Dr. N A Khan (Unani Specialist)

The Relationship Between Anxiety Disorders and Sexual Dysfunction. Anxiety can be defined as a feeling of apprehension and fear characterized by physical, psychological, and cognitive symptoms. In the context of stress or danger, these reactions are normal

DR.N.A.Khan The Unani Clinic

Low testosterone levels usually mean low sexual desire. Levels dip as men age; other causes include chronic disease, medications, and other drug use. Other hormones can play a role, too, such as low levels of thyroid hormone or, rarely, high levels of prolactin, a hormone produced in a gland at the base of the brain. 

Depression

The medical model is a particular way of viewing human suffering, decay, dysfunction and, ultimately, death. It is a paradigm, a lens through which physicians and others perceive certain abnormal or aberrant phenomena like leukemia, diabetes, and now, depression and many other mental disorders. But despite the immense contribution of the medical model in diagnosing and treating disease, its literal application to archetypal human experiences such as depression, psychosis, and anxiety is problematical.
There is no denying that those who suffer from severe depression are ill. 

Premature ejaculation is the uncontrolled occurrence of an ejaculation at the beginning or early stages of sexual activity. There are many causes of this condition including stress, anxiety with a new partner, guilt, depression as well as medical reasons like hormonal imbalances and as a side effect of certain kinds of medication. The main symptom is an ejaculation that happens with minimal sexual excitement or stimulation. 

It is basically a form of male sexual dysfunction that can be diagnosed with the help of a physical examination where the doctor can also ask questions pertaining to stress levels and other medications and ailments. So, how can one deal with premature ejaculation? Here are a few tips-

1. Relaxation Techniques: One can practise breathing exercises and other relaxation techniques including meditation that can help in distracting the mind so that there is less scope of anxiety. This can also help in putting the patient in the right frame of mind where he can actually enjoy the process of sexual activity from stimulation to excitement to peak and orgasm.
2. Avoiding Substance Abuse: Doctors usually recommend avoiding excessive consumption of alcohol so that the senses are more alert. Also, one must completely avoid smoking in such conditions, as tobacco can have an adverse effect on the sexual health of a person. Other substance abuse should also be avoided.
3. Therapy: The patient can also seek psychological therapy and counselling so as to unravel any deep rooted psychological cause or trauma that may be keeping him from enjoying sex in an uninhibited manner. It is possible to understand the connection between childhood trauma, guilt, depression, anxiety, and stress if a person takes help from a professional practitioner who will also recommend some form of cognitive behavioural therapy to deal with the issue and overcome the problem and feelings that are hindering a normal sex life.
4. Medical Intervention: A doctor can help in examining the presence of any infection or side effects of any intense or long term medication with the help of a physical examination and even lab tests that can study the urine and blood samples. Accordingly, a suitable path of medicinal therapy can be followed, if required.
5. Sexual Positions: One can try different kinds of sexual positions and scenarios for more imaginative role play and better sexual excitement which can delay the ejaculation. A person can also learn to be more intimate with the partner so as to identify the triggers that lead to premature ejaculation.

Many times, premature ejaculation goes away with the passage of time. But a chronic and debilitating problem must be reported to a doctor for better treatment.
 

Loss of libido (sex drive) is a common problem that affects many men and women at some point in their life. It's often linked to relationship issues, stress or tiredness, but can be a sign of an underlying medical problem, such as reduced hormone levels.

 Erectile dysfunction is defined simply as difficulty in achieving and maintaining erections that are satisfactory for intercourse. Your problem is called inhibited ejaculation, a rather different issue.

Male sexuality is complex. Successive stages of desire, arousal, erection, ejaculation, orgasm, and relaxation are involved. And to be successful, a man's hormones, nerves, blood vessels, and mind must all be in sync.

It sounds like you don't have any problems with the first three stages of sexuality — but you do have a problem with ejaculation, orgasm, or both. With age, many men notice that the volume of their ejaculate decreases and the sensation of orgasm becomes less intense. But the normal changes of aging may not be the whole story.

Diagnosis of depression starts with a consultation with a doctor or mental health specialist. It is important to seek the help of a health professional to rule out different causes of depression, ensure an accurate differential diagnosis, and secure safe and effective treatment.

Low Sperm Count 
When you see a doctor because you're having trouble getting your partner pregnant, he or she will try to determine the underlying cause. Even if your doctor thinks low sperm count is the problem, it is recommended that your partner be evaluated to rule out potential contributing factors and determine if assisted reproductive techniques may be required. A low sperm count is diagnosed as part of a semen analysis test. Sperm count is generally determined by examining semen under a microscope to see how many sperm appear within squares on a grid pattern 

What Is Male Infertility?

Male infertility is when a man has a poor chance of making his female partner pregnant. It usually depends on the quality of his sperm cells.

The following aspects of sexual function and semen quality may affect fertility:

Libido: Otherwise known as sex drive, libido describes a person's desire to have sex. Foods or supplements that claim to increase libido are called aphrodisiacs.

Erectile dysfunction: Also known as impotence, erectile dysfunction is when a man is unable to develop or maintain an erection.

Sperm count: An important aspect of semen quality is the number or concentration of sperm cells in a given amount of semen.

Sperm motility: An essential function of healthy sperm cells is their ability to swim. Sperm motility is measured as the percentage of moving sperm cells in a sample of semen.

Testosterone levels: Low levels of testosterone, the male sex hormone, may be responsible for infertility in some men.

Infertility can have multiple causes and may depend on genetics, general health, fitness, diseases and dietary contaminants.

Additionally, a healthy lifestyle and diet are important. Some foods and nutrients are associated with greater fertility benefits than others.

Low sperm count is usually caused by health issues, medications, lifestyles or drug usage. There can be problems of abnormal sperm shape (morphology), movement (motility) or function. Sperm production or function can be affected by overexposure to certain environmental elements too.