The 21st century is 23 years old, but still, sex education is a taboo topic here- not that we are complete in terms of sex lessons, but we simply don’t want to hoist any kind of ‘awkwardness’.

We are neither educated nor encouraged to talk about it, so how can we address sexual insecurities? If sex gives you immense pleasure, personal insecurities and self-doubts are indeed a bit of a buzzkill, not only in your sex life but your overall confidence. Of all sexual dysfunction, premature ejaculation is the commonest one, with a global prevalence in about 30%-40% of men.

What is premature ejaculation (PE)?

Sometimes man releases semen and most probably orgasms at the beginning of sexual intercourse, with minimum stimulation of the penis. But if this persists for more than 6 months, we call the condition premature ejaculation. It is also known as early ejaculation, rapid ejaculation, etc, and by the term ‘premature’, the International Classification of Diseases (ICD) draws the line at 15 seconds to 1 minute into intercourse. It is a common complaint among men of all age groups.

Premature ejaculation can be broadly classified into two-

• Lifelong – when one has premature ejaculation even from his first sexual encounter
• Acquired- when the person has had normal ejaculation and developed PE later

The causes of lifelong PE are mostly hormonal, while the acquired PE stems from psychological problems such as performance anxiety, post-traumatic stress disorder, relationship troubles, emotional withdrawal, or other health issues like prostatitis and erectile dysfunction.

Premature ejaculation is a treatable condition, but unfortunately due to the taboo on the subject, personal embarrassment, and the unrealistic societal expectations of men having to be ‘masculine’, most males refuse to open up about it. As a result, the pent-up sexual frustration may start reflecting in other dimensions of his life. People tend to rely on aphrodisiacs to enhance their sexual vigor. Aphrodisiacs are the catalysts in lovemaking, but if not used judiciously, they may cause additional health issues. Unfortunately, most of such products available in the market are either unsurveilled or unreviewed and most of the time such synthetic aphrodisiacs create headaches, nausea, digestive problems, memory issues, renal disorders, liver diseases, etc.

Ayurveda and Premature ejaculation

Vajikarana chikitsa is one of the eight branches of Ayurveda (Ashtanga Ayurveda). Having derived from the word vaji (horse), this field deals with reproductive health and Ayurvedic aphrodisiacs. Everything from erectile dysfunction to infertility is addressed here. The horse is considered a symbol of strength and virility, and Ayurveda presents us with a vast array of aphrodisiac formulations bestowing the same. Typically the chikitsa is for individuals above 17 years, with control of their senses (jithendriya purusha). 

Shukra is the Ayurvedic counterpart of semen. It is considered to be the last one of the seven tissues (sapta dhatus) and is thought to be derived from its precursor, majja dhatu. Ancient Ayurvedic scholars explain the factors such as harsha (pleasure), tarsha ( desire), saratwa (the liquidity of semen), paichilya ( sliminess), and gurutva (bulkiness of semen), etc as the factors that cause normal semen ejaculation. Any impairment to these factors can in turn damage the normal production and outflow of shukra.

Vitiated vata, pitta, and kapha can cause shukra to be impaired. But vata is the common trouble-maker as it is the dosha with ‘wheels’. Vata is the one who is in charge of all kinds of movement in the body, including semen discharge. Due to a long-term vata aggravating diet and regimen, the Shukra and the channels that carry shukra (the shukravaha srotas) can be hindered by the vitiated vata. This is called Shukragata vata and it dries up the Shukra as well as its pathways. This could be cited as the reason for the sooner leak of sperm.

Ayurvedic management of premature ejaculation

The Ayurvedic management of premature ejaculation is mainly centered on two aspects – 1) balancing the doshas, mainly vata and 2) promoting proper dhatu transformation to get better shukra dhatu. Other than these, numerous aphrodisiacs have been mentioned in different Ayurvedic treatises. There are herbs that help strengthen the ejaculation power and increase virility. Certain Ayurvedic psychotropic medicines such as Medhya rasayana and Manasamitra vatakam improve the mental state by relieving anxiety, etc. Application of certain medicated oils like Chandanadi thailam and Maha Sugandhi thailam mentioned in Samhithas are proven to be effective. Most importantly, try practicing dinacharya and ritucharya, the Ayurvedic regimens that are to be followed daily and seasonally. Undergoing timely panchakarma procedures under proper guidance is appreciated. The role of cleansing procedures like vasti and shirodhara in enhancing libido has been clinically evaluated.

Vajikarana treatment

According to ancient scholars, the production of Shukra dhatu (reproductive tissue/sperm/egg) is the last step of dhatu parinama (transition from one tissue to another), starting from the rasa dhatu- that is, the reproductive health of a man is related to his overall health. Therefore, Vajikarana therapy also covers the correction of body metabolism. According to a simile, administering rasayana and vajikarana therapies nourishes the whole body like how the water poured on the roots nourishes the tree. Vajikarana chikitsa increases the erection span, prevents premature ejaculation, bestows satisfaction, imparts vigor and stamina, encourages the production of healthy sperm, improves metabolism, boosts intelligence and memory, and enhances muscle bulk. Vajikarana therapies can be divided into two categories – stimulants and tonics. Stimulants functionally enhance the reproductive system while tonics improve structural integrity.

How Yoga helps in premature ejaculation

Yoga is a discipline that helps you attain absolute well-being. When it comes to reproductive and sexual health, yoga has more than fitness to offer. It strengthens and tones both male and female reproductive organs while providing psychological benefits like focus, attention, and a stress-free mind. They also control the flow of prana. Some of the yoga postures that help control ejaculation are-

• Surya namaskar
• Pavanamuktasana
• Vajrasana
• Halasana
• Ushtrasana
• Trikonasana
• Tadasana
• Different types of Pranayama

Premature ejaculation is a curable condition. Once the topic is openly acknowledged and the stigma is ignored, a lot can be changed about the way PE is viewed. Ayurveda has a whole branch dedicated to reproductive and sexual health, irrespective of gender. So, let’s choose Ayurveda to build a healthy life by relieving your sexual health concerns.

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