Dr. Ramesh Maheshwari Wnho Clinic in Tilak Road, Pune - Book Appointment, View Contact Number, Feedbacks, Address | Dr. Ramesh Maheshwari

Dr. Ramesh Maheshwari Wnho Clinic

Allergist/ Immunologist, Dermatologist/ Cosmetologist, Sexologist
14 Recommendations
2 Doctor Recommendations
Practice Statement
Our medical care facility offers treatments from the best doctors in the field of Laser Specialist, Sexologist.We are dedicated to providing you with the personalized, quality health care that you deserve.

More about Dr. Ramesh Maheshwari Wnho Clinic

Dr. Ramesh Maheshwari Wnho Clinic is known for housing experienced s. Dr. Ramesh Maheshwari, a well-reputed Allergist/ Immunologist, Dermatologist/ Cosmetologist, Sexologist , practices in Pune. Visit this medical health centre for s recommended by 44 patients.

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Clinic Address
WNHO- Clinic, Dhanwantri Building, Office No. 3 Tilak Road, Opposite ICICI bank, Near SP College
Pune, Maharashtra - 411044
Details for Dr. Ramesh Maheshwari
Government Medical College,Nagpur
Open International University, Colombo
Professional Memberships
American Association of Sexuality Educators Counselors and Therapists (AASECT)
Fellow of the Royal Society of Health (FRSH)
Indian Andropause Society
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Council of Sex Education & Parenthood International (CSEPI)
Life Member of Indian Medical Association
Secretary of Indian society of sex Medicine.
Past Experience
1999 - 2014 Consultant at WNHO Clinic
2002 - Present Assitant Professore at D.Y.Patil Medical College Pimpri
2008 - Present Honorary Consultant at Sexual Medicine OPD at ABMH Aditya Birala Memorial Hospital
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2000 - 2014 Hon Sexologist at Indian Society Of Sex Medicine
1996 - 1999 Hon Consultant at Inlacks Bhudrani Hospital
1999 - 2004 Allergist & Asthma Specilist at Lokmanya Hospital, Chinchewad
  • MBBS, MD-Dermatology
    Allergist/ Immunologist, Dermatologist/ Cosmetologist, Sexologist
    Consultation Charges: Rs 500
    14 Recommendations · 4137 people helped
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  • MD-Dermatology, MBBS
    Men are always concerned about their size and in extreme cases, this concern is also a cause of anxiety disorders. Even though, a large penis does not provide men any edge in terms of sexual pleasure, still it is big cause of concern for most of them. Other factors like erectile function and length of sexual intercourse play a more important role in sexual pleasure.

    Here are the 5 ways to enlarge your penis:

    Have lots of fruits and vegetables: For a healthy and long penis, you need to have fruits and vegetables high in antioxidants. These elements are very helpful in fighting free radicals (elements that damage your body) that form in the blood vessels. Additionally, antioxidants also help in strengthening the blood vessels.
    Say yes to exercise: Exercising regularly can significantly affect your penis size and cause you to have a long and healthy penis. By exercising from time to time, you end up improving blood flow to the organ as well as clearing up the blood vessels.
    Cut down on your stress levels: Stress and anxiety can also reduce the size of your penis. This happens as negative feelings cause blood to flow from the penis. As a result, it becomes very difficult to increase the size of the organ. Another reason that can contribute to the small size of your penis may be sexual performance anxiety.
    Quit or reduce smoking: Smoking can considerably affect the size of your penis due to the blockage that small tobacco smoke particles create in the arteries that supply blood to the penis. Moreover, since smoking is associated with heart diseases, the flow of blood to several organs in the body gets affected including the penis.
    Take a warm shower: A warm shower can aid in increasing blood flow to not only your body but also the penis. The warmth of the water aids in augmenting blood flows into the organ, enabling the growth of the penis.
       4558 Thanks
  • MD-Dermatology, MBBS
    Lions hair growth & skin retone clinic.

    Note free consultation and followed by following procedures laser + prp, hairloss +prp and filler + prp at 50% concessional rate only by priore appointments.

    Reyouth prp is a concentration of platelet cells taken from your blood, and these platelets have growth factors that may helpin theskin regenerative process. Millions of growth factors in reyouth prp activate the skin regeneration and help destroyed and ageing cells restored or newly created, stimulating collagen and elastin under your skin. As a result, it will naturally rejuvenate your skin and subcutaneous tissue.

    Simple proceduree it takes only 20 minutes.

    Convenient - 3-6 treatments 2-6 weeks required.

    Strong efficacy - prp gives you a more youthful appearance getting rid of blemish, scars, sun damages and fine wrinkles well as helping the skin improve its tone, texture and elasticity.

    No side effects- as prp is harvested from your own blood, there is no chance of experiencing any side effects or allergic reaction.


    * how long does a procedure take?

    Prp is very simple procedure as it just takes 5-10 minutes.

    * when can I see results after reyouth prp treatment?

    You will seesatisfactory result in a week after the treatment and the result continuously improve over time and subsequent sessions.

    * are reyouth prp injections safe?

    Prp injection is safe as harvested from your own blood. Prp is approved by fda. Ce, and kfda. So feel free from side effects and allergic reactions.

    * can I get back to daily life after reyouth prp treatment?

