ED problem & premature ejactulation - #26714
Erectile Dysfunction - erection don't come properly or penis looses before penetration or after penetration Premature ejaculation as timing is less than 1 minute sperm quality and quantity is also poor. I cant sleep properly due to extreme mental pressure (stress). Fill low. I feel suicidal thoughts. Please help me.
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Doctors’ responses
HELLO KAMAL JI,
YOU ARE FACING 1. LOW LIBIDO 2. WEAK OR NO ERECTION- INCOMPLETE ERECTION OR DIFFICULTY SUSTAINING IT. 3. PREMATURE EJACULATION- LEAKING SEMEN QUICKLY WITHIN MINUTES OR BEFORE PENETRATION 4. SEXUAL FATIGUE- NO ENERGY OR CONFIDENCE AFTER THE ACT OR FEAR OF FAILURE
PROBABLE CAUSES- -PSYCHOLOGICAL STRESS=PERFORMANCE ANXIETY,DEPRESSION,LOW SELF IMAGE -POOR BLOOD FLOW= LACK OF NITRIC OXIDE TO PENILE TISSUE -NERVE WEAKNESS= DELAYED STIMULATION AND REDUCED SENSATION -HORMONAL IMBALANCE= LOW TESTOSTERONE OR HIGH PROLACTINE -EARLY EJACULATION= OFTEN DUE TO SENSITIVE NERVES AND LACK OF STAMINA.
#AYURVEDIC UNDERSTANDING YOUR SYMPTOMS ARE CLASSIC OF SHUKRA KSHAYA+ VATA DUSHTI, SPECIFICALLY:- -KLAIBYA=ERECTILE DYSFUNCTION-FROM LOW VITALITY -SHUKRA VEGA= INABILITY TO HOLF EJACULATION-FROMM WEAK SEMEN -OJAKSHAYA= LOW ENERGY,FATIGUE,MENTAL STRESS
TREATMENT GOAL 1)IMPROVE ERECTION STRENGTH AND DURATION 2)INCREASE LIBIDO AND CONFIDENCE 3)CONTROL PREMATURE EJACULATION 4)NOURISH SHUKRA DHATU-SEMEN AND VITALITY 5)REDUCE MENTAL STRESS/ANXIETY
#START TAKING THIS MEDICINES FOR 3MONTHS CONTINUES
*MORNING(EMPTY STOMACH) 1)SHILAJIT GOLD CAP- 1 CAP WITH WARM MILK=IT BOOSTS STAMINA, TESTOSTERONE, AND LIBIDO
2)ASHWAGANDHA CHURNA- 1 TSP WITH WARM MILK HALF A GLASS= ADAPTOGEN:REDUCES STRESS AND IMPROVES SEMEN QUALITY
#AFTER MEALS(TWICE DAILY AFTER LUNCH AND DINNER)
3)VRIHAT VATCHINTAMANI RAS(PLAIN)- 1 TAB WITH HONEY= STRENGTHENS NERVES AND IMPROVES ERECTION CONTROL
4)SWARNA MAKSHIKA BHASMA- 125 MG WITH KAUNCH BEEJ CHURNA-1TSP MIX WITH WARM MILK= IMPROVES SPERM RETENTION AND STIMULATES MOOD
#AT BEDTIME
5)YOHIMBINE OR ATMAGUPTA CHURNA- 1 TSP WITH MILK AT BEDTIME= NATURAL APHRODISIAC ,INCREASES DOPAMINE FOR AROUSAL
#EXTERNAL THERAPY
1)WARM OIL MASSAGE-FOCUSED PELVIC MASSAGE- WITH SHATAVARI TAILA OR ASHWAGANDHABALA TAILA AREA- LOWER BACK,ABDOMEN,INNER THIGHS, AND GROIN AREA TIME- DAILY OR 3-4TIMES/WEEK DURATION- 15-20 MIN -ALWAYS WARM THE OIL BEFORE USE -USE GENTLE CIRCULAR STROKES OVER LOWER ABDOMEN AND GROIN -FINISH WITH A WARM TOWEL WIPE OR LUKEWARM SHOWER
2)LOCALISED HERBAL STEAM THERAPY -APPLIED AFTER OIL MASSAGE -HELPS IN VASODILATION-OPENS BLOOD VESSELS AND ENHANCES ERECTION -VERY USEFUL. IN NERVE RELATED ED OR WEAK SENSITIVITY -TAKE A BIG VESEEL OF HOT WATER WITH HERBS LIKE DASHMOOL,TRIPHALA,VACHA -COVER THE LOWER BODY WITH A CLOTH, LET THE HERBAL STEAM PASS ON THIGHS, LOWER ABDOMEN,BUTTOCKS DURATION= 10-12 MIN
