Brief Answer:
Symptomwise approach

Detailed Answer:
Dear
Thanks for contacting Ayurveda with your health concern and before commenting on use of musli or herbal supplements do let me know about following:

1. Is ejaculation mild-moderate-severe?
2. any high sexual excitement and/or psychological anxiety?
PS. any performance anxiety and/or unsatisfactorily sexual experience
3. are you giving enough time for FOREPLAY & AFTERPLAY?
4. any history of diabetes, alcohol or use of drugs?
5. since musli [safed musli] is free of side effects and thus can be taken by patients with diabetes and with heart problems thus before opting for it do remember the following points;
i. Select/purchase the said medicine from a good/reputed company.
ii. taking more than prescribed may result in dizziness/tremors/gastritis.
iii. take it for a limited period of time [as advised by doctor], and avoid 'dependence on drug' [may ask for makardhwaj vati, narsimha rasayan, shukram lehyam, akarkarabhadi yoga]

PS. since the drug does not raises blood pressure it is best to consult a doctor for any other reason of high blood pressure [if present] before getting into sexual act.

6. Do revert back with your clarifications regarding points 1-4, till then:

. Reduce the sensation of Glans, by applying Lignocaine Ointment or by wearing a condom.
. Divert the mind to non-sexual activities like sports or business matters.
. are there any other relationship problems not related to sex? Then solve them first.
. Perineal Exercise:when there are partial erections, which cannot be maintained, practice perineal exercises. While urinating, stop the flow of urine\, start again, stop & start again 4-5 times.

. Ejaculation and Orgasm can be voluntarily controlled. You have to learn to recognize the sensations prior to orgasm and stop.

Stage I: Man is advised to masturbate himself, and when ejaculation is near, stop. Allow the erection to subside. Start again. Repeat this number of times before allowing ejaculation. Practice for 2-4 weeks.

Stage II: Learn the same with your partner.She will masturbate you near orgasm, stop when you indicate, wait for erection to subside, then start again.Repeat this a few times & then allow ejaculation. Practice for 2-4 weeks

Stage III: Follow the same method for intercourse, initially with female superior position and then with male superior position. The principle is to stop before ejaculation, wait for the erection to subside & then start again. Practice for 3-4 months, or more till perfect control is achieved.

PS. You may consult an Ayurveda Physician for " Tantric Vajroli" which is a very easy, very effective method to have a full control over ejaculation

. Belly breathing: Lie comfortably on a bed, on your back. Loosen [if any] tight clothing. Place one hand on your abdomen and the other on your heart. Now take a deep slow breath that you can feel all the way down to your abdomen. Breathe as if you are drawing breath down through your body, into your legs and toes. This time tested exercise will help allay anxiety, increase the ability to relax and activate the benevolent energies of the parasympathetic nervous system. [duration: 10 minutes]

6. I usually treat the patient on line of ": Shukragat Vata" which is characterized by a group of clinical presentations either with the impairment of ejaculation or with seminal abnormalities.

i. The line of treatment should be based on 'vrishya', 'medhya', 'shukrastambhaka', and 'vatahara' properties. You may Consult a good Ayurveda Physician or Hospital in and around your place.

Dr. Munish Sood
Consultant & Physician
Naimittika

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Brief Answer:
step wise management of premature ejaculation [PE]

Detailed Answer:
Dear
Thanks for reverting back.

1. since there is severe premature ejaculation start with exercises as described earlier and make sure there is no effort for PENETRATION, give all the time to 'Foreplay' & External Enjoyment.

PS. refer to section: 'Ejaculation and Orgasm can be voluntarily controlled'

2. Sexual Excitement is there: follow precautions as described earlier: [reduce the sensation of glans till perineal exercises.

3. Take: banana, coconut, water melon, pomegranate, raisins,dates, almonds, apple, pears, walnut, urad dal, carrots, apricots, amla, musk melon, bottle gourd, brinjal, potato, milk, milk cream, fresh curd, butter, onion
. Avoid: 'clove', warm milk at bed time and use of spices in making dinner
. take trifla churan at bed time

4. Since there is high excitement [anxiety] thus remember that penis shy under pressure, so if you try to think to perform better erection goes away, so idea is to give more time to 'FOREPLAY' i.e. love making and thereafter gradually increasing 'AFTER PLAY' i.e. sexual performance.

5. start taking 'akarkarabhadi yoga' capsule, 'makarprash' rasayan, anti stress herb [brahmi vati/mentat] and an antioxidant for better results.
PS. since at present it is a 'VATA' dominant problem and main action of Vata is to "FLOW" which means it is causing excess of PE and sexual excitement in brain thus you may check with a qualified Ayurveda Physician there or if interested I can send you the said medicines along with dosage at discounted rate [at your discretion].

Dr. Munish
Naimittika

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Brief Answer:
please provide with your contact Address

Detailed Answer:
Dear
Thanks for reverting back.

1. for successful delivery of the medicine please update your complete postal address [along with pin code] and do let me know the duration for which you will be taking the medicine so that afterwards I can accordingly tailor make the Dosage and calculate the amount of the same.

2. For any further clarifications regarding the medicines call me at: +91-0000 or drop a mail in my Inbox: YYYY@YYYY

Dr. Munish
Naimittika

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Brief Answer:
duration and dosage

Detailed Answer:
Dear
Thanks for reverting back

1. Akarkarabhadi yoga: 500 mg capsule twice daily
2. Makarprash rasayan: 1 tablespoon full thrice daily with warm water
3. Tablet Stressan: 1 tablet twice daily with lukewarm water
4. Capsule suprinova: 1 capsule twice daily
5. Trifla churan: 3 gm with lukewarm water [at bedtime only]

The initial duration of medicine along with the dietary regime and exercise is 3 months with no effort to made sexual penetration.

Dr. Munish
Naimittika

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