Dr. Sudhir Bhola

Hello! This is Dr. Sudhir Bhola. Today I would like to share some information regarding the importance of sex in our life. Here in India, unfortunately, sex has got only importance up to having children. This is not good and this is not true. Actually, sex is as important as having food. Food gives nourishment to our body whereas sex that is to be more specific, ejaculation in case of men and orgasms in case of women is nourishment to not only body but our mind as well. 90% of the people I see are having the guilt of masturbation. They say we have done masturbation, we were into bad habit, we were into bad company, this, that because mostly all the children they get into this first ejaculation that is accidental.

When they enjoy it, they do it again and again. Now again this is lack of knowledge. What is good and what is bad for it? In fact, how frequently you do that matters a lot and how you do it is again a matter of concern. If you do it in a wrong way, that is by rubbing your organ against the bed or rubbing it by just your fingers is very fatal and it can lead to permanent impotence. It can damage your corpus cavernosum, which is a spongy tissue, which gets an erection. At the same time, overindulgence into masturbation that is too frequent masturbation leads to premature ejaculation. Premature ejaculation is caused mainly because of masturbation. Over and excessive masturbation.

Now I will like to tell what is the right way of masturbation. It is very simple. You have to stroke it to and fro as if you are penetrating the vagina. That is the way you should do the masturbation and you will never have erectile dysfunction due to masturbation. Well, what is the good and healthy frequency of masturbation? That is the best thing is once a week or at the most twice a week. That is quite healthy, it is not going to harm you. But at the same time, I would like to tell you one thing that vaginal intercourse has got no substitute that is the best.

One more thing I would add to today’s discussion, that is why do people go for marriage too late? So one should consider getting married at the right age so that you should get proper sexual intercourse. Actually, we suffer due to lack of knowledge, and proper knowledge about whatever the subject is there, and in this case, it is sex and its knowledge. But here it is kudos to lybrate, it is coming up really fast and is helping a lot of patients and rather who are not even patients but they consider they are suffering from any kind of disease. So anybody has any kind of queries can get in touch with me through Lybrate.

The most advanced and effective treatment for erectile dysfunction, Linear Shock Wave ED Therapy is now exclusively available at Curewell Therapies (Dr Sudhir Bhola's chain of clinics) in Delhi NCR. 

Erectile Dysfunction Treatment through Shockwaves, Low Intensity Shockwaves for ED (Erectile Dysfunction Treatment). A Linear focused Piezo Shockwave treatment forErectile Dysfunction (ESWT ED)The LSTC-ED (Linear Shockwave Tissue Coverage) treatement - a new and unique approach.

Now you must be wondering how does it actually work? Well it basically diverts the right amount of blood flow to the penis without involving any surgical methods or any steriods or any type of medicines. Penis Erection is the result of a complex synergy between the blood vessels, the nervous system, hormones and the muscles. During an erection there is an amount of blood flow to the penis, which in turn increases the pressure. Sufficient amount blood flow to cavernous bodies plays a critical role in erectile function of the body.The linear shock wave therapy is an advanced technique which is a quick and comprehensive treatment for covering the entire cavernous bodies. The therapy source or the tool is placed at right angles to the cavernous bodies and moved longitudinally along the penis (the cavernous bodies) and the perineum (crura of the penis). This results in maximum, homogeneous transfer of energy. The  treatment is quick and lasts only a few minutes. The number of sessions required for a person is only decided by the doctor after an examination. This treatment is currently only available at Curewell Therapies in Delhi NCR. Dr Sudhir Bhola is the founder of Curewell Therapies and is the most successful sexologist in delhi NCR.

Being unable to deal with erectile dysfunction can cause men to lose their self-esteem, feel angry, anxious and frustrated, or even lose interest in sex altogether. This can threaten their relationships and may even result in depression.

Erectile dysfunction is treatable, but the time before and during treatment may be difficult. Here is some advice to assist you and your partner in getting your sex life back on track.

The Connection Between Erectile Dysfunction and Depression

Think of the brain as a highly sensitive sex organ. Sexual desire starts in the brain and works its way down. That's because of special brain chemicals known as neurotransmitters. These chemicals increase communication between brain cells and trigger more blood flow to the sex organs. The problem is, with depression and other mood disorders, the brain circuits that communicate using these chemicals don't function properly.

Many men and women with depression tell of having low or no sexual desire. And that puts a tremendous strain on intimate relationships.

