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Sexual Health & Disorders
Question #35058
32 days ago
186

Premature ejaculation performance anxiety - #35058

Aman

Can anyone suggest best medicinefor premature ejaculation and performance anxiety.alternative of depoxtine medicine. Only depoxtine giving results but temporary................body natureis pitt..................................

Age: 39
Chronic illnesses: No
300 INR (~3.51 USD)
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Doctors' responses

1.Ashwagandha churna 1 tsp with warm milk twice daily 2.Cap. Hiforce 2 cap twice daily with warm milk after meals 3. Shveta Musali pak 1 tsp with warm milk twice daily before meals 4.Bala-ashwagandha oil-gently massage the penis once daily

Adv: Exercise regularly Practice meditation for 15-20 min early in the morning Practice asanas and pranayams

Quit smoking and alcohol Avoid carbonated drinks and energy drinks Avoid fried and processed food items Add rich amount of ghee and milk to your diet Don’t skip meals Indulge more and more in outdoor sports activities

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Take Ashwagandha capsule 1-0-1 Shilajit rasayana 1-0-1 Medha vati 1-0-1 Shwetha musli pak -1 tsp with warm milk Saraswathi aristha 15-0-15 ml with equal water

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Avoid addiction if any. Avoid oily, spicy and processed foods. Regular exercise. Increase intake of raw vegetables and fruits. Tab. Confido 2-0-2 Cap. Stresscom 1-0-1 Cap. Tentex fort 2-0-2 Follow up after 4weeks

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Hello Aman Start with Cap Ashwashila 1-0-1 after food with water Divya youvanamrit gold 0-0-1 after food with water Apply ashwagandha bala oil Shilajit oil on penis externally twice daily Be relaxed and remain stress free Have early dinner

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HELLO AMAN,

Premature ejaculation occurs when a man ejaculates too early during sex – often within a minute of penetration – and cannot control it.

In Ayurveda, premature ejaculation is primarily caused by: -Aggravation of Vata, especially Apana Vata = controls semen ejaculation. -Shukra Kshaya – low vitality of reproductive tissues -Mental doshas such as Chinta (anxiety), Bhaya (fear), and Tama (mental dullness)

These lead to loss of control over ejaculation, weakness in nerve and muscle coordination, and reduced semen quality.

Start internally

1) Ashwagandha Churna – 1 tsp with warm milk twice a day, morning and night for 3-6 months =Adaptogen, reduces stress, strengthens reproductive organs.

2) Kaunch Beej Churna – 1 tsp with honey + milk twice a day for 3-4 months =Increases libido, sperm quality, and stamina.

3) Shilajit Capsule (Swarna)- 1 capsule once a day with lukewarm milk for 2-3 months =Aphrodisiac, Energetic, Balances Vata and Kapha.

4) Safed Musli Churna- 5 minutes twice daily with warm milk =Powerful aphrodisiac herb for potency and semen thickening

5) Vrihat Chintamani Rasa- 125mg with honey at night =Nervous weakness, excessive Vata, tremors, mental debility

6) Confido Tablet (Himalaya)- 1 tablet twice daily =Reduces performance anxiety, improves control over ejaculation

External Use

1) Ashwagandha Bal Oil - Massage the base of the penis, thighs and lower abdomen daily - For 5-10 minutes - Do not apply on the tip of the penis or the entrance of the urethra = Strengthens the nerves and improves blood flow

2) Shukra Vardhak Lepa- Local herbal paste - Apply on the pubic area or inner thighs- not directly on the genitals

Diet - Dairy = Milk, Ghee, Paneer - Nourishes the Shukra Dhatu

- Dry Fruits = Soaked Roasted almonds, walnuts and figs - Improves sperm count and energy

-Vegetables = Carrots, beetroot, spinach - Increases blood and vitality

-Spices = Asparagus, saffron, cardamom - Aphrodisiac and calming

-Sweet tastes = Rice, jaggery, dates - Build ojas and shukra

Avoid these completely

-Tea, coffee, alcohol, smoking

-junk food, processed food

-Excessively spicy or sour things

-Cold, stale or fermented food

-Night vigil (Rathi jagran)

