Dr.Amit Joshi's Sexual Health and Diabetes Care Centre in Gopal Pura, Jaipur - Book Appointment, View Contact Number, Feedbacks, Address | Dr. Amit Joshi

Dr.Amit Joshi's Sexual Health and Diabetes Care Centre

Diabetologist, Reproductive Endocrinologist (Infertilty), Sexologist
2 Recommendations
Practice Statement
We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to help you in every and any way that we can.

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Dr.Amit Joshi's Sexual Health and Diabetes Care Centre is known for housing experienced s. Dr. Amit Joshi, a well-reputed Diabetologist, Reproductive Endocrinologist (Infertilty), Sexologist , practices in Jaipur. Visit this medical health centre for s recommended by 91 patients.

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Clinic Address
C-369, Mahesh Nagar, 80 Feet Road,
Jaipur, Rajasthan - 302015
Details for Dr. Amit Joshi
Diploma in Diabetology
Professional Memberships
World Association of Sexology
Indian Association of Sexology
Association of Sexuality Educators
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Association of Sexuality Educators- Counselors and Therapist
Council of Sex Educstion & Parenthood International
Indian Thyroid Society
Life Member-Council Of Sex Education Parenthood International
Life Member- Indian Association for Sexology
Past Experience
2008 - 2012 Medical Officer at Rajasthan Government
2012 - 2015 Director at Dr Joshi's Super Specialization Centre For Sexual Health and Diabetes
  • M.D.MEDICINE , Diploma in Diabetology
    Diabetologist, Reproductive Endocrinologist (Infertilty), Sexologist
    Consultation Charges: Rs 500
    2 Recommendations · 118 people helped
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  • M.D.MEDICINE , Diploma in Diabetology
    Genophobia or coitophobia is the irrational psychological fear of intercourse. It is a type of a phobia and people suffering from it fill all or most of the criteria of specific phobia according to the ICD (The International Statistical Classification of Diseases). Genophobic people may be terrified of sexual intercourse or all acts involving sex. It is different from erotophobia in the sense erotophobia is the irrational fear of sexuality and not the act in itself.

    1. The causes of genophobia may be attributed to different experiences and origins according to different psychological perspectives. According to the psychoanalytic perspective, genophobia may be caused by the rigid or extremely religious upbringing, which affected the development of ego, making the individual fear all acts that are sexual because it causes moral anxiety and a severe clash of the superego (ethical portion of one's personality)and i'd (primitive component of one's personality).

    2. According to the learning perspective, genophobia may develop due to an unpleasant sexual experience such as rape or molestation. Rape Trauma Syndrome leads the survivor to relive the trauma several times and develop apprehension. They may begin to fear sex eventually by relating it to the unpleasant experience, eventually leading to genophobia. It may also be caused if the individual observes sexual acts that are traumatizing in nature, in media or otherwise.

    3. It may also result from severe performance anxiety, especially for those who lack sexual experience and have abstained from sex for a prolonged period of time. There is also a chance that other phobias, such as the fear of diseases, especially STDs, may lead to a fear of sexual acts. Some people might relate sexual intercourse with acquiring diseases, thus leading to the development of genophobia.

    Symptoms of genophobia include the fear of sexual intercourse and all acts within, breathlessness, nausea, dizziness, feeling sick and fear of losing control. All these symptoms take place in the context of sexual acts.

    Genophobia is treated like all other phobias. Therapeutic technique such as Cognitive Behavioural Therapy (a conversation centric therapy that focuses on how thoughts and beliefs can affect one's actions) is widely used in the treatment of genophobia along with medications. The therapeutic technique varies from patient to patient. For instance, the therapeutic technique used for a rape survivor would be completely different from that which is used for an individual with a fear of STDs. With proper treatment, genophobia is curable, eventually allowing the individual to have a particularly healthy sex life.
       6484 Thanks
  • M.D.MEDICINE , Diploma in Diabetology
    The thyroid gland is a tiny gland that produces the hormones which affect the body's metabolic process. When these hormones are produced in less or more quantities, it may result in an imbalance of the thyroid gland, leading to a range of thyroid issues including hypothyroidism, hyperthyroidism and others. Overproduction or underproduction of the thyroid hormones can also cause a variety of other symptoms and conditions. While this affects the state of one's general well being, health and weight, it also has an effect on the patient's libido.

