Dr. Sharmila

Men who follow the mediterranean diet, which focuses on whole foods such as beans, fruits and vegetables, nuts, olive oil, and whole grains, are less likely to experience erectile dysfunction, according to a meta-analysis appearing in the journal of sexual medicine.

Mediterranean dietary plan contributes to the prevention of erectile dsyfunction through a variety of features, including an improvement in glucose metabolism and lipid levels, increased antioxidant potency, and higher arginine levels, which in turn could boost nitric oxide activity and thus improve erectile function.

The mediterranean diet is one of the most heart healthy diets on the planet and studies have shown that it both helps existing and prevents future erectile dysfunction. The well-known lyon diet heart study showed that after an average follow-up time of about four years, patients following the mediterranean-style diet had a 50 70 percent lower risk of recurrent heart disease. That's great news for your heart and your sex life!â this was re-verified by italian researchers who tested the erectile-improving capacities of the mediterranean diet on men with metabolic syndrome and found that it significantly improved their erectile capacity. 

The mediterranean diet also has also been shown to dramatically reduce the risk of dying from cancer and heart disease. Nuts, olive oil, legumes, cereals, fish, red wine, fruits and vegetables, unsaturated fat, low intake of dairy products, no intake of red meat is what the mediterranean diet is all about.

On top of these benefits to both your erectile and cardiac strength, a mediterranean diet has also passed the most rigorous of all tests:â mortality studies. The results of these studies have shown that the mediterranean diet improves overall mortality, which means that it is good for both your heart and multiple cancers, etc. 

Another reason that the mediterranean diet probably help with erectile dysfunction is that a recent study found to improve metabolic syndrome. Metabolic syndrome is a set of conditions (high blood pressure, insulin resistance, poor lipids, etc.) that plague india.

Mediterranean diet has also been shown to prevent alzheimer's disease and dementia. The greater the adherence to the mediterranean diet, the less the risk of alzheimer's. Those with the greatest adherence to the mediterranean diet had a 40% less risk than those with the least. So it's not just the heart and penis that desperately need you to follow the mediterranean diet:â it's the brain itself. To consult the famous sexologist you can visit doctorsharmila. In if your suffering from ed and want to reverse it.

Patient question - I used to be able to handle multiple orgasms but now after the first one, I am done. Why did I lose my touch?

Dear doctor,
I am curious about multiple orgasms. I keep reading about them. And I had them a few times when I was newly wed, (before childbirth) so I know that they exist. But my question is how to get them? did I forget how to do it because of two pregnancies and the obvious lull in that period in our sex life?

My husband is wonderful, he focuses on foreplay, knows all the right moves. He will help me go to round two but I just can't go ahead. After the first orgasm, I am done. I know that regardless of what he tries (and many times he tries too for my sake) that I won't be able to climax again for two days at least. What do I have to do to get back the ability to orgasm more than once? I am 40 years old and happily married for 17 years.

Dr sharmila majumdar says:

Multiple orgasms occur because of practiced execution, not out of dumb luck. The chances of achieving multiple orgasms are dependent on the people involved. You need to know how to elicit an orgasm and how to maintain it in order to achieve as many orgasms as possible.

*the first rule of achieving multiple orgasms is this: don't stop until you're satisfied
*the second rule is this: don't push yourself too much or you'll get hurt
*foreplay is necessary
*after the first orgasm, don't lose your momentum
*stop when you want to, or if your partner's too tired to go on any longer

A deconditioned body: achieving multiple orgasms requires you to go through an extreme amount of physical activity. Your body will be subjected to physically intense conditions like friction, pressure and nerve excitation. You need to be well-prepared for this task, and so does your partner. Work on your stamina, breathing and muscle strength, so you can achieve as many orgasms as you want.

The next time you're getting intimate with your partner, try to keep the stimulation going even post-orgasm, and see if you can successfully try for a second, a third or even a tenth orgasm!

Understandably, the limitations brought about by back pain may produce stress that can damage a relationship. The person who doesn’t have the pain often finds it difficult to understand what his or her partner is experiencing. The negative effects that pain has been causing in a couple’s sex life can sometimes spill over into other aspects of the relationship.