Now comes the most important part to follow

1) Kegel Exercise (Mula Bandha in yoga) Purpose - Strengthen the pelvic floor muscles which help in erection and semen control

How to do- -Sit/lie down and tighten the muscles you use to stop urination midstream -Hold for 5-10 seconds, then release 1) Yoga Asanas for Sexual Power -Repeat 15-20 times, 3 sets daily - morning, afternoon, night

Advanced - Try Kegel contractions during arousal, foreplay or urine control to strengthen ejaculation delay

2) Pelvic Thrust Exercise (Bridge Pose) -Lie on back, knees bent, feet flat -Raise hips up while contracting buttocks and holding core -Hold for 10 seconds and release -Repeat 15 times*3 sets

3) Yoga Asanas for Sexual Power -Bhujangasana= Improves pelvic blood circulation -Paschimittasana= Improves semen quality -Vajrasana after meals= Improves digestion and shukra dhatu -Ashwini Mudra (Anal Restriction)= Controls premature ejaculation

#Pranayama- Do 10-15 minutes daily -Anulom Vilom- Nervous balance -Bhramari- Calms the mind, Reduces overexcitement -Udgeeth- Increases confidence + ojas

#Emotional & Mental Balance What issues you might be facing- -Fear of disappointing your partner -Guilt due to past failed experiences -Excessive dependence on porn/artificial triggers -Fatigue due to lack of sleep/diet

What to do -Accept it- Sexual weakness is reversible, don’t panic -Communicate- Emotional intimacy > physical performance -Enjoy slow foreplay- Don’t rush -Practice celibacy-based detox- Abstinence (no sex, no masturbation, no stimulation) for 10-15 days, then gradual return -Sleep at least 7 hours a night everyday -Strictly avoid porn and excessive masturbation

Final advice -Start this protocol, continue for 8-12 weeks and see visible improvement within 1 week -Relieve performance stress Avoid

-Stay natural, stay grounded and commit to the treatment.

Follow this regularly,

Hope this will be helpful

Thanks

Dr. Maitri Acharya

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Premature ejaculation and performance anxiety are indeed areas where Ayurveda can offer some meaningful insights. Since you mentioned a pitta body nature, we should consider approaches that target pitta balance. Pitta dosha, associated with heat and intensity, often leads to premature ejaculation under situations involving anxiety or stress.

First, incorporating Ashwagandha (Withania somnifera) could be highly beneficial. Known for its adaptogenic properties, Ashwagandha helps reduce stress and anxiety while supporting balanced hormones. You can consume Ashwagandha powder with milk, about 1 gram twice daily, ideally in the morning and at night.

Brahmi (Bacopa monnieri) is another herb that supports mental clarity and calmness. It’s effective for overall nervous system health and can help mitigate performance anxiety. Brahmi can be taken as a capsule or in powder form, 500 mg once a day should suffice. Combine it with warm water or milk for better absorption.

Moreover, meditation and pranayama (breathing exercises) will prove valuable for managing anxiety. Practicing deep breathing for 5-10 minutes a day can significantly reduce performance anxiety. Anulom Vilom, a simple and balancing breathing technique, can help cool down the pitta dosha.

Dietary adjustments are crucial in pacifying pitta. Favor cooling, hydrating foods like cucumbers and melons, and avoid excessively spicy, hot, or sour foods that exacerbate pitta.

Shatavari (Asparagus racemosus) is known to bolster reproductive health and can be taken in powder or tablet form, 1-2 grams daily in warm milk is recommended, reassuring strength and stamina over time.

Remember, Ayurvedic treatments can show slower but sustainable results compared to pharmaceuticals. Regular follow-ups with an Ayurvedic practitioner can fine-tune your regimen based on progress. It might take consistent effort over weeks for effects to materialize.

