Dr. Monga Clinic in Lajpat Nagar, Delhi - Book Appointment, View Contact Number, Feedbacks, Address | Dr. Yuvraj Arora

Dr. Monga Clinic

Diabetologist, Endocrinologist, Sexologist
55 Recommendations
Practice Statement
Our medical care facility offers treatments from the best doctors in the field of Diabetologist, Sexologist.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. Monga Clinic is known for housing experienced s. Dr. Yuvraj Arora, a well-reputed Diabetologist, Endocrinologist, Sexologist , practices in New Delhi. Visit this medical health centre for s recommended by 108 patients.

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Clinic Address
20, National Park, Basement, Near Moolchand Metro Station, Lajpat Nagar-IV
New Delhi, Delhi - 110024
Details for Dr. Yuvraj Arora
Government Medical College,Amritsar
Dayanand Medical College and Hospital
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Consultant at Dr. Monga Clinic
  • MBBS, MD-Pharmacology
    Diabetologist, Endocrinologist, Sexologist
    Consultation Charges: Rs 500
    55 Recommendations · 553 people helped
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  • MD-Pharmacology, MBBS
    Your fantasies might have taken a backseat for the time- being or might have remained silenced for more than a while. The other processes of your usual life go on perfectly except for a few changes that you either consider as minute or you attribute them to any cause other than lowered libido. Failing libido can create hurdles in a man as well as a woman's life and thus should be treated at the earliest possible. Even if you don't care much about an impaired sex life; failing libido can bring about considerable changes in your overall health that can prove to be harmful in the long run.

    The common causes of decreased libido can be listed as below:-

    Terminal illnesses like cancer, diabetes and neurological disorders can hamper your sex drive.
    Acute exhaustion from performing at work, tending to a family or to a new born can rid you of all energy.
    An instance of sexual abuse in the past can result in lowered libido.
    A lousy lifestyle where you either smoke or drink regularly can prevent you from experiencing sexual desires.
    Irregular sleep patterns can be a contributing factor as well.
    In males testosterone levels may sharply drop due to aging. However, in females estrogen levels may drop after surgeries pertaining to the vaginal tract, after menopause or after childbirth and subsequent breast- feeding. 
    Ways to deal with your failing libido:-

    Take bupropion to help your case- dopamine and norepinephrine are two basic hormones particularly necessary for a good sex drive. The consumption of bupropion is capable of inducing the secretion of these two hormones.
    Try eating a mediterranean diet- a mediterranean diet is perhaps the most reliable solution for a majority of diseases that plague men and women of modern times. This diet is known to treat failing libido in elderly people as well. A mediterranean diet requires you to eat lots of vegetables and olive oil, while protein should be consumed in limited portions.
    Meditate on a daily basis- meditation concentrates your complete energy on the well- being of your mind and body. It helps you to be conscious and aware of the sensations you feel or may feel. When continued over a long stretch of time, it can restore your interest in sexual activities.
    Make significant efforts to change your lifestyle- if you have an erratic lifestyle, sexual dysfunction is almost inevitable. You need to follow a routine to prohibit your libido from failing you.
       3356 Thanks
  • MD-Pharmacology, MBBS
    From quite some time the physical beauty of man and woman has taken a precedence over the beauty of the heart and soul and human beings have always had an inherent interest about sex. Moreover, the interest in looking sexually appealing, including bodily image like bursting breasts in women, bulging biceps in males are innate to human beings for attracting the opposite sex. So is the interest of men in having long and thick penis with the instinct in mind to impress the female species in bed.

    Starting from the contraceptive pill in the 60s to modern cosmetic surgeries, man fabricated immense changes to our natural course of copulation. Cosmetic surgeries such as breast enlargement surgeries, liposuction and surgeries pertaining to the genitals are getting increasingly popular. And it is not just among women, but men too have warmed up to cosmetic surgeries. Today, more men are opting for penis enlargement techniques and procedures. Yet, the availability of such procedures have led to a plethora of myths.

    The following are some of those:
    Myth 1: Lengthening with weights is a good idea
    Contrary to popular belief, stretching your penis with weights won't help. Yet, it is somewhat possible to stretch your penis by hanging weights off it, but that would require a scary amount of dedication. Strapping weights off your penis for more than eight hours a day for seven long months may perhaps increase the length of your penis. But that is not medically proven or advised. In fact, there is high risk of injuring your penis.

    Myth 2: Supplements, pills and creams will help
    If the commercials on television have made you consider using supplements, pills or any other such ways to increase the girth of your penis, then think again. These remedies or medicines don't work and it is possibly a scheme to strip you off your hard earned money.

    Myth 3: Using vacuum pumps can make it happen
    Vacuum pumps are cylinders that suck out air. The penis is put in it and the pump draws extra blood into it, making it erect and slightly bigger. After that, the penis is clamped with a tight, ring which prevents the blood to flow back. The only catch though is that the erection lasts as long as the ring is on. And using it in excess of 20 minutes, can lead to tissue damage.

    Having said all this, one may opt for penile surgery, keeping in mind various side effects. The reality is that 2 to 3 inches of penile length is sufficient to physically satisfy your partner. Sex has nothing to do with size. It is just how you handle your partner, which actually is more important.
       3898 Thanks
  • MD-Pharmacology, MBBS
    Educating yourself is very important, especially when it is about your health. Every year, thousands of people suffer from the burden of unwanted pregnancies; fatal sexually transmitted infections (STI) including H.I.V, all due to the lack of proper knowledge about the practice of protected sex. The only effective way to control the consequences, which are attached with unsafe sex is by introducing sex education on a large scale. It is important to educate the masses, especially the youth, about safe sex to protect them from the dangers, which arise from lack of knowledge about sex.

    The following are the benefits of sex education:

    1. Precaution against unwanted consequences: When people are provided with proper sex education, chances of them indulging in unsafe sexual practices decrease as they become more careful and aware.

