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Dr. Sharmila Majumdar - Sexologist, Hyderabad

Dr. Sharmila Majumdar

93 (1454 ratings)
MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certi...

Sexologist, Hyderabad

11 Years Experience  ·  2500 at clinic  ·  ₹2500 online
Dr. Sharmila Majumdar 93% (1454 ratings) MS sexuality, M.Phil Clinical Psychology, PhD (behaviour ... Sexologist, Hyderabad
11 Years Experience  ·  2500 at clinic  ·  ₹2500 online
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I want all my patients to be well informed and educated about their health care, from treatment plans to the services provided for treating their health concerns. As Every patient has the......more
I want all my patients to be well informed and educated about their health care, from treatment plans to the services provided for treating their health concerns. As Every patient has the right to good physical health, mental health and sexual health to lead a fulfilling life. View the profile of Dr. Sharmila Majumdar and reviews from patients to make an informed decision. 1. https://www.linkedin.com/wvmx/profile?trk=nav_responsive_sub_nav_wvmp&_mSplash=1#recommended-actions 2. https://plus.google.com/108310945557973156506 3. https://www.linkedin.com/in/dr-sharmila-majumdar-0377062a?trk=nav_responsive_tab_profile&_mSplash=1 4. https://mobile.twitter.com/DrsharmilaM 5. https://www.youtube.com/watch?v=NGKf1O82CGg 6. http://doctorsharmila.in/#
More about Dr. Sharmila Majumdar

Hyderabad-based Dr. Sharmila Majumdar is the first female sexologist in India. She achieved 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 certification course 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.

Info

Education
MS sexuality - KUVEMPU - 2006
M.Phil Clinical Psychology - Bharathiar University - 2008
PhD (behaviour modification) - Osmnia university - 2010
...more
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
Languages spoken
English
Hindi
Telugu
Awards and Recognitions
Best paper presentation in female Sexual Dysfunction
Professional Memberships
American Association of Sexuality Educators Counselors and Therapists (AASECT)
Council of Sex Education & Parenthood International (CSEPI)

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Avis Hospital, Sexual & Mental Health Clinic

Plot No 99, Road No 1, Jubilee Hills, Next To Chiranjivee Blood BankHyderabad Get Directions
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Erectile Dysfunction - Testosterone Replacement Therapy

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Erectile Dysfunction - Testosterone Replacement Therapy

Testosterone is a hormone produced by the testicles and is responsible for the proper development of male sexual characteristics. Testosterone is also important for maintaining muscle bulk, adequate levels of red blood cells, bone growth, a sense of well-being, and sexual function.
Inadequate production of testosterone is not a common cause of erectile dysfunction; however, when ED does occur due to decreased testosterone production, testosterone replacement therapy may improve the problem.

What Causes Low Testosterone?
As a man ages, the amount of testosterone in his body naturally gradually declines. This decline starts after age 30 and continues throughout life. Some causes of low testosterone levels are due to:
* Injury, infection, or loss of the testicles
* Chemotherapy or radiation treatment for cancer
* Genetic abnormalities such as Klinefelter's Syndrome (extra X chromosome)
* Hemochromatosis (too much iron in the body)
* Dysfunction of the pituitary gland (a gland in the brain that produces many important hormones) or hypothalamus
* Inflammatory diseases such as sarcoidosis (a condition that causes inflammation of the lungs)
* Medications, especially hormones used to treat prostate cancer and corticosteroid drugs
* Chronic illness
* Chronic kidney failure
* Cirrhosis of the liver
* Stress
* Alcoholism
* Obesity (especially abdominal)

What Are the Symptoms of Low Testosterone?
Without adequate testosterone, a man may lose his sex drive, experience erectile dysfunction, feel depressed, have a decreased sense of well-being, and have difficulty concentrating.

What Changes Occur in the Body Due to Low Testosterone?
Low testosterone can cause the following physical changes:
* Decrease in muscle mass, with an increase in body fat
* Changes in cholesterol levels
* Decrease in hemoglobin and possibly mild anemia
* Fragile bones (osteoporosis)
* Decrease in body hair
* Changes in cholesterol and lipid levels

The only accurate way to detect the condition is to have your doctor measure the amount of testosterone in your blood. Because testosterone levels fluctuate throughout the day, several measurements will need to be taken to detect a deficiency. Doctors prefer, if possible, to test levels early in the morning, when testosterone levels are highest.
Note: Testosterone should only be used by men who have clinical signs and symptoms AND medically documented low testosterone 

Testosterone deficiency can be treated by:
* Intramuscular injections, given anywhere from two to 10 weeks apart
* Testosterone gel applied to the skin or inside the nose
* Mucoadhesive material applied above the teeth twice a day
* Long-acting subcutaneous pellet
* Testosterone stick (apply like underarm deodorant)
Each of these options provides adequate levels of hormone replacement; however, they all have different advantages and disadvantages.

Who Shouldn't Take Testosterone Replacement Therapy?
Men who have prostate cancer or breast cancer should not take testosterone replacement therapy. Nor should men who have severe urinary tract problems, untreated severe sleep apnea or uncontrolled heart failure. All men considering testosterone replacement therapy should undergo a thorough prostate cancer screening -- a rectal examand PSA test -- prior to starting this therapy.

What Are the Side Effects of Testosterone Replacement Therapy?

* Acne or oily skin
* Mild fluid retention
* Stimulation of prostate tissue, with perhaps some increased urination symptoms such as a decreased stream or frequency
* Increased risk of developing prostate cancer
* Breast enlargement
* Increased risk of blood clots
* Worsening of sleep apnea (a sleep disorder that results in frequent night time awakenings and daytime sleepiness)
* Decreased testicular size
* Increased aggression and mood swings
* May increase risk of heart attack and stroke

Laboratory abnormalities that can occur with hormone replacement include:
* Changes in cholesterol and lipid levels
* Increase in red blood cell count
* Decrease in sperm count, producing infertility (especially in younger men)
* Increase in PSA
If you are taking hormone replacement therapy, regular follow-up appointments with your doctor are very important.

3 people found this helpful

Unconsummated Marriages - A Leading Cause Of Infertility!

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Unconsummated Marriages - A Leading Cause Of Infertility!
  • Chances are you've never heard of vaginismus (or, as it is now known, genito pelvic pain penetration disorder) before. Why? Because it's the disorder nobody wants to talk about, least of all those whom it most affects - women. Vaginismus is musculature of the outer third of the vagina, which interferes with coitus and causes distress and interpersonal difficulty.
  • Among the male factor infertility, erectile dysfunction was found to be the top ranking cause accounting for 79.37% followed by premature ejaculation 12.01%, Lack of sexual desire 3.92%, homosexual orientation 2.79%, sexual aversion disorder 1.31% and disorders of sexual preference 0.61%. 
  • Vaginismus is believed to be a psycho-physiologic disorder due to fear from actual or imagined negative experiences with penetration and/or organic pathology. Women with vaginismus have also been noted to have a lack of sex education.  Vaginismus was the 63.9% , ed 11.9% , PME 8.3% , low male sexual desire 2.7%, low sexual desire in female 13.9% dysfunctional underlying non consummation of marriage is largely treatable. Adaptation to the situation usually occurs and associated factors add to the primary cause. Treatment of the underlying dysfunction can challenge the relationship.
  • Sexual dysfunction is a common problem which leads to inter-personal problems and marital discord. defined as recurrent or persistent involuntary spasm of the with coitus and causes distress and interpersonal difficulty. 

 Treating vaginismus merits a two-front approach which includes behavioral sex therapy techniques and relational intervention. When appropriate, the behavioral intervention consists of prescribing dilators (from smallest to largest) that the wife is to use in the privacy of her own home to gradually desensitize herself to penetration (the fourth and usually largest dilator is roughly the size of a penis).  While the husband may be called upon to help his wife insert the dilators (depending on his wife's comfort level), for the most part his job is to ease off the pressure for her to perform, be supportive, and try to understand his role in the marital dynamic (usually an enabling one) and the associated symptom.
Ascribing to a psychodynamic model of treatment, is helpful for a couple to understand where their symptom came from, but I'll admit this is not always necessary for them to achieve a positive outcome. Nevertheless, employing the psychodynamic systems approach to uncover any conflicts that might be behind or exacerbating the vaginismus. These underlying causes may include prior sexual abuse, chronic control struggles experienced in the family of origin, negative messages or beliefs about sex emanating from the family of origin, religious values that conflict with sexual pleasure, to name a few. I also pay close attention to the couple's interactional style in order to assess whether it, too, is a contributing factor.

