Ayurvedic Remedies for Premature Ejaculation

According to Ayurveda, vitiated vata causes hyperstimulation of the mind, leading to lack of control over ejaculation and PE. It is further believed that alpa dhairya (a weak mind) cannot delay ejaculation to achieve optimum orgasm. Only a suprasanna mana (happy state of mind) can indulge in good fantasies, which plays a vital role in the act of copulation.

People with shukragata vata experience sexual problems like nishphalatvam (failure to impregnate), shukra ativega (an early ejaculation) and shukra avega (delayed ejaculation).

Ayurvedic treatment of shukragata vata includes administeration of vajikarana (aphrodisiacs), along with vatahara chikitsa (vata-pacifying treatment), and shukrastambhaka (medicines that arrest premature ejaculation or delay the ejaculation) herbs and medications.

• Virechana
  • Virechana karma is mainly indicated for pitta-related conditions.
  • This therapy uses herbs to eliminate aggravated doshas and toxins from body via the rectal route.
  • Virechana is helpful in treating various conditions including gastrointestinal disturbances, chronic jaundice, insanity, PE, asthma, epilepsy and poisoning in the upper body parts.
  • Before undergoing virechana, Meat soup, hot or warm liquid or solid foods, and fatty materials are given to individuals followed by sweat therapy. It helps bring the vitiated doshas back into the gastrointestinal tract so it can be easily thrown out with virechana.
  • An improvement in appetite and a feeling of lightness is usually felt after virechana.
• Basti
  • Basti is an ayurvedic enema involving the administration of medicated oils, decoctions, herbal pastes and other herbal formulations through the rectal route.
  • Dashamoola (10 roots), kutaja (kurchi) and rasna (Indian camphorweed) are some of the common herbs used for basti therapy.
  • A gentle massage and mild fomentation on an empty stomach are practised before starting basti.
  • Basti karma is used to treat venereal diseases, neuromuscular diseases, helminthiasis, anal inflammation and cholera.
  • Uttara basti and nirooha basti are two types of basti treatments generally performed in people with PE.
• Pizhichil
  • Pizhichil therapy is a combination of a special heat treatment and a rich oil massage.
  • This therapy promotes rejuvenation and relaxation in body, enhances the inner balance and improves the tone of muscles and nervous system.
  • It is beneficial in treating disorders caused due to aggravated vata such as  PE.
  • Pizhichil therapy also provides relief from rheumatic problems, muscle pains, depression, and osteoarthritis.
• Snehapana
  • Snehapana is one of the main purvakarma or pre-panchakarma procedures in Ayurveda.
  • It involves the oral administration of ghee (clarified butter) infused with different herbs or medicines like tikta ghrita.
  • The ghee used for this process is generally obtained from cow milk. It is then boiled with appropriate Ayurvedic decoctions and medicines to infuse it with the desired properties.
  • Dosages depend upon the digestive capacity of the person, dosha affected along with the age and overall health of the person.
  • Snehapana is usually performed on an empty stomach.
• Shirodhara (pouring liquids or oils over the head):
  • Shirodhara therapy involves pouring medicated liquids over the head in a certain pattern.
  • Along with oils and decoctions, plain water, milk, coconut water or buttermilk are also used for shirodhara therapy. Choice of the liquid would depend on the health condition to be treated.
  • This therapy reduces stress levels, improves sleep and promotes calmness. Therefore, it is helpful for reducing depression in PE patients.
  • Shirodhara heals many health conditions including memory loss, insomnia, skin problems and neurological conditions.
  • As the upper portion or head is the chief location of vata, it is also effective in reducing the aggravated vata.