Good communication is critical. Otherwise, one partner may mistakenly interpret a reluctance to engage in sexual activity as an excuse for not wanting to be close, which can lead to feelings of rejection and resentment.

To reduce the tension, try to create an atmosphere in which neither partner will feel rushed. Be patient with each other. I suggest setting the stage with a gentle massage, a hot bath or shower, or the application of a pain cream - any of which can relax the muscles and ease pain. Even under the best of circumstances, back pain may occur during sex. Knowing this, both of you should plan how you will respond ahead of time, so you can avoid becoming angry or frustrated.

When Standing Up Straight and/or Bending Backwards (Extension) Feels Better-

if your partner with lower back pain prefers “extension” then he can use the missionary position, with the woman bending her knees toward her chest. For this to work, the man has to support himself on his hands so his back is extended or bent backwards more. Or she can straddle him (facing away or towards him) while he lies on his back with a pillow under his lower back or he may sit in a sturdy armless chair.

When Bending Forward (Flexion) Feels Better

If your partner with lower back pain who prefers flexion may be more comfortable entering his partner from behind as they both kneel on the bed. Or, the woman can kneel on the edge of the bed, facing in, while he enters from behind, allowing him to bend forward as he stands. Also, they can lay in a side-lying position with him entering from behind.

How to deal with an addiction of sexual content?

* It may be difficult at first to focus on other things outside of pornography, and you may find your thoughts wandering. Stick with it. 
* Religious involvement can help some people overcome problems like this one. You can try getting more involved in your preferred religious institution if you find that helpful. 
* Treat the underlying cause such as Loneliness , boredom and depression and anxiety
* Improve coping skills, practice yoga, meditation, deep breathing
* Spend time with family, friends, stay invested in healthy relationships 
* Remove applications with sexual content and use a browser lock in your settings which show sexual co tenet
* Set yr  pc in the living room where people are around instead of your bedroom where your alone and may be tempted to watch sexual content
* Seek help of a doctor who specializes in Sexology.
* Talking a professional I.e. Sexologist about the addiction can help them aid you.
* Allow a certain degree of leniency for yourself with regard to porn sites, since porn sites occasionally masquerade as legit sites odds are good you'll accidentally find a site or two as you work to get over your addiction. As long as you stick with your program it shouldn't be an issue, so don't be too hard on yourself for making a mistake. 
* Along the same lines, keep in mind that certain legitimate internet searches (such as those for information on colon & rectal health, breast health, or personal hygiene) are more apt to turn up adult content. Therefore, take extra care when searching for legitimate but potentially questionable material to make sure you don't accidentally end up on an adult website. If you have any doubt as to whether the site is legit or not, error on the side of caution and don't click the link.
* Try to avoid triggers that will make you want to watch porn. If they are unavoidable, plan how you will handle the situation.
* Remember watching child pornography is illegal 
* Remember the change should be from Your mind and heart and your intention to change should be clear and firm.
* When addiction of sexual content makes you dysfunctional, disturbs your relationships, defocuses you from work, makes you spend hours on the internet instead of minutes and makes you masturbate you are addicted to content of sexual nature And their will be an underlying cause such as anxiety depression, makes you feel powerful aNd wanted, and having poor coping skills, so watching porn makes you deal with a situation, like how drugs or alcohol ales a person cope with an underlying cause. So finding our that cause reason is important and then addressing it and treating it immediately.

There’s never a bad time to have sex, but science says it’s especially fun to mess around in the morning. How come?

For starters, you naturally build up testosterone overnight, which boosts your sexual instincts in the Morning

You also have higher levels of vasopressin, a hormone that helps give you feelings of emotional attachment and you may feel closer and more attached to your significant other in the morning,” .

One possible reason? Women are not as excited about morning sex could be due to the possibility that She may feel uncomfortable about her physical cleanliness after a night in bed.