    2. Ability to tell facts from fiction: In the era of information overload, the youth tend to get carried away by the information they read or see online, most of which are not verified. One of the many benefits of sex education is that people can easily differentiate between facts from myths.

    3. Positive attitude towards sex: Proper sex education enables the youth to develop a positive attitude towards sex and inculcates a better perception of their bodies. The ones who are extensively educated on the topic of sex tend to shun all sex related misconceptions.

    4. Informs about the effectiveness and usage of contraception: An important feature of sex education is to impart information about the usage and effectiveness of various methods of contraception. The benefit of sex education ensures that an effective method of contraception is adopted to minimize the risks of transmission of sexual diseases and unwanted pregnancies.

    5. Information about the risks of abortion: Young people often make a mistake by opting for abortion to deal with the problem of unwanted pregnancy. Due to lack of knowledge, they tend to underestimate the risks, which are involved with abortion. Only people who have been informed adequately on the topic of abortion, as a part of sex education, can foretell the dangers associated with it.
       4108 Thanks
  • MD-Pharmacology, MBBS
    Over the years, infidelity has surfaced as the single most common reason that has the ability to shatter and dismantle a perfectly happy relationship. Infidelity can occur in any and every form of relationship and in each of them it is deemed as unacceptable and uncalled for. Lack of affection has been generally identified as the primary cause why people stray. However, there are other reasons too that cause infidelity. Some of them are:

    Bad judgment: the person who is held responsible for going astray may actually be the victim of bad judgement and an impulsive decision. There may not be anything wrong with the marriage, but momentary attraction and a rash decision are possible reasons that lead a person astray.

    Search for an emotional connect: the lack of emotional connect with the partner can be a possible reason for infidelity. An unquenchable thirst for attention and the need to be flattered as well as finding an emotional connect with a new person causes infidelity. Though the most common and devastating outcome of infidelity is the end of a relationship, there are ways, which helps one to overcome infidelity. Some of them are as follows:

    Ending the affair immediately: the first and foremost step that you must take in overcoming infidelity is to end the affair immediately. If your relationship is important to you, then it would require your complete investment both physically and emotionally. You must snap all contacts with the other person and concentrate on rebuilding your relationship with renewed faith and trust.

    Open discussion: if you want your relationship to work then you must have a completely free and open discussion with your partner. Coming clean about your past affair is imperative if you want to begin anew. Your partner deserves a complete, honest discussion and you must do it delicately and with a lot of care.

    Willingness to compromise: beginning a relationship after confessing about the past relationships requires a lot of hard work and compromises. It will take a long time for the relationship to be what it was before the infidelity and you should take complete responsibility for it as well have a willingness to compromise on certain issues.

    Marriage therapy: apart from the attempt to amend yourself, you can also use the help of a marriage therapist. A marriage counselor or a therapist, through prolonged discussions and sound counselling can avert the possible ending of the relationship.
       4543 Thanks
  • MD-Pharmacology, MBBS
    Going beyond our inhibition is not easy for everyone, especially when it is related to engaging your partner in the act of displaying affection. The frequent, passionate portrayal of shower sex in movies gives most people the idea that it is an everyday occurrence. That couldn't be farther from the truth.

    While shower sex helps stimulate fantasies as well as disinhibiting and developing your sexuality, mentioned below are a few reasons why one should take precautions while performing this sexual act or avoid it all together. Lastly, a lot of people find it difficult to have sex in the shower, so if it doesn't work for you, don't blame yourself.

    Cons of Shower Sex:
    1. Slippery floor- All of us know that slippery and damp places are accident prone areas and showers are no different. Both the partners must keep in mind a few precautions before getting all hot and heavy under the shower. Owning a non-slip rug is essential and goes a long way to avoid twisting, cramps, shocks and painful fall that may break or seriously injure your arms or legs.

    2. Condoms- It is best to stay out of the shower while having sex if you still use condoms because no tests have been conducted to see if condoms can withstand soap, shampoo or any other type of cleansers mixed with hot water. It could get away with water, increasing your risk of pregnancy.

    3. Lubricant- Shower sex can be very uncomfortable for women because the water washes away all the natural lubrication produced. Moreover, for women (usually those who opt for birth control pills) who cannot produce enough lubricant, shower sex can be painful.
    However, there are silicon based lubricants in the market that make having sex in the shower easier and more comfortable. Do not use water based lubricant because the water can wash it away easily.

    4. Security- Being secure is a very important factor when it comes to having sex in the shower so that one doesn't harm or injure himself or herself while in the throes of passion. Only the wall should be used as a support, during such sessions try to hold on to something that is firmly attached to the wall to improve support. Do not seize railings, pipes, shower curtains, etc. as they may break or come apart.
       3172 Thanks
  • MD-Pharmacology, MBBS
    Life can get pretty monotonous and listless after a point of time, doing the same things time and again.

    This is true for sexual life as well among couples, especially in a faithful and long marriage. Pent up sexual frustration is never healthy for the longevity of any marriage, and it must be released. Fulfilling sexual fantasies is a good way to spice up your sex life through role playing or through sex toys and it can help you regain the lost libido. Here are some of the techniques you can resort to conjure your sexual fantasies:

    1. Be adventurous
    Sex in kitchen or bathroom has proven to be rougher and hence more adventurous than in the bedroom. Travelling to an exotic place and romantic hotels also yield similar results because psychologically it transports you to a different setting.

    2. Try role playing
    Role playing and bondage claim have been proven to help a lot of people get over their lackluster sex lives. This requires you to make an effort and be imaginative while thinking of roles to play that would entice your partner and get you in the mood as well. Dressing up is a common starting point for role playing games. While the submissive-dominant dynamic has statistically been the most effective, don't be afraid to try out new ways. Sexual preferences vary from one person to another.

