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Dr. Syed Azimuddin

Sexologist, Hyderabad

100 at clinic
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Dr. Syed Azimuddin Sexologist, Hyderabad
100 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Syed Azimuddin
Dr. Syed Azimuddin is a renowned Sexologist in Moosapet, Hyderabad. You can visit him at Unani Clinic in Moosapet, Hyderabad. Save your time and book an appointment online with Dr. Syed Azimuddin on Lybrate.com.

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Unani Clinic

12-5-49/2,1st Floor, Moosapet Cross Road, Goods Shed Road, Moosapet, HyderabadHyderabad Get Directions
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Unconsummation

MD-Dermatology, MBBS
Sexologist, Pune
Unconsummation

Definition

Inability or absence of successful peno- vaginal intercourse in a couple.

Prevalence

About 15% of couple have problem of Unconsummation though they can have orgasm by masturbation or by oral stimulation of the genitals. It is not so common in the west, be for social and cultural reasons. The longest duration of Unconsummation seen was for 9 years.

Etiology

The commonest cause of Unconsummation is ignorance about the sexual act, though sexual aversion, rigid hymen, atresia of vagina, trauma, infection and sexual dysfunctions like impotence, premature ejaculation vaginismus, dyspareunia, etc. and up in Unconsummation of marriage.

Attention is mainly focused here on the Unconsummation due to ignorance about the sexual act. The other conditions responsible for Unconsummation are managed by treating the cause. 

Why Unconsummation?

1. sexuality is a basic instinct in the animals for reproduction and propagation life. Unlike the other animals, sexual behavior in the human being is the outcome of learning and conditioning. Sex being a very private issue and considered as a taboo, there is hardly any opportunity for learning the intercourse. therefore ignorance, myths and misconceptions about sexual act prevail.

2. All the quadruped and biped animals perform coitus by the rear entry, while human being is the only animal doing intercourse in a face –to – face position.

3. the act is done in the dark.

4. the vaginal opening and its direction are not visible externally.

How the problem presents?

Unconsummation is more common in urbanized and well- educated clients. They are normal in every respect except for their ignorance about the sexual act.

1. The client complaint may come for the guidance saying, I don’t know how to do intercourse. Please help me.

2. The chief complaint may be, I can’t penetrate.

Perhaps he tries at the wrong site or in a wrong direction; or she may be having vaginismus.

3. Some men may not know that they have to do pelvic movements after penetration.

4. Woman keeps her legs straight

This can be an important statement by the client giving a clue to the diagnosis. This COITAL position there is no proper alignment between the direction of penis and vagina; therefore penetration  is not possible.

5. My penis is not hard enough for penetration this could be the complaint. The female might not have been sufficiently stimulated through foreplay. Nature has designed the structure of the vagina in such a way that man gets maximum rigidity of penis in the vagina and then only he can ejaculate.

6. Man may lose erection after trying at a wrong site ( at urethra or at clitoris) for a long time and blame himself. In such case, woman may complain of pain during the coital act.

7. If the women has vaginismus, man may not be able to penetrate. He may lose erection and label himself as impotent.

8. All the semen comes out

This is the complaint by the women when the man ejaculates on the vulva instead of in the vagina.

9. Women complaint of primary infertility. To the surprise of the examiner, the hymen may found to be in fact proving Unconsummation. Till this fact is brought their notice, they feel that they are doing the coitus in a perfect way.

Consequences:

1. The couple may continue  to do intercourse in a wrong way without being aware about Unconsummation.

2. Women may complain of pain during the intercourse

3. Man way lose the erection after trying intercourse unsuccessfully at a wrong site for sufficient length of time. He may think himself suffering from impotence.

4. Infertility

5. Anxiety/ depression

6. Marital conflict/ divorce

7. Suicide

Diagnosis:

1. history is most important.

Foreplay : yes/no

Erection of penis in man and lubrication of vagina in women : Yes/No

Women flexing her hips during coitus in missionary position : Yes/No

Site & direction of penetration : Right/ Wrong

Pelvic movements: Yes/No

Illumination in the room: Yes/No

2. In every case of impotence and infertility, Unconsummation should be ruled out.

3. Women sleeping in the supine position with legs straight on the bed during the intercourse should make the clinician suspect Unconsummation.

4. Genital Examination:

Presence of hymen in the married female .

