An Alternative Yogic Approach for Premature Ejaculation—A Narrative Review

Ramesh Kumar, Saloni Malik, Gaurav Sharma, Ananya Dutta Gupta, Anshu
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Abstract

Background: Premature Ejaculation is a common sexual disorder which negatively affects men’s life. Premature Ejaculation estimate prevalence is 20-30 %. It affects to overall quality of life and associated with anxiety, stress, and other psychological factors. Objective: The purpose of the study was to conduct a review of alternative therapy in the management of Premature ejaculation (PME). Method: A review was conducted using search terms Premature Ejaculation, Yoga Therapy, Alternative therapyand all the probable term in national and international data repositories such as PubMed, Scopus, science direct, google scholar, web of science in English language. Result: The review of alternative therapies in the management of Premature ejaculation suggests that most of the studies used Selective serotonin reuptake inhibitors ( SSRIs ), phosphodiesterase type 5 inhibitors (PDE5) and physical activity. There are very few studies conducted in relation to yoga and Premature ejaculation. Further, most of the studies explored effect of alternative therapies on psychological outcomes. Conclusion: Evidence suggests that Pharmacological clinical trial is effective with side effect, Cognitive behaviour therapy and Pharmacological Drugs separately both are less effective. One evidencebased study with integrated yoga therapy should be considered in the management of Premature ejaculation. Higherquality trial with yogic approach needed to first line management of patients presenting with Premature ejaculation .
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早泄的另一种瑜伽方法-叙述回顾
背景:早泄是一种常见的影响男性生活的性障碍。早泄估计患病率为20- 30%。它影响整体生活质量,并与焦虑、压力和其他心理因素有关。目的:本研究的目的是对早泄(PME)治疗的替代疗法进行综述。方法:在PubMed、Scopus、science direct、谷歌scholar、web of science等国内外数据库中检索早泄、瑜伽疗法、替代疗法及所有可能的相关词汇,进行文献综述。结果:对早泄管理的替代疗法的回顾表明,大多数研究使用选择性5 -羟色胺再摄取抑制剂(SSRIs),磷酸二酯酶5型抑制剂(PDE5)和体育锻炼。很少有关于瑜伽和早泄的研究。此外,大多数研究探讨了替代疗法对心理结果的影响。结论:有证据表明,药物临床试验有效且有副作用,单独使用认知行为疗法和药物治疗效果较差。一个基于证据的研究与综合瑜伽疗法应考虑在早泄的管理。对早泄患者的一线治疗需要更高质量的瑜伽疗法试验。
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