    3. Sex toys
    Sex toys can take the edge off in the building up of sexual tension. There are innumerable number of sex toys available in the market for both men and women. Simple blindfolds, handcuffs and feather whips can induce a new spark in your dull sex life.

    4. Communicate more
    Be frank with your partner about your sexual fantasies and encourage him/her to open up about theirs too. During intercourse, be vocal about what you want to be done to you. For example, if you both are foodies, eating off of each other's body can be a huge enhancement factor.

    5. Try unconventional ways
    Reading erotic fiction and even watching erotic films together can also help connect your sexual fantasy with reality. Wearing sexy lingerie or stripping can work for a lot of people too.
       3438 Thanks
  • MD-Pharmacology, MBBS
    Causes and complications of pain during intercourse

    Sexual intercourse may result in a feeling of pain during or post sex. There are a lot of reasons such as allergic reactions or psychological reasons so as to why one may feel pain from sexual intercourse. Symptoms of pain affect both and women equally.

    Pain from sex (for women) can be caused due to the following reasons.
    1. If the women have reached menopause it makes the vagina dry. This can cause modifications in hormones that restrict the vagina from being wet during sex and causes pain.
    2. Infections such as genital herpes (a viral disorder) or gonorrhea (a bacterial disorder in the vaginal skin) can cause pain during sex.
    3. If the passage in the vagina is narrow then it can cause pain during sex.
    4. Allergic reactions from latex used in condoms can cause irritation in the genital region that may cause pain.

    Pain from sex in men can be caused due to,
    1. Infections in the penile area such as thrush which results in the irritated skin cause pain during sex.
    2. One of the most common cause of pain during sex is a tight foreskin.
    3. Inflammation of the prostate may cause difficulties such as pain during sex.
    4. Damage to the foreskin covering the penis may cause a sharp and stinging pain during sexual intercourse.

    If the symptoms are exaggerated and persist then it is recommended to consult a medical professional. In the case of itchiness and unusual discharges from the genitals, an STI (sexually transmitted infection) test is carried out. Another common treatment is using lubricants during sex to get rid of the dryness that is causing the pain. In the case of allergic reactions, it is recommended to test the products before using them.

       4933 Thanks
  • MD-Pharmacology, MBBS
    All You Need To Know about Night Fall

    Nightfall or wet dreams is a very common occurrence in men, in adolescents. This condition is characterized by the involuntary ejaculation of semen while sleeping at night or in the early hours of the morning. The problem can sometimes become frustrating for young men because they fail to understand the reason for it and cannot discuss it with their parents or peers out of embarrassment. The frequency of these nocturnal ejaculations may vary from person to person. Some people only experience it in their adolescent years and some people experience it throughout their lives.

    Frequent night falls can result in laziness, lesser sensation in the genital regions, burning sensation after urination and low libido.

    What are the causes?
    Night falls are common at a young age when a man abstains from sex. But if they persist and become more frequent, they can create adverse effects on the body.

    The major causes are stated below,
    - Weak nerves, congested prostate gland and inability to control emotions are considered as primary causes of frequent nightfall
    - Males having sex or performing self-stimulation frequently can become prone to night fall
    - Side effects of medicines like tranquilizers, high blood pressure medicines, sedatives etc. can also increase the frequency of night falls
    - Lethargic lifestyle, diabetes, obesity, long sitting hours, low libido, stress, anxiety and depression affect the balance of hormones, weakening the nerves and causing nightfall

    How can it be controlled?
    - Exercises and jogging keep the body fit and taking a bath before sleeping relax the mind and aids in sleeping, therefore reducing the possibility of nightfall
    - Urination right before going to bed can help in preventing nightfall
    - Having yogurt twice or thrice a day can reduce the chances of getting wet dreams
    - Refraining from watching porn or sexually explicit visuals before going to bed will keep nightfall at bay
    - Reading books before going to sleep can reduce the possibility of getting wet dreams. However, a book dealing with sensuous themes can make it worse.

       4610 Thanks
  • MD-Pharmacology, MBBS
    What is 'Loss of Libido' or 'Hypoactive Sexual Desire Disorder'?

    When a persistent lack of sexual desire inhibits your life, causing personal distress, you may be diagnosed with 'Loss of Libido' or 'Hypoactive sexual desire'. Low levels of sexual interest, which characterize this condition, leads to failure in responding to sexual intimacy. However, disinterest in sex does not necessarily mean you are suffering from sexual dysfunction.

    If your desire to have sex is less often than your partner's, it does not necessarily render you dysfunctional, as you might be at such particular stage in life where several factors may contribute to a lack of interest in sex such as stress, work pressure, trauma etc. However, a notable difference between you and your partner, known as desire discrepancy, can cause distress.

    Although cases of hypoactive sexual desire vary from one to another, certain common signs are apparent. They are:

    - Having little or no interest in any kind of sexual intimacies, counting self-stimulation
    - Seldom or no sexual thoughts or fantasies
    - Being bothered by your own sexual inactivity

    These symptoms can have several causes behind them. Sexual problems like premature ejaculation and Erectile dysfunction, medications, diseases, unhealthy lifestyle habits, and fatigue are some of the causes behind this sexual disorder. Hormonal changes during menopause or pregnancy can also be responsible; although psychological problems like stress, anxiety, poor body image and low self-esteem, or a history of physical or sexual abuse chiefly cause hypoactive sexual desire disorder in affected patients.

    The treating physician and sexual therapist need to consider all above points to identify the root cause of the issue and find a comprehensive stepwise approach is a consensus with his patient after counseling the patient and doing necessary investigation.

