Premature Ejaculation Treatment

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Premature Ejaculation Treatment in Gurgaon

Premature ejaculation (PE) is one of the most common sexual concerns affecting men, causing distress and relationship difficulties. At Veda Health Hospital Gurgaon, we provide comprehensive, judgment-free treatment for PE using a combination of Ayurvedic therapies, modern medical approaches, and behavioral techniques. Our experienced specialists understand the physical and psychological aspects of PE, offering personalized solutions that help men gain better control and enjoy satisfying sexual experiences.

What is Premature Ejaculation?

Premature ejaculation occurs when a man ejaculates sooner than he or his partner would like during sexual activity. While there's no specific time that defines PE, most experts consider it problematic when ejaculation consistently happens within one minute of penetration or before the person wishes. PE can be classified into two types:

Lifelong (Primary) Premature Ejaculation

  • Occurs from the first sexual experience
  • Happens in nearly all sexual encounters
  • Often has biological causes
  • May involve abnormal serotonin or hormone levels
  • Can have genetic components

Acquired (Secondary) Premature Ejaculation

  • Develops after previous satisfactory sexual experiences
  • May have sudden or gradual onset
  • Often related to psychological or relationship factors
  • Can result from medical conditions like prostatitis or thyroid problems
  • May be triggered by stress or lifestyle changes

Causes and Risk Factors

Premature ejaculation results from a complex interaction of psychological and biological factors. Understanding the underlying cause is essential for effective treatment:

Psychological Factors

  • Performance Anxiety: Worry about sexual performance creating a self-fulfilling prophecy
  • Stress and Depression: Mental health issues affecting sexual function
  • Relationship Problems: Unresolved conflicts or poor communication with partner
  • Guilt or Shame: Negative feelings about sex due to cultural or religious beliefs
  • Past Sexual Trauma: Previous negative sexual experiences affecting current performance
  • Body Image Issues: Low self-esteem or negative self-perception
  • Early Sexual Experiences: Conditioning from rushed early encounters
  • Pornography Overuse: Unrealistic expectations and altered arousal patterns

Biological Factors

  • Abnormal Hormone Levels: Imbalances in testosterone, thyroid hormones, or prolactin
  • Neurotransmitter Issues: Abnormal levels of serotonin affecting ejaculatory reflex
  • Inflammation or Infection: Prostatitis or urethritis causing PE
  • Erectile Dysfunction: Men with ED may rush to ejaculate before losing erection
  • Hypersensitivity: Increased penile sensitivity shortening time to ejaculation
  • Genetic Factors: Family history of PE
  • Thyroid Problems: Hyperthyroidism affecting sexual function

Lifestyle Risk Factors

  • Excessive Alcohol or Drug Use: Substances affecting nervous system
  • Smoking: Nicotine affecting blood flow and nerve function
  • Obesity: Weight issues affecting hormones and stamina
  • Sedentary Lifestyle: Lack of exercise reducing physical fitness
  • Poor Sleep: Inadequate rest affecting sexual performance

Ayurvedic Perspective

In Ayurveda, premature ejaculation is called Shukragatavata and is primarily associated with:

  • Vata Imbalance: Increased Vata causing overexcitement and loss of control
  • Weak Shukra Dhatu: Reproductive tissue deficiency
  • Pitta Imbalance: Excess heat causing hypersensitivity
  • Ojas Depletion: Reduced vital essence affecting stamina

Ayurvedic & Medical Solutions

Our comprehensive treatment approach combines traditional Ayurvedic wisdom with modern medical science for optimal results:

Ayurvedic Herbal Treatments

Time-tested herbs that naturally improve ejaculatory control and sexual stamina:

  • Ashwagandha (Withania somnifera): Reduces anxiety, improves stamina, balances hormones
  • Shilajit: Enhances energy, vitality, and sexual endurance
  • Safed Musli: Improves sexual performance and increases staying power
  • Kaunch Beej (Mucuna pruriens): Boosts dopamine and testosterone, enhances control
  • Jaiphal (Nutmeg): Natural sedative reducing hypersensitivity
  • Akarkara (Anacyclus pyrethrum): Improves nerve function and delays ejaculation
  • Bala (Sida cordifolia): Strengthens nervous system and improves control
  • Shatavari: Balances hormones and enhances overall vitality
  • Brahmi: Calms mind, reduces anxiety, improves focus

Specialized Ayurvedic Formulations

We prepare customized combinations based on individual constitution:

  • Vajikarana Rasayana: Rejuvenating formulations for sexual health
  • Chandraprabha Vati: Balances doshas and improves genitourinary function
  • Kamini Vidrawan Ras: Traditional formula for premature ejaculation
  • Shilajit Capsules: Stamina and endurance enhancement

Panchakarma Therapies

  • Abhyanga (Therapeutic Massage): Reduces stress, improves circulation
  • Shirodhara: Calms nervous system, reduces performance anxiety
  • Basti Therapy: Balances Vata dosha through medicated enemas
  • Nasya: Nasal administration improving mental clarity

Modern Medical Treatments

When appropriate, we incorporate evidence-based modern therapies:

