Treatment After Exposure to HIV
Namaskar, mai Dr. Vinod Raina, aaj Lybrate k madhyam se aap se baat kar raha hun. Aaj hum baat karege HIV-PEP drugs k baare mein.
Dekhiye agar koi patient ya koi aadmi kisi sex worker k sath sex kar raha hai ya kisi massage parlour mein massage karwa raha hai aur us douran sex karte waqt uska direct contact hua uska ye matlab hai agar vo sex kar raha hai aur uska condom break ho gaya aur uski wajah se wo direct contact mein aa gaya kisi aise wyakti k sath jaha par usko lagta hai k HIV ya STD hone k chances hai to definitely un patients ko turant se turant humare pas aana chahiye. Aaj kal bohot hi badiya aur acchi dawaiya aayi hai jinhe hum kehte hai HIV PEP drugs (Post Prophalyxtic drug agent) jiska ye matlab hai k agar aap sex kar rahe hai aur sex karte dauran aap ka condom burst ho gaya aur burst hone k baad agar aap humare pas within 72hrs aate hai to hum aap ko kuch dawaiyo par daalenge aur agar aap wo dawaiya khayenge to aap ko HIV nahi honge.
100% aap ko protection milega, 100% aap ko HIV se chutkara milega. To dosto meherbani kar k aap ye video zyada se zyada share kare, apne dosto yaaro, jitne bhi aap k well wishers hai unke pas ye video jaana chahiye aur unko ye message milna chahiye k aaj k date mein agar aap ko koi aisi problem hoti hai jaha par aap ko lagta hai k HIV hone k chances hai to turant se turant aap humare paas aaye. Hum aap ko HIV PEP drugs par dalenge aur aap ki jo HIV transmission hai usko rokenge aur 100% aap ko HIV nahi honga.
Dosto aap mere ko sampark kar sakte hai Librate pe ya aap mere clinic mein mil sakte hai. Aap appointment book kar sakte hai www.librate.com/drvinodraina nahi to aap mujhse direct baat kar sakte hai.
Here are symptom, cause, and treatment of Sexual Dysfunction
Hi. I am Dr. Vinod Raina. I am a sexologist based in South Delhi. Today we are going to talk about Sexual Dysfunction.
What is sexual dysfunction? It is a disease in which a patient is not able to perform sex properly.
What is the meaning of proper sex? The meaning is that a person should have proper sexual intercourse for more than 45 minutes which should not include the time of foreplay. If we include the time of foreplay, then the duration of one sexual intercourse should be a minimum of 90 to 100 minutes. If a patient is not able to perform for more than 5 to 10 minutes that means that the patient is suffering from sexual dysfunction, he is suffering from premature ejaculation or early ejaculation.
What can be the causes? Nowadays the people are working from morning to evening. They do not have time for walking or to do exercise. They are smoking, drinking and their lifestyle is also not good. They do not sleep for more than 7 hours. These things create anxiety and stress upon the human beings which lead to severe sexual dysfunction.
So how can we prevent it? We have to walk properly for 45 minutes every day. You have to Brisk walk in 45 minutes and you have to complete a minimum of 5 to 6 kilometers. You have to stop smoking and drinking or you can take only 60 to 120 ml of alcohol per day. You have to take proper diet. Increase the quantity of almonds, walnuts in your daily diet. You should take 10 to 15 almonds, 1 to 2 walnuts daily. You can take flex seed, broccoli twice in a week. You can take fish if you are a non-vegetarian and if you are a vegetarian you can take Kali urad ki daal two to three times a week and you have to take 300 to 400 grams of fruits daily. If you are doing these things, then definitely your sexual desire and sexual time will increase and moreover you have to see less television because watching television for long creates problems.
So guys, remember, in order to have a very good sex life walk for 45 minutes, take good diet including walnuts, almonds, and fish and have a normal stress less life. Then definitely your life will be cool and you will have a longer sexual intercourse time. Even if the problem persists then definitely you have to go to a sexologist doctor. Go to a genuine sexologist doctor who should prescribe you medicines. Start medication and then definitely your problem will be solved.read more
Here is Post Prophylaxis of Hiv Drugs
Oh Hi! I’m Dr. Vinod Rena today we are going to talk about PEP drugs.
