Lybrate.com has an excellent community of General Physicians in India. You will find General Physicians with more than 38 years of experience on Lybrate.com. You can find General Physicians online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Treatment of Migraine Treatment
Weight Management Treatment
Removal Of Stitches Procedure
Thyroid Problems Treatment
Dressings Of Wounds Procedure
Prevention of Blockage, Atherosclerosis & Heart At
Hiv Prophylaxis Post Exposure
Viral Fever Treatment
Thyroid Disorder Treatment
Stitching Of Wounds Procedure
Submit a review for Dr. Sachin RastogiYour feedback matters!
On corner of my upper lips there are two cuts and that patch is become so hard and it's paining. I can't open my mouth because then it will get stretch now please suggest me something because day by day it's increasing.
Sir my daughter was 3 months old. Due to some infection in the lungs. She was not take breathing properly. She is in hospital from born. And on the oxygen. doctor said from bhopal that there was no solution for this. Only oxygen is the solution. Pls help me sir. I am very for you.
Good Morning I just want to ask you that today when I am doing toilet I haven seen little amount of blood in my porty.
Pls tell which cream to apply? Candid or candid B? On penis head? I have penis burning sensation and redness and also fungal infected on pains head since a month. Pls tel me. I do not want to talk with my parents right now. Help me pls tell which cream to apply?
Hello I feel embrsng to consult a dctr nearby. Thts I am cnsltng here. Actually I am unable to open my penis fully due to the hard layer of skin outside. whenever I try it start pain and itching. Some of my friends said to me tht ths problem may he go by operation but I scared of operation. Is their any medicine or oil which can work in this case Please help me. I ll very helpful to you.
I have eye bag under my left eye and not associated with irritation, pain. I found this 2 days ago. I undergone for nose surgery 6 months ago. I read that these eye bags are symptoms for renal problems, can this be true in my case? Even I had fatty liver problem in my past. But now I do not feel any discomfort or pain in my body.
My 10 month old daughter is having loose motion since last night. She is not eating anything. If she eats she vomits. What should be done.
My foreskin is very tight it does not get back after the erection of penis, should I go for circumsion does it risky or its beneficial?
I am 32 years old male. Sir I have uric acid 7 point which is exactly border. Sir can you suggest how to control it.
Hi after taking ipill me and my husband had love making without condom. Did I have any chances of pregnancy? thanks in advance.
Yesterday I have a chest pain for 2-3 min. After the pain suddenly my left eye starting blinking is that heart attack?
Start Today.You have one Life.
Causes of sexual dysfunction
Physical causes Many physical and/or medical conditions can cause problems with sexual function. These conditions include diabetes, heart and vascular disease, neurological disorders, hormonal imbalances, chronic diseases such as kidney or liver failure, and alcoholism and drug abuse. In addition, the side effects of certain medications, including some antidepressants drugs, can affect sexual desire and function. Psychological causes These include work-related stress and anxiety, concern about sexual performance, marital or relationship problems, depression, feelings of guilt, and the effects of a past sexual trauma.
The most common problems related to sexual dysfunction in men include ejaculation disorders, erectile dysfunction and inhibited sexual desire.
There are different types of ejaculation disorders, including:
This refers to ejaculation that occurs before or soon after penetration.
Inhibited or retarded ejaculation
This is when ejaculation does not occur.
This occurs when, at orgasm, the ejaculate is forced back into the bladder rather than through the urethra and out the end of the penis. In some cases, premature and inhibited ejaculation are caused by psychological factors, including a strict religious background that causes the person to view sex as sinful, a lack of attraction for a partner and past traumatic events . Premature ejaculation, the most common form of sexual dysfunction in men, often is due to performance anxiety during sex. However, organic causes are sometimes present. Certain drugs, including some anti-depressants, may impair ejaculation, as can nerve damage to the spinal cord or back. Retrograde ejaculation is most common in males with diabetes who suffer from diabetic neuropathy (nerve damage). This is due to problems with the nerves in the bladder and the bladder neck that allow the ejaculate to flow backward. In other men, retrograde ejaculation occurs after operations on the bladder neck or prostate, or after certain abdominal operations. In addition, certain medications, particularly those used to treat mood disorders, may cause problems with ejaculation.
