Premature Ejaculation: Causes, Medicinal Herbs and Herbal Preparations

Premature ejaculation (PE) is a condition characterized by the inability to delay ejaculation during intercourse, occurring before or shortly after penetration, often accompanied by distress or anxiety.

It can be caused by psychological factors such as performance anxiety, relationship issues, or past traumatic experiences, as well as physiological factors like hormonal imbalances, nerve damage, or underlying medical conditions like diabetes. PE can negatively impact a person's self-esteem and overall well-being. Herbal remedies such as ashwagandha, ginseng, and ginkgo biloba have been traditionally used to alleviate PE symptoms.

However, when using medicinal herbs, it's essential to consult a healthcare professional and follow recommended dosages, as they can interact with other medications or exacerbate underlying conditions.

This article explains in detail what are the causes of premature ejaculation, what medicinal herbs to use to relieve this problem and how to prepare these herbs to get the best results.

What are the main causes of premature ejaculation?

The main causes of premature ejaculation are a complex interplay of psychological, neurological, and physiological factors.

Psychological factors, such as anxiety, stress, and depression, can contribute to premature ejaculation by increasing arousal and decreasing control over ejaculation (Hartmann & Kircher, 2010). Neurological factors, including serotonin levels and dopamine regulation, play a crucial role in ejaculation control, with low serotonin levels being a common finding in men with premature ejaculation (Kaplan et al., 2011). Physiological factors, such as age, hormonal imbalances, and certain medical conditions, such as diabetes and prostate issues, can also contribute to premature ejaculation (Hartmann & Kircher, 2010).

Additionally, genetic predisposition and past experiences, such as traumatic events or past sexual abuse, can also increase the risk of premature ejaculation (Rowland et al., 2013).

• Stress: Stress and anxiety can cause premature ejaculation by increasing the body's fight-or-flight response, which can lead to increased muscle tension and a rapid release of semen.
• Erectile Dysfunction: Erectile dysfunction can cause premature ejaculation because when a man is unable to maintain an erection, he may become anxious or frustrated, leading to a quick release of semen.
• Performance Anxiety: Performance anxiety can cause premature ejaculation because the pressure to perform can cause a man to become overly focused on the outcome, leading to a loss of control over his bodily functions.
• Genetic Factors: Genetic factors can cause premature ejaculation because some men may inherit a tendency to experience rapid ejaculation from their parents.
• Hormonal Imbalances: Hormonal imbalances, particularly low levels of testosterone, can cause premature ejaculation because hormones play a crucial role in regulating ejaculation.
• Medication Side Effects: Medication side effects, such as those caused by antidepressants and some blood pressure medications, can cause premature ejaculation because certain medications can increase serotonin levels in the brain, leading to delayed ejaculation, but in some cases, it can lead to premature ejaculation.
• Nervous System Disorders: Nervous system disorders, such as multiple sclerosis and spinal cord injuries, can cause premature ejaculation because damage to the nervous system can disrupt normal ejaculation processes.
• Medical Conditions: Medical conditions, such as diabetes, prostate enlargement, and urinary tract infections, can cause premature ejaculation because certain medical conditions can cause nerve damage or inflammation in the pelvic area.
• Substance Abuse: Substance abuse, particularly the use of cocaine and other stimulants, can cause premature ejaculation because these substances can increase heart rate and blood pressure, leading to a rapid release of semen.
• Age: Age can cause premature ejaculation because as men get older, their ability to control their ejaculation may decline, leading to premature ejaculation.
• Lifestyle Factors: Lifestyle factors, such as smoking and excessive caffeine consumption, can cause premature ejaculation because these factors can increase heart rate and blood pressure, leading to a rapid release of semen.

What are the primary medicinal plants used for premature ejaculation?

The main medicinal herbs used for premature ejaculation are Ginkgo biloba, Withania somnifera, Panax ginseng, Eurycoma longifolia, Mucuna pruriens, Tribulus terrestris, Curcuma longa, Piper nigrum, Avena sativa, Epimedium sagittatum.

Ginkgo biloba improves blood circulation, delaying ejaculation due to its flavonoid properties that relax the pelvic muscles and reduce anxiety. Withania somnifera's adaptogenic properties and its ability to increase testosterone levels help to improve libido and delay ejaculation. Panax ginseng, Eurycoma longifolia, and Mucuna pruriens, which are rich in testosterone-boosting compounds, help to enhance libido and improve erectile function, thus delaying ejaculation.

