Īn integrated approach of yoga therapy is found to be effective in the management of type 2 diabetes, obesity, hypertension and lipid profile, cardio-metabolic risk factors, anxiety and depression, and substance use disorders. Psychological comorbidities such as depression, anxiety, excessive stress are associated with PE.
Depression, anxiety, medications used to treat them and substance abuse also contribute significantly to sexual dysfunction. Sexual dysfunction in men and women have been found to be associated with risk factors like diabetes, heart disease and chronic illness. Physical health, mental health, sense of wellbeing and sexual health are interrelated. If mind and body are not in harmony, it is difficult to experience fulfilling sexual life. All these effects help to manage the associated risk factors of sexual dysfunction and reflect on improvement of sexual functions. The integrated mind-body practice of yoga improves physical health, mental health, induces relaxation and promotes a sense of overall wellbeing.
Most types of sexual dysfunction can be corrected by treating the underlying physical or psychological problems. Traditionally, a mind-body practice with the ultimate goal of spiritual enlightenment, yoga is a science of health management rather than a therapy for treating disease.ħ) Management of associated risk factors of premature ejaculation Originated in India more than 5,000 years ago, yoga is a science of right living and is intended to be incorporated into daily life. Extensive research in yoga has facilitated its practical application and it is now being recognized worldwide as a clinically viable treatment option. Although yoga is being practiced since ancient time, yoga as therapy is still a relatively new and emerging trend in the healthcare field. With global recognition and increasing popularity in the health care sector, yoga shows highest growth in natural therapy, according to a survey from the National Institutes of Health. Scientific evaluation of some of the complementary and alternative medicine approaches in the past few decades has proven their efficacy.
These techniques are not new and have been in practice amongst sexologists since the 1960s. Non-pharmacological treatment options like naturopathy, yoga, tantra, tao, mindfulness, and acupuncture in sex therapy have been implicated for enhanced sexual fulfillment, pleasure and improved sexual function. ISSM defines acquired PE as “reduction in latency time, often to about 3 minutes or less which is clinically significant and bothersome”. International Society for Sexual Medicine (ISSM) defines lifelong PE as “a male sexual dysfunction characterized by ejaculation which is always or nearly always occurs prior to or within about one minute of vaginal penetration, or, a clinically significant and bothersome reduction in latency time and inability to delay ejaculation on all or nearly all vaginal penetrations and, negative personal consequences, such as distress, bother, frustration, and/or the avoidance of sexual intimacy”. PE is associated with increased personal distress and interpersonal difficulty adversely affecting self-esteem, self-confidence, quality of life of the person and relationship with the partner. Inability to control ejaculation and thereby prolonging sexual intercourse is also important for the diagnosis of PE. Studies show that 80% to 90% of men with a lifelong PE ejaculate within 1 minute. Length of time between penetration and ejaculation is one of the major components of diagnosis of PE which can be measured using a stopwatch or estimated. Three domains which define PE include short ejaculatory latency, perceived lack of control on ejaculation and negative personal consequences and interpersonal issues. Still, it is one of the common conditions which are under-reported and under treated. PE can adversely affect the quality of life of the patients and his partner.
Premature ejaculation (PE) is one of the most common male sexual dysfunction affecting around 30% of a male population.
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