 What causes it?

 

  • "Both [primary and secondary conditions] are psychologically based. "It's a physical condition, but it's a psychological condition as well.
  • "To treat it correctly, you need to treat both the physical and psychological aspects."
  • while there are many hypotheses on possible causes, its actual etiology is unknown, probably in part due to the fact sufferers are so reluctant to come forward.
  • "It's a really complex thing, And while it is influenced by many things -- there are lots of hypotheses -- the big link, for primary vaginismus anyway, seems to be strong correlation between being raised in a religious environment.
  • "This may be due to several factors including lack of information, insufficient premarital education, a cultural context strongly proscribing sexual behavior, and the expectation that intercourse take place immediately after the wedding, necessitating a radical shift from sexual abstinence to sexual intercourse.
  • Often the anxiety resulting from repeated attempts at intercourse contributes to the sexual dysfunction. One or both partners may be anxious that penetration will be painful, that there will be bleeding, or that the woman will get pregnant.  While a certain amount of anxiety surrounding sexual activity is normal, when one or both partners are overly anxious, sexual function can be affected in the following ways: The male partner may have difficulty maintaining an erection strong enough to allow penetration or he may lose his erection just prior to intercourse. Anxiety may contribute to premature ejaculation, also just prior to reaching penetration. Anxiety may prevent the woman from relaxing enough to allow penetration. She may close her legs or contract her vaginal muscles. This presentation is referred to as vaginismus, defined as the persistent or recurrent difficulty of a woman to allow vaginal entry of a penis, a finger, and/or any object, despite her expressed wish to do so. While anxiety may indeed be a factor contributing to and perpetuating many sexual problems, there are many components to sexual problems, including physiological ones. Therefore, each partner in a couple presenting with an unconsummated marriage should undergo a physical exam. 
  • Physical presentations of the female partner that might prevent intercourse can include sexual pain disorders such as localized vulvodynia, also known as vulvar vestibulitis syndrome. This fairly common condition is characterized by pain with touch at the entry to the vagina, which can prevent intercourse. A woman's hymen may be a barrier to intercourse. Some women have a very thick hymen, or a septate hymen, which is a thin piece of membrane running vertically which separates the vagina in to two sides. While most of these conditions can be addressed with sexual counseling and  physical therapy, including use of vaginal dilators, in most cases a septate hymen needs to be repaired surgically.
  •  Frequently, lack of knowledge about sexual anatomy and physiology may contribute to a situation whereby attempting intercourse feels awkward and un-natural. Often all that  is needed is some basic anatomical information  and positioning advice. For example, a couple may report that the woman's vagina feels dry and excess friction prevents intercourse. In this case, the couple may  be  advised to ensure that intercourse take place when the woman is sufficiently aroused after plenty of exciting foreplay. Over the counter lubricants may be very helpful.  While some people are physically active, very aware of their bodies, and comfortable with movement, other people are less so and may simply have not figured out how their bodies move in order to comfortably find a position for intercourse. One or both of the partners may have mobility problems or difficulty getting in to or maintaining a position. A woman may have difficulty keeping her legs open or a man may not be able to hold his weight up on his arms.  In these cases as well, consultation with a physical therapist may be helpful in providing exercises and positioning advice.
  • While behavioral solutions may be found for many couples, it is important to note that couples in unconsummated relationships, particularly of long standing duration, may benefit from couples therapy directed by a competent Sexologist. A doctor working with such a couple may wish to gain understanding in how the couple presents and organizes around the problem: How is the presenting problem perceived by each partner? Is there attribution of blame?  What is the significance of the dysfunction itself and how is that perceived by the couple? Who is aware of this situation and in what way is outside intervention (community, parents, and religious leader) perceived in assisting or perpetuating this condition?  Identifying the various factors contributing to the condition and dealing with them with physical, psychosexual, and couples therapy, may be the key to consummation and the commencement of a satisfying intimate life.
    "So we are talking about people who are raised in conservative faith, who may not have looked at their anatomy in the mirror," Small continued. "They haven't touched themselves, they haven't looked at themselves -- they may view the entire thing as being dirty."
    "In terms of the secondary form, this is a result of some kind of trauma or sexual issue, and can be triggered by something later on.
    "Women don't talk about it. They learn to live with it. I've seen cases where women have been married or in relationship for up to 12 years and only present when they want to have children."
  • Women don't talk about it. They learn to live with it. I've seen cases where women have been married or in relationship for up to 12 years and only present when they want to have children.

How to treat it

  • Most women who experience vaginismus choose to live with it rather than come forward and have it treated. Even those in long-term relationships may try to conceal what is happening from their partner or forgo sexual relations all together.
  • "If they don't do that, they cut that part of intimacy out of their relationship altogether and choose to shut down any intimate feelings they might have. They end up having a very different kind of relationship.
  • "What is important to say is there is a cure and they can be helped. That's the message that needs to get out there. Treatment for vaginismus have included systematic desensitization along with insertion of graded dilators/fingers11, drugs like anxiolytics, botulinum toxin injection,12 
  • and sex therapy. An In the Indian scenario where the talk about sex is taboo and limited among partners it becomes very essential to first improve their communication so as to improve the sex related issues. eclectic approach involving education, graded insertion of fingers, Kegel's exercises and usage of anaesthesia with vaginal containment was tried.
  • As Small previously mentioned, the best approach in terms of a cure is to seek both psychological and physical treatment.
  • For the psychological side of things, she recommends seeking out a competent female sexologist.
  • Physically, many women are taught how to use vaginal dilators in conjunction with relaxation techniques.
  • "With vaginal dilators, basically how they work is you start off very very small, and then, using relaxation techniques, slowly work your way up in terms of size.
  • "It's imperative these women have a gentle introduction and remember they are in control of the situation.
  • "There is also something called saturation therapy which is often undertaken with their partner. Using dilators, they are able to discuss their mental state and what their thoughts are at any stage. There has actually been incredible results with that. Something like 90 percent of participants report sexual success afterward." there has been some preliminary research done into the effectiveness of Botox, but states at this stage, the research is still too new to offer any kind of conclusive evidence.

Steps to take

  • If you think you or your partner might have vaginismus, it's extremely important to understand treatment is available, and, better yet, comes with a high level of success rates.
  • "The first step is to see a competent female sexologist. "It is one of those things that, when it presents, it is pretty obvious it is on a psychological basis.
  • "A sexologist may double-check everything is okay, but typically what they will find is anatomically they are fine and everything is in order and working -- the cause stems from a psychological basis.
  • "The big thing about it is it's treatable, and it is possible to lead a really fulfilled life.
4 people found this helpful

Diabesity = Diabetes + Obesity

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Diabesity = Diabetes + Obesity

Type 2 diabetes is reaching pandemic levels and young-onset type 2 diabetes is becoming increasingly common. Erectile dysfunction (ED) is a common and distressing complication of diabetes. The pathophysiology and management of diabetic ED is significantly different to nondiabetic ED.

Aim
To provide an update on the epidemiology, risk factors, pathophysiology, and management of diabetic ED.
Method
Literature for this review was obtained from Medline and Embase searches and from relevant text books.
Main Outcome Measures
A comprehensive review on epidemiology, risk factors, pathophysiolgy, and management of diabetic Erectile Dysfunction.

Results
Large differences in the reported prevalence of ED from 35% to 90% among diabetic men could be due to differences in methodology and population characteristics. Advancing age, duration of diabetes, poor glycaemic control, hypertension, hyperlipidemia, sedentary lifestyle, smoking, and presence of other diabetic complications have been shown to be associated with diabetic ED in cross-sectional studies. Diabetic ED is multifactorial in aetiology and is more severe and more resistant to treatment compared with nondiabetic ED. Optimized glycaemic control, management of associated comorbidities and lifestyle modifications are essential in all patients. Psychosexual and relationship counseling would be beneficial for men with such coexisting problems. Hypogonadism, commonly found in diabetes, may need identification and treatment. Maximal doses of phosphodiesterase type 5 (PDE5) inhibitors are often needed. Transurethral prostaglandins, intracavenorsal injections, vacuum devices, and penile implants are the available therapeutic options for nonresponders to PDE5 inhibitors and for whom PDE5 inhibitors are contraindicated. Premature ejaculation and reduced libido are conditions commonly associated with diabetic ED and should be identified and treated.

