Submit a review for Ajay Kumar - Sexual Health Care & Research CentreYour feedback matters!
Patient Review Highlights
Low or reduced libido has been a point of concern for many years and if left neglected it can negatively impact your love life. Read on to know how you can boost your libido with these ornamental tips.
- Have a positive mental attitude and keep your stress level low: If you feel good and self confident you may feel more sexual and attractive to your partner.
- Consider, but do not overly rely on supplements that claim to increase your libido. Take a bite out of a forbidden fruit: Figs, bananas and avocados, for example, are considered libido-boosting foods, known as aphrodisiacs. And they are provide certain vitamins smooths the blood flow..
- Be a poser: Yoga does more than just get you limber, it may boost your libido, too. Yoga may also improve your orgasms by increasing blood flow down there.
- Indulge in all things chocolate: Throughout history, chocolate has been a symbol of desire. Not just because of its delicious taste, but because of its power to improve sexual pleasure.
- Find out which scenarios spark magic for you and your partner: You do not need to recreate every detail from those scenes. With a little imagination, improvisational role-playing, you can incorporate one or two key elements from the scene, such as a costume or a prop - and create a scenario that is likely to liven the mood.
- Take your daily herbs: Ginkgo biloba, an extract derived from the leaf of the Chinese ginkgo tree, is another herb found to treat antidepressant-induced sexual dysfunction.
- Seek the help of a sex therapist, if necessary: If you are experiencing sexual problems that prevent you from desiring, initiating, or enjoying sex, consider whether these issues may be psychological in origin.
- Be patient: If you have a partner who is being treated for lost interest in and enjoyment in sex, or for issues relating to sexual performance, be patient and realize that treatment can take several months or more to be effective.
- Take a whiff: Whiffing can also work for you. But the scent of your man postworkout might do just that. Sniffing his sweat can increase your level of the stress hormone cortisol, which may boost arousal.
Since long, ailments which can hamper your physical intimacy with your partner are of grave concern and amongst these premature ejaculation tops the list. Thus it is important that you discuss it out with your partner along with a therapist and resolve it through medical help.
It is important that we understand what is premature ejaculation in order. Premature ejaculation is uncontrolled ejaculation either before or shortly after penetration.It may result in unsatisfactory intercourse for both partners. This can increase the anxiety of that person. It is one of the most common forms of male sexual dysfunction.
What are the causes behind PE?
The exact cause of premature ejaculation is unknown, but it's often rooted in physical, psychological, or emotional issues. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines.
Other causes may include:
- Early experiences with masturbation and sex.
- Erectile Dysfunction.
- Relationship problems.
- Intercourse with a new partner.
What are the symptoms?: The primary symptom of premature ejaculation is the inability to delay ejaculation for more than one minute after penetration. The main symptom is an uncontrolled ejaculation either before or shortly after intercourse begins. Ejaculation occurs before the person wishes it, with minimal sexual stimulation.
How it is diagnosed?: Premature ejaculation is diagnosed based on typical symptoms. To understand your problem, your doctor will need to discuss your sexual history with you. Be frank and open. The more your doctor knows, the better he or she can help you.
How it is treated?: In many cases premature ejaculation gets better on its own over time. Treatment may not be needed. But there are some serious conditions that need to be treated. If you are suffering from depression you should take medications to remove your depression, such as Paxil (paroxetine), Zoloft (sertraline), and Prozac (fluoxetine).
Practicing relaxation techniques or using distraction methods may help you delay ejaculation. You can try using a condom to reduce sensation to the penis. Or you can try a different position (such as lying on your back) during intercourse.
These therapies may be used together in different combinations to treat premature ejaculation and in turn improve your self-esteem and sex life. Behavioral therapy is one possible approach for treating premature ejaculation. Most commonly, the 'squeeze technique' is used. Some men with premature ejaculation may benefit from drugs called phosphodiesterase inhibitors, such as sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis).
Hlw sir, I'm 19 years old. I masturbate 2 times in a week. It good or bad for me? please give some suggestions.