3)SHUKRA TAILA- TAKE 2-3 DROPS AND APPLY OVER THE SHAFT OF PENIS(NO GLANS), GENTLY MASSAGE FOR 5 MIN BEFORE BED
4)SESAME OIL WITH CAMPHOR- WARM MIX 2 DROPS OF CAMPHOR OIL, APPLY ONLY ON SHAFT,MASSAGE LIGTLY=DAILY
NOTE- USE HIGH QUALITY CERTIFIED AYURVEDIC BRANDS LIKE DOOTPAPESHWAR, BAIDYANATH, UNJHA OR DIVYA PHARMACY PRODUCTS ONLY
#SEMEN-NOURISHING DIET-VERY IMPORTANT EAT THESE DAILY - COW’S GHEE , MILK WITH DRY DATES OR CARDAMOM -WHITE ONION JUICE OR GARLIC MILK AT NIGHT -BLACK SESAME SEEDS, PUMPKIN SEEDS, SOAKED ALMONDS -BOILED EGG , BANANA, AVOCADO, FIGS, DATES -HERBAL TEA OF SAFED MUSLI+GOKSHURA+ASHWAGANDHA
#STRICTLY AVOID -FRIED, SOUR, OVER SPICY FOOD -EXCESS TEA, COFFEE, COLD DRINKS -SMOKING, ALCOHOL,PORN USE,FREQUENT MASTURBATION -LATE NIGHT FOOD OR MOBILE PHONE USE AT NIGHT
NOW COMES THE MOST IMPORTANT PART TO FOLLOW
1)KEGEL EXERCISES(MOOLA BANDHA IN YOGA) PURPOSE- STRENGTHEN PELVIC FLOOR MUSCLES THAT SUPPORT ERECTION AND SEMEN CONTROL
HOW TO DO- -SIT/LIE DOWN AND TIGTHEN THE MUSCLES YOU USE TO STOP URINE MID STREAM -HOLD FOR 5-10 SECONDS, THEN RELEASE -REPEAT 15-20 TIMES, 3 SETS DAILY-MORNING,AFTERNOON,NIGHT
ADVANCED- TRY KEGEL CONTRACTIONS SURING AROUSAL , FOREPLAY, OR URINATION CONTROL TO STRENGTHEN EJACULATION DELAY
2)PELVIC THRUST EXERCISE(BRIDGE POSE) -LIE ON BACK, BEND KNEES, FEET FLAT -RAISE HIPS UPWARDS WHILE SQUEEZING BUTTOCKS AND HOLDING CORE -HOLD FOR 10 SECONDS AND RELEASE -DO 15 REPS*3 SETS
3)YOGA ASANA FOR SEXUAL STRENGTH -BHUJANGASANA=BOOSTS PELVIC CIRCULATION -PASCHIMITTANASANA= INCREASES SEMEN QUALITY -VAJRASANA AFTER MEALS= IMPROVES DIGESTION AND SHUKRA DHATU -ASHWINI MUDRA(ANAL LOCK)=CONTROLS PREMATURE EJACULATION
#PRANAYAM-DO 10-15 MIN DAILY -ANULOM VILOM- NERVE BALANCING -BHRAMARI- CALMS MIND, REDUCES OVER EXCITEMENT -UDGEETH- CONFIDENCE+OJAS BOOSTING
#EMOTIONAL AND MENTAL BALANCE WHAT YOU MAY BE FACING- -FEAR OF DISAPPOINTING PARTNER -GUILT OVER PAST FAILED EXPERIENCES -OVERDEPENDENCE ON PORN/ARTIFICIAL TRIGGERS -TIREDNESS FROM LACK OF SLEEP/DIET
WHAT TO DO -ACCEPT IT- SEXUAL WEAKNESS IS REVERSIBLE , DONT PANIC -TALK- EMOTIONAL INTIMACY>PHYSICAL PERFORMANCE -ENJOY SLOW FOREPLAY-DON’T RUSH -PRACTICE BRAHMACHARYA-BASED DETOX- 10-15 DAYS ABSTINENCE(NO SEXUAL ACT, NO MASTURBATION,NO AROUSAL), THEN SLOW RETURN -SLEEP MINIMUM 7 HORS DAILY AT NIGHT -AVOID PORN, OVER MASTURBATION STRICTLY
FINAL ADVICE -START THIS PROTOCOL FOR 8-12 WEEKS AND SEE VISIBLE IMPROVEMENT IN 1 WEEK -AVOID PERFORMANCE STRESS -STAY NATURAL,GROUNDED, AND COMMITTED TO HEALING.
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DO FOLLOW CONSISTENTLY
DR. MAITRI ACHARYA
Yavanamrita vati Yauvan gold capsule- 1 tab each twice daily after food with lukewarm milk Shilajit sat- 1 drop with warm milk daily Do kegle exercises
Take 1) Golden night prash 5gm at night before sleep 2) ashwagandha tablet 2 goli subha sham khane ke baad 3) massage with coconut oil in lower are after shower/bath.
