A) OLIGOSPERMIA :
Oligospermia refers to a condition in which the semen has a low concentration of sperm and is a common finding in male infertility. A male is said to have this condition if he ejaculates less than 20 million sperm per milliliter.
Obstruction of the normal flow of sperm due to such conditions as testicular trauma and vasectomy. Scarring due to surgery on the male reproductive system or from infection and sexually transmitted diseases. Decrease in sperm production due to such conditions as Varicoceles (Varicose veins around the testes), hormonal disorders, diseases of the testicles, and obesity. tress, smoking, drug or alcohol use, some medications, exposure to some toxins, malnutrition and being underweight. Some sexually transmitted diseases, such as Chlamydia and Gonorrhea.
· Low sperm count
Ayurvedic View :
In Ayurveda, Oligospermia is compared to Napunsakata (impotency). It has four main causative factors – beejopghat (decrease in sperm quantity), old age and kshayaj (excessive loss of shukra dhatu or reproductive tissue). The dosha involved in this condition is Pitta, which when imbalanced, leads to the loss of shukra.
B) PREMATURE EJACULATION :
Ejaculation of the semen with minimal sexual stimulation, or before the man and his partner wish, is known as premature ejaculation. If this happens frequently, it can cause distress and problems in the relationship.
The cause of PE could be temporary depression, stress, anxiety, a history of sexual repression, or a lack of emotional bonding between the partners. Physical disease can also be the reason, such as a swollen prostate gland (prostatitis), diabetes, sexually transmitted diseases, or cardiovascular disease.
Ayurveda compares Shukra dhatu (semen) to purified butter. Just as purified butter melts in the presence of heat, semen loses its consistency when there is Pitta (fire) aggravation in the body. Aggravated Pitta travels into the channels carrying semen, causing semen to decrease in consistency, and thus it gets ejaculated before sufficient erection. Biological and psychological factors can also play a role in causing premature ejaculation.
· Ejaculation before penetration
Ayurvedic View :
According to Ayurvedic perspective, premature ejaculation is caused by aggravation of Vata (air) and Pitta Dosha at the commencement of physical mating. These doshas can be aggravated by anxiety or nervousness before the sexual act. Vata is characterized by its qualities of quickness and heightened sensitivity to the sense of touch. This gives a predisposition towards quicker ejaculation. Pitta plays a role in thinning of the semen, thereby supporting its early ejaculation. Secondly, these aggravated doshas cause hyperactivity of muscles in the male organ, thus increasing sensitivity to vibration and hence leading to early ejaculation.
Ayurvedic treatment of premature ejaculation is aimed at keeping the Vata and Pitta in balance by eating a balanced diet. Problems of stress and anxiety during sexual intercourse can be effectively dealt with rejuvenating herbs, yoga, meditation and counseling.
C) ERECTILE DYSFUNCTION :
The inability of a man to achieve or sustain erection it is called erectile dysfunction. Erectile dysfunction is a very common problem and it is believed that approximately 40% of males suffer from it at one time or another in life. In Ayurveda erectile dysfunction is referred to as ‘Klaibya’.
Numerous factors seem to be responsible for causing erectile dysfunction, e.g. certain drugs (anti-depressants), neurological disorders, cavernosal disorders (Peyronie’s disease) etc. Sometimes impotence can be traced back to certain health problems like diabetes, severe depression, or severe reaction to any drug. Excessive alcohol drinking and cigarette smoking too are causative factors. Psychological factors are also major causes of impotence and can be due to a number of reasons including the increased focus on sexual performance in society.
In Ayurveda excessive intercourse (without using aphrodisiacs), perverted sexual habits and vitiation of vata dosha have also been blamed for causing ED. Whatever the cause, the problem of ED can be very embarrassing and disheartening for both the partners and if it continues for a prolonged period, the psychological factors involved worsen the situation and can cause an unhealthy aversion to sex.
·Weak erection / lack of erection
Ayurvedic View :
According to Ayurveda, ED is basically a condition of low vitality. Generally vitiation of vata dosha is responsible for Klaibya or ED. On the basis of the cause, seven types of Klaibya are mentioned in Ayurvedic texts, e.g. Manasik klaibya is caused by psycological factors, Doshaj klaibya is caused by physiological factors, Shukrakshayaj is caused by deficiancy of Shukra dhatu, Vyadhij is cause by some other disease like diabetes, Aghataj is caused by surgical or accidental trauma, Shukranirodhaj is caused by suppresion of sexual urge and Sahaj means congenital.
D) SYPHILIS :
In the sexual act we bring together the deepest tissue level of our bodies. This allows reproduction to occur. It can also allow pathogens to be transmitted directly to our innermost tissues, which would otherwise be fought off by the immune system. The greater the number of sexual partners we have, the greater the exposure to this disease.
Syphilis is a serious, sexually transmitted, contagious disease with a slow development. It may be acquired or inherited. Syphilis bears striking similarity with the disease called firangarog described by ancient sage Acharya Bhavaprakash in his Ayurvedic compendium.
According to modern science, syphilis is caused by a spirochete called Treponema pallidum. It is usually acquired through sexual intercourse, however other causes such as infected blood transfusion are also possible. Bhavaprakash too has clearly said that performing sexual intercourse with the patient suffering from firangarog serves as the cause of the disease.
· Body ache
· Enlargement of lymph nodes
· Enlarged tonsils
· Sore throat
Ayurvedic View :
Bhavaprakash has classified firangrog into bahya (exterior), abhyantar (interior) and bahyabhyantar (two folded) stages and has described similar symptoms and complications as mentions above. He states that all three doshas are vitiated in this disease but kapha may dominate the clinical picture and is responsible for the chronic course of the disease. He further adds that depending upon the seriousness, all seven dhatus (tissues) may get intoxicated in this disease leading to serious complications.
Ayurveda believes that sexual diseases result as a consequence of decreased immunity, which allows the pathogens to exist within the bodies and cause a number of complications. So Ayurvedic treatment involves increasing the immunity level, which then allows the body to naturally kill the pathogens and regenerate damaged tissues.
E) INFERTILITY :
Infertility primarily refers to the biological inability of a person to contribute to conception. In women, it may also refer to the state when she is not able to carry a pregnancy to its full term.
Female infertility is caused due to structural problems like blocked fallopian tubes, defect in cervical canal, uterine fibroids or polyps. Hormonal imbalance leading to ovulation problems too can cause infertility. In males infertility may have anatomical, psychological, hormonal or lifestyle related causes. The cause of infertility in approximately 20% of couples can’t be determined using the currently available methods of investigation. From Ayurvedic perspectives, shukra dhatu can get affected by various physical, mental causes and even by serious diseases. Poor quality shukra dhatu can cause infertility in males & females.
· Failure to reproduce
Ayurvedic View :
According to Ayurveda, preparing for conception can be easily compared to the process of farming. Just like the health of a crop depends on the quality of soil, seed, timing of sowing, and amount of watering it gets, the health of a baby depends on the health of its parents.
For a pregnancy to be healthy and successful, a couple needs to take care of the following four essential factors :
Time for Conception (Timing of Sowing)
Reproductive health, in both men and women, depends on the health of the reproductive tissue or shukra dhatu. In women, shukra creates the ovum as part of the monthly cycle, and in men the semen is formed due to sexual stimulation. The shukra is created as part of a long chain of metabolic transformations. It starts with the digestion of food, then goes on to transformation of food to nutrient fluid, blood, muscle, fat, bone, bone marrow, and finally, to shukra tissue. Healthy shukra tissue, then, according to Ayurveda, depends on the health of all the other tissues in the body.