Male hypogonadism, also known as testosterone deficiency, is a failure of the testes to produce the male sex hormone testosterone, sperm, or both.Testosterone play an important role in sperm production.This condition can be due to a testicular disorder or the result of a disease process involving the hypothalamus and pituitary gland.
This is of two types including:
Primary type of hypogonadism is also known as primary testicular failure, which originates from a problem in the testicles.
Secondary type of hypogonadism indicates a problem in the hypothalamus or the pituitary gland through which parts of the brain that signal the testicles to produce testosterone
Either type of hypogonadism may be caused by an inherited (congenital) trait or something that happens later in life (acquired), such as an injury or an infection. At times, primary and secondary hypogonadism can occur together.
Common causes of primary hypogonadism include:
- Klinefelter syndrome
- Undescended testicles
- Mumps orchitis
- Injury to the testicles
- Cancer treatment
Causes of secondary hypogonadism:
A number of conditions can cause secondary hypogonadism, including:
- Kallmann syndrome
- Pituitary disorders
- Inflammatory disease
- Concurrent illness
How Is Hypogonadism Diagnosed?
Your doctor will conduct a physical exam to confirm that your sexual development is at the proper level for your age. They may examine your muscle mass, body hair and your sexual organs.
Testosterone replacement therapy (TRT) is the most commonly administered as a topical gel, transdermal patch or by injection and is the recommended treatment for male hypogonadism.
You can get testosterone replacement therapy by:
Injections of a gonadotropin releasing hormone may trigger puberty or increase your sperm production.
Patients can also improve testosterone levels with lifestyle changes, including:
- Losing weight
- Managing stress
- Getting adequate sleep
- Avoiding alcohol
- Giving up smoking.
In adult males, hypogonadism may alter certain masculine physical characteristics and impair normal reproductive function.
Hi sir I have some doubts 1) my penis size is 4.2 inches can able to satisfy in future? One more doubt every men's penis get smell is this common thing or any problem? If it get smell in penis how reduce smell sir. Thank you.
Amenorrhea is a condition when a woman of childbearing age fails to menstruate. A woman normally menstruates every 23 to 35 days.The part of the brain called the hypothalamus regulates the menstrual cycle. The hypothalamus stimulates the pituitary gland. The pituitary gland lies just below the hypothalamus at the base of the brain.
There are two types of amenorrhea:
- Primary amenorrhea occurs when a woman has not had her first menstrual period (menarche) by age 15 or 16. This condition is also called delayed menarche. It is most often due to late puberty.This is fairly common in teenage girls who are very thin or very athletic. These young women are typically underweight.
- Secondary types of amenorrhea occurs when a woman has experienced menstrual periods, but stops menstruating for three or more consecutive months.
Secondary amenorrhea can be caused by:
- Pregnancy (the most common cause)
- Breast feeding
- Menopause, the normal age-related end of menstruation
- Emotional or physical stress
- Rapid weight loss
- Frequent strenuous exercise
- Hormonal birth control methods, including birth control pills, the patch and long acting progesterone.
- Polycystic ovary syndrome, a condition is associated with a tendency to be overweight, excessive body and facial hair and hormonal irregularities.
- Premature ovarian failure (menopause before age 40)
- Hysterectomy (surgical removal of the uterus)
- Abnormal production of certain hormones, such as testosterone, thyroid and cortisone.
- Tumors of the pituitary gland
Symptoms of Amenorrhea:
Hormone imbalances may cause amenorrhea together with:
- Excess body and facial hair
- Lowering of the voice
- Altered sex drive
- Breast milk secretions
- Weight gain
In order to diagnose your condition your doctor will ask you about:
- The date of your last menstrual period
- Whether you are sexually active
- Your birth control methods
- Your pregnancy history
- Your eating habits
- Rapid weight changes
- Obesity or extreme underweight
- Your typical monthly menstrual patterns
- The age when your mother entered menopause(In most cases it has been seen that, both mother and daughter will enter menopause at the same age)
- The amount of stress in your life and how you deal with it
- The types of medications you are taking
Treatment for amenorrhea:
The treatment for secondary amenorrhea varies depending on the underlying cause of your condition. Hormonal imbalances can be treated with supplemental or synthetic hormones. Your doctor may also want to remove ovarian cysts, scar tissue or uterine adhesions that are causing you to miss your menstrual periods.