    You can quickly return to your daily life as the injected parts are recovered in 2-3 days.

    * how long do the rejuvenative effects last?

    While effect of most cosmetic injection last short, prp last years to gether.

    Reyouth prp isa leading edge therapy that provides outstanding results without using any chemical substances. Reyouth prp is very safe treatment with almost no side effects.

    Retone, renourish, recraft and revitalize by the above clinic.

    Posted by Dr. Ramesh maheshwari, wnho clinic, pune. Phone 9822006427.


       2 Thanks
  • MD-Dermatology, MBBS

    Acquired immuno deficiency syndrome (aids)


    Hiv I or hiv ii virus


    1. Sexual
    Heterosexual (often prostitutes)
    Multiple sexual partners

    2. Blood and body fluids
    Contaminated blood and blood products
    A) blood transfusion
    B) blood products eg. Factor viii

    3. Contaminated needles and syringes a) inadequately sterilized medical equipment. B) intravenous drug abuser (drug addicts)

    4. Mother to child
    In utero
    At birth
    Breast milk

    5. Organ and tissue donations
    Kidney, skin, cornea
    Bone marrow


    Low grade fever of unknown origin.
    Unexplained diarrhoea
    Tb (atypical mycobacterium) with
    Evening rise of fever
    Weight loss
    Appetite loss
    Chest pain
    Blood stained sputum
    Respiratory infections like pneumonia (p. Carinii)
    Cancers (increased chances)

    It is important to know that a patient may be infected with hiv virus but may not check the positive in the routine tests. This is called the window period where the level of antibodies is not detectable hence the person test negative for hiv.

    Do's and don'ts:

    Use condom during intercourse
    Patient with antibodies to hiv should not be allowed to donate blood, semen or tissue i. E. Individual who knows that he has aids should not donate blood.
    Avoid having more than one sexual partner avoid iv drug abuse.
    Confirm with the physician whether he is using disposable syringes, sterile needles and infusion sets.
    Avoid intercourse with prostitutes
    Mother having aids should not breast feed her child
    If even required to receive blood transfusion confirm that
    The blood has been tested for hiv

    Consult your doctor:

    Consult your doctor if there is presence of one or more of:
    Fever more than 100*f for 1 month in absence of other cause involuntary weight loss more than 10% of body weight or more than 15 lbs in a short period.
    Intermittent or continuous diarrhoea persisting for more than 1
    Month in absence of any other cause
    Swellings in any part of the body
    Bleeding associated with weight loss and appetite loss leukoplakia (white patches in mouth or on tongue) or skin rashes which are recurrent and not resolving respirating disorders with fever, malaise, blood tinged sputum.

  • MD-Dermatology, MBBS
    Skin allergy

    Dr. Ramesh maheshwari, pune

    Irritated skin can be caused by a variety of factors. These includeimmune system disorders, medications and infections. When an allergen is responsible for triggering an immune system response, then it is an allergic skin condition.

    Q1 what are common skin allergies?
    Bumps, itching, redness and other skin conditions are very common, and their cause may not be easily identifiable. Rashes can be caused by many things, including plants (poison ivy, for example), allergic reactions to a medication or a food, or an illness (measles or chickenpox, for example). Eczema and hives, both of which are related to allergies, are two of the most common skin rashes.

    Atopic dermatitis

    Atopic dermatitis is the most common form of eczema, affecting between 10 and 20 percent of children and 1 to 3 percent of adults. A common symptom of atopic dermatitis is dry, red, irritated and itchy skin. Sometimes, especially when infected, the skin may have small, fluid-filled bumps that ooze a clear or yellowish liquid. People with atopic dermatitis often have a family history of allergies.


    Hives (urticaria) are red bumps or welts that appear on the body. The condition is called acute urticaria if it lasts for no more than six weeks, and chronic urticaria if it persists beyond six weeks. Acute urticaria is most commonly caused by exposure to an allergen or by an infection. The cause of chronic urticaria is largely unknown.

    Contact dermatitis

    Contact dermatitis is a reaction that appears when the skin comes in contact with an irritant or an allergen. Symptoms can include a rash, blisters, itching and burning.

    Soaps, laundry detergents, fabric softeners, shampoos or even excessive exposure to water can all cause contact dermatitis. Other items that can cause a reaction are metals (such as nickel, a component of stainless steel and other alloys used to make costume jewelry), adhesives, nail polish, topical medications, plants and latex gloves.

    Sometimes an allergen won't cause a skin reaction unless the skin is also exposed to sunlight. This condition is called photo allergic contact dermatitis. It can occur with products such as shaving lotion, sunscreen and some perfumes.

    Latex allergy

    Latex allergy usually develops after repeated exposure to latex products, including balloons or medical gloves. Symptoms may include hives, itching or a stuffy or runny nose. Some people may experience asthma symptoms, such as wheezing, chest tightness and difficulty breathing.

    Allergic reactions to latex are less common now, since many hospitals and health care workers have switched to non-latex gloves or low-protein latex gloves.

    Q2 are skin allergy specific to different age group?

    No age group specific to allergies.

    Q3 what are causes of the allergies?

    Causes of skin allergies-

    It takes at least 10 days to become sensitive to something after your first contact with it. You might even be able to touch something for years before you have anallergic reactionto it.

