Premature Ejaculation (PE) is uncontrolled ejaculation either before or shortly after sexual penetration, with minimal sexual stimulation and before the person wishes. It may result in an unsatisfactory sexual experience for both partners. This can increase the anxiety that may contribute to the problem. Premature ejaculation is one of the most common forms of male sexual dysfunction and has probably affected every man at some point in his life.
Premature ejaculation can occur at any age. Surprisingly, aging appears not to be a cause of PE. However, the aging process typically causes changes in erectile function and ejaculation. Sometimes premature ejaculation may be a problem in men who have erectile dysfunction.
Premature ejaculation is also known as rapid ejaculation, premature climax, or early ejaculation.
Ejaculation has two phases:
Phase I: Emission
The vas deferens (the tubes that store and transport sperm from the testes) contract to squeeze the sperm toward the base of the penis through the prostate gland. The seminal vesicles release secretions that combine with the sperm to make semen. The ejaculation is unstoppable at this stage.
Phase II: Ejaculation
The muscles at the base of the penis contract forcing semen out of the penis (ejaculation and orgasm) while the bladder neck contracts. Orgasm can occur without the delivery of semen (ejaculation) from the penis. Normally, erections are lost following ejaculation.
Ayurveda Management of Premature Ejaculation
According to the principles and philosophy of Ayurvedic medicine, PrematureEjaculation is caused due to aggravated Vata. The Prakupita Vata enters into Shukra dhatu and causes early ejaculation. It comes under the gatatva concept of vata characterized by a group of clinical presentations, which include ejaculatory as well as seminal impairments is referred as Shukragatavata or Shukravritavata.
The clinical presentations of Shukragata Vata are early ejaculation (Shukra Ativega), delayed ejaculation (Shukra Avega), incapable to impregnate/affliction of fetus/premature birth (Nishphalatvam/Garbha vikrithi).
In Ayurveda, Vata is explained as life and vitality, supporter of the all embodied beings and sustain long life, free of disorder. Shukra is the terminal tissue element of the body, which is considered as the Saara (essence) of all other tissue elements and nourishes of the supreme vital essence (Ojas). Both concepts attained superior considerations in Ayurveda classics.
Ayurveda being the ancient unique system of medicine aims not only curing but preventing the disease too. Line of treatment of Shukragatavata or Premature ejaculation is Vatahara chikista (vata pacifying treatment), admistration of Vajeekarana (aphrodisiac) and Shukrastambhaka (medicines which delay the ejaculation or arrests premature ejaculation) dravyas or oushadhis.
At CHARAKA, we are providing highly successful treatments for curing Premature Ejaculation based on the knowledge shared by the classical texts of Ayurveda and through research based medicines. Most of the people respond to the oral medicines itself, while some people may require Panchakarma therapies.
Therapies like Abhyanga swedam, Snehapama, Virechanam, Elakizhi, Pizhichil, Navara/mamsa kizhi, Vasti and Uttara vasti treatments are usually done.