Diagnosing Erectile Dysfunction and Depression:

Erectile dysfunction is a very common problem as about 50% of men above 50 years of age suffer from it. Therefore, it is crucial to recognize depression when it is part of the problem. Here is how depression is diagnosed when it is known you have erectile dysfunction:

1. Loss of Sexual Desire
2. Erectile dysfunction starts happening after a traumatic event like loss of a job or of a loved one
3. Feelings of stress, anxiety or frustration
4. Pessimistic outlook to life

Coping with Erectile Dysfunction and Depression:

1. Antidepressants: Antidepressants are used to treat depression, however some antidepressants worsen erectile dysfunction, therefore it is crucial that you explicitly explain your condition to your doctor.
2. Therapy: Therapy is performed by a licensed mental health expert who will identify and help you overcome all the issues which are depressing you.

If you wish to discuss on any specific problem, you can consult a sexologist and ask a free question.

Sexual Health issues not just affect our body, but affect our state of mind as well. Many sexual problems may plague men and women the world over, at different phases of their lives. From infertility and impotence with premature ejaculation to complete lack of libido and even pain during intercourse, there are a number of problems that may require immediate diagnosis and sexual treatment so as to promote a more sexually fit being.

Read on to know more about what kind of sexual treatment can make a person sexually fit.

1. Low libido: Lack of sexual interest or lack of sex drive can be treated with the help of an analysis of any other medication you may be taking, which could lead to side effects such as this condition. This includes anti depressants and even hypertension drugs. Also, there may be low level of sex hormones in body which also plays a major role in erection and sexual desire of a person. So one can use counselling and consultation with a sexologist to examine the state of one's sexual problem and level of stress so as to help in treating the problem more efficiently by your doctor.

2. Premature ejaculation: This problem is growing as a major concern in most of the men at the time of their physical relationships making an impact of unsatisfying sex with their partners. This condition can be originated from various psychological and physiological causes as of weakness in muscles and nerves of sexual organs due to past bad history of masturbation, thinning of semen quality and quantity, stress, anxiety, depression, etc., so this problem should be recognised and to be consulted with a sexologist to cure it at a right time before it affects the relationship and satisfaction between two partners or couples.

3. Low erection/delayed erection: This problem is also depleting most of the men in today's scenario. Due to some weakness in muscles and nerves of penis-no erection, low erection or delayed erection is a problem of concern at the time of any sexual relationship.it too has various reasons of age, diabetes, any local trauma, stress, low sex hormones and physical factors. So this problem should be recognised and to be consulted with a sexologist to cure it at a right time before it affects the relationship and creates stress for the man on his potentials with his partner.

4. Pain during intercourse: This issue can be fixed with a variety of tools. One of the foremost treatment methods is to treat symptoms like dryness in the vagina with the help of lubricants and topical creams. Also, one can go in for physical therapy that will strengthen the pelvic floor. This also includes exercises like Kegels.

Vaginal inflammation in such cases can also be cured with the help of steroids. And, in case there are any infections, then creams and antibiotics can treat the same. It is important to understand your symptoms and see a doctor about treating the same at the earliest.

Note: Add in this the condition of impotency, premature ejaculation, bad habit of masturbation. So, it is now we need to get proper education and guidance to treat any sexual related problems and to consult a trained sexologist to make your sexual life fit, healthy and enjoyable.

It is common belief that people are highly interested in sex. However, this is not true. There are a lot of reasons which can reduce this sexual drive, known as libido. The reasons and therefore the causes are slightly different in men and in women. Read on to know some of the most common causes of reduced arousal in men and women and how to deal with it.

Causes of reduced arousal in men:

• Physiologically, sex is greatly influenced by the sex hormones and with age, as there is a gradual decline in the amount of these hormones in circulation, the sex drive also takes a dip. This need not be the case though.

• Stressed relationships is extremely common and though hormones have a big role to play, the mind is equally if not more important. If the couples are not happy, there is going to be no sex. As plain as that!

• Excessive smoking can reduce a person’s sexual arousal and even affect performance.

• Prescription medicines, lack of exercise, anxiety and depression are other causes that also reduce sexual desire.

Management measures:

• Testosterone replacement therapy in males is often used to boost sexual drive.

• Lifestyle changes including regular exercise, quitting or controlled smoking, stress management, healthy relationships can go a long way in improving sexual performance.

• If there are medications that are affecting the sexual drive, talk to your doctor and switch to an alternative.

• Counselling where the partner is also involved also is very important.

Women: The causes for low sexual drive in females is very different from men.

• Cultural differences: The cultural background and upbringing contribute in a big way to how responsive a person is. When it comes to sex, we as a country are still not very frank and open, and so there could be a perceived lack of desire. This is of course in the initial stages of a relationship and given some time, things would change.

