Brief Answer:
SEXUAL DYSFUNCTION

Detailed Answer:
Dear
Thanks for contacting Ayurveda with your health concern and since problem is causing more of Psychological [marked distress and/or interpersonal difficulty in the relationship] than physical impact thus following points are worth mentioning.

1. Masturbation,marks of secreted semen,presence of night fall is completely a normal physiological phenomenon by which the body relieves itself of sexual urges.
2. If a person can get erection on his own but not in the presence of female partner then the cause is 'psychologic'. [as same in your history]
3. Due to the continuous stress/anxiety it has created a vicious cycle which at this moment is causing the above said symptoms without any obvious reasons, one has to overcome them one by one.

A. Remember penis shy under pressure, so if you try to think to perform better erection goes away, so idea is to give more time to foreplay, if it is a matter of embarrassment try following tips:
- In morning wake up before others and go for a walk

B. Two very common features of men who consistently ejaculate rapidly: High sexual excitement and high psychological anxiety, thus
1. Reduce the sensation of Glans, by applying Lignocaine Ointment or by wearing a condom.
2. Divert the mind to non-sexual activities like sports or business matters.
3. Perineal Exercise:when there are partial erections, which cannot be maintained, practice perineal exercises. While urinating, stop the flow of urine\, start again, stop & start again 4-5 times.

4. FOR PREMATURE EJACULATION [PE]
Ejaculation and Orgasm can be voluntarily controlled. You have to learn to recognize the sensations prior to orgasm and stop.

Stage I: Man is advised to masturbate himself, and when ejaculation is near, stop. Allow the erection to subside. Start again. Repeat this number of times before allowing ejaculation. Practice for 2-4 weeks.

Stage II: Learn the same with your partner.She will masturbate you near orgasm, stop when you indicate, wait for erection to subside, then start again.Repeat this a few times & then allow ejaculation. Practice for 2-4 weeks

Stage III: Follow the same method for intercourse, initially with female superior position and then with male superior position. The principle is to stop before ejaculation, wait for the erection to subside & then start again. Practice for 3-4 months, or more till perfect control is achieved.

PS. You may consult an Ayurveda Physician for " Tantric Vajroli" which is a very easy, very effective method to have a full control over ejaculation

. Belly breathing: Lie comfortably on a bed, on your back. Loosen [if any] tight clothing. Place one hand on your abdomen and the other on your heart. Now take a deep slow breath that you can feel all the way down to your abdomen. Breathe as if you are drawing breath down through your body, into your legs and toes. This time tested exercise will help allay anxiety, increase the ability to relax and activate the benevolent energies of the parasympathetic nervous system. [duration: 10 minutes]

5. The line of treatment should be based on 'vrishya', 'medhya', 'shukrastambhaka', and 'vatahara' properties. You may Consult a good Ayurveda Physician or Hospital in and around your place.

Take: XXXXXXX banana, coconut, water melon, pomegranate, raisins,dates, almonds, apple, pears, walnut, urad dal, carrots, apricots, amla, musk melon, bottle gourd, brinjal, potato, XXXXXXX milk, milk cream, fresh curd, butter, onion
. Avoid: only and only 'clove' in any form

C. FOR ERECTILE DYSFUNCTION [ED]
ED can be a total inability to achieve erection,an inconsistent ability to do so,or a tendency to sustain only brief erection [more/less present]
. ED usually is treatable at all ages, and in your case is mostly due to
i. Psychological Factors: such as stress,anxiety, guilt,depression,low self esteem, and fear of sexual failure
ii. Anxiety performance
iii. fear of rejection by wife
iv. feeling of guilt [excess masturbation]

. start with perineal exercises: while urinating, stop the flow of urine, start again, stop & start again 4-5 times.

. TAKE: milk and milk products, ghee, makhan, cheese, curd, black grapes, pears, raisins, dates, almonds, walnut, XXXXXXX pomegranate, carrot, banana, apricots, musk melon, amla, coconut, pistachio, turnip, potato, onion, lady finger, radish, old brown rice, peas,garlic, bottle gourd.

. AVOID: sour and cold substances, tobacco [in any form], brinjal, tandori roti, red chilies, heavy and food which require long hours to digest, jaggery and its items, deep fried food.

PS. Before prescribing medication for ED, patient should be evaluated for any cardio vascular diseases, thus have an appointment with a Cardiologist for any potential risk of a cardio vascular event, so that Ayurveda medicines/herbs can be incorporated in your daily routine.

There is no organic problem observed while going through your history, it is just that excess of stress and anxiety has taken an upper hand over your system, thus i In my Clinical Practice I usually treat the patient on line of ": Shukragat Vata" which is characterized by a group of clinical presentations either with the impairment of ejaculation or with seminal abnormalities.

i. In Ayurveda we have to take into account the involvement of 'Vata' 'Mana' ' 'Shukra' i.e. [psychosexual parlance] while planning the management of shukragat vata and the line of treatment should be based on 'vrishya', 'medhya', 'shukrastambhaka', and 'vatahara' properties. You may Consult a good Ayurveda Physician or Hospital in and around your place or I can courier you the said medicines at your discretion.

[do click directly on: bit.ly/drmunishsood for further assistance.


Dr. Munish Sood
Consultant & Physician
Naimittika Clinic

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