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By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have place......more
By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have placed in us.

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MON-SUN
10:00 AM - 08:30 PM

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20, National Park Rd, Lajpat Nagar IV, Lajpat Nagar 4
New Delhi, Delhi - 110024
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Knowing Erectile Dysfunction. Part 1: Don't Get Carried Away By Misconceptions<br/><br/>What is E...
Knowing Erectile Dysfunction PART 1: ...
Benefits of carom seeds (ajwain) for digestion, pain relief, and skin!<br/><br/>Carom is a promin...
Benefits of CAROM Seeds (Ajwain) for ...

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Sexology

Sexology

An interdisciplinary field, which deals with sex therapy and counselling
Ayurveda

Ayurveda

A science of natural medicine, offering productive care against a number of medical conditions

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Dr. Jyoti Monga

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
88%  (19 ratings)
17 Years experience
450 at clinic
₹350 online
Available today
10:30 AM - 02:30 PM
03:30 PM - 08:30 PM
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Pain During Sex - Know the Reasons Behind it!

MD-Pharmacology, MBBS
Sexologist, Delhi
Pain During Sex - Know the Reasons Behind it!

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. If you wish to discuss about any specific problem, you can consult a sexologist.x
22 people found this helpful

I am type 2 diabetic since 1994. Presently my hemoglobin is 10.3 and iron deficiency is 33.6.So how can I increase these levels please suggest.

MD-Pharmacology, MBBS
Sexologist, Delhi
I am type 2 diabetic since 1994. Presently my hemoglobin is 10.3 and iron deficiency is 33.6.So how can I increase th...
Dear, Thanks for sending across your query. I will suggest you to check your fasting n PP and HbA1C on routine basis first. Your Haemoglobin level is slight less than normal, for that take sprouts, roasted black chana, fruits like aloo bukhara, kiwi and jamun, whole grain cereals, green leafy veggies, whole pulses in your diet. Do your workout daily. For more queries you can visit our private questions. Thanks.
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STDs - Do They Only Spread Through Sex?

MD-Pharmacology, MBBS
Sexologist, Delhi
STDs - Do They Only Spread Through Sex?

STDs or diseases that spread due to the exchange of bodily fluids and most of them are treatable in nature, but one should get them treated as soon as poosible and should not ignore them as them can turn fatal as well. And, yes STDs can also spread without having sex. Some of the most common way of getting STDs without penetrative intercourse is mentioned below.

The most common way of contracting Sexually transmitted disease without sexual intercourse is:
1. Pucker up: Kissing can also cause STDs. Infections can be transmitted through the saliva if you swap your spit. Diseases like Mononucleosis and STD’s like herpes can be transmitted through kissing. This can cause cold sores and infections in the mouth.

2. Oral sex: If a person has an STD, he or she can easily transmit the disease to their partner by having oral sex. During oral sex, fluids from the genitals can flow to the mouth and vice versa. For example STDs caused by herpes simplex virus 2 can be easily transferred by oral sex. Chlamydia can also be transferred by oral sex. This can cause infections and immense discomfort in your throat. STDs can be prevented by wearing a condom or using a dental dam during oral sex.

3. Contaminated foods: You can also develop STD like Hepatitis A from food which is contaminated. If a person infected with an STD prepares your meal without washing his or her hand after using the restroom, it can easily contaminate your meal thus, transmitting the disease.

4. Touching bases: Skin to skin contact or indirect contact with a person who already has an STD can make you prone to contracting STDs. It can be caused by using an unwashed sex toy with an infected person and also with hand to genital contact.

5. Tanning salons: STDs can be easily spread from person to person by means of a tanning bed. If the surface of the tanning bed is contaminated by someone who has STDs, the risk of developing an STD increases for the next person who ends up using the same bed.

