Best Sexologist near me Patna Bihar for Ejaculation Disorders Dr Sunil Dubey

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First of all, Dubey Clinic welcomes all of you who are associated with us for a long time and have a lot of trust in us…

In today's session, we're covering the most important sexual disorder about male ejaculation disorder. This is a common sexual problem that men of all ages report experiencing in their personal lives. In fact, when most people hear the name ejaculation disorder, they think of premature ejaculation, but apart from this, other sexual problems always fall in this group.

World-renowned Ayurvedacharya Dr. Sunil Dubey, one of the best sexologists in Patna, Bihar, offers comprehensive sexual treatment to married and unmarried people at Dubey Clinic. He says that ejaculation disorder, also known as orgasmic dysfunction, is the third stage of the sexual response cycle where men often report lack of satisfaction from their sexual activity. As we already know, the sexual response cycle revolves around four stages – desire, arousal, orgasm, and resolution.

Understanding Ejaculation Disorders in men:

Ejaculation disorders are a group of sexual health conditions in which a person has difficulty controlling or achieving a satisfying or normal ejaculation during sexual activity. These conditions can impact sexual function, emotional well-being, and relationships. Most ejaculation disorders are painless, but some, such as orchitis, can be painful.

Ejaculation disorders are classified into several groups based on their nature. Some of the most common ejaculation disorders in men include:

• Premature Ejaculation (PE)

• Delayed Ejaculation (DE)

• Retrograde Ejaculation (REJ)

• Anejaculation (AEJ)

Let us know about all those ejaculation disorders in detail-

Premature Ejaculation (PE):

Premature ejaculation is one of the most common sexual problems in men of different ages. In this condition, ejaculation occurs too early – usually with very little stimulation, before or shortly after penetration, and before the partner's desire. In this condition, the man has no control over his ejaculation, where his desire to last longer in bed remains unfulfilled.

Understanding the causes of Premature Ejaculation:

Our Ayurvedacharya Dr. Sunil Dubey says that premature ejaculation (PE) can be caused by physical, psychological, or relationship-related factors. In many cases, it's a combination of these. Here's a clear breakdown:

Psychological Causes:

These are the most common cause for premature ejaculation in men.

• Performance anxiety: Worrying about sexual performance can lead to premature ejaculation.

• Stress and mental fatigue: General life stress impacts sexual response.

• Anxiety disorders: People with anxiety are more likely to experience Premature Ejaculation.

• Depression or low mood: Changes in brain chemicals can affect ejaculation control.

• Previous sexual experiences: Rushed or stressful sexual encounters (especially in youth) can create a pattern.

• Relationship issues: Conflicts, emotional distance, or lack of communication can play a major role.

Physical Causes:

Although this is less common, physical factors can contribute to the following cause.

• Hormonal imbalance: Low testosterone, thyroid problems, or abnormal prolactin levels.

• Neurobiological causes: Hypersensitivity of the penile nerves or changes in the serotonin pathway.

• Prostate problems: Chronic prostatitis or pelvic inflammation can affect ejaculation.

• Erectile dysfunction: If you're worried about losing an erection, you may ejaculate too quickly.

• Chronic medical conditions: Diabetes, high blood pressure, or neurological diseases may be the cause.

Lifestyle Factors:

These can indirectly affect ejaculation:

• Excessive addictive sexual use

• Smoking or alcohol

• Irregular sleep

• Lack of exercise

• Fatigue or physical exhaustion

Genetic or Biological Predisposition:

Some men naturally have:

• More sensitive nerves

• Lower serotonin levels

• Faster ejaculation reflex

This doesn't mean a person is unwell – it's just his body's reaction.

Delayed Ejaculation (DE):

Dr. Sunil Dubey, who is also one of the best sexologists in Bihar, India, says that delayed ejaculation is a common sexual problem among middle-aged men. In this condition, ejaculation occurs very slowly or requires more stimulation than normal. In some cases, it has been observed that ejaculation may not occur at all despite arousal. Well, this is a condition that can be treated and the holistic approach of modern Ayurveda is capable of solving all sexual problems naturally.

Causes of Delayed Ejaculation (DE):

Delayed ejaculation (DE) occurs when a man has difficulty ejaculating, takes a long time, or fails to ejaculate at all despite considerable stimulation and arousal. This can be due to physical, psychological, medication-related, or relationship-related reasons. Below is a clear, medically accurate description that is helpful to those people who face this condition.

Psychological Causes:

These are common and often overlooked in this delayed ejaculation.

• Stress or performance anxiety: Stress slows down the body's sexual response cycle.

• Depression: Affects the neurological pathways necessary for libido and ejaculation.

• Previous sexual trauma or negative experiences.

• Relationship problems: Emotional distance, conflict, or lack of attraction can affect ejaculation.