What is PEP? It is posted prophylaxis of HIV drugs if a patient had sexual intercourse with some prostitute, with some sex worker, some unknown lady, some transsexual or with some homosexual and if in this case the condom gets busted then the patient is exposed to the death content of HIV. We can nowadays start the medication within 72 hours of the direct contact and we can save the life of the patient. These drugs are called PEP or prophylactic HIV drugs which can be taken within 72 hours of the direct contact. HIV drugs and which can be started within 72 hours of the direct contact.
These drugs contain 3 to 4 anti-HIV drugs and moreover, we shall give more drugs for example if there is liver toxicity we can give drugs to stop it. If there is some problem with the liver we can give drugs to stop that and moreover we can work on the immune system. We can give pre and probiotics if we are starting these drugs on time definitely we are going to protect this patient from HIV.
If you want to connect me you can log on lybrate.com/Dr. Vinod Rena or you can visit my clinic in Sabhderjung Enclave or you can just write me or you can have an online consultation on the platform of Lybrate. Thanks.
Hello, I’m Dr Vinod Raina. I’m a sexologist. Today we are going to talk about male infertility. Nowadays it has been seen that a number of couples who get married are not able to conceive after their marriage.
What is the reason?
It has been seen that the number of males are suffering from infertility problems. The quality of the sperm is not good. The morphology of the sperms is not good and more over the quantity is also not good. Why? What is the reason?
It has been seen that the number of youngsters are smoking very hard, they are chain smokers, this can lead to male infertility and more over it has been seen that males drink very hard. They drink 5 to 6 to 10 pegs a day. They don’t walk. Their lifestyle is not good. You have to walk 45 minutes daily and more over it has been seen that the patients are suffering from severe stress. There are a number of youngsters who work at night and sleep in the day, they work in call centres, definitely those patients are under severe stress. Definitely, those patients will also be suffering from male infertility.
So what we can do to stop male infertility?
Definitely, you to check the quality, quantity and morphology of the sperms. You can go to the pathologist, have your sperm analysis done and it will tell you the exact the quantity quality and morphology of the sperms. Moreover, you can improve your lifestyle. You can walk for 45 minutes early in the morning. You can take the proper good diet. You can increase almonds in your diet. You can in breeze dry fruits including walnuts or flaxseed or you can take broccoli in your diet, or you can take kali urad ki daal that will increase testosterone level normally and moreover you can take non-veg including fish. If you are taking two to three times fish in a week it will also improve your sperm quality. If these things are not improving then definitely you have to visit a doctor.
First of all, you have to do an analysis of your hormones, we have to check FSH, LH, prolactin testosterone in the males which would tell us the exact quantity of the hormones. If the hormones are altered, we can initiate hormone replacement therapy and we can put patients on very good drugs. Nowadays there are the number of drugs that can cure male infertility, it includes Quinze contes, it includes elkanting, lycopene and more drugs which can be administered to the patient and within three to six months of a span of time a patient can be treated fully. No need to go for IVF because you can irradicate male infertility from the base root level if you are going to a very good specialist.read more
My name is Dr Vinod Raina. I’m a sexologist. We will be talking today on the topic of ED.
What can be the causes for ED?
Basically, it has been seen that number of patients who are chain smokers, who smoke approximate 10-15 or 20 cigarettes a day, they have this disease called ED.
What happens, what are the causes? And why smoking is responsible for ED?
Basically, when a patient smokes, the smoke goes into the lungs, and then from the lungs, the smoke is transported to all the parts of the body through the vessels. These vessels are choked by the smoke, and the microvessels, present in all the parts of the body gets stenosed and then the blood circulation does not take place properly. So, a penis is the first and foremost part of the body which gets affected because there are a number of micro-vessels present in the penis and these arteries, or veins, or micro-vessels get choked and the circulation of blood gets compensated and then this process of ED starts in the body.
So what we can do?
Definitely, you have to stop smoking. There are people who smoke 15-20 cigarettes per day, it is very high. You please stop smoking.
Moreover, it has been seen that some patients who are drinking, who drink heavily and been drinking with smoke, the WHO recommendation is only 2 pegs per day. That means, not more than 60-90 ml of alcohol. But there are people, youngsters, who drink, 5 to 8 to 10 pegs a day, so there’s a huge consumption of alcohol.
What it leads?