Conclusions
Aetiology of diabetic ED is multifactorial although the relative significance of these factors are not clear. A holistic approach is needed in the management of diabetic ED.

Psychosexual counseling in diabetic patient 
In order to avoid the problems inherent in the assessment of any organic component of impotence, a consecutive series of 20 diabetics were treated with psychotherapy after a detailed assessment of the psychological components of their disability, 13 patients improved in the long term and responders could not be identified from pretreatment characteristics. However, most of the patients had been impotent for several years and their successful adaptation may have limited the success of psychotherapy. There is a need to identify the impotent patient at an early stage in order to offer more effective treatment. This might also avoid the problems of adaptation and the need for detailed investigations of pelvic nervous and vascular function. The management of ED in the diabetic patient may often involve a multidisciplinary approach where psychosexual counselling and specialist Sexologist advice is required in addition to the skills of the diabetologist. Finally, the introduction of the new oral agents have completely revolutionised the management of ED and allowed more individuals to come forward for treatment.

5 people found this helpful

Overview of STDs Symptoms!

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Overview of STDs Symptoms!

How Are the STDs spread?

Many STIs are spread through contact with infected body fluids such as blood, vaginal fluids, or semen. They can also be spread through contact with infected skin or mucous membranes, such as sores in the mouth. You may be exposed to infected body fluids and skin through vaginal, anal or oral sex.

An overview & list of STD symptoms in women

Most STDs don’t produce symptoms or, if they do, result in vague or generic flu-like symptoms that could be the result of many different conditions. It can be difficult to determine the cause of symptoms due to an STD without getting tested. Women are more likely than men to suffer symptoms such as bumps, itching, or burning urination due to a sexually transmitted disease/infection, especially in the genital region. Without those first noticeable signs of an STD, infections often go unnoticed and untreated, which can cause long-lasting or even irreversible effects if left untreated.

Common STD symptoms in women:

  • No symptoms
  • Discharge (thick or thin, milky white, yellow, or green leakage from the vagina)
  • Vaginal itching
  • Vaginal blisters or blisters in the genital area (the region covered by underwear)
  • Vaginal rash or rash in the genital area 
  • Burning urination
  • Painful urination
  • Pain during intercourse

Less common STD symptoms in women:

  • Bleeding or spotting between menstrual cycles
  • Painless ulcers on the vagina
  • Pelvic pain
  • Lower back pain
  • Fever
  • Nausea
  • Sore throat (after oral sex)
  • Swelling of the joints (knee, elbow, etc.)
  • Rectal pain, bleeding, or discharge (after receiving anal sex)

When symptoms do occur, they typically appear within days or weeks of exposure to an STD. Often, symptoms never appear or go unnoticed. Even if an infection never results in obvious symptoms, the STD can still be transmitted and progress into a more serious condition that may result in irreversible side effects. Regular comprehensive STD testing is the only way to guarantee a clean bill of sexual health. It is especially important to get tested for STDs after risky or unprotected sexual act.

Male STD Warning Signs & Symptoms

Many sexually transmitted diseases (STDs) are characterized by ambiguous or even flu-like symptoms in the early stages, making it difficult to specifically identify a sexually transmitted infection. For men, especially, a lack of symptoms is not a reliable measure of whether an STD is present. The symptoms that usually alert men to the presence of an STD are bumps or rashes on the genitals, discharge, discomfort or itching in the penis or testicles, or pain while urinating or ejaculating. Even a symptomless STD infection can have long-lasting or irreversible effects if left untreated.

Common STD symptoms in men:

  • Being asymptomatic or experiencing no symptoms at all
  • Blisters on or around penis
  • Spots, bumps or lesions on the penis
  • Discharge (clear, white, or yellow)
  • Oozing from the tip of the penis (thick or thin)
  • Painful urination
  • Painful ejaculation
  • Itching on the tip of the penis
  • Rash on the penis, testicles, or groin

Less common STD symptoms in men:

  • Sore throat
  • Fever
  • Chronic flu-like symptoms
  • Pain in the testicles
  • Swelling of the testicles
  • Swelling of the epididymis (known as Epididymitis)
  • Swelling of the urethra (known as urethritis)
  • Swelling of non-sexual joints (elbow, knee, etc.)
  • Rectal pain, discharge, or bleeding (after receiving anal sex)

STD symptoms in men usually take a few days to develop, but can take up to weeks (if there are symptoms at all). A lack of symptoms is often mistaken for a lack of an STD, but an infection can continue to progress even in the absence of symptoms. Because men so often don’t show symptoms, the only way to be sure that an STD is not present is to get tested regularly, especially after unprotected sex.

Take Charge of Your Health, free your mind!

14 people found this helpful

Real life Case Study of a Couple in Distress!

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Real life Case Study of a Couple in Distress!

There was a couple ( X & Y) who had come to me for alleviation, from their sexual dysfunction. They were extremely distressed and were not having sex since a long duration, their communication had eroded and they were just existing for the kids sake. However the lady finally took the step and decided to seek help that is when she searched for a lady doctor who is into sexual medicine, approached her spouse and convinced him.

 

  • When I examined their case in my chamber I found them to have a lot of sadness and bitterness. The husband complained that his wife was completely non responsive sexually hence he did not want to have sex with a cold corpse. out of anger & to teach the wife a lesson stopped having sex with her. He confided that he didn't have any affairs due to his conservative upbringing plus he loved his kids too much to get involved anywhere as he saw his office colleagues suffer as an aftermath of an affair.
  • The wife said to me she did care for her husband but she was NoT sexually satisfied by her him in any case so she was glad that they don't have sex at all but off late it has been pricking her her mind that the gap was increasing between them drastically hence she wanted to repair it.
  • I put the couple on sex Therapy which teaches a couple to unlearn and relearn about the art of sensuality. Touching is a very significant part of sexuality and sensuality, opening all our five senses while touching sensually, whispering sweet nothings, giving and taking feedback of what feels good and preserving intercourse for the last part of the treatment modality. Also they began to slowly communicate via SMS and emails about needs, wants & fantasies. Complimenting each other, rediscovering their physical pleasure. The Couple was compliant and followed their doctors advice.
  • With the above case as example I would like to stress on the fact that women want a communicative partner who is kind and passionate rather than only an orgasm. Women look for wanting be desirable in their partners eyes, they want a hard erection rather than a long penis. Women's sexual wants are rather simple but inability to communicate makes it look complex. Please don't hesitate seeking medical advice when in need, a stitch in time saves nine! So now that some mysteries are open guys please take the hint and see your sexual lives bloom.
14 people found this helpful

Female Sex Drive - How To Revive It Post Delivery?

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Female Sex Drive - How To Revive It Post Delivery?

Child birth is a joyous and emotional time. After nine long months of pregnancy, one greets the arrival of baby with great anticipation.It is absolutely normal that the time post-delivery marks a drastic change in sexual desire. While both women and men expect changes in their sex life immediately after the birth of a child, but as time passes by, it is normal for both partners to wonder when things will ever return to normal.

It is a fairly common condition to have a decreased sex drive after giving birth and this feeling can last for months which can be attributed to many factors. Refer to the following tips to get your drive back.

  1. Consult your gynaecologist: One should take gynaecologist into confidence to discuss how one's libido has changed after child birth, who will in turn help to rule out any physical issues if any.  
  2. Emotional & Physical Fatigue: Nursing a new-born is no joke and it physical drains out. In a post-delivery scenario, ones libido has to fight with overwhelming emotional as well as physical fatigue that results from nursing of a new-born. One can share the night-time feeding with one's partner and try to catch up on the sleep with day time nap. One simply cannot look forward to sex if one is deprived of sleep.
  3. Release the pressure and guilt: The body is still recovering and one may get a feel that one is not attractive as before which makes a dramatic impact on body image. Communicate honestly with partner about the lack of drive. It is likely that he will also be experiencing similar issues and conflicting emotions. Giving reassurance that one is working on increasing the libido can help ease the pressure on both the individuals.
  4. Prepare for sex: Do anything to relax and get into the mood before hitting the bed. It can be as simple as a hot shower or a refreshing drink but it is important to help your body transition from mother to lover.
  5. Use a lubricant: It is hard to look forward to something that is painful.. Breastfeeding plays a significant role in the decrease in libido. Oestrogen is an important hormone that decreases with breastfeeding which affects vaginal tissues. The most common vaginal side effects of decreased oestrogen are dryness hence it's important to use lubricants to minimize the discomfort of vaginal dryness and make sex more enjoyable

Libido is complicated and there will be times one has to do even if one is not in the mood. Sometimes it takes a little nudge to get the libido back into gear. Once one gets over the hurdle of not being in the mood, one may just realise that one is enjoying the act.The good news is that this decrease in libido is temporary. With time and patience, one can rebuild a satisfying sexual relationship with their partner. If you wish to discuss about any specific problem, you can consult a Sexologist.