    But once you develop anallergy, you could have a reaction within a few minutes of coming into contact with it. Or it might take a day or two.

    The mostcommon causes of skin allergiesinclude:

    Nickel, a metal used in jewelry and snaps on jeans,makeup, lotions, soaps, and shampoos
    Sunscreens and bug sprays
    Medicationsyou put on your skin, likeantibioticsor anti-itch creams
    Cleaning products
    Plants, includingpoison ivy
    Latex, which is used in stretchy things like plastic gloves, elastic in clothing,condoms, and balloons

    You're more likely to have certain skin allergies if you a have skin condition likeeczema(atopic dermatitis, inflammationin your lower legs because of poor circulation,itchingin your private parts, or you often get swimmer's ear.

    Q4 what are the symptom?

    Symptoms of an allergic reactionusually develop within a few minutes of being exposed to something you're allergic to, although occasionally they candevelop gradually over a few hours.

    Althoughallergic reactionscan be a nuisance and hamper your normal activities, most are mild. Very occasionally, a severe reaction called anaphylaxiscan occur.

    Common symptoms of an allergic reaction include:

    Sneezing and an itchy, runny or blocked nose

    Itchy, red, watering eyes

    A raised, itchy, red rash (hives)
    Swollenlips, tongue, eyesor face
    Tummy pain, feeling sick, vomitingordiarrhoea
    Dry, red and cracked skin

    The symptoms vary depending on what you're allergic to and how you come into contact with it. For example, developa rash if you have a skin allergy, or feel sickif you eat something you're allergic to.

    Severe allergic reaction (anaphylaxis)

    In rare cases, an allergy can lead to a severe allergic reaction, called anaphylaxis or anaphylactic shock, which can be life-threatening.

    This affects the whole body and usuallydevelops within minutes of exposure to something you're allergic to.

    Signs of anaphylaxis include any of the symptoms above, as well as:

    Swelling of the throat and mouth
    Difficulty breathing
    Blue skin or lips
    Collapsing and losing consciousness

    Anaphylaxis is a medical emergency that requires immediate treatment. Read more aboutanaphylaxisfor information about what to do if it occurs.

    When to see your doctor about rashes

    Go to the hospital immediately if you experience a rash along with any of the following symptoms:

    Increasing pain or discoloration in the rash area
    Tightness or itchiness in the throat
    Difficulty breathing
    Swelling of the face or extremities
    Fever of 100.4f or higher
    Severe head or neck pain
    Repeated vomiting or diarrhea

    Other systemic symptoms including:

    Joint pain

    A sore throat
    A fever slightly above 100.4f
    Red streaks or tender areas near the rash
    A recent tick bite or animal bite

    Q5 what kind of medication can take up if affected by skin allergy?

    Allergy medications are available as pills, liquids, inhalers, nasal sprays, eyedrops, skin creams and shots (injections).


    Antihistamines block histamine, a symptom-causing chemical released by your immune system during an allergic reaction.

    Pills and liquids

    Oral antihistamines, available as over-the-counter and prescription drugs, ease runny nose, itchy or watery eyes, hives, swelling, and other signs or symptoms of allergies. Because some of these drugs can cause drowsiness and fatigue, they shouldn't be taken when driving or doing other potentially dangerous activities.

    Antihistamines that tend to cause drowsiness include:

    Diphenhydramine (benadryl)

    Skin creams

    Corticosteroid creams relieve allergic skin reactions such as itching, redness, scaling or other irritations. Some low-potency corticosteroid creams are available without a prescription.

    Side effects can include skin discoloration and irritation. Long-term use, especially of stronger prescription corticosteroids, can cause thinning of the skin and disruption of normal hormone levels. Examples include:

    Betamethasone (dermabet, diprolene, others)
    Desonide (desonate, desowen)
    Hydrocortisone (cortaid, micort-hc, others)

    Q6 are there any precaution for skin allergy?

    Several precautions to consider include:

    maintain an allergen free environment at home
    focus on your bedroom: keep your pets out, eliminate the rug because it collects dust and avoid feather pillows
    make sure the fireplace is well-ventilated and be careful of any leakage
    keep basement and bathroom dry to avoid mold growing in these damp areas of the house
    have your heating system cleaned to avoid dust mites when you first turn on the heat

    Food itemsthat should be completely avoided during those couple of daysyou face itchy rashes on your body. This will help you in preventing the situation to worsen.

    Foods to avoid in itchy rash

    Histamine content foods

    Histamineis one of those nutrients that can aggravate or highly worsen the situation of an itchy skin. These include cannedfish, smoked fish, soy sauce, champagne, beer, vinegar,mayonnaise, wine, sausages, salami and a lot more. Read the ingredients list before consuming. All kinds of fermented foods are high in histamine.


    Food items thatcan increase the issues of itching skin is sea food. Fromoystersto shell fish and crabs to squids and shrimps everything should be kept at bay until you completely recover from this skin crisis.

    Foods that boost the secretion of histamine

    Arecertain foodsthat tend to stimulate the histamine amount in the body includingchocolates, strawberries, egg whites, citrus fruits like oranges and lemon, nuts, milk

    All kinds of dairy products

    From milk to yoghurt and cheese to creams, forget them for a while until you are successful in curing the skinailment

    Care to taken-

    Keep your body dry by avoiding outdoors during the hottest time of the day.