  • Selective Serotonin Reuptake Inhibitors (SSRIs): Medications like Dapoxetine specifically approved for PE
  • Topical Anesthetics: Lidocaine or prilocaine creams reducing penile sensitivity
  • Tramadol: Pain reliever with side effect of delayed ejaculation (used off-label)
  • PDE5 Inhibitors: For men with both PE and ED

Behavioral Techniques

We teach practical exercises that help gain ejaculatory control:

Start-Stop Technique
  • Sexual stimulation is started and stopped before ejaculation point
  • Practice helps recognize pre-ejaculatory sensations
  • Gradually builds control over ejaculatory reflex
  • Can be practiced alone or with partner
Squeeze Technique
  • When nearing ejaculation, squeeze the head of penis firmly
  • Hold for several seconds until urge subsides
  • Resume activity and repeat as needed
  • Effective method taught by sex therapists
Pelvic Floor Exercises (Kegels)
  • Strengthening pelvic muscles improves ejaculatory control
  • Contract muscles used to stop urine flow
  • Hold for 3-5 seconds, repeat 10-15 times
  • Practice 3 times daily for best results

Psychological Counseling and Sex Therapy

For psychogenic PE, we provide specialized therapy:

  • Cognitive Behavioral Therapy (CBT): Changing negative thought patterns about sex
  • Sex Therapy: Addressing specific sexual concerns and techniques
  • Anxiety Management: Reducing performance anxiety through relaxation techniques
  • Couples Counseling: Improving communication and intimacy
  • Mindfulness Training: Staying present during sexual activity

Lifestyle Modifications

Comprehensive lifestyle changes supporting PE treatment:

Exercise and Physical Fitness

  • Cardiovascular Exercise: 30-45 minutes daily improving stamina
  • Yoga: Specific poses like Paschimottanasana, Dhanurasana enhancing control
  • Kegel Exercises: Daily pelvic floor strengthening
  • Swimming: Full-body workout improving endurance

Dietary Recommendations

  • Include: Zinc-rich foods (oysters, nuts, seeds), dark chocolate, green vegetables, bananas, avocados
  • Avoid: Excessive caffeine, spicy foods, processed foods, excess sugar
  • Hydration: Adequate water intake for optimal function
  • Timing: Avoid heavy meals before intimacy

Stress Management

  • Meditation: Daily practice reducing anxiety
  • Deep Breathing: Pranayama exercises for relaxation
  • Adequate Sleep: 7-9 hours nightly
  • Work-Life Balance: Managing professional stress

Sexual Techniques

  • More Frequent Sex: Regular ejaculation may improve control
  • Slow Penetration: Gradual, controlled movements
  • Position Changes: Some positions provide better control
  • Extended Foreplay: Satisfying partner before penetration
  • Communication: Open dialogue with partner about needs and timing

✓ Proven Success Rate

Over 85% of our patients achieve significant improvement in ejaculatory control within 6-8 weeks of treatment. Most men report 3-5x increase in intercourse duration and greatly improved sexual satisfaction.

Frequently Asked Questions

Yes, premature ejaculation is highly treatable and often curable. Most cases of acquired PE respond well to treatment, with success rates of 70-90%. Even lifelong PE can be significantly improved through comprehensive treatment. Our integrated approach combining Ayurvedic herbs, behavioral techniques, and counseling helps men gain lasting ejaculatory control. The key is identifying the underlying cause and following a personalized treatment plan consistently. Many patients achieve permanent improvement within 3-6 months.

Treatment duration varies by individual and PE type. Behavioral techniques may show results within 2-4 weeks with consistent practice. Ayurvedic herbal treatments typically require 6-12 weeks for significant improvement. Modern medications like SSRIs may work within 1-2 weeks but need ongoing use. Most patients notice meaningful improvements within the first month and achieve optimal results by 3 months. Psychological PE may respond faster with counseling, while biological causes may need longer treatment.

Ayurvedic treatments have minimal side effects when properly prescribed. Herbal formulations are natural and well-tolerated. Modern medications like SSRIs may cause nausea, drowsiness, or decreased libido in some men. Topical anesthetics can cause temporary numbness or mild irritation. Behavioral techniques have no side effects. We carefully monitor each patient and adjust treatments to minimize any adverse effects while maximizing benefits. Most side effects, if any, are mild and resolve quickly.

For mild to moderate PE, lifestyle modifications combined with behavioral techniques can be very effective. Regular exercise, stress management, pelvic floor exercises, and practicing control techniques often produce significant improvements without medications. However, severe or lifelong PE usually requires additional interventions like herbal treatments or medications. Our doctors assess each case individually to determine if lifestyle changes alone are sufficient or if additional treatments are needed for optimal results.

Partner involvement is highly beneficial for PE treatment. Many behavioral techniques require partner participation for practice and success. Partners can provide emotional support, reduce performance anxiety, and help implement new techniques. Couples counseling addresses communication issues and unrealistic expectations. However, individual treatment is also effective if partner involvement isn't possible. We tailor our approach based on your situation and preferences while encouraging partner participation when appropriate.

Take Control of Your Sexual Health

Don't let premature ejaculation affect your confidence and relationships. Our expert specialists provide effective, confidential treatment that helps you last longer and enjoy more satisfying intimate experiences. Start your journey to better sexual control today.

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