Dr. Adi Vishnu

When a person is preoccupied with physical fantasies to the point of dysfunction for at least six months, he or she suffers from hyper sexuality. Hyper sexuality is also known as nymphomania or compulsive sexual behavior. These sexual fantasies are usually combined with a compulsive pursuit of non-intimate or casual sex, excessive masturbation habit, pornography, objective partner sex and romantic intensity.

It is more complex than just having an unusually high sex drive because sexual activity gives the addict an intense feeling of euphoria, suppressing other thoughts which cause distress, self-loathing and shame. This interferes with the daily regimen of activities. Treatment and management of sex addiction is imperative because it is disruptive and harmful not just to you but also to others.It also damages relationships, careers and self-esteem. 

People suffering from hyper sexuality exhibit the following symptoms: 
1. They engage in compulsive masturbation
2. They frequently hire prostitutes
3. Usage of phone sex services excessively
4. They have multiple extramarital affairs
5. They plan out sexual activities excessively
6. They engage in one night stands frequently
7. They are emotionally detached from their sexual partners
8. They prefer unprotected sex
9. They obsess about an unattainable sexual partner
10. They show tendencies of paraphilia

The primary and identifiable causes of hyper sexuality are as follows:
1. Biochemical imbalances in neurotransmitters and nervous system disorders
2. Medical conditions that damage certain parts of the brain of affect brain functioning

Sexual addiction is believed to be a dysfunctional adult response towards emotional or character regulatory deficits and innate personality as well as abuse, early detachment disorders and trauma. Hyper sexuality is a symptom of a lot of mental disorders such as bipolar disorder, adult attention deficit disorder or obsessive compulsive disorder. 

Sex addicts usually do not seek treatment for their addiction until the consequences of their activities are dire and have an overt negative effect on their health, relationships, finances and career. Since addicts feel ashamed and despise themselves, they usually do not seek help until they hit rock bottom. However, it is crucial to treat this disorder in order to lead a happy and fulfilling life where one is not controlled by their addiction.  You can also take the package for having safe sex.

Hyper sexuality can be treated using the following methods:

1. Psychotherapy
2. Group Therapy
3. Family and couples therapy
4. Support groups
5. Self-help groups
6. Medications
   1. Antidepressants
   2. Anti-androgens
   3. Luteinizing hormone releasing hormone (LHRH)
   4. Mood Stabilizers
   5. Naltrexone

If you wish to discuss about any specific sexual problem, you can consult a specilized sexologist.

Infertility is defined as the inability to conceive after 12 months of unprotected intercourse. For women aged 35 and older, inability to conceive after 6 months is generally considered infertility. Repeated pregnancy loss (2 or more spontaneous pregnancy losses) can also be considered infertility. Recent estimates indicate infertility affects 10-15 percent of the population in their childbearing years.

If you experience recurrent pregnancy loss, or if you have not been able to become pregnant within a year (six months if the woman’s age is over 35, 2-3 months if over 40), then you may benefit from assessment and treatment by a reproductive endocrinologist - a doctor with a special interest, training and expertise in the area of infertility.

It’s a state that results in the abnormal functioning of the male or female reproductive system.

The causes for infertility could be:

1. Male factor - erectile dysfunction, ejaculatory dysfunction, problems with quality, count and quantity of semen

2. Female factor - tubal factor, ovulatory problems, abnormality of uterus, hormonal imbalance 

3. Antisperm antibodies

The prime symptom is very obvious i.e. unable to have baby despite of having sex without any contraceptives.

Factors affecting fertility:

1. Age: Female fertility gradually declines in the 30s, particularly after age 35. Each month that she tries, a healthy, fertile 30-year-old woman has a 20% chance of getting pregnant.

2. Smoking: It increases risk of getting infertile and reduces the chances of treatment.

3. Alcohol: Consumption of alcohol is said to lower the sperm count in men.

4. Obesity: An overweight person has a higher chances of having sperm abnormality.

5. Workout: Less or very heavy work out is said to increase the chances of infertility.

6. Mental Stress: Studies suggests that ovulation and sperm production may be affected by mental stress. If at least one partner is stressed it is possible that the frequency of sexual intercourse is less, resulting in a lower chance of conception.

7. Sexually Transmitted Infections can also adversely affect the fertility of a person.

When to take further advice and course of action?

In case the women trying to conceive is less than 35 years of age, then 12 months and if more than 35 years, then in 6 months itself one needs to get in touch with the Specialist/Reproductive Endocrinologist/Gynaecologist or a Urologist for a complete diagnosis.

Many cases of apparent infertility are treatable. Infertility may have a single cause in one of the partners, or it could be the result of a combination of factors in both men and women.

There are many treatments available that improve the chances of having a baby. Such treatments include:

1. Hormones Treatment

2. Drugs for fertility

3. Surgery in some cases

Also one the oldest form of medications such as Ayurveda as well as Homeopathy is said to have a wonderful treatment of Infertility. With the developments in medical sciences, there are lot of treatments available; however, such treatments sometimes become the victim of their own success causing multiple births – Two, Three or may be more.

Some Assisted Treatments are:

1. Intrauterine insemination

2. In Vitro Fertilization

3. Intracytoplasmic sperm injection

4. Donation of Sperm or Egg

5. Assisted Hatching

6. Electric or Vibratory Stimulation to achieve ejaculation

7. Surgical Sperm Aspiration

It is important to understand the complete treatment before going ahead and be aware of the possible outcomes and be psychologically ready.

Please do not keep it to yourself and consult an expert. Never go for self medication! In case you have a concern or query you can always consult an expert & get answers to your questions!