6372 people found this helpful

Penis Size and Sex - Is There A Relation?

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Penis Size and Sex - Is There A Relation?

Men are always concerned about the size of their reproductive part, and in extreme cases, this concern is also a cause of anxiety disorders. When it comes to the connection between sex and penis size, many men believe that bigger is better. But this is not the case. A large penis does not provide men with any edge, in terms of sexual pleasure. Other factors like erectile function and length of sexual intercourse play a more important role in sexual pleasure.

The very limited proof that is available on the relationship between pleasure during sex and penis size comes from research conducted on vaginal orgasm. The two concerned studies reveal that women who opt for deeper vaginal stimulation prefer longer penises. But vaginal orgasms in women are a rarity with most women experiencing clitoral orgasm. The conclusion arrived at in these two studies was that penis size was in no way related to clitoral orgasm.

Moreover, since the clitoral tissue is known to be present below the skin on each side of the vagina, it could be one of the factors that contribute to experiences of vaginal orgasm. In such circumstances, the role that penis size plays over here is one of eliciting pleasure. For the small number of women who are able to achieve their climax from vaginal penetration, studies reveal that penis length is never a deciding factor.

Apart from a boost in confidence, a larger penis doesn't mean better sexual performance.

Fact: In fact, a larger penis can lead to the difficulty between partners during anal and oral sex. If you wish to discuss about any specific problem, you can consult a Sexologist.

6335 people found this helpful

6 Steps for Resolving Serious Conflicts in a Marriage!

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
6 Steps for Resolving Serious Conflicts in a Marriage!

There is no way to avoid conflict in your marriage. The question is: How will you deal with it?

Few couples like to admit it, but conflict is common to all marriages. We have had our share of conflict and some of our disagreements have not been pretty. We could probably write a book on what not to do!
Start with two selfish people with different backgrounds and personalities. Now add some bad habits and interesting idiosyncrasies, throw in a bunch of expectations, and then turn up the heat a little with the daily trials of life. Guess what? You are bound to have conflict. It’s unavoidable.
Since every marriage has its tensions, it isn’t a question of avoiding them but of how you deal with them. Conflict can lead to a process that develops oneness or isolation. You and your spouse must choose how you will act when conflict occurs. 

Step One: Resolving conflict requires knowing, accepting, and adjusting to your differences. 

  • One reason we have conflict in marriage is that opposites attract. Usually a task-oriented individual marries someone who is more people-oriented. People who move through life at breakneck speed seem to end up with spouses who are slower-paced. It’s strange, but that’s part of the reason why you married who you did. Your spouse added a variety, spice, and difference to your life that it didn’t have before. 
  • But after being married for a while (sometimes a short while), the attractions become repellents. You may argue over small irritations—such as how to properly squeeze a tube of toothpaste—or over major philosophical differences in handling finances or raising children.   You may find that your backgrounds and your personalities are so different that you wonder how and why God placed you together in the first place.
  • It’s important to understand these differences, and then to accept and adjust to them. 
  • We were no exception. Perhaps the biggest adjustment we faced early in our marriage grew out of our differing backgrounds. 
  • It was as though we came from two different countries with totally different traditions, heritages, habits, and values. 

Step Two: Resolving conflict requires defeating selfishness.

  • All of our differences are magnified in marriage because they feed what is undoubtedly the biggest source of our conflict—our selfish, sinful nature. 
  • Maintaining harmony in marriage has been difficult since Adam and Eve. Two people beginning their marriage together and trying to go their own selfish, separate ways can never hope to experience the oneness of marriage as God intended.
  • Marriage offers a tremendous opportunity to do something about selfishness. We have seen the Bible’s plan work in our lives, and we’re still seeing it work. God showed us that instead of wanting to be first, we must be willing to be last. Instead of wanting to be served, we must serve. Instead of trying to save our lives, we must lose them. We must love our spouse as much as we love ourselves. In short, if we want to defeat selfishness, we must give up, give in, and give  all.
  • To experience oneness, you must give up your will for the will of another and then you will find it possible to give up your will for that of your spouse.

Step Three: Resolving conflict requires pursuing the other 

  • Living peaceably means pursuing peace. It means taking the initiative to resolve a difficult conflict rather than waiting for the other person to take the first step. 
  • To pursue the resolution of a conflict means setting aside your own hurt, anger, and bitterness. It means not losing heart. My challenge to you is to “keep your relationships current.” In other words, resolve that you will remain in solid fellowship daily with your spouse—as well as with your children, parents, coworkers, and friends. 

Step Four: Resolving conflict requires loving confrontation.
Blessed is the marriage where both spouses feel the other is a good friend who will listen, understand, and work through any problem or conflict. To do this well takes loving confrontation.

  • Confronting your spouse with grace and tactfulness requires wisdom, patience, and humility. Here are a few other tips we’ve found useful:
  • Check your motivation. Will your words help or hurt? Will bringing this up cause healing, wholeness, and oneness, or further isolation?
  • Check your attitude. Loving confrontation says, “I care about you. I respect you and I want you to respect me. I want to know how you feel.” Don’t hop on your bulldozer and run your spouse down. Approach your spouse lovingly. 
  • Check the circumstances. This includes timing, location, and setting. Don’t confront your spouse, for example, when he is tired from a hard day’s work, or in the middle of settling a squabble between the children. 
  • Check to see what other pressures may be present. Be sensitive to where your spouse is coming from. What’s the context of your spouse’s life right now? 
  • Listen to your spouse. Seek to understand his or her view, and ask questions to clarify viewpoints.
  • Be sure you are ready to take it as well as dish it out. You may start to give your spouse some “friendly advice” and soon learn that what you are saying is not really his problem, but yours!
  • During the discussion, stick to one issue at a time. 
  • Focus on the problem, rather than the person. 
  • Focus on behavior rather than character. This is the “you” message versus the “I” message again. The “I” message would say, “I feel frustrated when you don’t let me know you’ll be late. I would appreciate if you would call so we can make other plans.”
  • Focus on the facts rather than judging motives. If your spouse forgets to make an important call, deal with the consequences of what you both have to do.
  • Above all, focus on understanding your spouse rather than on who is winning or losing. When your spouse confronts you, listen carefully to what is said and what isn’t said. 

Step Five: Resolving conflict requires forgiveness.

  • No matter how hard two people try to love and please each other, they will fail. With failure comes hurt. And the only ultimate relief for hurt is the soothing salve of forgiveness.
  • The key to maintaining an open, intimate, and happy marriage is to ask for and grant forgiveness quickly. 
  • marriage—probably more than any other relationship—presents frequent opportunities to practice.
  • Forgiving means giving up resentment and the desire to punish. By an act of your will, you let the other person off the hook. 

Step Six: Resolving conflict requires returning a blessing for an insult.

  • Every marriage operates on either the “Insult for Insult” or the “Blessing for Insult” relationship. Husbands and wives can become extremely proficient at trading insults—about the way he looks, the way she cooks, or the way he drives and the way she cleans house. Many couples don’t seem to know any other way to relate to each other.
  • What does it mean to return a blessing for an insult? 
  • To give a blessing first means stepping aside or simply refusing to retaliate if your .spouse gets angry. Changing your natural tendency to lash out, fight back, or tell your spouse off is just about as easy as changing the course of the Mississippi River. 
  • It also means doing good. Sometimes doing good simply takes a few words spoken gently and kindly, or perhaps a touch, a hug, or a pat on the shoulder. It might mean making a special effort to please your spouse by performing a special act of kindness.
  • Finally, being a blessing means seeking peace, actually pursuing it. When you eagerly seek to forgive, you are pursuing oneness, not isolation.
  • Our hope
  • As difficult as it is to work through conflict in marriage, our conflicts is to test our faith, to produce endurance, to refine us. This way we can actually approach our conflicts as an opportunity to strengthen our faith in each other and our own self.