Bs itna kro 3 din me result dikh jatega. Medicine 15 din khani h sirph.
Start with Cap. Ashwashila 1-0-1 after food with water Divya youvanamrit gold 0-0-1 at bedtime with milk Apply ashwagandha bala oil / Shilajit oil on penis externally twice daily. Have early dinner and light dinner Be stress free and relaxed.
Non-drug Therapy
The “stop and start” method:
This technique involves sexually stimulating the man until he feels like he is about to reach orgasm. Stop the stimulation for about 30 seconds and then start it again. Repeat this pattern until the man wants to ejaculate. The last time, continue stimulation until the man reaches orgasm.
The “squeeze” method:
This technique involves sexually stimulating the man until he recognizes that he is about to ejaculate. At that point, the man or his partner gently squeezes the end of the penis (where the glans meets the shaft) for several seconds. Stop sexual stimulation for about 30 seconds, and then start it again. The person or couple may repeat this pattern until the man wants to ejaculate. The last time, continue stimulation until the man reaches orgasm.
Evaluation by a sex therapist, psychologist, or psychiatrist may help some couples.
1.
Name of medicine & dose
Kala
Anupana
1) Tab. Chandraprabha Vati or Shilapravanga or Bangashil-2 Before food: 2 times with Warm milk
2.) Akarakarabhadi Vati-2 tab. Jatiphaladi vati-2 tab. Ashvagandha churna-2gm Shuddha Kuchala-30mg Before food: 2 time with Ghrita honey
3) Srigopala Taila - local massage 2 times
4) Makaradwaja-125mg Before 2 times with Ghrita honey
For erection dysfunction
Non-Drug Therapy
Counselling
Relaxation
Meditation
Kegel’s exercise for men (pelvic floor exercises)
It takes diligence to identify your pelvic floor muscles and understand how to contract and relax them. Here are some pointers:
Find the right muscles. To identify your pelvic floor muscles, stop
urination in midstream or tighten the muscles that keep you from passing gas. These are your pelvic floor muscles. If you contract your pelvic floor muscles while looking in the mirror, the base of your penis will move closer to your abdomen and your testicles will rise.
Perfect your technique. Once you’ve identified your pelvic floor
muscles, empty your bladder and lie on your back with your knees bent and apart. Tighten your pelvic floor muscles, hold the contraction for three seconds, and then relax for three seconds. Try it a few times in a row but don’t overdo it. When your muscles get stronger, try doing Kegel exercises while sitting, standing or walking.
Maintain your focus. For best results, focus on tightening only your pelvic floor muscles, Be careful not to flex the muscles in your
abdomen, thighs or buttocks. Avoid holding your breath. Instead, breathe freely during the exercises.
Repeat 3 times a day. Aim for at least three sets of 10 repetitions a day.
Make Kegel exercises part of your daily routine.
Start taking1.Ashwagandha choorna 1tsf with lukewarm milk twice in a day. 2.Manasmitragullika 1-1-1 3.Shilajeet gold cap.1-0-1 4.Tab. Neo 1-0-1 **Daily Massage your full body with Balaashwagandhadi oil followed by mild fomentation. **Avoid excessive spicy, sour and salty food etc… Follow up after 45 days…
BRAHMI GHRITA 1TSF WITH LUKEWARM MILK AT BED TIME ONLY…
Along with these medications include Meditation( chanting OM Mantra),yoga, pranayam in your daily routine.
The symptoms you’re experiencing, such as erectile dysfunction (ED), premature ejaculation (PE), and issues related to sperm quality and quantity, can often be linked to various factors, including stress and mental health concerns. It’s imperative to first address the suicidal thoughts—seeking immediate medical assistance from mental health professionals right away is crucial for your safety and well-being.
Once there’s a plan in place for your mental health, Ayurveda can offer remedies to support your physical symptoms. Your description suggests a possible imbalance in vata and pitta doshas, often impacted by stress, lifestyle, and diet. Begin by incorporating Ashwagandha and Brahmi into your routine. Ashwagandha (1 tsp powder with warm milk in the evening) may help to enhance vitality and manage stress. Brahmi can be helpful for calming the mind; consume it in tablet form twice a day after meals.
A warm oil massage using sesame oil could potentially soothe vata dosha. Apply gently over the whole body before bath to help calm nerves and improve circulation. Daily yoga focusing on stress-relief poses including Shavasana, Vajrasana, and Pranayama exercises like Nadi Shodhana can be beneficial for maintaining tranquil state and improving focus.
