Doctor in Oorja Ayurvedic Clinic Pvt. Ltd.
Patient Review Highlights
I am R SINGH, I am suffering erectile dysfunction and premature ejaculation.Also low sperm count. Dr. Om prakash saini is very good doctor I consulted so many doctors but no use my uncle told go to met Dr Om prakash saini, next day I gone to met Dr saini. he said,clearly about my problem he did some tests.I am used medicines I got result i am happy,I got 100% result thank you sir
Any kind of dysfunction points to the issues experienced during any stage of the cycle of physical issue that prevents the participants from experiencing any kind of satisfaction from the intimate activities. Though the researches imply that sexual problems are common all across the globe; 43% of women along with 31% of men are affected by some sort of dysfunction; however, it is something that most people are hesitant to talk about. But thankfully enough, most cases of sexual problems can be effectively treated, and can be prevented from occurring again, by sharing your concerns with a qualified doctor. You should consider visiting the doctor along with your partner.
What leads to sexual problems?
Sexual problems can be caused either due to physical or psychological reasons. Many medications and clinical conditions can cause a variety of sexual dysfunctions, and these physical conditions include heart and vascular disease, high levels of blood sugar and blood pressure, any kind of neurological disorder, chronic diseases of the kidneys, liver and lungs, and hormonal imbalances. In addition to this, the side effects stemming from any medicine, including antidepressant drugs, can cast a harmful impact on the sexual desire and its normal functioning. On the other hand, psychological causes refer to the stress caused due to work pressures, anxiety, depression, excessive concern about sexual performance, feelings of guilt, and relationship problems.
What are the common sexual problems?
What leads to sexual problems can cause a wide variety of issues in both men and women. While erectile dysfunction is most commonly found in men, vaginal dryness is the most common issue in women. Sexual dysfunction can take a variety of forms, and it is not plainly confined to the dysfunction or simple disinterest in sex, which is commonly termed as lack of sex drive. It can also involve pain while having sex or an inability to maintain the erection or experiencing pain while getting an orgasm. There are some people who experience excruciating pain during intercourse, which is often accompanied with a burning sensation.
All couples have the right to enjoy a happy and healthy sex life, which can be considered a crucial aspect of any relationship. So, if you are having any kind of difficulty that is interrupting your lovemaking, it is imperative to speak with your doctor to get the right diagnosis, and discuss openly with your partner to find out the ideal solution of your sexual problems.
Infertility refers to being able to get pregnant after one year of trying. Women who can get pregnant but are unable to stay pregnant are also termed as infertile. Ovulatory disorders are one of the most common reasons why women are unable to conceive and is presen in 30% of women suffering from infertility.
- Hormonal problems: Ovulation is linked with a complex balance of hormones and any disruption in the process can hinder ovulation. The disruption includes the fact that the ovaries are not producing normal follicles in which the eggs can mature. Ovulation is rare if the eggs are immature and there are no chances of fertilization. Polycystic ovary syndrome is the most common disorder responsible for infertility. Malfunction of the hypothalamus leading to failure in triggering hormonal stimulus to ovaries for egg maturation leading to immature eggs and ovarian failure. Malfunction of the pituitary gland leading to imbalance in hormonal secretion thus causing disturbance in ovulation. This can occur due to physical injury, a tumour or a chemical imbalance in the pituitary.
- Scarred ovaries: Ovulation failure can also be due to a physical damage to the ovaries. Invasive surgeries involving ovarian cysts leads to damaging or scarring of capsule of the ovary to become due to which follicles cannot mature leading to disruption of ovulation.
- Premature menopause: Early menopause or premature menopause before the normal age means that the natural supply of eggs has been depleted. This is most common in extremely athletic women with a history of low body weight and extensive exercise.
- Follicle problems: Infertility is also caused due to non-ruptured follicle syndrome in which women who produce a normal follicle, with an egg inside of it, every month but the follicle fails to rupture. This leads to disruption of ovulation as the egg remains inside the ovary.