    Let us learn more about the link between thyroid and sex.

    Thyroid in Men: Men who are suffering from hyperthyroidism or hypothyroidism as well as related conditions like goitre or Garves Disease, have complained of sex related problems. These problems are known to affect at least 50% to 60% of the patients, as per various medical reports. The sex related issues include premature ejaculation, low sex drive, delayed ejaculation, erectile dysfunction, and others.

    Thyroid in Women: It has been found that almost 10% of women over the age of 50 suffer from some form or the other of thyroid hormone imbalance. Apart from fatigue, depression and muscle ache as well as weight alteration, depending on the type of thyroid problem, thyroid patients who are women have also experienced problems when it comes to libido. Sexual dysfunction and arousal problems are high on the list of these issues.

    Hormonal Treatment: One of the most common ways of treating this sex related thyroid problems for thyroid patients is through the use of hormonal therapy. Besides getting the testosterone, estrogen and other androgen levels checked, the patient must also get a full hormonal evaluation along with a check-up of the adrenal function. This can help in pointing any anomalies and the hormones that will require replacement with the help of appropriate medication.

    Optimal Drug Treatment: A T4 only drug or Levothyroxine can lead to a resolution of sexual problems that one encounters as a part of thyroid problems. There are many doctors who may switch to a T3 drug once the libido is restored and brought back to normal.

    Supplements: Men may require testosterone supplements, while women may need estrogen or progesterone supplements to tackle the sexual problems in such cases. These can be rendered as a patch or through an injection.

    Sex Therapy: In many cases, sex therapy considered as a popular and effective form of addressing the problems and helping the patients get around the same. This is especially helpful if depression is one of the symptoms of the thyroid disorder.

    A thorough physical check-up also helps in treating such problems for thyroid patients.
       4590 Thanks
  • M.D.MEDICINE , Diploma in Diabetology
    Diabetes is often considered as deadly as cancer. It is a disease that requires lifestyle changes and diet modifications. It is also a disease that affects almost the entire system of your body. Whether you have type 1 or type 2 diabetes, it will do you a world of good to understand the effects of diabetes. Neurovascular damage is one of the most common effects, this means that diabetes will affect the nerves and blood supply of the body.

    While type 1 diabetes makes its presence felt much earlier and is hereditary quite often, type 2 appears later in life with age and cumulative stress. The effects of diabetes are related to the duration of the disease. Therefore, people with type 1 diabetes are more likely to have the symptoms early on and need to learn to manage them. Type 2 makes its appearance later, but needs good monitoring for the effects to not surface or prolong the severity of symptoms.

    As we all know, all body systems are affected by diabetes, sexual health is no exception. Diabetes decreases blood supply and impacts the nerves in the genitals, thus causing a series of issues right from reduced libido and erectile dysfunction in males to vaginal dryness and painful coitus (perunia) in females.

    Listed below are issues diabetic men and women face in terms of sexual health:

    In men:

    1. Diabetes reduces testosterone levels, which is directly reflected in reduced libido. Altered nerve function does not provide proper signals to the penis and there is also reduced blood flow to the organ. Both these can diminish the chances of a good erection. Studies have shown that among men who have had diabetes for 10 years, about 50% have experienced erectile dysfunction.

    2. The affected nerve function also leads to difficulties in reaching a climax. Diabetes in men can additionally cause peyronie's disease, which leads to a curved penis, and this leads to painful and difficult erections and coitus.

    In women:

    1. It leads to reduced sexual desire due to testosterone levels. Vaginal dryness is very common in females with diabetes and therefore, there is a definite decline in the urge.

    2. The above mentioned neurovascular damage also prevents women from reaching a good climax, as the nerve supply is affected.

    3. Diabetes also increases the predisposition to urinary tract infections, which can lead to painful sexual experience due to additional vaginal dryness and itching.

