Erectile dysfunction with pre mature ejaculation is being faced by me since long . I am 44 years and have 4 kids but now my sexual life is verily discomfort - #20200

**Hello Umair,** Based on your condition, I recommend the following medications and lifestyle adjustments: 1. **Vaidyanath Malla Oil** – For local massage 2. **Vigomax Tablet** – 1 tablet twice daily 3. **Herbal Mixture:** - Sitopaladi (50 gm) + Gokshur Powder (30 gm) + Mukta Pishti (5 gm) - 1/2tsf with leukworm water 4. **Chandraprabha Vati** – 1 tablet twice daily **Lifestyle Recommendations:** - **Avoid:** Smoking, alcohol, spicy foods, and packaged foods. - **Practice Pranayama:** Bhramari, Anulom Vilom, and Sheetali Kriya. - **Include in Diet:** Fresh fruits and sprouts. By following this regimen, you should experience significant improvement. Let me know if you need further guidance.

Regular exercise Avoid processed food dairy products sugar meda starch oil nonveg food Take fruits vegetables and salads lemon juice regularly Ashwagandha tab Shatawri tab Makardhawaj wati Shiva gutika Avippatikar powder

Your concerns are not uncommon, and it's important to consider this as a multi-dimensional issue that may be rooted in various aspects of lifestyle, mental health, and physical health. In Ayurveda, erectile dysfunction and premature ejaculation can often be related to an imbalance in the Vata dosha, with possible influences of Pitta and Kapha imbalances due to lifestyle factors like smoking and stress. First, addressing your smoking habit is crucial as tobacco use can negatively affect vascular health and lead to erectile dysfunction. I highly recommend seeking support for quitting smoking, possibly through professional help, as this can make a significant difference. For dietary adjustments, focus on balancing Vata with warm, nourishing meals. Incorporate foods like whole grains, dairy, nuts (especially almonds and walnuts), and sweet, salty and sour tastes that are grounding and calming. Avoid excessively cold, dry foods or those that are too spicy or processed, as they can exacerbate Vata imbalances. Herbal remedies such as Ashwagandha and Shatavari are greatly valued in Ayurveda for enhancing vitality and stamina. Take Ashwagandha churna mixed with warm milk before bedtime. Shatavari kalpa can also be taken with milk once or twice a day. These should be taken under the guidance of an Ayurvedic practitioner to ensure suitability to your constitution. Daily self-massage with warm sesame oil can be beneficial, as it calms the nervous system and reduces Vata. For this, gently warm the oil and apply it in circular motions over the entire body, leave it on for around 30 minutes before bathing. Incorporate breathing exercises and meditation into your routine to manage stress and improve blood circulation. Simple Pranayama exercises like Anulom Vilom (alternate nostril breathing) can be a great start. Make sure to schedule regular exercise; even light aerobic activities can do wonders. Consider walking, yoga, or swimming. This is helpful not just for erectile function, but to maintain healthy blood pressure and sugar levels. Please consult with your healthcare provider about your blood pressure and sugar levels due to their significant role in sexual health. Proper management of these conditions is essential for relief. It is paramount to ensure your heart health is stable, and any treatments pursued do not interfere with your existing health concerns.