Pain during or after sexual intercourse is known as dyspareunia. Although this problem can affect men, it is more common in women. Women with dyspareunia may have pain in the vagina, clitoris or labia. There are numerous causes of dyspareunia, many of which are treatable.
Common causes include the following:
- Vaginal dryness
- Atrophic vaginitis, a common condition causing thinning of the vaginal lining in postmenopausal women
- Side effects of drugs such as antihistamines and tamoxifen (Nolvadex and other brands)
- An allergic reaction to clothing, spermicides or douches
- Endometriosis, an often painful condition in which tissue from the uterine lining migrates and grows abnormally inside the pelvis
- Inflammation of the area surrounding the vaginal opening, called vulvar vestibulitis
- Skin diseases, such as lichen planus and lichen sclerosus, affecting the vaginal area
- Urinary tract infections, vaginal yeast infections, or sexually transmitted diseases
- Psychological trauma, often stemming from a past history of sexual abuse or trauma.
Symptoms of Dyspareunia:
Women with dyspareunia may feel superficial pain at the entrance of the vagina or deeper pain during penetration or thrusting of the penis. Some women also may experience severe tightening of the vaginal muscles during penetration, a condition called vaginismus.
Your health practitioner will check for the following things
- If there was ever a time you had painless intercourse or if you have always had dyspareunia
- If you have enough natural lubrication and if your symptoms improve when you use commercially available lubricants
- About your sexual history (to help assess your risk for sexually transmitted infections)
- If you have ever been sexually abused or had a traumatic injury involving your genitals.
- Lubrication with an over-the-counter lubricant such as K-Y jelly.
- Antifungal medication(if you have any kind of fungal infection)
- Sitz baths for removing the inflammation
- For skin diseases affecting the vaginal area, lichen sclerosus and lichen planus often improve with steroid creams.
- Therapies include topical estrogen cream, low-dose pain medications, and physical therapy with biofeedback to lower the muscle tension in the pelvic floor
- Surgeries can also be prescribed for abnormal growths
For dyspareunia that has no apparent physical cause or has lasted for months or years, you may need psychological counseling to address stress or anxiety regarding sexual intercourse.
Yes we all desire for that perfect physical gratification that we get from being with our partners and we all look forward to a supercharged physical intimacy. However, what can go wrong with it? Most people will experience some sort of sexual difficulty at some point in their lifetime. Luckily, various healthcare professionals, including sex therapists and counselors, are trained to help people with these issues. Although individual cases vary in their specifics, a few sexual concerns are quite common.
Top Sexual Concerns among Women:
The top two sexual concerns for women are low desire or complete lack of sexual desire. Up to 40 percent of women report that they have little or no desire to have sex.
- Low Desire or Lack of Sexual Desire: Low desire or lack of desire is an increasing trend among women (and some men). Lack of desire is often accompanied by discussions about lack of time or energy for sex.
- Body Image Issues: Not liking what you see in the mirror can make the thought of being naked in front of someone else unpleasant.
- Aging and Hormonal Changes: Changes associated with menopause may conspire to reduce a woman's interest in sex. Hot flashes, night sweats and weight gain can be some of the causes.
- Relationship Conflicts: Conflict with one's partner over everyday issues, from money concerns to childbearing, can reduce feelings of desire.
- Unskilled Sexual Partners: People who are experiencing unsatisfactory sex often lose desire. The more bad sex you have, the less you want (conversely, the more good sex you have, the more you want).
- Medical Conditions: Certain medical conditions may affect sexual desire. One of the symptoms of depression, for example, is a lack of interest in sex.
What You Can Do?
First, you should work with your physician to rule out any physical reasons for low desire. Next, it is important to understand how your body responds to touch. Make time for self-pleasuring (masturbation) and explore your capacity to experience pleasure. If you wish to discuss about any specific problem, you can consult a sexologist.