It leads to severe stress in the body and this stress leads to the erectile dysfunction. Moreover, it has been seen that there are people who work from morning to evening, they don’t have time for a walk, their lifestyle is not good, they take junk food, they drink carbonated drinks, these things also effect Erectile dysfunction. So, if you want to lead a healthy life:
- You have to walk for 45 minutes a day
- You have to take a proper diet.
- You have to take at least 10-15 almonds every day
- 2-3 walnuts every day, and if you are a non-vegetarian.
- You can take fish two times a week, and if you are a vegetarian, then definitely, you can take broccoli, two to three times a week or you can take kaali urad ki daal.
That definitely will solve your problem.
And if the problem is not solved by these things, then definitely you have to visit a sexologist who can treat your problem.
My name is Dr. Vinod Raina, you can meet me on the platform of Lybrate. You can visit www.lybrate.com/Dr. Vinod Rainaread more
Doctor in Dr. Raina's Safe Hands
Treatment of Premature Ejaculation
Treatment of Sexual Weakness
Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Treatment Of Male Sexual Problems
Sexually Transmitted Disease (Std) Treatment
Treatment of Male Infertility or Impotency
Treatment Of Female Sexual Problems
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Premature ejaculation (also known as early discharge or quick orgasm, early fall, Shigra-patan) is one of the most frequent, of sexual disorders in the male and is characterized by sudden ejaculation of the semen, just prior to or immediately after vaginal penetration during intercourse (before one wishes or before he could satisfy the female partner). Approximately 10% to 30% people of all age group suffer with quick semen discharge. Premature or 'before time' in other words, is a condition where the man has no voluntary control over his ejaculation. He is quick on the trigger once he starts the coitus. This is a very frustrating disorders of male sexual function in which man feels totally helpless. This leads to bitterness in husbands & wife relationships. For the man, lack of control of his body functioning leaves him feeling unsure of himself. His pleasure is often decreased by the abrupt early discharge. Eventually his preoccupation with trying to postpone ejaculation will hinder his ability enjoy himself to sexual pleasure. When a man is, feeling inadequate, and ejaculating fast, the woman will probably be left unsatisfied. Her frustration will only increase the negative pattern. This is an easily treatable condition. for more information please visit :- http://www.bestdoctorsindelhi.com/
Erectile Dysfunction: What Every Man Should Know
Erectile dysfunction is an enormous fear of men everywhere, of any age. More than 30 million men in the United States alone suffer from it, and the odds of it happening usually correspond with age: Even with excellent penis care, the older a man gets, the more trouble he might have with getting it up.
The supplement industry has jumped on the fears of ED and pushed all sorts of pills and other medications that claim to help - but true ED goes far beyond what a 'miracle pill' can fix.
It's time to get serious about understanding erectile dysfunction in order to make an empowered, appropriate decision on how to handle it.
1) Myth #1: One bad night equals a problem. Who hasn't had a problem with getting it up? It happens to everyone on occasion, no matter how physically fit a man is or how much he desires his partner. It usually happens after drinking too much, dealing with some jerk at the office, or being so tired it's hard to walk straight, much less do anything else. It might be ED only if the problem persists for three months or more.
2) Myth #2: It's a penis problem. Though what is happening to the body shows up in penis problems, the fact is that ED usually stems from other medical issues. High blood pressure, high cholesterol or high blood sugar can all damage the smaller blood vessels in the body, including those in the penis. The result can be ED. Other factors might come into play as well, such as low testosterone or even depression.
3) Myth #3: Bad habits have nothing to do with this. Though it would be nice to believe that all those vices don't reach beyond the moment, that's just not true. Smokers tend to have more problems with ED than non-smokers. The uses of illicit drugs, marijuana and alcohol have all been linked to erectile dysfunction. Drop the habits and the penis might rise again.
4) Myth #4: Testosterone supplements work. That depends. A man who has been diagnosed with Low-T - anything less than 300ng/dl, as per lab tests - might benefit from prescription-strength supplements. However, many who suffer from Low-T also have other medical issues that can lead to ED, and testosterone won't make those go away.
5) Myth #5: The 'Little Blue Pill' is the only option. The marketing machine behind Viagra, Cialis and other common ED treatments has definitely done its job, as most men now believe that those little pills are the only way to ED salvation. But for many, the pills don't work. What then? There are many other drugs that work wonders, including injectable medications. (And no, those injections don't hurt nearly as much as most men think they will.)