After 8 hours of sleep, she hasn’t showered, her hair is a mess, she hasn’t brushed her teeth, or switched out of her pajamas yet. This can trigger stress that can prevent her from relaxing enough to enjoy sex.

if your partner hasn’t peed yet, “the same muscles necessary to stop urinary flow are the muscles that control orgasm,” she can have a very quick orgasm and maybe multiple ones too 

If you do convince her to have a quickie before coffee, follow these steps to satisfy her:

1. Spend time cuddling. 

Start the process slowly. “Hold her and use close physical time before you make any overt sexual move. “From there you can work up to touching her breasts or genitals, stroking her arms and hair, and really helping her relax.”

This process releases the hormone oxytocin, which helps her feel connected to you. If she senses that you’re rushing her and she’s not in the mood, you’ve blown your shot.

2. Compliment her heavily keeping it realistic tell her how sexy she looks wearing nothing but a nightshirt.

“These things will override her tendency to feel insecure in the morning,” 

3. Switch up your position.

If you’re both repulsed by morning breath, avoid positions that call for mouth-to-mouth, like missionary position

Turn her around and try doggy, or spoon her to steer clear of any nasty stench. That way, she can enjoy the act and avoid holding her breath till the end of the act.

According to our results there is a high prevalence of sexual dysfunction among PCOS patients associated with lower education levels, and hirsutism. BMI levels higher than normal had decreased desire and satisfaction. However, higher education levels improved sexual functioning in different domains.

The frequency of sexual dysfunction was verified 57.7% in PCOS patients with the domains of desire and arousal being commonly affected in 99.2% and 98.5%of cases respectively. BMI had a significant effect on sexual desire and arousal (p=0.02) while the effect of hirsutism was significant on all domains except for dyspareunia.

In normal Indian women, FSFI domain scores suggested difficulties with desire in 77.2%; arousal in 91.3%; lubrication in 96.6%; orgasm in 86.6%, satisfaction in 81.2%, and pain in 64.4% (42). In Indian women FSFI total scores suggested FSD in two-thirds of the 149 women (73.2%; 95% CI: 65.5-79.6%) (43). Infertility is one of the most stressing factors in women`s life and it may influence their satisfaction and quality of life (44, 45). In our study all the patients were infertile which may have impaired their sexual function that could justify the high prevalence we found. The majority of our patients had menstrual irregularities which reveals their hormonal disturbances.

PCOS patients markedly suffer from sexual dysfunction as comorbidity. It seems appropriate to screen all PCOS patients for sexual function with a simple short questionnaire such as FSFI. Targeted interventions could be considered to help improve their quality of life along with other treatments.

consulting a lady Sexologist could markedly improve sexual dysfunction in the pcos patients and improve their quality of life.

PCOS patients have been found to "markedly suffer from sexual dysfunction." This is especially true in terms of orgasming, it might be tied to hormonal imbalances, since excess androgens can throw a woman's hormones out of track which can affect sexual function.

The general perception and prejudices of an ‘asexual’ old age, of sex in older people being disgusting, or simply funny. Research suggests, that many older people enjoy an active sex life although they may face several problems. If doctors do not accept that older people may enjoy sex, then it is unlikely that sexual problems will be effectively explored, diagnosed and treated. This article aims to  dispel the myth of a totally ‘asexual’ old age

Available research suggests that increasing age is associated with a decreased interest in sex. A survey showed that older respondents had less interest in sex, with 98% of 50–59 year olds giving it at least ‘some importance’ compared with 72% of 70–80 year olds. It is interesting, however, that the centenarians did report greater satisfaction with life and family relationships than the younger age groups. A large study using face-to-face interviews showed 59% of 75–85 year olds still attributed some importance to sex.

In general, the responses showed that those aged >70 placed less importance on sex than the younger participants.There are also gender differences, with the greatest difference being in the older age groups 41.2% of males aged 75–85 stated an interest in sex compared with 11.4% of females the same age, the men nearly always initiated the sexual interactions rather than the women. interest in sex among older men has increased over the last 10 years possibly due to the effective and well-publicised drugs for erectile dysfunction (ED) starting with Viagra in 1998.

Looking  at sexual function across four domains (desire, erection, orgasm and ejaculatory functions) and found a decrease in all with increasing age. However, even among the oldest men (aged 70–80), 46% reported orgasm at least monthly.

What causes the decrease in sexual interest and function in older adults?

