Premature ejaculation problem, how to overcome what are the measur need to take - #31866

I am Dr Anurag Sharma, done with BAMS and also PGDHCM from IMS BHU, which honestly shaped a lot of how I approach things now in clinic. Working as a physician and also as an anorectal surgeon, I’ve got around 2 to 3 years of solid experience—tho like, every day still teaches me something new. I mainly focus on anorectal care (like piles, fissure, fistula stuff), plus I work with chronic pain cases too. Pain management is something I feel really invested in—seeing someone walk in barely managing and then leave with actual relief, that hits different. I’m not really the fancy talk type, but I try to keep my patients super informed, not just hand out meds n move on. Each case needs a bit of thinking—some need Ksharasutra or minor para surgical stuff, while others are just lifestyle tweaks and herbal meds. I like mixing the Ayurved principles with modern insights when I can, coz both sides got value really. It’s like—knowing when to go gentle and when to be precise. Right now I’m working hard on getting even better with surgical skills, but also want to help people get to me before surgery's the only option. Had few complicated cases where patience n consistency paid off—no shortcuts but yeah, worth it. The whole point for me is to actually listen first, like proper listen. People talk about symptoms but also say what they feel—and that helps in understanding more than any lab report sometimes. I just want to stay grounded in my work, and keep growing while doing what I can to make someone's pain bit less every day.

I am Dr. Maitri, currently in my 2nd year of MD in Dravyaguna, and yeah, I run my own Ayurvedic clinic in Ranoli where I’ve been seeing patients for 2 years now. Honestly, what pulled me into this path deeper is how powerful herbs really are—when used right. Not just randomly mixing churnas but actually understanding their rasa, virya, vipaka etc. That’s kinda my zone, where textbook knowledge meets day-to-day case handling. My practice revolves around helping people with PCOD, acne, dandruff, back pain, stiffness in knees or joints that never seem to go away. And I don’t jump to giving a long list of medicines straight away—first I spend time figuring out their prakriti, their habits, food cycle, what triggers what… basically all the small stuff that gets missed. Then comes the plan—herbs (single or compound), some diet reshuffling, and always some lifestyle nudges. Sometimes they’re tiny, like sleep timing. Sometimes big like proper seasonal detox. Being into Dravyaguna helps me get into the depth of herbs more confidently. I don’t just look at the symptom—I think okay what guna will counter this? Should the drug be snigdha, ushna, tikta? Is there a reverse vipaka that’ll hurt the agni? I ask these questions before writing any combo. That’s made a huge diff in outcomes. Like I had this case of chronic urticaria that would flare up every week, and just tweaking the herbs based on sheetala vs ushna nature... helped calm the system in 3 weeks flat. Not magic, just logic. I also work with women who are struggling with hormonal swings, mood, delayed periods or even unexplained breakouts. When hormones go haywire, the skin shows, digestion slows, and mind gets foggy too. I keep my approach full-circle—cleansing, balancing, rejuvenating. No quick fixes, I tell them early on. What I’m hoping to do more of now is make Ayurveda feel practical. Not overwhelming. Just simple tools—ahara, vihara, aushadha—used consistently, with some trust in the body’s own healing. I’m still learning, still refining, but honestly, seeing people feel in control of their health again—that’s what keeps me rooted to this.

I am working right now as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital in Nalgonda—and yeah, that name’s quite something, but what really keeps me here is the kind of cases we get. My main focus is managing ano-rectal disorders like piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), pilonidal sinus, and rectal polyps. These are often more complex than they look at first, and they get misdiagnosed or overtreated in a lotta places. That’s where our classical tools come in—Ksharasutra therapy, Agnikarma, and a few other para-surgical techniques we follow from the Samhitas...they’ve been lifesavers honestly. My work here pushes me to keep refining surgical precision while also sticking to the Ayurvedic core. I do rely on modern diagnostics when needed, but I won’t replace the value of a well-done Nadi Pariksha or assessing dosha-vikruti in depth. Most of my patients come with pain, fear, and usually after a couple of rounds of either incomplete surgeries or just being fed painkillers n antibiotics. And I totally get that frustration. That’s why I combine surgery with a whole support plan—Ayurvedic meds, diet changes, lifestyle tweaks that actually match their prakriti. Not generic stuff off a handout. Over time, I’ve seen that when people follow the whole protocol, not just the procedure part, the recurrence drops a lot. I’m quite particular about follow-up and wound care too, ‘cause we’re dealing with delicate areas here and ignoring post-op can ruin outcomes. Oh and yeah—I care a lot about educating folks too. I talk to patients in OPD, sometimes give community talks, just to tell people they do have safer options than cutting everything out under GA! I still study Shalya Tantra like it’s a living document. I try to stay updated with whatever credible advancements are happening in Ayurvedic surgery, but I filter what’s fluff and what’s actually useful. At the end of the day, my aim is to offer respectful, outcome-based care that lets patients walk out without shame or fear. That’s really what keeps me grounded in this field.