Ayurvedic herbs for premature ejaculation

• Ashwagandha
  • Ashwagandha is a well- known immunity-boosting herb.
  • It reduces general debility, inhibits ageing, heals skin diseases and reduces rheumatic swellings. This herb helps improve sperm function and regenerate hormones.
  • Ashwagandha powder can be taken with ghee, herbal wines, decoctions or as per the physician’s direction.
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• Jatiphala
  • Jatiphala is a pungent-tasting herb with strong aromatic properties.
  • It is rich in fixed and essential oils and has laghu (light) and tikshna (incisive) properties.
  • Jatiphala is effective in reducing bad odour and primarily used for its kapha-vata-pacifying, deepana and grahi (astringent) properties.
  • It is taken in the form of a churna for treating chardi (vomiting), atisara (diarrhoea), grahani (irritable bowel syndrome), shukragata vata and mukharoga (mouth diseases).
• Eranda (castor)
  • Castor acts on the nervous, digestive, urinary and reproductive systems.
  • It is known to be the best purgative herb for vata-related disorders.
  • Castor is useful in treating many health conditions including jaundice, rheumatism, sciatica, urinary stones, PE and constipation. Eranda also promotes menstrual discharge in women.
  • It can be taken in the form of a paste, poultice, decoction, infusion or as per the physician’s direction.
• Shatavari (hundred roots)
  • Shatavari acts on the circulatory, respiratory and reproductive systems.
  • It has aphrodisiac and nutritive properties, which make it useful for relieving reproductive problems.
  • Shatavari is effective in the management of impotence, herpes, debility, dehydration, infertility, leucorrhoea and dysentery.
  • It improves sexual functions, increases semen production and acts as a blood cleanser.
• Brahmi (waterhyssop)
  • Brahmi is known as one of the best rejuvenating herbs in Ayurveda. It acts on the circulatory, digestive and reproductive systems.
  • Brahmi improves nerve function and is used to treat many health conditions like insanity, nervous disorders, PE, liver problems, rheumatism, bowel disorders and skin diseases.
  • This herb also enhances the immune system and increases longevity.
  • Brahmi can be taken in the form of an infusion, churna with oil, decoction or as per the physician’s direction.

Ayurvedic medicines for premature ejaculation

• Narsimha churna
  • Narsimha churna is prepared from gokshura (small caltrops), shunthi (dried ginger), guduchi (heart-leaved moonseed), sugar, tila (sesame), madhu (honey), pippali (long pepper), chitraka (leadwort) root, shatavari and other herbs.
  • It is one of the most common medicines that are indicated for the treatment of PE.
• Vanari kalpa
  • Vanari kalpa is prepared with cow milk, kapikachhu (cowhage), sugar and cow ghee.
  • The herbal ingredients of vanari kalpa have vrishya (aphrodisiac), klaibyahara (anti-impotence), balya (strengthening), medhya (psychotropic), brimhana (nourishing), and nervine properties that make it useful in PE treatment.
  • Vanari kalpa can be taken with milk or as per the physician’s direction.

As treatments vary according to numerous factors and an individual’s prakriti (constitution), consult a qualified Ayurvedic doctor for the appropriate medications and treatments for your specific complaints.

Do’s

• Include shellfish, fresh fruits, ginger, honey, nuts, fish, cereals, and vegetables like onions, fennel and celery in your diet.
• Avoid or reduce tea and coffee consumption
• Quit smoking
• Practice yoga asanas like sarvangasana (shoulder stand), matsyasana (fish pose) and halasana (plough pose)

Don’ts

• Do not consume alcohol. (Read more: Effects of alcohol on the body)
• Do not eat processed foods.
• Do not eat foods that are prepared using high amounts of white flour and white sugar.
• Avoid masturbation

In a clinical study, a group of 45 patients with PE was given vanari kalpa for 2 months along with erandamoola basti treatment for 16 days. Significant improvements in the intravaginal ejaculation latency time (IELT), performance anxiety, voluntary control over ejaculation and partner’s satisfaction were observed in all the patients at the end of the treatment.

In another study, the effect of shirodhara and psychological counselling was assessed in patients diagnosed with PE. Results of this study reported improvement in sexual satisfaction levels and number of penile thrusts along with reduced performance anxiety.

According to a study published in the International Ayurvedic Medical Journal, regular yoga asanas improve the tone and elasticity of pelvic muscles, hence, it can be used as a nonpharmacological treatment for PE. Furthermore, yoga asanas were found to be well tolerated in individuals of a wide age group (25-55 years) without showing any significant side effects.

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• Excess purgation during virechana therapy can cause weakness, pain in the abdomen, drowsiness, bloody discharge through the anus or syncope.
• People with congestion should not consume ashwagandha.
• Large doses of brahmi may cause itching, headache or induce a feeling of spaciness.

Premature ejaculation can be a distressing issue for many couples. Ayurvedic treatment procedures address this problem by administering rejuvenating, strengthening and aphrodisiac herbs. They also improve sperm function and motility, thereby improving reproductive health. Unlike conventional medications, Ayurvedic treatments do not show serious adverse effects when taken under the guidance of a physician. Practising lifestyle changes and following healthy dietary habits can reduce sexual problems such as PE and improve overall health.