Premature Ejaculation

Premature ejaculation
Ejaculation of the semen with minimal sexual stimulation, or before the man and his partner wish, is known as premature ejaculation. If this happens frequently, it can cause distress and problems in the relationship.

Causes
The cause of pe could be temporary depression, stress, anxiety, a history of sexual repression, or a lack of emotional bonding between the partners. Physical disease can also be the reason, such as a swollen prostate gland (prostatitis), diabetes, sexually transmitted diseases, or cardiovascular disease.

Ayurveda compares shukra dhatu (semen) to purified butter. Just as purified butter melts in the presence of heat, semen loses its consistency when there is pitta (fire) aggravation in the body. Aggravated pitta travels into the channels carrying semen, causing semen to decrease in consistency, and thus it gets ejaculated before sufficient erection. Biological and psychological factors can also play a role in causing premature ejaculation.

Symptoms
Ejaculation before penetration

Ayurvedic view
According to ayurvedic perspective, premature ejaculation is caused by aggravation of vata (air) and pitta dosha at the commencement of physical mating. These doshas can be aggravated by anxiety or nervousness before the sexual act. Vata is characterized by its qualities of quickness and heightened sensitivity to the sense of touch. This gives a predisposition towards quicker ejaculation. Pitta plays a role in thinning of the semen, thereby supporting its early ejaculation. Secondly, these aggravated doshas cause hyperactivity of muscles in the male organ, thus increasing sensitivity to vibration and hence leading to early ejaculation.

Ayurvedic treatment of premature ejaculation is aimed at keeping the vata and pitta in balance by eating a balanced diet. Problems of stress and anxiety during sexual intercourse can be effectively dealt with rejuvenating herbs, yoga, meditation and counseling.