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MULTI SPECIALITY APPROACH IN AYURVEDA

Impotency means inability to perform normal sexual intercourse due to either premature ejaculation or failure to have or maintain satisfactory erection. This should not be confused with sterility. An impotent may be sterile or fertile, so also sterile man may be potent or impotent.

Penile erection and involuntary ejaculation of the semen depend on a reflex act at the sacral level. Two opposing nerves regulate the phenomenon of ejaculation. The reflex is under the control of automatic nervous system. Sympathetic nerves (L2 &3) through hypogastric nerve control the act of ejaculation; while parasympathetic nerves (S2, 3 &4) through nervi erigentis control the erection. When the centre becomes hypersensitive or over sensitive, the premature ejaculation occurs. While physiological stimuli transmitted by the central nervous system from the higher centre and androgen secretion in conjunction with higher cerebral impulses govern libido. Impotence may result from organic or psychic disturbances. It may be complete or partial. It may be with normal or impaired libido.

Organic or secondary impotence may be further divided:

  • Endocrine affections
  • Neurological disturbances
  • Toxic affections
  • Atherosclerosis of the aorta and iliac arteries.

Endocrine affections or disorders may be due to eunachism, pituitary syndrome, hypopituitarism, dwarfism, Frohlich’s syndrome, Cushing’s syndrome, acromegaly, gigantism, myxodema, Addison’s disease, androgen deficiency, pigmentary cirrhosis, hypogonadism and absence of libido.

Neurological disorders may be diabetic neuropathy, peripheral neuritis, medullary or spinal cord lesion, tabes dorsalis, general paralysis of the insane, trauma, Aorto-iliac endaterectomy or tumour of the spine, spina bifida, cauda equine, disseminated sclerosis, and blocking of sympathetic ganglia by drugs for hypertension.

Toxic affections: Farmers who happen to handle chemicals, insecticides and pesticides are known to develop impotency. But it is reversible on suspension of work.

Psychic impotence also called primary or functional may be due to:

  • Fear of inadequacy,
  • Emotional conflicts,
  • Faulty attitude towards sex,
  • Fatigue, anxiety or convalescence,
  • Guilty feeling, and
  • Rejection by wife.

Premature ejaculation (also known as early discharge or quick orgasm, early fall, Shigra-patan) is one of the most frequent, of sexual disorders in the male and is characterized by sudden ejaculation of the semen, just prior to or immediately after vaginal penetration during intercourse (before one wishes or before he could satisfy the female partner). Approximately 10% to 30% people of all age group suffer with quick semen discharge. Premature or ‘before time’ in other words, is a condition where the man has no voluntary control over his ejaculation

What is normal time of discharge: In one scientific study European males took approximately ten minutes in discharge whereas Americans took fourteen minutes in getting orgasm.

How common is pre mature ejaculation due to some well-defined internal causes?

Many of recent studies have proved that, most cases of quick ejaculation are Psychogenic is not correct (which was old belief). In one study by Schwartz & Pirke & colleague found that in many patient of pme male hormones were deranged. Similarly Colpi et all found that evoked sacral potentials & Bulbocavernosal reflex were hyper-excitable in many patients.

Thus psychogenic cause should never be labeled unless Hormonal & other causes have been excluded, by thorough examination, hormones & other tests as mentioned below.

 Causes of Premature Ejaculation:

Psychological factors

Most cases of PE are not related to any disease and are instead due to psychological factors, including:

  • Sexual inexperience
  • Novelty of a relationship
  • Overexcitement or too much stimulation
  • Relationship stress
  • Anxiety
  • Guilty feelings
  • Depression
  • Issues related to control and intimacy

These common psychological factors can affect men who have previously had normal ejaculation; such cases are often referred to as secondary, or acquired, PE.

Most cases of the rarer, more persistent form – primary or lifelong PE – are also believed to be caused by psychological problems.

The causes of primary or lifelong PE can often be traced back to early trauma, such as:

  • Strict sexual teaching and upbringing
  • Traumatic experiences of sex
  • Conditioning – for example, a teenager learning to ejaculate quickly to avoid being found masturbating

Prostatorrhea means ejection of semen itself. Semen of a man comes out with urine in this disease. Causes of this disease are as the causes of nightfall.

