Dr. Diwan's Clinic

A hernia occurs when an organ pushes through an opening in the muscle or tissue that holds it in place.Hernias are most common in the abdomen, but they can also appear in the upper thigh, belly button, and groin areas. Most hernias aren’t immediately life-threatening, but they don’t go away on their own. Sometimes they can require surgery to prevent potentially dangerous complications.

Infertility happens when a couple cannot conceive after having regular unprotected sex.While there may be many causes for the same , stress is the major cause.

Gastroesophageal reflux disease, or GERD, is a digestive disorder that affects the lower esophageal sphincter (LES), the ring of muscle between the esophagus and stomach. Most people can manage the discomfort of GERD with lifestyle changes and over-the-counter medications. But som

Hepatitis refers to an inflammatory condition of the liver. Excessive alcohol consumption can cause liver damage and inflammation. Other toxic causes of hepatitis include overuse or overdose of medications and exposure to poisons.

An endoscopic examination includes inserting a tube into the patient’s esophagus to examine it closely and to take a biopsy of pieces of tissue. It is the best method to detect Barrett’s esophagus and early esophageal cancer.

Women with PCOS produce higher-than-normal amounts of male hormones. This hormone imbalance causes them to skip menstrual periods and makes it harder for them to get pregnant.Birth control pills and diabetes drugs can help fix the hormone imbalance and improve symptoms.

Homeopathy can be used for first aid, to fight common infections and as general constitutional remedies.

Erectile dysfunction can severely limit life’s simple pleasures. It may also cause strife in one’s marital life and be a cause for social embarrassment and low self-esteem. Erectile dysfunction, which is commonly referred to as impotence, is either the inability to continue with an erection into climax for a continued period, or being able to maintain the erection for a very short time or not being able to get an erection at all.

Causes of Erectile Dysfunction According to Ayurveda

Erectile dysfunction is usually caused due to a number of factors which include lifestyle habits, physical as well as psychological issues. Defects within the spinal cord, injuries or problems with blood flow may cause erectile dysfunction. An overly abusive childhood or sex associated with guilt may also be responsible. In Ayurveda, the disorder is linked to ‘shukra dhatu’. Any problem with this, may, thus result in multiple sexual problems including erectile dysfunction.

How can Ayurveda help cure ED?

According to Ayurveda, ED is basically a condition of low vitality. Generally, vitiation of vata dosha is responsible for Klaibya or ED. On the basis of the cause, seven types of Klaibya are mentioned in Ayurvedic texts, e.g. Manasik klaibya is caused by psychological factors, Doshaj klaibya is caused by physiological factors, Shukrakshayaj is caused by deficiency of Shukra dhatu, Vyadhi is cause by some other disease like diabetes, Aghataj is caused by surgical or accidental trauma, Shukranirodhaj is caused by suppression of sexual urge and Sahaj means congenital.

Ayurveda takes a more holistic approach. The exact combination of the methods and the exact implementation chosen may vary according to the specific causes.

1. Vajikarana therapy – This is a holistic cleansing process that aims to correct the bodily faults which might have been causing ED. It includes certain processes, such as controlled regurgitation, to flush out toxins from the body, specially designed Ayurvedic massages, a tailor made diet, and various other herbal concoctions which can rejuvenate one’s vitality.
2. Specified drugs to correct ED – Certain Ayurvedic herbs can be quite effective as well; both in the form of special Ayurvedic medicine or home remedies. Some of these herbs include:
   • Ashwagandha
   • Shilajit
   • Shatavari
3. Bringing in lifestyle modifications – Drinking excessively, smoking and consuming junk food may all lead to weight gain as well as other imbalances within the body. These may affect pressure or sugar levels in your body as well as the heart’s condition, thus resulting in ED. Ayurveda requires one to cut down on or quit certain habits related to one’s lifestyle which might be causing ED.
4. Yoga and meditation – Regular exercises would definitely help in this regard. Meditation and yoga would thus be an integral part of the treatment process.

As surprising as it may sound, this disorder is rather common than a rare phenomenon. A lot of men bring their wives/partners to the sexologist, claiming their partners”have no interest in sex”.

