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Dr. Sharmila  - Sexologist, Hyderabad

Dr. Sharmila

97 (1614 ratings)
MS Human Sexuality, M.Phil Clinical Psychology, PhD (Behaviour Modification),...

Sexologist, Hyderabad

12 Years Experience  ·  2500 at clinic  ·  ₹3000 online
Dr. Sharmila 97% (1614 ratings) MS Human Sexuality, M.Phil Clinical Psychology, PhD (Beha... Sexologist, Hyderabad
12 Years Experience  ·  2500 at clinic  ·  ₹3000 online
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Sharmila

Hyderabad-based Dr. Sharmila Majumdar is one of first certified female sexologist in India. A state and national award winner in Sexology and Psychoanalysis in 2017. She did her MS in sexology from KUVEMPU in the year 2006, M.Phil in Clinical Psychology from Bharathiar University in 2008 and she completed her Ph.D. in behaviour modification from Osmania University in 2010. She did her fellowship in Treatment of Resistant Depression from Mount Sinai School of Medicine, U.S.A. She has gained her expertise in the fields of Sexology, Mental health Psychology and Cognitive consultant. She has gathered a vast experience over 11 years by undertaking crucial responsibilities in various hospitals. She managed the chairs of Sr. Consultant Psychoanalyst & Sexologist at Asha Psychiatric Hospital, Sr. Consultant sexologist at Tanvir Hospital For Women and Sr. Consultant Sexologist at Ramayya Pramila Urology & Laparoscopy Hospital.

She won laurels for Best paper presentation on female Sexual Dysfunction. Dr. Majumdar is the member of various medical societies like American Association of Sexuality Educators Counsellors and Therapists (AASECT) and Council of Sex Education & Parenthood International (CSEPI) etc. She extends her valuable services in curing various sexual disorders and ailments like Gonorrhea, Syphilis, Genital Herpes, Erectile Dysfunction, Loss of libido, swelling of scrotum, Vasectomy etc. Now she is the Owner, Chief Sexologist and Psychoanalyst at Avis Hospital, Sexual and Mental Health Clinic, Hyderabad, Telangana.


MS Human Sexuality - KUVEMPU - 2006
M.Phil Clinical Psychology - Bharathiar University - 2008
PhD (Behaviour Modification) - Osmnia University - 2010
Certified In Treatment of Resistant Depression - Mount Sinai School of Medicine, NYC, U.S.A - 2010
Past Experience
Sr. Consultant Psychoanalyst & Sexologist. at Asha Psychiatric Hospital
Sr. Consultant sexologist at Tanvir Hospital For Women
Sr. Consultant Sexologist at Ramiyah Pramila Urology & Laproscopic Hospital
Director and Chief consultant Sexologist and psychoanalyst at Sexual and mental health clinic, Avis Hospital
Languages spoken
Awards and Recognitions
Best female sexologist in Telengana, Hyderabad
Most promising female health care doctor in Sexology and Psychoanalysis
Best Paper Presentation In Female Sexual Dysfunction
Professional Memberships
American Association of Sexuality Educators Counselors and Therapists (AASECT)
Member andrology India


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Spots On The Penis: What It Could Mean?

MS Human Sexuality, M.Phil Clinical Psychology, PhD (Behaviour Modification), Certified In Treatment of Resistant Depression
Sexologist, Hyderabad
Spots On The Penis: What It Could Mean?

Spots on a men private part 

Men are often very worried when they find spots on their penises. In this article, we'll describe the different types of penile spots and their colors that you might find. Penile spots are not usually a sign of anything very serious. But nearly always, it's a good idea to show the spots to your sexologist. Please bear in mind that most penile spots that you might find there are likely to be completely harmless. But some aren't! It's understandable that men can be very concerned if they notice spots on their penis.

Men also get alarmed about the sometimes rather unpleasant physical appearance of a spotty' penis, and what their sexual partner or partners might think of it. This is quite understandable. However, very tiny and harmless bumps' and spots on the penis, alarming though they may be, they are unlikely to be noticed by a sex partner.

Where could one seek medical help?