       124 Thanks
  • MD-Pharmacology, MBBS
    Dhat Syndrome: Why is 'Semen loss problem' so big issue among Indian Men?

    Dhat syndrome is a common issue in the Indian subcontinent where males become anxious about semen loss. This disorder has been linked with the Hindu beliefs and mythology where semen is regarded as a vital fluid in the body. Thus, any semen loss by nocturnal emission or masturbation can subject the affected person to semen loss anxiety.

    What are the common symptoms of Dhat syndrome?

    The symptoms of this disorder are the lack of physical strength, poor concentration, forgetfulness, guilt, and (in some cases) sexual dysfunction, fatigue, and appetite loss. This disorder has been traced back to the ancient Hindu mythology, where it was said that semen loss could have a devastating effect on the human body.

    Why is it common among Indian men?

    Doctors have described this as a symptom where the person is influenced by the information he gathers from around his environment. Most people with this disorder belong to the lower socio-economic strata with conservative traditional attitudes towards sex. Results show that most of the patients with 'Dhat' Syndrome symptoms are also affected by somatoform disorder (mental illness that causes bodily pain), anxiety and depression which are all mind related disorders.

    It is common in India due to the fact that there are a large number of people from the lower socio-economic strata who hold on to traditional beliefs about sex. The information they obtain about this disorder from their traditional sources creates anxiety in their mind. Moreover, the Indian culture comprises many widely spread myths and misconceptions which are conveyed over generations. This adds up with lack of awareness and limited communication among family members about the condition to generate anxiety about semen loss, a major symptom of the condition.

    How to handle this issue?

    In modern age and science, we do not consider it is any disease or issue, but still many Indian men continue to suffer from this so called Dhat syndrome and seek treatment as well medical advice. But the role of treating physician and sexual therapist is to reassure and counsel the patient, that no serious harm will happen from this trivial loss of semen during nocturnal emission or masturbation.

       12 Thanks
  • MD-Pharmacology, MBBS
    All About Penile Implants

    Penile implants are devices placed inside the penis to help men with erectile dysfunction get an erection. Penile implants are usually advised whenever other treatments for Erectile Dysfunction (ED) fail. The two main types of penile implants are semi-rigid and inflatable. They have their own ways of working and their own pros and cons.

    Why penile implants?

    In most cases, ED can be treated with the help of medications and a penis pump. Doctors may advise penile implants only if you do not get satisfactory results using other methods and medications. Although penile implants help you to get an erection, they don't increase your sexual desire, neither will your penis size increase from what it used to be.

    What are the risks involved?

    1. Infection: You might be at the risks of severe infection if you have spinal cord injury or diabetes. Men who need revision surgery of their implants are at a higher risk than their first surgery.

    2. Implant problems: In rare cases, implants may not work properly. In some semirigid devices, the internal parts might break over time; in inflatable devices, the pump might fail and fluid might leak.

    3. Internal erosion: In few cases, the implant might stick to the skin of your penis, or can wear away the skin from inside the penis.

    Types of Penile Implants:

    1. Inflatable implants - These are the most common types of implants used, which can be inflated for erection, and deflated at other times. Inflatable implants are usually of two types- 'three-piece inflatable implants' and 'two-piece inflatable implants'.

    The pros of 'three-piece inflatable implants' are-

    a) Provides flaccidity when deflated
    b) Gives the most natural, firm erections

    The pros of 'two-piece inflatable implants' are-

    a) Requires less complicated surgery than the 'three-piece'.
    b) Provides flaccidity when deflated

    2. Semi-rigid implants

    These devices are always firm, resulting in the penis being bent away from the body for sexual activity and towards the body for concealment.

    The pros of 'semi-rigid implants' are-

    a) Is easy to surgically implant
    b) Has a low chance of malfunctioning

       3043 Thanks
  • MD-Pharmacology, MBBS
    3 Yogic positions for a better sex life

    Doing yoga on a daily basis can give your sex life the boost that you may be looking for while improving the overall quality of both you and your partner's sex life. The dividends that you and your partner reap can range from an increase in flexibility, stamina and sensitivity to improved self-confidence. Thus, in addition to an improvement in the sexual aspect, you can expect improvement in physical and mental aspects too. So, here are some sex positions that you can try to make yourself relaxed and lithe, enabling your body to function properly.

    1. Wide-legged straddle pose - This pose is beneficial for improving blood flow to the pelvic area, leading to an increase in sex drive.

    To do this, find a comfortable spot to sit in. When you've done this, spread each leg at a 45-degree angle. While stretching your upper body, take in a deep breath. When letting out the air, bend forward and to touch your toes. All the while, keep the spine stretched to its maximum.

    2. Squat pose - This yoga position works by improving your pelvic joints and targets your inner thigh muscles, abdominals, and your pelvic floor. The pose is also found to be beneficial in stimulating your spleen and sex glands (gonad).

    For this, you need to stand with your feet wide apart and your toes facing outward. Join your palms together in front of your heart, and slowly bring them down in the direction of the mat, stopping just before you touch the floor. Position your biceps behind your knees so that they are spread out while helping your spine to maintain its stretched position.

    3. Chair pose - In this pose, your pelvic region is targeted and helps you to establish a better control over your sexual organs. It works by lifting your pelvic floor as you go about lowering your tailbone.

    Begin by bringing your feet together before assuming a sitting position. Keep your tailbone stretched when you lift your pelvic floor to stretch the spine.

       4118 Thanks
  • MD-Pharmacology, MBBS
    When Should You Use Viagra?

    Viagra is a very common drug prescribed for treating erectile dysfunction. It works by enhancing the flow of blood to the penis during sexual intercourse to bring about erection. Viagra actually contains the active ingredient Sildenafil Citrate which is a selective inhibitor of Cyclic Guanosine Monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5).

    This drug works efficiently with sexual stimulation. Erectile dysfunction is very common among older men whose sexual function tends to fall after they reach their 50s. But these days even younger men in their 30's and 40's are experiencing an increased incidence of erectile dysfunction.

