Sexual health is an important aspect of overall human health. Sexual dysfunction in the male usually consists of erection and ejaculation problems. These may cause infertility, disturbed relations with the female partner, depression and poor self-esteem. The various erection and ejaculation problems, and their Ayurvedic herbal treatment are discussed here.
Erectile dysfunction, often referred to as “impotence”, is defined as the inability to achieve and/or maintain an erection that is suitable for penetration. Treatment for this condition is aimed at correcting the known cause. Sometimes, simple counseling and explanation of the normal anatomy and physiology of penile erection, may suffice. High cholesterol and obesity can be treated with traditional Ayurvedic formulations like Medohar Guggulu, Triphala Guggulu, Arogya Vardhini, Lashuna ( Allium sativum), Kutki (Picrorrhiza kurroa), Psyllium (Plantago ovata), and Guggulu (Commiphora mukul). High blood pressure may be treated with Sarpagandha (Rauwolfia serpentina), Jatamansi (Nardostachys jatamansi), Sutshekhar Ras, and Saariva (Hemidesmus indicus). Diabetes may be treated with medicines like Gudmar (Gymnema sylvestre) and Amalaki (Emblica officinalis).
Erectile dysfunction may also be due to physical causes like inadequate blood flow to the penis, venous leakage, neurological defects and hormonal problems. These conditions may be treated using medicines like Agnitundi Vati, Vishtinduk Vati, Tapyadi Loha, Trayodashang Guggulu, Abhrak Bhasma, Kapikachhu (Mucuna pruriens), Bala (Sida cordifolia), Patol (Tricosanthe dioica), Nimba (Azadirachta indica), Triphala (Three fruits), Draksha (Vitis vinifera), Musta (Cyperus rotundus) and Kutaj (Holharrhina antidysentrica).
Ejaculation problems consist of premature ejaculation, delayed ejaculation, retrograde ejaculation and anejaculation.
Premature ejaculation is the commonest male sexual dysfunction. It is defined as ejaculation before the person wishes it, often within one to two minutes after penetration, though it can occur before or on penetration. This condition is often associated with performance anxiety or psychological trauma. It can be treated using medicines like Jayphal (Myristica fragrans), Talimkhana (Asteracantha longifolia), Parsik Yavani (Hyoscyamus niger), Brahmi (Bacopa monnieri), Jatamansi, and Shankhpushpi (Convolvulus pluricaulis).
Delayed ejaculation can be a natural consequence of ageing in men, or may result from diabetes or the use of medicines like anti-depressants. Medicines useful in this condition are: Shilajit (Purified Bitumen), Makardhwaja, Rasa Sindur, Keshar (Crocus sativus), Shweta Musli (Asparagus adscendens), Kapikacchu and Talimkhana.
Retrograde ejaculation is a condition caused by an incompetent bladder sphincter, in which the semen goes backwards into the bladder instead of coming out of the penis. This could be caused by prostate surgery, a spinal injury, diabetes, high blood pressure medication and congenital problems. This condition may be treated using medicines like Vishtinduk Vati, Tapyadi Loha, Trayodashang Guggulu, Patol, Nimba, Triphala, Draksha, Musta, Kutaj, Laxa (Biopurified Wax) and Bel (Aegle marmelos).
These medicines may also be used to treat anejaculation, in which a man is unable to ejaculate. This condition is comparatively rare, and may be wrongly diagnosed as azoospermia.
Androgen deficiency may cause a reduction in Testosterone levels, resulting in reduced libido and erection problems. The natural ageing process is also responsible for reduced libido along with other general symptoms like tiredness, irritability, osteoporosis and reduced muscle mass. All these conditions may be treated using medicines like Kapikacchu, Ashwagandha (Withania somnifera), Bala, Vidarikand (Ipomoea digitata), Shweta Musli, Amalaki and Shatavari (Asparagus racemosus).
Chronic depression may also adversely affect the sexual urge, and result in sexual dysfunction. This may be treated by using Laxmi Vilas Rasa, Shrung Bhasma, Arjuna (Terminalia arjuna) and Vacha (Acorus calamus).
This is, thus, a short description of the various erection and ejaculation problems, and their Ayurvedic herbal treatment. It is important to note that consistent and prolonged treatment is needed for most of the above mentioned problems to get significant results.