6. Razors and syringes: Sharing a razor or anything which pierces or cuts the skin is an easy and common cause behind contracting an STD. If the razor cuts the skin of an infected person and is contaminated with blood, the next person using that razor can develop STD due to blood contact. The same may be said of a syringe where users share them. Many people, especially drug users shared common syringes which resulted in large scale transmission of HIV. If you wish to discuss about any specific problem, you can consult a sexologist.

6014 people found this helpful

All You Need to Know About Premature Ejaculation

MD-Pharmacology, MBBS
Sexologist, Delhi
All You Need to Know About Premature Ejaculation

My last article gave insight on the non-medical methods of controlling premature ejaculation.  Now, as a wrap up on this topic, I will highlight the options of medical treatments available for managing P.E. However, take it as a warning that you must consult a doctor before trying out any of these methods and medicines, because more often than not, such drugs and medicines have their side effects that can adversely bother your health.

By now we know that Premature ejaculation (PE) occurs when a man reaches peak of sexual excitement and ejaculates before he actually wants it to happen, thus, leaving his partner deprived of the sexual pleasure that she deserves. Even the most empathetic female partner would not like his man to leave her unsatisfied in bed.  Sooner or later this problem becomes a medical problem, reduces the warmth in their relationship.

Several factors including psychological problems such as anxiety; biological problem like penile hypersensitivity, hormonal imbalance (e.g. thyroid problem); behavioural problem like, habituation of quick sex/masturbation, etc may be held responsible for causing PE.

Medical (Allopathic) therapy for PE treatment:

Drugs used for managing premature ejaculation reduce sensitivity and anxiety, improve blood flow and even affect some chemical mediators present in the brain. These class 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 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 penis, absorption in vagina resulting in vaginal numbness and irritation.

Earlier agents like Alpha Amino Benzoate and Phenoxybenzamine were used to prolong duration of intercourse, but they were associated with severe side effects.

It has been found that Serotonin (a chemical in brain) levels were deficient in PE patients. 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-Dapoxetine is 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 use of Paroxetine.

Another potential medical treatment option for PE are class of medications which increase the blood flow by dilating the blood vessels of penile region and prolong the PE. But headache, dizziness, flushing, body-ache 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 vigour, 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 GutikaVrishya Gutika, Vajikaranam Ghritam and Upatyakari Shashtikadi Gutika.

Vrihani Gutika is one of the potent formulations while Vrishya Gutika is highly potent aphrodisiac used in 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 vigour and semen consistency helping in increase in sexual timing.

So, with this concluding article, I wrap up my knowledge and experience in treating patients suffering from premature ejaculation.  Take care, and stay healthy!

6060 people found this helpful

I am feeling very difficulty while keeping sex due to pain in my penis because of outer skin not removed. Need to do sunnath. Any advice.

MD-Pharmacology, MBBS
Sexologist, Delhi
I am feeling very difficulty while keeping sex due to pain in my penis because of outer skin not removed. Need to do ...
First try manual retraction by using oil massage at tip and try to pull skin slowly down daily over 4-6 weeks. Use hot water fomentation as well. To know more contact me directly.
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Which tablet we can use for long sex, without side effect, I can't sex more my sperm comes so fast so I can't making my wife happy, please share it to me. And how to make penis tight. ,give some spray name for making women vagina tight .so we can feel enjoy more.