I am currently pursuing my MD in Panchakarma, and by now I carry 3 yrs of steady clinical experience. Panchakarma for me is not just detox or some fancy retreat thing — it’s the core of how Ayurveda actually works to reset the system. During my journey I’ve handled patients with arthritis flares, chronic back pain, migraine, digestive troubles, hormonal imbalance, even skin and stress-related disorders... and in almost every case Panchakarma gave space for deeper healing than medicines alone. Working hands-on with procedures like Vamana, Virechana, Basti, Nasya, and Raktamokshana gave me a lot of practical insight. It's not just about performing the therapy, but understanding timing, patient strength, diet before and after, and how their mind-body reacts to cleansing. Some respond quick, others struggle with initial discomfort, and that’s where real patient support matters. I learnt to watch closely, adjust small details, and guide them through the whole process safely. My approach is always patient-centric. I don’t believe in pushing the same package to everyone. I first assess prakriti, agni, mental state, lifestyle, then decide what works best. Sometimes full Panchakarma isn’t even needed — simple modifications, herbs, or limited therapy sessions can bring results. And when full shodhana is required, I plan it in detail with proper purvakarma & aftercare, cause that’s what makes outcomes sustainable. The last few years made me more confident not just in procedures but in the philosophy behind them. Panchakarma isn’t a quick fix — it demands patience, discipline, trust. But when done right, it gives relief that lasts, and that’s why I keep refining how I practice it.

I am Dr. Snehal Vidhate, born n brought up in Maharashtra—and honestly, for as long as I remember I’ve felt this pull towards Ayurveda. Not the fancy version ppl throw around, but the deep, real kind that actually helps ppl. I did my BAMS from YMT Ayurvedic Medical College in Kharghar. That’s where I got my basics strong—like really studied the shastras, understood prakriti, doshas, the whole deal. Not just crammed theory but started to see how it shows up in real lives. After finishing BAMS, I got into this one-year certificate course at Rashtriya Ayurveda Vidyapeeth, Delhi—honestly a turning point. I was super lucky to learn Kerala Ayurveda from my Guru, Prof. Dr. G.G. Gangadharan. He’s got this way of seeing things... simple but deep. That time with him taught me more than any textbook ever could. It kinda reshaped how I look at health, healing n how precise Ayurveda can be when you respect its roots. Right now I’m doing my MD in Panchakarma from SDM Ayurveda College, Bangalore. This place is like a hub for serious Ayurveda work. The Panchakarma training here? Super intense. We go deep into detoxification & rasayana therapy—not just theory again, but hands-on. I’m learning to blend classical techniques with today’s clinical demands.. like how to make Vamana or Basti actually doable in modern patient setups. My current practice is really about merging tradition with logic. Whether it’s chronic skin issues, gut problems, stress burnout or hormone stuff—my goal is to get to the root, not just hush the symptoms. I use Panchakarma when needed, but also a lot of ahara-vihara tweaks, medhya herbs, sometimes just slowing ppl down a bit helps. I really believe Ayurveda’s power is in its simplicity when done right. I don’t try to fix ppl—I work *with* them. And honestly, every patient teaches me something back.

I am an Ayurvedic physician with around 7 yrs clinical experience, though honestly—feels like I’ve lived double that in patient hours. I studied from a govt. medical college (reputed one) where I got deep into classical Ayurvedic texts n clinical logic. I treat everything from chronic stuff like arthritis, IBS, eczema... to more sudden conditions that just pop up outta nowhere. I try to approach each case by digging into the *why*, not just the *what*. I mean—anyone can treat pain, but if you don’t catch the doshic imbalance or metabolic root, it just comes bak right? I use Nadi Pariksha a lot, but also other classical signs to map prakriti-vikruti, dhatu status n agni condition... you know the drill. I like making people *understand* their own health too. Doesn’t make sense to hand meds without giving them tools to prevent a relapse. My Panchakarma training’s been a core part of my work. I do Abhyanga, Swedana, Basti etc regularly—not just detox but also as restorative therapy. Actually seen cases where patients came in exhausted, foggy... and post-Shodhana, they're just lit up. That part never gets old. Also I always tie diet & lifestyle changes into treatment. It’s non-negotiable for me, bcs long-term balance needs daily changes, not just clinic visits. I like using classical formulations but I stay practical too—if someone's not ready for full-scale protocol, I try building smaller habits. I believe healing’s not just abt treating symptoms—it’s abt helping the body reset, then stay there. I’m constantly refining what I do, trying to blend timeless Ayurvedic theory with real-time practical needs of today’s patients. Doesn’t always go perfect lol, but most times we see real shifts. That’s what keeps me going.

