरेक्शन की समस्या (Erectile Dysfunction) और शीघ्रपतन का प्रमुख कारण अनियंत्रित शुगर हो सकता है। सबसे पहले शुगर नियंत्रण पर ध्यान देना आवश्यक है। आयुर्वेदिक उपचार: • Chandraprabha Vati – 2 गोली दिन में 2 बार भोजन के बाद। • Ashwagandha Churna – 3 ग्राम सुबह और रात को दूध के साथ। • Kaunch Beej Churna – 3 ग्राम रात को दूध के साथ। • Shilajit Rasayan Vati – 1 गोली सुबह और 1 गोली रात को भोजन के बाद। आहार एवं दिनचर्या: • मीठा, कोल्ड ड्रिंक, मिठाई, मैदा और जंक फूड बंद करें। • प्रतिदिन 30–45 मिनट तेज चाल से चलें। • पर्याप्त नींद लें और तनाव कम रखें। जांच: • HbA1c • Kidney Function Test • Testosterone level • Lipid Profile


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नमस्ते, आपको ये समस्याएं हो सकती हैं: 1. कम सेक्स की इच्छा (लो लिबिडो) 2. कमज़ोर या बिना इरेक्शन के - अधूरा इरेक्शन या उसे बनाए रखने में मुश्किल। 3. शीघ्रपतन (प्रीमैच्योर इजैक्युलेशन) - कुछ ही मिनटों में या पेनिट्रेशन से पहले ही वीर्य निकल जाना 4. सेक्स के बाद थकान - सेक्स के बाद एनर्जी या आत्मविश्वास की कमी या फेल होने का डर 5. लिंग का आकार ध्यान दें = लिंग का आकार बहुत ज़्यादा नहीं बढ़ाया जा सकता, यह एक प्राकृतिक प्रक्रिया है, इसलिए आकार पर ध्यान देने के बजाय अपनी ताकत और ऊर्जा (वाइटैलिटी) बढ़ाने पर ध्यान दें। संभावित कारण - -मानसिक तनाव = परफॉर्मेंस एंग्जायटी (प्रदर्शन की चिंता), डिप्रेशन, खुद के बारे में खराब सोच -खराब ब्लड फ्लो = लिंग के टिश्यू तक नाइट्रिक ऑक्साइड न पहुंचना -नसों की कमजोरी = उत्तेजना में देरी और संवेदना (सेंसेशन) कम होना -हार्मोनल असंतुलन = टेस्टोस्टेरोन कम होना या प्रोलैक्टिन बढ़ना -शीघ्रपतन = अक्सर संवेदनशील नसों और स्टैमिना की कमी के कारण। #आयुर्वेदिक समझ: आपके लक्षण ‘शुक्र क्षय’ (वीर्य की कमी) और ‘वात दोष’ के बिगड़ने के क्लासिक संकेत हैं, खासकर: -क्लाइब्य (इरेक्टाइल डिस्फंक्शन/नपुंसकता) - कम स्टैमिना/ऊर्जा के कारण -शुक्र वेग (स्खलन पर नियंत्रण न होना) - कमजोर वीर्य के कारण -ओजक्षय - कम ऊर्जा, थकान, मानसिक तनाव। इलाज का लक्ष्य: 1) इरेक्शन की ताकत और समय बढ़ाना 2) कामेच्छा (लिबिडो) और आत्मविश्वास बढ़ाना 3) शीघ्रपतन को नियंत्रित करना 4) शुक्र धातु (वीर्य और जीवन शक्ति) को पोषण देना 5) मानसिक तनाव/चिंता कम करना। #इन दवाओं को लगातार 3 महीने तक लें *सुबह (खाली पेट) 1) शिलाजीत गोल्ड कैप्सूल - 1 कैप्सूल गर्म दूध के साथ = यह स्टैमिना, टेस्टोस्टेरोन और कामेच्छा बढ़ाता है 2) अश्वगंधा चूर्ण - 1 चम्मच आधे गिलास गर्म दूध के साथ = एडाप्टोजेन: तनाव कम करता है और वीर्य की गुणवत्ता में सुधार करता है #खाने के बाद (दिन में दो बार - लंच और डिनर के बाद) 3) बृहत् वातचिंतामणि रस (प्लेन) - 1 गोली शहद के साथ = नसों को मजबूत करता है और इरेक्शन पर नियंत्रण बेहतर करता है 4) स्वर्ण माक्षिक भस्म - 125 mg + कौंच बीज चूर्ण - 1 चम्मच (गर्म दूध में मिलाकर) = स्पर्म रिटेंशन (वीर्य रोकने की क्षमता) में सुधार करता है और मूड को बेहतर बनाता है #सोते समय 5) योहिम्बाइन या आत्मगुप्त चूर्ण - 1 चम्मच दूध के साथ सोते समय = प्राकृतिक कामोत्तेजक (एफ्रोडिसिएक), उत्तेजना के लिए डोपामाइन बढ़ाता है #बाहरी थेरेपी 1) गर्म तेल से मालिश - पेल्विक एरिया (कमर के निचले हिस्से) पर खास ध्यान - शतावरी तेल या अश्वगंधा-बला तेल से - कमर के निचले हिस्से, पेट, जांघों के अंदरूनी हिस्से और ग्रोइन एरिया (जननांगों के आसपास का हिस्सा) पर - समय: रोज़ या हफ्ते में 3-4 बार - अवधि: 15-20 मिनट - इस्तेमाल से पहले तेल हमेशा गर्म करें - पेट के निचले हिस्से और ग्रोइन पर हल्के गोलाकार स्ट्रोक का इस्तेमाल करें - आखिर में गर्म तौलिये से पोंछें या गुनगुने पानी से नहाएं 2) खास हर्बल स्टीम थेरेपी (भाप लेना) - तेल की मालिश के बाद - यह वैसोडिलेशन (रक्त वाहिकाओं का फैलना) में मदद करता है - रक्त वाहिकाओं को खोलता है और इरेक्शन को बेहतर बनाता है - बहुत फायदेमंद है। नसों से जुड़ी ED या कम सेंसिटिविटी के लिए - गर्म पानी का एक बड़ा बर्तन लें और उसमें दशमूल, त्रिफला, वचा जैसी जड़ी-बूटियाँ डालें - शरीर के निचले हिस्से को कपड़े से ढक लें, जांघों, पेट के निचले हिस्से और कूल्हों पर हर्बल भाप लगने दें - समय = 10-12 मिनट 3) शुक्र तेल - 2-3 बूंदें लें और लिंग के शाफ़्ट (अगले हिस्से/ग्लैन्स को छोड़कर) पर लगाएं, सोने से पहले 5 मिनट तक हल्के हाथ से मालिश करें 4) कपूर के साथ तिल का तेल - कपूर के तेल की 2 बूंदें मिलाकर हल्का गर्म करें, सिर्फ़ शाफ़्ट पर लगाएं, हल्की मालिश करें = रोज़ाना नोट - सिर्फ़ अच्छी क्वालिटी वाले सर्टिफाइड आयुर्वेदिक ब्रांड जैसे दूतपापेश्वर, वैद्यनाथ, ऊंझा या दिव्य फार्मेसी के प्रोडक्ट ही इस्तेमाल करें #सीमेन-पोषण देने वाला आहार - रोज़ाना ये चीज़ें ज़रूर खाएं - गाय का घी, सूखे खजूर या इलायची वाला दूध - रात में सफ़ेद प्याज़ का रस या लहसुन वाला दूध - काले तिल, कद्दू के बीज, भीगे हुए बादाम - उबला अंडा, केला, एवोकाडो, अंजीर, खजूर - सफ़ेद मूसली + गोक्षुर + अश्वगंधा की हर्बल चाय #सख्ती से बचें - तला-भुना, खट्टा, बहुत ज़्यादा मसालेदार खाना - ज़्यादा चाय, कॉफ़ी, कोल्ड ड्रिंक्स - स्मोकिंग, शराब, पोर्न देखना, बार-बार हस्तमैथुन - देर रात खाना या रात में मोबाइल फ़ोन का इस्तेमाल अब सबसे ज़रूरी बात जो फ़ॉलो करनी है 1) कीगल एक्सरसाइज़ (योग में मूल बंध) मकसद - पेल्विक फ़्लोर की मांसपेशियों को मज़बूत करना जो इरेक्शन और सीमेन कंट्रोल में मदद करती हैं कैसे करें - - बैठें/लेट जाएं और उन मांसपेशियों को सिकोड़ें जिनका इस्तेमाल आप पेशाब को बीच में रोकने के लिए करते हैं - 5-10 सेकंड तक रोकें, फिर छोड़ दें - 15-20 बार दोहराएं, रोज़ाना 3 सेट - सुबह, दोपहर, रात एडवांस्ड - उत्तेजना, फोरप्ले या पेशाब रोकते समय कीगल कॉन्ट्रैक्शन करने की कोशिश करें ताकि स्खलन में देरी हो सके 2) पेल्विक थ्रस्ट एक्सरसाइज़ (ब्रिज पोज़) - पीठ के बल लेटें, घुटने मोड़ें, पैर ज़मीन पर सपाट रखें - कूल्हों को ऊपर उठाएं और साथ ही कूल्हों की मांसपेशियों को सिकोड़ें और कोर को टाइट रखें - 10 सेकंड तक रोकें और छोड़ दें - 15 रेप्स * 3 सेट करें 3) सेक्सुअल ताकत के लिए योगासन - भुजंगासन = पेल्विक सर्कुलेशन बढ़ाता है - पश्चिमोत्तानासन = सीमेन की क्वालिटी बढ़ाता है - खाने के बाद वज्रासन = पाचन सुधारता है और शुक्र धातु - अश्विनी मुद्रा (एनल लॉक) = शीघ्रपतन (premature ejaculation) को कंट्रोल करती है। #प्राणायाम - रोज़ 10-15 मिनट करें - अनुलोम-विलोम (नसों को संतुलित करता है) - भ्रामरी (मन को शांत करता है, ज़्यादा उत्तेजना कम करता है) - उद्गीथ (आत्मविश्वास और ओज बढ़ाता है)। #भावनात्मक और मानसिक संतुलन - आपको इन समस्याओं का सामना करना पड़ सकता है: पार्टनर को निराश करने का डर - पिछले असफल अनुभवों का पछतावा - पोर्न/आर्टिफिशियल ट्रिगर्स पर ज़्यादा निर्भरता - नींद/डाइट की कमी से थकान। क्या करें - इसे स्वीकार करें - यौन कमजोरी ठीक हो सकती है, घबराएं नहीं - बात करें - शारीरिक परफॉर्मेंस से ज़्यादा भावनात्मक जुड़ाव ज़रूरी है - धीरे-धीरे फोरप्ले का आनंद लें - जल्दबाजी न करें - ब्रह्मचर्य-आधारित डिटॉक्स का अभ्यास करें - 10-15 दिन तक परहेज करें (कोई यौन क्रिया नहीं, हस्तमैथुन नहीं, उत्तेजना नहीं), फिर धीरे-धीरे वापस सामान्य स्थिति में आएं - रात में कम से कम 7 घंटे सोएं - पोर्न और ज़्यादा हस्तमैथुन से सख्ती से बचें। आखिरी सलाह - इस प्रोटोकॉल को 8-12 हफ़्ते तक अपनाएं और साफ़ सुधार देखें।