MD-Pharmacology, MBBS
Sexologist, Delhi
Which tablet we can use for long sex, without side effect, I can't sex more my sperm comes so fast so I can't making ...
Dear Thanks for sending across your query The medicines available in the market which claim to increase the sexual power come with lot of side effects which are noticed in the long term. Hence it is advise not to go for such medicines. Rather, your concern of lasting long and better erection can been easily addressed through Counselling and Ayurvedic prescriptions. We have treated hundreds of such patients suffering from Premature Ejaculation and Erectile Dysfunction. It is also not advised for your partner to use any kind of spray as they have many side effects as well.
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What do mean by healthy breakfast, What r the food ,i will choose to take my break fast, dinner ,lunch to maintain healthy life?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
What do mean by healthy breakfast,
What r the food ,i will choose to take my break fast, dinner ,lunch to maintain he...
A breakfast should be a good combination of protein, carbohydrates and do add some fruits. Breakfast should be a complete meal as the whole day's activity depends upon breakfast. Lunch should also contain carbohydrate and protein and vegetables and salad. Dinner should be early and the lightest meal of the day with less carbohydrates and average protein and lots of green vegetables and salad. Take small meals at small intervals and include at least 3-4 fruits a day.
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My baby girl is 9 month old please give me diet to increase her weight she is just 7 kg.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
My baby girl is 9 month old please give me diet to increase her weight she is just 7 kg.
As your baby is 9 months old you might have started other foods apart from milk. You should give her a well balanced diet which includes protein and carbohydrates and fresh fruits. Give her khicdi ,rice, roti, eggs, chicken soup if non veg, home made paneer and fruits like banana and apple puree. Make it a point that your food is cooked and mashed properly so that your baby can digest it properly. Weight should not be so much a matter of concern as long as the baby is healthy and active.
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If Microwave is harmful what about using (Oven, Toaster, grill) OTG instead for preheating /grilling/baking?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
If Microwave is harmful what about using (Oven, Toaster, grill) OTG instead for preheating /grilling/baking?
No microwave heating is not harmful but plastics should not be used in the microwave as it is harmful. Use glass utensils in microwave for heating or cooking.
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This is one of my friend's problem. He wants to study well but when he took a book gets lot of problems that irritating him. Can you please suggest him how can he overcome this problem.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
This is one of my friend's problem. He wants to study well but when he took a book gets lot of problems that irritati...
Your friend is either lacking concentration or does not have interest in studies. He should exercise and do some meditation to gain concentration He can use Saraswataarishta 3 spoons morning and evening after adding in half cup of water regularly for 3 months.
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Today I got 1 day of periods. Usually I got 35 average days of length. Really it's hard to find the fertility day. I am planning to get conceive. The symptoms of the fertility day is hard to find. When I start my intercourse and when I stop it before my periods date reach. Den which time is best to get in intercourse is it night or early morning. Or can I get in both tym.

MD-Pharmacology, MBBS
Sexologist, Delhi
Today I got 1 day of periods. Usually I got 35 average days of length. Really it's hard to find the fertility day. I ...
Dear lybrate-user Thanks for sending across the query. Usually in a cycle of 35 days the fertile period is from 12-20 days considering the day of the period to be the first day. You can use an ovulation kit to know the exact day of ovulation. It is readily available at the chemist shop. Any time is okay for the intercourse but the female should be in a lying position and should not move for atleast half hour after ejaculation.
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Low Sperm Count - 15 Mistakes That we All Commit!

MD-Pharmacology, MBBS
Sexologist, Delhi
Low Sperm Count - 15 Mistakes That we All Commit!

There are a few very common things that a man consumes or does every day without even realizing, that they have a tendency to reduce his fertility. These causes start from drinking and could end with something as harmless as caffeine.

Let's see which habits can cause reduction in sperm count thereby reducing fertility of a man.

  1. Eating processed meat harms sperm quality.
  2. Excessive usage of laptop can also lead to reduction in sperm count because of the heat that a laptop releases.
  3. Hormonal imbalance also causes low sperm production.
  4. If a man is underweight or overweight, this could also lead to less production of sperm. So, a man should watch his weight before thinking of extending his family.
  5. Exposure to too much heat for a prolonged time leads to reduction in sperm count.
  6. Regular smoking also leads to reduction in sperm count.
  7. Excessive stress also causes reduction in sperm count.
  8. Regular and continuous exposure to chemicals like xylene, painting material and metal like lead also leads to low sperm count.
  9. Chemicals present in sunscreen lotion can harm a man's sperm count so one should be alert while using a sunscreen lotion.
  10. Sex toys also cause infertility in men because of presence of phthalates in  them.
  11. Regular intake of canned food can also contribute in low sperm count.
  12. Regular drinking habits reduce testosterone levels thereby reducing the quality and production of sperm.
  13. Excessive intake of canned food leads to intake of bisphenol A which lowers down the quality of the sperm.
  14. Excess intake of caffeine also leads to reduction in sperm count.
  15. Lack of exercise and laziness also reduces sperm count to a great extent.

