Brief Answer: need further clarifications Detailed Answer: Dear XXXX Thanks for contacting Ayurveda with your health concern and before opting for Ayurveda management, do let me know about following points for better understanding or any hidden pathology for your present condition. 1. Your marital status? also any performance anxiety, fear of rejection by partner or depression [unsatisfactory sexual experience]? 2. any history of diabetes [other endocrine causes are less common] or chronic alcohol intake, which is/are root cause for the same or use of drugs especially water pill and/or anti hypertensive medications? 3. fluid can be natural secretion of prostate glands which is/are there and is normal, [process by which body relieves itself from sexual urges], but to allay your anxiety, you should consult an Urologist or get Semen Examination done. 4. regarding sensitivity: are you circumcised or not? please revert back for necessary Dietary Regime and Lifestyle Management Dr. Munish Naimittika

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Brief Answer: Developing Ejaculatory Control Detailed Answer: Dear Thanks for reverting back with your clarifications. A. Two very common features of men who consistently ejaculate rapidly: High sexual excitement and high psychological anxiety. 1. Reduce the sensation of Glans, by applying Lignocaine Ointment or by wearing a condom. PS. .the real problem with anaesthetic ointments is that in the long run they tend to make premature ejaculation worse. The penis becomes negatively conditioned and gradually less and less stimulation is required to trigger orgasm, so use it once a month. . the cheapest and easiest method to decrease the sensitivity of the penis is to wear two or more condoms. The extra layer of rubber may just dull his sensation enough to retard orgasm. They may also give him the unmistakable feeling he is making love to a rubber glove. 2. Divert the mind to non-sexual activities like sports or business matters. 3. are there any other pre marital [relationship] problems not related to sex? Then solve them first. 4. 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. 5. 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 there 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. 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. 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: mango, banana, coconut, water melon, pomegranate, raisins,dates, almonds, XXXXXXX pears, walnut, urad dal, carrots, apricots, amla, musk melon, bottle gourd, brinjal, potato, buffalo milk, milk cream, fresh curd, butter, onion . Avoid: only and only 'clove' in any form . make sure your intestine remain clear [take trifla churan at bed time] . Tab Tentex forte 2tds for 3 months or shilajeet caps 1-2tds for 3 months PS. . since there is family history of diabetes, check with your blood sugar level Dr. Munish Naimittika

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