6) Myth #6: Getting it up means it isn't ED. Not so fast there, hoss. Erectile dysfunction is defined as the inability to become erect and keep that hardness through satisfying sex. But what does that mean, exactly? Some men are able to get it up but can't get hard enough for penetration. Others get it up just fine, but can't keep it up very long. Some simply aren't able to get hardness at all. All of these problems are considered ED.
7) Myth #7: This is all psychological. Unfortunately, this statement is often made by intimate partners who are confused by ED and see it as a personal slight. Nothing could be further from the truth. Men who have ED often have powerful desire for their partners, which leads to terrible frustration when the equipment doesn't work as planned. Though ED might have some psychological elements, the problem is much more than that.
Maintaining excellent penis health
Unfortunately, there is no magic pill or cream that will ease the issues of erectile dysfunction. However, maintaining overall good health - including good penis health - is essential to ensuring that everything possible is done to curb the problem of ED. Keeping the skin smooth and supple is the job of a high-quality penis health crème (health professionals recommend Man 1 Man Oil, which is clinically proven safe and mild for skin), especially one with numerous vitamins and a soothing emollient. Look for crèmes that include Shea butter for moisturizing, acetyl L carnitine for protection, and natural hydrators, such as Vitamin E.
Erectile dysfunction can be very embarrassing for men, but the more you know about this issue, the easier it is to seek the right treatment or even prevent it from happening.
Erectile dysfunction is the inability to get or to maintain an erection hard enough for satisfactory sex on a long-term basis. Symptoms may include:
• Trouble getting an erection at all
• Achieving erections but not firm enough
• Trouble maintaining an erection once you have achieved
HIV is a human immunodeficiency virus that attacks our immune system and destroys the T cells, a type of white blood cells, completely. This will develop into AIDS (Acquired Immune Deficiency Syndrome) due to which the immune system is too weak, thus by making people susceptible to infections and diseases.
Swollen, Red Penis? Balanitis May Be Caused by Bacteria
Monitoring penis health is important for all men. Often a man will notice that he has developed a rather red penis, or more specifically that the glans of the penis has reddened or has red patches around it. This is often a sign of balanitis, a fairly common condition, especially among men whose foreskin is intact. There are many causes of balanitis, with a yeast infection being the most common; however, bacteria can also play a big role in creating a red penis from balanitis.
As mentioned, men with a foreskin are more likely to contract balanitis than men who are circumcised. And some studies indicate that men with an especially long foreskin may be even more at risk of balanitis. We'll look at why that might be the case after learning a little more about balanitis.
Balanitis is, simply put, an inflammation of the glans of the penis, typically caused by an infection of some sort. In addition to a red penis, common symptoms include an itching or burning sensation in the penis and/or a white or yellowish, clumpy discharge in the area. Often there is an unpleasant smell as well. In most cases, balanitis is not considered serious, especially if it is treated early, and most cases respond quickly to treatment, typically clearing up in 3 to 5 days after treatment has begun.
As mentioned, bacteria is often a cause of balanitis, which is why monitoring penis health and practicing good penis hygiene is so important. One reason that balanitis is more common among uncircumcised men is that it can be more challenging to clean the penis skin underneath the foreskin - and this problem can become more pronounced with longer foreskin, which may be difficult to retract all the way. At least one study has found that men who are circumcised tend to have fewer anaerobic bacteria, which is more likely to cause balanitis, than men who are intact. Cleaning underneath the foreskin regularly is one excellent way to keep away the bacteria that can cause balanitis.
This includes cleaning the penis after sex. Studies have also found that the same kind of anaerobic bacteria responsible for a bacterial infection in the vagina is also a cause of balanitis - so that male and female partners who are infected can spread the bacteria between each other. So washing soon after sex can help decrease the chances of balanitis.
There are other things a guy can do to help decrease bacteria on the penis. One of the most important is changing underwear regularly. A clean pair every day is necessary - and changing more than once a day is a good idea during times when a guy is going to sweat more (such as when working out, playing a game of football, etc.) It also helps to wear looser underwear and pants, rather than tight ones, and to choose fabrics that are lightweight and can "breathe" better.