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Start on Yavanamrita vati 1-0-1 Yavuan gold capsule 1-0-1 With warm milk Musli pak 1 tsp with warm milk

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Understanding that premature ejaculation and performance anxiety commonly interact due to Pitta imbalances, it’s useful to consider approaches that cool the Pitta dosha, strengthen the shukra dhatu (reproductive tissue), and nourish the mind. Instead of relying solely on Depoxetine or similar medications, integrating certain Siddha-Ayurvedic strategies might be meaningful.

Firstly, I’d suggest utilizing herbs such as Ashwagandha and Shatavari. Ashwagandha could help in reducing stress and enhancing stamina, while Shatavari is known for its cooling effects on Pitta, supporting reproductive health. You can take these herbs in powdered form, mixing 1 teaspoon of each in warm milk, preferably at night.

Diet also plays a vital role. Adopting a Pitta-pacifying diet—including ghee, leafy greens, cucumbers, and sweet fruits like grapes or mangoes—can help manage the heat associated with Pitta. Avoid spicy, sour, and oily foods as much as possible, which can aggravate the condition.

Daily practices like Pranayama, particularly Sheetali breath, can help cool the system and alleviate anxiety. Practicing for about 10 minutes in the morning may yield beneficial results in calming the mind and regulating the nervous system.

Lastly, incorporating sesame oil abhyanga (self-massage) can be soothing for the nerves and help balance Pitta. Warm some sesame oil and gently massage your whole body before showering. Doing this regularly can improve circulation and help settle anxiety. Should these measures not alleviate symptoms or if symptoms worsen, it’s essential to consult a qualified practitioner for deeper diagnostics and tailored treatment.

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I am a Senior Ayurveda Physician with more than 28 years in this field — and trust me, it still surprises me how much there is to learn every single day. Over these years, I’ve had the chance to treat over 1 lakh patients (probably more by now honestly), both through in-person consults and online. Some come in with a mild cough, others with conditions no one’s been able to figure out for years. Each case brings its own rhythm, and that’s where real Ayurveda begins. I still rely deeply on classical tools — *Nadi Pariksha*, *Roga-Rogi Pariksha*, proper *prakriti-vikriti* mapping — not just ticking symptoms into a list. I don’t believe in ready-made cures or generic charts. Diagnosis needs attention. I look at how the disease behaves *inside* that specific person, which doshas are triggering what, and where the imbalance actually started (hint: it’s usually not where the pain is). Over the years I’ve worked with pretty much all age groups and all kinds of health challenges — from digestive upsets & fevers to chronic, autoimmune, hormonal, metabolic and degenerative disorders. Arthritis, diabetes, PCOD, asthma, thyroid... but also things like unexplained fatigue or joint swelling that comes and goes randomly. Many of my patients had already “tried everything else” before they walked into Ayurveda, and watching their systems respond slowly—but surely—is something I don’t take lightly. My line of treatment usually combines herbal formulations (classical ones, not trendy ones), Panchakarma detox when needed, and realistic dietary and lifestyle corrections. Long-term healing needs long-term clarity — not just short bursts of symptom relief. And honestly, I tell patients that too. I also believe patient education isn’t optional. I explain things. Why we’re doing virechana, why the oil changed mid-protocol, why we pause or shift the meds after a few weeks. I want people to feel involved, not confused. Ayurveda works best when the patient is part of the process, not just receiving instructions. Even now I keep learning — through texts, talks, patient follow-ups, sometimes even mistakes that taught me what not to do. And I’m still committed, still fully into it. Because for me, this isn’t just a job. It’s a lifelong responsibility — to restore balance, protect *ojas*, and help each person live in tune with themselves. That’s the real goal.
5
998 reviews
Dr. Snehal Vidhate
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.
5
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Super relieved! This answer made sense and gave me doable changes. Feeling hopeful about fixing the sleep mess too. Thx a lot!
Super relieved! This answer made sense and gave me doable changes. Feeling hopeful about fixing the sleep mess too. Thx a lot!
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Really appreciate the clear advice doc! Finally got some solid answers for dealing with my issue, gonna try those tips. Thanks a ton!
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Thanks! That's super helpful. Wasn't sure where to start but now I have a clear direction. Appreciate your advice on diet changes!