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Diagnostic Cardiac Procedures
Treatment of Endoscopic Sinus Surgery
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Hiv Prophylaxis Post Exposure
Restylane Vital Procedure
Treatment of Shin Splints
Treatment of Shin Splits
Management of Smoking Cessation
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Health Screening For Men
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Mai depression mai hun mera treatment chal ra h last 3 years se But mujhe abhi bhi nind ni aati Sleep pill leti hun but phir bhi nind ni aati ho to rid that this problem.
I am suffering from dry cough for 2 weeks and chest pain whenever I cough hard. Can you suggest what should I do?
My son is 4 years old. Not interested in regular diet. Have itching of skin all over body. Also irritated on small cause. Can't concentrate in studies.
My penis bottom nerve is still attached with my penis. I heard that it got released contact with penis at certain age. My age is 24.6 years old. Still it is not released. I don't have any sexual contacts yet. Is this a problem in future. And my penis size is maximum 4 inches and it is slightly bended to words left. Any problem in that. Please let me no any problem Thanks, Ram.
I masturbate everyday. Its been since ages that I never had proper hard erections. But having a manforce 100 mg really helped me. How can I get my best performance on bed? Does manforce capsules harm me?
Hello Doctor, From past some days whenever I eat tummy full Lunch or Dinner after that I felt like stomach are paining it forced me to go for potty. I don't understand Why is this happening to me. Please Help.
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.
Hi, I got married recently and during intercourse my penis pains. I got checked from doctor and he advised me to go for circumcision. I want to know is it safe and do it brings some medical complications after surgery. And how much operation costs.
I am 25 year old boy. How much masturbation is good in a month. As am feeling that from last some times am not much enjoy or am not much satisfy with it. Ho can be enjoy more?
Hello Dr. I went through diabetic screening test before one week and it was 6.1 according to Hb1ac and I tested at home with glucometer it was 106 before meal and 175 after meal. Now I have started 40 min walk daily and done dietary modification. Is it sufficient. please guide.
I always feel anger over my 1 inch penis size. L feel I will not die. please help me. Is this symptom of being hijra?
Sir 1 day ago it started a severe pain in my head I consulted a doctor he said that this is because of your dental problem can you advice what should I do to get rid of this.
Hi I have an ear problem when I am using a cold water or banana fruit on that time my ears are paining and water and white water is coming out. This problem is already I have face past 5 years back and I am using candibiotic ear drop I am using then it's relief. And again I will eat banana or any cold thing .again it's pain able .and I have show in ent hospital again they are giving the same ears drops .and facing same problem.
My mother had suffering from asthma since her childhood. What can I do against it she is 31 years. And using inhaler regularly.
My friend is suffering from PCOD. She is slightly over weight and is it the only reason for PCOD? She has been trying to reduce weight but there is no change or recovery from PCOD. WHAT CAN BE DONE?
- In these conditions, the panchkarma therapy is very effective. The aim of the ayurveda treatment is to bring vitiated vata in equilibrium.
Most popular panchkarma therapy for this is kati vasti, means squeezing of medicated oil with the help of cotton cloth over the lower back & retained inside with the help of a herbal paste boundary. It is a process of fomentation, highly effective for treating diseases caused by vitiation of vata dosha. Duration of treatment varies according to the severity of symptoms of the patient.
Elakizhi- special herbal pack massage with kati vasti gives strength to the muscle and improves the mobility.
Requirement of therapy - 7, 14, 21 days therapy course depending on the severity of symptoms along with oral medicines for 3-4months.