SURʻAT-E-INZĀL (PREMATURE EJACULATION) AND ITS MANAGEMENT BY UNANI MEDICINE
Surʻat-e-Inzāl (Premature Ejaculation) is the most prevalent male sexual dysfunction affecting 25 - 40% global population of men. It is a universal disorder and is independent of age, social or marital status. It has a significant impact on both- patients and their partners, causing distress, anxiety and relationship difficulties affecting the quality of life. Several aetiologies have been proposed by various researchers which are not evidence-based but speculative. Accordingly the International Society for Sexual Medicine (ISSM) issued treatment guidelines for Premature Ejaculation (PE) recommending Serotonergic Antidepressants (SSRIs) and Local Anaesthetics (LA) for its management in modern medicine. However, these treatments were not actually developed for PE, and have limitations associated with their off-label use. Furthermore, nearly all the recommended drugs have a wider spectrum of adverse effects and serious drug interactions which sometimes could be fatal. On the other hand, centuries old Unani medicine offers a complete line of treatment for Surʻat-e-Inzāl based on traditional knowledge and experience. Firstly, various single as well as compound Unani formulations have been in use since long for the treatment of Surʻat-e-Inzāl and found effective and safe. Secondly, the benefits of herbal and other natural products are increasingly being sighted because of their lesser side effects. Keeping the limitations and adverse effects posed by conventional treatment of PE in mind, an attempt has been made in this paper to review the use of age old Unani System of Medicine for the treatment and management of Premature Ejaculation.
Keywords: Premature; Ejaculation; Unani; Surʻat-e-Inzāl; Quwwat-e-Masika
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