• Relationship issues: Stressed relationships are definitely a big no-no for a physical relationship. Happy relationships definitely invite a lot more intimacy between the couple.

• Hormones: Testosterone which is present in both males and females affects sexual drive in women also. This hormone also gradually reduces over age, and causes some loss of libido.

• Medical problems: Depression, anxiety, endometriosis, fibroids, thyroid issues also affect a woman’s drive.

In managing this issue in women, psychology takes over a bigger role. Talking to the woman first and if required the partner helps in solving the issues in most women. Medical conditions, if present, should be corrected to address this issue. Hormone replacement and medication substitution also may be helpful if required.

Gonorrhoea is a bacterial STD that can affect both men and women. It can be transmitted from one person to another through oral, vaginal or anal intercourse. A person who is already suffering from an STD is at a high risk of suffering from Gonorrhoea as well. This disease affects the eyes, throat, vagina, urethra, anus and female reproductive tract. Gonorrhoea can be treated with antibiotics as long as it is diagnosed in time. In order to do so, it is essential to understand the symptoms of this disease.

Some people do not show any visible symptoms of gonorrhoea. This is known as nonsymptomatic Gonorrhoea. Even though there are no symptoms, these people can infect others through unprotected intercourse. However, in most cases, the symptoms of this STD can be seen in 2 to 14 days after exposure to the bacteria. These symptoms are different for men and women.

Men infected with this disease may not show symptoms for several weeks. Some of the symptoms of this disease as seen in men are:

1. Frequent urge to urinate
2. A burning or painful sensation while urinating
3. Pus-like discharge from the penis
4. Inflammation and redness of the tip of the penis
5. Swelling that may or may not be accompanied by pain in the testicles
6. Sore throat

In some cases, the pain may even spread to the rectum.

1. Watery or creamy discharge from the vagina
2. Painful or burning sensation while urinating
3. Increased urge to urinate frequently
4. Heavier periods
5. Spotting in between periods
6. Sore throat
7. Painful intercourse
8. Pain in the lower abdomen
9. Fever

Gonorrhoea can be diagnosed with a simple blood test or by taking a sample swab from the infected area and subjecting it to lab tests. Once diagnosed, it can be treated with antibiotics. In some cases, an injection may also be required. It is important to complete the full course of antibiotics even if the symptoms disappear in a few days. As with any other STD, prevention is better than cure. To avoid suffering from this disease, always use a condom while having intercourse. If you have more than one partner, insist on getting tested regularly. This is extremely important as many cases of Gonorrhoea go undetected for the lack of symptoms shown.

Many people suffer from a low libido problem. This can be a problem for their partners as well as for themselves. A low sex drive can also reduce one's self esteem and confidence. In severe cases it also leads to depression.

Factors which can cause low sex drive:

1. Sexual problems: Many sexual problems also lead to a low sex drive. An inability to experience orgasm even after a lot of attempts can make one indifferent to sex. Some people also experience pain because of a tight vagina. In such cases their desire to have sex reduces greatly.
2. Medical diseases: Many medical conditions also affects your libido, such as cancer, arthritis, blood sugar (diabetes), artery diseases, high blood pressure and neurological diseases.
3. Medications: Some people suffer from depression and anxiety disorders. To get over these disorders most doctors prescribe them antidepressants and anti-anxiety pills, these medications create a very low libido.
4. Habits: Many lifestyle habits such as over-consumption of alcohol can make your sex drive reduce a lot. Smoking also decreases the blood flow in your body which may make your libido fall.
5. Surgery: Reconstructive surgeries such as breast reconstruction surgery and genital tract surgery can also affect sexual desire and give your body signals to not engage in an intercourse.
6. Fatigue: Tiredness because of physical activities or caring for your old parents or young children can also make you uninterested in sex. Your body and brain might not have the energy to engage in an intercourse due to fatigue.
7. Menopause: The levels of estrogen reduce greatly during menopause. Low estrogen levels make your vagina dry hence sex can be uncomfortable and painful. Women also go through hormonal changes which make them suffer from a low libido.
8. Pregnancy: After pregnancy, breastfeeding your baby becomes an everyday activity. This can reduce sexual desire because of the pressure of caring for a new born baby.

Regular exercising complemented with enough sleep is known to reduce stress thus giving you a high sex drive. Avoid consuming alcohol. Testosterone replacement therapy (a therapy used for treating erectile dysfunction) also treats low desire.