    Finally, as much as it may sound as a cause for concern, it is not. People with diabetes know that making small lifestyle changes can go a long way in terms of onset of symptoms, their severity, and the leading of a normal life. Modifications in diet and lifestyle to include healthy eating, reduced stress, and exercising are very useful. It is also very important to talk to your doctor about how your sexual health has changed with diabetes. It is a sensitive and private topic, but if you are concerned about it, then do not hesitate to seek help.
       3340 Thanks
  • M.D.MEDICINE , Diploma in Diabetology
    About 35% to almost 75% of the diabetic men can suffer from erectile dysfunction at some point in life. A diabetic person may suffer from erectile dysfunction almost 10 to 15 years before he or she has contracted the condition. More than 50% diabetic middle aged men are prone to erectile dysfunction, whereas almost 95% of diabetic men who are above 70 suffer from erectile dysfunction.

    Reason for Ed in Diabetic Men:
    There are certain conditions, which have to be met to get an erection, such as healthy blood vessels, healthy nerves, sexual stimulation, male hormones, and desire. Diabetes damages the blood vessels and the nerves responsible for an erection. Hence, even with the required amount of male hormones and the desire to have a sexual experience, you might suffer from erectile dysfunction.

    If you are suffering from erectile dysfunction due to diabetes, you will get various oral medications to treat the condition. But if you are suffering from diabetes as well as a heart condition, it is recommended not to use any oral medicines as that would interfere with the functioning of your heart. There are certain other therapies which you might consider in this case:
    1. Intracavernous injection therapy
    2. Vacuum erection device
    3. Penile prostheses
    4. Venous constriction device
    5. Sex therapy
    6. Intraurethral therapy

    To determine the best method, various factors like your health and your capacity to tolerate a particular treatment is assessed. The best way to select one, will be after having a discussion with your urologist and taking his help to determine which method will be the most appropriate one.
       4771 Thanks
  • M.D.MEDICINE , Diploma in Diabetology
    Both women and men suffer from infertility troubles. There are a host of causes that may lead to infertility in men such as lifestyle choices and obesity. Male infertility is characterized by irregular sperm function or reduced sperm count. Infertility has emerged as a common problem as a result of the modern day lifestyle. Extremely hectic schedules, stress, burnout, depression, unhealthy diets; all of these can contribute to fertility issues.

    The various reasons for infertility in men are:
    1. If you are overweight, then it is time to lose those extra kilos. Obesity leads to a number of health problems, one of them being erectile dysfunction.
    2. Various hormonal problems such as complications of the hypothalamus, pituitary and adrenal glands may lead to low testosterone levels in the body.
    3. Various infections such as inflammation of the testicles and epididymis that causes blockage of the tubes carrying the sperm can be a cause.
    4. Various medications such as using anabolic steroids, antifungal medications and chemotherapy may hamper production of the sperm and thus hit fertility.
    5. Both alcohol and cigarettes may cause problems in sperm production, and cause erectile dysfunction. Excessive drinking may lead to complications in the liver resulting in infertility.

    The reasons of infertility may range from medical causes to lifestyle choices; some of the causes may be related to the environment. A common cause of infertility is due to problems with transportation of the sperm. These are mainly due to blockages in the tubes that carry the sperm.

    Symptoms of infertility in men are:
    1. You may experience low libido
    2. Your sperm count may be low
    3. You may experience lumps or swellings in the testicles
    4. Chromosomal complications such as reduced body hair
    5. You may have chronic respiratory problems.
       3113 Thanks
  • M.D.MEDICINE , Diploma in Diabetology
    Dyspareunia is a phenomenon noticed in both males and females, but more frequently in females. It refers to recurring pain during or after sexual intercourse. Such kind of pain affects female genitalia usually the vagina, clitoris, or at times the depths of the pelvis. This pain is often accompanied by a burning, itching or throbbing sensation which can prove to be extremely discomforting if left unattended. Thankfully, a careful examination of symptoms leading to Dyspareunia and its early diagnosis can improve a person's sexual health.