I am a Consulting Ayurvedic Physician practicing since 1990—feels strange saying “over three decades” sometimes, but yeah, that’s the journey. I’ve spent these years working closely with chronic conditions that don’t always have clear answers in quick fixes. My main work has been around skin disorders, hair fall, scalp issues, and long-standing lifestyle stuff like diabetes, arthritis, and stress that kinda lingers under everything else. When someone walks into my clinic, I don’t jump to treat the problem on the surface. I start by understanding their *prakriti* and *vikriti*—what they’re made of, and what’s currently out of sync. That lets me build treatment plans that actually *fit* their system—not just push a medicine and hope it works. I use a mix of classical formulations, panchakarma if needed, dietary corrections, and slow, practical lifestyle changes. No overnight miracle talk. Just steady support. Hair fall and skin issues often feel cosmetic from outside—but internally? It’s about digestion, stress, liver, hormones... I’ve seen patients try 10+ things before landing in front of me. And sometimes they just need someone to *listen* before throwing herbs at the problem. That’s something I never skip. With arthritis and diabetes too, I take the same root-cause path. I give Ayurvedic medicines, but also work with *dinacharya*, *ahar* rules, and ways to reduce the load modern life puts on the body. We discuss sleep, food timing, mental state, all of it. I’ve also worked a lot with people dealing with high stress—career burnout, anxiety patterns, overthinking—and my approach there includes Ayurvedic counseling, herbal mind support, breathing routines... depends what suits them. My foundation is built on classical *samhitas*, clinical observation, and actual time with patients—not theories alone. My goal has always been simple: to help people feel well—not just for a few weeks, but in a way that actually lasts. Healing that feels like *them*, not just protocol. That’s what I keep aiming for.

I am someone who believes Ayurveda isn’t just some old system — it’s alive, and actually still works when you use it the way it's meant to be used. My practice mostly revolves around proper Ayurvedic diagnosis (rogi & roga pariksha types), Panchakarma therapies, and ya also a lot of work with herbal medicine — not just prescribing but sometimes preparing stuff myself when needed. I really like that hands-on part actually, like knowing where the herbs came from and how they're processed... changes everything. One of the things I pay a lot of attention to is how a person's lifestyle is playing into their condition. Food, sleep, bowel habits, even small emotional patterns that people don't even realize are affecting their digestion or immunity — I look at all of it before jumping to treatment. Dietary therapy isn’t just telling people to eat less fried food lol. It’s more about timing, combinations, seasonal influence, and what suits their prakriti. That kind of detail takes time, and sometimes patients don’t get why it matters at first.. but slowly it clicks. Panchakarma — I do it when I feel it's needed. Doesn’t suit everyone all the time, but in the right case, it really clears the stuck layers. But again, it's not magic — people need to prep properly and follow instructions. That's where strong communication matters. I make it a point to explain everything without dumping too much Sanskrit unless they’re curious. I also try to keep things simple, like I don’t want patients feeling intimidated or overwhelmed with 10 things at once. We go step by step — sometimes slow, sometimes quick depending on the case. There’s no “one protocol fits all” in Ayurveda and frankly I get bored doing same thing again and again. Whether it’s a fever that won’t go or long-term fatigue or gut mess — I usually go deep into what's behind it. Surface-level fixes don’t last. I rather take the time than rush into wrong herbs. It’s more work, ya, but makes a diff in long run.