    Take a shower to cool down or apply cool, wet towels over overheated areas.

    Wear lightweight and loose-fitting clothing

    Drink plenty of water

    Keep skin folds clean and dry

    Wear loose-fitting, clean clothing

    Take shorter baths or showers

    Moisturize your skin at least twice a day.

    Wear protective clothing or gloves when dealing with irritants

    Avoid stress injury to skin,

    Prevent following things-

    Perfumes and fragrances: unwanted scents

    Latex in rubber gloves, condoms, and other products

    Nickel: a common component of jewelry

    Hair dye and tattoos

    Beauty products and cosmetics

    Topical creams and ointments

    Sunscreen ingredients
  • MD-Dermatology, MBBS

    Medico legal aspects of sex therapy
    Sex and human sexuality are sensitive subject. To deal effectively with any problem of human sexuality, one has to constantly evaluate its merits and demerits from social, scientific, moral, ethical and most importantly from the legal angle. Following are some of the guidelines for therapist to keep in mind while dealing with clients with sexual problems.
    Taking informed and expressed consent is of utmost importance while managing any patient. Examining and / or treating a patient without consent would amount to assault and battery which is punishable under criminal law irrespective of absence of negligence or successful outcome of treatment. The consent should be free willed, informed, intelligent, specific and express. Person giving consent should be competent to do so, failing which, consent should be obtained from the lawful guardian of the patient (in cases of minor and/or mentally retarded).
    Examinition of a female client
    Besides obtaining a valid consent, in case of female patient, the therapist should always have a female assistant present when examining a female patient this is important for the therapist in order to protect himself from a possible charge of indecent behaviour molestation or even sexual offence like rape ect. Being llevelled against him. Mere presence of husband or any male companion of the female patient is not enough. A sex therapist, in particular, is most vulnerable and therefore should be most careful.
    Use of surrogate partners
    Use of surrogate partners for sex therapy is questionable both ethically as well as legally. Sexual involvement of the therapist is universally accepted as unethical. There have been a number of cases where the therapists themselves, having acted as surrogates, have been punished for sexual molestion of their patients. It may also invite a criminal charge of adultery in some countries, including india. There are cases on record where the therapists have been charged with and convicted of rape.
    Unlike some other countries, the socio cultural set up in india is different. The laws governing sexual behaviour are neither liberal nor evolved as much as in some of the western countries. Besides, surrogacy is likened to prostitution by many. Even if one were to consider surrogate partner as a therapist, then the ethical code prevents a sexual relationship with a client. Moreover, there is every possibility of a disease being transmitted. Particularly the hiv infection, in view of sex with multiple partners by a surrogate person.
    Therapist should have uppermost in mind the special values of intimacy and love that our culture teaches us to nurture.
    Professional competency
    It is the ethical responsibility of every sex therapist to maintain high standards of professional competence and integrity. Competence without integrity or integrity without competence is an unsatisfactory compromise of professionalism. It is most important to protect the public and the other professionals from persons who represent themselves as sex therapists who are in fact lacking in competence and intergrity.
    Competence in another primary discipline such as psychology, psychiatry or counselling is not equivalent to competence in sex therapy.
    A sex therapist should possess adequate knowledge of the following:

    1. Sexual and reproductive anatomy and physiology.
    2. Developmental sexuality from a psychobiological point of view.
    3. Marital, family and interpersonal relationship and socio-cultural factors in sexual values
    4. Physiological and medical factors that may influence sexual functions such as pregnancy, contraception and fertility, illness, disability, medications.
    5. Multimodel techniques and theory of sex therapy and psychotherapy.
    6. Pharmacology of the medications used to treat sexual dysfunctions particularly with respect to their adverse effects and interactions with the drugs being consumed for other ailments.
    7. Ethical issues in sex therapy and principles of evaluation and referral.
    8. Laws related to sexual behaviour.

    Points to bear in mind

    all forms of sex therapy which violate the local laws should be handled with care recommending oral sex as a part of therapy is violative of section 377 of the indian penal code which deal with unnatural sexual offences.
    the hippocratic oath forbids the physician to take advantage of the therapeutic context in order to engage in either homosexual or heterosexual relationship.
    it is a universal rule that whenever dealing with reproductive functions is involved, express consent of both the spouses should be obtained.
    proof of competence is the ability to provide objective and responsible services to the clients.
    there does exist a potential liability under the laws of the land prohibiting consensual conduct such as prostitution, fornication, lewd and lascivious behaviour and adultery which might arise from therapeutic or non- therapeutic sex research activities.
    sex between therapist and client is always unethical. No matter how therapeutic the rationale might appear, there is no justification for a therapist having sex with a client. The purpose of sex therapy is to improve function, not to change values or beliefs of the client.
       1 Thanks
  • MD-Dermatology, MBBS
    First night failure


    The first night or honeymoon night of marriage traditionally means the first sexual encounter for an Indian couple. It is the moment when society legally permits the consummation of the union of man with women. The first night is the most awaited night in one's life.

    Unfortunately, as sexologists, we come across a large number of clients failing on their night. The first-night failure' often results in sexual dysfunctions, social maladjustments, marital disharmony and even divorce.

    Why failure?

