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Sexual Health & Disorders
Question #19550
248 days ago
219,232

Erectile dysfunction and premature ejaculation - #19550

Dawood

So I am 42yrs male with onset of erectile dysfunction and premature ejaculation from the last 5yrs. These have progressed to the point that now I don't have erection and also my desire for sex has decreased. I have no other diseases like diabetes or hypertension etc.i have weight of 95kg and I don't have any issues with my wife ,she always loves me but I want to have sex with her again and be near to her .previously I was alright and have 3 kids.

Age: 42
Chronic illnesses: Nil
PAID
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Doctors' responses

Hello Mr Dawood, Thank you for reaching out! To better understand your situation, could you share if you’ve experienced any stress, anxiety, or depression in the past few years? Do you smoke, drink alcohol, or use any recreational drugs? Have you noticed changes in your energy levels, mood, or sleep patterns? Are you currently taking any medications or supplements? Lastly, have you had your testosterone or other hormone levels checked, or undergone any medical evaluations for your symptoms? Your answers will help in identifying possible causes and finding suitable treatment options.

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Namaste, Dawood.

Your condition can be effectively managed through Ayurveda by strengthening the reproductive system, improving circulation, and reducing stress. Start on 1. Ashwagandha Churna – ½ teaspoon with warm milk at bedtime. 2… yavanamruta vati–1 tab twice daily with milk 3. Chandra Prabha vati 1 tab twice daily

Eat warm, nourishing foods like ghee, milk, nuts, and dates. Avoid excessive spicy, salty, and fried foods. Drink plenty of water and herbal teas like cinnamon or ginger tea. Asanas: Bhujangasana, Vajrasana, Sarvangasana, and Paschimottanasana. Pranayama: Bhramari and Anulom-Vilom (10 minutes daily). Sleep by 10 PM. Regular brisk walking or light exercise for 30 minutes. Reduce stress with meditation (10-15 minutes daily). Avoid excessive screen time and late-night activities.

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Medications - Ashwagandha churna- 1tsp churna with milk at night Shatavari churna- 1tsp of churna with milk at morning Gokshura churna - 1tsp of churna with lukewarm water twice daily Safed musli churna -1tsp of churna with milk before bedtime Vajikarna prepration - Vrishya Gutika Vajikarnam Ghritam Medadi yog In Ayurveda Vajikarnam preparations are most effective for this kind of problems.

Panchkarma therapies - Abhyanga Shirodhara

Yogasna - Vajrasana Matsyasan

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Hi Namaste, I Would like to know about few things… • How often you do sexual act …? • How is your sleeping pattern …? • How is your appetite and food habits …? • How is your work …? • Do you have any stress related issues …? • Have you undergone any Usg or Blood test regarding this condition…? • Have you noticed any recurrent urine infection so far…? To reduce this condition , • You can go for less spicy,salty,fried, packed and tinned food items. • Drink sufficient amount of water to keep you always hydrated. • Do regular exercise for atleast 15mints per day. • You can go for Meditation to ensure your mental health. • Kindly avoid late night activities and go for sleep as early as possible. You can go for Ayurvedic formulations such as • Aswagandhadi lehyam or Ashwagandha Rasayanam 1tspn -0- 1 tspn with milk before food. • Balarishtam(15ml)+ Chandanasavam(15ml)along with Chandraprabha vati 2-0-2 with 60ml water .

Also you can go for few investigations like CBC + ESR TSH SERUM TESTOSTERONE 25(OH)VIT D3 PSA USG - ABDOMEN AND PELVIS WITH SCROTUM.

Thank you.