- Others: Treating female infertility by chemotherapy is next to premature ovarian failure by loss of primordial follicles. Sexually transmitted infections are a leading cause of infertility. Tobacco smoking is detrimental to the ovaries and the amount of damage is dependent upon the amount and length of time of exposure of smoke in the environment. Nicotine in cigarettes interfere with the body’s ability to create oestrogen, a hormone that regulates ovulation. In addition, blocked fallopian tubes due to pelvic inflammatory disease or surgery for an ectopic pregnancy also causes infertility. Infertility can also be due to physical problems with the uterus or fibroids of uterus where non-cancerous clumps of tissue and muscle on the walls of the uterus.
Salpingitis:- Infection / Inflammation of the fallopian tube is called salpingitis. It is the type of pelvic inflammatory disease (PID).
Causes:- Salpingitis usually results in form-
1. Ascending infection from the uterus, cervix, and vagina-
• pyogenic organism such as streptococcus, staphylococcus, peptococcus.
• sexually transmitted infections (stis).
2. Direct spread from the adjacent infection- one or both the tubes are affected in appendicitis, diverticulitis, or following pelvic peritonitis.
Types:- Salpingitis is usually categorized as either acute or chronic-
1. In acute salpingitis, the fallopian tubes become red and swollen and secrete extra fluid so that the inner walls of the tubes often stick together. The tubes may also stick to nearby structures such as the intestines. Sometimes, a fallopian tube may fill and bloat with pus. In rare cases, the tube ruptures and causes a dangerous infection of the abdominal cavity (peritonitis).
2. Chronic salpingitis usually follows an acute attack. The infection is milder, longer lasting and may not produce many noticeable symptoms.
Symptoms:- Not every woman who gets this condition will experience symptoms-
When symptoms are present, you may experience:
▪ Foul-smelling vaginal discharge
▪ Yellow vaginal discharge
▪ Pain during ovulation, menstruation, or coitus.
▪ Spotting between periods
▪ Dull lower back pain
▪ Abdominal pain
▪ Frequent urination
1. General examination - to check for localized tenderness and enlarged lymph glands
2. Blood and urine tests - these tests will look for markers of infection.
3. Swab test - this will determine the type of bacterial infection you may have.
4. Transvaginal and abdominal ultrasonography- these imaging tests look at your fallopian tubes and other areas of your reproductive tract.
5. Hysterosalpingogram - this is a special type of x-ray that uses an iodine-based dye injected through the cervix. It helps your doctor look for blockages in your fallopian tubes.
6. Laparoscopy - in some cases, your doctor may recommend a diagnostic laparoscopy.
Complications:- The following may happen:-
1. Formation of the tubo-ovarian cyst.
3. Infection from the gut.
4. Rupture of tubes.
5. The spread of infection to other areas of the body, including the uterus and ovaries.
5. Long-term pelvic and abdominal pain.
6. Tubal scarring, adhesions, and blockages, which can lead to infertility.
7. Abscesses in the fallopian tubes.
8. Ectopic pregnancy.
General Treatment:- Treatment depends on the severity of the condition, but may include:
1. Antibiotics - to kill the infection, which is successful in around 85 percent of cases.
2. Hospitalization - including intravenous administration of antibiotics.
3. Surgery - if the condition resists drug treatment.
Homeopathic remedies for salpingitis are Cimcifuga racemosa, lachesis, merc. Sol, pulsatilla, platina, sepia, silicea, selenium met.
Ejaculation is the sudden, pleasurable release of semen through the penis. The process is controlled by the brain through the central nervous system. Premature Ejaculation is the ejaculation of semen sooner than a male wants. It can happen before or after penetration. It is also known as the premature climax, early ejaculation, early discharge, rapid ejaculation. It can be frustrating as it makes sexual life less enjoyable. It is not a disease but some systemic diseases can lead to premature ejaculation.