    Indicators of this deep rooted problem
    1. Pain can occur during penetration in and around the vagina, urethra or the bladder.
    2. Pain can be a new occurrence after earlier instances of painless intercourse.
    3. It can be felt throughout intercourse in places, such as deep in the pelvis or even after intercourse.
    4. The intensity of the ache is sometimes sharp and at other times, it is as piercing as menstrual cramps.
    5. It need not necessarily be associated with intercourse; pain can be experienced during any kind of penetration. Thus, using a tampon or a moon cup can also result in soreness.
    6. Skin diseases can either be a symptom or a root cause leading to the problem. Skin problems, such as Psoriasis or Lichen Sclerosus should not be taken lightly.
    7. Tightening of vaginal muscles at the beginning of intercourse may or may not be superficial pain. In most cases, it is identified as Vaginismus but it can also be a symptom of acute Dyspareunia.

    Ways to nip the pain in the bud
    1. While, usually, pain during sexual intercourse is a result of adolescence or a traumatic sexual history, it can also be the result of a physiological problem contracted at birth. However, treatment in any situation is necessary to enable smooth functioning of one's life.
    2. Injectable corticosteroids might prove to be helpful.
    3. There are oral medications to remedy the problem; antibiotics and antifungal medicines.
    4. Increase in estrogen levels through the use of the drug Osphena helps in curing frailty of vaginal tissues.

    Precautionary measures to be followed at home
    1. Taking a warm bath before intercourse can lead to betterment.
    2. It is best to avoid sex when in stress. Both partners should be relaxed to ensure a complete lack of pain.
    3. After sex pain can be relieved by applying an ice pack around the vulva.
    4. Urinating before sex can be helpful. It is also good to use water soluble lubricants for stimulation.
       4040 Thanks
  • M.D.MEDICINE , Diploma in Diabetology
    Sex, which gives pleasure to most, can be painful for some. Many women, mostly in their menopausal or post-menopausal phase find intercourse and penetration extremely painful. Menopause results in hormonal imbalance, with a significant drop in the estrogen level. The reduced estrogen level results in Vulvovaginal Atrophy (dryness of the vagina and thinning and weakening of the vaginal tissues). In such cases, women experience irritation, Vaginismus (vaginal tightness) and soreness after sex.

    One can also experience a burning sensation during urination. There may be inflammation of the vaginal tissues. If untreated, the inflammation can cause infection and other complications. "Dyspareunia" or pain during intercourse is very common in postmenopausal women. The pain experienced during sex can be due to "Vulvodynia" as well. Vulvodynia is a condition whereby a women experiences chronic pain in the external genitals or vulva. A number of other factors can also contribute to the pain during sex. A thorough and detailed investigation is thus very important.

    Many women find it extremely embarrassing to discuss menopausal problems with their partners and doctors. The key to effective treatment lies in timely diagnosis and medication. There is nothing to be embarrassed about. The postmenopausal changes can vary from person to person. Thus it is very important to discuss every minute detail with your physician.

    Many options are available to make intercourse a less painful experience:

    Keep dryness at bay: In most cases, painful intercourse results from dryness of the vagina. Use of a lubricant can ease the pain to a great extend. A water-based lubricant is highly recommendable. Regular use of vaginal moisturizers is also effective to deal with vaginal dryness.

    Vaginal care and hygiene: It is very important to keep the vagina clean. Avoid using soaps, bath oils and shower gels. They do more harm than good to the vagina. It is advisable to wash the vagina with warm to lukewarm water. Undergarments should be changed twice daily.

    More is good: Having sex at regular intervals is a healthy practice. It not only enhances and improves the blood flow, but also helps to overcome vaginal dryness.

    The Pelvic Floor Therapy: It is immensely beneficial. In this therapy, a gentle pressure is exerted in the pelvic region to relax the stiffened and tightened muscles. One can also massage the area to relax the muscles.

    Squat: It is a very effective exercise to strengthen the buttocks and hip muscles. Exercises to strengthen the pelvic floor muscles are also very helpful.
    Other therapies: One can also opt for Local Estrogen therapy and Systematic Estrogen Therapy.