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Dr. Harsha Joy
Dr. Harsha Joy is a renowned Ayurvedic practitioner with a wealth of expertise in lifestyle consultation, skin and hair care, gynecology, and infertility treatments. With years of experience, she is dedicated to helping individuals achieve optimal health through a balanced approach rooted in Ayurveda's time-tested principles. Dr. Harsha has a unique ability to connect with her patients, offering personalized care plans that cater to individual needs, whether addressing hormonal imbalances, fertility concerns, or chronic skin and hair conditions. In addition to her clinical practice, Dr. Harsha is a core content creator in the field of Ayurveda, contributing extensively to educational platforms and medical literature. She is passionate about making Ayurvedic wisdom accessible to a broader audience, combining ancient knowledge with modern advancements to empower her clients on their wellness journeys. Her areas of interest include promoting women's health, managing lifestyle disorders, and addressing the root causes of skin and hair issues through natural, non-invasive therapies. Dr. Harsha’s holistic approach focuses on not just treating symptoms but addressing the underlying causes of imbalances, ensuring sustainable and long-lasting results. Her warm and empathetic nature, coupled with her deep expertise, has made her a sought-after consultant for those looking for natural, effective solutions to improve their quality of life. Whether you're seeking to enhance fertility, rejuvenate your skin and hair, or improve overall well-being, Dr. Harsha Joy offers a compassionate and knowledgeable pathway to achieving your health goals.
248 days ago
4.83

Namaste Dawood,To better understand the underlying causes of your erectile dysfunction (ED) and reduced libido, I would need to know about your overall lifestyle, stress levels, and emotional well-being. Do you experience high levels of stress or anxiety, especially related to sexual performance? It would also be useful to know about your diet, physical activity, sleep patterns, and any past history of trauma or mental health challenges. Additionally, are you noticing any changes in your energy levels, digestion, or other aspects of physical health? Any family history of similar issues could also be insightful.

From an Ayurvedic perspective, erectile dysfunction and premature ejaculation can be related to an imbalance in Vata dosha, which governs the nervous system and energy flow, and Ojas (the vital essence that supports vitality, immunity, and sexual health). Factors such as stress, poor digestion, and depletion of Ojas over time can contribute to a loss of sexual vitality. Ayurvedic treatments focus on balancing these energies through diet, lifestyle changes, and herbal support.

Herbs like Ashwagandha (to rejuvenate energy and reduce stress), Shilajit (to improve stamina and vitality), and Kapikacchu (known for supporting male reproductive health) may be beneficial. Additionally, Gokshura and Vidari Kanda can support sexual health and vitality by improving strength and boosting libido. In addition to herbs, regular yoga and pranayama (breathing exercises) can help reduce stress, enhance circulation, and support mental clarity.

It is also important to focus on maintaining a balanced Agni (digestive fire), which helps the body absorb nutrients effectively and build up vitality. Consider limiting processed foods and incorporating more whole foods rich in nutrients that support Vata and Ojas, like ghee, nuts, and warm, easily digestible meals.

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Dr. Prashant Kumar
I’m Dr. Prashant Kumar, a multi-specialty Ayurvedic doctor with over four years of experience in holistic and integrative healthcare. After earning my Bachelor of Ayurvedic Medicine and Surgery (BAMS), I deepened my expertise through focused study in several specialties, including Panchakarma therapy, herbal pharmacology, sexual health, cosmetology, general medicine, and dietetics. My clinical practice blends time-tested Ayurvedic wisdom with modern therapeutic approaches to offer personalized, results-driven care. My clinic is designed as a peaceful, healing space — a reflection of my belief that recovery begins in a calm, nurturing environment. I start each day with yoga and meditation, practices that help me stay grounded and attentive to every patient I see. I believe that effective treatment must go beyond physical symptoms, so my consultations involve a comprehensive assessment of emotional, mental, and lifestyle factors that influence health. I take a multi-disciplinary approach, often working closely with nutritionists, yoga practitioners, and wellness experts to build customized treatment plans. These may include herbal formulations, detox therapies like Panchakarma, dietary guidance, and lifestyle modifications tailored to each patient’s constitution or dosha. My work has helped patients manage and often reverse chronic conditions such as arthritis, gastrointestinal imbalances, skin disorders, metabolic issues, and stress-induced ailments. I’m deeply committed to educating my patients—not just about their current condition, but about how to maintain balance and long-term health through Ayurvedic principles. What sets my practice apart is my empathetic, patient-first approach. I’ve built strong, lasting relationships within the community, and I frequently conduct workshops on preventive care, Ayurvedic nutrition, seasonal wellness routines, and stress management. To me, Ayurveda is more than a profession—it’s a lifelong journey of growth, healing, and connection. My goal is to empower every patient to take charge of their health through awareness, discipline, and natural care.
242 days ago
5

