dont worry take ashwagandha ksm 66 cap 2-0-2 tab kanchbeehj 2-0-2 tab livtone 2-0-2 tab bramhi 2-0-2 take shilajit with milk with night time do nasya with cow ghee 2 drop each nostril 2 times day avoid spicy food and suagr do yoga and asan
✓Medicines Ashwagandha Lehyam – 10 gm morning + 10 gm night with warm milk + ½ tsp ghee Confido Tablet (Himalaya) – 1 tablet morning + 1 tablet night after food Gokshura Capsule – 500 mg twice daily after food Shilajit Capsule (pure) – 250–500 mg morning with warm water Shrigopal Taila or Bala Taila – gentle massage on penis & lower abdomen 8–10 min followed by warm towel wrap 5 min ✓Daily Must-Do Kegel exercises – 50 reps × 3 sets daily (hold 5–10 sec) – strongest for PE control Stop masturbation/porn completely for 90 days 30–45 min brisk walk daily Sleep 10 pm – 6 am strictly ✓Diet Daily: 4 soaked almonds + 2 dates + banana morning Moong khichdi + ghee, pomegranate, milk with ghee Avoid: spicy/sour, junk, cold drinks, caffeine after 4 pm ✓repeat TSH, free T4, free T3, anti-TPO Regards Dr Gursimran Jeet Singh MD Panchakarma
—Your premature ejaculation may be related to performance anxiety and untreated thyroid imbalance. Since you are not on thyroid medication, I strongly advise getting TSH, T3, and T4 tests done and starting treatment if required. Once thyroid levels are controlled, sexual performance often improves. Along with this, stress reduction, regular exercise, and pelvic floor (Kegel) exercises can help. If the issue continues, medical treatment for premature ejaculation can be considered. —go for these tests first -TSH Free T3 Free T4 -Fasting blood sugar Serum testosterone (morning sample) Prolactin -------Rx- 1) tab confindo 2 tab twice daily after meal 2) musali pak 1 tsf BD after meal 3) kapikachu churn 1 tsf BD with milk 4) shilapravang vati 1 tab BD after meal —Advice: Warm milk at night Avoid spicy, excess tea/coffee No late nights Daily walking + Vajrasana + Ashwini Mudra Avoid excess sexual stimulation —Follow-up: 4 weeks with reports or before with reports
HELLO, Nightfall and premature ejaculation are common issues, especially where there Issues, especially when there is long term anxiety, thyroid imbalance, or performance stress after marriage. Since you also have a history of thyroid disorder and are not on medication, that Is very important to address first In Ayurveda, this condition is usually related to -Shukra dhatu kshaya (weak reproductive tissue) -Vata aggravation (especially Apana Vata) -Manasika factor= anxiety , overthinking, performance stress -Thyroid imbalance can be linked with disturbance in metabolism Nightfall for more than 6months suggests chronic weakness of reproductive system . Premature ejaculation ever time indicates lack of control over Apana Vata. STEP 1= CHECK THYROID FIRST -Get TSH, T3,T4 tested -If abnormal treat thyroid as untreated thyroid imbalance can directly cause=low stamina, anxiety, erectile issues, early ejaculation Thyroid imbalance must be corrected along with Ayurvedic treatment INTERNAL MEDICATIONS RASAYANA AND SHUKRA VARDHAK MEDCINES 1) ASHWAGANDHA CHURNA= 1 tsp with warm milk at night =improves stamina, reduces anxiety, balances vata 2) SHILAJIT (pure form)= 500mg capsule with milk =enhances sexual strength and endurance 3) KAUNCHA PAK= 1 tsp with milk twice daily =improves sperm quality and control 4) CHANDRAPRABHA VATI= 2 tabs twice daily after meals =helpful in urinary and reproductive weakness CONTROL PREMATURE EJACULATION NATURALLY Start these daily 1) VAJROLI MUDRA PRACTICE -tighten pelvic muscles like stopping urine -hold for 5 seconds -20 reps, twice daily 2) ASHWINI MUDRA -contract and relax anal muscles -30 reps daily 3) PRANAYAM -Anulom vilom= 10 min -bhramari= 5 mi -> reduces anxeity very important for PE DIET -milk with soaked almonds 5 daily -dates 2 daily -ghee 1 tsp daily -pumpkin seeds -black sesame seeds -banana AVOID -porn -excess mastruabtion -spicy junk food -late night sleeping -alcohol ABOUT NIGHTFALL Nightfall 1-2 times per month is normal It becomes a problem only If -happens very frequently -you feel weakness afterward -there is excessive sexual thoughts ONCE marriage has stared and regular intercourse happens, nightfall usually reduces naturally Since you recently got married, performance anxiety is common REMEMBER -PE is treatable -80 % of cases improve with anxiety control + pelvic exercises -Do not panic or lose confidence EXPECTED IMPROVEMENT TIMELINE -2-3 weeks= reduced anxiety -4-6 weeks= better control -8-12 weeks= significant improvement Consistency is key DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU
1️⃣ First Important Step – Thyroid Check You were diagnosed 2 years back and are not on medication. ⚠ This is important. Thyroid imbalance can cause: Low stamina Erectile weakness Premature ejaculation Low confidence Anxiety Weight changes 👉 First do: TSH T3 T4 If TSH is high → Hypothyroid If TSH is low → Hyperthyroid Sexual problems will not fully improve until thyroid is corrected. 2️⃣ Nightfall (Swapnadosha) If happening frequently (>2 times/week), it shows: Excess sexual thoughts Weak nervous control Stress Hormonal imbalance Occasional nightfall is normal. 3️⃣ Premature Ejaculation (Every Time) This is usually due to: Performance anxiety (very common after marriage) Long abstinence before marriage Thyroid imbalance Weak pelvic nerve control Psychological pressure 💡 Since it is happening every time, we need treatment. Ayurvedic Management Plan This looks like Vata aggravation + Dhatu Kshaya + possible thyroid imbalance. Internal Medicines (Safe & Commonly Used) ✔ Ashwagandha Churna – 1 tsp with milk at night ✔ Shilajit (pure) – 250 mg morning ✔ Kaunch Beej Churna – ½ tsp at night ✔ Brahmi Vati – 1 tab at night If anxiety high → ✔ Sarpagandha not recommended without supervision Lifestyle Corrections (Very Important) Stop porn completely Avoid excessive masturbation Sleep before 11 pm No mobile 1 hour before sleep Do daily: Anulom Vilom (10 mins) Kegel exercises (strengthens ejaculation control) Kegel Exercise (Must Do) Contract pelvic muscles (like stopping urine) Hold for 5 seconds Release Repeat 20 times 2–3 times daily Results in 4–6 weeks. Diet Milk + soaked almonds (5) Dates (2 daily) Avoid excess spicy & junk food Avoid alcohol Important Mental Advice After marriage: Anxiety is the biggest cause Don’t focus on performance Take time in foreplay Try start-stop technique Expected Timeline Nightfall improves in 3–4 weeks Ejaculation control improves in 4–8 weeks Thyroid correction may take 2–3 months
U r having good sexual strength but facing premature ejaculation issue so start with Gokshuradhi Guggulu Tab 2 bd after food Musali khadiradhi kwatham 20 ml twice a day after food Brahmi vati tab 1-0-1 after food
NIGHTFALL AND PREMATURE EJACULATION ARE COMMON ISSUES DUE TO VATA IMBALANCE AND LONG STANDING THYROID PROBLEM SINCE YOU ARE NOT ON MEDICATION YOUR HORMONAL FUNCTION MAY STILL BE UNSTABLE FOCUS ON DIET AND LIFESTYLE AVOID FRIED SPICY AND SUGARY FOODS ALCOHOL EAT GHEE MILK DRY FRUITS AND PROTEIN RICH FOODS DAILY PRACTICE YOGA BREATHING EXERCISES AND MEDITATION TO CALM NERVES AND STRENGTHEN PELVIC FLOOR DO KEGEL EXERCISES REGULARLY AVOID LATE NIGHT SCREEN TIME AND GO TO BED EARLY HERBS LIKE ASHWAGANDHA SHILAJIT SAFED MUSLI AND KAPIKACCHU CAN HELP IMPROVE REPRODUCTIVE ENERGY BUT TAKE UNDER GUIDANCE OIL MASSAGE WITH KATIKAPPA OIL ON LOWER ABDOMEN AND INNER THIGHS HELPS REDUCE VATA AND IMPROVE BLOOD FLOW WARM BATHS AND SNEHANA MASSAGE REGULARLY SUPPORT RECOVERY CHECK THYROID FUNCTION WITH TSH T3 T4 TESTS AND START APPROPRIATE TREATMENT IF NEEDED AVOID PERFORMANCE ANXIETY PRACTICE WITH PARTNER WITHOUT PRESSURE FOR BETTER CONTROL COMBINING DIET LIFESTYLE HERBS AND THERAPIES GIVES LONG TERM IMPROVEMENT
Dnt worry I have treated many of patients for these conditions past 12 yrs:- Take:- Virya sodhan vati VISHTINDUK vati Bhrami vati=1-1 tab after meal twice daily Majun laboob kabeer Majun arad khurma= both take 1/2-/1/2 TSP empty stomach twice daily with milk AVOID sour/spicy/junk food Do regular exercise and yoga REGARDS Dr atul painuli Patanjali yogpeeth chikisyayala
