How to treat premature ejaculation in a 56-year-old with anxiety and depression? - #54286

Client_8cabf5

I am 56 and suffer from Premature ejaculation. I also have anxiety ocd obsessive compulsive disorder ( handwashing),depression, lack of self confidence, social anxiety, inferiority complex

How long have you been experiencing premature ejaculation?:

- More than 1 year

How would you rate the severity of your premature ejaculation?:

- Moderate — frequent concerns

Do you notice any specific triggers for your anxiety or OCD symptoms?:

- Certain thoughts or reminders

How often do your anxiety and depression symptoms affect your daily life?:

- Always — overwhelming

How is your overall energy level throughout the day?:

- Very low — constant fatigue

Have you tried any treatments for your anxiety or premature ejaculation before?:

- No, this is the first time seeking help

How would you describe your social interactions?:

- Very anxious

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Doctors' responses

Dr. Sara Garg

Bachelor of Ayurvedic Medicine and Surgery

20 days ago

At your age, PE is often strongly linked to anxiety, stress, and depression, not just a physical problem.
–Your symptoms suggest an imbalance of Vata dosha, affecting both the mind and nervous system, along with weakness of Shukra Dhatu (reproductive tissue) and reduced Ojas (vital energy and confidence). This imbalance can lead to anxiety, obsessive thoughts, low mood, low energy, and early ejaculation. Mental stress and fear further aggravate Vata, creating a cycle of restlessness and loss of control. Treatment focuses on calming Vata, strengthening Ojas, improving digestion, and supporting mental stability through diet, lifestyle, herbs, and mind–body practices.
–Rx:
1) Himalaya Mentat – 1 tab at bed time at night
2) aimil Serenite – 1 cap OD at bedtime
4) Chyawanprash – 1 tsp morning with warm milk
For 3 months
—Advice:
Yoga (Anulom Vilom, Bhramari), early sleep, avoid stress & caffeine.

0 replies

Dr. Anjali Sehrawat

Bachelor of Ayurvedic Medicine and Surgery

20 days ago

1.Ashwagandha capsules 2 cap twice daily with warm milk after meals
2.Virya sthambhan vati 1 tab twice daily with warm milk after meals
3.Musli pak 1 tsp twice daily with warm milk after meals
4.Saraswatrishta 15 ml with 15 ml water twice daily after meals
ADV:
-Mind-Body Practices: Practice Anulom Vilom (Alternate Nostril Breathing) and Bhramari Pranayam (Bee Breath) for 10–15 minutes daily to stabilize your nervous system.
-Sleep Hygiene: Aim for an early bedtime (by 10:00 PM or 11:00 PM) to allow your body to recover.
-Dietary Changes: Strictly avoid caffeine (tea/coffee) and excessively spicy foods, as these further aggravate Vata and increase restlessness.

0 replies

Dr. Snehal Tasgaonkar

Bachelor of Ayurvedic Medicine and Surgery

19 days ago

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.
Tab.Makardwaj Ras
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

0 replies

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