    Doctors can even recommend the drug to both younger and elder men who suffer from erection problems.

    Solidification of the arteries, the blood vessels that supply blood to the penis, can occur during the teen years. The problem then develops by the time they reach the age of 20-30 years and more, hindering their ability to get and maintain an erection. Men suffering from diabetes and facing the problem of Erectile dysfunction can be assisted by this drug.

    The drug should be ideally taken an hour before the sexual intercourse.

    On the other hand, you can also take Viagra half an hour to 4 hours before the sexual intercourse. You don't require having food in order to take the drug. But you need to keep in mind that if you take it after a meal high in fats, it can take a little bit longer for you to experience its effects.

    Most importantly, the misuse of Viagra should be avoided. It should be taken only under medical supervision. The drug doesn't have the power to help you ejaculate easily if you suffer from problems related to orgasm or even enhance your sexual appetite. It does not enhance sexual timing, so should not be used to treat premature ejaculation. Men also shouldn't expect the drug to take the erections to unexpected heights.

    Word of Caution:

    One should never take the drug for recreational purposes. One can end up suffering from minor erectile dysfunction due such abuse.

       9651 Thanks
  • MD-Pharmacology, MBBS
    Sexually Transmitted Diseases (STDs) are infections that you can get from having sex with someone who already has the infection. The causes of STDs are bacteria, parasites, and viruses. These infections often do not cause any symptoms, and can still be passed unknowingly from the infected partner to the other. However, some common symptoms include genital itching, lesions, flu / fever like symptoms and feeling pain / pressure in the lower part of the stomach.

    There are many kinds of STDs including Chlamydia, gonorrhea, genital herpes, syphilis and HIV.

    The important thing to understand and know is that these STDs can be prevented.

    3 ways of preventing STDS are:

    1. Precautions before having sex

    There are some things you can do to reduce your risk of contracting STDs before having sex. This include:

    Limiting the number of sexual partners
    Talking honestly with partners about your sexual history
    Getting tested, along with your partner, before having sex
    Getting timely vaccination against HPV and HBV

    If you have been diagnosed with an STD you should tell your partner about it and also explicitly ask your partner if they have had an STD.

    2. Practice safe sex

    Use a latex condom every time you have sex and use a water-based lubricant. If your sex life involves intercourse, anal or vaginal, make up your mind to never have sex without a condom. If you or your partner is at a high risk of STDs, be consistent about barrier use during oral sex as well. Avoid sharing towels or underclothing to reduce the risk of an STD. Check the expiration date of the condom and make sure that it has an air bubble, which shows it has not been punctured. Dispose the condom properly and never reuse it.

    3. Don't drink Alcohol or use drugs before having sex

    It's impossible to make responsible choices about your sex life under the influence of drugs or alcohol. When you are under the influence of any one of them, you are not in your mind and are likelier to choose a partner you wouldn't have picked otherwise. In that case, you may be at a higher risk of contracting an STD. Also, if you are on birth control pills and you vomit, the pills could lose some effectiveness.

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  • MD-Pharmacology, MBBS
    4 common sex-related fears men harbour

    Men, as confident as they may seem, also live with many fears and anxieties related to sex and sexuality.

    Here are 4 common sex fears among men.

    1. Fear about impotency

    One of the most common sexual fears among men is the fear of impotency. Men fear the consequences of impotency so much so that it leads to psychological impotency, if not biological. The fear of not being able to have an erection mostly comes from anxiety. Thinking too much about not being able to perform well in the bed has been the cause of most cases of impotency. In the case of biological impotence, the problem can be addressed through medications; however psychogenic impotency can be treated only by counseling and reassurance by trained sexual therapist or consultant. Also, understanding and support from the spouse or partner are highly warranted.

    Sometimes men may require multiple sessions with a sexual counselor.

    2. Fear of premature ejaculation:

    Another common fear associated with sex in men is the fear of premature ejaculation. The cause is mostly self-imposed and psychological. Anxiety, fear and over thinking may lead to premature ejaculation and low self-confidence regarding performance in bed. Trying to use the counter drugs, sprays, etc may not work sometimes. The treatment needs to be comprehensive. Many times it needs psychological assistance, some exercises / techniques may help. Any medical assistance or counseling with an experienced sexologist will be helpful require.

    3. Performance anxiety:

    Fear of performance in the bed that they won't be able to perform well enough in bed can also lead to erectile dysfunction in men. It is a very common issue among men that they have to deal with. This fear may arise as a result of prior negative experiences or anxiety. Stress can also lead to erectile dysfunction and result in a fear of performance. In most men, the fear can be decreased by reassurance by the partner and self-realization that this is a usual issue with men. Talking with the partner and a consultation with a sexual counselor will surely help.

    4. Physical attributes:

    Being overweight or too skinny, having a small or curved penis and several other insecurities related to their physical appearance may act as a common cause of sexual fears in men. Such an imperfect body may make men think that they won't be able to perform well enough in bed or worse that they may be rejected altogether by their partner. This leads to anxiety and prevents them from taking the leap and daring to propose sex at all.

    If you would like to consult with me privately, please click on 'consult'.
    Related Tip: Why Do Men and Women Respond Differently After Sex?
       3830 Thanks
  • MD-Pharmacology, MBBS
    Erectile dysfunction: part 2

    How to manage it effectively?

    There are enough options available which can keep every man sexually active regardless of the cause of erectile dysfunction (ed). Here's how therapy can take place.

    Counselling sessions:

    As with an electrical circuit, if there are any breaks in the system it will not function as a unit. Part of the process of psychosexual therapy would be to think about the actual emotional and/or psychological issues behind ed, and to attend to these with weekly counselling sessions. This realisation is an important first step for you to begin and resolve your erection problem. The patient normally implements the therapy advice at home, either alone or with a partner, between therapy sessions. This may help you maintain an erection for once, gradually building confidence.