• General physical health
• Psychological causes
• Male sexual dysfunction 
• Female sexual dysfunction 
• Practical problems such as loss of partner 
• Delay in seeking help from Sexologist due to embarrassment 

Educating old age patients is an important task. This includes educating about ‘lifestyle factors’ (e.g. smoking, obesity, diabetic control) which can affect sexual functioning—using the concept of remaining sexually active life years may assist patients in making healthier choices. Patients should also be educated about the changes they can expect in sexual functioning as they age, and the options available to help them. Sexologist also need to be educated to increase awareness of sexuality in older age and improve communication skills. A multidisciplinary approach when possible should be used.

Finally words are that senior citizens are also sexual and not asexual due to the above problems and aging factors there is a decline in interest which is natural however minimal interest is definitely there and sexologist can educate and treat any dysfunction that they might be having unless it’s due to another disorder like cancer, or enlarged prostrate, high diabetes, etc.

Sexual problems in married couples
Sexual disorder or dysfunction can be categorised as sexual desire disorder, sexual arousal disorder, orgasm disorders and sexual pain disorders. These can be caused by:

• Unconsummated marriages due to lack of emotional bonding, conflicts in the couple, illness, different time schedules of work, can lead to this and can prolong for years.
• Idiopathic infertility may arise though the test repost of both man and woman are normal this may be triggered by stress, conflicts, financial problems, increased age of couples due to late marriage, sex therapy benefits such couple immensely so consult a good sexologist asap.
• Abnormally low production of hormones estrogen in women and testosterone in both men and women cause sexual desire disorder.
• Pregnancy, ageing, fatigue and side-effects of medications can also cause sexual arousal disorder.
• Depression or anxiety also has a dampening effect on sexual desire.
• Men and women may develop an aversion to the contact of each other.
• Lack of sexual arousal is seen as failure of men to maintain erection, partially or completely; and in women lack of vaginal lubrication. It can be natural or due to some underlying cause.
• Decreased blood flow to the vagina or penis due to medical conditions or a chronic illness can also be the cause of arousal disorder.
• Lack of orgasm after a normal period of sexual excitement if often the result of side-effects from ssri anti-depressants. This is found in both men and women.
• Sexual pain disorders mostly affect women. Dyspareunia and vaginismus, painful intercourse and vaginal spasms during intercourse respectively are caused due to lack of vaginal lubrication in women.
• Poor vaginal lubrication may have been caused by lack of excitement and resultant arousal. It could also be due to changes after menopause or breast-feeding. Contraceptive creams may also cause lubrication problems and so also sexual fear and anxiety.
• Sexual abuse of women can lead to vaginismus. Women may also suffer from vulvar vestibulitis which leads to pain during intercourse.
• Sexual disorders are more common in men and women who are alcoholics and drug abusers.
• It is also much more probable in people with medical conditions such as diabetes or other degenerative neurological problems. 
• Psychological problems, trouble in relationships, or chronic disenchantment and conflict with the sexual partner can also get in the way of sexual function.
• Lack of knowledge of anatomy and physiology, lack of sex education, sti, fear and performance pressure also causes problems in the married couple drifting them apart.
• UTI or urinary tract infection due to bacterial infestation during frequent sex or unhygenic sex. Please consult a sexologist to treat it else it recurrs and mightvcause kidney scarring.

The benefits of sex range from slashing stress levels to lowering your risk of cancer and heart attacks. Sex facilitates bonding and feelings of intimacy with your partner. This kind of connectedness does more than make you feel warm and fuzzy, it actually reduces anxiety and boosts your overall health.

1. Get Less Colds & Boost Your Immune System

2. Boost Your Libido

3. Improve Women's Bladder Control

4. Lower Your Blood Pressure

5. Counts as Exercise

6. Lower Heart Attack Risk

7. Lessen pain

8. May Reduce Prostate Cancer Risk

9. Improve Sleep

10. Relieve Stress

11. Burn Calories

12. Improve Cardiovascular Health

13. Strengthen Your Well-Being

14. Improve Intimacy and Relationships

15. Look Younger

16. Live Longer

17. Boost Brainpower

18. Sex Makes Fertilization Easier