Also known as impotence, erectile dysfunction is defined as the inability to attain and/or maintain an erection suitable for intercourse. Causes of erectile dysfunction include diseases affecting blood flow, such as atherosclerosis nerve disorders; psychological factors such as stress, depression and performance anxiety; and injury to the penis. Chronic illness, certain medications and a condition called Peyronie’s disease (scar tissue in the penis) also can cause erectile dysfunction.
Inhibited sexual desire (reduced libido)
Inhibited desire, or loss of libido, refers to a decrease in desire for or interest in sexual activity. Reduced libido can result from physical or psychological factors. It has been associated with low levels of the hormone testosterone. It also may be caused by psychological problems, such as anxiety and depression; medical illnesses such as diabetes and high blood pressure; certain medications, including some anti-depressants; and relationship difficulties.
Tests help evaluate sexual dysfunction include:
Blood tests These tests are done to evaluate hormone levels. Vascular assessment This involves an evaluation of the blood flow to the penis. A blockage in a blood vessel supplying blood to the penis may be contributing to erectile dysfunction. Sensory testing Particularly useful in evaluating the effects of diabetic neuropathy, sensory testing measures the strength of nerve impulses in a particular area of the body.
How is male sexual dysfunction treated?
Many cases of sexual dysfunction can be corrected by treating the underlying physical or psychological problems. Treatment strategies may include the following:
Impotence is the inability to maintain an erection long enough to engage in normal sexual intercourse. Many factors can contribute, including emotional issues, dietary factors, use of alcohol or drugs, and level of physical fitness. Homeopathic remedies sometimes help with temporary difficulties. If the problem is constant or recurrent, a doctor should be consulted to check for physical, hormonal, or nervous system problems. A constitutional remedy and the guidance of an experienced practitioner may help bring balance to a person’s system, both emotionally and physically.
Stress is a major factor that leads to various complications in most of the health conditions. Hence, it is essential to deal with stress because doctors emphasize that if you can manage your stress, then you are already halfway through the treatment. But with HIV building up in your body it can be challenging to stay stress-free.
Effect of stress on HIV patients
Evidence has been found after extensive research that death may increase at times by 22% when an HIV patient starts taking lots of stress. So you can guess from the number what a huge impact stress has on HIV. Some other studies had brought to light a different angle of the effect caused by stress on HIV. It is said that the CD4 count and viral load increases by many folds in patients who have HIV and are under stressful conditions which have made them fall into the clutches of depression.
Steps that can be taken to curb stress-
- As the first step, you must identify the reasons or factors that are leading you to take the stress. These factors may be straightforward ones and something from your day-to-day activities. For instance, some might feel depressed about consuming too many medicines for HIV on a daily basis while some others might feel stress out because of the financial strain imposed by the disease. Sometimes the stress results from emotional reasons like departing from a loved one or being separated from the mainstream life.
- Once you have identified the reason behind your stress, you must put in some effort to get back to your daily routine and make your day organized. Mostly, it happens that people tend to extend their hours of regular activities and mess up with their biological clock. This should be avoided. Always keep fixed hours for your sleep, work and other activities. Add appropriate physical activities and proper diet to your routine which will help with your general health and help with managing stress.
- You must also learn to handle your emotions. Seek help in this case by attending counseling sessions with trained professional, especially when it comes to managing your sex life. Talk to your doctor and get all your questions answered because sometimes lack of knowledge leads to the development of doubts which lead to anxiety and then depression. And most importantly, spend time with your loved ones to obtain complete stress relief. This is one of the best methods to have a positive outlook on life while suffering from HIV.
So, while under treatment for HIV make an effort to avoid stress entirely to improve the situation. Follow the advice of your doctor, take the necessary medications and adopt lifestyle changes to lead a happy life.