Erectile dysfunction and premature ejaculation

Question

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.

Dr Sujal Patil · Accepted Answer

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.

Dr. M.Sushma · Answer

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.

Dr. Reetu Rani · Answer

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

Dr. Thejaswini Gangadharan · Answer

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.

Dr. Harsha Joy · Answer

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.

Dr. Prashant Kumar · Answer

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

Dr. Ayush Varma · Answer

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.

Erectile dysfunction and premature ejaculation - #19550

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