- [ ] The advices given above are best worked with a qualified psychoanalyst and a sexologist who has experience and expertise in this field. Do no wait do your marriage to break down please seek professional intervention at the earlier stage.

Idiopathic Infertility!

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Idiopathic Infertility!

Unexplained infertility is infertility that is idiopathic in the sense that its cause remains unknown even after an infertility work-up, usually including semen analysis in the man and assessment of ovulation and fallopian tubes in the woman.

Possible causes

In unexplained infertility abnormalities are likely to be present but not detected by current methods. Possible problems could be that the egg is not released at the optimum time for fertilization, that it may not enter the fallopian tube, sperm may not be able to reach the egg, fertilization may fail to occur, transport of the zygote may be disturbed, or implantation fails. It is increasingly recognized that egg quality is of critical importance and women of advanced maternal age have eggs of reduced capacity for normal and successful fertilization. Also, polymorphisms in folate pathway genes could be one reason for fertility complications in some women with unexplained infertility. Aberrant reproductive immunology such as decreased maternal immune tolerance towards the embryo may also be a possible explanation. However, a growing body of evidence suggests that epigenetic modifications in sperm may be partially responsible.

Prevalence

In india up to 25% of infertile couples have unexplained infertility.

Management

  • Potential methods in unexplained infertility include oral ovarian stimulation agents as well as  (IUI), intracervical insemination (ICI) and in vitro fertilization (IVF).
  • In women who have not had previous treatment, ovarian stimulation combined with IUI achieves approximately the same live birth rate as IVF.
  • On the other hand, in women who have had previous unsuccessful treatment, IVF achieves a live birth rate approximately 2-3 times greater than ovarian stimulation combined with IUI.
  • IUI and ICI has higher pregnancy rates when combined with ovarian stimulation in couples with unexplained infertility, for IUI being 13% unstimulated and 15% stimulated, and for ICI being 8% unstimulated and 15% stimulated. However, the rate of twin birth increases substantially with IUI or ICI combined with ovarian stimulation, for IUI being 6% unstimulated and 23% stimulated, and for ICI being 6% unstimulated and 23% stimulated.
  • According to oral ovarian stimulation agents should not be given to women with unexplained infertility. Rather, it is recommended that in vitro fertilization should be offered to women with unexplained infertility when they have not conceived after 2 years of regular unprotected sexual intercourse. IVF avails for embryo transfer of the appropriate number of embryos to give good chances of pregnancy with minimal risk of multiple birth.
  • A review of randomized studies came to the result that IVF in couples with a high chance of natural conception, as compared to IUI/ICI with or without ovarian stimulation, was more effective in three studies and less effective in two studies.
  • There is no evidence for an increased risk of ovarian hyperstimulation syndrome (OHSS) with IVF when compared with ovarian stimulation combined with IUI.

Prognosis

Prognosis in unexplained infertility depends on many factors, but can roughly be estimated by e.g. the Hunault model, which takes into account female age, duration of infertility/subfertility, infertility/subfertility being primary or secondary, percentage of motile sperm and being referred by a gynecologist, sexual medicine specialist or N infertility specialist.

 

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Body Esteem as a Common Factor of a Tendancy Towards Binge Eating and sexual Dissatisfaction Among Women!

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Body Esteem as a Common Factor of a Tendancy Towards Binge Eating and sexual Dissatisfaction Among Women!

Background
Several studies have suggested a relevant overlap between eating disorders and sexual dysfunction involving the emotional component of body image esteem and dissociative experiences.

Aim
To evaluate the common maintaining factors of sexual dysfunction and vulnerability to pathologic eating behaviors and their relation to a physiologic stress response.

Methods
In the present cross-sectional study, we evaluated a non-clinical sample of 60 heterosexual women (25–35 years old) for dissociation during sex with a partner, body image disturbance, and tendency toward pathologic eating behaviors.

Outcomes
Participants completed the Clinician-Administered Dissociative States Scale, the Sexual Satisfaction Scale–Women, the Body Esteem Scale for Adolescents and Adults, and the Eating Attitudes Test Short Version. Furthermore, we assessed cortisol levels before, during, and after exposure to explicit sexual stimuli shown within a laboratory setting.

Results
Dysfunctional body image esteem and a tendency toward binge-eating behaviors were associated with greater sexual distress in women. In particular, body esteem was significantly associated with greater dissociation during sex with a partner. Moreover, women who reported greater dissociation during sex with a partner and a tendency toward binge-eating behaviors showed higher levels of cortisol in response to sexual stimuli.

Clinical Implications
These results support further research based on trans-diagnostic treatments targeted to dissociation and body image esteem, which could lessen sexual dysfunction and vulnerability to pathologic eating behaviors.

Strengths and Limitations
Despite the small sample and self-reported questionnaires, this is the first study to consider the association of the stress response during sexual stimuli with sexual distress and with pathologic eating behaviors adopting a dimensional approach.

Conclusion
Body uneasiness and dissociation represented factors underlying pathologic eating behaviors and sexual dysfunction. Women reporting a tendency toward binge-eating episodes and dissociation during sexual experiences represented a subpopulation with a higher stress response during sexual stimuli.

15 Styles Of Distorted Thinking!

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
15 Styles Of Distorted Thinking!

Here are 15 styles of distorted thinking, and if you can identify with any one of these thought processes, it is time to change your thinking.

1. Filtering

You take the negative details and magnify them while filtering out all positive aspects of a situation.

2. Polarized Thinking

Things are black or white, good or bad. You have to be perfect or you’re a failure. There is no middle ground.

3. Overgeneralization

You come to a general conclusion based on a single incident or piece of evidence. If something bad happens once, you expect it to happen over and over again.

4. Mind Reading

Without their saying so, you know what people are feeling and why they act the way they do. In particular, you are able to define how people are feeling towards you.

5. Catastrophizing

You expect disaster, you notice or hear about a problem and start “What if’s. What if tragedy strikes? What if it happens to you?”

6. Personalization

Thinking that everything people do or say is some kind of reaction to you. You also compare yourself to others, trying to determine who’s smarter, better looking, etc.

7. Control Fallacies

If you feel externally controlled, you see yourself as helpless, a victim of fate. The fallacy of internal control has you responsible for the pain and happiness of everyone around you.

8. Fallacy of Fairness

You feel resentful because you think you know what’s fair but other people won’t agree with you.

9. Blaming

You hold other people responsible for your pain, or take the other track and blame yourself for every problem or reversal.

10. Should

You have a list of ironclad rules about how you and other people should act. People who break the rules anger you and you feel guilty if you violate the rules.

11. Emotional Reasoning

You believe that what you feel must be true-automatically. If you feel stupid or boring, then you must be stupid and boring.

12. Fallacy of Change

You expect that other people will change to suit you if you just pressure or cajole them enough. You need to change people because your hope for happiness seem to depend entirely on them.

13. Global Labeling

You generalize one or two qualities into a negative global judgment.

14. Being Right

You are continually on trial to prove that your opinions and actions are correct. Being wrong is unthinkable and you will go to any length to demonstrate your rightness.

15. Heaven’s Reward Fallacy

You expect all your sacrifice and self-denial to pay off, as if there were someone keeping score. You feel bitter when the reward doesn’t come.

A Survey Of Female Sexual Functioning!

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
A Survey Of Female Sexual Functioning!

A survey of Female sexual functioning: 

After the diagnosis and treatment of disease, a major barrier to research on psychosexual functioning is the lack of a consistent estimate for the prevalence of female sexual dysfunction in the general population.

Aim

To clarify the prevalence of age-related female sexual functioning in the general population.

Methods

A sample was compiled by random selection of women from the general population in the northern part of south India and was categorized by age. Women completed the Female Sexual Function Index (FSFI), personal medical items and daily activities, the Body Image Scale, the SF-36 Health Survey, the Hospital Anxiety and Depression Scale, and the Multidimensional Fatigue Inventory. Participants' representativeness was assessed by comparing their characteristics with data from the The journal of sexual medicine. General health, fatigue, and well-being were compared with national or international data.

Outcomes

Age-related total and domain scores of the FSFI.

Results

We evaluated female sexual functioning of 500 sexually active women. For women 20 to 80 years old, sexual functioning showed wide variance and was poor in 28% of all sexually active women, with FSFI scores being below the defined clinical cutoff (FSFI score < 26.55). Although sexual activity and functioning significantly decreased with increasing age, sexual satisfaction decreased only non-significantly.

