Evaluation of Stambhanakaraka Yoga and counseling in the management of Shukragata Vata (premature ejaculation)

Abstract

Premature Ejaculation (PE) is a very common male sexual problem. Anxiety, stress, fear etc., are the main predisposing factors of PE. In Ayurveda, this condition can be correlated with Shukragata Vata. In the present study, fifty five patients with PE were grouped into two and were treated with Stambhanakaraka Yoga (n = 30) and Placebo (n = 20) for a duration of two months, with luke warm water as anupana. Psychological counseling was given to the patients in both the groups. After completion of treatment, Stambhanakaraka Yoga showed significant results against placebo in all parameters, namely Intravaginal Ejaculation Latency Time (IELT), voluntary control over ejaculation, patient and partner's satisfaction, performance anxiety.

Complementary and Alternative Medicine for Management of Premature Ejaculation: A Systematic Review

“…Ten RCTs evaluating a complementary therapy for PE were included in the review. 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 The PRISMA flowchart is presented in Appendix 2 . The four studies excluded at the full-text stage are described below, with reasons for exclusion.…”

“…28 , 29 , 30 , 31 , 32 One study conducted in India assessed Ayurvedic medicine (Indian herbal medicine) given for 2 months. 33 Two Korean studies assessed four to five treatments with “severance secret” (SS) cream, 34 , 35 an extract of nine natural products that is applied to the penis 1 hour before intercourse and washed off before intercourse. SS cream is believed to work by localized desensitizing effects to decrease penile hypersensitivity.…”

“…Comparators included placebo (four studies), 26 , 33 , 34 , 35 treatment as usual (one study), 32 an SSRI (five studies), 26 , 27 , 28 , 29 , 31 and/or a combination of CAM and drug treatment (three studies). 28 , 30 , 31 Nine of the 10 studies assessed IELT 26 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 : five by stopwatch, 26 , 28 , 29 , 34 , 35 one by questionnaire, 32 and three did not report the method of IELT assessment. 30 , 31 , 33 Additional outcome measurements reported included the PEDT (three studies) 26 , 28 , 29 , the CIPE-5 (two studies) 27 , 32 , and the IIEF (one study).…”

Premature Ejaculation – What Ayurveda & Yoga can Offer?

“…Shukra stambhana yapana vasti (medicated enema) is also found beneficial in PE [18]. Shukrastambhakara yoga (an Ayurvedic formulation) proved as psychotropic, improves the duration of the sexual act, reduces performance anxiety and found effective in PE [4].…”

“…Vajikarana (sexual medicine/sexology/aphrodisiac therapy) is one of the eight branches of Ayurveda which deals with the preservation and amplification of the sexual potency of a man, conception of healthy progeny as well as management of infertility & sexual dysfunctions. Vajikarana improves sexual capacity and also physical, psychological and social health of an individual [4]. The diagnosis and management of infertility and various sexual dysfunctions are dealt in detail in Ayurvedic classics.…”