When penis of a man is in erect position or it is excited, a kind of white mucus comes out from the mouth of and the color of this excretion is like water. This mucus does not come out whereas the penis remains in erect position for long time. If the man does not make this mucus comes out from the penis. It is called prostatic secretion. This mucus has no semen. This secretion is made by nature to wet the pipe of the penis so that the penis may not scratch because of the fast movement of the semen.

Many young boys destroy their semen through or by other ways. Besides it, they keep on losing in sexual relation with girls in their own imagination or they keep on involving in lovemaking. In such kinds of situations, prostatic secretion starts to come out in large quantity. After sometime, this secretion starts to come out as a man thinks  or imagine about a girl. This secrtion comes out from the penis on a large scale.In this way sexual excitement of a man cools down after this secretion. This disease is called shukarmeh in hindi and Prostatorrhea in Engilish.

Some informations about Prostatorrhea

Note down one thing necessarily that when and how many times prostatic secretion comes out. Know about the color whether it is like Water.

  • The secretion is thick or thin. It comes out before urine or after urine and it comes out as the victim thinks about a girl. If it comes out after meal at night, how much the time is its occurrence? If it comes out while evacuating with urine, is it due to Such things find out the several conditions of the disease.
  • If it comes out after 3-4 hours of meal, it should be considered that digestion system is disturbed. Many doctors frighten innocent young boy by saying that bone is grinding. In reality, it is because of heavy meal and weak digestion system. It is called fast fats. If the disease disappears after getting well of the digestion system, urine of the patient becomes pale
  • Many doctors say to the patients to fill the urine in a bottle to check up it. If something gets gathered in the bottom of the bottle, it is considered that the man has been suffering from Prostatorrhea according to doctor. In reality, this check up is not just by any way because if food is not digested properly, substances get gathered in the bottle. Undigested food is too much in the urine of a patient than a healthy man. This thing is quite wrong that this substance is Semen.
  • The patient should give too much pressure at the time of evacuation. Evacuation as much stool as it comes out easily. There is no need to be worried if the victim goes for evacuation 2-3 times.
  • If there is no problem like nightfall in a man but sometimes he feels that semen is excreted with urine, there is no need to be worried because it happens with the healthy men occasionally.

Oligospermia is also known as a low sperm count or oligozoospermia. In oligozoospermia there are fewer sperm cells in the ejaculate than normal. Oligospermia is generally defined as less than 20 million spermatozoa per one ml of ejaculate.

Oligospermia is one of the main causes of male infertility or sub-fertility. Sub-fertility is a reduced ability to achieve a pregnancy while infertility is defined as the complete inability to produce a pregnancy after about one year of unprotected sexual activity.

Oligospermia can be the result of many factors, some are permanent and some are reversible. Causes of oligospermia include an obstruction of the normal flow of sperm due to such conditions as testicular trauma and vasectomy. Oligospermia may also result from scarring due to surgery on the male reproductive system or from infection and sexually transmitted diseases.

A decrease in sperm production is another cause of oligospermia. This can be due to such conditions as varicoceles, hormonal disorders, diseases of the testicles, and obesity. Other causes of oligospermia include stress, smoking, drug or alcohol use, some medications, exposure to some toxins, malnutrition, and being underweight. Some sexually transmitted disease, such as chlamydia, and gonorrhea can also result in oligospermia.

The main symptoms and complications of oligospermia are sub-fertility or infertility. There are also a variety of symptoms of underlying causes of oligospermia, such as sexually transmitted diseases and hormonal disorders. For more details on complications and symptoms, refer to symptoms of oligospermia.

Making a diagnosis of oligospermia includes taking a medical and sexual history and completing a general physical examination as well as an exam of the penis and testicles. Diagnostic testing includes performing a semen analysis, which examines the ejaculate for the amount and quality of semen and sperm.

Testing also includes performing lab tests to determine if an infection or sexually transmitted disease is present and the type of infecting organism. Other tests may be done to rule-out other potential causes of oligospermia, such as a hormonal disorder.

Because there may be no symptoms before a man attempts to get a woman pregnant, some men may be unaware of oligospermia. This can result in a missed or delayed diagnosis.

Low libido is the term used to describe a lack of interest in sexual activity. Sexual desire or libido is produced by a combination of biological, personal and relationship factors.