Some of the above mentioned things can be unavoidable, but point here is that taking everything in moderate quantity doesn't do any harm but problem occurs when the intake is excessive, regular and beyond limit. So, it's better to reduce the quantity and regular use of such things than letting it affect your sperm count. If you wish to discuss about any specific problem, you can consult a sexologist.

5793 people found this helpful

All You Need to Know About Premature Ejaculation 3

MD-Pharmacology, MBBS
Sexologist, Delhi
All You Need to Know About Premature Ejaculation 3

How to manage premature ejaculation with non-medical methods

In my last article, I talked about statistics of premature ejaculation (P.E), its types, diagnosis and reasons.  Now I will discuss about the non-medical methods of managing / treating P.E. Due to PE both partners often end up experiencing highly unsatisfactory sex. In fact, it can increase anxiety, reduce self-confidence and escalate relationship issues. Remember, there is no magical drug or medicine which can solve your problem overnight especially if you have chronic PE.

So, before seeking any medical treatment for PE, it is appropriate to consider the varied options available for solving this issue. These include counselling with a sexual therapist, medical treatment including both modern & alternative medicine, and non-medical methods like exercises/techniques of controlling early ejaculation as discussed below:

  1. Counselling by an expert sexual therapist or sexologist: It is commonly understood that sex is in the mind. Mind controls your sexual behaviour.  However, repeated premature ejaculation episodes can lead to lot of stress and disappointment. Anxiety due to inability to satisfy your partner itself is a big issue and can lead to reoccurrence of PE. So, the stress /anxiety that is linked to your problem needs foremost attention. Many a times, if your family physician is not able to help you overcome the stress that you are facing with your problem of premature ejaculation, then you must seek advice from an expert. Reassurance, from a sexual therapist/counsellor, that PE is not a disease and can be easily treated is very soothing and relaxing for the men who are facing this problem. So, you may please share your detailed history and sexual habits with the expert that will help him to guide you well.
  2. Behavioural changes: Some basic behavioural changes may also help you to deal with the problem of early ejaculation.  For example, some men attempt to treat themselves for premature ejaculation by distracting themselves by thinking nonsexual thoughts (such as naming cricket players and records!) to avoid getting excited too fast and reaching climax too soon while making love to their partners. This helps them to focus their attention away from the sexual stimulation. Another technique suggested to men is that they should relieve themselves of the sexual tension by ejaculating with self-masturbation 1-2 hours before attempting sexual intercourse with their partner. Condom decreases sensation.  So, using condoms is also useful in preventing ejaculation for some time. For some, “women-on-top” position also helps in delaying orgasm in men.
  3. Exercises & techniques: There are several Exercise and techniques that one can try sitting in his home.  Let’s have a look at some of them.
    • The "stop and start" method: In this technique, the person sexually stimulates himself till the point he feels like he is about to reach orgasm. Then he needs to stop the stimulation for about 20-30 seconds and then start the stimulation again, repeating this pattern until the man finally wants to ejaculate. This can be continued for 10-15 minutes. At the end of, say 10th or 15th minute, one can continue stimulation until he reaches orgasm and ejaculates.
    • The "squeeze" method: This technique requires the man to sexually stimulate himself or be stimulated by his partner until the point he is about to ejaculate. At that point, the man or his partner gently squeezes the end of the penis (where the glans penis meets the shaft) for at least 15 seconds. Stop sexual stimulation for about 60 seconds, and then start it again. The person or couple may repeat this pattern for at least 10-15 minutes.  At the end of, say 10th or 15th minute, both can continue stimulation until the man finally reaches orgasm and ejaculates.
    • Deep breathing method: Deep breathing can greatly help in controlling the arousal and tension that cause early ejaculation. Men must avoid taking shallow breaths as it can trigger premature ejaculation. Instead, what one should do is spend 5 seconds inhaling a long deep breath; then hold it for three seconds and then exhale for the next 5 seconds. If you can do this for 5 minutes in the bedroom, without pause, then you can control premature ejaculation. 

