Dr. Yogesh Tandon

"Men get naughty at 4-0 forty" but for women, the case may be very-very different. By their thirtieth birthday, many women begin complaining of a lowered libido or lack of interest in sex with their partner. This can be quite frustrating for both partners and can lead to a rift in the relationship. Hence, it becomes essential to pay attention to this condition.

The first step to finding a solution to any problem is to understand the factors that trigger it. Some causes for a lowered libido in women are -

Birth Control and Medication: Birth control essentially manipulates the hormone levels in the body. While this may prevent unwanted pregnancies, a lowered libido is a common side effect of birth control medication. Antidepressants also have similar side effects.

Over Working: Working hard is a good thing but too much of a good thing can have a negative effect on your health. In this case, overworking may lead to stress, anxiety, fatigue and burnout. This can lead to a weakened adrenal gland. The adrenal glands are responsible for the production of testosterone and in this way, working too hard can be the reason for women to not enjoy sex as much as they once used to.

Hormonal Changes: With age, every woman faces hormonal changes. This can result in a lack of lubrication making intercourse uncomfortable. Over time, this can lower libido considerably.

Ways to Enhance a Woman's Libido-
A lowered libido isn't something you have to quietly accept. Here are a few ways to enhance a woman's libido.

Go on a date:
Intercourse is as much an emotional exercise as it is a physical one. Cutting back from other responsibilities, work, children etc and spending time alone with your partner can help you emotionally reconnect with him.

Meditation:
Meditation can help calm the mind and reduce stress. This, in turn, will enhance the production of testosterone in the adrenal glands and thereby enhance libido. Meditation can also help you disconnect from worries and tensions that may be weighing you down.

Medication:
When it comes to a diminished libido, medication may be an effective form of treatment, but it must be tailored to the individual. While estrogen skin creams may be beneficial for some women, others may benefit from testosterone supplements. A few antidepressants can also enhance a woman's libido by increasing dopamine and norepinephrine levels. Viagra can also help enhance a woman's libido especially in cases where the lowered libido was caused by antidepressants. In case you have a concern or query you can always consult an expert & get answers to your questions!

It is important that we treat our body with care and ensure that we eat healthy and right, in order to support our body to function right. When the semen that spews upon ejaculation does not have the appropriate amount of sperm in it, this signifies a condition called Low Sperm Count. This is also called Oligospermia, while a complete lack of sperm in the fluid or semen is called Azoospermia. If a male has less than 15 million sperms in each millilitre of semen, then he is considered as a patient suffering from low sperm count. 

This also makes a person infertile and lessens the chances of fertilising a partner's egg. The symptoms may include problems in gaining and retaining an erection, premature ejaculation, pain and discomfort, a lump in the penis, and inability to conceive a child. This may be caused due to infection, ejaculation problems, tumours, hormonal imbalances and Varicocele. The way to treat this condition is as follows:

- Surgery: A patient with a low sperm count may be asked to go through surgery which will help in correcting a Varicocele in a surgical manner. For this, any vasectomies that the patient may have gone through will have to be reversed. Also, the doctor can resort to sperm retrieval methods in order to scoop the sperm directly from the testicles and epididymis. This is usually done in cases where there is no sperm in the semen that the patient ejaculates.

- Infection Treatment: With the help of antiviral medication and oral antibiotics, any infection in this part of the body can be treated and cured so that normal sperm production can take place. While this method can cure the infection in the reproductive tract of the patient, there is no guarantee of increasing fertility with this process.

- Hormone Treatment: The doctor can aim at treating any hormonal imbalances by using hormone replacement therapy as well as medication. This can help in treating cases of infertility as well by tweaking the way the body produces and uses hormones.

- Counselling: A patient may have to undergo counselling and associated medication to help in overcoming problems like erectile dysfunction or premature ejaculation.

- Assisted Reproductive Technology: ART or Assisted Reproductive Technology usually involves surgical extraction of sperms from donors which can be inserted in the genital reproductive tract of the female partner so that conception via methods like In Vitro Fertilisation (IVF) can be possible.

Increasing the frequency of sexual intercourse and avoiding excessive use of additives like lubricants can also help in increasing the sperm count. One must also follow a healthy diet and get plenty of exercise even as a proper routine is followed. Also, smoking and excessive drinking must be avoided. One must also time sexual activity with the ovulation cycles of the partner.

Post-exposure prophylaxis, or PEP, is a way to prevent HIV infection after a recent possible exposure to the virus.PEP should be used only in emergency situations and must be started within 72 hours after a recent possible exposure to HIV.

