Ayurvedic Management of Premature Ejaculation In Reference To Śukṟagata Vata: A Case Report

Abstract

Premature ejaculation (PE) is the most common type of ejaculatory dysfunction which is difficult to manage. The global prevalence of PE is estimated as 20 – 40 % and in India it is reported as 8.76%. The inability to control ejaculation associated with unsatisfied experience of orgasm for the couples is a major factor causing psychological distress that leads to inter-personal conflicts. However, psychological interventions provide better results in PE, a combined approach of Psycho-Pharmacological intervention offer superior efficacy. A 39-year-old male presented with inability to delay ejaculation with a duration of sexual act less than 1 minute associated with resultant significant anxiety that hampered the sexual activity and reduced the sexual desire. On further interrogation, it was revealed that he had a significant stressful event in his life due to financial loss and also had a hurried sexual act which led to rapid ejaculation. However, he had many previous good experiences in his sexual act and also was having a supportive partner. The case was diagnosed as Premature ejaculation as per DSM V Criteria and as Śukṟagata Vata in Ayurveda purview. The management was planned in OP level, as a combination of a positive psychotherapy technique called Solution Focused Brief Therapy (SFBT) and an Ayurveda formulation Staṃbhanakara yoga for 3 months. Significant improvement was noted in Sexual dysfunction assessment questionnaire (Revised Singh. G et al. 2001) and Solution Focus Inventory recorded before and after the management along with increased Intra Ejaculatory Latency Time (IELT).