AYURVEDIC MANAGEMENT OF SITUATIONAL ANEJACULATION WITH DELAYED EJACULATION IN AN OBESE HYPERTENSIVE MALE: A CASE REPORT

Delayed ejaculation and situational anejaculation are uncommon male sexual dysfunctions characterized by a marked delay or inability to achieve ejaculation despite adequate sexual stimulation and satisfactory penile erection.The condition can adversely affect marital relationships, fertility, and psychological well-being. Conventional treatment options often yield inconsistent outcomes, particularly when multiple physiological and psychosocial factors coexist.A 37-year-old married male presented with inability to achieve ejaculation during vaginal intercourse for approximately three years following marriage.The patient reported preserved erectile function and normal ejaculation during masturbation; however, ejaculation during coitus was absent or extremely rare. He had previously sought multiple conventional medical consultations without satisfactory improvement. The patient was obese, had a sedentary occupational lifestyle involving prolonged laptop use, excessive mobile-phone exposure, and a history of hypertension under medical management for nearly a decade.Clinical evaluation suggested situational anejaculation with delayed ejaculation. Associated risk factors included obesity, metabolic imbalance, sedentary lifestyle, and psychological stress related to performance and fertility concerns. Laboratory investigations revealed dyslipidemia, prediabetic glycemic status, and low vitamin B12 levels.