Primary PE can be triggered by psychological impulses like conditioning, upbringing, or traumatic sexual experience. Secondary PE can be triggered by diabetes, hypertension, hyperthyroidism, alcoholism, or use of recreational drugs. Psychological issues like depression, stress or anxiety about sexual performance can also trigger PE. In addition, hyperthyroidism is associated with PE and treatment of the same results in improvement of PE condition. PE is common in patients with substance abuse. Besides, lack of sleep can lead to low serotonin, also resulting in PE.

PE is a self-reported problem, which not only affects the patient, but also the partner, and it also depends on the patient's expectation and belief regarding sexual intercourse. Hence people who are able to perform sexual activities for reasonably good duration of time may also complain of PE due to unrealistic expectation about sexual activity.

The inability to delay or control orgasm is considered to be an important factor as majority of patients with PE report poor/very poor ejaculatory control.

Ayurveda says that Vata dosha controls ejaculation and especially the vitiation of apana vata lead to PE. Nervousness, anxiety, or fear can also increase the problem. Another ayurvedic term ‘Shukragata vata’ also resembles PE. Classical characteristics of 'shukrasya sheeghram utsargam,' 'shukragata vata,' meaning early, quick, or premature ejaculation, are described in Ayurveda using terms like 'Kshipram munchati,' and 'pravritti/Atiseeghra pravritti.

Western medicines primarily suggest sprays which are anesthetic agents or they give opioids based drugs. With sprays, there is a loss of sensation which reduces the pleasure derived from the activity. And the use of opioids causes Nausea, dizziness, insomnia, dyspepsia & seizures.

Ayurvedic premature ejaculation treatment includes herbs and herbo-mineral formulations. Ayurveda takes time but the I-Red works on your body from the inside & outside to give you unparalleled long-term benefits in the shortest possible time without any side effects and regular massage helps delay the sensation and increases the ability to control ejaculation.