Modify your diet by incorporating foods that nourish shukra dhatu (reproductive tissue) — include ghee, soaked almonds, and milk along with spices like saffron and cardamom. Avoid caffeine, alcohol, and processed sugars to reduce excess tri-dosha aggravation. Establish a regular sleep routine, aiming for 6-8 hours of sleep, crucial for both psychological and physical recovery.
It’s important to approach a qualified Ayurvedic practitioner who can offer personalized treatments. Professional support is essential to guide you through this safely, along with exploring lifestyle adjustments and herbal support. Prioritize mental health by working closely with healthcare providers, as it is the foundation for healing the other symptoms.
Your situation clearly demands a thorough evaluation; feeling suicidal is serious, so seeking immediate assistance from a mental health professional or crisis service is crucial. For erectile dysfunction and premature ejaculation, we can start exploring how Ayurveda may offer some insights. Mental stress you’ve reported can imbalance Vata dosha, which often plays a role in these conditions. Addressing stress through lifestyle modifications could ease symptoms.
Ashwagandha, or Withania somnifera, is a revered herb that may help reduce stress and anxiety, potentially alleviating some symptoms of sexual dysfunction. Taking an ashwagandha supplement, one to two capsules daily with warm milk before bed, can be beneficial. It’s known for nourishing the nervous system and supporting overall vitality.
Managing diet is crucial; try eating warm, nourishing foods, like stews and soups, that helps balance Vata. Avoid processed, cold, or excessively spicy food. Gokshura, or Tribulus terrestris, is another herb traditionally used to support reproductive health. You may consider 500 mg daily, alongside dietary changes.
Pranayama like alternate nostril breathing (Anulom Vilom) can also help with calming the mind and stabilizing stress levels. Practice it for 10 minutes twice daily.
Serious distress or suicidal thoughts must be addressed promptly with professional support. Ayurvedic approaches may aid physical symptoms, but mental health care is necessary in this situation alongside Ayurveda practices.
HELLO KAMAL,
At age 40, -premature ejaculation -erectile dysfunction
These can happen due to -poor blood flow -nerve damage -hormona decline- testosterone decreases with age -obesity or loss of muscle tone -side effect of medications
Ayurveda sees sexual health as governed by shukra dhatu(reproductive tissue), and dysfunction can be due to imbalance in vata, pitta or kapha especially vata in neuropathy and aging
AYURVEDIC MEDICATIONS
1)ASHWAGANDHA CHURNA- 1 tsp with warm milk at bedtime =rejuvination, nerve tonic, improves improves strength and libido
2)SHILAJIT RESIN- 500 mg resin once daily with warm water =aphrodisiac, enhances blood flow and energy, antioxidants
3)GOKSHUR CAPSULE- 1 cap twice daily =urinary system support, mild diuretic, improves stamina
4)KAPIKACCHU POWDER- 3-5 gm powder with warm milk twice daily =dpoamine precursor, improves erection and libido
5)SAFED MUSLI POWDER- 5 gm with milk twice daily =aphrodisiac, strength-promoting , improves erectile function
EXTERNAL USE -ASHWAGANDHA BALA TAILA -warm the oil and gently massage lower back, thighs, and lower abdomen daily
DIET -warm, cooked nourishing foods -add ghee, dates, almonds, saffron, milk -avoid cold, dry, spicy, fried food -avoid smoking, alcohol, and heavy night meals
YOGA+PRANAYAM -moola bandha-pelvic floor tightening= 10-15 reps/day -vajrasana, bhujangasana, pavanmuktasana -anulom vilom, bhramari, deep breathing -Do kegel exericses
DO FOLLOW
THANK YOU
DR. HEMANSHU MEHTA
Hello Md.Kamal ji, Don’t stress yourself so much ,it will only worsen the condition.Don’t worry, every 1 out of 10 males in India suffer from ED and early ejaculation . With proper ayurvedic treatment plan ,this issue can be resolved. Treatment - 1. Chandraprabha vati -2-0-2 after meal 2. Yauvanamrit vati-2-0-2 after meal 3. Shilajit sat- 2 drops in milk at bedtime 4. Medha vati-1-0-1 after meal 5. Baidyanath Vita EX oil - For local application and massage.
ED and other sexual problems usually have more than one cause including cardiovascular causes, psychological causes , unhealthy lifestyle.
Diet- Eat dates, raisins, soaked and peeled almonds. Eat foods that increase Nitric oxide levels include: Green leafy vegetables Citrus fruits Nuts and seeds Pomegranates Garlic
Yoga- Ardha matasyendrasana , pavanmuktasan , bhujangasan, sarvangasan,pelvic floor exercises,kegel exercise. Lifestyle modifications - Strength training to boost testosterone. Stress management -Through meditation walking journaling gardening Developing better emotional bond with the partner through meaningful conversation and spending quality time.
Follow these and you will definitely get results. Don’t hesitate to reach out for any further query. Regards, Dr. Anupriya
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