Sexual desire is different for each person and may change over time depending on what is happening in a person’s life. Low libido may not be seen as a problem for some men; however, if a man loses interest in sex for no apparent reason, and it is a concern for him, talking to a doctor may be helpful.

What causes low libido?

Low libido can be caused by acute (short-term) or chronic (long-term) medical or psychiatric conditions, particularly depression.

Men with low levels of testosterone (androgen deficiency) can have problems with low libido.

Prescription medicines, such as antidepressants and blood pressure medicines, as well as frequent alcohol or marijuana use can lower feelings of sexual desire.

Other factors that can affect libido include:

  • stress or tiredness from work
  • too little or too much exercise
  • feelings of dissatisfaction with the relationship.

It is often difficult to separate how much a man’s sexual interest is affected by biological or psychological factors, especially when there is chronic illness, chronic pain, fatigue or body image problems (e.g., following surgery for cancer).

Erectile dysfunction more often known as impotence outlined by the inability of a men to develop and sustain an erection of penis all along the sexual intercourse. Penis erection is the hydro-mechanical response of allowing blood to rush into the cylinder-shaped spongy tissues by relaxing the muscles of the penis and the walls of the arteries. The emerged firmness linger as long as the ejaculation prevailed by hampering this pressure over hydrant.

Erection process usually initiated as a result of libido, transmitted from the brain to veins in the penis. Most meaningful generic causes are cardiovascular disease/diabetes, neurological problems, hormonal insufficiencies and drugs side-effect.

Penile erection is carried by the nervous system, leads to the excretion of nitric-oxide (NO), results in relaxation of smooth muscles of corpora cavernosa along with testosterone (secreted by the testes). So impotence may develop due to hormonal deficiency, disorders of the neural system, lack of adequate penile blood supply or psychological problems.

CAUSES:-

A number of factors can acts as a catalyst for ED. Arousing for an erection involves the brain, hormones, muscles, nerves, and blood vessels. A non-generic responses of any of these ingredients could alter the usual functioning of the penis.

Physiological causes of ED:-

fatigue

stress

relationship issues

performance anxiety

mental disorder

Physical causes of ED:-

obesity

Parkinson’s disease

Enlarged prostate glans

Drugs (anti-depressants and nicotine are most common).

Neurogenic disorders.

Surgery.

Aging; it is four times more common in men aged in their 60s than those in their 40s.

Atherosclerosis – the thickening of the walls of the arteries that causes them to narrow, restricting blood flow – can cause Erectile Dysfunction.

SYMPTOMS:-

Inability to hold on erection for the adequate sexual intercourse itself reveals a sexual problem. Some of the bit of symptoms are concluded below

Trouble getting an erection

Trouble keeping an erection

Reduced sexual desire

If the problem is transit or occasional, not a big issue. Everyone in their life span have an ED at least once.

Develop abruptly morning erection or loss in interest in libido, then it is a psychological problem

WHEN TO SEEK FOR A DOCTOR:-

Suffering with diabetes, heart disease, hyper tension, B.P or another known health condition that might be linked to erectile dysfunction

Having any chronical symptoms related to sex or a chronical erectile dysfunction problem.

When problem leads to anxiety or threat on marriage get a advice towards your misinformation to keep it clear.

DIAGNOSIS:-

Testosterone testing is used to check for Delayed/early puberty, erectile dysfunction, impotency, testis tumor or infertility and some hormonal tests such as semen analysis or estrogen.

Physical exam. Careful examine of testicles, sensational nerves or penis shaft.

Blood and urine tests for examine of diabetics, heart disease, or to determine cholesterol level.

Blood flow rate to know about toughness of erection and for what time.

RISK FACTORS & COMPLICATIONS:-

Risks and Complications can be concluded:

Inability a consummate a marriage life.

Extreme musturbation leads to decline in nervous system.

An unsatisfactory sex life

Tobacco use which restrict the blood flow in veins and arteries.

overweight

Stress or anxiety

Embarrassment or low self-esteem

Prolonged bicycling

Relationship problems

Psychological

Inability to get your partner pregnant.

TREATMENT:-

All summoned medications are used to boost-up the effects of nitric oxide that increases blood flow and allows you to get erection and aroused by secreting a natural chemical that relaxes muscles in the penis.

