ROLE OF SELF-BELIEF IN SUKRAGATAVATA (PREMATURE EJACULATION) AND ITS MANAGEMENT WITH RATIONAL EMOTIVE BEHAVIORAL THERAPY-A CASE SERIES

Introduction: Premature ejaculation (PE) is the most common sexual dysfunction in young adults, generally correlated with Śukragatavāta (Premature ejaculation) in Ayurveda. It is a psychosexual disease resulting in low self-belief, anxiety, embarrassment and depression. Conversely, these common symptoms can also be the causes of premature ejaculation. Pharmacological drugs are effective but may cause many adverse effects. Psychotherapy in form of Rational Emotive Behavioral Therapy is an effective and safe option to treat both the biological and psychological aspects of premature ejaculation. Material and method: Case series of three patients complaining of premature ejaculation as per definition of DSM-V were selected from the OPD of Roga Evam Vikṛti Vij?āna, National Institute of Ayurveda, Jaipur and counselled 3 times for approximately 30 minutes in the interval of 7 days each time by Rational-Emotive Behavioral Therapy (REBT). Result: The mean Intra-vaginal ejaculatory latency time in patients was increased with 1 min 30 seconds, number of penile thrust increased by 6-7 thrust, Voluntary control over ejaculation improved considerably, self and partner satisfaction has considerable improvement and performance anxiety was considerably reduced. Conclusion: Psychological counselling enhances confidence and self-esteem in the patients and helps them to think positively and to partake sexual act enthusiastically by reducing performance anxiety. In premature ejaculation without any physiological cause, REBT plays very important role in its management.