    Relieving sexual anxiety:

    Telling your partner before you make love that you have this anxiety, and the feelings it causes. As a result, your partner will understand, and the two of you can work on it together.

    You can reduce some worries by being more giving with foreplay, even if your sexual performance isn't what you or your partner wanted, your partner will still be satisfied.

    Consider regular exercise which brings confidence in your body as your energy is also an important part of overcoming sexual anxiety.

    Non-medical therapies

    Watermelon juice (nature's viagra) and ginseng (herbal viagra): l-citrulline, an amino acid, present in watermelon can bring about significant improvement in blood flow to the penis, showing an improvement in erectile function. Another herb called ginseng, specifically 'red ginseng,' is known as the 'herbal viagra' that can improve sexual performance. Several research studies provide evidence for the effectiveness of these herbs in ed treatment.

    Kegel exercises: pelvic exercises, involving the portion of the body between your waist and thighs, are commonly known as kegel exercises. Three months of kegel exercises twice daily can help to significantly improve your erection ability which strengthens the penile muscle. They also promote urinary control.

    Acupuncture therapy: the acupuncture needles are placed in the wall of the abdomen. By stimulating specific acupoints, the practitioner aims to restore the proper flow of energy in the body resolving ed.

    Eat right: scientific study at Massachusetts on male aging has found that eating a diet rich in fruit, vegetables, fish with fewer red and processed meat, whole and refined grains decreased the likelihood of having ed. Intake of a daily multivitamin and fortified foods is the best remedies for treating ed.

    Walking: just 30 minutes of walking a day is linked to 41% drop in risk for ed. Moderate exercise can help restore sexual performance in obese middle-aged men with ed.

    Attention towards vascular health and making body slim: high blood pressure, high blood sugar, high cholesterol, and high triglycerides can all damage arteries in the penis along with heart and brain thereby leading to ed. Maintaining a trim waistline is a good defence for ed, as men with a 42-inch waist are 50% more likely to develop ed in comparison to 32-inch waist people.

    Avoid excessive alcohol: chronic heavy drinking of alcohol can cause liver damage, nerve damage, and other conditions, interfering with the normal balance of male sex hormone (androgens) levels ultimately leading to ed.

    Intake of l-arginine: l-arginine, an amino acid, which is naturally present in the body and helps make nitric oxide, supports a successful erection. Nitric oxide is responsible for making the blood vessels relax, which helps sustain an erection for men.

    Medical therapy:

    Ed can also be treated with oral medications, drugs insertions or injections into the penis. Oral medications that are normally prescribed to treat the dysfunction work for about 80% of men. They work by boosting the natural signals, which are generated during sexual activity so as to help you sustain an erection. Alprostadil is a type of medicine that causes blood vessels to expand, increasing blood flow to the penis, thus facilitate an erection. Cialis, Levitra, staxyn and viagra work by a similar mechanism to cause erections. There are subtle differences in how long the drug works and how quickly it works. A vacuum erection device is a plastic tube that slips over the penis, making a seal with the skin of the body. A pump at the other end of the tube creates a low-pressure vacuum around the erectile tissue, which results in an erection.

    Ayurvedic medications:

    Klaibya in Ayurveda is defined as the inability to attain and keep sufficient rigid (firm) erection which is very essential during sexual intercourse for the sexual needs or the needs of his female partner. Also vajikarana in Ayurveda means producing a horse's vigor. Some of the herbs used in vajikarana include:

    Bulb of allium sativum (garlic)

    Root of asparagus recemosus (shatavari)

    Root of boerhavia diffusa (punarnava)

    Whole part of Cocculus cardifoli (guduchi)

    Root of panax ginseng (ginseng)

    Seeds of myristica fragraus (nutmeg)

    Leaf and root of withania somnifera (ashwagandha)

    Leaf and seeds of ginkgo bioloba (ginkgo)

    Pitch of asphaltum bitumen (shilajit)

    Dried root of lepidium meyenii (maca)

    If you would like to consult with me privately, please click on 'consult'.
    Related Tip: Knowing Erectile Dysfunction. PART 1: Don't Get Carried Away by Misconceptions
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  • MD-Pharmacology, MBBS
    Knowing Erectile Dysfunction. Part 1: Don't Get Carried Away By Misconceptions

    What is Erectile Dysfunction (ED)?

    A person having erectile dysfunction (ED) is not able to achieve and/or maintain an erection of the penis sufficient for sexual activity. So, penis do not get hard at all or not enough for doing sex.

    ED is responsible for great deal of stress and anxiety as well as low self-confidence in men. Mostly its occasional, when you cannot get an erection and it is only temporary. Normally after emotional or physical stimulation there is an increased filling of blood in sponge like tissue of penis and decreased blood flow out of penis, so blood remain trapped in penis and it becomes hard and erect.

    Your ability to have erection is dependent of multiple factors like our emotions, hormones, nerves, blood vessels and cells of penis itself. A problem with any of these elements can cause ed. It can occur at any age, but becomes more common with increasing age. In the older adult male, it is a major problem affecting more than 75% of men.

    Common Causes of ED

    Physical causes indicate you have problems with penile structure itself or any bodily disease affecting it. Diseases include less blood flow to the penis or injury of the nerves going to the penis (for example, multiple sclerosis, a stroke, parkinson's disease, spinal injury etc.).

    Lifestyle disorders like high blood pressure (bp), obesity (high body weight than normal for our height and age), diabetes (high blood sugar).

    Also lack of male sexual hormone called testosterone, alcohol and drug abuse, clogged blood vessels (atherosclerosis) and side effects of some medications causes ed. Sometimes psychological issues like anxiety, stress due to work or home environment, depression, relationship difficulties leads to ed.