Only one finger dilatation of vagina

Presence of smegma on the glans/coronal sulcus in the male

Painful retraction of prepuce (or phimosis) may be an accidental finding.

5. Post-coital Test: Absence of sperms in the sample.

Management

1. Both the partners should attend the counselling session.

2. Anatomy of male & Female genitals should be explained to them with the help of clay model, charts or slides.

3. Examination of the genitals:

One finger PV examination of the females should be done in the presence of the male to enable him to understand the site and the direction of the vaginal barrel.

4. The following instructions will help the couple  in overcoming Unconsummation.

For the couples who sleep on the floor.

Lights should be on or the coitus should be done during the day.

The couple should engage in foreplay till he gets erection  of penis and she gets lubrication of vagina.

The female should be in a supine position on the bed, with a pillow under her buttocks, and with her thighs flexed and abducted at her hips. This rotates her pelvis and brings her vaginal opening accessible for the penetration by the male.

The male should squat on his heels ( vajrasan or Namaaz  Position)

Between her thighs. In this position he being perpendicular to her body is in a position to locate and align his penis with the vagina which is at the lower end of vertical cleft, and in upward and backward direction.

Then he advances towards her that his right thigh is under her left one , and his left thigh is her right one. On reaching near her vulva, he separates the labia by his left hand and inserts his penis by his right hand. In the event of difficulty, the female should help him with her hand in guiding the insertion penis.

Supporting his body on the knees and holding her thighs by his hands he makes to and for movements of his pelvis till he ejaculates in the vagina.

For the couples who sleep on the cot: (T position )

Light should on or the coitus should be done during the day. The female sleeps on the cot in a supine and slide down till buttocks are on the foot end the bed.

She flexes and abducts her thighs, and the male kneels on the floor between her thighs, supporting his knee on the pillows so as to align his penis with her vaginal opening. In this position the male is perpendicular to the female.

The advantages are that he can see the external genitals of both and maneuver the penetration, can make pelvic movements by holding her thighs, and can stimulate the clitoris simultaneously while doing intercourse.

Outcome

The success rate is high. once the couples learn the coital act they simply wonder as to how they could miss such a simple and universal procedure  