Diabetes has always been a mysterious home to many diseases. It reduces quality of erection. However, there are ways you can enhance your love life, by involving some strategies, such as:
- Approach sex like exercise: This helps prevent dreaded blood sugar lows.If you use insulin, check your blood sugar before sex and have a snack if it's low.
- Just go with it: Planning can be helpful, but don't sweat it if sex just happens.There's no reason not to grab the opportunity if it pops up just because you haven't followed your diabetes exercise routine.
- Use a lubricant: If you are a woman with vaginal dryness, a vaginal lubricant can make sex feel better. Ask your doctor about using one regularly, not just during sex.
- Prepare a sex arsenal kit: Keep anything you might need for optimal sex next to the bed.If you're a woman, you may want to have a lubricant in your kit. Feel free to include massage oils.
- Get a room: Treat yourself and your partner to a night at a local hotel.It's a great libido enhancer.Plan it days in advance.It's planning, but it's planning something fun.
- Get in some practice: If you are a man who uses a device like a vacuum pump or constriction band to help with erectile dysfunction, take time to learn how to use it right.
- Creativity is sexy: If you have trouble getting aroused, stretch beyond your go-to bedroom moves. Try out new positions. Explore different ways to climax. Most women don't climax from intercourse alone, anyway. Some men can have an orgasm from prostate stimulation.
- Limit alcohol: A little alcohol may boost your desire, but drinking can also make your blood sugar level drop quickly. If you drink alcohol, you might sip some champagne during intimacy.
- Get help for emotional issues: Depression, anxiety, poor self-image, and other emotional concerns can hurt your sex life. And if you have a partner, sex troubles can put stress on your relationship.
- Relax: How you feel about your diabetes can set the stage for sex. With diabetes, you have to expect the unexpected.
You can think of a formula in your mind for better,increased, steamier sex life.
Hypogonadism in females occurs when your sex glands produce little or no sex hormones.The sex glands, also called gonads that are responsible for ovary formation in females, breast enlargement and in menstrual cycle.
What Are the Types of Female Hypogonadism?
There two types of hypogonadism are primary and central hypogonadism.
Primary Hypogonadism: Primary hypogonadism means that you don't have enough sex hormones in your body due to a problem in your gonads. Your gonads are still receiving the message to produce hormones from your brain, but they aren't able to produce them.
Central Hypogonadism or Secondary Hypogonadism: In central hypogonadism, the problem lies in your brain. The hypothalamus and pituitary gland in your brain, which control your gonads, aren't working properly.
Causes of Primary Hypogonadism:
- Autoimmune disorders, such as Addison's disease and hypoparathyroidism
- Genetic disorders, such as Turner syndrome and Klinefelter syndrome
- Severe infections
- Liver and kidney diseases
- Hemochromatosis, which happens when your body absorbs too much iron
- Radiation exposure
- Surgery of your sex organs
Causes of Central or Secondary Hypogonadism include:
- Genetic disorders, such as Kallmann syndrome (abnormal hypothalamic development)
- Infections, including HIV and AIDS
- Pituitary disorders
- Inflammatory diseases including sarcoidosis, tuberculosis, and histiocytosis
- Rapid weight loss
- Nutritional deficiencies
- Use of steroids or opiates (especially long-term usage)
- Brain surgery
- Radiation exposure
- Injury to your pituitary gland or hypothalamus
- A tumor in or near your pituitary gland
Symptoms that May Affect Females Include:
- Lack of menstruation
- Slow or absent breast growth
- Hot flashes
- Loss of body hair
- Low or absent sex drive
- Milky discharge from your breasts
Treatment for Hypogonadism in Women: Your treatment will involve increasing the amount of female sex hormones in your body. Your first line of treatment will probably be estrogen therapy if you've had a hysterectomy. Either a patch or pill can administer the supplemental estrogen hormone. Estrogen must be balanced with progesterone, because taking estrogen alone leads to a dangerous build up of the lining of the uterus (endometrial hyperplasia) that can lead to cancer of the uterus. Low-dose testosterone may be added for women with hypogonadism who have a low sex drive. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Paraphilias are emotional disorders defined as sexually arousing fantasies, urges or behaviors that are recurrent, intense, occur over a specific period of time, and cause significant distress involving non-consenting partners, partners who are suffering or being humiliated (simulated or real) or through the use of an object.