• Excessive masturbation or specific stimulation patterns.

If someone gets used to a particular type of tight or intense stimulation, they may find it difficult to ejaculate with their partner.

Medication-Related Causes:

Some medications are well known for causing delayed ejaculation in men.

• Antidepressants (SSRIs such as sertraline, fluoxetine): It is one of the most common causes.

• Antipsychotics: Affect dopamine, which plays a role in orgasm.

• Blood pressure medications

• Opioids

These medicines reduce nerve sensitivity and sexual response.

Physical / Medical Causes:

• Nerve damage: This can be caused by diabetes, multiple sclerosis, pelvic or spinal cord injuries, and surgery (prostate, bladder, colorectal).

• Hormonal imbalance: Low testosterone, high prolactin, and thyroid disorders.

• Chronic health conditions: Kidney disease, liver disease, neurological disorders.

• Aging-related changes: Nerve conduction may slow down or sensitivity may decrease in older people.

Lifestyle Factors:

These can reduce sensitivity or alter the ejaculation reflex:

• Excessive alcohol consumption

• Smoking

• Recreational drugs (especially opioids)

• Lack of sleep

• Extreme fatigue

Anatomical or Sensory Factors:

• Decreased penile sensitivity

• Neuropathy (especially in diabetic patients)

https://www.youtube.com/watch?v=7VCS3iZiy6c

Retrograde Ejaculation (REJ):

Dr. Dubey explains that retrograde ejaculation is also known as dry orgasm. In this condition, semen flows back into the bladder instead of being released from the penile. It's not harmful but can cause infertility in men.

Causes of Retrograde Ejaculation (REJ):

As we know, retrograde ejaculation occurs when semen flows backward into the bladder instead of exiting the urethra. Because of this, a man may ejaculate little or no semen at all. Several underlying problems, including nerve problems, surgery, medication, or other physical issues, can cause this ejaculation disorder.

Nerve Damage (Most Common Cause):

Nerves control the bladder neck (the muscle that should close during ejaculation). If these nerves are damaged, the bladder neck remains open and semen flow backward. Some common causes of nerve damage, include-

• Diabetes (long-term high blood sugar damages pelvic nerves)

• Multiple sclerosis (MS)

• Spinal cord injury

• Pelvic or abdominal injury

Surgery-Related Causes:

Some surgeries can affect the muscles or nerves of the bladder neck:

• Prostate surgery (TURP, prostatectomy)

• Bladder neck surgery

• Retroperitoneal lymph node dissection (RPLND)

• Urethral surgery

These procedures can weaken or damage the muscles that prevent semen from flowing into the bladder.

Medication-Related Causes:

Some medications relax the bladder neck, allowing semen to flow backward:

• Alpha-blockers (used for blood pressure or prostate problems): Tamsulosin, Doxazosin, and Terazosin

• Some antidepressants

• Antipsychotic medications

Note: If retrograde ejaculation begins after starting medication, this is often the cause.

Anatomical or Muscle Problems:

Any problem that prevents the bladder neck from closing properly can cause retrograde ejaculation:

• Weakness or damage to the bladder neck muscles

• Congenital (present from birth) abnormalities

• Injury to pelvic structures

Other Medical Conditions:

Some health problems affect nerve or muscle function:

• Neuropathy (due to diabetes, alcoholism, or other causes)

• Hypogonadism (low testosterone)

• Thyroid disorders

Anejaculation (AEJ):

Anejaculation is another type of ejaculation disorder in which a person is unable to ejaculate fully, even when there is sufficient sexual stimulation, but orgasm can still occur. In this condition, a person may still have a dry orgasm or have problems with both orgasm and ejaculation. This condition cause be infertility concern in men.

Causes of Anejaculation (AEJ):

Generally, the causes of Anejaculation in men can be physical, psychological, medication-related, or surgical. Let us know all those reasons briefly.

Neurological (Nerve) Causes — Most Common:

Ejaculation requires a coordinated nerve reflex. Damage to the pelvic, spinal, or sympathetic nerves can prevent semen release. Some possible causes of nerve damage:

• Diabetes mellitus (long-term high blood sugar damages nerves)

• Spinal cord injury

• Multiple sclerosis (MS)

• Parkinson's disease

• Stroke

• Pelvic or abdominal injury

Psychological Causes:

Emotional or mental factors can interfere with the ejaculation reflex:

• Anxiety or performance anxiety

• Depression

• Stress

• Sexual trauma or bad experiences

• Conflict or emotional disconnect in a relationship

These often lead to situational ejaculation (occurring only with a partner, not alone).

Medication-Related Causes:

Some medications affect the neurotransmitters involved in ejaculation.

