Brief Answer:
further necessary information

Detailed Answer:
Dear
Thanks for contacting Ayurveda with your health concern and after reviewing your history I'm of the following opinion:

1. Confido is a non hormonal therapy,acting on the higher centers of emotions in the brain and locally on the sex organs,directly or indirectly. Confido reduces the anxiety and calms the individual,by acting through the neuro-endocrine pathway and also regulates the process of ejaculation

Indications: in spermatorrhea,premature ejaculation, nocturnal emission.

Dosage for confido:
i. for premature ejaculation: 1 tablet twice daily for 2-4 weeks
ii. for spermatorrhea,nocturnal emission: 1 tablet twice daily for 4-6 weeks

2. Tentex forte: 2 tablets twice daily for 3-4 weeks. treatment may be prolonged depending upon the response.
PS. is a non hormonal and safe sexual stimulant and acts on higher brain centers to improve libido, the antistress, adaptogen action of tentex forte helps alleviate anxiety associated with sexual desire.

3.with these one need to take medicine(s) which:
. improves micro circulation and performance
. As the medicine(s) are given for sexual performance/pathology thus is a psychosomatic disorder thus tranquility of mind is important
. build all round health,builds stamina and improves resistance to illness

PS. All herbs are result oriented and evidenced based Medicine. As such I do give my patient(s) the above said medicine(s) along with Confido and tentex forte tablets. If interested I can courier you the same with Account/Amount details.

Dr. Munish Sood
Consultant Physician
Naimittika

direct online link: bit.ly/drmunishsood

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Brief Answer:
further assistance

Detailed Answer:
Dear
Thanks for reverting back.

1. Since you suffer from the problem time and again, thus do let me know about following possibilities:

i. are you married,in relation,or still single?
ii. any fear of rejection by wife or partner?
iii. any anxiety performance or sexual guilt?

2. along with confido and tentex forte it is important/necessary that you take other set of medicine (s) as mentioned earlier to treat the pathology from root cause.

3. One may go for viagra [but make sure it does not become a habit] and also as it is associated with unpleasant side effects one may go for safer alternative like Himcolin gel [himalaya]

4. Recommended changes and Duration:

I. FOR ERECTILE DYSFUNCTION

i. start with perineal exercises: while urinating, stop the flow of urine, start again, stop & start again 4-5 times.
PS. perineal exercise [pelvic floor programme] is a noninvasive alternative for the treatment of patients with ED by clearing venous occlusion. [will help to achieve full erection afterwards] It also helps to strengthen the muscles and sphincters involved in erection and ejaculation.

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

iii. 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.

iv. before starting treatment take:
. take panchskar churan with lukewarm water before retiring to bed for 15 days

PS. before prescribing medication especially for ED, the 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.

II. FOR PREMATURE EJACULATION

i. Two very common features of men who consistently ejaculate rapidly:
- High sexual excitement and high psychological anxiety thus: reduce the sensation of Glans, by applying Lignocaine Ointment or by wearing a condom.

PS. the cheapest and easiest method to decrease the sensitivity of the penis is to wear two or more condoms.
. Divert the mind to non-sexual activities like sports or business matters.
. Perineal Exercise: as explained earlier.

- Avoid: clove,hot milk, and musli,sheelajit, [in single form]

- 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]

. 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.e.
i. The line of treatment is based on 'vrishya', 'medhya', 'shukrastambhaka', and 'vatahara' properties.

5. The duration of the said medicines will be of 3 months, and if you want to continue further I can share my Account Details with you for further necessary information on the subject.

Dr. Munish
Naimittika

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Brief Answer:
further details and information

Detailed Answer:
Dear
Thanks for reverting back.

1. Remember tadalfil or sildenafil is for erectile dysfunction [ED] and not for premature ejaculation [PE], so it will prolong erection but will not solve problem [if associated with ejaculation]
i. Sidenafil contains the same active ingredient as Viagra [sildenafil citrate] but since it is a generic version of the medicine ,thus is cheaper, and is best taken on empty stomach [effect last for 4-6 hours]
ii. Tadalfil is not much affected by food, thus can be taken after meals and results last longer [upto 36 hours]

PS. make sure you are not taking medicines [for prostate problem/high blood pressure] and/OR recreational drugs containing nitrates
-     Spedra [avanafil] is the latest taking 15 minutes

2. Regarding the details of Amount and Medicine:

1 month course will contain medicine which:
. improves micro circulation and performance: Rs 990/- [60 capsules]
. As tranquility of mind is important part of treatment thus herbal tranquiliser: 330/- [60 tablets]
. build all round health, builds stamina and improves resistance to illness: 990/- [1 kg]
. churan [powder] before starting treatment: 119/- per 100 gm
Total Amount: 2400/-month [including courier]

PS. Bank Details:
XXXXXXXXXXXXX
XXXXXXXXXXXXX of XXXXXXX [V.P.O: Pahra,Palampur]
A.c No: 0000
I.F.S.C. Code: CBIN0000

3.     As Anxiety is the main cause thus do start with the said medicine(s) and to alleviate the symptoms and uproot the main cause.
Dr. XXXXXXXXXX
XXXXXXXXXXXXXXXX

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