Top Sexual Healthcare Services in Patna, Bihar Expert Advice for PE Dr. Sunil Dubey

Aug 7
9 min read

Are you troubled by the problem of premature ejaculation during sexual activity or intimacy? Essentially, you lack control over your ejaculation, and the semen is released too quickly. Premature ejaculation leaves your sexual desires unfulfilled and leads to issues regarding orgasms, satisfaction, and relationships. It is a persistent problem that causes you mental and emotional distress as well. When you try to last longer during sexual activity with your partner, things do not go as you would like. Initially, you tried over-the-counter medications and products advertised online to address this sexual issue, but they were not as effective as you had hoped. You are currently under 40, and this sexual problem is having a significant negative impact on your sexual health and your relationship.

Rather than obsessing over the details of this sexual issue, there is no need to be overly concerned about this aspect of sexual health. Premature ejaculation is a common problem among men, with approximately 40–45% (both married and unmarried) reporting it in India. In this session, we will discuss a sexual health issue where psychological factors play a more significant role than physical health. Dr. Sunil Dubey, a renowned Ayurvedic sexologist in Bihar (India)—an expert in the treatment, counseling, and research of sexual disorders—has shared crucial insights regarding premature ejaculation in men, drawing upon his extensive clinical experience and research. This information will prove invaluable for those who have tried various medications without success, as well as for those considering a consultation with a qualified sexologist. By understanding the causes, risk factors, appropriate treatment methods, and expert advice, individuals will be better equipped to take the right steps toward improving their sexual health.

Treatment for Premature Ejaculation Patna, Bihar India

What is premature ejaculation, and when is it considered a sexual problem?

Ejaculation is a natural yet complex process in which good health and overall well-being play a significant role. It is the third stage of the sexual response cycle, during which a man experiences the culmination of desire, arousal, and orgasm. Premature ejaculation is a common condition where ejaculation occurs, but not at the appropriate time relative to sexual activity. Essentially, it is a matter of timing, as couples often require sufficient time to fully experience intimacy; in such situations, the man may reach orgasm, whereas the woman requires more time to achieve the same.

Dr. Sunil Dubey states that premature ejaculation in men is not a serious issue, though in certain situations, it can become a cause for concern for both partners. While occasional difficulty in controlling ejaculation—resulting in premature discharge—is normal, the problem may be considered a sexual issue if it persists. In fact, premature ejaculation often leads to incomplete sexual encounters, causing distress to the man or the couple and potentially resulting in problems such as stress, depression, and interpersonal conflict. It is considered a sexual problem when it persists, causes distress in the individual's life, leads to stress, and affects relationships. There is no specific age associated with this sexual issue; men of any age—whether married or unmarried—can struggle with the problem of premature ejaculation.

Symptoms of Premature Ejaculation (PE)

Essentially, the defining characteristic of premature ejaculation is that the individual lacks control over his ejaculation; he wishes to hold it back or delay it for some time during sexual activity, but is unable to do so.

This is a persistent condition in which a man experiences this state during sexual activity for a period of more than one month. In such a situation, a person is distressed not only mentally but also at the level of relationships.
This sexual activity affects their self-confidence, and the fear of premature ejaculation makes them want to avoid intimacy.
Some people find it confusing to understand the condition of premature ejaculation. They are often unsure about when it should be considered a sexual problem during masturbation or sexual intercourse. To gain clarity, they should view it in the context of sexual activity or intimacy, recognizing it as a natural process in which both men and women are simply part of nature.

Top Ayurvedic Sexologist in Patna, Bihar India

Scientific View and Possible Causes of Premature Ejaculation

Dr. Dubey, a leading clinical sexologist in Patna (Bihar), states that premature ejaculation is a matter of concern because ejaculation occurs before the individual desires it. This leads to stress and dissatisfaction, making it difficult to control the timing or delay the climax. In fact, it can occur either before penetration or immediately after, depending on the individual's condition and the severity of the problem. From a scientific perspective or that of medical sexology, premature ejaculation is not caused by a single factor but rather by a combination of biological, psychological, and relationship-related issues. This is one reason why, when a person takes medication for this sexual problem without any professional advice, they are unable to fix it in the long run.

