As we know, ejaculation disorders are among the most common sexual problems in men, with most men reporting issues such as premature and delayed ejaculation. Both of these sexual problems are related to orgasmic dysfunction in an individual. In fact, this is the third stage of sexual response cycle where a person has difficulties with orgasm. Premature ejaculation is a problem of lack of control over ejaculation, where ejaculation occurs too quickly, while delayed ejaculation is a problem of inability to ejaculate, where the person is unable to ejaculate despite sexual arousal and stimulation.
In this session, our world-renowned Ayurvedacharya, Dr. Sunil Dubey, who is one of the best sexologists near Patna, Bihar, and available online throughout India, has shared his clinical and treatment experience regarding ejaculation disorders in men. Specifically, today's session focuses on delayed ejaculation, which has two common presentations: normal and abnormal. A normal presentation of any sexual problem occurs occasionally and resolves on its own after some time. The normal condition of sexual problem is not a matter of concern for people. The situation becomes serious when a sexual problem occurs persistently and abnormally.
Delayed ejaculation, also known as impaired or late ejaculation in men, can be both a normal and an abnormal condition. In this condition, a man has difficulty ejaculating despite having sexual desire and arousal. In most sexual encounters, it takes him an unusually long time to ejaculate, which can negatively impact his sexual activity. Delayed ejaculation can be a source of distress for both the man and his female partner, as it can diminish their sexual pleasure and ability to reach climax. Let's know about both conditions of delayed ejaculation in men, which will help in improving or managing it effectively and naturally.
When is Delayed Ejaculation (DEJ) considered normal?
Dr. Sunil Dubey, a senior clinical sexologist in India, says that Delayed ejaculation (DE) means having difficulty or taking a longer time to reach orgasm during sexual activity, even with sufficient stimulation. Like many sexual problems, it can be normal in some situations where an individual need not worry about it.
When Delayed Ejaculation is Normal
- Situational or Occasional: Delayed Ejaculation happens once in a while during the sexual activity. It may occur due to temporary factors like fatigue, stress, o alcohol use. Over the time, sexual function returns to normal in subsequent encounters.
- Age-related Problem: Men may notice slower ejaculation with increasing age, especially after 50 is a normal condition. Gradual decline in sexual responsiveness is a normal physiological change where ejaculation may be late for some time.
- Medication or Substance Influence: There are some certain medicines or drugs can temporarily slow ejaculation in men like Antidepressants (SSRIs), Blood pressure medications, and Recreational substances (alcohol, cannabis). This DE resolves once the substance is discontinued or dose adjusted. This is a normal condition with this sexual problem that is related to medicines or poor lifestyles.
- Psychological or Emotional Factors: As we should have knowledge that anxiety, distraction, or stress can temporarily delay orgasm in a person. Performance pressure with a new partner may cause delayed ejaculation in men. Usually, it resolves when stress or anxiety is reduced.
- Low Sexual Frequency: For some men with infrequent sexual activity may take longer to ejaculate, which is normal. Ejaculatory reflex may be temporarily slower after prolonged abstinence that causes delayed ejaculation in men, is normal.
- Relationship or Partner-specific Factors: Delayed Ejaculation (DEJ) may occur only with certain partners or sexual positions in men. This is normal if ejaculation is otherwise achievable.
Important points:
- Delayed ejaculation is considered normal when it occurs occasionally, in specific situations, or is temporary.
- It does not cause distress, relationship problems, or physical health issues.
- Delayed ejaculation due to age, stress, medication, or new experiences is not considered pathological.
When is Delayed Ejaculation considered Abnormal?
Gold medalist Dr. Sunil Dubey, one of the best sexologists in Bihar, India, says that abnormal or persistent problems in one's sexual life are a real cause for concern for both physical and mental health. This is because ejaculation is a complex process in the human body where physical and psychological factors play a crucial role through intricate mechanisms. In cases of abnormally delayed ejaculation, the situation is serious because it is persistent and distressing, rather than occurring only occasionally or in specific situations, and is often associated with medical, psychological, or relationship problems.
Delayed Ejaculation is Abnormal, if:
- Persistent or Lifelong: This condition involves a delay in ejaculation during most or all sexual activity. It persists for six months or longer and, despite adequate stimulation and desire, ejaculation rarely or never occurs.
- Causes Personal Distress or Relationship Problems: This delayed ejaculation in a person leads to frustration, anxiety, or guilt in this sexual life. This late ejaculation interferes with sexual satisfaction for the individual or partner. It causes avoidance of sexual activity due to late or no ejaculation.
- Associated with Sexual Dysfunction: Due to this delayed ejaculation, a person may experience several types of sexual dysfunction, including: Erectile dysfunction (ED), Low sexual desire (libido), Pain during sexual intercourse, and Premature ejaculation in some partners (affecting the relationship)
- A Sudden Onset in Adulthood: Sudden delayed ejaculation (DEJ) can be a sign of underlying problems, such as: side effects from medications (SSRIs, antipsychotics, opioids), endocrine disorders (low testosterone, thyroid problems), neurological issues (spinal cord or nerve injury), and psychological trauma or significant stress.
- Occurrence in all Situations or with all Partners: It is not limited to a new partner or infrequent sexual activity. It persists consistently across different sexual situations.
- Associated with Other Health Symptoms: This delayed ejaculation problem may be accompanied by other symptoms such as fatigue, weakness, or chronic illness. It can also cause pain in the urinary tract or pelvic area in men. Some individuals with this unusual delayed ejaculation also experience mood disorders (depression, anxiety).
