Dr Kumar Clinc

The inability to conceive for a prolonged duration after trying to do so is usually termed as infertility. This is usually diagnosed when a couple is unable to conceive even after trying regularly, without any kind of contraceptives. There may be many causes and factors for this and it may occur in either or both partners. So, you all need to know the causes and treatment of infertility.

1. Age: Age is a major factor that can lead to infertility for either partner. Usually, the trend now is to delay having a baby until a woman is in her thirties or even forties, in some cases. This has an adverse effect, particularly on the age of the maternal egg which may or may not be effective as far as fertilisation goes. With the advancement of age, one loses the guarantee of genetic normalcy of the egg as well.

2. Disorders in ovulation in females: Ovulation is an essential function that helps in releasing the egg that needs to be fertilised when it comes together with the sperm at the time of ovulation. This usually occurs at a certain time every month. But disorders like PCOS or Polycystic Ovary Syndrome can lead to an inability on the part of the ovaries to release these eggs. The treatment for this includes medication that will help in maintaining more regular cycles for the release of eggs.

3. Male factor causing Infertility: In many cases, it has been seen that anomalies in the semen analysis reveal problems of infertility with males as of low sperm count, low motility of sperm,low quantity of alive and active sperm when it comes to natural conception. In such cases, a sexologist can prescribe you medicines that will increase the semen production for better quantity and quality of the sperm. The doctor can also ask the patient to go through a number of lifestyle changes too includes abstinence from smoking and excessive drinking, as well as the cultivation of a less stressful environment. Hormonal treatment or even surgery may also required to help in some severe cases.

4. Endometrial Polyps: In such cases, the female partner may develop finger like growths that can protrude in the form of tissue and come out of the uterine layer or the uterus. The removal of these polyps with the help of surgical procedures usually helps in such cases.

In many cases where mediation fails, the patients may have to go through IVF (In Vitro Fertilisation) or other such procedures to conceive a child with artificial methods. One must explore all options and find out the best one in terms of the infertility causes that the couple may be facing. You will also need to ensure that you have a well trained and experienced sexologist doctor who can help you with the process and guide you completely about the cause of problem and prescribe you best treatment to manage infertility at the right point of time.

Understand different types of sex addiction. There are lots of different behaviors that comprise the symptoms of a sex addiction. While some of these things may have a level of a social or societal norm, you may practice them outside of that norm or to such an extreme that interferes with your life. Some examples include:

• Compulsive masturbation
• Having multiple affairs
• Compulsively use pornography
• Having unsafe or risky sex
• Sadistic or masochistic practices
• Practicing voyeurism or exhibitionism

Observe common addiction behaviors. Addictions have traits in common, regardless of what the addiction actually is. For example, some common addiction behaviors include engaging in the behavior even though you know it causes harm, finding it difficult to stop even when you want to, experiencing some sort of withdrawal symptoms when you don’t engage (irritability, restlessness, cravings, depression), and hiding your behaviors from family and friends or minimizing them.

• Do you engage in any of these behaviors regarding your sexual activity? How do they affect you? How does it interfere with your daily life?
• To get more information and educate yourself, you may also want to look into resources on sex addiction, such as online or at your local library.

Diagnose a medical condition. Some medical conditions can cause changes to sexuality and arousal. You may want to have a medical check-up to rule out possible factors that can affect sexuality. Some considerations include having a brain lesion, endocrine abnormalities, or side-effects from certain medications.

• Check with your physician whether you are at risk for any of these problems.

Ejaculation Problems: When Orgasms Are Dry

Men tend to have many different feelings about ejaculation, most of them positive. True, sometimes the timing of a guy's ejaculation may be a little off, but in general men look forward to the experience with anticipation and glee. And, of course, aspects of ejaculation are tied into matters of penis health as well. All of which explains why a man who experiences ejaculation problems such as anejaculation may feel worried and anxious.

What is an ejaculation?

When a man has an ejaculation, he is unable to ejaculate, even when the penis is directly stimulated during either partner-based sex of masturbation. There are two different kinds of an ejaculation, one of which has two further categories:

- Situational anejaculation. In this kind of anejaculation, a man is capable of ejaculating when he masturbates or having an ejaculation through nocturnal emission, but not through forms of partner-based sexual activity. This may mean no form of partner-based sex produces an ejaculation, or it may mean only specific forms are ineffective. For example, a man might not be able to ejaculate during vaginal sex but may through oral sex or through the partner's physical manipulation of his penis.

- Total or complete anejaculation. As the name implies, with total or complete anejaculation, there is no ejaculation at all. There are two categories of importance here. One is orgasmic anejaculation, in which a man still experiences an orgasm even without ejaculation. The other is inorgasmic anejaculation, in which neither ejaculation nor orgasm is experienced, even when masturbating.

Exactly how common anejaculation may be is difficult to determine. However, one study that looked at various ejaculatory issues in men found that 37% of the men with ejaculatory problems included anejaculation among their issues.

It should also be noted that sometimes what is diagnosed as orgasmic anejaculation may in fact be retrograde ejaculation, a situation in which semen is rerouted into the bladder rather eliminated via urethral ejaculation. Measuring urine for semen content can verify the proper diagnosis.

What causes it?

Why might a man experience anejaculation? There can be numerous causes. It may be due to a psychological factor which causes discomfort that interferes with the penis' ability to react. Sometimes it may be due to a partner not being able to provide stimulation in such a way as to bring about the desired effect; for example, they may be stimulating a less sensitive part of the penis, maybe be unable to enfold the penis in a snug enough manner, or the penis may have been de-sensitized due to rough handling.

There can be some specific physical causes, such as an obstruction in the ejaculatory duct that prevents the semen from flowing through. A spinal cord injury can also make ejaculation difficult and in some cases impossible, depending upon the severity of the injury. Or if there is damage to the autonomic nervous system, which regulates "unconscious" nervous system responses, this can impede ejaculation as well.

Some neurological diseases, such as Parkinson's and multiple sclerosis, also can bring this about, as can diabetes. And in some cases, antidepressant or antipsychotic medications may be the culprit.

When the cause is physical or medicine-related, doctors can sometimes take management steps that can reduce or eliminate the problem. If the anejaculation is due to psychological factors, a man will need to undergo psychological counseling and/or sex therapy. Often cognitive-behavioral therapy is useful in identifying the psychological cause and determining how to overcome the problem.

Working out the reasons for and treatment of anejaculation is crucial. Things are made easier if steps are taken to keep the penis in good general health, such as regularly using a penis health creme (health professionals recommend Man1 Man Oil, which is clinically proven mild and safe for skin). Men should definitely seek out a crème that include L-carnitine, an amino acid shown to protect against peripheral nerve damage caused by friction, compression, and other common injuries, which can lead to reduced sensation or numbness. The crème should also include vitamin B5. Also called pantothenic acid, this vitamin is required for cell metabolism and maintenance of healthy tissue.