It is connected to - Erectile Dysfunction, Prostatitis, chronic pelvic pain syndromes, thyroid dysfunctions. In case if Erectile Dysfunction is the reason, it should be treated first. Reasons for premature ejaculation can be biological, chemical, and emotional. Factors that are responsible for premature ejaculation - Age, Serotonin, psychological issues, depression, sexual repression, thus can result in stress, guilt, lack of confidence, relationship problems. Premature Ejaculation treatment includes psychological therapy, behavioral therapy, medical therapy with drugs, creams, sprays.
Trichomoniasis is one of the most commonly occurring sexually transmitted infections. It generally happens on account of having multiple sexual partners or not using condoms and other protective measures during sexual intercourse (vaginal or anal).
Trichomoniasis leads to a foul smelling vaginal discharge and other symptoms that include spotting/bleeding, painful urination, itching in the vaginal region, all of them resulting in painful sexual intercourse. The single- celled protozoa (pathogen) causing this infection is Trichomonas vaginalis.
The most common symptoms among women are:
- vaginal discharge, which can be white, gray, yellow, or green, and usually frothy with an unpleasant smell
- vaginal spotting or bleeding
- genital burning or itching
- genital redness or swelling
- frequent urge to urinate
- pain during urination or sexual intercourse
The most common symptoms in men are:
- discharge from the urethra
- burning during urination or after ejaculation
- an urge to urinate frequently
Treatment Options for Trichomoniasis-
The treatment options for Trichomoniasis can be categorized as follows:
Antibiotics such as ‘Tinidazole’ or metronidazole can be administered.
It is advisable not to consume alcohol within the first 24 hours of being administered ‘metronidazole’ and the first 72 hours of being administered tinidazole as it can lead to severe vomiting and nausea.
Metronidazole is strictly advised against during pregnancy as it can harm the baby.
The preventive measures include:
Indulging in safe sex is the best way to prevent Trichomoniasis.
Condoms should be used by both the male and the female partners during a sexual intercourse (anal or vaginal).
Sharing sex toys is another big ‘NO’ as the carriers of various STDs may spread through their common usage.
If a person has already been infected by Trichomoniasis then abstaining from sex is the safest option to prevent it from spreading.
The available eggs in the ovaries at a time are collectively called an ovarian reserve. Low reserve happens when the production of eggs reduces. This affects the chances of pregnancy. The general cause of low reserves can be aging ovaries. In such cases, the ovary may be healthy and functioning even if the reserve is low. Production of eggs lower as a woman ages. A woman starts with 250,00 to 500,000 eggs at puberty and ends up with 1000 eggs at menopause.
Low reserves are caused by
- Production of eggs decreases: Chromosomal abnormalities like Turner syndrome (lack of two X chromosomes) and genetic anomalies like Fragile X can decrease egg production.
- Ovarian tissue damage: Rough torsion, endometriosis triggered ovarian cysts, malignant or benign tumours, surgical removal of ovary or any other part of it, chemotherapy or radiation, pelvic adhesions, immunological problems or high BMI (Body Mass Index) can destroy the ovarian tissues.
If a woman has low ovarian reserves, then she will be put on the either of the following protocols:
- Short GnRHa Flare: Gonadotrophin releasing-hormone-agonist (GnRHa) like Lupron, Nafarelin, Synarel or Buserelin is administered. This therapy is initiated at the onset of menstruation. The goal of the treatment is to stimulate the release of the follicular stimulating hormone (FSH) which augments the ovarian follicular growth.
- Combined Clomiphene or Gonadotrophin/Letrozole Stimulation: Older women are mostly administered this protocol. But it is strongly advised not to, as this protocol can potentially harm the egg or the embryo.
- Mid-follicular GnRH-antagonist protocol: Once the GnRHa-agonist protocol is commenced, the GnRH-antagonist is given several days later. Once the follicles reach the size of 12mm, GnRHa antagonists like Ganirelix, Orgalutran, Cetrotide and Cetrorelix are added. These drugs stop the pituitary from secreting the luteinizing hormone (FSH leads to secretion of this hormone).
