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Premature Ejaculation - vanad clinic

Premature Ejaculation

1 Out of 4 men say they experience this problem at some time.


Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like during sex.

Premature ejaculation is a common sexual complaint. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time.

As long as it happens infrequently, it’s not cause for concern. However, you might be diagnosed with premature ejaculation if you:

-- Always or nearly always ejaculate within one minute of penetration

-- Are unable to delay ejaculation during intercourse all or nearly all of the time

-- Feel distressed and frustrated, and tend to avoid sexual intimacy as a result

-- Both psychological and biological factors can play a role in premature ejaculation. Although many men feel embarrassed talking about it, premature ejaculation is a common and treatable condition. Medications, counseling and sexual techniques that delay ejaculation — or a combination of these — can help improve sex for you and your partner.

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The main symptom of premature ejaculation is the inability to delay ejaculation for more than one minute after penetration. However, the problem might occur in all sexual situations, even during masturbation.

Premature ejaculation can be classified as:

  • Inability to hold or delay the ejaculation
  • It causes dissatisfaction to Both partners

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When to see a doctor.

Talk with your doctor if you ejaculate sooner than you wish during most sexual encounters. It’s common for men to feel embarrassed about discussing sexual health concerns, but don’t let that keep you from talking to your doctor. Premature ejaculation is a common and treatable problem.


The exact cause of premature ejaculation isn’t known. While it was once thought to be only psychological, doctors now know premature ejaculation involves a complex interaction of psychological and biological factors.

Psychological causes

Psychological factors that might play a role include:

  • Early sexual experiences
  • Sexual abuse
  • Poor body image
  • Depression
  • Worrying about premature ejaculation
  • Guilty feelings that increase your tendency to rush through sexual encounters

Other factors that can play a role include:

  • Erectile dysfunction. Men who are anxious about obtaining or maintaining an erection during sexual intercourse might form a pattern of rushing to ejaculate, which can be difficult to change.
  • Anxiety. Many men with premature ejaculation also have problems with anxiety — either specifically about sexual performance or related to other issues.
  • Relationship problems If you have had satisfying sexual relationships with other partners in which premature ejaculation happened infrequently or not at all, it’s possible that interpersonal issues between you and your current partner are contributing to the problem.

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Physical causes of erectile dysfunction

In many cases, erectile dysfunction is caused by something physical. Common causes include:

  • Heart disease
  • Clogged blood vessels (atherosclerosis)
  • High cholesterol
  • High blood pressure
  • Diabetes
  • Obesity
  • Metabolic syndrome — a condition involving increased blood pressure, high insulin levels, body fat around the waist and high cholesterol
  • Parkinson’s disease
  • Multiple sclerosis
  • Certain prescription medications
  • Tobacco use
  • Peyronie’s disease — development of scar tissue inside the penis
  • Alcoholism and other forms of substance abuse
  • Sleep disorders
  • Treatments for prostate cancer or enlarged prostate
  • Surgeries or injuries that affect the pelvic area or spinal cord
  • Low testosterone

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Psychological causes of erectile dysfunction

The brain plays a key role in triggering the series of physical events that cause an erection, starting with feelings of sexual excitement. A number of things can interfere with sexual feelings and cause or worsen erectile dysfunction. These include:

  • Depression, anxiety or other mental health conditions
  • Stress
  • Relationship problems due to stress, poor communication or other concerns

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Risk Factors.

As you get older, erections might take longer to develop and might not be as firm. You might need more direct touch to your penis to get and keep an erection.

Various risk factors can contribute to erectile dysfunction, including:

  • Medical conditions, particularly diabetes or heart conditions
  • Tobacco use, which restricts blood flow to veins and arteries, can — over time — cause chronic health conditions that lead to erectile dysfunction
  • Being overweight, especially if you’re obese
  • Certain medical treatments, such as prostate surgery or radiation treatment for cancer
  • Injuries, particularly if they damage the nerves or arteries that control erections
  • Medications, including antidepressants, antihistamines and medications to treat high blood pressure, pain or prostate conditions
  • Psychological conditions, such as stress, anxiety or depression
  • Drug and alcohol use, especially if you’re a long-term drug user or heavy drinker

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The best way to prevent erectile dysfunction is to make healthy lifestyle choices and to manage any existing health conditions. For example:

  • Work with your doctor to manage diabetes, heart disease or other chronic health conditions.
  • See your doctor for regular checkups and medical screening tests.
  • Stop smoking, limit or avoid alcohol, and don't use illegal drugs.
  • Exercise regularly.
  • Take steps to reduce stress.
  • Get help for anxiety, depression or other mental health concerns.

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For many people, a physical exam and answering questions (medical history) are all that’s needed for a doctor to diagnose erectile dysfunction and recommend a treatment. If you have chronic health conditions or your doctor suspects that an underlying condition might be involved, you might need further tests or a consultation with a specialist.