Though there are several important things which are needed for a relationship to work just fine, but physical intimacy is the most crucial ingredient. A key to a successful committed relationship is a happy and satisfactory sex life. However, there are certain mistakes that we all comit during our intimate time with our partner.

Mistake #1: Avoiding Sex Talk
Talking about sex with your partner maybe awkward and it is completely normal if you both might be reluctant talking about it in the beginning. The inability to have a frank, open and honest conversation about sex is a major problem among couples nowadays. If you are not satisfied with your sex life, then it is important to sit and talk it through with your partner. Counselling sessions can also help you both overcome this problem. While in bed, it is not only the act that matters. Several other ambient pleasures, such as talking dirty in your partner’s ears can add a whole new level to your sex life. Compliment your partner once in a while; it is especially true if you are the man in the relationship. Making your partner feel good about him/her can and usually does improve things when it comes to within the sheet actions.

Mistake #2: Faking it
This is another common mistake, which people make when they are in an intimate relationship. Though little encouragement can go a long way, faking orgasms regularly does not help. It is even possible that one day or the other, your partner will discover it and this may lead to anger, irritation and frustration.

Mistake #3: Being unadventurous
If you have been in a committed relationship for long, then your sex life could suffer from monotony, gradually becoming the one that lacks spice. If this is something that both of you feel, then it is time you brought some newness and zing. Trying new positions or having sex at a place where you’ve never had it before can lead to pleasant changes. This will break the entire monotony of the routine and breathe more life into your sex.

Mistake #4: Self neglect
Life can become pretty hectic and many a times, you may not find the time to take care of and groom yourself. This can be more so if you have been with your partner since a long and you have started taking him/her for granted. Changes in physical appearance do occur with time, but this, in no way means that you do not take care of yourself. Putting a little bit of effort in the way you dress and show up in front of your partner can make him/her feel all the more important and valued, thus adding that extra urge to get you in bed.

Mistake #5: Overthinking
This is one crucial mistake that individuals make in a relationship. They tend to over think about a certain topic, event, or a situation and ultimately end up becoming excessively conscious and aware when it comes to the big night with their partners. Instead, try and have a small talk with your partner to clear things out so that your mind is not clogged with thoughts which may ultimately turn out to be baseless.

Vaginismus is a condition where vaginal contractions and squeezes may be caused due to pain during intercourse or due to the insertion of objects like tampons. This mildly uncomfortable condition is also characterised by spams and other symptoms like the feeling of coming up against a thick wall which can cause pain. This may be due to a variety of reasons starting from infections to anxiety. To a large extent, the treatment of this condition depends on the cause. Following are the various ways in which this condition can be treated.

1. Sex Therapy: A sexologist or an expert who specialises in psychosexual medicine can help in treating this condition by conducting a series of counselling sessions where psychoanalysis will help in understanding and unravelling the cause of the condition. This may be followed by CBT or cognitive behavioural therapy. This kind of therapy usually helps in reprogramming the brain after the root cause for the condition is known. 
2. Exercises: During sex therapy, the doctor may also teach you various kinds of exercises and vaginal trainers that can help you in strengthening the pelvic floor and relaxing the muscles as well. These vaginal trainers are especially helpful in equipping you suitably so that you can relax your vagina and let the insertion happen. Vaginal trainers consist of four smooth balls of plastic which can be inserted with the help of lubricants to help in stretching the vagina. 
3. Relaxation: Getting yourself to relax is also a matter of exploration and touching, which can help you understand the kind of touch and the exact areas that make you tense. During sex therapy, you may be taught a technique known as progressive relaxation. This mode includes tensing and relaxing your muscles as you explore by inserting a finger. 
4. Sensate Focus: This is a part of sex therapy and involves your partner. In this method, you will be asked to abstain from sex and touch each other without going to the genitals and other private parts. This will help in better arousal and sexual stimulation.
5. Surgery: The last option for treating a very severe form of this condition is to put the patient through surgery which will seek to remove endometriosis, as these growths in the womb's lining can cause a lot of pain during intercourse. Also, vaginal enlargement surgery can be carried out with the help of episiotomy. 

This kind of procedure usually helps in fixing the scar tissue that may have been left from a previous procedure, which can restrict or block the vaginal path. Getting help at the right time for this condition is of great importance so as to have a normal sex life. In case you have a concern or query you can always consult an expert & get answers to your questions!

