Dr. Rashmi Chudhary

Premature ejaculation is a kind of sexual dysfunction. Almost 1 out of 3 men experience this problem at some point. Premature ejaculation is an uncontrollable ejaculation that occurs shortly after sexual intercourse. It may result in unsatisfactory sex for both partners. This can increase the anxiety that may add to the problem.

Premature ejaculation is the inability to delay ejaculation for more than one minute after penetration. It can be classified in two types – lifelong and acquired. Lifelong premature ejaculation occurs all or nearly all of the time beginning with your first sexual encounters. Acquired premature ejaculation develops after you’ve had previous sexual experiences without ejaculatory problems.

Causes

Premature ejaculation

The exact cause of this condition isn’t known. However, there are certain causes that are believed to cause this problem.

Psychological causes:

Psychological factors that might play a role include:

• Early sexual experiences
• Sexual abuse
• Depression
• Worrying about premature ejaculation
• Feeling guilty
• Biological causes
• A number of biological factors might contribute to this such as:
• Abnormal hormone levels
• Abnormal levels neurotransmitters
• Inflammation and infection of the prostate or urethra
• Inherited traits

Other factors

1. Erectile dysfunction

Premature ejaculation can be at higher risk in you if you have erectile dysfunction or if you have fear of losing your erection that may also cause you to consciously or unconsciously hurry through sexual encounters resulting premature ejaculation.

2. Anxiety

Anxiety is also one of the causes of this problem. Many men with this problem may have anxiety either specifically about sexual performance or related to other issues.

How to overcome premature ejaculation?

Ejaculation can be considered premature when it occurs 30 seconds to 4 minutes into sex. However, it seems that most tend to agree that any sexual intercourse lasting less than 2 minutes can be considered premature ejaculation. There are some ways to overcome premature ejaculation.

1. Behavioral techniques

Behavioral techniques can help you delay orgasm. It involves stimulating the penis and stopping just before you feel you are about to ejaculate. Stop this for 30-60 seconds and restart. Repeat this process up to 4-5 times unless you decide to delay orgasm. It also involves squeezing the penis in the area between the shaft and the glans before you are about to ejaculate.

2. Other tips

Use a thick condom to help decrease sensation. Take a deep breath. This can decrease anxiety and help you gain better control over your ejaculation. Have sex with your partner on top and take breaks during sex and distract your mind by thinking about something boring.

3. Medication

If these techniques are not helpful medications are recommended to treat this problem. These medicines are basically antidepressants. These pills may have side effects such as nausea, headache and delaying ejaculation.

Diabetes is a group of metabolic disorder in which the blood glucose level remains persistently high and requires lifelong medications, diet control and several other factors to maintain it in the normal level. Person having diabetes commonly end up with a serious complication called as ‘diabetic neuropathy’. It is also referred as peripheral neuropathy in which the peripheral nerves which are responsible for caring the impulse towards and away from the brain get affected. The symptoms may vary depending upon the type of nerve that gets affected but most commonly people may experience pain, numbness and tingling sensation over the arms and lower extremities.

The most important thing to be done in curing diabetic neuropathy is to maintain the blood sugar level to normal always with proper medication, diet and adequate physical exercises. Ayurveda uses few precious herbs to cure diabetic neuropathy, which are identified by our ancestors before many decades. Some of the herbs are: 

1. Ashwagandha which is also referred as Indian Ginseng is the best herb which has many medicinal effects and mainly used for ailing the disorders of nervous system. This herb acts on the nerves and also improves the strength and physical stamina. It also used for relieving the pain over the calf muscles, loss of weight because of diabetes, neuropathy, stress, frequent urination and nerve exhaustions.
2. Manjishtha is an herb used in Ayurveda as a treatment for several diabetic complications. It treats not diabetic neuropathy, but also cures diabetic nephropathy and retinopathy. It acts as a best remedy for several chronic infections and inflammations. It has been noted that it has a calming effect on the nervous system thus it can also be used for the treatment of epilepsy.

Ayurvedic treatment for diabetic neuropathy

1. Abhyangam, in which the whole body is massaged gently with the medicated oil to improve the circulation of blood, causes nerve stimulation effect and also relieves stress. They concentrate mainly on the foot (Padabhyanga) which is commonly affected in neuropathy.
2. Sirodhara deep relaxation and revitalisation of the central nervous system which is found to get affected in neuropathy.
3. Ksheeradhoomam, it is a process done for the problems of nervous system and other neck problems by applying special type of medicated steaming.