    Myths Associated with ED

    Myth 1: ED is part and parcel of your body's aging process

    Contrary to popular belief, ED is not a normal part of the aging process. If you're having difficulty in getting an erection, the underlying cause can be medical in nature such as undiagnosed or diagnosed cardiovascular disease, high blood pressure or diabetes.

    Myth 2: ED can't be reversed

    Through the right treatment and certain lifestyle changes, most of the cases of ED can be reversed to almost normal. It is said that sexual health and erectile performance can be enhanced when you improve the health of your heart. Exercising to bring about weight loss and quitting smoking are ways that experts advocate for improving the health of your heart.

    Myth 3: You are the only person to suffer from this problem

    The common belief that ed affects only a few men is not true. Scientific studies show that ed strikes about 5% of men aged 40 years and between 15-25% of men aged 65 years.

    Myth 4: It's completely in your head

    This isn't true at all. The source of the problem could be certain parts of your body. In most cases, the cause is usually certain physiological problems such as heart disease, clogged arteries, high cholesterol, and parkinson's diseases etc

    Myth 5: Only drugs and surgery can help you remove the problem

    ED can be treated using a number of treatment options. Apart from pills and surgery, simple lifestyle changes can help to provide respite from the problem. Decreasing the consumption of alcohol, losing weight and even quitting smoking can improve your sexual health. Moreover, since the problem can also be due to an underlying medical condition such as high blood pressure; treating the underlying cause can help in easing your erection problems.

    If you would like to consult with me privately, please click on'consult'.
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  • MD-Pharmacology, MBBS
    How to manage premature ejaculation - part 4, medical treatment options

    As discussed earlier, premature ejaculation (pe) occurs when a man reaches the peak of sexual excitement and ejaculates before he wants it to happen. When pe interferes with the sexual pleasure of a man or his partner, it becomes a medical problem.

    Several factors such as psychological problems (eg. Anxiety), penile hypersensitivity, habituation of quick sex / masturbation, alcohol abuse, hormonal imbalance (e. G. Thyroid problem), and even genetic problems may cause pe.

    Medical (allopathic) therapy for pe treatment:

    Drugs used for the management of pe reduce sensitivity and anxiety, improve blood flow or even affect some chemical mediators present in the brain. These classes of drugs include local anaesthetics, antidepressants, and phosphodiesterase 5 inhibitors.

    Anaesthetic compounds were the first medical treatment proposed for pe management. They were applied topically to the surface of the skin. Lidocaine-prilocaine sprays or creams decrease the sensation of the penis and increase the time taken to ejaculate during vaginal penetration. These sprays / creams are applied 10 to 20 minutes prior to sexual activity. Side effects of topical agents include partial loss of sensation of the penis, absorption in vagina resulting in vaginal numbness and irritation.

    Treatment medications include selective serotonin reuptake inhibitors (ssris), which interact with a receptor (5-ht2c) present in brain and increases the production of serotonin. They also help in reducing anxiety and depression associated with pe. Through this mechanism, they prolong the time to reach ejaculation.

    Several ssris have increasingly become used as" off-label" for pe. Among the available ssris, paroxetine and dapoxetine are more beneficial with lesser side effects as compared to other ssris. These medications are associated with sexual side effects including decreased fertility and erectile dysfunction. Dapoxetine is a recent ssri which acts quickly and cleared rapidly from the body. Adverse effects with ssris are usually minor and include fatigue, mild nausea, loose stools and sweating. Other side effects may include decreased sexual urge and increased tendency to suicide, especially with long-term paroxetine.

    Another potential treatment option for pe are classes of medications which increase the blood flow by dilating the blood vessels of the penile region and prolong the ejaculation time (phosphodiesterase 5 inhibitors). But a headache, dizziness, flushing, body aches associated with them have limited their use in pe.

    At present, clinicians need to consider all treatment modalities when evaluating a man with pe, as each patient may respond differently and experience variable side effects. Additional and more effective therapies need to be developed having least side effects.

    Ayurvedic therapy for pe treatment:

    Vajikaran in Ayurveda is an important treatment modality which increases sexual capacity and improves health. In Sanskrit, vaji means horse, the symbol of sexual potency and performance thus vajikaran means producing a horse's vigor, particularly the animal's great capacity for sexual activity in the individual. Vajikaran therapy reenergizes all the seven dhatus (body elements) and restores equilibrium and health. It also offers a solution to minimize the shukra (sperm and ovum) defects.

    There are many formulations which are used in vajikaran. Some of the commonly used formulations include vrihani gutika, vrishya gutika, vajikaranam ghritam and upatyakari shashtikadi gutika. Vrihani gutika is one of the potent formulations while vrishya gutika is highly potent aphrodisiac used in the treatment of pe. Vajikaranam ghritam enhances the strength of penis. Upatyakari shashtikadi gutika is useful for the enhancement of the fertility.

    Also, chapdraprabha vati and kaunch pak are known to increase sexual vigor and semen consistency, thereby helping to prolong ejaculation time and sex pleasure.

    If you would like to consult with me privately, please click on 'consult'.

    Related Tip: Knowing Premature Ejaculation - PART 3: Management and Techniques (Non-medical methods)
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  • MD-Pharmacology, MBBS
    Knowing premature ejaculation - part 3: management and techniques (non-medical methods)

    As shared in part 1and 2 of this series, because of premature ejaculation (pe), both the partners may end up experiencing highly unsatisfactory sex. In fact, it can increase anxiety, which may deteriorate the problem.
    Remember there is not a single magical drug or medicine in the chemist shop which can solve your problem overnight especially if you have chronic pe. Before seeking any medical treatment for pe, it is appropriate to consider the varied options for solving this issue. These include counseling with a sexual therapist, non- medical treatments like various exercises/ techniques and medical treatments including both modern and alternative medicine.