- Long GnRHa Pituitary Down Regulation Protocol: This is the usual approach to deal with low ovarian reserves.
- Agonist/Antagonist Conversion Protocol: This protocol inhibits FSH production. This protocol generally yields good results.
6 causes of impotency in men
Impotence in men is also known as erectile dysfunction (or ed) and occurs when a male is unable to achieve or maintain an erection or ejaculate, which leads to lack of sexual satisfaction for both partners. Even though men are more likely to be prone to impotence as they get older, this condition affects many young men as well and deals a great blow to their self-esteem and emotional wellbeing.
Impotence is caused by various factors that can be physical, mental, emotional, or a combination of multiple factors that give rise to a medical disorder. It usually varies from case to case and hence, diagnosis is highly subjective and individual.
Some of the most commonly occurring factors that cause impotence in men are as follows:
- hormonal dysfunction
Hormones play a very important role in contributing to sexual disorders. Fluctuations in hormone levels in the body, especially of testosterone, and endocrine diseases are known to cause impotence.
- cardiac conditions
Disorders of the cardiovascular system inhibit the flow of blood to the penis and lead to erectile dysfunction.
- emotional issues
In many cases, emotional issues such as stress and anxiety disorders, depression, fatigue, childhood sexual abuse and feelings of inadequacy can hamper a man's sexual prowess and cause impotence.
- medical side effects
There are certain prescription drugs and medicines that interfere with sexual function and cause erectile dysfunction. Examples of these are sedatives, diuretics, antihistamines, stimulants, synthetic hormones, cancer chemotherapy medicines, etc.
- substance abuse
Excess intake of certain substances like tobacco and alcohol can lead to impotency. Narcotics like cocaine, heroin and amphetamines also have the same effect on sexual functioning.
- neurological defects
Disorders of the nervous system are known to inhibit communication between the brain and the genital organs and contribute to impotency. Some such neurological disorders include Parkinson's disease, Alzheimer's disease, cerebral palsy, nervous strokes, brain and spinal tumors, etc.
The symptoms of HIV vary from person to person. There are three main stages of HIV infections, where each stage has different symptoms.
Here are some facts about the three stages of HIV infections along with the accompanying symptoms.
Acute HIV Infection Stage: This is the first stage of HIV infection and after three to four weeks of becoming HIV infected, people experience symptoms, which are similar to flu. This flu usually does not last more than two weeks.
- Rashes on the body
- A sore throat
- Swelling of different glands
- Joint and muscle pain
- Improper digestion
These symptoms appear and indicate that the body is reacting to the HIV. Infected cells circulate throughout the blood, and the immune system produces HIV antibodies in order to attack the viruses. This process is termed as seroconversion, and it takes place within 45 days of getting infected. The levels of virus in your blood are quite high during this stage.
Clinical Latency Stage: This is the second stage of HIV infection, which follows the early stage. This stage is also known as chronic HIV stage. During this stage, HIV is active, but is reproduced at a very low level. People in this stage may not receive symptoms related to HIV or may get mild indications.
In case of people who do not take medicines for HIV treatment, this stage lasts for a long period. Some people, however, progress faster through this stage. Medicines should be taken to keep the virus in check. During this stage, people can transmit HIV to others very easily in spite of not experiencing any symptoms. People who are on medication stay suppressed virally and have a low level of HIV in their blood, and the risk of transmission is less.
Symptomic HIV infection or AIDS stage: This is the third stage of HIV infection, which is characterized by severe damage to the immune system of an HIV-virus affected person. A patient is likely to have serious infections and gets bacterial or fungal diseases. The infections are termed as opportunistic infections. The patient is now said to be having AIDS.
The symptoms of this stage are:
- Loss of weight
- Sweating at night
- Fevers and persistent coughing
- Problems in the mouth and skin
- Infections on a regular basis
- Illness and development of other diseases.
HIV infection affects the body via three stages and leads to AIDS in the third stage. Each stage is accompanied by several symptoms.