Clinical Implications

This study provides valuable age-specific ranges for female sexual functioning in the general population and can inform upcoming clinical studies.

Strengths and Limitations

This is the largest study on female sexual function in a representative Indian population using internationally validated tools and described by age categories, providing valuable information that can help in the understanding of how female sexual function changes with age. The FSFI has been criticized for not assessing personal distress related to sexual problems, so the lack of the Female Sexual Distress Scale in our study is an unfortunate shortcoming. The high rate of sexual inactivity (31%) resulted in fewer women being available to evaluate sexual functioning, but this could reflect the actual level of sexual (in)activity among women in a general population.

Conclusion

FSFI total and domain scores showed wide variation across all age categories, but overall, one in four sexually active women scored below the diagnostic cutoff score. Sexual activity and functioning also decreased with age, whereas sexual satisfaction decreased only slightly.

It's a plea to our female patients to come forwards and get themselves treated for optimal sexual and mental functioning to improve their over all family lives.

Masturbation - Decoding Common Misconceptions!

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Masturbation - Decoding Common Misconceptions!

Masturbation is a normal part of human sexuality, society frowns on it and young people are often taught to avoid masturbation. Lack of knowledge and opportunities to talk about it have given rise to a number of myths on this subject.

Let's take a look at a few of them:

  1. Masturbation causes health problems: Pleasuring yourself is the ultimate form of safe sex. There is no way for you to catch an STD, sexually transmitted disease, or for it to cause any sort of mental health problem. The only risks involved are allergic reactions to lubricants or toys and a feeling of guilt or shame due to societal pressure. It lowers the chances of you having an orgasm during sex
  2. Masturbation is akin to cheating: Single people as well as people in committed relationships masturbate. While it can lead to problems in a relationship depending on your partner's views about it, it does not amount to cheating on him or her.
  3. Masturbation causes infertility: Pleasuring yourself does not reduce your chances of getting pregnant or getting someone else pregnant. However, for men with a low sperm count, restricting ejaculations while trying to get their partner pregnant is a good idea. The only way masturbation can lead to infertility is if partners who share sex toys do not keep them clean and pass on STDs through them.
  4. It can cause erectile dysfunction: Erectile dysfunction has a number of psychological and biological causes, such as heart disease, stress and obesity but masturbation is not one of them. Eating certain foods can help control the urge to masturbate.
  5. Masturbation can damage the genitals: Touching your genitals is very unlikely to damage them. The sex organs are designed to withstand friction and hence are very tough organs. The maximum damage that can be caused by masturbation is a little chafing. Using lubricant can prevent this from occurring. If you wish to discuss about any specific problem, you can consult a Sexologist.
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9 Simple Things To Do For Vaginal Hygiene

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
9 Simple Things To Do For Vaginal Hygiene

A healthy vagina is the basis of stellar sexual health and wellness. By practicing healthy habits and awareness, it's possible to avoid itches, rashes, and infections. Start by wiping right after a bowel movement. Avoid douches, scented soaps, and feminine hygiene products. Eating probiotic food like yogurt, kimchi, sauerkraut can keep the vaginal balance intact. Add in some Kegel exercises and yoga asanas to keep your vagina strong and flexible.

Everyday Habits For a Healthy Vagina:

  • Wipe Properly And No Douching
  • Stop Using Feminine Hygeine Products, Eat Probiotics
  • Change Pad Every 6-8 Hours And Practice Safe Sex
  • Visit A lady Sexologist When Needed And Practice Yoga

9 Ways To Keep Vaginal Problems In Check

1. Wipe From Back To Front

Wiping after a bowel movement seems like a trivial task. Yet, there is a healthy and safe way to go about it. Start from the front and move backward. In women, the openings of the anus and vagina are fairly close together. If you wipe from back to front, you increase the risk of bringing bacteria from the anus into the vagina. This move can trigger bacterial vaginosis, a vaginal infection characterized by a fishy smell, discharge, and itching. It is also marked by a burning sensation that amplifies when you urinate. So make it a point to start from the back and work toward the front. It may take some getting used to, but it’s the type of habit that will protect your vaginal health.1

2. Avoid Douching

Douching is the act of cleaning the vagina by spraying it with water or other fluids. Many believe that this practice will get rid of bad odor and menstrual residue. It’s much different than a simple rinse around the vagina, though. (The latter doesn’t do any harm, and can be a part of a regular shower or wash.) However, about 1 in 4 American women ages 15 to 44 years douche. Popular products include prepackaged douches containing vinegar, iodine, and baking soda. These douches are made to be inserted into the vagina using a nozzle or tube.

Unfortunately, this can adversely impact the natural balance inside the vagina. From dryness to irritation, douching can cause problems that weren’t there in the first place.3Douching doesn’t just flush out the good bacteria but can also help bad bacteria flourish, leading to conditions like a yeast infection and bacterial vaginosis. A healthy vagina needs certain levels of both bacteria, after all. And if you already have a bacterial infection? Douching can encourage the bacteria to move into the uterus, ovaries, and Fallopian tube. This can also cause an infection that can transform into pelvic inflammatory disease, a serious inflammation of the reproductive organs.4

Needless to say, douching should be avoided for prime vaginal health. The vagina naturally cleanses itself by emitting discharge and mucus. And while it may be tempting to speed it up, the vagina is perfectly capable of handling it on its own.

3. Ditch Feminine Hygiene Products 

But do we really need them? Most soaps are basic in nature, while the natural vaginal pH tends to be acidic. When you wash the vagina with these soaps too often, the natural state is thrown for a loop. It gives harmful microbes a chance to grow, causing bacterial vaginosis and fungal infections. Fragrances in soaps, cleansers, and gels can also irritate the vagina. While there’s a ton of debate on this topic, there’s no proof yet that vaginal washes can actually maintain an acidic pH. Yet, many products claim to do so. The vagina can maintain a healthy pH by itself. And if it is unable to do so, symptoms of itching and a foul-smelling discharge will manifest. At that point, a doctor’s intervention is the only thing needed.

4. Eat Probiotics

While a nutritious, balanced diet is important for reproductive health, probiotics have an exceptionally special role. The vaginal canal has a natural level of good bacteria that keep it healthy. Most notably, this includes the Lactobacillus bacteria. Research even speculates that inadequate amounts of Lactobacilli in the vagina can lead to a greater susceptibility to infections, from yeast infections to HIV type 1.8 So if you’re looking to optimize your vaginal health, eat foods that are rich in probiotic bacteria. Need ideas? Yogurt and fermented foods like kimchi, or miso are all tasty options.

5. Maintain Good Menstrual Hygiene

With the invention of high-absorbency pads, it’s easy to forget how important it is to change them regularly. Otherwise, bacterial overgrowth, rashes, and general discomfort may occur. To prevent these from conditions from developing, experts recommend changing pads every six to eight hours.9

Tampons aren’t much different. Leaving them in for longer than eight hours has been known to increase the chances of a potentially fatal condition called toxic shock syndrome. Your best bet is to change them at least four to five times a day.10 The Women’s Voices for the Earth report also points out that the dioxins, pesticidal residues, and fragrance chemicals in tampons and sanitary pads may pose a risk to reproductive and endocrine health, aside from causing allergies and infections.11Looking for an alternative? Consider a reusable menstrual cup instead of these conventional products.

6. Practice Safe Sex

There’s absolutely nothing wrong with protecting your sexual health when you’re with a new partner (or multiple partners). Use physical barriers such as condoms and diaphragms to protect yourself from contracting a sexually transmitted disease.13

Another safe sex practice is urination after sexual intercourse. This simple habit can help get rid of bacteria in the urethra and bladder. You can also wash around the vagina after sex to prevent unwanted bacteria and foreign bodies from entering the vaginal canal after sex. But remember, these actions won’t prevent sexually transmitted infection. A physical barrier is still your best option.

7. Visit A Lady Sexologist For Preventive Care

Whether you have a mild itch or a suspicion of something serious, a doctor is a good person to turn to. If you have a persistent itch for more than a week or if it turns into inflammation with a smelly discharge, see a doctor immediately. And if there’s a new vaginal hygiene practice that catches your attention, a doctor is the best person to assess if it is right for you.

8. Perform Kegel Exercises

The vaginal canal is made up of muscles just like the arms and legs. Pelvic floor exercises that involve contracting and relaxing muscles in the hip region can be very helpful in keeping the vagina strong and flexible. This is especially ideal post-pregnancy when the vagina loses some of its elasticity. By doing these exercises often, it can be restored to its previous physical state.

