The patients as well as their partners not only remain deprived of one of the most important aspect of life but also develop some or the other psychological problems. While fertility is an essential ingredient for survival and continuity of species, not all couple are capable of furthering their families. So, the problem of infertility finds its place in the history of various civilizations. In about one third of infertile couple male factor is the primary factor and among male factor one of the major cause is early ejaculation Early ejaculation is the inability to control the ejaculation for sufficient length of the time to satisfy female partner in at least 50% of the coital events. It may also be defined as persistent or recurrent ejaculation with minimal sexual stimulation before, upon and shortly after the penetration and before the person wishes it. Studies reveal that early ejaculation affects 16-38% men across all age group. Men suffering from early ejaculation not only remain depress but it has a great impact on quality of relationship also.  

There are many causes of early or premature ejaculation (PE) and the one among some of the common causes is hypersensitive biological predisposition to ejaculate quickly. Another important cause is neurological system PE, which responds well to psychological skills and some drugs. Some physical illness like inflammation of prostate gland, diabetes, atherosclerosis, endocrine irregularities etc. predispose a person to premature ejaculation. Psychological distress PE is clinically common which is caused by temporary psychological difficulties such as adjustment disorders, psychological stress like occupational stress, sexual performance pressure, financial difficulties and powerful negative events.
Ayurveda has mentioned elaborately about male sexual dysfunctions and the branch which deals about sex, sexulity, sexual disorders and their treatment is Vajikarana. Ancient texts also mention that apart from behavior therapy, yogic asans and pranayama, vitiated vata in premature ejaculation should be controlled first with prahar anna (exhilarating food articles), balya and shukrala drugs. These will not only enhance the excellancy of shukra dhatu but also improve the quality of sexual arousal and functioning. Herbs like jatiphala (Myristica fragrans), akarkara (Anacyclus pyrethrum), ahiphena (Papaver somniferum), karpura (Cinnamomum camphora) and medhya drugs like mulethi (glycyrhiza glabra), brahmi (Bacopa monneri), shankpushpi (Convolvulus pluricaulis) are used in the early ejaculation according to their problems. Various local applications are also advised for long retention of semen. They include application of kusumbha taila (oil of Couthamus tinctorius) on soles, application of aja ksheera (milk of goat) and ustra ksheera (milk of camel) along with gou ghrita (cow ghee) on both legs before sexual act.Many other herbs like lajjalu (Mimosa pudica), snuhi (Euphorbia nerifolia), punarnava (Boerhavia diffusa), kakjangha (Pevistrophe bicaliculata), saptparna (Alostonia scholrisa), sarpunkha (Tephrosia purpurea) etc. are also used in the patients of pre mature ejaculation but they must be used under the expert supervision. In all it could be summerised that for the patient having premature ejaculation, Ayurveda has a big role to play.
Sex and sexuality have always remained a taboo in Indian society. Sexual behavior is one of the basic instinct in human beings, but it is never discussed broad mindedly in our society, this ignorance leads to multiple diseases and problems that remain unsolved through ones life.
Patient should start his treatment early and under expert advice so that the early ejaculation may not postpone the joyous moments.

1. Reader,
Daynand Ayurvedic College,
Jalandhar +919465466589
2. Associate professor, Rog & Vikriti Vigyan,
National Institute of Ayurveda, Jaipur.
+91 9314502834