    The first night has been given special importance from ancient days. Our Sanskrit literature gives detailed descriptions and exotic fantasies woven around the first night. In the kumar saum bhava, Kalidasa takes liberty in describing the love dalliance of the newly wedded shiv and uma.

    Our cinema has glorified the first night. The entry of the bridegroom in the decorated bedroom, flower bedecked beds, the bride, veil, glass of milk, sweets and the magic moment begins! today, a large number of novels in vernacular languages are available under erotic titles glamourising the sexual raptures of the first night. So the first night become the most special night of a young couple's life i. E the golden night'. In our culture, till today in many parts of india, adolescent boys and girls are not allowed to interact with each other socially (except in some tribal societies) once the girls attains puberty. Marriages are fixing by elders. There is hardly any change of courting. The first night in reality becomes the first encounter' to know each other. Some young individuals are scared to death about their performance on the first night. Their fear is doubled by misguiding friends, yellow books, white self-advertised pamphlets by quacks and blue films. They have a feeling of sexual inadequacy, 'kamjori' or believe that they have become impotent and life has come to an end.

    One of the most worrying question on a man's mind whether on the first night' he will succeed in breaking the virginal seal' with bang, as this is supposed to make a successful marriage. Because of this fear, many eligible bachelors avoid marriage. Sometime they end up buying so called sex tonic advertised in lay press or even rejuvenators even prescribed by consultants. To avoid first night' failures some of them even visit prostitutes to test their potency! a women enter into the first night with anxiety, tension, fear and a variety of other emotions. The greatest worry on the mind of the bride is how she will fare in the virginity test'.

    Virginity is considered a virtue. It is a sign of purity. In some societies, the couple is expected to show the bed cover stained with blood after first night as proof of virginity!

    Thus, the bedroom, instead of being the foundation for developing tenderness, care, warmth, affection, life long love, pleasure bond, trust, intimacy and relationship, turns into a laboratory for testing potency and virginity.

    The west got the honeymoon problem i. E. First night failures. One dose not even find a mention of first night failure in any standard text book of sexual medicine or in diagnostic and statistical manual (dsm-iv)

    Western views

    Dr wadell b pomeroy, co-author of the kinsey's report, describes premarital intercourse as a training ground for marriage. Lessons learnt without feeling of guilt and fear and the knowledge of good techniques, go a long way in developing relationship. Urge to have intercourse is like any other urges, e. G. Playing tennis, swimming or dancing, riding a horse or doing anything which gives pleasure. Premarital intercourse, unlike masturbation, is a means of interaction with another human being and consequently is a means of learning how to live with people. Sometime, it is learnt too late after marriage that they are not suited to each other sexually.


    The first night' performance as still an important event in one's life. Failure can lead to disaster!

    It is difficult to statistically because of want of actual reporting and documentation. One can say 20% to 30% of couples who seek sex therapy have failure on their first night or at the time of first sexual contact.


    The sexual behavior in a human being is the outcome of learning and conditioning sex being considered a taboo, there is hardly any opportunity for learning. Therefore, ignorance, myths, and misconceptions about sex prevail. The most common etiology factor for first night failure in marriage is ignorance about male and female anatomy and facts of sex act. Some couples have unrealistic expectations of sex act.

    Other cause of first night failure is tight foreskin in male, tough hymen in female and dyspareunia, etc

    First-night blues

    1 psychological

    Inadequate sexual information

    Restrictive upbringing

    A. Sex is dirty

    B. Women who enjoy sex are disreputable


    Sexual myths

    Fear of pain, failure, not satisfying partner

    Fear of std/HIV/aids

    2 organic

    Dysfunction in the partner e. G. Vaginismus

    Tight foreskin

    If failure occurs on the first attempt, the first thing comes in mind am I impotent?' the more he tries. The more he fails. He feels something is terribly wrong with him. He feels that due to his past habit of masturbation, he has lost his vitality, vigour, and potency. He stops further sexual advances. It starts a vicious cycle of performance anxiety and spectatoring' and failure.


    They may avoid sexual activity.
    They may continue to have only foreplay.
    They may have good relationship in other aspects of life.
    Some may suffer from anxiety/depression.
    They may make allegations at each other leading to marital conflicts, separation or divorce
       2 Thanks
  • MD-Dermatology, MBBS
    Gone are the days when a man is only attracted towards a woman and vice-a-versa. In today's fast changing scenario one can experience physical attraction towards anyone. With the ever widening spectrum of definitions attached to gender and sexuality, we acquaint ourselves with an enormous range of gender notions and understandings pertaining to sexuality. Gone are the days of the water-tight polarities of male and female bodies and their mutual attractions. The society is by and large opening up to the possibility of sexual attractions besides and beyond the normative bounds of heterosexuality or so we hope.

    One of the most significant struggles of contemporary times is the quest for acceptance and acknowledgement of queer identities and breaking all the discriminatory stigmas attached to them. While one cannot really be inveigled into advocating one form of sexuality over the other, the main argument of the movement is to allow anyone and everyone to freely express and exercise their sexual affinities and identities beyond the restrictions of sex, gender, class, caste, race or any such constructed categories.

    Amidst the struggle for championing the cause of free love, there are certain nuances about one's sexuality that have emerged as discrete identities within the larger understanding of the LGBTQ movement.
    Among the others, Pansexuality is relatively a more incipient concept.