Many of us have heard about it, but many of us feel embarrassed to admit it. Nightfall is a condition in which a man gets wet dreams or in other words a man ejaculates in his dream. In other words, it can be defined as the uncontrolled ejaculation of semen during sleep.It is also known as wet dreams or nocturnal emissions.

The exact reason of night discharge is still unknown. Some people thinks that night discharges are the direct result of the stimulation caused by dreaming sexual activity. It is very shameful to many of us and thus do not disclose with anyone.

Nightfall is a very harmless, though unfortunate condition that many men suffer from. In Ayurvedic texts, it is referred to as ‘swapandosha’. Wet dreams or night fall is very common among young boys, as it marks the settling in of their sexual comfort, while the body undergoes hormonal changes. Some studies have also been done to find the reason of night fall and medical experts found that over masturbation is one of the main causes behind nightfall in men.

Those who frequently go for the masturbation, there are more chances that they may have night fall problem. Also, problems in relationships, and leading to divorces and break-ups is also one of the reasons of nightfall in men. Other reasons of night fall include hormonal imbalance and unfulfilled sexual desires.

Negative Effects of Night Discharge

  • Erectile dysfunction
  • Premature ejaculation
  • Low sperm count
  • Weak eyesight or vision
  • Insomnia and dizziness
  • Loss of stamina and poor performance in bed
  • Unable to sustain lovemaking for long time
  • Poor memory issues
  • Psychological problems like isolation, guilt, low confidence and depression
  • Physical weakness and reduction in energy levels

Nightfall problem in men and women is a sexual problem and must be treated as it can affect your sexual life. Visiting a sexologist in Delhi can help you overcome it.

In general, semen discharge during or after urination can be caused due to weakness of the nerves and when this condition is not addressed, it can lead to several health issues in men. Experts are of the opinion that natural treatment for semen with urine can be the ideal choice. This is because herbs are natural and they do not cause any side-effects. In general, nerves in the male genital passage are responsible for holding the semen and they keep semen locked and protect it from getting passed out when the man gets excited or even during normal mental condition. In general, prostate gland in men is responsible for producing the seminal liquid, but this gland does not have any facility to store the produced semen. When this gland gets congested, it can lead to passing of semen with urine or after urinating.

Semen coming out with urine is a condition that can be faced by men due to different reasons, but they can find natural treatment to stop semen leakage during urination.
Normally, the body applies pressure to let out the last drop of urine and when this pressure is given, seminal fluid also gets out in some men. There is a condition called retrograde ejaculation and this can also be the reason behind the leaking of semen with urine. In this condition, men ejaculate in urinary bladder from the tip of the reproductive organ. When it comes tonatural treatment for semen with urine Ayurveda Miracles Cure capsule and Shilajit capsule can turn out to be the most effective natural treatment for semen leakage during urination. How does this combo stop semen leakage during urination? This is the question arising in the minds of readers and here is how they work?

This combo has the healthy ingredients that can stop semen leakage during urination and here are the details about the ingredients.

Ashwagandha : As Ashwagandha found in NF Cure capsules can help in stimulating the functioning and release of testosterone hormones in men, it will ensure the health of the reproductive organs in men, thereby bringing down the chances of nightfall.

Safed Musli : It will also improve the flow of blood to the genital passage, thereby helping men achieve stronger erection, which is important to stop nightfall. It can also reduce, stress and fatigue that can contribute a great share in nightfall.

Shatavari : It is yet another effective herb found in NF Cure to stop semen leakage during urination. It can improve the health of reproductive organs in men, thereby addressing weak nerves and the resulting leakage.

Spermatorrhea, the condition characterized by involuntary ejaculation of semen without experiencing any orgasm is a health disorder found in men. This accidental release of semen can happen even when the person is sleeping. If left unconsidered, it may negatively impact on marital life. This may make life very frustrating and upsetting. Frequent loss of semen deteriorates energy of person and leads way to tiredness and weakness. Loss of sexual power and unresponsiveness of reproductive organs are two main effects of spermatorrhea. Persisting condition of spermatorrhea increases the risks of complete loss of libido, frequent backache, difficulty in walking, seminal weakness and impotence. According to research, it is found that this condition is commonly found in men who are sexually weak. Now, let’s see causes contributing for excessive release of semen from body.
Spermatorrhea is a condition, wherein involuntary ejaculation happens in men and there are herbal treatments for this condition.

