Survey on knowledge of reproductive and Sexual health in the community and Clinical evaluation of veeryasthambha vati in Premature ejaculation

Abstract

Background: ABSTRACT Sexual health is very important if people want to have responsible, safe, and satisfying sexual lives. The knowledge the adolescents acquire about sexual health during this period is an important indicator in the development of healthy sexuality. The attitudes, beliefs and myths/misconceptions these adolescents hold and the about sexuality may impair normal sexual activity leading to psychosexual health problems. Recent population-based surveys among men reveal a high prevalence psychosexual health concerns like premature ejaculation, Dhat syndrome, impotence, dissatisfaction, erectile dysfunction and nocturnal emissions. Premature ejaculation (PE) is one of the most common psychosexual disorders where myths and misconceptions of sexual health like semen loss concerns are high. In Ayurveda this clinical condition (PE) is described under Shukragatavata. The pathology of Shukragatavata occurs at three levels spheres vata, sukra and mana, hence the involvement of these should be taken into account while planning it s management The Ayurvedic formulation having vrishya, balya, vatahara, medhya (psychotropic) and shukrasthambhaka properties can be found in Viryasthambhavati. Hence a survey study to know the prevalence of myths and misconceptions of sexual health and clinical study to evaluate the efficacy of VeerayasthambhaVati is Premature Ejaculation is planned in this study. Objectives 1. To know the prevalence of Myths and Misconceptions of Sexual Health in Urban and Rural population of Belgaum Taluk 2. Clinically evaluate the effect of VeeryasthambhaVati in the management of Premature Ejaculation 1 Abstract Methodology Cross-sectional study (Survey) aiming to understand the prevalence of myths and misconceptions of sexuality and sexual health in the students in the rural and urban areas of Belgaum, Karnataka. Structured questionnaire was used in the survey to explore the myths and misconception of the sexual health in students (18-24 age groups). A total of 412 students from urban and 540 from rural areas were enrolled in the study during the period from March 2009 to March 2012. A double blinded randomized controlled trial was conducted to evaluate the efficacy of VeeryasthambaVati in Premature Ejaculation. Eligible patients were randomly allocated in control group (Placebo) and trial group (Veeryasthambhavati). Veeryasthambhavati (Trial group) was given in the dose of 250mg twice a day for a period of 30 days. 28 subjects in trial group and 30 subjects in control group completed the study. The results were assessed before (Baseline values), after treatment (30 days) and after follow up of one month. Results: Survey study: and#61623; The prevalence ofMyths and misconceptions in urban and rural settings of Belgaum taluk accounted for 67% (Rural) and 66.7% (Urban). and#61623; The myths of semen loss and masturbation were less in higher age group compared to lower age in the study. and#61623; The highest source of acquisition of sexual health knowledge was from Video CDs/Mobiles/Internet, followed by friends (68%) and books/magazines (64%). Elder s and peer s contribution was minimal (5%). 2 Abstract Clinical trial: and#61623; In ability to delay ejaculation, the BT score 3.71 + 0.46 and 3.63+0.49respectively in trial and control groups which reduced to 3.35 + 0.68 (plt0.05) and 3.37+0.49 (pgt0.05) in trial and control groups respectively. and#61623; VeeryasthambhaVati and placebo did not show any significant difference before and after the treatment in Premature Ejaculation Diagnostic Tool (PEDT) score. (BT Score 16.43+1.42 and 15.80 +1.49 was reduced to 16.07+1.18 and 15.47+1.19 after treatment (pgt0.05) in trial and control groups respectively). and#61623; There were highly significant results in decrease in performance anxiety in both the groups. (BT Score 3.214+0.62 and 2.96 + 0.66was reduced to 2.143+0.59 and 1.767+0.56after treatment (plt0.05) in trial and control groups respectively). and#61623; There was no significant difference in self-satisfaction and personnel distress scores in both the groups. Conclusion In our cross-sectional study of college students in Belgaum, Karnataka, myths and misconceptions of sexual health account to about 60% among both rural and urban areas. In the clinical trial, thought significant statistically, there was no much improvement to delay ejaculation by VeeryasthambhaVati but highly significant results in decrease in performance anxiety in both the groups newline