    Unlike bisexuality, which conforms to the conventional gender definitions, i.e male and female and professes attraction to both or either, pansexuality is a more inclusive expression of sexuality wherein one feels attracted to anyone, irrespective of one's sex or gender identity. Pansexuality vouches for strong sexual feelings for those who may not identify with a specific gender and consequently, includes transgender and transsexuals within its purview.

    A pansexual is never inhibited or restricted by a person's gender or sex. Initially coined by Sigmund Freud to describe the basis of human interactions in purely sociological terms, the term was later adopted by the LGBTQ activities to describe the group of people whose sexual predispositions were not delineated by gender constructs. For a pansexual, there is a lurking and consistent possibility of getting attracted to anybody at any given situation. Numerous celebrities like Laci Green and Miley Cyrus are explicitly pansexual.

    However, the pansexual community is constantly plagued by myriad indignities and disgraces. Many have labelled them debauch and promiscuous while others try to sympathize with them perceiving them as led awry and confused. In fact one of the major misconception with regard to pansexuality is that it is synonymous to bisexuality. Yet others deride this claim by stating that it is merely a modern fad with no genuine basis.

    Like it or not, pansexuality is a reality, relevant to a lot of our lives. In fact, it secularized love to an unprecedented extent and really lets nothing come in the way. In a world strewn with hostility, hatred and violence, if a sizeable number wishes to advocate indiscriminate and unhindered love, it surely bodes happiness for all.
       3191 Thanks
  • MD-Dermatology, MBBS

    Relaxation therapy:

    Insertion of graduated sizes of dilators by the doctor, the female or the male partner is effective in reversing the conditioned spasm reaction.

    Note: No increase in size of the dilators should be made until the minimum size can be accommodated comfortably. The object of treatment is not dilatation but reversal of the conditioned reflex.

    Lax Vagina

    Usually follows child birth. Exercises advice are contraction of perineal muscles by holding the urine or a few second and releasing it, 20 such contractions and relaxations 3 times a day or vaginoplasty.
       3 Thanks
  • MD-Dermatology, MBBS
    Sexual problems in illness and after surgery

    Angina after myocardial infarction:

    Sexual activity can be resumed as part of general programed of increasing or graded physical activity. Although the timing of resumption will depend upon the severity of damage, 3-4 weeks after an uncomplicated attack is generally considered appropriate.
    In the initial stages female superior position may be advisable. In any case too vigorous activity must be avoided.
    Sex should be avoided after heavy indulgence in alcohol or food.
    The room should be warm.
    If angina occurs with moderate physical activity or stress, prophylactic pre-sexual nitrates may be helpful.
    Note: For some patients it may be necessary to have objective method of measuring cardiac parameter during the sex act.
       3 Thanks
  • MD-Dermatology, MBBS
    Pain during or after sexual intercourse

    Find out and treat possible cause:

    1. Sensitivity of glans penis - discomfort immediately after ejaculation may be due to retained foreskin in uncircumcised men from infection beneath it.
    3. Hypersensitivity of penile glands.
    4.Referred pain from urethra due to urethritis.
    5. Fibrosis or induration of corpora cavernosa.
    6. Penile chordee following injury to penis.
    7. Pain in the testes, usually of a dull aching character develops in some men who spend a significant amount of time in sexual play or in reading pornographic literature occasional maintaining erection for long periods of time without ejaculation.
    8. Women with vaginal infection, or response to chemicals.
    9. Gonorrheal adhesions.
    10. Prostatic infection, or sometime, benign hypertrophy of prostate.
       9 Thanks
  • MD-Dermatology, MBBS

    Self-stimulation of genital acts as a means of releasing sexual tension in absence of other outlets. A variety of disorders from acne to dark circles under the eyes and mental derangement have been wrongly attributed to masturbation. The belief that it causes to make the penis smaller and make the man impotent in later years is without foundation. The feeling of weakness the day after has no physiological basis. Masturbation may be advisable in married men during needs of sickness or separation from the partner. Treatment becomes necessary only when the compulsive masturbator prefers it in spite of opportunity for normal sexual intercourse.
       94 Thanks
  • MD-Dermatology, MBBS
    Ejaculatory incompetence

    Here there is failure of ejaculation during intravaginal containment.

    Instead of the squeeze technique, as in the case of premature ejaculation, the female partner is advised to manipulate the penis to force ejaculation. Moistening methods may be used to avoid penile irritation. It may take a few days to accomplish this. Later rapid intromission of the penis should be accomplished by the wife in female superior position and pelvic thrusting attempted. If the male still does not ejaculate, the wife should end the coital connection and restore to manual stimulation. As the husband, now conditioned to manipulator response, reaches the stage of ejaculatory control, he should inform his wife. She should remain in the female superior position while manipulating the penis, and from the positional advantage quietly reinsert the penis into the vagina. After 3 or 4 such attempts, confidence in intravaginal ejaculating performance will have been achieved.
       57 Thanks
  • MD-Dermatology, MBBS

    Increased foreplay - Application of 20% xylocaine gel in and around the vagina and after 15 minutes wipe the gel off or wash it.
       4 Thanks
  • MD-Dermatology, MBBS
    Common sex problems in females

    Inhibited sexual desire because of following reasons:-

    1. Sexual dissonance - a proper understanding of sexual response cycle and foreplay techniques are likely to help. Administration of male hormone may be useful.