Curcuma longa, Piper nigrum, Avena sativa, and Epimedium sagittatum, which have anti-inflammatory and antioxidant properties, also contribute to improved erectile function and delayed ejaculation by reducing oxidative stress and inflammation in the pelvic area.

• Ginkgo biloba: Ginkgo biloba's flavonoids and terpenoids improve blood flow to the penis, which can help delay ejaculation.
• Withania somnifera: Withania somnifera's withanolides reduce stress and anxiety, which can contribute to premature ejaculation.
• Panax ginseng: Panax ginseng's ginsenosides improve blood flow and reduce oxidative stress, which can help delay ejaculation.
• Eurycoma longifora: Eurycoma longifora's eurycomanone increases testosterone levels and improves erectile function, which can help delay ejaculation.
• Mucuna pruriens: Mucuna pruriens' L-DOPA increases dopamine levels, which can help regulate ejaculation and improve erectile function.
• Tribulus terrestris: Tribulus terrestris' saponins and alkaloids improve testosterone levels and libido, which can help delay ejaculation.
• Curcuma longa: Curcuma longa's curcumin reduces inflammation and oxidative stress, which can contribute to premature ejaculation.
• Piper nigrum: Piper nigrum's piperine improves testosterone levels and libido, which can help delay ejaculation.
• Avena sativa: Avena sativa's avenacosides reduce stress and anxiety, which can contribute to premature ejaculation.
• Epimedium sagittatum: Epimedium sagittatum's icariin increases nitric oxide levels, which can improve blood flow and delay ejaculation.

What are the main herbal preparations used for premature ejaculation?

The main herbal preparations used for premature ejaculation are Tincture, Decoction, Capsule, Cream, Gel, Powder, Suppository, Oil, Liquid Extract, Ointment.

Tincture of Muira Puama and Damiana helps to improve libido and delay ejaculation. Decoction of Saw Palmetto and Ashwagandha is used to treat premature ejaculation due to its adaptogenic properties that help to reduce stress and anxiety. Capsules of Maca and Ginseng contain aphrodisiac properties that help to increase libido and improve erectile function.

Cream and Gel of L-arginine and Acetyl-L-carnitine increase blood flow to the penis, while Powder of Ginkgo Biloba improves circulation and Suppository of Yohimbe bark delays ejaculation by blocking the neurotransmitter serotonin.

• Tincture: A tincture made from the plant Serenoa repens, also known as saw palmetto, may help with premature ejaculation by reducing the frequency of orgasms, likely due to its antispasmodic and anti-androgenic effects.
• Decoction: A decoction of the plant Trifolium pratense, or red clover, may help with premature ejaculation by increasing blood flow to the penis and reducing anxiety, likely due to its isoflavone content.
• Capsule: A capsule containing the plant Curcuma longa, or turmeric, may help with premature ejaculation by reducing inflammation and improving blood flow to the penis, likely due to its curcumin content.
• Cream: A cream made from the plant Ginkgo biloba may help with premature ejaculation by increasing blood flow to the penis and reducing anxiety, likely due to its flavonoid content.
• Gel: A gel made from the plant Tribulus terrestris may help with premature ejaculation by increasing testosterone levels and improving blood flow to the penis, likely due to its saponin content.
• Powder: A powder made from the plant Maca, or Lepidium meyenii, may help with premature ejaculation by improving libido and reducing anxiety, likely due to its glucosinolate content.
• Suppository: A suppository made from the plant Muira puama may help with premature ejaculation by increasing libido and reducing anxiety, likely due to its flavonoid content.
• Oil: An oil made from the plant Prunus africana, or pygeum, may help with premature ejaculation by reducing inflammation and improving blood flow to the penis, likely due to its beta-sitosterol content.
• Liquid Extract: A liquid extract of the plant Epimedium grandiflorum, or horny goat weed, may help with premature ejaculation by increasing libido and improving blood flow to the penis, likely due to its icariin content.
• Ointment: An ointment made from the plant Vitis vinifera, or grape seed extract, may help with premature ejaculation by improving blood flow to the penis and reducing anxiety, likely due to its polyphenol content.