Causes :

Over masturbation is an important cause leading way to spermatorrhea. It is one among the main causes of nocturnal emissions and erectile dysfunction. People who frequently masturbate may experience severe back pain, hair loss and pain in testicular region. Tiredness is another physical cause for the formation of spermatorrhea. This condition happens due to the impact of many reasons. Nutritional deficiency, excessive masturbation and prolonged use of certain medications are some among the main factors resulting in tiredness. In certain cases, tightness of foreskin can lead way to spermatorrhea. This condition is commonly found among people who are overweight or obese. Inflammatory stimulation, stimulations produced due to reading books and watching movies are other common causes giving rise to this problem.

Symptoms :

Involuntary flow of semen is one among the main symptoms shown by a person suffering from spermatorrhea. Persistent semen flow condition may lead way to fatigue problems, backache and difficulty in walking. Some people may experience palpitation and dyspepsia due to this problem. Mood disorder is a main emotional issue shown by these people. Studies have found that, people with this health disorder are often prone to psychological problems like stress, anxiety and depression. Chest tremors, tiredness, sweating in genital area and weakness of sight are other reported symptoms of spermatorrhea.

Natural Remedies :

Person suffering from involuntary ejaculation of semen can cure this problem naturally by taking an effective herbal treatment for spermatorrhea such as  Cure capsules. Ashwagandha is another herbal remedy recommended for involuntary semen ejaculation. It helps in rejuvenating cells, preventing fatigue and promoting the overall health of person. Most of the treatments for spermatorrhea are done to cure its underlying cause. Reading good books is a natural technique suggested for preventing the risks of this health disorder. It prevents the action of mental stimulation leading way to ejaculation.

Practicing relaxation techniques like deep breathing yoga exercise is a remedial measure recommended for curing spermatorrhea. It helps to relax both body and mind in equal proportion. Inclusion of garlic, onions and ginger in diet is a common remedy included under the dietary lifestyle. People with involuntary ejaculation of semen during night are advised to avoid wearing tight clothes during sleep. This helps in reducing the risks of external stimulation of male reproductive organ. Avoiding the intake of alcohol and intake of fruit juices like pineapple and plum juice are other cures for overcoming this problem.

Sexual  difficulties can begin early in a person’s sex life or they may develop after an individual has previously experienced enjoyable and satisfying sex. Such a problem may develop gradually over time or may occur suddenly as a total or partial inability to participate in one or more stages of the sexual act. The causes of sexual difficulties can be physical, psychological, or both. Sexual weakness or Erectile Dysfunction, in which a man is unable to attain an erect penis that is rigid enough for sexual penetration or sexual satisfaction, erectile dysfunction (ED) affects the lives of many men and their partners to one degree or another.

Sexual dysfunctions are more common in the early adult years, with the majority of people seeking care for such conditions during their late twenties through thirties. Men may also notice that orgasms are less intense, the volume of ejaculate is reduced and recovery time increases between first and second erections.
Erections may take longer to develop and may not be as rigid or may require more direct stimulation to be achieved. It can interfere with a man’s self-image as well as his and his partner’s sexual life. Erectile dysfunction may also be a sign of a physical or psychological problem that requires treatment.

Erectile dysfunction was once a taboo subject, but more men are seeking help. Doctors are gaining a better understanding of what causes erectile dysfunction and are finding new and better treatments.

SIGNS AND SYMPTOMS

Patterns of erectile dysfunction include

  • Occasional inability to obtain a full erection
  • Complete inability to achieve an erection
  • Taking a longer time to reach an erection
  • Less firm erection
  • Loss of force in ejaculati
  • Decrease in volume of semen
  • Losing erection quicker after orgasm
  • An increasing amount of time it takes to get another erection
  • Inability to maintain an erection throughout intercourse

When a man becomes sexually aroused, nerve impulses cause the blood flow to the cylinders to increase about then times than normal amount and continued sexual arousal or excitation maintains the higher rate of blood flow, keeping the erection firm. After ejaculation, or when the sexual excitation passes, the excess blood drains out of the spongy tissue, and the penis returns to its non-erect size and shape