If you're concerned about a spot (or spots) on your penis, please ask a sexual medicine specialist doctor to have a look at it.

Now let's look at some really common penile spots:

  • Fordyce spots
  • White or yellow spots on your penis

These are tiny white or yellowish spots, found on the head of the penis or the shaft. If your skin is brown or black, they may look more prominent. They are normal. They're minute sebaceous glands and are just part of the natural structure of many penises. Many men also have them around their lips. Fordyce spots are not sexually transmitted and they don't do any harm. There's absolutely no need for any treatment.

Hair follicles
As you know, virtually all men have quite a few hairs growing around the base of the penis. And often, the hairs extend some distance up the underside of the organ. Human hairs grow out of a tiny'pit, which is called a follicle. And very frequently, the follicles on the penis may be quite prominent. This is nothing to worry about and no treatment is needed.

Septic spots (Pimples on your penis)
Obviously, people do often get pimples, or'septic spots' on their faces and on other parts of the body. They're particularly common in young adults. Sometimes a small pimple appears on the penis. This is not a serious matter and no treatment is needed. Do not squeeze the spot, because you may spread infection. Don't have sex with anyone till it's completely gone. However, if something that you think is a pimple hasn't gone away within a week, ask a doctor to check it out.

Genital warts
Pink, brown or black spots on your penis
In contrast, genital warts do need treatment. And they are transmitted by sexual contact. They are pink, brown, ivory-coloured or black. Occasionally, they grow out of the opening at the tip of the organ. They are caused by one of the human papilloma viruses (hpv), which like living in warm, moist parts of the human body. Genital warts are easily passed on during vaginal, oral or anal sex.

It is strongly recommended that you go to a sexologist if you suspect you have genital warts, partly to make sure that your diagnosis is correct.

Treatment is either by application of special creams, or else by removing the wart altogether – for instance with an electric probe or laser. This is virtually painless.

Do not have sex until the doctor says that you are completely cured.

Ways To Make Your Marriage Stronger

MS Human Sexuality, M.Phil Clinical Psychology, PhD (Behaviour Modification), Certified In Treatment of Resistant Depression
Sexologist, Hyderabad
Ways To Make Your Marriage Stronger

1. With sex, aim for quality over quantity. When spouses don't get busy regularly, they can lose physical connection.
2. Write about your fights. Researchers believe it's because the writing group was able to glean new insights about the disagreements or better understand their spouses after they'd reflected about them on their own. Next time you argue with your man, try writing down the details from a neutral standpoint. You might notice something you missed in the heat of the moment.
3. Hug for 2 minutes and kiss for 30 seconds each. Oxytocin, a chemical our bodies release when we touch one another, emotionally connects people" no need to set a timer, but do extend your hugs and kisses longer than you normally would; you'll feel a new sense of connection.
4. Take a walk together. If you're trying to decide how you two should handle your daughter's poor report card, hit the pavement. Not only will the fresh air clear your minds but also" the very act of walking in the same direction can help you two feel as though you're on the same team and want the same result. Physically heading to one place makes you more likely to be mentally in sync; it's like you're standing together instead of confronting each other.
5. Sit next to each other at restaurant tables. You may be inclined to take a seat across from your partner, but "it's a more aggressive stance" after all, it's how you and a prospective employer sit during an interview. Next time you're out, try grabbing a booth or putting separate chairs at a table side by side. Instead of playing footsie under the table, your man can slide an arm around you or touch your knee, while you can whisper in his ear" it's a friendlier and much more intimate position.
6. Jot down your guy's sweet deeds. Maybe he filled up your gas tank without you mentioning it was getting low, or brought you flowers for no good reason. Once a day for a week, secretly write down something your man did that touched you" many times, especially in long-term relationships, the little things our partners do for us get overlooked, which eventually makes the man resentful. Keeping a list helps you feel grateful for the daily blessings of marriage, and sharing that list at the end of the week with your spouse makes him feel appreciated.

