How to treat premature ejaculation caused by stress and anxiety at age 40? - #57090

If all medical tests are normal, erections are normal, and premature ejaculation is mainly related to stress, performance anxiety, and previous negative experiences, then treatment should focus more on calming the mind and improving ejaculatory control rather than using strong aphrodisiac herbs. Take Brahmi Ghrita 1 teaspoon with warm milk at bedtime Helps reduce anxiety, mental overactivity, and stress. Brahmi Vati (plain) 1 tablet twice daily after food. Ashwagandha Churna 3 g at bedtime with warm milk for 2–3 months. If it causes heat or discomfort, reduce to 2 g or stop. Jatamansi Churna 2 g at bedtime with warm water. Useful when anxiety is the dominant factor. Lifestyle: Practice slow deep breathing (10 minutes daily). Avoid excessive focus on performance during intercourse. Regular walking, yoga, and adequate sleep. Reduce caffeine, alcohol, and late-night screen exposure. For ejaculatory control: Pelvic floor (Kegel) exercises: 10–15 contractions, 3 times daily. Stop-start technique during intercourse can gradually improve control.