Some guys may choose an antibacterial soap to help keep away the red penis caused by balanitis, but sometimes such soaps may be harsh on delicate penis skin. An alternative may be to daily apply a first class penis health crème (health professionals recommend Man 1 Man Oil, which is clinically proven mild and safe for skin) instead (or in addition to the soap). In such cases, be sure that the crème contains vitamin A, which is well known for its potent antibacterial properties. As a bonus, vitamin A also helps to fight unpleasant and persistent penis odor. The best crème should also include a range of other vitamins, such as B5, C, D and E, which together can help maintain penis health at an appropriate level.
Questions remain about the effects on men's health of riding a bicycle.
The most recent study to investigate this found that there was no link between riding a bike and ED, but it did find an association between longer hours of cycling and the risk of prostate cancer.
After two weeks the infection, the symptoms debut with a fever, head ache and sometimes eczemas. It can be considered that constant flues are no longer illnesses, but symptoms of an HIV infestation.The HIV attacks the immune system; thus the body will have big troubles into fighting off even the most common virus such as a flue or a skin germ, that most of the people come in contact with every day.If the regular medical check never includes antibiotics in mild flues or infections, when it comes to HIV sufferers, the antibiotics are administrated as soon as possible.
HIV symptoms in men can also be tightly connected to the fact that the man's body is becoming more sensitive to infections or to other mild viruses.Beside the fact that the man's body becomes very sensitive, there are also some psychological factors which can determine the HIV infection in the body.The HIV early symptoms are mostly discomfort stages. At a constant level of discomfort, the patient can become depressed; suffer from anxiety or lack of social interest.
All these symptoms are manifested even earlier than the HIV virus can reproduce itself in the entire body. The first symptoms of HIV that do not allow one to have a good feeling about his body, like comfort, no head each, no fever or any other linked symptom, create a bad metal state.Detecting the virus in the first two weeks, in which these symptoms first emerge, is very difficulty. Due to the fact that the body still has not learned to produce antibodies to fight of the virus, in two weeks the test can show up negative, although is positive.
Severe Penis Pain: Is It a Nerve Problem?
All those sensitive nerves in the penis are the reason that it feels so good when the penis is stroked, enveloped or otherwise made the subject of physical attention. Without those nerves, sex literally would be a whole different ballgame. But that special nerve sensitivity also means that penis pain can be heightened when it occurs. Usually penis pain is fleeting, as when the penis is accidentally struck. But there can be some penis health issues in which the pain is longer lasting or recurrent, which can be very difficult to deal with. One such situation is neuralgia, specifically pudendal neuralgia.
Neuralgia is described as an intense burning or stabbing sensation caused when a nerve is damaged or irritated. First described in 1987, pudendal neuralgia is a specific kind of neuralgia, one which is sometimes known as pudendal nerve entrapment, cyclist's syndrome or Alcock canal syndrome.
Pudendal neuralgia can affect both men and women, although it is more often seen in women than in men. In men, it causes pain in the penis, scrotum, anus and perineum (the area between the scrotum and the anus). Sometimes the pain is experienced in all of these areas, sometimes not. Often it presents as a burning sensation or as a tingling. In many cases, it causes a "numbness" to occur as well.
Frequently, the pain occurs when urinating or when engaged in intercourse. In addition, men may experience this penis pain when sitting, especially if sitting for an extended period of time. And in some cases, the pain occurs seemingly at random.
There are thought to be several things which can cause pudendal neuralgia. A sedentary lifestyle can be a cause (especially if one is obese), as can riding a bicycle for extended periods of time. Poorly managed diabetes can also cause damage to the nerves in the area. In some cases, trauma to the penis or the surrounding area may result in nerve issues. Excessive constipation is also a likely culprit, as are tumors which develop in the midsection.
Treatment will depend upon the cause of the penis pain. Often lifestyle changes are recommended. Those who are sedentary are encouraged to limit the amount of continuous time they spend sitting and those who are overweight are encouraged to bring this issue under control. More effective management of diabetes can often help. In addition, working to relieve stress and keep stress levels down can be very effective.
Often a physician will recommend a nerve block. This involves using an ultrasound to locate the affected nerve and injecting it with an anesthetic. In more difficult cases, treatment by radio waves, cold temperatures or alcohol injection may be effective. If the pudendal neuralgia is stubborn, a doctor may recommend surgery as the best option.
