Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation is a common sexual complaint. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time.

As long as it happens infrequently, it’s not causes for concern.  The diagnostic criteria for premature ejaculation is:- 

1)Always or nearly always ejaculate within one minute of penetration

2)Are unable to delay ejaculation during intercourse all or nearly all of the time

3)Feel distressed and frustrated, and tend to avoid sexual intimacy as a result. 

The patient may have complaints like inability to delay ejaculation for more than one minute after penetration, ejaculation that routinely occurs with little sexual stimulation and with little control, decreased sexual pleasure because of poor control over ejaculation, feelings of guilt, embarrassment or frustration. 

There can be number of causes like: – Early sexual experiences, Sexual abuse, Poor body image, Depression, worrying about premature ejaculation, Guilty feelings that increase your tendency to rush through sexual encounters, Erectile dysfunction, Anxiety, Abnormal hormone levels, Abnormal levels of brain chemicals called neurotransmitters, Inflammation and infection of the prostate or urethra, Inherited traits etc. which can cause pre mature ejaculation.

Erectile dysfunction, stress etc. are the risk factors that increases the risk of its occurrence. 

There are various behavioral therapies that can be used as a preventive measure like self-distraction method, stop and start method, squeeze method, more foreplay etc. 

In Ayurveda there are various therapies that can be administered like shirodhara, nasya, penile raktamokshana, uttar basti etc according to the need of the patient. Various ayurvedic herbs are also prescribed  like shatavri, kapikachu, gokshur, kaunch beej etc. 

Apart from these various foods like carrot, garlic, watermelon, banana, avocado, asparagus, walnuts, dark chocolates, fish, oyster etc  help in premature ejaculation.

The yoga therapies that help are:- Sarvangaasana, Uttanapadasana, Kandharasana, Paschimottansana etc. help in pre mature ejaculation.