How to treat erectile dysfunction and improve performance in bed? - #57045

आपकी समस्या शीघ्रपतन (Premature Ejaculation), स्तंभन दुर्बलता (Erectile Dysfunction) तथा प्रदर्शन के समय घबराहट/चिंता से संबंधित प्रतीत होती है। लिंग का आकार सामान्य सीमा में होने पर सामान्यतः यौन क्षमता पर प्रभाव नहीं पड़ता। सही कारण जानने के लिए कुछ जांच आवश्यक हैं। -----Advice to Patient: -तनाव, चिंता एवं डर को कम करने का प्रयास करें। -पर्याप्त नींद (7–8 घंटे) लें। -धूम्रपान, तंबाकू, शराब एवं नशीले पदार्थों से बचें। -नियमित व्यायाम, योग एवं प्राणायाम करें। -पौष्टिक आहार लें, अधिक जंक फूड से बचें। ------Investigations: CBC Fasting Blood Sugar / HbA1c Thyroid Profile (TSH) Serum Testosterone (Morning Sample) Vitamin B12 Vitamin D3 ----rx 1) Tab. Chandraprabha Vati – 2 tabs twice daily after meals. 2) Ashwagandha Churna – 3 gm twice daily with milk. 3) Kaunch Beej Churna – 3 gm twice daily with milk. 4) Ashwagandharishta – 20 ml with equal water twice daily after meals. 5) Shilajit Rasayan Vati – 1 tab twice daily after meals. ----Follow-up: 15–30 दिनों बाद अथवा जांच रिपोर्ट के साथ पुनः परामर्श करें। यदि सुबह का erection न आना, मधुमेह, उच्च रक्तचाप या अन्य पुरानी बीमारी हो तो विशेषज्ञ परामर्श भी आवश्यक है।

Jagdish ji, aapke lakshan—ling ka jyada der tak khada na rehna, jaldi veerya nikal jana (premature ejaculation), sex se pehle dar ya ghabrahat hona, aur ling chhota lagna—kaafi purushon mein dekhe jaate hain aur adhiktar cases mein inka safal upchar sambhav hota hai. Sabse pehle yeh samajhiye ki erection ki quality aur performance ling ke size se zyada mahatvapurn hoti hai. Dar aur chinta aksar samasya ko aur badha dete hain. Clinical assessment ke hisab se aapki samasya ke sambhavit karan hain: Performance anxiety (patni ke saamne fail hone ka dar), jo erection ko kamzor kar sakta hai. Mansik tanav, adhik chinta, ya neend ki kami. Sharirik kamzori, poshak tatvon ki kami, ya madhumeh (diabetes) jaise metabolic karan. Ayurvedic drishtikon se Shukra Dhatu kshaya aur Vata prakop ke lakshan bhi dikh rahe hain, jisse erection aur ejaculation dono prabhavit ho sakte hain. Meri Ayurvedic OPD practice mein aise cases mein aam taur par yeh regimen upyogi rehta hai: 1. Ashwagandha Churna 5 gram, subah aur raat ko doodh ke saath, 2–3 mahine. Yeh mansik tanav kam karta hai aur sharirik shakti badhata hai. 2. Kaunch Beej Churna 3 gram, subah-shaam doodh ke saath, 2–3 mahine. Shukra dhatu poshan aur sexual stamina ke liye upyogi. 3. Chandraprabha Vati 2 goli din mein do baar bhojan ke baad, 6–8 hafte. Mutra aur prajanan tantra ko support karti hai. 4. Shilajit Rasayan (standardized) 250–500 mg subah doodh ke saath, 2 mahine. Urja, stamina aur erection support mein sahayak. Bahari upchar mein hafte mein 3–4 baar halka Ashwagandha Bala Taila ya Mahanarayan Taila se kamar aur janghon ki malish ki ja sakti hai. Ling par zor se malish ya kisi tez dawa ka prayog na karein. Khana mein doodh, ghee, badam, akhrot, khajoor, moong dal aur seasonal phal badhayein. Tambaaku, smoking, adhik alcohol, late-night jagna, pornography ka adhik upyog aur bahut teekha-junk food kam karein. Roz 30–40 minute tez chalna aur 10 minute pranayama faydemand rahega. Agar aapko baar-baar peshab aata hai, diabetes hai, erection bilkul nahi banta, ya subah ki natural erection bhi band ho gayi hai, to blood sugar, testosterone aur BP ki jaanch karwana uchit rahega. Niyamit upchar aur lifestyle sudhar se aam taur par 6–12 hafton mein spasht sudhar dekhne ko milta hai. Ling ka size badhane wali adhiktar dawaon ke daave vaigyanik roop se pramanit nahi hain, isliye unse bachna chahiye. Consistency rakhiye, adhikansh cases mein achha improvement milta hai.