1 person found this helpful

to lead a enriched and fulfilling life

MS Human Sexuality, M.Phil Clinical Psychology, PhD (Behaviour Modification), Certified In Treatment of Resistant Depression
Sexologist, Hyderabad
to lead a enriched and fulfilling life
These are some of the trains which should be inculcated for leading a complecent life.

Ways To Make Your Long-Term Marriage Happier, Starting Today

MS Human Sexuality, M.Phil Clinical Psychology, PhD (Behaviour Modification), Certified In Treatment of Resistant Depression
Sexologist, Hyderabad
Ways To Make Your Long-Term Marriage Happier, Starting Today

The honeymoon period in most marriages has a shelf life. But does that mean you can't bring back those fluttery butterfly feelings of excitement and anticipation everyone experiences at the beginning of a relationship? Absolutely not. All marriages maneuver through rough patches. Some don't survive long enough to come out the other side unscathed. But many do. Here are 11 ways to keep your marriage fresh.

1. Remind your partner (and yourself) that you appreciate them.

After you've been married for many, many years, that passionate kiss when your partner walks in the door can easily morph into a peck on the check that can then morph into an inability even to look up from your. Studies show that nearly half of men who have cheated say it was because of emotional dissatisfaction -- and not sex. When men don't feel connected or appreciated by their wives, they are vulnerable to the advances of any attractive woman who casts a lustful glance their way. And fellows, it works the other way as well.

2. Say thank you for the little things

Playing tit for tat is childish and will do nothing but chip away at the trust and connection you've built with your spouse. If you are so inclined, keep score of all the positive things your partner does in a day -- and then thank them. Hopefully they'll get the hint and do the same for you.

3. Practice honesty, even when you're ashamed.

Although infidelity usually happens in bed, it also can happen with money. And it will be a tough road gaining back your spouse's trust if you've lied about overspending.

Along that same vein, if you feel you aren't connecting with your partner the way you used to, you need to say something -- now. If You don’t kep telling yourself that things would get better on their own, couples might not have reached what I call the danger zone.

4. Take care of your appearance.

With many years and a few kids under your belt, it's easy to let your appearance slide. Think about when you first met your partner. Would you have walked around in stained nightdress and without brushing your teeth? My guess is no. But I've seen too many couples transform from Well groomed men and women with shabby ones-- with disastrous repercussions.

Sometimes you must compliment your spouses.

5. Foster relationships outside your marriage.

"time apart."  At times It gets romantic because even the conversations on the phone get more romantic. You need some distance,” And space once in a while.

Your marriage should be your primary relationship -- but it needn't be the only one.

6. Watch your words.

There are many things you should never say to a longtime spouse, the first being: "Don't you think our new neighbor is attractive?" That's a question you just think you want to know the answer to. It's also never a good idea to start a sentence with: "You know it's always been your problem that..." Who wants to hear that from their partner? We hopefully all have a pretty good sense of ourselves at this point and having someone you love point out a failing in this way does little to engender a loving relationship.

"You always..." or "You never..." Think about it. Neither of these is true. If you start a sentence with these words your spouse is certain to shut down or start a fight. Stop for a minute and think about what you really mean to say -- and then say that instead.

7. Put away the jumper cables yourself

Most of us have problems that are more like petty and repeated annoyances, which when fed the steroids of resentment and anger, balloon up.
Most of our problems start out small enough -- he borrows the jumper cables from your car and then leaves them sitting in the driveway just waiting to get run over -- and from that sprouts a giant festering sore. It leads you to utter words like, "If you loved me you would have put the jumper cables back in my car so that when I get stuck in a bad neighborhood with a dead battery I could save myself," which, in my household, generally results in a reply like "When do you ever drive in bad neighborhoods?"

It is the small annoyances that, if left unaddressed, do us in. For a happier marriage, address them right away and keep it simple. "Honey, did you put jumper cables back in my car?"

8. Relish the silence.

Sometimes the best way to address a problem is to just walk away from it -- as in seriously let it go. Not every slight must be addressed. Know that not every insult is intended. Practice letting go as much as you can. Forgive more. Forget more. Bite your tongue until the tip bleeds. And once in a while, remind yourself of why you married this person. Focus on those reasons and let stuff pass without mention.