16 people found this helpful

I am suffering from while doing intercourse with my wife my sperm comes out soon in 20 minutes what is the solution and my penis also so short.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
I am suffering from while doing intercourse with my wife my sperm comes out soon in 20 minutes what is the solution a...
Ejaculation of semen during sexual intercourse before or immediately after penetration. Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation is a common sexual complaint. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time. As long as it happens infrequently, it's not cause for concern. The primary symptom of premature ejaculation is the inability to delay ejaculation for more than one minute after penetration. However, the problem may occur in all sexual situations, even during masturbation. Premature ejaculation can be classified as lifelong (primary) or acquired (secondary). Lifelong premature ejaculation occurs all or nearly all of the time beginning with your first sexual encounters. Acquired premature ejaculation has the same symptoms but develops after you've had previous sexual experiences without ejaculatory problems. Many men feel that they have symptoms of premature ejaculation, but the symptoms do not meet the diagnostic criteria for premature ejaculation. Instead these may have natural variable premature ejaculation, which is characterized by periods of rapid ejaculation as well as periods of normal ejaculation. Psychological causes Some doctors believe that early sexual experiences may establish a pattern that can be difficult to change later in life, such as: •Situations in which you may have hurried to reach climax in order to avoid being discovered •Guilty feelings that increase your tendency to rush through sexual encounters Other factors that can play a role in causing premature ejaculation include: •Erectile dysfunction. Men who are anxious about obtaining or maintaining an erection during sexual intercourse may form a pattern of rushing to ejaculate, which can be difficult to change. •Anxiety. Many men with premature ejaculation also have problems with anxiety — either specifically about sexual performance or related to other issues. •Relationship problems. If you have had satisfying sexual relationships with other partners in which premature ejaculation happened infrequently or not at all, it's possible that interpersonal issues between you and your current partner are contributing to the problem. Biological causes A number of biological factors may contribute to premature ejaculation, including: •Abnormal hormone levels •Abnormal levels of brain chemicals called neurotransmitters •Abnormal reflex activity of the ejaculatory system •Certain thyroid problems •Inflammation and infection of the prostate or urethra •Inherited traits •Nerve damage from surgery or trauma (rare) Common treatment options for premature ejaculation include behavioural techniques, topical anaesthetics, oral medications and counselling. Keep in mind that it may take a little time to find the treatment or combination of treatments that will work for you. Behavioural techniques In some cases, therapy for premature ejaculation may involve taking simple steps, such as masturbating an hour or two before intercourse so that you're able to delay ejaculation during sex. You may try avoiding intercourse for a period of time and focusing on other types of sexual play so that pressure is removed from your sexual encounters. You can also try diverting your mind before ejaculation is ready to come and proceeding after a brief break, thereby prolonging duration of intercourse / action The pause-squeeze technique You and your partner can use of a method called the pause-squeeze technique. This method works as follows: 1.Begin sexual activity as usual, including stimulation of the penis, until you feel almost ready to ejaculate. 2.Have your partner squeeze the end of your penis, at the point where the head (glans) joins the shaft, and maintain the squeeze for several seconds, until the urge to ejaculate passes. 3.After the squeeze is released, wait for about 30 seconds, then go back to foreplay. You may notice that squeezing the penis causes it to become less erect, but when sexual stimulation is resumed, it soon regains full erection. 4.If you again feel you're about to ejaculate, have your partner repeat the squeeze process. By repeating this as many times as necessary, you can reach the point of entering your partner without ejaculating. After a few practice sessions, the feeling of knowing how to delay ejaculation may become a habit that no longer requires the pause-squeeze technique. Topical anaesthetics Anaesthetic creams and sprays that contain a numbing agent, such as lidocaine or procaine, are sometimes used to treat premature ejaculation. These products are applied to the penis a short time before sex to reduce sensation and thus help delay ejaculation. A lidocaine spray for premature ejaculation is available Although topical anaesthetic agents are effective and well-tolerated, they have potential side effects. For example, some men report temporary loss of sensitivity and decreased sexual pleasure. In some cases, female partners also have reported these effects. In rare cases, lidocaine or procaine can cause an allergic reaction. Oral medications Many medications may delay orgasm. Although none of these drugs is specifically worthwhile as people believe, approved medications may be prescribed for either on-demand or daily use, and may be prescribed alone or in combination with other treatments to treat premature ejaculation, some are used for this purpose, including antidepressants, analgesics and phosphodiesterase-5 inhibitors You can ask me personally if you want these tablets with your full health details.
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I do not get morning erection as I use to get it previously what is the solution.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
I do not get morning erection as I use to get it previously what is the solution.
Lybrate-user. Morning erections around 4-6 am are common during sexually active and reproductive age groups. At your age i. E. 40 years, loss of/ infrequent morning erections may be due to many causes, medical/ psychological! if your sexual life is steady and you do not face problems, then its okay. But if you feel your sexual life, your libido in particular has reduced and you are facing some depressive symptoms like sadness and disinterest in work, easy fatigue and lethargy, then you might need a hormonal profile to be done. Consult me in case you have problems.
1 person found this helpful
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Sir m 3 years daily hastmuthen kr rha hu m aj s chor du to bilkul krna to koi side effect hoga please btao hindi m.

Sexologist, Delhi
Sir m 3 years daily hastmuthen kr rha hu m aj s chor du to bilkul krna to koi side effect hoga please btao hindi m.
Don't be anxious about hastmathun. It's a biological &natural process It's safest way of sexual tension discharge. Leave the Myths.
4 people found this helpful
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I am 21 now I am masturbate from 16 of my age now my penis is weaker and body is trembling and I am suffering from p.ejaculation please help me sir give me tips for my body recovery and for stronger penis and avoid p.ejaculation.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Allahabad
I am 21 now I am masturbate from 16 of my age now my penis is weaker and body is trembling and I am suffering from p....
You should start ayurvedic medicine. Your erection dysfunction will be cured permanently. Your sex stamina will also increase and you will feel energetic. Early discharge problem will be solved. If you want to start ayurvedic treatment you can contact me here online.
2 people found this helpful
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I am 20 years old I am totally addict of masturbation many time I tried to not masturbate but I won't be able to control it so please help me out I don't know what should I do.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
I am 20 years old I am totally addict of masturbation many time I tried to not masturbate but I won't be able to cont...
Masturbation is just an alternative way of getting sexual pleasure and relaxation just like sexual intercourse itself. It is an unnatural way, rather a perversion, so it is just a personal choice to make. It is inappropriate to term it as good or bad. There are no documented or proven side effects of masturbation on human body. However repeated use of masturbation for relaxation and allaying sexual excitement may cause psychological dependence on it. Hence it is advisable to also shift to better forms of relaxation other than masturbation like yoga, meditation, physical exercises, music, pursuing hobbies like gardening, outing with friends etc. If you still feel an irresistible urge to masturbate always and feel unable to control your actions, the you might be having an obsessional disorder. Consult a psychiatrist for counselling and medications if necessary.
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Is taking ovulation induction medicine i.e Clomid/smartnova every month is dangerous for health.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Is taking ovulation induction medicine i.e Clomid/smartnova every month is dangerous for health.
Hi lybrate-user ovulation induction with with clinic should not be used for more than 6cycles. Considering risk of side effects and resistance to treatment. Regards to side effects it could be vision effect, valvular heart problem.
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I am 24 year male and I had sex with my girlfriend. We used the precaution (condom) but only one time I rubbed penis without condom on her vagina. Is there any chances of pregnancy and if yes then how can we avoid it.