That is all for now on this topic. In my next sequential and final article on this subject, I shall discuss what are the medical methods and treatments available to manage premature ejaculation.

5336 people found this helpful

All You Need to Know About Premature Ejaculation Part-2

MD-Pharmacology, MBBS
Sexologist, Delhi
All You Need to Know About Premature Ejaculation Part-2

In my previous health tip, featured here last time, I talked about what actually is Premature Ejaculation (PE) or early ejaculation, what is its actual condition and how is it defined. Today I will share some statistics, diagnosis, variants and causes of PE.

Statistics of PE:

  1. You are not alone!  PE is a common sexual complaint.
  2. Estimates vary, but as many as 30-40% men across the world experience PE at some point in their lives. 
  3. In US alone, about 60%-70% of people experience premature ejaculation. The National Health and Social Life Survey (NHSLS) indicate a prevalence of 30%, which is fairly spread across all adult age groups. 

Diagnosis of PE:

As per DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition), the specific criteria for PE are as follows:

 

  1. In almost 75-100% sexual activities, the experience of ejaculation occurs within one minute of vaginal penetration.
  2. The problem of PE has persisted for at least six months
  3. The symptoms cause significant mental stress to the person
  4. It occurred due to a nonsexual mental disorder, a medical disease, effects of a drug or medication, etc.

Severity of PE:

The severity of PE or early ejaculation is broadly defined as follows:

  1. Mild: Occurring within 30 seconds to one minute
  2. Moderate: Occurring within 15-30 seconds
  3. Severe: Occurring even before sexual activity, at the start of it, or within 15 seconds of vaginal penetration

Even the severe form is not uncommon. Many times men approach the doctors with complaint that they are not able to penetrate the vagina. They ejaculate on minor physical stimulation and it occurs again and again. In such case, pregnancy will not be possible unless artificial insemination is used. 

Types and characteristics of P.E.

PE can be Chronic or Acquired

Chronic (lifelong) PE is when the person has been experiencing it since he became sexually active (i.e., post puberty). Usually it is seen that PE starts occurring from the beginning of sexual activity, probably the first sexual intercourse or even on masturbation, when the discharge occurs early.

Acquired (recent) PE means that the condition began in an individual who previously experienced an acceptable level of ejaculatory control and had successful sexual escapades but only recently (couple of weeks to months) has developed the tendency to ejaculate early. 

 

What causes P.E?

Not a particular cause is responsible for causing PE.  However, the causes of PE can be divided into two broad sub-heads, which are psychological and biological cause:

 

Psychological causes:

PE is believed to be a psychological problem and does not represent any known defect in the brain or nervous system. Psychological causes behind PE may include a certain pattern that is hard to change as result 
of your previous sexual experiences. They may arise from following:

  1. Atmosphere at Work or school
  2. Relationships with peer groups
  3. General attitude toward sex
  4. Any bad feelings about sex that relates to one or more bad experiences encountered
  5. Erectile dysfunction  
  6. Performance anxiety, where men want to show a good performance of sexual act with the female partner.

 

Type of the relationship/sexual engagement (e.g., married/unmarried/live in relationship)

Sexual attitude or interest of the female partner

Early sexual experiences, like development of habit of reaching climax soon for pleasure or ejaculating quickly because of fear of being discovered by others when masturbating as teenagers or during early sexual experiences with female partner.   This pattern of rapid attainment of sexual release is difficult to change in later stage of life during marriage or long-term relationships. 

Last but not least, a situation in which you may have hurried climax/ejaculation in order to hide your problem from your female partner; or feelings of guilt that make you rush through sexual encounters. 