    2. Anxiety provoking demands on part of the male such as total nudity, unsuitable timing, oral sex, etc.

    3. Smell of tobacco or alcohol.
       7 Thanks
  • MD-Dermatology, MBBS

    Inability to reach orgasm in female may be due to:

    1. Premature ejaculation or dyspareunia. Graded self-stimulation techniques and proper indoctrination that sex is fun helps.

    2. Natural Vaginal Secretions - Lubrication from secretions from vaginal wall is equivalent of male erection and penetration should be attempted only when this is present. Use of external lubricant is useful.
       16 Thanks
  • MD-Dermatology, MBBS
    Common sexual problem in the male erectile dysfunction

    Erections. Morning erection.
    Certain drugs may impair libido-b-blockers, spironolactone, metoclopramide, cimetidine, opiates (addiction), butyrophenone, anticholirergic drugs (impair erection).

    1. Correction of any organic etiological factor-endocrine, vascular, grugs, metabolic, neurological disease, local lesion or alcoholism.
    2. Psychotherapy and counselling: emphasis must be on communication between the partners and not on achieving an erection.
    3. Approach recommended (masters and johnson) in stages:(a) the stimulation of each partners body by the other to learn how best to arouse the other genitals must not be touched at this stage. (b) when both partners are non-anxious in the first situation, genital stimulation is introduced. (c) commencing intercourse with the husband lying supine.
    4. Androgen therapy if evidence (clinical or biochemical) of hypogonadism:
    Note: testosterone treatment is contraindicated in men who want to have children because it tends to suppress sperm production. Also it tends to precipitate cancer of the prostate in the elderly. Androgen replacement may enhance libido without improving potency. Sex tonics or aphrodisiacs have little or no effect on sexual function except perhaps by way of suggestion.
    5. Other hormones: if increase male sexuality: certain exercises can strengthen muscles of the pelvis, in particular those surrounding the penis. They increase the blood circulation in genital area and may enhance quality of erection. The person is advised to check his flow of urine when urinating and then start again repeating this about 5 times. This can be done at least 3 times a day. Once this is learnt, it can be carried out even without urinating.

    Premature ejaculation.
    1. Anesthetic ointment rubbed into the head of the penis.
    2. Wearing a condom. Benzocaine condoms can be used.
    3. Fixing the mind during intercourse on non-sexual activity such as business matter or sports.
    4. Deep breathing and conscious relaxation of genitals may be tried.
    5. Alcohol in small quantity may like a depressant and prolong Ejaculation.
    6. Preparing wife by sexual stimulation while keeping genitals away from touch helps in increasing control and time of sexual activity.
    7. Ejaculatory control-(i) first phase

    (a) without a partner

    First step: the man is advised to masturbate himself by to and fro of the hand. He must stop before the stage of ejaculation and allow the erection to decline. This should be repeated a number of times of different occasions before going on to the next step.

    Second step: (b) ejaculatory control with the partner: the man lies down on his back. The female sits between his legs and masturbates him. When he reaches the stage of ejaculation, he asks her to stop and the erection is allowed to subside. When the sexual excitement has receded sufficiently he asks the partner to repeat the same procedure. This should be done for a total of at least 15 to 20 minutes. After this, the man should ejaculation after reaching the stage of orgasm. When he has attained sufficient confidence of ejaculatory control for about 15 minutes, he goes on to (ii) second phase - this involves intravaginal containment using the stop-start technique or removal and squeezing of the penis.

    1. Stop-start technique - at first the exercise of step 1 is begun and when erection is achieved, the female assumes female above position and places the penis in the vagina. She remains motionless. When the man has the feeling of impending ejaculation, he asks her to dismount. The man may go to toilet or keep lying till the excitement subsides. This should be repeated for about 15 minutes before going on to the next stage the procedure is the same as above but this time the female moves to and fro gradually instead of remaining motionless. When the man feels the ejaculatory urge, he asks her to stop. When the excitation has subsides, the process is repeated. Once the ejaculatory control is achieved by the above methods, it would be possible to have sexual intercourse in any position.

    2. Squeeze technique - this is a modification of stop start technique in that instead of letting go the penis at the feeling of ejaculation, partner holds the penis between the index and middle fingers. The thump is placed on the frenulum and the two fingers on the opposite side of the coronal ridge. The partner squeezes the thump and fingers for 4 seconds. The pressure makes the man to lose his erection. After doing this 2-3 times the female adopts the woman above position, and inserts the penis into the vagina. The no motion technique and later the to and fro motion technique is than adopted as described above.

    Note: in men with concomitant ed. The erectile dysfunction should be treated first.

    Retarded or absent ejaculation - in less common and has several possible organic causes. However it may be caused entirely by psychological or emotional factors that are amenable to behavior therapy or individual psychotherapy.

    Retrograde ejaculation - is due to bladder neck incompetence. It invariably occurs after transurethral resection of the prostate and may occur in diabetic autonomic neuropathy or para-arotic lymphadenectomy.

    Delayed ejaculations or failed emission can occur due to spinal trauma and surgical procedures such as radical prostatectomy, proctocolectomy or para-arotic lymphadenopathy.