In reality, there can be various factors that affect control over ejaculation. In such a situation, it is essential to implement a remedy only after a thorough examination of physical, psychological, and sexual aspects, as well as those related to interpersonal relationships. First, we will explore the potential causes of premature ejaculation, which will help in understanding the reality of the situation.

Potential Biological Causes

Brain Chemistry: Variations in neurotransmitters like serotonin can affect control over ejaculation.
Genetics: Some individuals may inherit the tendency for Premature Ejaculation. This is a type of primary premature ejaculation.
Hormonal Causes: In rare cases, hormonal imbalances (such as thyroid issues) can also be a cause of early discharge.
Inflammation or Infection: Conditions affecting the prostate or urethra may play a role in some cases.
Erectile Dysfunction (ED): Some men rush during sexual activity due to anxiety about losing their erection, which can lead to premature ejaculation issues.

Psychological Factors

Performance Anxiety (Especially in young adults)
Stress (Chronic stress general, financial, or sexual)
Depression or anxiety disorders
Guilt related to sexual activity or performance
Early sexual experiences that encouraged haste
Relationship difficulties or unresolved conflicts

Dr. Sunil Dubey states that most cases of premature ejaculation are linked to a combination of physical and psychological factors. Based on the nature of this sexual issue, it is classified into two types—

Lifelong PE: This problem is present from the very first sexual experience. The cases of primary PE in India are approximately 8-10%
Acquired PE: This problem occurs when there was initially normal control over ejaculation, but a change develops later. These types of cases are found in India approximately 22-25%.

Risk Factors of Premature Ejaculation (PE)

Dr. Sunil Dubey states that it is always important to be aware of certain risk factors that affect control over ejaculation.

Prolonged stress can affect control over ejaculation.
Relationship discord is a psychological factor that almost always impacts sexual health.
Erectile dysfunction can create a pattern where ejaculation occurs as the erection is lost.
Certain medical conditions, such as diabetes, heart disease, and chronic kidney disease.
Excessive anxiety about sexual performance affects both erections and control over ejaculation.

https://www.youtube.com/watch?v=RiZp4ik5_DI

World-famous Ayurvedacharya Dr. Sunil Dubey

How is this detected?

In reality, it is a significant matter whether or not a person is struggling with the problem of premature ejaculation. This is because the timing of ejaculation can vary from person to person, and it is considered a sexual problem only when confirmed by a medical examination. Dr. Dubey further says that qualified sexual healthcare professionals typically ask patients a few questions. This constitutes an important counseling session, during which experts at the Dubey Clinic provide a confidential and respectful environment.

How long does ejaculation usually take?
Does this problem occur all the time or only in specific situations?
How much distress does it cause?
Evaluation of Medical history, medications, and sexual history.

In this situation, there is no single specific lab test to detect PE, although tests can be conducted if an underlying medical issue is suspected.

Prioritize an integrated Ayurvedic treatment plan for PE

Dr. Sunil Dubey adopts a comprehensive and integrated treatment approach that targets the root cause of the illness, incorporating Ayurveda alongside modern medicine and a holistic perspective. For your information, we would like to mention that Dubey Clinic is renowned in India for treatment of premature ejaculation and related ejaculatory disorders. He and all the experts at Dubey Clinic are committed and dedicated to helping individuals struggling with sexual problems. In cases of premature ejaculation, the treatment varies for each person, focusing on the root cause of the problem rather than just the symptoms.

Common Treatment Options-

Behavioral techniques: Such as the 'stop-start' method or the 'squeeze' technique.
Pelvic floor muscle exercises: These can improve control over ejaculation in some people.
Psychological therapy or sexual therapy: Especially when anxiety, stress, or relationship issues are the underlying causes.
Treating underlying conditions: Such as erectile dysfunction or thyroid disease, if present.

Integrated Ayurvedic Treatment Plan for Premature Ejaculation-

An integrated Ayurvedic treatment plan is fully personalized and addresses the root cause of the issue. This treatment approach for premature ejaculation combines conventional medical care with safe Ayurvedic methods. The treatment places significant emphasis on the scientific basis and evidence supporting Ayurvedic remedies specifically for premature ejaculation. A specialized and effective herbal formula is prepared based on the patient's current condition and physical constitution. Dr. Sunil Dubey offers a comprehensive sexual therapy package that incorporates these methods to tackle the problem of premature ejaculation.