    A. Counseling from an expert - sexual therapist or sexual medicine practitioner:
    It is well understood that sex is in the mind. However, repeated pe/ failures can lead to lot of stress and disappointments. Anxiety due to pe itself is a big issue and can lead to recurrence of pe.
    Reassurance from sexual therapist / counselor that pe is not a disease and can be easily treatable is relaxing for men who are facing this problem. So please share your detailed history and sexual habits with the expert. This may help the expert to guide you well.

    B. Behavioral changes:

    Some basic things may also help you to deal with the problem.

    1. Some men attempt to treat themselves for premature ejaculation by distracting themselves by thinking nonsexual thoughts (such as naming cricket players and records) to avoid getting excited too fast when approaching their partners. This helps them to focus their attention away from the sexual stimulation.

    2. It is also suggested to men that they should relieve themselves of the sexual tension by ejaculating with self masturbation 1-2 hours before attempting sexual intercourse with their partner.

    3. Using condoms is known to help in premature ejaculation in some men by decreasing sensation.

    4. Women on top position usually helps to delay orgasm in men

    C. Exercises & techniques:

    There are several exercise and techniques you can try sitting in your home.

    1. The" stop and start" method:
    This technique involves sexually stimulating the man by self until he feels like he is about to reach orgasm. Then he needs to stop the stimulation for about 20-30 seconds and then start it again. Repeat this pattern until the man wants to ejaculate. This can be continued for 10-15 minutes. At the end of say, 10th or 15th minute, continue stimulation until the man reaches orgasm and ejaculates.
    2. The" squeeze" method:
    This technique involves sexually stimulating the man by self or by his partner until he recognizes that he is about to ejaculate. At that point, the man or his partner gently squeezes the end of the penis (where the glans penis meets the shaft) for at least 15 seconds. Stop sexual stimulation for about 60 seconds, and then start it again. The person or couple may repeat this pattern for at least 10-15 minutes. At the end of say, 10th or 15th minute, continue stimulation until the man reaches orgasm and ejaculates.
    3. Practice breathing exercises

    Deep breathing can greatly help in controlling the arousal and tension that cause early ejaculation. Men must avoid shallow breathing as it can trigger premature ejaculation. Instead, what you should do is spend 5 seconds taking in a long deep breath; then hold it for 3 seconds and then exhale for the next 5 seconds. If you can do this for 5 minutes in the bedroom without pause then you can control premature ejaculation.

    If you would like to consult with me privately, please click on'consult.
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  • MD-Pharmacology, MBBS
    Knowing Premature Ejaculation - PART 2: Diagnosis, Types & Causes

    As many as 30-40 % men across the world including India experience problem of PE at some time of life. In Part 1, we learnt about the condition called Premature Ejaculation (PE). In this 2nd part, let’s understand about it’s diagnosis & types of PE - why and how it happens.

    How to Diagnose PE:

    The specific criteria for premature (early) ejaculation are as follows:
    - In almost 75-100% sexual activity, the experience of ejaculation occurring during sexual intercourse within 1 minute after vaginal penetration and before the individual wishes it.
    - The problem has persisted for at least 6 months and is a cause of mental stress to the person.
    - The dysfunction cannot be better explained by any other nonsexual mental disorder, any medical disease, the effects of a drug or medication, etc

    Severity of PE:

    The severity of premature (early) ejaculation is broadly defined as follows:
    1. Mild (occurring within approximately 30 seconds to 1 minute of vaginal penetration)
    2. Moderate (occurring within approximately 15-30 seconds of vaginal penetration)
    3. Severe (occurring even before sexual activity, at the start of sexual activity, or within approximately 15 seconds of vaginal penetration). In such cases conception will not be possible unless artificial insemination is used.

    TYPES and Characteristics of P.E. :
    Premature ejaculation can be Chronic (lifelong) or Acquired (recent).
    Chronic PE:
    With chronic (lifelong) premature ejaculation, the person has been experiencing premature ejaculation since he became sexually active (ie, post puberty).
    Acquired PE:
    Acquired (recent) premature ejaculation means that the condition began in an individual who previously experienced an acceptable level of ejaculatory control and only recently has developed PE.

    What are the Causes?
    The causes of PE can be divided into two broad sub-heads, which are psychological or biological cause:

    1. Psychological Causes:
    Premature ejaculation is believed to be a psychological problem and does not represent any known organic / physical disease involving the male reproductive organs or any known defect in the brain or nervous system. It is usually due to a pattern that is hard to change and is a result of your previous sexual experiences.

    One of the most common reason is childhood habit of reaching climax/ ejaculation quickly because of fear of discovery when masturbating or during early sexual experiences with a female partner. This pattern of rapid attainment of sexual release is difficult to change in later stage of life (in marriage or long-term relationships).

    Other reasons are situations in which one may have hurried climax/ ejaculation in order to hide any problem or feelings of guilt that make you rush through sexual encounters. Also, psychological causes include anxiety and relationship issues which can also result from deep anxiety about sex that relates to bad experiences encountered by the patient during development (eg: incest, sexual assault, conflict with parents, etc ).

    2. Biological Causes

    A number of researchers have found differences in nervous stimulations and hormonal differences in men who experience premature ejaculation compared with individuals who do not.

    Some believe that some men have hyper-excitability or oversensitivity of their genitalia.

    Abnormal functioning of the ejaculatory system can be attributed to:
    - Thyroid problems; infection or inflammation of the urethra or prostate.
    - Nerve damage occurring due to trauma or surgery (a very rare cause).
    - Abnormal levels of hormones and/or neurotransmitters (chemicals present in the brain)
    - Higher free and total testosterone levels or varied other biochemical markers
    *The research however has been non-conclusive.

    In Part 3 and 4, we will discuss the right approach and therapy for the men / couple suffering due to PE.

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