Tests for underlying conditions might include:

  • Physical exam. This might include careful examination of your penis and testicles and checking your nerves for sensation.
  • Blood tests. A sample of your blood might be sent to a lab to check for signs of heart disease, diabetes, low testosterone levels and other health conditions.
  • Urine tests (urinalysis). Like blood tests, urine tests are used to look for signs of diabetes and other underlying health conditions.
  • Ultrasound. This test is usually performed by a specialist in an office. It involves using a wandlike device (transducer) held over the blood vessels that supply the penis. It creates a video image to let your doctor see if you have blood flow problems.

    This test is sometimes done in combination with an injection of medications into the penis to stimulate blood flow and produce an erection.
  • Psychological exam. Your doctor might ask questions to screen for depression and other possible psychological causes of erectile dysfunction.

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Drug treatments

A- Homeopathic Medicines For Erectile Dysfunction

1) Agnus Castus :
This remedy is indicated when erectile dysfunction arises from mental depression & exhaustion of nervous energy.
Such exhausted nervous energy can occur from prolong stress, tension & worries. Patient feels his genitals are cold to touch & relaxed & his sexual desire is gone.

2) Caladium :
This remedy is for patients with chronic habit of tobacco. This remedy cures erectile dysfunction aroused from bad effects of tobacco. Patient feels erections when half asleep & when he attempts for intercourse suddenly he loses his erections. Patient has mental excitement but penis is in loose and relaxed condition.

3) Selenium :
This remedy is often indicated in elderly men, especially for prostatitis and sexual atony. Patient is generally very weak and often gets easily exhausted from slightest mental or physical exhaustion. Many a times patient has a history of some chronic disease in recent past like arthritis, diabetes etc. This remedy cures dribbling of semen in sleep.

4) Lycopodium :
This remedy is useful for patient with erectile dysfunction & who has long term history of digestive disorders like chronic indigestion, acidity, constipation etc. Chronic digestive disorders increase the body heat and this remedy reduces down the heat in body. Patient has long term history of masturbation. Such a patient has premature looks like early age hair fall and wrinkles on face.

5) Avena Sativa :
This remedy is useful for patients who works on high post like managers, CEO’s, lawyers etc. who have intense mental work rather than physical work. They have responsibilities and pressure of targeted deadlines. Such overuse of brain leads to decrease in sexual desire and also decreased ability to perform sexual act.

6) Nuphar Luteum :
This remedy is often indicated in today’s youth generation. It cures erectile dysfunction aroused due to junk food, over eating, overuse of alcohol & tobacco, & also improper sleeping pattern. Such a patient has a history of chronic masturbation. This remedy has wonderful powers to cure night fall.

B- Ayurvedic Medicines for Erectile Dysfunction :

1) Shilajit :
This medicine is known to us since ages & our ancient physician were useing it for vigor, stamina and to increase male libido.
Now it is scientifically proved that this medicine can be used for low libido, premature ejaculation, erectile dysfunction and many sexually related disorders. This medicine is mainly used in old age individuals, patients suffering from diabetes, hypertension and also for people who had excessive masturbation.

2) Ashwagandha :
This is the best medicine for person who needs both physical and mental energy. Person is tired both at physical and at mental sphere. This wonderful herb is also useful in digestive disorders such as constipation, indigestion and acidity.At the mind level person is stressed has poor concentration and very week Memory.

3) Tribulus Terrestris :
Wonderful remedy for sexual complaints at all age groups. It increases desire for sex and also improves erection. It affects positively on sperm quality, quantity and its motility. It is one of the best medicine for infertility in men. Cures Azospermia. Helps a lot to reduce the prostate enlargement in elderly patients. Being rich in antioxidents it also has anti-aging effects.

4) Shatavari :
Predominantly helpful for female patients. Irregular menses. Severe pain before, during and after menses. Loss of sexual desire in female patients. Extreme pain in breast before menses also indicate use of Shatavri in female patients. Shatavari increases the physical stamina in female patients and helps them against physical weakness.

C- Supplementary Medicines for Erectile Dysfunction :

1) Zinc :
It is a supplementary medicine for elderly patient suffering from erectile dysfunction due to testosterone deficiency.
A 1996 study showed a very clear relationship between zinc and testosterone levels. Researchers showed that with increased zinc intake, testosterone levels in the elderly population almost doubled. This particular study concluded that in males, zinc has a positive effect on arousal and maintaining an erection.

2) Vitamin E :
Vitamin E enhances the effects of some conventional drugs used for erectile dysfunctions, according to a small study published in December 2008 issue of “The Aging Male.” The authors found that the majority of the participants who did not respond well to standard therapy alone experienced increased rigidity of the penis when adding vitamin E daily. Supplementation with vitamin E may help individuals with sexual dysfunction because it also supports the production of hormones.

D – Allopathic Line of Treatment For Erectile Dysfunction

Men can take a group of drugs called PDE-5 (phosphodiesterase-5) inhibitors.

Most of these pills are taken 30 to 60 minutes before sex – the best known being the blue-colored pill sildenafil (Viagra). Other options are:

Vardenafil (Levitra)

Tadalafil (taken as a once-daily pill called Cialis)

Avanafil (Stendra)

Disclaimer: Above information is only for knowledge purpose . Any medications should be taken only after consultation with qualified medical practitioner.

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