Hi Please continue these medicines for 3 month continue you get best results 1.Santushti capsules Multani 2 capsule morning - 2 Capsule evening after meal 30 minutes later 2.Multani Musli Pak Powder 1 teaspoon powder with milk both time morning and evening 3.Multani Madnanand Modak 1 Teaspoon powder with milk morning and evening both time Precautions - avoid junk food and smoking Please take maximum amount of water intake and do exercise

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Hey, it sounds like you’re dealing with a tough situation but, luckily, Ayurvedic principles can kinda help with both erectile dysfunction (ED) and premature ejaculation (PE). First, in Ayurveda, these conditions can be linked to imbalances in your Vata dosha, which affects the nervous system and circulation, among other things.

So let’s start with diet, which can have a significant impact. Try to include warm, nourishing foods like whole grains, nuts (like almonds and walnuts), seeds, and ghee in your diet. Avoiding processed food and cold beverages can be helpful too.

Now, for herbal support, Ashwagandha and Shatavari are great adaptogens. They can help balance your body’s stress response and improve stamina. Take Ashwagandha powder about 1/2 teaspoon with warm milk twice daily—morning and evening. Shatavari juice can be taken around 10 ml in the morning—you could mix it with water if you prefer.

Also, practicing Abhyanga, which is self-massage with oils, can increase circulation and calm that Vata dosha. Use sesame oil, warm it a little, and massage yourself thoroughly—it’s a great thing to do in the mornings before a warm shower.

Lifestyle shifts are important here too. Regular exercise, but nothing overly strenuous like brisk walking or yoga—something that gets your blood circulating gently. Just get into a rhythm, you know? Consistency is key.

Breathing exercises like Pranayama can also boost energy levels as they improve oxygen flow. Alternate nostril breathing is especially good, it helps in calming the nervous system.

And about desire, sometimes connection can lag when life gets busy or stress piles up. Remember to communicate with your wife, maybe focus on moments of intimacy without the stress of performance.

If these suggestions don’t show improvement after a couple of months, it might be wise to consult a healthcare professional to explore further options. Sometimes these issues can be rooted in deeper, less obvious things. Stay hopeful, though, small steps can lead to meaningful change.

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I am someone who’s honestly just really drawn to how deep Ayurveda goes—like really deep—not just treating what’s showing on the surface but getting into what’s actually causing it underneath. I really believe that even those complicated lifestyle diseases, stuff like diabetes or BP or obesity that people think they’ll just have to live with forever, can totally be managed with Ayurvedic principles. Not magically or overnight, but through proper diagnosis, diet tweaks, daily habits, and herbs that actually work if you use them right. That’s the part I focus on—making Ayurveda work practically, not just in theory. After finishing my BAMS, I’ve worked with chronic conditions for over a year now in clinical setups. Mostly patients dealing with long-term stuff that doesn’t go away with one pill—usually the kind of disorders rooted in stress, wrong food choices or too much sitting. I’ve seen that if you really listen first, like actually listen—hear their story, feel where they’re coming from—half the work’s already done. Then when you assess their Prakriti, figure out where the doshas are out of balance, and connect that with their history (plus any modern test reports they might bring), it gives you this full picture that’s so valuable. My treatment plans aren't one-size-fits-all. Sometimes it’s about bringing agni back into balance. Sometimes just clearing aam helps. Most people are shocked that things like bloating or even periods issues can shift just by aligning food and herbs with their constitution. And if the case is acute or there’s a red flag, I have no problem referring for emergency allopathic care. Integrative care makes sense—Ayurveda doesn’t have to be isolated from modern medicine. My aim? It's not just to fix a symptom. I want people to feel at ease in their own body again. To build habits they don’t need to break later. To know their own rhythm, not just follow some generic health trend. That’s what Ayurvedic healing means to me... not perfect, but real.
5
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