9. Give Yoga A Shot

Performing yoga regularly can also help your vaginal muscles. The ashwini mudra (horse pose) can increase blood flow to the pelvic region, tone the vaginal muscles, and keep the vaginal tissue healthy.17Specifically, this move entails contracting and releasing muscles in the pelvic region.

 

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Various Causes Of Infertility!

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Various Causes Of Infertility!

A problem in any one of a number of key processes can result in infertility. Male and female factors can exist in isolation or combination and fertility investigations, diagnoses and treatment should always be considered in the context of the couple.

Male factor
Sperm problems will contribute to about 40% of infertility cases. The normal working of the male reproductive system involves first the production of sufficient numbers of functional sperm cells and then the delivery of these sperm to the ejaculate. Key to the diagnosis of male infertility is a semen analysis, which assesses primarily sperm numbers, sperm movement and sperm form.

Female factor
Dysfunction of the female reproductive organs is also apparent in around 40% of infertile couples. The most common identifiable causes of female fertility problems are outlined below:

1. Ovulatory dysfunction, (or anovulation) where an egg is not released from the ovary every month, is the single most common cause of female infertility. Predominantly anovulation is caused by hormonal imbalances such as Polycystic Ovarian Syndrome (PCOS) but ovarian scarring and premature menopause can also result in failure to ovulate.
2. Tubal disease, comprising anything from mild adhesions to complete blockage of the fallopian tubes, prevents fertilised eggs from travelling from the site of fertilisation to the uterus. It may also prevent the sperm from reaching the egg. Normal uterine implantation can therefore not occur. The main causes of tubal infertility are pelvic infections caused by bacteria such as chlamydia, previous abdominal disease or surgery and ectopic pregnancy.
3. Endometriosis is characterised by excessive growth of the lining of the uterus. These endometrial cells can extend as far as the outside of the fallopian tubes, the ovaries and the bladder. As they respond to hormones the same way as they would do in the uterus, that is by growing and shedding cyclically, endometriosis can cause both fallopian tube and ovarian scarring.
4. Repeated pregnancy loss - Some people may not have difficulty conceiving, but have suffered from miscarriages. This is obviously extremely distressing for the couples involved. Our miscarriage clinic can help investigate these issues and attempt to help couples with any future pregnancy.

Less common factors
The following other factors may also be responsible for infertility in a smaller proportion of cases:

1. Genetic abnormalities within eggs, sperm or both
2. An abnormal uterine cavity, including the presence of fibroids or polyps
3. Immunological infertility, whereby either the male or female partner produces anti-bodies against sperm cells or implantation of an embryo
4. Abnormal cervical mucus which hinders the passage of sperm to the uterus and fallopian tubes
5. Unexplained infertility - Even when investigations have been extensive, some couples will have no reason with which to explain their infertility. This can often be a frustrating diagnosis. In these cases the duration of the infertility is the best parameter by which to judge the chances of future natural conception; the longer the time of infertility then the sooner intervention should be considered.

Please do consult a competent sexologist for unexplained infertility problems.

7 people found this helpful

Sexual Shyness - 5 Ways To Overcome It

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Sexual Shyness - 5 Ways To Overcome It

While sex is something that everyone fantasizes or thinks about, when it comes to the actual act of being with a partner, shyness and inhibitions may stop you from actually having a god experience. While some factors for shyness can be physical, in most cases, they border on emotional and psychological problem.


Factors that might cause sexual shyness
Some of the factors that cause sexual shyness could be:
1. A fear arising from lack of experience
2. A low self esteem
3. Bad encounters and experiences in the past
4. Body image issues

These are all factors which can be changed and controlled with a slight change in your thinking and conditioning yourself in certain ways. 

Overcoming sexual shyness with the partner 
While most people have active fantasies about sex, when it comes to a one on one experience, many people feel out of their comfort zone. Let's look at a few mental and thought conditioning exercises that can help you counter sexual shyness.
a. Don't have major expectations - One of the biggest issues with mostly men and to some extent women, is they have elaborate fantasies which don't come true in the real world and thus aren't prepared to handle real life sexual situation when they come up. Thus you should preferably have a no expectation approach.

b. Ensure that the surroundings are comfortable - If you are having a hurried encounter or in a situation you aren't comfortable in, it might lead to bad experiences which will keep manifesting every time you have sexual encounters. Thus make sure that your surroundings are comfortable and you are relaxed before the act.

c. Don't let physical shortcomings scare you - Both men and women tend to be very conscious about their bodies. If you have to be naked in front of someone, you may feel even more self conscious. Stop feeling bad or sorry for yourself because of your body. No human being is perfect and if the other person wants to be with you in bed, they will ignore any physical imperfections that you think you may have.

d. Think about the act and prepare - Remember that you are with a person and not with a fantasy. Once you are comfortable with a person and usually after a few times, you can then try fantasies and role playing. Initially think about the act before in your head and feel excited in its anticipation.

e. Enjoy the build up and the foreplay - Sex isn't just the penetrative part but all the fun section like kissing and foreplay that build up to it. Go slow and enjoy those sections as well and you will automatically be aroused enough to a point where inhibitions will go away. If you wish to discuss about any specific problem, you can consult a Sexologist.

5431 people found this helpful

Paraphilia - How It Affects Your Life?

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Paraphilia - How It Affects Your Life?

Compelling sexual urges or drives that are an aberration from what is expected of a person, that is to say unusual genital arousal for a phenotypically normal, physically of age and consenting human counterpart, is referred to as Paraphilia or sexual perversion. This condition lives up to the standards of a disabling problem when it hampers the overall health of a person, leads to psychological setback or victimization of another individual.
 
Psychological impacts of going through such a condition

  1. The perpetrator of the variation may or may not see this as a condition: The person suffering from this condition may or may not treat it as a problem. In both ways, it is harmful. Knowing it as a problem and not seeking treatment or assistance can be harmful for oneself and others. Not realizing that you are subject to a serious sexual condition might propel you to commit wrong to non- consensual partners while being confident about your ways.
  2. Social ostracization kills them: Coming in the open with a sexual fantasy that is not acceptable to the society can leave you with varied reactions. People might be incited to attack you for being unusual or they might isolate you. The latter is a probable outcome. Rarely does society guide you towards betterment in such cases. Social ostracization can result in deep- rooted hatred for the world at large. 
  3. Perpetual humiliation can push them more into Paraphilia: Humiliation for being different from the rest can make a person feel shame. Shame and constant regret cannot help an instance of sexual perversion. It can make a man or woman more obstinate. In such a situation a person would strongly cling to his or her condition feeling extremely dejected.
  4. 'To be or not to be' haunts people suffering from Paraphilia: Many times a sufferer is not able to understand what is wrong in having objectionable sexual behavioral tendencies and fantasies. As long as your fantasies are limited to your own mental domain or are performed on a consensual partner, there are no complications. The minute an obnoxious sexual urge is performed leading to personal or public harm, a threatening hitch arises. 
  5. Problems in expressing oneself can make a person suicidal: To adhere to societal norms a person might keep his desires on a leash. This kind of compromising over a long span of time will make a person depressive and may also prompt him to commit suicide. If you wish to discuss about any specific problem, you can consult a Sexologist.
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Hi. My boyfriend and I haven't had sex. But he ejaculated when top of me in a bath tub. It was not near my vulva though. The water was cool. It was my 21st day of my cycle. This was one week back. Is there any chance of pregnancy and if there is anything I can do to terminate it.

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Hi. My boyfriend and I haven't had sex. But he ejaculated when top of me in a bath tub. It was not near my vulva thou...
Even if he didn't ejaculate inside you it's quite possible that the sperms swim into your cervix, and cold water always promotes the life of the sperms. Had you contacted us with a day or two of the incidence we could have given you appropriate medical advices now that you have crossed the seventh day even the emergency pill won't work for you. Hence wait for a week get a home pregnancy test done if it's positiv then go to a good competent gynecologist and get a chemical termination done which can be done up to 7 weeks only. It's will be like your normal p riots but a. Little heavy flow. Henceforth be careful as protection is needed for you to prevent sexually transmitted infections and unwanted pregnancies too. Good luck.
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Contraception: 14 Common Myths Busted

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Contraception: 14 Common Myths Busted

MYTH # 1: I won’t get pregnant if my partner pulls out before he comes

4eme withdrawal method cartoonThis is one of the most common misconceptions, responsible for many unwanted pregnancies. Also known as the withdrawal method, it has a high rate of contraception failure. This is because some pre-ejaculation fluid (or pre-come) may be released before the man actually ejaculates; this pre-come contains spermatozoids, and it takes only one sperm to get you pregnant! In addition, some men may not have enough self control to withdraw in time…

Keep in mind that pre-ejaculation fluid can also contain sexually transmitted infections, so pulling out will not prevent you from getting an infection.

