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Erectile dysfunction

Erectile dysfunction (ED) is inability to achieve or maintain penile erection sufficient for satisfactory sexual performance. It is estimated that nearly one-half of men older than 40 years have some degree of ED. While in 1995, ED affected over 152 million men worldwide, it is projected that by 2025, more than 320 million patients will be afflicted with the largest projected increases in the developing world. Erectile dysfunction is the most common disorder of sexual dysfunction after premature ejaculation.

Causes of Erectile dysfunction are psychogenic, neurogenic, vascular, drug related and endocrine. The commonest causes for erectile dysfunction are hypertension, smoking, hyperlipidemia and diabetes. These causes are called as organic causes of erectile dysfunction. Functional erectile dysfunction is commonly found in young and healthy men in whom psychogenic causes are considered to be involved. Testosterone deficiency is rare but it is a reversible cause of erectile dysfunction.

Management of Erectile dysfunction usually involves psychotherapeutic and pharmacological approaches. Psychotherapy includes patient counseling, resolving conflict and settlement of psychogenic problems. Pharmacological therapy includes use of oral medicines such as phosphodiesterase (PDE) type-5 inhibitors. Other therapies such as testosterone replacement, vacuum erection devices, prosthesis, intra-urethral prostaglandin E and vascular surgery have also been used to treat erectile dysfunction. The above treatment approaches are effective; however these treatment options have many side effects and disadvantages.

Klaibya described in Ayurveda is a sexual dysfunction characterized by inability of a man to perform the ‘sexual act’ or incomplete performance which leaves the female partner partially or totally dissatisfied. According to Ayurveda, penile erection is a complex phenomenon of physical and psychological mechanisms. Physiological erection occurs through Sankalpa (determination and feeling), Pidana (specific stimulations) and Cheshta (acts). Sankalpa and Pidana are related to mind whereas Cheshta is related to the physic. Thus, any abnormality in physiological process of erection can cause Klaibya.

Various types of Klaibya are explained in the classical texts based on their causes. They are Beejopaghaataja Klaibya, Dhwajopaghataja Klaibya, Shukrakshayaja Klaibya, Jarasambhavaj Klaibya, Sahaja Klaibya, Khara shukra nimittaja. A special branch called Vajikaran (Aphrodisiac) is there in Ayurveda for treating these problems.  In the management of Klaibya, three types of treatment methods have been mentioned viz. Shodhana Chikitsa (purification therapy), Shamana Chikitsa (conservative therapy) and Manas Chikitsa (psychological treatment). Shodhana Chikitsa mainly emphasized on the use of Basti –Yapana Basti and Uttar-Basti (enema through the genital openings). In Shamana Chikitsa use of herbs such as Ashvagandha, Shveta Musali, Gokshura, Shunthi and various classical formulations such as Vanari Gutika, Shilajeet Rasayana, Makardhwaj, Gokshuradi Vati etc have been advised. Manas Chikitsa includes patient counseling.

Dr. Kohli has successfully treated thousands of patients suffering from erectile dysfunction with customized Ayurvedic treatment.  Customized Ayurvedic treatment helps improve libido, maintain androgen balance, improve individual's resistance towards stress and help in relieving psychological element involved in erectile dysfunction, delay ejaculation thus sustain erection for longer duration. Several patients are happily leading their sexual life with customized Ayurvedic treatment.

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