Premature Ejaculation (PE)

  • Do you have any loss of sexualinterest?
  • Do you have any inability to delay ejaculation?
  • Are you ejaculating near to vagina or within one minute of vaginal penetration?

MAY BE YOU HAVE PREMATURE EJACULATION (PE)?

What is Premature Ejaculation (PE)?

PE has been defined as a male sexual dysfunction characterized by “ejaculation which always or nearly always occurs prior to or within about one minute of vaginal penetration, and inability to delay ejaculation on all or nearly all vaginal penetrations, and negative personal consequences, such as distress, bother, frustration and/or the avoidance of sexual intimacy.”

Classification of Premature Ejaculation

Lifelong or Primary Premature Ejaculation: PE is classified as lifelong or primary if it is present atalmost every intercourse from the first sexual encounter onwards.

Acquired or Secondary Premature Ejaculation: PE is classified as acquired or secondary if it develops after a period of previously normal control of ejaculation.

Diagnosis of Premature Ejaculation:

Complete Blood Count (CBC), Urine (Routine and microscopic), Semen Analysis (Before treatment and after treatment) are few diagnostic techniques of detecting Premature Ejaculation.

Characteristics of Premature Ejaculation:

  • Ejaculation always or nearly always before or within about one minute of vaginal penetration, from the first sexual experience (LPE), or a clinically significant reduction in latency time, often to about three minutes or less (APE).
  • Inability to delay ejaculation on all or nearly all vaginal penetrations.
  • Negative personal results like: distress, frustration, and/or avoidance of sexual intimacy.

Some tips to avoid Premature Ejaculation

  • Masturbating an hour or two before having sex.
  • Using a thick condom to help decrease sensation.
  • Taking a deep breath to briefly shut down the ejaculatory reflex (an automatic reflex of the body, during which ejaculation occurs).
  • Having sex with your partner on top (to allow them to pull away when you are close to ejaculating).
  • Taking breaks during sex and thinking about something boring.

Ayurvedic Perspective of Premature Ejaculation

In Ayurveda there is a concept of ShukragataVata, which can be correlated with Premature Ejaculation (PE). ShukragataVata is a distinct pathological entity, characterized by a group of clinical presentations either related to the impairment of ejaculation or with the impairment of seminal properties. The clinical presentations of ShukragataVata are early ejaculation, delayed ejaculation, affliction of foetus/premature birth. Treatment include ‘Stambhanakaraka Yoga’ containing Tulsi Beeja (Occimumsantum), Akarakarabha(Anacyclus pyrethrum), Mishri (sugar) recommended in a classical book ‘ChikitsaChandrodaya’. Another therapy Vajikaran therapyoffers a solution to minimize the shukra (sperm and ovum) defects and to ensure a healthy progeny.It is composed of C.orchioides, A. longifolia and M. pruriensethanolic extracts modulate the level ofthe pituitary hormones FSH and LH. Common herbals used for effective treatment of Premature Ejaculation include:

  • Indian liquorice.
  • Indian Gooseberry (Amla).
  • Indian asparagus (Shatavari): The root is important for increasing the seminal qualities due to its ability to increase sperm count as well as improves its motility.
  • Psyllium seed husks (Isabgol): Constipation and excess masturbation causes premature ejaculations, so isabgol treats by curing first constipation and helps to pacify aggravated pitta humor in the eliminating root cause of premature ejaculation.
  • Glycyrrhijaglabra (Jastimadhu): Liquorice root possesses a cooling and demulcent effect on the genitourinary system which helps in the after orgasm phase.
  • Indian Ashwagandha (Ginseng): Useful for premature ejaculation since it influences spermatorrhea. It also possesses a sedative effect and thereby helps to avoid over excitement. Besides these properties it is an aphrodisiac with special beneficial effects for loss of energy, as in premature ejaculation which may be concomitantly present.

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