Consult online with our best ayurvedic sexologist across India, at Kayakalp internationals clinics at Mumbai; India for premature ejaculation treatment in India.
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Added: Sep 03, 2024
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Understanding Premature Ejaculation
AGENDA Overview of Premature Ejaculation Types of Premature Ejaculation Mechanism of Ejaculation Causes of Premature Ejaculation Diagnosis of Premature Ejaculation Ayurvedic Perspective on Premature Ejaculation Modern Treatment Techniques Ayurvedic Treatment Approaches
Overview of Premature Ejaculation Premature ejaculation (PE) is defined as the occurrence of ejaculation before the individual or their partner desires, often leading to dissatisfaction during sexual intercourse. It affects approximately 25% to 40% of men, making it one of the most common sexual disorders. The condition can significantly impact intimate relationships, causing frustration, anxiety, and diminished self-esteem, ultimately threatening the stability of partnerships and contributing to emotional distress for both partners.
Types of Premature Ejaculation Primary Premature Ejaculation Occurs from the onset of sexual activity. Men have never experienced satisfactory ejaculatory control. Often attributed to genetic or neurophysiological factors. Secondary Premature Ejaculation Develops after a period of normal ejaculatory control. Can arise due to psychological factors or medical conditions. Often linked to anxiety, stress, or erectile dysfunction.
Mechanism of Ejaculation Emission Phase Expulsion Phase Neural Control The emission phase involves the deposition of seminal fluid from the ampullary vas deferens, seminal vesicles, and prostate gland into the posterior urethra. The expulsion phase occurs after the emission, characterized by the closure of the bladder neck and rhythmic contractions of the urethra, facilitated by pelvic-perineal and bulbospongiosus muscles. Sympathetic motor neurons control the emission phase, while the expulsion phase is executed by somatic and autonomic motor neurons located in the thoracolumbar and lumbosacral spinal cord.
Causes of Premature Ejaculation Hormonal imbalances, particularly low testosterone levels, can disrupt normal ejaculatory control, leading to premature ejaculation. Hormone Disorder Infections of the urethra, prostate, or other reproductive organs can irritate nerves, reducing ejaculatory control and causing premature ejaculation. Urogenital Infections Disorders affecting the nervous system, such as multiple sclerosis, can impair the signals that manage ejaculation, leading to rapid climax. Neurogenic Causes Emotional issues like anxiety, depression, or stress can significantly contribute to premature ejaculation, often exacerbated by performance pressure. Psychogenic Factors
Diagnosis of Premature Ejaculation The clinician interviews the patient to understand sexual history and specific ejaculation concerns, including duration and frequency of issues. A physical examination assesses the genital area and overall health, checking for infections or abnormalities affecting ejaculation. Laboratory tests evaluate hormone levels, such as testosterone and prolactin, which can indicate underlying causes of premature ejaculation. Initial Consultation Physical Examination Hormone Profile Testing Ultrasonography examines the prostate and scrotum for structural issues or infections that may contribute to premature ejaculation. Diagnostic Imaging Patient history report Sexual history questionnaire Physical examination findings Assessment report Hormone profile test results Biochemistry test results Ultrasound imaging results Diagnostic imaging report
Ayurvedic Perspective on Premature Ejaculation In Ayurveda, premature ejaculation is referred to as Shukra Avrita Vata, indicating a dysfunction of the reproductive fluid (Shukra) due to vitiated Vata dosha. The condition is characterized by symptoms such as Shukra avega (poor ejaculate), Shukra ativega (early ejaculation), and Nishphalatvam (inability to impregnate). Ayurveda identifies eight factors influencing ejaculation, including excitement, desire, and the consistency of semen, with a particular focus on the role of Vata dosha in ejaculation control. Dysfunction in any of these eight factors can lead to ejaculatory impairment, where 'drutatvat marutasya' (speed of ejaculation due to Vata) is deemed most significant. Ayurvedic treatment aims to balance the doshas through herbal remedies, dietary adjustments, and lifestyle changes to restore normal ejaculatory function. Understanding Shukra Avrita Vata
Modern Treatment Techniques Sex Therapy Techniques Medication Options Includes methods like the 'stop and start' technique and the 'squeeze' technique to help men gain control over ejaculation. Antidepressants are commonly prescribed as they can delay ejaculation. Hormonal treatments and medications for urogenital infections may also be used. Topical Treatments Surgical Interventions Delay creams and gels reduce sensitivity, prolonging the duration of intercourse. These products vary in effectiveness among individuals. Currently, there are no recommended surgical treatments for premature ejaculation, focusing instead on non-invasive options.
Ayurvedic Treatment Approaches Dietary Recommendations Herbal Remedies Lifestyle Modifications Incorporate invigorating foods such as nuts, seeds, and whole grains. Consume warm milk with dates to enhance vitality and reproductive health. Use Ayurvedic herbs like Ashwagandha and Shilajit to strengthen sexual function. Manmath Ras and Pushp Dhanva Ras are recommended for improving ejaculatory control. Engage in regular exercise, yoga, and meditation to reduce stress and improve overall sexual health. Avoid junk food and practice Kegel exercises for better control.