MD (Alternative Medicine), BHMS
Homeopath, Wardha
I am 24 year male and I had sex with my girlfriend. We used the precaution (condom) but only one time I rubbed penis ...
If you have ejaculated during or just before insertion without protection, yes their is chance if she on 8th to 16th day of her menses. If both or either conditions is not applicable then do not worry.
1 person found this helpful
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Doctor, is there any problem in masturbating daily. I used to masturbate daily once. I want to stop that. Can you pls suggest me any way. Will it affect my penis or any problems to my sex organs. Please help me to stop it. Doctor will doing with sex anyone will help?

PDDM, MHA, MBBS
General Physician, Nashik
Doctor, is there any problem in masturbating daily. I used to masturbate daily once. I want to stop that. Can you pls...
Masturbation is regarded as a normal, healthy sexual activity. In general, the medical community considers masturbation to be a natural and harmless expression of sexuality for both men and women. It does not cause any physical injury or harm to the body, and can be performed in moderation throughout a person's lifetime as a part of normal sexual behavior. It will not affect you or your ability to have children in the future. If you wish to reduce the frequency of masturbation: It originates from brain, due to thinking about sex. Hence: ·     Do not watch adult material. ·     Concentrate more on your studies or work. ·     Exercise regularly.
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My wife always ask me for sex, after done sex also she again she asks me. She need more. How to satisfy her,what should i do to satisfy her? please advice

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My wife always ask me for sex, after done sex also she again she asks me. She need more. How to satisfy her,what shou...
Premature ejaculation is a condition in which a man meets an orgasm before his partner wishes. Common causes of premature ejaculation are anxiety and too much sexual stimulation..Implementing certain techniques can help you rectify this problem without taking any sort of medications. 1.The Stop and Start Method The stop and start method helps you last longer while making love to your partner. This technique is comprised of three phases: First, you need to become excited sexually with the help of a partner or by masturbating. Then, at the point before reaching your climax, you need to stop and hold back. Next, take some deep breaths and relax. Once you are calm and in command of your emotions, repeat the process again. The method involves learning to understand when you are approaching orgasm, and trains your body to control timing to prevent premature ejaculation. During this process, you also naturally learn inhaling and exhaling techniques. 2.Kegel Exercise Kegel exercises aim at strengthening the pelvic floor muscles. To correctly implement the technique, you need to know how to tighten the correct pelvic muscles. One approach of finding the muscle is by sitting on the toilet seat and urinating. Stopping the urine flow leads to the tightening of the pelvic muscles.I recommend a technique to carry out the exercise properly: Start by emptying your bladder completely. Then tighten the pelvic muscles for nearly 10 seconds. Relax the muscles for another 10 seconds. Repeat the exercise three times a day with 10 repetitions each time. 3.The Squeeze Technique Mastering this technique requires a lot of practice and uninterrupted time. During foreplay, have your partner squeeze the end of your penis, at the point where the head (glans) joins the shaft. After the squeeze is released, wait 20 to 30 seconds, and then continue with foreplay. Have your partner caress and stroke the entire genital territory. This includes the glans, the shaft, the testicles, the perineum and the rim of the anus. Becoming cognizant how each part works during sexual activity, is the major focus and intent of this approach. Upon reaching the point of orgasm, have your partner squeeze your penis again until the urge to ejaculate is gone. Repeat the exercise three times every week until you notice improvements.
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