Summary
Premature Ejaculation (PE) is one of the most common male sexual concerns. It refers to ejaculation that happens sooner than desired, with reduced control, causing distress or avoidance of intimacy. PE may be lifelong (from first sexual experiences) or acquired (developing later). Contributing factors include anxiety and performance pressure, neurobiology and sensitivity, and sometimes medical issues like prostatitis or thyroid imbalance.
Good news: most men improve with a structured plan—skills training, pelvic floor work, anxiety reduction, communication, and when needed, medical or Ayurvedic therapies that address the root cause.
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What is Premature Ejaculation?
PE is defined by persistent or recurrent ejaculation earlier than desired, with reduced control, and associated distress. Lifelong PE often presents from first sexual experiences; acquired PE develops after a period of typical function. The clinical focus is on control and distress, not a strict time cut-off.
Symptoms
- Ejaculation sooner than you or your partner wish, with minimal stimulation.
- Persistent difficulty delaying ejaculation despite effort.
- Stress, frustration, low confidence, or relationship strain.
- Occasionally co-existing erectile difficulties or anxiety.
When to see a doctor
- Ongoing distress or avoidance of intimacy.
- New or sudden onset after a period of normal control.
- Pain, urinary or prostate symptoms, penile discharge, or bleeding.
- Suspected thyroid issues, depression, or medication side effects.
Causes & Risk Factors
Common Contributors
- Performance anxiety, stress, or relationship conflict.
- Heightened penile sensitivity or neurochemical variation.
- Conditioned fast arousal from hurried masturbation or intense porn.
- Medical factors: prostatitis, thyroid imbalance, depression.
- Comorbid erectile dysfunction or low sexual frequency.
Risk Factors
- Chronic stress, poor sleep, sedentary routine.
- Excess alcohol, nicotine, or stimulant use.
- Unresolved intimacy issues or communication gaps.
- High expectations and performance pressure.
Prevention & Self-Care
- Practice start–stop and squeeze methods during self-stimulation.
- Perform pelvic floor (Kegel) training 4–5 days/week.
- Reduce high-intensity porn or rushed stimulation; adopt mindful pacing.
- Prioritize sleep, exercise, and stress regulation (breath work, yoga).
- Keep open communication with your partner about pace and pressure.
Diagnosis
Diagnosis is clinical—based on history of timing/control, distress, and impact on relationships. A doctor may assess onset (lifelong vs acquired), patterns and triggers, comorbidities (ED, prostatitis, thyroid), medication use, and lifestyle. Focused exam and tests are ordered when indicated.
Treatment
1) Skills & Behavioral Therapy
- Start–Stop & Squeeze to learn early-arousal cues and regain control.
- Pelvic Floor Training (Kegels) to improve ejaculatory control.
- Sensate Focus to reduce performance pressure and build mindful intimacy.
2) Medical Options (doctor-guided)
- Topical desensitizers used as advised to reduce hypersensitivity.
- Prescription medicines that modulate arousal thresholds (only under supervision).
- Address comorbid ED, prostatitis, or thyroid imbalance if present.
3) Ayurvedic Care at Samdosh Ayurveda
Personalized Plan
- Rasayana & nervine support to stabilize arousal pathways.
- Diet & Dinacharya to calm Vata, reduce heat, and nourish dhatus.
- Panchakarma (as indicated): Basti for Vata balance, Shirodhara for anxiety & sleep, Virechana for Pitta soothing.
Why Us
- 15+ years, 10,000+ patients treated with ethical, evidence-based care.
- Compassionate consultations that address mind–body factors.
- 70%+ success rate in restoring confidence and intimate satisfaction (clinic data).
What to Avoid
- Rushed, high-intensity stimulation or excessive porn use.
- Heavy alcohol, smoking, and stimulant overuse.
- Chronic sleep deprivation and unmanaged stress.
- Silence—avoidance of communication about preferences and pacing.
Diet & Supportive Foods
Support
- Warm, grounding meals: khichdi, lightly spiced dals, ghee in moderation.
- Magnesium-rich foods: pumpkin seeds, almonds, spinach.
- Tryptophan sources: bananas, milk (if tolerated), oats.
- Hydration; limit late heavy dinners and refined sugars.
Limit
- Very spicy, oily, and highly processed foods.
- Large late-night meals and excessive caffeine.
- Alcohol binges (worsen timing and sensitivity).
First-Aid: In-the-Moment Control
- Slow down; switch to non-genital touch for 30–60 seconds when close to climax.
- Use the start–stop or squeeze technique; resume when arousal settles.
- Try thicker condoms to reduce sensitivity (if suitable for you).
- Deep, steady nasal breathing to lower arousal spikes.
Home Strategies
- Daily Kegels (10–15 contractions × 3 sets) with full relaxation between reps.
- Mindfulness practice (5–10 min/day) to reduce performance anxiety.
- Gradual exposure: practice control during solo sessions before partnered intimacy.
- Couples communication: agree on signals to pause and reset.
Our Mission & Values
Mission
To restore trust in Ayurveda with ethical, evidence-based treatments, personalized care, lifestyle prevention, and compassionate support—raising awareness of true healing.
Vision
To blend ancient Ayurvedic wisdom with modern standards through digital tools, research, and education—making care accessible and inspiring future ethical practitioners.
Trusted Expertise
15+ years · 10,000+ patients · Dual-doctor team in infertility & sexual health.
Ayurvedic Innovation
Classical principles + modern diagnostics = personalized plans that heal from the root.
Compassionate Care
We treat every patient like family—mind, body, and emotions together.
Why Choose Samdosh Ayurveda
Root-Cause PE Diagnosis
Thorough evaluation—including reports and Nadi Pariksha—to pinpoint drivers like Vata-Pitta imbalance, anxiety, or inflammation.
Holistic Male Sexual Health
Integrated plan with herbs, diet, routines, pelvic floor training, and counseling—customized to your goals and comfort.
Contact Us
Discreet, judgment-free guidance is one click away.
Doctors for Premature Ejaculation
Dr. Ranjeet Singh
BAMS, DMR — Male Infertility & Sexual Health
Specializes in PE, ED, low sperm count, and male fertility restoration with integrated Ayurvedic and evidence-based methods.
Dr. Megha Yadav
BAMS — Female Infertility & PCOS/PCOD
Leads women’s reproductive health; collaborates for couple-centric care when PE co-exists with fertility goals.
Disclaimer
This educational content is not a substitute for in-person medical advice, diagnosis, or treatment. Always consult a qualified doctor for personalized guidance.
written By : Dr. Ranjeet Singh