Key points:
- Normal DEJ: Occasional, situational, and not bothersome
- Abnormal DEJ: Persistent, distressing, impacting relationships, or associated with medical/psychological conditions
- Requires medical, psychological, or both types of treatment
Medically Effective Ayurvedic treatment for Delayed Ejaculation:
Ayurveda, the traditional and natural system of Indian medicine, is capable of safely restoring sexual health through a holistic approach to treatment. It offers a safe and modern Ayurvedic approach to managing delayed ejaculation (DE), addressing both physical and psychological factors while also incorporating modern safety standards. Ayurveda focuses on balancing the doshas (vata, pitta, and kapha), which affect overall health and can subsequently lead to sexual problems. It believes in providing cause-based treatment rather than merely addressing symptoms, aiming for complete relief from sexual issues. Since it understands the connection between mind and body, it provides a holistic approach to health and well-being.
Modern Ayurvedic Treatment for Delayed Ejaculation:
In Ayurveda, delayed ejaculation is often associated with the following causes-
- Vata imbalance – which affects the ejaculatory reflex and nerve function
- Deficiency of Shukra dhatu (Shukra Kshaya) – weak reproductive tissue
- Psychological factors – stress, anxiety, or performance pressure
The modern Ayurvedic approach includes herbal therapy, lifestyle modifications, mind-body practices, and supportive counseling. This is a personalized treatment where each patient receives completely individualized sexual therapy that is effective and beneficial in the long term.
Core Principles of Ayurveda:
Treatment from the root cause
- Strengthen the reproductive fluid (Shukra Dhatu)
- Balance Vata and Pitta doshas
- Reduce stress and anxiety, which can delay premature ejaculation
Personalized therapy
Depending on:
- Age and general health
- Duration and severity of premature ejaculation
- Associated conditions (low libido, erectile dysfunction, or stress)
Evidence-based Herbal Interventions:
- Ashwagandha: Reduces anxiety, increases stamina, strengthens ejaculatory reflex
- Safed Musli: Nourishes reproductive tissues, enhances sexual power
- Shatavari: Supports hormonal balance and reproductive health
- Gokshura (Tribulus): Improves reproductive and urinary health
- Kapikachhu (Mucuna pruriens): Supports dopamine pathways, reduces hypersensitivity, increases arousal
The unique formula of medicinal plants and herbs is highly effective in balancing energy in the body. This forms the basis of all medications, where personalized Ayurvedic medicine proves more beneficial and effective for each individual with sexual health issues.
Panchakarma & Supportive Therapies:
- Abhyanga (medicinal oil massage) – improves blood circulation, pacifies Vata
- Shirodhara – for anxiety-dominant disorders
- Basti therapy – in chronic Vata-dominant cases
These are supportive treatments, not mandatory, and should be performed under supervision of a qualified ayurvedic sexologist doctor.
Diet & Lifestyle Modifications:
Suggestions:
- Warm, nutritious food (milk, ghee, nuts, balanced protein)
- Regular sleep (7-8 hours)
- Light exercise, yoga, and pelvic floor exercises
Avoid:
- Excessive masturbation or sexual stimulation
- Alcohol, caffeine, or smoking
- Staying up late, irregular sleep, or excessive screen time
Mind–Body & Psychological Interventions:
- Yoga and Pranayama: Ashwini Mudra, Mula Bandha, Anulom Vilom, Bhramari
- Meditation and Mindfulness: Reduces performance anxiety and stress
- Sexual Counseling/Behavioral Therapy: Helps normalize ejaculation response
Modern Ayurveda emphasizes the psychological aspect, as stress and performance anxiety often exacerbate delayed ejaculation.
Safety Standards:
A modern Ayurvedic plan should include the following:
- Avoid products containing mercury, lead, or arsenic.
- Avoid exaggerated claims such as "instant ejaculation control."
- Use standardized, lab-tested herbal formulations.
- Integrate with modern medical investigations if premature ejaculation is related to hormonal, neurological, or urological issues.
Expected Effectiveness (Positive Outcome):
- DE related to stress or anxiety: Very good improvement
- DE related to mild seminal fluid deficiency: Good improvement
- DE with low libido or ED: Moderate improvement (combination therapy may be needed)
- DE with Chronic illness or endocrine problems: Only supportive, modern medication may be required
People should always understand that Ayurveda takes time to show its effects. Therefore, consistent therapy usually shows noticeable improvement within 6-12 weeks.
Best-Practice Recommendation:
Integrative Approach:
- Ayurvedic herbs
- Mind-body therapies (yoga, meditation, counseling)
- Lifestyle and dietary changes
- Medical examination if symptoms persist or are associated with other symptoms
This method safely addresses physical, hormonal, and psychological factors, while also improving sexual function and ejaculation control. Dubey Clinic is the perfect place for all those who want to treat their sexual problems naturally. The personalized Ayurvedic treatment is safe, medically proven, and effective for every patient with sexual health issues. Book an appointment with this clinic over phone and visit it on time.
!!!For More Info, Contact Helpline No.!!!
Dr. Sunil Dubey (Dubey Clinic)
B.A.M.S (Ranchi), M.R.S.H (London), PhD in Ayurveda (USA)
A Certified Ayurvedic Sexology Clinic in Patna, Bihar India
!!!Helpline No: +91 98350-92586!!!
Venue: Dubey Market, Langar Toli, Chauraha, Patna-04
Clinic Timings: 08:00 AM to 08:00 PM (Every day)