    Menopause should not affect your conjugal and sexual life. Visit here to know more and forget painful intercourse forever.
       3383 Thanks
  • M.D.MEDICINE , Diploma in Diabetology
    While the social stigma pertaining to women's sexuality is gradually reducing, questions addressing the sexual concerns and problems of women are also more widely and openly discussed now. The debate of whether to completely forgo sexual activity during menstruation is one that continues to have divided opinions even now.

    The idea of intercourse during 'the time of the month is one that seldom receives an approving nod. Inhibitions relating to the 'mess' and the notion that menstrual blood, sanitary pads, and tampons can lower your arousal rates may underplay the many benefits of engaging in sexual activity during this time:

    1. Helps ease cramps

    The release of oxytocin and dopamine along with other endorphins alleviates the cramps and body-ache that one might encounter during periods. Sex promotes better blood flow and relieves stress and can help battle mood swings during periods.

    2. Shortens the length of periods

    Many women who engage in sex during menstruation often claim that their periods last for a comparatively shorter span of time if engage in sex. This is because every time you have an orgasm, the uterus contracts. The muscle spasms of orgasm allow expulsion of blood and uterine lining faster than it is usually subjected to.

    3. No need for lubes

    Your flow acts as better lubricant during sex and this also enhances pleasure. This might act as a natural way to deal with dryness during sex and one may avoid store-bought lubricants during the time of the month.

    4. Chances are that you might actually like it!

    Changes in hormonal balances during the first few days of periods can make women more desirous of sexual activity and the partners may enjoy a greater level of pleasure. Sex during periods also ushers in a feeling of deeper intimacy between the partners. An intensified sense of libido that one may feel during this time is extremely beneficial to sexual activity. The pleasure is therefore greater and you might actually like it more than sex on normal days!

    How to minimize the mess?

    If your primary concern is the 'mess' that you're afraid to create, a menstrual cap or female condom may be the solution to your problem. They help reduce the blood flow during sexual intercourse. In fact, even a regular condom can make it less messy, at least for you partner. Sex in the shower also elevates cleanliness while retaining (often increasing) the excitement in your sexual act.
       3973 Thanks
  • M.D.MEDICINE , Diploma in Diabetology
    Premature ejaculation or early ejaculation is the expelling of semen with minimum sexual stimulation, almost immediately after (or sometimes before) sexual penetration. This is a common sexual problem for men below the age of 45 in addition to erectile dysfunction. Premature ejaculation can be a result of several physical and psychological factors.

    If the root cause is not serious, the problem can be solved by a few simple techniques, such as:

    1. Breathing exercises: Relaxation techniques like breathing exercises and meditative practices can help you to concentrate. It also moderates the tension and stress levels which are directly related to arousal. Avoid short and rapid breaths as they can put undue pressure on the heart and increase the pulse rate. This often results in early ejaculation. On the other hand, if you take deep breaths and practice holding them in for three to five seconds, you can also use the technique during arousal.

    2. Kegel exercises: Kegel exercises can help both men and women with their sexual problems. In men, these help to strengthen the pubococcygeus muscle by repeated contraction and relaxation. The pubococcygeus muscle helps to control urination too. If you use the same technique when you are close to an orgasm, you can delay your ejaculation.

    3. Squeeze technique: This technique is used to reduce excessive and rapid rate of arousal. When you are close to orgasm, you can squeeze the base of the penis to curb the erection somewhat so that it can build up again. This will automatically delay ejaculation. It is a good idea to practice this technique on your own first and then try it with your partner.

    4. Stop and start exercise: This exercise was perfected by the Masters and Johnson team of sexual research. This technique is also to be practiced individually for the first few times. You can masturbate alone and stop just before reaching the climax. You can practice this again and again by bringing yourself closer to ejaculation every time until the point you cannot control or regulate the process any more. This will help you to know the limit till which you can stop and regulate the ejaculation process. You can then use this technique during sexual activity with your partner.

    5. Reduce stress: The stress hormones in your body prevent the secretion of testosterone which is responsible for your sex drive. Alcohol, tobacco or nicotine and other illegal drugs used to combat stress can also have an adverse effect on your sexual arousal and cause premature ejaculation.
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/ Dr.Amit Joshi's Sexual Health and Diabetes Care Centre
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