The trick to successful silence, however, is that you really let the problem pass. If you stay silent and still harbor bad thoughts, well, that's where ulcers come from.

9. Recognize the ebb-and-flow.

Relationships aren't flat-lined; that's death, actually. Life has ups and downs, peaks and valleys. We all go through periods where the mere thought of life without our partners can bring tears to our eyes and then a week later we can't stand the sound of their breathing next to us. We've all been there. The trick is knowing that you won't stay in either place forever. Truth is, in a marriage, you spend most of your time in an emotional middle ground. It's not songbirds chirping, nor is it considering which poison in his pasta will cause the most painful demise.

This middle ground isn't the couple who sit in the restaurant across from one another without conversing. Those people have actually flat-lined and just don't know it yet. No, the middle ground is when months meld into years and you know what the reaction will be before you say something. It's when the book you finished last night just migrates automatically to the nightstand on his side and he tells you about the recorded "Modern Family" episode you slept through. It's the every day ebb and flow without the waves.

10. Be kind.

We tend to take advantage of those we love the most -- probably because we know they love us and we can get away with it. It's the old kick-the-cat syndrome. You have a bad day at the office and come home and take it out on your mate. A much healthier pattern is to start out each day by asking yourself, "What can I do today to make my partner happy?" And mean it. Doesn't it make more sense to put your best face on for someone you love? Look for ways to say "yes." This rule applies to parenting as well, but in a happy marriage, people are busy trying to please each other. That sometimes means sitting through endlessly long ball games, putting on a tie, watching a horror movie with your eyes closed, and traveling around old Civil War battleground sites when you really wanted to be vacationing on a beach in Goa. It's doing things for your partner.

11. Maintain intimacy and passion, both inside and outside the bedroom.

Intimacy isn't just sex and passion isn't just doing it on the kitchen counter. Bedroom habits age along with the marriage. There may be no stronger aphrodisiac than a moonlight walk on the beach that ends in a kiss. There may be no greater display of passion than the zeal of a partner in a hospital room trying to get the nurse's attention for an ailing wife. Don't let others define what is a "normal" or "healthy" amount of sex for your marriage. Know that things change, but that doesn't make them less exciting or fun. And intimacy comes in many shapes, including conversation and cuddling.

2 people found this helpful

How Mediterranean Diet Boost Men's Sexual Health?

MS Human Sexuality, M.Phil Clinical Psychology, PhD (Behaviour Modification), Certified In Treatment of Resistant Depression
Sexologist, Hyderabad
How Mediterranean Diet Boost Men's Sexual Health?

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.

11 people found this helpful

What Does One Have To Do To Get Multiple Orgasms?

MS Human Sexuality, M.Phil Clinical Psychology, PhD (Behaviour Modification), Certified In Treatment of Resistant Depression
Sexologist, Hyderabad
What Does One Have To Do To Get Multiple Orgasms?

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!

11 people found this helpful

How To Cope With Severe Back Pain And Have A Healthy Sex Life?

MS Human Sexuality, M.Phil Clinical Psychology, PhD (Behaviour Modification), Certified In Treatment of Resistant Depression
Sexologist, Hyderabad
How To Cope With Severe Back Pain And Have A Healthy Sex Life?

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.

10 people found this helpful

How To Deal With An Addiction Of Sexual Content?

MS Human Sexuality, M.Phil Clinical Psychology, PhD (Behaviour Modification), Certified In Treatment of Resistant Depression
Sexologist, Hyderabad
How To Deal With An Addiction Of Sexual Content?

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.

10 people found this helpful

Boost Your Sexual Life

MS Human Sexuality, M.Phil Clinical Psychology, PhD (Behaviour Modification), Certified In Treatment of Resistant Depression
Sexologist, Hyderabad
Boost Your Sexual Life

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.

6 people found this helpful

Female Sexual Dysfunction In PCOS Women

MS Human Sexuality, M.Phil Clinical Psychology, PhD (Behaviour Modification), Certified In Treatment of Resistant Depression
Sexologist, Hyderabad
Female Sexual Dysfunction In PCOS Women

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.

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