 

Biological causes of PE:

Many scientists have questioned whether PE is purely psychological. A number of investigators have found differences in nervous stimulations and hormonal differences in men who experience PE as compared 
to individuals who do not.  Some believe that some men have hyper-excitability or oversensitivity in their genitalia, which is again not proven.  So, among the biological causes of PE, the most common are:

  1. Abnormal functioning of the ejaculatory system
  2. Thyroid problems
  3. Infection or inflammation of the urethra or prostate
  4. Nerve damage occurring due to trauma or surgery (a very rare cause)
  5. Abnormal levels of hormones and/or neurotransmitters (which are chemicals present in the brain)
  6. Higher, free and total testosterone levels have been demonstrated in men with PE than in men without premature ejaculation. Recent article in a Chinese andrology journal showed that semen from men  with PE contained significantly less acid phosphatase and alpha-glucosidase than the counterparts 
  7. Another study found that many men with PE have low serum prolactin levels.

Somehow these biochemical markers play only a partial role in contributing to PE. Further research is needed. Abnormal functioning of the ejaculatory system. If you wish to discuss about any specific problem, you can consult a sexologist and ask a free question.

5513 people found this helpful

My sugar is normal with 100 fasting and 118 pp from last 2 years by using regular medicine and exercise what should I do I a want to maintain it without medicine.

MD-Pharmacology, MBBS
Sexologist, Delhi
My sugar is normal with 100 fasting and 118 pp from last 2 years by using regular medicine and exercise what should I...
Dear Sir, It's good that you have a good control on your diabetes. I will suggest you to keep going on with the same schedule. Thanks.
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Is consumption of honey has adverse effects on a diabetes patient. What are the fruits which may be taken by a diabetes patient and in what quantity.

MD-Pharmacology, MBBS
Sexologist, Delhi
Is consumption of honey has adverse effects on a diabetes patient. What are the fruits which may be taken by a diabet...
Dear sir, Yes honey has an adverse effect on a Diabetic patient's health. It is highly sweet in taste than sugar. Avoid honey n sugary products. Except chiku, sharifa, grapes, kinnu, Any seasonal fruit can be taken but it should be in moderation. For more suggestions n query you can visit the private questions. Thanks.
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Hlo meri delivery abhi hui h or mujhe aesa lg rha h meri uterus shyd khul si gai h matlb bdi si ho gai hai. M ky kru. Ky ye normal bt h ya nhi.

MD-Pharmacology, MBBS
Sexologist, Delhi
Dear lybrate-user, It is very common that after delivery uterus size increase. It's natural solution is to start feeding your baby exclusively for 6 months. As it is a reflex action, your uterus will come to its normal size. Take good care of your health n baby. If there is a single problem related to your health or baby's health, consult your gynecologist immediately. Avoid local medication or advice. For more information or suggestions you can also visit our private questions. Thanks.
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I have haemorrhoids, kindly advice me which food to be taken and what to be avoid.

MD-Pharmacology, MBBS
Sexologist, Delhi
I have haemorrhoids, kindly advice me which food to be taken and what to be avoid.
Have plenty of fresh fruits, salads n water, have home made fresh food light in nature. Try to have small frequent meals at short intervals of time. Avoid chillies n spices in your home made food. Avoid spicy oily junk food. For more details or suggestions you can also visit our private questions. Thanks.
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All You Need to Know About Premature Ejaculation

MD-Pharmacology, MBBS
Sexologist, Delhi
All You Need to Know About Premature Ejaculation

Many of the issues, which hamper your intimate life are primarily not big problems, but because of the taboos and social beliefs they are not discussed openly. Hence, they failed to get resolved and become big because of continuous worry they give. In fact, most of them are not even symptoms of any organic disease process or functional problem. Many of them are very basic issues because of ignorance, myths, and social taboos leading to development of anxieties, distress and further worsening of the problem in question.