1 हफ़्ते में - परफ़ॉर्मेंस का तनाव न लें - नैचुरल और शांत रहें, और ठीक होने पर ध्यान दें। उम्मीद है यह मददगार होगा। धन्यवाद। इसे लगातार फ़ॉलो करें। डॉ. मैत्री आचार्य


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••Namaste. Aapki samasya ko main bilkul samajh raha hoon. Diabetes (Madhumeha) ke marizon mein Erectile Dysfunction (ED) yaani sahi samay par kadakpan na aana, aur Premature Ejaculation (PE) yaani jaldi discharge ho jana, ek behad aam samasya hai. ••Jab tak aapka fasting sugar 200+ mg/dL rahega, tab tak koi bhi vaajikarana (sexual health) dawai poori tarah asar nahi karegi. Isliye hamara sabse pehla aur mukhy lakshya blood sugar ko control karna hai. Ek Ayurvedic practitioner ke naate, main aapko ek complete treatment approach bata raha hoon: 1. Madhumeha (Sugar) Control Karne Ki Aushadhi •Sabse pehle sugar ko 100-120 (fasting) ke daayre mein lana zaroori hai. Iske liye aap yeh classical Ayurvedic aushadhiyan shuru kar sakte hain: ••Chandraprabha Vati: 2-2 goli subah aur shaam ko gungune paani ke saath (Yeh urinary system aur diabetes dono mein behad asardari hai). ••Vasant Kusumakar Ras: 1 ratti (125mg) subah aur shaam ko shahad ya malai ke saath (Agar sugar zyada hai, toh bina shahad ke gungune paani se lein). Yeh diabetes ke complications aur nervine weakness ko door karne ki sabse behtareen dawai hai. ••Gudmar / Neem / Kareela Churna: 3-3 gram khali pet subah aur shaam. 2. Joun Samasya (ED & PE) Ke Liye Vaajikarana Yoga Jab sugar dheere-dheere niyantran mein aane lage, tab ling ki nason ko taqat dene aur timing badhane ke liye aap yeh aushadhiyan le sakte hain: ••Ashwagandha Churna + Shatavari Churna: Dono ko barabar matra mein mila lein. 1 chammach (3-5 gram) subah aur shaam ko feeke (bina cheeni ke) gungune doodh ke saath lein. Yeh nason ko taqat dega aur jaldi discharge hone ki samasya (Vata dosha) ko shant karega. ••Shilajitwadi Vati (ya Shuddha Shilajit): 1-1 goli din mein do baar doodh ke saath. Shilajit testosterone level ko badhata hai aur diabetes ki wajah se aayi kamzori ko door karta hai. ••Siddha Makardhwaj: 1 ratti (125mg) rozana raat ko doodh ke saath lein. Yeh ling mein blood circulation ko sudharta hai jisse kadakpan sahi aata hai. 3. Parhez aur Jeevan-Shaili (Diet & Lifestyle) Ayurveda mein Nidana Parivarjana (bimari ke kaaran ko rokna) sabse zaroori hai: Meetha aur Carbohydrates band karein: Cheeni, chawal, maida, aur aloo se bilkul door rahein. ••Aahar mein badlav: Methi, karela, jamun, jowar, aur bajra ka sevan zyada karein. ••Vyayam (Exercise): Rozana kam se kam 30-45 minute tez paidal chalein (brisk walking) ya Yoga (Mandukasana, Paschimottanasana) karein. Isse insulin sensitivity badhegi aur sugar tezi se kam hoga


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