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Dr Shailesh Jain's Clinic, Delhi

Dr Shailesh Jain's Clinic

  4.3  (44 ratings)

Sexologist Clinic

G-28/101, Near Mother Divine School & Bus Stand, Rohini Sector-3 Delhi
1 Doctor · ₹300 · 1 Reviews
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Dr Shailesh Jain's Clinic   4.3  (44 ratings) Sexologist Clinic G-28/101, Near Mother Divine School & Bus Stand, Rohini Sector-3 Delhi
1 Doctor · ₹300 · 1 Reviews
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Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you....more
Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you.
More about Dr Shailesh Jain's Clinic
Dr Shailesh Jain's Clinic is known for housing experienced Sexologists. Dr. Shailesh Jain, a well-reputed Sexologist, practices in Delhi. Visit this medical health centre for Sexologists recommended by 90 patients.

Timings

MON-SAT
06:00 PM - 09:00 PM 09:00 AM - 11:30 AM

Location

G-28/101, Near Mother Divine School & Bus Stand, Rohini Sector-3
Rohini Delhi, Delhi - 110085
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Doctor in Dr Shailesh Jain's Clinic

Dr. Shailesh Jain

Bachelor of Ayurveda, Medicine & Surgery (BAMS), MS-Ayurveda
Sexologist
86%  (44 ratings)
18 Years experience
300 at clinic
₹300 online
Available today
06:00 PM - 09:00 PM
09:00 AM - 11:30 AM
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How to Manage Premature Ejaculation? Medical Treatment Options

Bachelor of Ayurveda, Medicine & Surgery (BAMS), MS-Ayurveda
Sexologist, Delhi
How to Manage Premature Ejaculation? Medical Treatment Options

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

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

Medical (allopathic) therapy for pe treatment:

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

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

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

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

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

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

Ayurvedic therapy for pe treatment:

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

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

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

5 people found this helpful

Erectile Dysfunction: How to Manage it Effectively?

Bachelor of Ayurveda, Medicine & Surgery (BAMS), MS-Ayurveda
Sexologist, Delhi
Erectile Dysfunction: How to Manage it Effectively?

How to manage it effectively?

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

Counselling sessions:

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

Relieving sexual anxiety:

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

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

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

Non-medical therapies

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

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

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

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

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

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

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

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

Medical therapy:

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

Ayurvedic medications:

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

  • Bulb of allium sativum (garlic)
  • Root of asparagus recemosus (shatavari)
  • Root of boerhavia diffusa (punarnava)
  • Whole part of Cocculus cardifoli (guduchi)
  • Root of panax ginseng (ginseng)
  • Seeds of myristica fragraus (nutmeg)
  • Leaf and root of withania somnifera (ashwagandha)
  • Leaf and seeds of ginkgo bioloba (ginkgo)
  • Pitch of asphaltum bitumen (shilajit)
  • Dried root of lepidium meyenii (maca)

In case you have a concern or query you can always consult an expert & get answers to your questions!

3009 people found this helpful

Reasons Why You Suffer From Painful Intercourse!

Bachelor of Ayurveda, Medicine & Surgery (BAMS), MS-Ayurveda
Sexologist, Delhi
Reasons Why You Suffer From Painful Intercourse!

Severe pain during intercourse causes difficulty in a relationship in both partners. Sometimes a sustained occurrence of pain might be an indication of some serious medical dysfunction. As such, consult a doctor as soon as the pain arises. Contrary to popular beliefs, sexual pain can occur in both male and female.

In female, the reasons behind the painful sexual intercourse might be:

  1. Vaginismus, a condition when the vaginal muscles tighten up mainly due to anxiety or fear and cause significant pain with a tearing sensation.
  2. The pain can arise due to vaginal infection due to yeast or any form of sexually transmitted disease or pelvic inflammatory diseases.
  3. A severe injury in the vagina during childbirth or any other accident and psychological stress can also cause severe pain during sex.
  4. Sometimes, uterine or menopause problems (formation of fibroids in the uterus) can also cause pain.
  5. Cyst formation in the ovary or endometriosis (when the inner tissue lining of the uterus tends to grow outside) can also cause severe pain during intercourse.

Among men:

  1. Some men can experience pain during intercourse because of allergy to the fluids of the vagina or the chemical content of certain contraceptives.
  2. You can experience pain because of undiagnosed sexually transmitted diseases like herpes or gonorrhea
  3. The pain might also occur due to urinary tract infections or side effects from certain medications.
  4. Severe pain just a few moments before ejaculation can be a result of inflammation of the prostate glands and should be immediately diagnosed as it might be a signal of prostate cancer.

For treating pain during sex in female, you should opt for the following procedures

  1. If the pain is caused due to vaginal dryness after menopause, you should consider the application of prescribed lubricants or jellies to reduce the pain.
  2. If the pain occurs due to severe anxiety or stress, sex therapy can help you improve physical intimacy.
  3. If there are other symptoms like severe bleeding or irregular periods in addition to the pain, a visit to the physician is recommended.

Quite similarly in men

  1. If the pain occurs due to severe anxiety or stress, sex therapy can help you improve physical intimacy.
  2. If the pain results from side effects of certain medications, you should try changing your prescribed medication after doctor’s suggestion.
  3. In extreme cases, the doctors might suggest hormone replacement surgery.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2765 people found this helpful
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