I am someone who kinda learned early that medicine isn’t just about protocols or pills—like, it’s more about people, right? I did my BAMS with proper grounding in both classical Ayurveda and also the basics of modern med, which honestly helped me see both sides better. During internship, I got to work 6 months at Civil Hospital Sonipat—very clinical, very fast paced—and the other 6 at our own Ayurvedic hospital in the college. That mix showed me how blending traditional and integrative care isn't just theory, it actually works with real patients. After that I joined Kbir Wellness, an Ayurvedic aushdhalaya setup, where I dived into Naadi Pariksha—like really deep. It’s weird how much you can tell from pulse if you just listen right?? Doing regular consultations there sharpened my sense of prakriti, vikriti and how doshas show up subtle first. I used classical Ayurvedic texts to shape treatment plans, but always kept the patient’s routine, mental space and capacity in mind. Also I was part of some health camps around Karnal and Panipat—especially in govt schools and remote areas. That part really stays with me. You get to help ppl who dont usually have access to consistent care, and you start valuing simple awareness more than anything. I kinda think prevention should be a bigger focus in Ayurveda, like we keep talking about root cause but don’t always reach people before it gets worse. My whole method is pretty much built around that—root-cause treatment, yes, but also guiding patients on how to live with their body instead of fighting symptoms all the time. I rely a lot on traditional diagnostics like Naadi, but I mix that with practical therapies they can actually follow. No point in giving hard-to-do regimens if someone’s already overwhelmed. I keep it flexible. Most of my plans include dietary changes, natural formulations, lifestyle corrections and sometimes breathwork, daily rhythms and all that. I’m not here to just “treat illness”—what I really aim for is helping someone feel like they’ve got a handle on their own health again. That shift from just surviving to kinda thriving... that’s what I look for in every case.

I am Dr. Deepali Goswami, BAMS graduate n working mainly around women's health. Right now m running my own clinic where i treat all kind of gyne problems—from irregular periods to PCOD, white discharge, fertility-related issues, menopausal symptoms n lot more that affects everyday life of females. I usually try to keep the language simple while dealing with patients cause honestly half of them come already confused or like really scared of what's happening inside their body... and if I use too much technical terms it just make it worse. I’ve been practicing in this space for couple of years now—don’t remember the exact month, maybe two or three year back? but anyway, what matters is I’ve seen how many of these problems get ignored till they turn serious. That’s something I feel strongly about. My goal is to help women understand their symptoms early and explain how Ayurveda can help gently but properly, whether it’s hormonal stuff or pain or cycle issues. I use classic Ayurvedic concepts like dosha analysis, ritucharya, n yoni vyapad chikitsa wherever it fits, but sometimes modern lifestyle really needs to be factored in too. Like if someone working night shift, no point telling them to wake up at 5am and do abhyanga daily—it won’t work. I’m practical about it. Anyway, I try my best to create a space where women feel heard. Lot of them said nobody actually explained them what’s going on before. And that’s like the saddest part. I feel my biggest strength is really just listening n tailoring the treatment to her routine, diet n stress pattern. Some cases are harder of course... things don’t always go fast, esp when it’s been neglected for yrs. But then Ayurveda’s not magic. It takes a little time—but results feel real n lasting when done right.

I am Dr. Hemanshu—right now a 2nd year MD scholar in Shalya Tantra, which basically means I’m training deep into the surgical side of Ayurveda. Not just cutting and stitching, btw, but the whole spectrum of para-surgical tools like Agnikarma, Viddhakarma, and Kshara Karma... these aren’t just traditional, they’re super precise when done right. I’m not saying I know everything yet (still learning every day honestly), but I do have solid exposure in handling chronic pain issues, muscle-joint disorders, and anorectal conditions like piles, fissures, fistulas—especially where modern treatments fall short or the patient’s tired of going through loops. During clinical rounds, I’ve seen how even simple Kshara application or well-timed Agnikarma can ease stuff like tennis elbow or planter fasciatis, fast. But more than the technique, I feel the key is figuring what matches the patient’s constitution n lifestyle... like one-size-never-fits-all here. I try to go beyond the complaint—looking into their ahar, sleep, stress levels, digestion, and just how they feel in general. That part gets missed often. I honestly believe healing isn’t just a “procedure done” kind of thing. I try not to rush—spend time on pre-procedure prep, post-care advice, what diet might help the tissue rebuild faster, whether they’re mentally up for it too. And no, I don’t ignore pathology reports either—modern diagnostic tools help me stay grounded while applying ancient methods. It’s not this vs that, it’s both, when needed. My aim, tbh, is to become the kind of Ayurvedic surgeon who doesn't just do the work but understands why that karma or technique is needed at that point in time. Every case teaches me something new, and that curiosity keeps me moving.