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Respected doctor From the last 2 month there is a pimple dark spot on my face ,i had tried kojic acid then also it is no use what should I do ,please give me some real and effective prescriptions.
I am a working bachelor, 22 years of age. I want to build a lean body. Can you please suggest me diet rich in protien? Also, please suggest me a protein brand good for me.
I am 22 years old, male . I get cold and throat pain at least once in a month, throat pain more often. For the past 15 years everyday mornings my nose gets blocked so that after waking up from bed I apply vicks to get relieved from that. When it is so severe and if I meet docs, they just give medicines for the time being. I feel some part of my immunity is low. So do you have any advise for me sir/madame.
I'm from Pune, I wana ask that I m having itching problem in my genital area, the skin of scrotal bag has became dry please suggest me some medicine or some treatment.
I have a dry cough from the 2 weeks. And I have a chest pain when I have a hard cough. Can you suggest what should be done?
I am 38 years male, I have 7.2 mm stone in mid pole of Rt. Kidney & my urine release inflammatory with pus cells (8-10). It is only from 1 week with back hip pain. Please suggest me permanent treatment.
I have stomach pain when don't eat in particular time such as 6. Am 7.30 am 1.00pm evening 6.30pm 8.00pm pain occur in this time.
I had operation in uterus around 8 month ago. After 4 month of operation my belly is paining and also my legs is bloat.Please tell.
Dear Sir, I want about how to get control on my friend while he does having unwanted sexual relation with other girls using not any kind of precaution regard that. Please suggest me to I can share that with him.
My age is 25 years old. According my age my diet is proper but still my belly fat is increasing and my weight is also increasing what should I do?
I have very dry skin, heels, lips, nasal cavity, even though I drink around 7 glasses of water and lots of fruits. Please suggest.
Male Erectile Disorder (Impotence)
Persistent or recurrent inability to attain, or to maintain until completion of sexual activity, an adequate erection.
This is also know as erectile dysfunction.
The disorder may cause marked distress or interpersonal difficulty. There are different patterns. Some individuals report inability to obtain erection from the beginning of sexual experience ;while others report being able to experience erection only during masturbation or on awakening, but not during the coitus. Some experience adequate erection,lose it when attempting penetration. Still other report that have an erection that is sufficiently firm for penetration, but they lose erection before or during thrusting.
Male erectile disorder is frequently associated with anxiety, fear of failure, pressure of sexual performance, and decreased sexual excitement and pleasure. This can disrupt marital relationship and may be the cause of unconsummated marriage and infertility.
Aging:with advancing age,
-The orgasm is less intensive,
-The ejaculate is reduced
The interval between the two successive acts is increased.
Fear of failure,
Low self esteem
Traumatic initial experience
Negative feelings towards the partner
Use of tobacco/Alcohol
Venous leak or occlusion
Harmonal causes :
Estrogen excess Adrenal
pituitary of Hypothalamic disease
Neurogenic causes :
Autonomic neuropathy (in Diabetes)
Spinal cord disease
Drug related casuses :
Stamp Test :A long strip of postal stamps in wound around the base of the penis at night before going to bed. Next morning if the perforations of the strip are found to be torn off, impotence is supposed to be of psychological in origin.
Peno-brachial index : The ratio of penile systolic blood pressure to that of brachial systolic blood pressure is normally 0.6. If found to be low, impotence is vascular in origin .
Papaverine Injection Test : Papaverine is a vasoactive drug. Using a 26 gauge needle, 30 mg papaverine is injected at the mid-shift of Corpus cavernosum of the penis. He is isolated, asked to stoke the penis and expose to erotic literature. An erection will occur in 10 to 15 minutes. If the erection is short-lived or partial, then impotence is considered as vasculogenic. If the erection is full, then impotence is considered to be neurogenic or psychogenic. In origin.
Caution : This test should be performed in a hospital setting or where the facilities for detumescence are available. The patient should be observed for next few hours till the erection subsides.
Rigiscan Test :
This is a gold standard for evaluation of Nocturnal Penile Tumescence and Rigidity (NPTR). This test is based on the physiological principle that a male gets erection 3 to 5 times during REM sleep. At night before going to sleep one ring of Rigiscan is slid over the base of the penis and the over the tip. Next morning, the tracing obtained are studied. This test can quantify erectile tumescence and rigidity. Rigiscan tracing indicates whether the impotence is organic or psychological in origin.
Arterial insufficiency and venous leaks can also be suspected on the basis of Rigiscan graphs. Patients with purely artery disease have low levels of rigidity but of adequate duration. Patients with venous leak will have varying rigidity levels with shortened duration.
Penile Ultrasound :
This test is for evaluation of the functioning of the penile arteries. A simple acoustic Doppler emits auditory signals or a colour Doppler can help visualization of arteries. Cavernosometry and caver nosography: this haemodynamic test is useful for diagnosing venous-occlusive dysfunction of the corpora. Biothesiometry, electromyography , nerve conduction studies: these are for evaluation of neurogenic impotence.
Sexual dysfunction is a marital unit problem and therefore both, husband and wife, should attend. Counselling is towards strengthening the marital relationship. Wife is requested to co-operate. The client is requested to quit smoking and alcohol. He is advised relaxation exercise, yoga. The couple is educated about anatomy, physiology of sexual organs sexuality are countered. Their myths and misconceptions about sexuality are countered. They are also explained that he does not have to do anything to have an erection. Erection is a physiological response to effective stimuli.