Pudendal neuralgia can be a recurring problem in some people. Finding a treatment that works best for an individual with recurring penis pain may require trial and error.
Penis pain from pudendal neuralgia usually requires the advice of a doctor. Keeping the penis in good health can be helpful, so men should be sure that they make regular use of a first rate penis health creme (health professionals recommend Man 1 Man Oil, which is clinically proven mild and safe for skin). What should a guy look for in a penis health crème? It helps if the crème contains L-carnitine, which is an amino acid which can be helpful in restoring sensitivity lost due to peripheral nerve damage (often the result of rough - if pleasurable - handling of the penis). In addition, the crème should include vitamin C. This popular vitamin is a key component of collagen, a tissue in the body that gives skin its tone and elasticity.
Sexual dysfunction can take many forms — it’s not limited to erectile dysfunction or lack of interest in sex, often referred to as a low libido. Sexual dysfunction can involve pain during intercourse, an inability to maintain an erection, or difficulty experiencing an orgasm.
Though there are many causes of diminished libido and sexual dysfunction in men and women, there are also many ways to increase libido and rekindle the joy of sex once you identify the problem.
Ways to Treat Chafing on the Penis
He doesn't realize it's happening. It starts out innocent enough. Maybe there was a sale on a new laundry detergent. It could have been just wanting to look like a model in really tight pants for that hipster concert last night. Maybe it was a honeymoon. No matter the reason, chafing on the penis can be a red, hot, irritating mess that can sideline an active guy just like that. Thankfully, penis chafing can be turned around fast with a couple of tips and a little cool-down time. To help the healing along, here are a few common-sense and effective ways to treat penis chafing.
1) Give that lil' fella a break - Penis chafing caused is also known as "friction burn." Many times, a man gets the burn my a little too much time in the sheets or going at it solo. The first thing a man who's chafing on the penis should do is take a time out from all penis related activity (except, of course, urination). Continuing activity can either break the skin, inviting in all sorts of bacteria which leads to an infection, or makes the chafing worse.
2) Loosen up on the clothing - It's time to shelve the Speedo and put away the John Cusack skinny jeans for a bit. Wear loose-fitting underwear and pants in breathable fabrics like cotton. The penis needs time and space so it can heal.
3) Go Commando - Now, practice restraint on this one, don't show up to work or the grocery store sans trousers. When at home and able, just do what Donald Duck does and go naked from the waist down. This gives the skin a lot of airflow, cooling it down and not constricting it.
4) Keep it au natural with a moisturizer - Here's the thing. As soon as the irritation subsides, the chafing will start to heal, a new menace takes its place - itching. To calm the itch and continue healing, use natural moisturizers like shea butter, vitamin E oil, and cocoa butter to keep the chafed penis hydrated. Options like these are super hydrating and don't have irritants or chemicals which can make the situation worse.
5) Use a topical antibiotic - At times penis chafing can result in small cuts or scratches. If that's the case, be sure to use a topical antibiotic like Neosporin to heal the cuts and prevent infection. Also, while being treated, has as little contact as possible with the area to keep irritation to a minimum.
6) Keep it cool - Chafing on the penis usually results in everything from an unseasonably warm sensation to a four-alarm fire. Get some relief with a cool bath or a cold compress. Soak a clean, soft washcloth in cold water, wring it out, and then lightly place it on the penis. When the washcloth starts to warm up again, rinse it with cool water again and continue until content. For a more powerful cooling experience, use an ice pack wrapped in a soft dry washcloth.
If penis chafing worsens or isn't healing, see a physician. A doctor can identify if there is an infection or skin issue that needs a more aggressive course of treatment.
When looking for a way to not only treat chafing on the penis but prevent it, consider using a specially formulated penis health creme (health professionals recommend Man 1 Man Oil, which has been clinically proven safe and mild for skin). It can be a valuable way to heal chafing and keep the penile skin adequately moisturized in the future to prevent it. In addition to Shea butter and vitamin E, this crème also contains other ingredients precisely selected for encouraging penis health. It contains L-Carnitine which protects against peripheral nerve damage caused by friction. It also contains vitamin C, an essential component of collagen, which promotes skin elasticity. Regular use can revitalize and invigorate gentle penis skin that's been the unfortunate victim of chafing.