MYTH # 2: I don’t get pregnant if I have sex during my period

Contraception myths pregnant with periodThe chances of getting pregnant while on your period are low, but it may happen, mainly in women with shorter cycle –i.e., if you get your period every 21-24 days. In such case, your ovulation occurs around the 10th to 12th day after the beginning of your period. Since sperm can live up to 5 days inside your body, if you have sex towards the end of your period, sperm can wait for the egg to be released and you may become pregnant.

But even in women with longer, regular cycles, the ovulation may eventually take place earlier… So remember, you can get pregnant at any time of the month if you have sex without contraception.

MYTH # 3: The morning after pill is dangerous, you can’t take it more than once or twice in your lifetime

Emergency contraception keep-calm-and-take-the-morning-after-pill-7It has been suggested (mostly by internet rumours) that it is dangerous to take the emergency contraception pill more than one or twice in your life. According to the World Health Organisation: “Emergency contraceptive pills are for emergency use only and are not appropriate for regular use as an ongoing contraceptive method because of the higher possibility of failure compared with non-emergency contraceptives. In addition, frequent use of emergency contraception can result in side-effects such as menstrual irregularities, although their repeated use poses no known health risks.” Emergency contraception pills are very safe and do not harm future fertility. Side effects are uncommon and generally mild. Read more about the morning after pill here.

MYTH # 4. I don’t get pregnant if I have sex standing up or if I’m on top

Contraceptive myths teenage couple standing up

Some women believe that having sex in certain positions, such as standing up, sitting down, or if they jump up and down afterwards, they won’t get pregnant as sperm will be forced out of the vagina. In fact, sperm are very strong swimmers! It has been showed that within 5 minutes, sperm are able to reach the tube, where the fertilisation of the egg takes place, and this happens regardless of the position you have sex in.

There’s no such thing as a “safe” position if you’re having sex without a condom or another form of contraception. There are also no “safe” places to have sex, including the bathtub, the shower or the sea.

MYTH # 5. There are only 3 contraceptive options: the condom, the pill and the IUD

Although these three methods are the best-known, there are 15 different methods of contraception (the available options differ in each country). Unfortunately -for women- there are only two choices for men (the male condom and permanent sterilisation). Women have a choice of about 13 methods, including several of long-acting reversible contraception -this means you don’t need to remember to take it or use it every day or every time you have sex.

MYTH # 6. The IUD is not suitable for teenagers and women without children

Contraception myths IUD in teens 1

In the USA, 44% of adolescent girls ages 15 to 19 have had sexual intercourse. Although most of them have used contraception, teenagers frequently use methods with high failure rates -such as withdrawal, or they incorrectly use more reliable methods -such as the pill. In fact, 8 out of every 10 adolescent pregnancies are unintended.

The intrauterine device (IUD), a small device that is inserted into the uterus, has been traditionally reserved to women who have had children. However, new guidelines issued by the American College of Obstetricians and Gynecologists have changed this old perception: the IUD, together with the contraceptive implant, are considered now first-line contraceptive options for sexually active adolescents and young women, as they are the most effective reversible contraceptives for preventing unintended pregnancy, with about 99% effectiveness.

Of course, the IUD and the implant do not protect against sexually transmitted infections, therefore you should also use condoms for that purpose.

MYTH # 7. You can’t get pregnant if it’s the first time you have sex, or if you don’t have an orgasm

Contraception myths sex first timeThese persistent misconceptions are, unfortunately, still responsible for many unplanned pregnancies. If the intercourse takes place during your fertile periodyou may become pregnant, whether it’s the first or the hundredth time you’ve had sex, whether you liked it or not.

MYTH # 8. Two condoms are better than one

Contraception myths two condomsCondoms may occasionally break. Many people think that using two condoms (also known as “double bagging”) is safer than using one. Actually, it’s exactly the opposite: using two condomscauses friction between them, increasing the risk of breakage. Thus, two condoms should not be used, neither for pregnancy prevention or for safer sex; this is also true for using a male and a female condom at the same time. When used properly, a male condom  is 98% effective at preventing pregnancy, a female condom is 95% effective.

MYTH # 9. I can use any lubricant together with the condom

Contraception myths personal-lubricant

During intercourse, adding lubricant may ease penetration, so sex is pleasurable and not painful. This is important when, for many reasons (such as stress, medications, taking the pill, etc) the natural wetness of the genital area is reduced.

Lubricants can be made from water, oil, petroleum or silicone; however, when using condoms, water-based lubricants should be used: oil-based products such as petroleum jelly, creams, or baby oil and can damage the latex and make the condom more likely to split, resulting in no contraceptive protection.

Silicone-based lubricants are a newer form of lubrication; they are safe to use with condoms. However, they can be harder to wash off and may cause irritation.

MYTH # 10. If you take the pill for many years, you won’t be able to have children in the future

Contraception myths the pillThis is another very common misconception. After stopping the oral contraceptive pill you may get pregnant immediately, but sometimes it may take two or three cycles for your fertility to fully returnno matter how long you have been using it. Some studies have shown that, within a year after going off the pill, 80% of women trying to get pregnant will get pregnant – exactly like women who were never on the pill.

MYTH #11. You don’t get pregnant if you douche right after sex

Contraception myths vaginal doucheVaginal douching(washing out the vagina) after sex won’t help to prevent a pregnancy. Again, this has to do with spermatozoa being fast swimmers. By the time a woman starts douching, sperm are already well inside the uterine cervix, where no douching solution can reach them.

In fact, you should never douche: douching can lead to many health problems, including problems getting pregnant, vaginal infections and sexually transmitted infections.

MYTH #12. I’m breastfeeding so I can’t get pregnant

Contraception myths breastfeeding

While you’re less fertile when breastfeeding, you may become pregnant; there is no accurate way to predict when fertility returns, even if you breastfeed exclusively. You may not menstruate for several months after giving birth, but at some point you will have your first ovulation -where you can get pregnant- and this will occur two weeks before you get your first period.

Thus, when nursing you should use birth control if you wish to avoid pregnancy.

MYTH # 13. You’re only fertile one day a month

If you have a regular cycle of 28 days, the ovulation usually occurs the 14thday of your cycle. But it’s not only that day that you are fertile. As said before, sperm can live in the cervix for up to 5 days, waiting for the egg to be released. Studies have shown that most pregnancies result from intercourse that takes place during a six-day period ending on the day of ovulation. Once the egg leaves the ovary, in about 24 hours it dies, and the fertile period is over.

However, even in women with a perfectly regular cycle, the hormonal balance involved in the ovulation process can be disrupted by many factors: stress, medications, etc, leading to an earlier or delayed ovulation. Thus, trying to avoid a pregnancy by just having intercourse on the “safe” days can be difficult and may eventually result in an unwanted pregnancy.

MYTH # 14. I don’t need a condom because I’m taking the pill

Contraception myths condomssurvey conducted in France showed that “…one in ten young women ages 15 to 20 is not aware that the pill does not protect against HIV and sexually transmitted infections”. In fact, the only contraceptive method that offers protection against STIs is the condom. Even other barrier methods, such as the diaphragm, do not to keep bacteria out of the vagina, and the pill and IUD offer no STI protection at all.

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Hello Doctor I am in visakhapatnam in India Age: 33 I have a BILATERAL GRADE III VARICOCELE in my left and right testicle, I got married in since 4 and half years ago but not able to get my wife pregnant. My Latest semen test :7.8 millions My Testosterone and FSH was normal. Sir any possible cure varicocele how to increase my sperm count? Thanking you sir.

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Hello Doctor I am in visakhapatnam in India Age: 33
I have a BILATERAL GRADE III VARICOCELE in my left and right test...
You have to consult a good experienced urologist and go in for the varicocele surgery as that is causing your sperm count to be low. Min sperm count in a man should be 20 million to get a lady pregnant. In case of more doubts and clarification kindly consult me in private via the online consultation given in Lybrate through my profile page.
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