Generally, men are concerned about their performance in bed with their partners (wife or girlfriend), like how best then can do, how long they will last, concerns about their masturbation habits, size of penis, sperm quality and many more.

Premature Ejaculation (PE) is one of them. Not a disease; Not at all..!!

The person even if he is sexually fit, having normal erections, but due to anxiety, just fails to hold back the orgasm/discharge for reasonable time, and becomes worried. We need to reassure, it is not a disease and it can be easily manageable.

We will discuss this topic in Four parts a) what is it , b) how it happens, and c) how to approach to resolve this problem with behavioral methods, exercises, techniques and d) Medical Treatment - both modern as well as alternative medicine.

Part 1: What is Premature Ejaculation (PE)? Definitions and how commonly it occurs.

PE is also referred to as early or rapid ejaculation or discharge is a sexual dysfunction, most common in men under 40 years. In elderly men above 60 years, though erectile dysfunction is more common, but they do suffer from PE as well. A study conducted by the Journal of Sexual Medicine revealed that this condition is almost equally prevalent in sexually active men of all age groups. 

If a man experiences uncontrollable ejaculation (discharge of semen ) either before or shortly after sexual penetration (usually within 1-2 minutes of penetration), he may be suffering from premature ejaculation. Mayo clinic in USA defines PE as, when a man “always or nearly always ejaculates within one minute of penetration”.

An occasional instance of premature ejaculation might not be a cause of concern, but, an abnormal pattern usually exists if the problem occurs in more than 50% of attempted sexual encounters, for which treatment may be required.

Premature ejaculation happens with negligible sexual stimulation or before you wish to ejaculate. As a consequence, both you and your partner may end up experiencing highly unsatisfactory sex. In fact, it can dramatically increase anxiety, which may worsen the problem. 

Many therapists or clinicians who treat PE describe it as the occurrence of ejaculation sooner during sexual intercourse than he or his partner would like. This broad definition thus avoids specifying a precise “normal” duration for sexual activity and reaching a climax. The duration of sexual activity varies and depends on many factors specific to each individual.

Take a situation, a male may reach orgasm after 7 to 8 minutes of sexual intercourse, but if his partner is able to achieve climax most of the times in 5 minutes and both are satisfied with this timing, then this is not PE.

Alternatively, a male might delay his ejaculation for up to 15- 20 minutes, but if his partner, even with foreplay, requires 25-30 minutes of total sexual activity before reaching climax, he may still consider his ejaculation premature because his partner has not been satisfied (at least, not through intercourse). But in routine practice we do not like to call this kind of situation as PE.

So every individual is unique. Every couple is unique. Same individual may have different sexual behavior with different partner and different times. Varied situations and varied places of performing the act have a role to play in determining the outcomes of individual sexual performance/s.

Statistics of PE:

You are not alone! PE is a common sexual complaint. As many as 30-40% men across the world including India experience problem of PE at some time in life.

Approximately 30%-70% of American males experience premature ejaculation. The National Health and Social Life Survey (NHSLS) indicate a prevalence of 30%, which is spread across all adult age groups. Estimates of PE rates in India and many European countries are similar to those of the United States.

That is all for now on this topic. In the next follow up parts I shall discuss, types of PE, how it happens, how to approach the men / couple suffering from it to resolve this problem. The therapy includes wide spectrum of approach including counseling, behavioral methods, exercises, techniques and medical remedies both modern as well as alternative medicines. If you wish to discuss about any specific problem, you can consult a sexologist and ask a free question.

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I am 42 year old, I am Diabetic, I am facing sexual problem as my penis is not able to attain the required hardness, please help.

MD-Pharmacology, MBBS
Sexologist, Delhi
I am 42 year old, I am Diabetic, I am facing sexual problem as my penis is not able to attain the required hardness, ...
Dear Mr. lybrate-user. Because of diabetes you loose your erection. For good erection you have to control your diabetes first. For more details you can contact me on private consultation.
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