If you feel that no one can help or guide you in channelising your desires, you are wrong. A relationship is subject to a lot of misunderstandings, especially when the sex life is disturbed or fading. Most people tend to keep quiet about such issues instead of seeking help. A sexologist is a therapist who specialises in sexual problems and knows how to deal with them. Here are the top reasons why you should consider visiting a sexologist:

1. If you have low sex drive, you are bound to avoid physical intimacy with your partner. This might happen because of various reasons, such as hormonal changes, certain medications, stress, and fatigue. If you low sex drive has become a persistent problem in your life, you should consult a sexologist about it.
2. If you experience intense sexual behaviour, urges and fantasies which involve strange objects, situations and activities, it is a genuine problem. It is likely to be associated with some psychological issue. This may lead to great distress in your social, personal and occupational life. Visiting a sexologist is very important during such situations.
3. There are several physiological problems which may lower your sex drive or may disable you to perform in bed. In men, disorders such as erectile dysfunction, premature ejaculation and the inability to penetrate in spite of having an erection are common. Although these can be treated with medicines, visiting a sexologist will help you know about the condition and the different treatment modes available. Such problems in women include vaginal dryness, dyspareunia vaginal trauma or vaginismus.
4. When your sexual needs and desires do not match with that of your partner’s, problems and issues are likely to surface. One of you may suffer from low sex drive as well. As a couple, it is important to communicate with each other and visit a sexologist.
5. If you are obsessed and preoccupied with sexual thoughts all the time and your performance and functioning are being affected, a psychological issue is indicated. This needs immediate treatment and hence, you must visit a sexologist.
6. It may be possible for you to feel guilty about having sex. This may happen on the account of a bad sexual experience in the past, such as being a victim of child abuse. You can solve the problem by talking it out with a sexologist.

You should also visit a sexologist if you are unable to achieve orgasms. This is more common in women than men. Ejaculation and orgasm are associated with each other. If you cannot attain an orgasm in spite of having a sex drive, you should be concerned and seek medical opinion. In case you have a concern or query you can always consult an expert & get answers to your questions!

Although survey shows that satisfied women have sex several times a week, two out of five are still left craving more. "Women have a broad definition of sex, so this doesn't necessarily mean they want more intercourse. A woman might just want to feel more sexual in general, so let her know you're thinking about her throughout the day, and make her feel sexy.

The lady knows she's hot

Satisfied women don't suffer from low self-esteem four in five think their partners find them extremely sexy. If want a confident sexual partner, never criticize other woman's body. As your own partner will worry about how you feel about her. She won't feel comfortable showing you her body, if she's worried you'll think she's fat, ugly, or full of cellulite.

The lady will be expressive about her needs 

Satisfied women know what they want, and 87 percent will express it. A woman comfortable asking for what she wants is going to be orgasmic more of the time. Encourage her openness by increasing sex talk in nonsexual situations. But be sure to look out for nonverbal cues, too. If the lady keeps touching you gently, for example, do that to her too.

Pleasure's the Goal

Sounds crazy, but it's true: Orgasm isn't essential to a woman's sexual satisfaction. Three out of four women say the pleasure from sex makes orgasm less necessary. So relax, your laid-back approach can put her more at ease, making her likely to climax. "The more you try to focus on orgasm, the more you scare it away," says Barbach. Instead, attend to her without that Big-O or Big-Zero attitude. Women don't love sex only for the orgasms, They love it because it brings the couple closer together.

Penis size just doesn't matter! 

The cliche is true, it is how you use it. Only 7 percent of sexually satisfied women say penis size is critical to their pleasure. The other 93 percent say they can be satisfied in other ways. It is the hardness and girth that matter more to women than the size of the penis. Passion is what keeps women coming back for more. They were 10 times as likely to rank both passion and generosity as more important than penis size. In case you have a concern or query you can always consult an expert & get answers to your questions!

Indulging in intercourse daily certainly does come with benefits but overdoing the routine can result in various side-effects. According to most medical practitioners and sex-perts, doing it twice a day is considered optimum. Indulging in intercourse daily is a healthy option for couples as it comes with a variety of benefits:

1. Reduces stress
2. Promotes longevity
3. Leads to an increase in blood circulation
4. Helps one sleep better
5. Improves your fitness level

What happens if you overdo it on a regular basis?
However, stretching it up to thrice is acceptable, but going beyond that number can prove to be harmful as sex is a physical activity which puts strain on your body and genitals. The penis has a resting period, which if not adhered to, can lead to extreme stress on the organ and erectile dysfunction in the long-run. Other than distress in the penis, having sex too many times can also cause soreness in the penis and painful muscle contractions during an orgasm. In women, over-indulging in intercourse can cause tears in the vaginal area which can prove to be very painful while urinating or foreplay the next time. Women are also prone to contracting urinary tract infection, if they indulge in this process too many times. This is the reason why clearing the bladder for women is recommended.

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