The patient gets evaluated with lots of tests and some times are given Injections of testosterone by some dubious practitioners. The partner may have to consume a whole list of drugs, undergo surgeries or suffer domestic violence or face divorce threats/verdict. All this because people are not aware of what we call, Sexual Aversion Disorder. There may not be anything wrong physically or with the hormones with these patients.

What is SAD?

SAD, also known as Sexual Aversion Desire is most commonly described as a feeling of disgust, fear and phobia, revolt, revulsion and lack of genuine interest in sex. Despite what people name it, Sexual Aversion Disorder is not just a common and mood-related downfall in one's sexual desire, rather, it is more about active avoidance and a strong feeling of dislike towards any sexual activity which would otherwise be termed normal for other people.

Other sexual disorders differ from the Sexual Aversion Disorder in a tiny little fact and that is, SAD does not only include a lack of interest, it also comprises of the feeling of disgust and fear (just like a phobia) for any type of sexual activity.

Different patients have different types of aversions such as:

● Some might not like to see the genitals of their partner

● Some do not like the smell of the ejaculations or genital organs

● Some do not like kissing, hugging, cuddling, or mutual mastrubation

● And for some, the fear grows to a complete hatred for intercourse as a whole

A person may become so obsessed with the fear/phobia for sexual activity, that he/she may take every gesture from the partner as demand for sex and may avoid all intimacy or communication between the partners. In long term, aversion for sex might jeopardize their relationship, the bonding and finally the marriage itself.

What causes the SAD and are there any noticeable symptoms included?

Clearly, the Sexual Aversion Disorder is a psychological disorder with a few physiological causes that might be an underlying reason. But the greatest factor which becomes the reason for a person developing an aversion such as this is due to some traumatic past experiences or perhaps issues with the partner itself.

If the cause is interpersonal with the partner, it is likely that the patient is capable of sexual fantasies and imagery. This person avoidance may be situational.

In case of an abusive past, such as physical violence, rape, molestation even verbal abuse or bad parenting, the patient will need an extensive therapy as well as the emotional support of the partner.

However, it is important to remember that no person can be branded as suffering from SAD unless he/she has been evaluated or any other causes have been ruled by an expert sexologist.

Also, SAD can be treated very well, with extensive psychotherapy, marital counseling and cognitive behavioural therapy. The results are very promising. The couple should really be motivated to work on their issues.

Infertility is a condition where a couple trying to conceive in a natural way is not able to do so even after one year of trying. It is also a matter of worry for patients who are over the age of 35 years and those who are not able to conceive naturally even after 12 months of trying constantly.

So here are the causes, risks and treatment for this condition.

* Causes

There are many causes of infertility. It may be down to a condition present in one or both partners. As per a medical study, 20% of the cases of infertility are due to males, while 40% to 50% cases are due to problems in the female partner. 30% of the cases suffer from infertility due to problems in both males and females. Ovulation and fertilisation are the main elements of the conception process, and any condition in the female or male can upset either function which can make it difficult to conceive. While abnormal sperm production and transport may be a common condition that leads to infertility in males, other factors like side effects of cancer treatments and too much exposure to toxins and chemicals can also play an important role in this regard.

For females, the causes of infertility may range from ovulation disorders, uterine and fibroid tumours, uterine and cervical anomalies, damage to or blockage of the fallopian tubes, endometriosis, primary ovarian insufficiency and pelvic adhesions. Also, factors like thyroid, cancer and medication leading to temporary infertility may be at play. 

* Risk

There are a number of factors that put a male or a female at risk of infertility. Being in your mid 30s usually has an adverse effect on the ovulation and production of well functioning sperm. Further, smoking and tobacco are among the main causes of infertility in either partner. Excessive alcohol consumption may also lead to this problem. Being overweight or underweight can also make a person infertile. Further, not getting enough exercise and routine activities out of your day, can lead to this condition as well. 

* Treatment

Male patients can go through treatment for any existing infections, hormonal injections and medication, surgical options like vasectomy reversal, and ART or assistive reproductive technology. Female patients can turn to medication that will stimulate ovulation, Intrauterine Insemination, and surgical processes to correct a uterine septum and remove endometrial polyps, or even a hysteroscopy surgery. 

If these methods fail, the patient or the couple can always turn to methods like In Vitro Fertilisation. For other mild reasons, lifestyle changes along with a stress free environment can help in increasing the chances of conception.