A STD is transmitted by means of physical intimate contact and intercourse. These diseases are caused by parasites, virus or bacteria. Usually STDs are preventable provided you make the right choices concerning your sexual health. Refraining from sex isn’t a feasible idea at all. But fortunately there are alternatives too to curb the menace that STDs are:

1. Mutual monogamy: Two people who have sex only with one another don’t have any opportunity to bring a new STD into the relationship. If you and your partner have been tested and are healthy, remaining faithful to each other is a very good way to reduce your chances of contracting an STD.
2. Get Vaccinated: One important prevention tool against STIs is vaccination. Currently, vaccines are available to protect against infection with HPV, hepatitis A and hepatitis B. Talk to your healthcare provider to see which vaccines might be recommended for you.
3. Protect Yourself: Condoms work really well in stopping most STIs from being passed from an infected partner to another when they are used consistently and correctly every time a person has oral, vaginal or anal sex. Consistently and correctly means that a person makes sure they use a condom every time they have oral, vaginal or anal sex and put it on and use it the right way.
4. Avoid alcohol and drug use: Avoiding alcohol and recreational drug use reduces the risk of contracting an STI, having an unwanted pregnancy, or being coerced to have sex. Alcohol and drug use can reduce our ability to make good decisions. It may also make us more likely to be talked into into participating in an activity without being able to give our full consent.
5. Consider male circumcision: There's evidence that male circumcision can help reduce a man's risk of acquiring HIV from an infected woman (heterosexual transmission) by as much as 60 percent. Male circumcision may also help prevent transmission of genital HPV and genital herpes.

Coping and Support

It's traumatic to find out you have an STI. You might be angry if you feel you've been betrayed or ashamed if there's a chance you infected others. At worst, an STI can cause chronic illness and death, even with the best care in the world. Between those extremes is a host of other potential losses is trust between partners, plans to have children and the joyful embrace of your sexuality and its expression.

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

Hi,

I am doctor Yogesh Chandan. I am a sexologist. Today we will discuss about ayurveda and vajikarana therapy ayurveda is derived from two words ayur means life and Veda means knowledge. According to ayurveda body is made up of sapta dhatu raaz returns medh asthi majja and shukra and three dosha vaat pitt cough if all these Dhatu and doshas are in equilibrium stage then the person is considered healthy but if any depletion or aggravation of dosas or dhatu the person will manifest with diseases show the shukra dhatu is mainly responsible for male sexual health like libido sexual stamina good sperm quality.

If there is depletion of Shukra Dhatu then the mail will suffer from erectile dysfunction low sperm count loss of libido. To deal with these problems, we introduce vajikarana therapy it is one of the major branch of ashtang ayurveda vajikarana therapy deals with preparation which are aphrodisiac for us alternate lifestyle and herbs which will be beneficial for all male sexual problem vajikarana therapy increase your sexual life and strength now few tips for overcoming sexual problems consume herbal preparation for rejuvenate the reproductive organ daily herbal massage on your penile region sleep at least for 8 hours do yoga exercise meditation regularly avoid taking alcohol tobacco or drugs take a proper healthy diet.

Erectile dysfunction now has become a common disorder for most men. Middle aged men are most common to get erectile dysfunction mainly due to unhealthy life style, smoking and excessive stress. There are several other factors that are responsible causing this erectile dysfunction, but most men look forward for nutritional way of treatment to overcome this erectile dysfunction. Vitamins that really help in recovering from erectile dysfunction problem and enable men to have satisfactory sexual life.

Vitamins to overcome erectile dysfunction
Dietary changes play a major role in solving many health issues of various concerns. Few vitamins that beat the erectile dysfunction are

1. DHEA: Dehydroepialdosterone is a hormone released from the adrenal glands. DHEA reaches the peak by the age of 25 and above for men. However, this vitamin is not directly available from natural foods, but is wild yam and soya beans may stimulate the body to produce more DHEA when there is a need. Excessive intake of this food may not lead to increased level of DHEA as this is produced by the aldosterone only with the decreased level in the blood.

2. Carnitine: Combination of vitamins like propionyl L carnitine, L carnitine and acetyl L carnitine are helpful to overcome erectile dysfunction in elderly persons. Combination of these vitamins helps to increase the level of testosterone hormone in the body. 2gms of each vitamin is required daily to overcome erectile dysfunction

3. Arginine: It is a type of amino acid that affects the production of nitric oxide. But nitric oxide is responsible for the vasodilatation effect thus, leading to the increased blood flow to the penis and causes penile erection. There are few studies that say that arginine also helps in removing  erectile dysfunction. Hence there is a controversial issue with the usage of arginine for erectile dysfunction.

4. Pyconogel: 120mg of pyconogel daily helps to solve the sexual problems. This vitamin is found in pinus pinaster and helps to improve the sexual life.

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