    Inhibited ejaculation is the psychological variant of delayed ejaculation. Ejaculation usually occurs rapidly with solitary masturbation but not during intercourse. A variety of psychological factors may be responsible including fear of pregnancy, guilt and depressed or repressed hostility towards the partner.

    Painful ejaculation can be caused by acute genitourinary infection, particularly acute prostatitis or seminal vasculitis. It may also have a psychogenic basis. Infection can be treated with antibiotic, nsaid's prostatic decongestants eg. Bromhexine and if indicated prostatic massage.
       32 Thanks
  • MD-Dermatology, MBBS
    Undifferentiated fever - mild febrile illness in young children often with respiratory symptoms.
    Dengue fever syndrome - severe headache, retro-orbital

    Pain and instance myalgia and arthralgia. In adults, usually lasts (4-10 days). May be complicated by bleeding.
    Dengue hemorrhagic fever - acute fever, hemorrhagic tendencies, thrombocytopenia, evidence of plasma leakage.
    Dengue shock syndrome - all of the above plus rapid and weak pulse. Narrow pulse pressure, cold clammy skin and restlessness.
  • MD-Dermatology, MBBS

    Non - pharmacological therapy
    Patient education about adherence to life style changes and need for regular monitoring and therapy.
    Weight reduction.
    Physical activity for 30-45 mins of brisk walking at least 3-4 times a week.
    Limited alcohol consumption.
    Salt intake - avoid added salt, processed foods and salt, processed foods and salt containing foods e. G. Papa ds, chips, chutney and preparations containing baking power.
    Tobacco - total abstinence.
    Yoga and meditation, biofeed back.
    Diet - fruits, vegetables. Intake of saturated fats to be reduced. Thus the diet should be low calorie, low fat and low sodium with normal protein intake.
       2 Thanks
  • MD-Dermatology, MBBS
    Principles of prescribing in dermatology

    (do's and dont's)

    1. Detailed history of allergy due to drugs taken in the past should be taken before prescribing any drug. Also history of ingestion of other drugs must be obtained to avoid drug interaction.

    2. Nature of treatment depends on the stage of the disease. More acute the condition less strong the local applications

    E. G. Lotions for acute conditions, creams for subacute conditions, creams or ointment for chronic conditions.

    3. Vehicle in which the medication is incorporated requires careful consideration as does the manner of application.

    Use of incorrect form of medicament will aggravate rather

    Than improve the condition by causing sensitization.

    4. Areas near the eyes and genitals should be treated with mild remedies because of increased percutaneous absorption.

    5. Adhesive plaster should be used with caution and not close to an acute skin lesion.

    6. Patent or proprietary preparations should be used only after studying their composition, side effects and contraindications.

    7. Ultraviolet therapy should be used with discretion in local treatment as wrong use of it may aggravate the condition.

    It should be avoided in cases with a history of photosensitivity and in lupus erythematosus or antifungal treatment.

    8. H/o previous application of corticosteroids can change the clinical picture of the disease.

    9. X-ray therapy in skin diseases should be left to the expert.

    10. If malignancy is suspected biopsy should be done before starting any treatment.

    11. Associated diseases like diabetes, hypertension, pepticulcer or pulmonary tuberculosis should be excluded before prescribing certain drugs such as corticosteroids.

    12. Avoid all drugs in the first trimester of pregnancy. Use minimum unavoidable drugs in later pregnancy. Strong steroid ointment should be avoided since if applied for a long time. They are absorbed into the blood. Ask for epilepsy as drugs given for the same may interact with some antifungal drugs.

    13. Additional drugs may have to be incorporated in the prescription to counteract the side-effects of main drug prescribed antacids when corticosteroids are used.

    14. Patient who has been fully treated should be re-examined at frequent intervals to observe renote untoward effects of drug prescribed and to check a release.

    15. In contagious skin disease, not only the patient but all the family members and contacts should be examined and if found infective, should be treated simultaneously for scabies.

    16. Treatment should be divided into two parts: Local and Systemic.

    Topical therapy is the mainstay in dermatological practice. Understanding the principles of the therapy is important.

    17. Many topical agents penetrate the skin barrier and enter the blood circulation. Absorption is more in infants and children and this must be kept in mind with corticosteroids.

    18. Hydration of skin before topical application enhances absorption. If local application is not applied in correct strength it may give rise to side effects like irritation, burning.
  • MD-Dermatology, MBBS
    Respiratory disorders


    Treatments -

    1. Reduce body wt. If obese.

    2. Avoid excessive fatigue.

    3. In children enlarged tonsils and adenoids can trigger off snoring and must be removed.

    4. Relieve nasal obstruction eg Dns, polyps.

    5. Sleep on your side with as many pillows as possible.

    6. Refrain from taking alcohol for atleast 3 hrs. Before sleep.

    7. Avoid tranquillizers, sleeping tablets or eliminates before going to bed.

    Uvuopalato-pharyngoplasty usually reduces or eliminates snoring but is less successful in obstructive sleepapnoea. Mandibular advancement devices are intraoral devices that displace the jaw anteriorly, and increase the anteroposterior diameter of the upper airway and thus significantly reduce snoring.

       2 Thanks
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    Dr. Sadan Kumar
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