Premature ejaculation is defined as ejaculation before the completion of satisfactory sexual activity for both partners. In severe cases, it is characterized by ejaculation either before penetration or shortly thereafter. The causes may be biological (relatively uncommon) or psychological (performance anxiety). In general, this condition is considered to be one of the most common sexual dysfunctions in men. It affects an average of 40% of men worldwide. Premature ejaculation is a psychosomatic disorder due to a psychologically excessive personality and is classified in primary (lifelong) or secondary (acquired).
The main characteristic of the condition is the constant or periodic onset of orgasm and ejaculation with minimal sexual stimulation before, at or shortly after penetration and before the person desires it. Various other factors such as age, sexuality of the partner or situation and recent frequency of sexual activity etc. should be taken into account when diagnosing premature ejaculation.
Premature ejaculation through the sight of Ayurveda
Vajikarana (Sexual Medicine / Sexology / Aphrodisiac Therapy) is one of the eight branches of Ayurveda that deals with the preservation and enhancement of a man’s sexual potency, the concept of healthy offspring, and the management of infertility and sexual dysfunction. Vajikarana improves the sexual capacity, as well as the physical, psychological and social health of the individual.
The diagnosis and management of infertility and various sexual dysfunctions are discussed in detail in the Ayurvedic classics. Male sexual dysfunctions are described in detail as Claubia in the Ayurvedic classics. ‘Sugarwave’ is a pathological entity of Ayurveda, similar to premature ejaculation.
This article aims to discover the various formulations or practices available in ancient Indian erotic literature, Ayurveda and Yoga. Ayurvedic management of premature ejaculation consists of various herbal and herb-mineral compositions , external applications on the lower abdomen or throughout the body, wearing various amulets made from herbs, psychotropic herbal emedies to reduce anxiety at work, various techniques developed in ancient Indian erotic literature to strengthen orgasmSecond female partner , and use of drugs shukra stambhaka to improve control over ejaculation. Vasti is an important panchakarma procedure and an ideal choice in the management of premature ejaculation. Various yoga practices have been described in order to control ejaculation and among them, ” vajroli mudra” is important.
Concept of premature ejaculation in Ayurvedic classics
The rich heritage of Indian culture regards kama (desire / sex) as one of the purusaras, the goals of life. The concept of kama reveals that aspects of leisure are as enjoyable and just as important for entertainment. As an art and a science, ancient Indian erotic literature examines various aspects of the dagger, along with its social, cultural and healing significance.
‘Anangaranga’ is a sexual treatise written by ‘Kalyana malla’ that deals with various aspects of achieving optimal sexual pleasure in sexual intercourse and also provides sex education. Various concepts are available, such as, the class of women to be avoided for sexual intercourse, the prohibited places for sex, as well as the description of different parts of the body of women that should be stimulated during preludes for better lunar satisfaction cycle of progression and regression. In Anangarang.
Three types of sexual union are described – short, (vizrasambhava) moderate time (madhiama sambhava) and long term (chirasambhava). The degree of arousal is described, which varies from person to person according to stimulation (kriya) (which is of three types – laghu (easy to arouse), madhiyama (moderately aroused) and chirdiya (late aroused).
A number of recipes have been described to accelerate the orgasm of the female partner (dravana yoga). Kalyanamala has prescribed a number of recipes for slowing ejaculation (succumbana) in men. The residence of the Kama Deva (lord of desire) is the human mind, and its manifestation is through smara (fantasy). Indicates the importance of the mind in sexual function. Various measures were used to dissipate the mind during sexual intercourse.
Factors responsible for ejaculation
Ayurveda lists eight factors responsible for ejaculation. They are jarsha (excitement, sexual fantasy), tarsha (strong desire for sex), saratata (sperm smoothness), spicy (sperm slender), gaurava (sperm severity) and anutva (sperm atomicity), pravanabhava (leakage tendency), drutatvat marutasya (due to wadding). Dysfunction of one or all of these eight factors leads to an ejaculation disorder, of which “Drutatvat marutasya” is the most important. The physiology of ejaculation is controlled by the wata dosha.
An increase in vata (especially apana vata) leads to premature ejaculation. Previous scientists have compared PE to an ayurvedic pathological entity called ‘shukragata vata’. Shukragata vata is a distinct pathological entity characterized by a group of clinical presentations related to either ejaculation damage or seminal damage. “Kshipram munchati”, “shukrasya sheeghram utsargam”, “pravritti / Atiseeghra pravritti” are the classic features of “shukragata vata” , which denotes early / rapid ejaculation.
Ayurveda management of premature ejaculation
Ayurveda has attached importance to Sukra (sperm / reproductive system) as the superior tissue of the body due to its generative property. Vajikarana is a branch of Ayurveda that deals with various types of physical, psychological, sexual problems such as impotence, libido, bad. erection and early ejaculation in men, as well as sterility and frigidity in women.
Vajikaran medicines are useful for providing strength and vigor to the person along with improving reproductive potential. Scarce research has been done on the role of Ayurvedic medicines / procedures in the management of PE. Praharsha anna (agitators), balya (tonics), shukrakara medicines (aphrodisiacs) and vajikarana vasti’s (various enemas with medicinal oils and decoctions) ) are useful in managing the cotton wool.
Treatment of premature ejaculation with Ayurveda
Individual herbs such as, Erandamoola (Ricinus communis Linn.), Brahmi (Bacopa monnieri Linn), Mandukaparni (Centella asciatica Linn), Amlaki (Emblica officinalis Garten), Jatiphala (Myristica fragrans Houtt); constituent compositions such as Akarakarabhadi yoga, Rasayana vati, Manasamitra vataka, Katphaladi kwatha; mineral compounds such as Swarna bhasma (gold), Rasa sindhura (mercury based preparations) , etc .; has proven effective in managing premature ejaculation.
Few studies have evaluated the efficacy of panchakarma procedures (ayurvedic five basic body cleansing procedures) such as vasti (various medicinal oils or boiling enemas) and shirodhara (continuous drip on the forehead) have also proved effective in premature ejaculation.
Yoga and premature ejaculation
Akarakarabhadi yoga has improved the time it takes to ejaculate and satisfy a female partner. Narasimha choorna, Bhallataka phala majjadi avaleha, Musalyadi choorna gave better results to improve sexual intercourse and coitus frequency. Atmagupta (Mucuna prurita Hook) and Ashwaganda (Withania somnifera Linn) act.
Brahmi (Bacopa monnieri), Mandukaparni (Centella asciatica) have anti-anxiety, adaptogenic and stress-releasing properties. Putranjeevaka (Drypetes roxburghii) is useful for increasing ejaculation time. Kapikacchu (Mucuna prurience) is an aphrodisiac and also effective for improving men’s performance.
Ashwagandha is a vajikarana medicine and also has properties such as, anxiolytic, antidepressant, anti-stress adaptogen and boosts mood. Shukra stambhana yapana vasti (drug enema) also helpful in premature ejaculation. Shukrastambhakara yoga (Ayurvedic formulation) has proven psychotropic, improves duration of sexual intercourse, reduces anxiety in performance and is effective in premature ejaculation.