Medications that cause ejaculation include:

• Antidepressants (especially SSRIs, SNRIs)

• Antipsychotics

• Blood pressure medications (alpha-blockers, beta-blockers)

• Opioids

• Muscle relaxants

If ejaculation began after starting a medication, this is often the cause.

Hormonal Causes:

Hormones affect sexual function.

• Low testosterone

• High prolactin (hyperprolactinemia)

• Thyroid disease

Hormone Imbalance can reduce libido, orgasm strength, and the ability to ejaculate.

Anatomical or Structural Causes:

Problems affecting the ducts or ejaculatory pathway can prevent ejaculation.

• Blockage of the ejaculatory duct

• Congenital (birth-related) abnormalities

• Scar tissue after infection or surgery

These can often cause semen to disappear completely, even after orgasm.

Post-Surgical Causes:

Some surgeries can inadvertently damage the nerves or ducts involved in ejaculation.

• Prostate surgery (TURP, prostatectomy)

• Pelvic surgery

• Retroperitoneal lymph node dissection (RPLND)

• Spinal surgery

Lifestyle & Substance Use:

The following factors can impair nerve function or sexual response:

• Excessive alcohol consumption

• Smoking

• Recreational drug use (especially opioids, cocaine)

• Extreme fatigue or lack of sleep

When to seek medical help for ejaculation disorder:

An individual should talk to a sexual healthcare provider if:

• Ejaculation problems cause stress or relationship problems

• Persist over time

• Occur suddenly without a clear cause

• Cause pain, urinary symptoms, or erectile problems

A holistic approach of treatment is available and often effective to deal with these ejaculation disorders.

Ayurveda, a holistic approach to treating ejaculation disorder:

Ayurveda treats ejaculation disorders by focusing on balancing the body and mind, improving the reproductive tissues (shukra dhatu), and strengthening the nervous system. It works through herbal medicines, specific formulation of herbs, diet, lifestyle changes, and mind-body therapy. It may help by:

Herbal Remedies (Rasayana & Vajikarana):

Ayurvedic herbs aim to increase stamina, reduce anxiety, and support reproductive health. Commonly used herbs, include-

• Ashwagandha: It helps to reduce stress, improves stamina, and nervous system strength

• Shilajit: It increases energy and strength

• Safed Musli: It improves libido and performance

• Kapikacchu (Mucuna pruriens): It supports dopamine levels and helps control ejaculation

• Gokshura: It supports testosterone and reproductive health

• Ashoka/Bala: It strengthens nerves and muscles

Note: These should be taken only under the guidance of a qualified Ayurvedic sexologist doctor for better result. Since, Ayurveda always offers personalized treatment which is cause-based on the constitution of a person.

Panchakarma (Detoxification Therapies):

Some sexologist doctors recommend therapies to reduce Vata imbalance, which is a common cause of premature ejaculation according to Ayurveda.

• Abhyanga (warm medicated oil massage) – calms the nerves, improves circulation

• Shirodhara – reduces performance anxiety and stress

• Basti (medicated enema) – considered effective for reproductive and nervous system health

Healthy Diet:

Ayurveda recommends foods that nourish reproductive tissue:

Supportive foods:

• Milk, ghee, butter

• Nuts (almonds, walnuts)

• Dates, figs, raisins

• Whole grains

• Warm, easily digestible foods

Avoid:

• Excessively spicy, sour, or very dry foods

• Alcohol and smoking

• Excessively heavy or junk food

Lifestyle Practices:

Ayurveda places a strong emphasis on stress reduction, as anxiety is often linked to ejaculation disorders and psychological health.

Helpful practices:

• Yoga (e.g., Vajrasana, Padmasana, Bhujangasana)

• Pranayama (breathing exercises such as Anulom-Vilom, Bhramari)

• Meditation/Mindfulness

• Regular sleep schedule

• Avoiding overstimulation (watching too much porn, frequent masturbation)

Behavioral Techniques:

Ayurveda may incorporate traditional methods such as:

• Stop-start technique

• Squeeze technique

• Strengthening the pelvic floor muscles (Ayurvedic Mula Bandha, similar to Kegel exercises)

How effective is Ayurveda?

• Many people experience improvement in stress-related or mild ejaculation problems.

• Results typically take 4–8 weeks, depending on the cause.

• Serious conditions (such as nerve damage, diabetes-related problems, or retrograde ejaculation) may require medical evaluation along with Ayurvedic intervention.

If you're looking for personalized support and treatment from a qualified and experienced sexologist, Dubey Clinic is the right place for everyone. Book an appointment with the clinic over the phone and book an appointment for clinical visit. Dr. Sunil Dubey and the clinic's experts work hard to provide effective, medically proven, and safe personalized treatments to naturally address all sexual problems. He treats about thirty to thirty-five people every day.

!!!For More Info, Contact Helpline Number!!!

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)

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