Expert Advice for Low Libido in Patna, Bihar

Start with Medical Evaluation:

Before starting treatment, it is always important to rule out conditions such as:

Erectile Dysfunction
Thyroid Disorders
Diabetes or Blood Sugar
Prostate inflammation
Anxiety or depression
Side effects of medications

Ayurvedic Assessment:

In Ayurveda, PE (premature ejaculation) is often discussed in the context of:

An aggravation of Vata dosha, particularly Apana Vata
A deficiency of Shukra Dhatu (reproductive tissue)
An imbalance caused by mental stress or anxiety

Treatment is not based on the identification of a specific disease; rather, the Ayurvedic sexologist determines the method of treatment according to each individual's unique condition.

Diet (Balanced and Healthy):

Ayurveda generally recommends consuming the following:

Warm and freshly cooked food
Adequate protein and healthy fats
Milk (if easily digested)
Clarified Butter in moderation
Almonds (soaked overnight)
Dates and figs (Dry Fruits)
Pumpkin and Sesame seeds

Consume the following in limited quantities:

Avoid excessive alcohol
Avoid smoking or recreational drugs
Limit highly processed foods
Avoid excessive caffeine (if it increases anxiety or restlessness)

Lifestyle (Healthy and Balance Routine):

Daily habits that can improve sexual health in various ways.

Regular sleep (7–9 hours) for hormonal balance
Light exercise for physical and mental wellness
Maintaining a healthy body weight
Managing stress for psychological wellness
Avoiding prolonged sleep deprivation

Yoga or Exercises:

Some research and evidence suggest that yoga can help reduce stress and increase awareness of the pelvic floor. Commonly recommended poses include:

Vajrasana
Baddha Konasana
Bhujangasana
Setu Bandhasana
Paschimottanasana

Pranayama and Meditation:

Practicing for 10–20 minutes daily can help reduce performance anxiety and improve mental health.

Nadi Shodhana (alternate nostril breathing)
Bhramari
Diaphragmatic breathing
Meditation

Pelvic Floor Exercises:

There is stronger scientific evidence supporting pelvic floor (Kegel) exercises over most herbal therapies for improving control over ejaculation in some men. During the course of personalized treatment, doing it is more beneficial to control over ejaculation.

Behavioral Techniques:

Sexual medicine specialists or Sexologists recommend these methods, and they can be used in conjunction with other approaches:

Stop-start technique
Squeeze technique
Gradual exposure (practice) by reducing performance pressure
Couples counseling, if relationship issues are a factor

Proven Ayurvedic Herbs:

Certain herbs are traditionally used to improve sexual health, but evidence regarding their specific effectiveness for PE (premature ejaculation) is limited but ayurvedic formulation is effective. Examples include: Ashwagandha, Kapikachhu (Mucuna pruriens), Shatavari, Safed Musli, and Gokshura.
It is always essential for people to use medicines based on expert advice and reliable Ayurvedic formulas. This is because Ayurvedic medicines require proper oversight, quality sourcing, and purity. Consequently, only Ayurvedic doctors who specialize in sexual health medications and research can provide such reliable, high-quality medicines.

Traditional Treatments with Stronger Evidence:

If symptoms persist or are bothersome, treatments with better clinical evidence include:

Skin-numbing creams or sprays (ayurvedic oil)
Certain modern medical approach to delay ejaculation
Sexual therapy or cognitive behavioral therapy
Treatment for erectile dysfunction, if present

When to see a sexologist doctor

Consider seeing a sexual healthcare professional or clinical sexologist if:

The problem with early discharge occurs consistently over several months.
It causes significant distress, anxiety or affects an individual relationship.
It develops suddenly after previously normal sexual function.
If you have other symptoms, such as pain, difficulty getting or maintaining an erection, or urinary problems.

Many people experience premature ejaculation at times, and this alone does not necessarily classify it as a medical condition. However, if the symptoms persist and cause distress, examination and treatment can be beneficial; effective treatments are available in many cases. Dubey Clinic is the right place for addressing sexual health issues, where individuals can seek expert advice, guidance, and comprehensive treatment for all their sexual health concerns. This clinic’s online and offline channels are helping people across India who seek a holistic approach and an integrated treatment plan to address their sexual health issues.