Struggling with Nightfall and Premature Ejaculation After Marriage - #50860

Don’t worry Take Jatipaladivati 1tab bd AF Musalipak 1tsp with milk Shilapravang 1tab bd AF Vigoroll external application Take some ghee and sugar milk products Avoid oily spicy food meat alcohol smoking

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

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

Namaste Thank you for your question. I can understand this is very stressful, especially after marriage But please dont panic - this is very common and treatable with proper ayurvedic guidance Nightfall, premature ejaculation all is due to Dhatu kshaya( especially shukra dhatu kshaya) Repeated night fall weakens the shukra dhatu over time Vata prakopa Premature ejaculation is mainky due to Apana vata imbalance causing loss of control Agni and hormonal imbalance Untreated thyroid imbalance affects dhatawagni and metabolism which directly affects sexual stamina INVESTIGATION REQUIRED TSH, T3 AND T4 SERUM TESTOSTERONE VITAMIN D HEAMOGLOBIN If thyroid is abnormal, it must be corrected first AYURVEDIC PLAN OF TREATMENT INTERNAL MEDICATION 1.Ashwagandha capsule 1 capsule twice daily after food 2.shatavari kalpa 1 tsp with warm milk after food 3.kaunj bheeja churna 1 tsp with warm water after food 4. Narasimha Rasayana1 tsp at bed time followed by warm milk DIET ADVICE ✅INCLUDE 1 Warm milk with 1 tsp ghee at night 2.Soaked almonds(4-5 daily) 3.Black sesame seeds 4.Dates ( 2 daily) 5.Moong dal, rice woth ghee ❌AVOID Excess spicy food Late night meals Excess Masturbation PRACTICE ASHWINI MUDRA DAILY IMPORTANT Nightfall 1-2 times/month is normal Premature ejaculation after marriage is very common due to anxiety So we will treat both body and mind Warm Regards Dr Snehal Vidhate

Diet and Nutrition 1. Balanced diet: Focus on whole, unprocessed foods like fruits, vegetables, whole grains, lean proteins, and healthy fats. 2. Foods rich in antioxidants: Include foods high in antioxidants like berries, leafy greens, and nuts to help reduce oxidative stress. 3. Omega-3 fatty acids: Find omega-3 rich foods like fatty fish, flaxseeds, and walnuts to support heart health. Exercise and Physical Activites 1. Regular exercise: Engage in moderate-intensity exercise, like brisk walking, cycling, or swimming, for at least 30 minutes a day. 2. Pelvic floor exercises: Practice Kegel exercises to strengthen pelvic floor muscles. Stress Management 1. Mindfulness and relaxation: Try techniques like meditation, deep breathing, or yoga to reduce stress and anxiety. 2. Get enough sleep: Aim for 7-8 hours of sleep per night to help regulate hormones and reduce stress. 3. Practise yogasan: Molband, setu bandhasan, chakrasan, veer bhadrasan, halasan, gomukhasan. Other Lifestyle changes 1. Quit smoking 2. Limit alcohol consumption 3. Maintain a healthy weight 💊Medication💊 Cap. Boostex Forte 2 caps twice a day before food. Tab. Kapikachu Ghana Vati 2 tabs twice a day before food. Tab. Khadiradi Vati 2 tabs twice a day before food. Shilajit Gold gum 1 small spoon (the one that comes in the pack) with one cup of hot milk early in the morning. Shwet Musli Pak 1 tsp with a cup of hot cow milk in the morning

Start with Cap. Ashwashila 1-0-1 after food with water Divya youvan gold 1-0-1 before food with warm milk. Apply ashwagandha bala oil on penis externally twice daily Brahmi vati 1-0-1 after food with water. Have early dinner. Remain relaxed and stress free. For Thyroid you can take Divya Thyrogrit 2-0-2 after food with water. Do pranayam simhasan specially for Thyroid, also do lom -vilom bhastrika bhamri 5-10mins twice daily.