There are a number of causes that result in Paraphilic disorders. Some of them are:
- Brain injury
- Biological factors
- Humiliating factors
In most cases, one or more events occurred during childhood that led the individual to associate sexual pleasure with that event (or object) thus resulting in the development of a paraphilia.
Symptoms of Paraphilia:
- Humiliating another person
- Beating or spanking
Symptoms of paraphilia can include preoccupation to the point of obsessiveness that may intrude on the person's attempt to intimate with the person of similar age. Paraphilia sufferers may experience depression or anxiety that is temporarily relieved by engaging in paraphilic behavior, thus leading to an addictive cycle.
How do health professionals diagnose paraphilias?
Usually providers of mental-health care help make the diagnosis of paraphilias, including licensed mental-health therapists, psychiatrists, psychologists, psychiatric nurses, and social workers.
Common Treatment of Paraphilias:
Treatment modalities currently used fall into three categories: surgical castration, psychotherapy, and pharmacotherapy.
- Pharmacological interventions consist of antiandrogens.Cyproterone and medroxyprogesterone acetates are the two antiandrogens more commonly used.
- Psychotropic drugs may be effective solely in men with a definite obsessive-compulsive disorder component.
- Group therapy helps in breaking through the denial so commonly found in people.
- Cognitive therapies described include restructuring cognitive distortions and empathy training. Also social skills are a better way to treat patients with these types of disorders.
Physicians must be aware that not every therapist treats people with paraphilias. There may be a need for consultations with other professionals, such as a neurologist (if neurologic signs are present), an attorney, or even a member of the clergy.
Anorgasmia, also known as Coughlan's syndrome, is a form of dysfunction, which deters your performance in bed. It is defined as the inability of a patient to achieve an orgasm even with adequate stimulation. Anorgasmia may also refer to long delays in achieving an orgasm, causing significant concern or stress to the patient. This condition is more commonly seen in women, especially those in the postmenopausal age group.This is especially common in women.
Cause of Anorgasmia:
- Trauma to the genital or pelvic organs; this trauma can be acquired from straddle injuries, for example falling off a balance beam or a bicycle
- Complications of surgery in the pelvic area
- Gynecologic operations, difficult childbirth and prosthetic procedures
- Diseases, such as multiple sclerosis, spinal cord injuries and diabetes mellitus
- Psychological conditions such as anxiety, depression or alcoholism
- Certain kinds of drugs such as antidepressant medications
- Addiction to heroin and other opiates
Occasionally, anorgasmia results from a combination of these causes
Symptoms of Anorgasmia: The primary symptom of anorgasmia is the failure to climax during sexual intercourse. Some patients may also experience a decreased intensity of orgasms, take a longer time than usual to achieve orgasms, and experience pain in lower abdomen or pelvic region during sexual intercourse. These symptoms can produce marked distress for the individual.
Types of Treatments Available: Anorgasmia is best managed by a sexual therapist. These experts are specialists in managing sexual dysfunction, and would initially confirm the diagnosis with several blood tests. A thorough neurological examination will be performed and hormone levels, blood sugar and genital blood flow will be evaluated.
Anorgasmia can be treated with:
- Changes in lifestyle and sexual practices
- Minimizing stress and anxiety
- Trying different techniques of sexual stimulation
- Kegel exercises
- Use of several devices, such as vacuum pumps and vibrators
- Cognitive therapy, a form of behavioral therapy that promotes changes in a person's ideas and attitude towards sexual activity)
- Counseling for couples (to allow them to address any issues in the relationship, at home and in the bedroom)
Penile implants are devices placed inside the penis to help men with erectile dysfunction get an erection. The two main types of penile implants are semi-rigid and inflatable.
They have their own ways of working and own pros and cons.
1. Semi-rigid implants: These devices are always firm, resulting in the penis being bent away from the body for sexual activity and towards the body for concealment. The pros of 'semi-rigid implants' are:
- Is easy to surgically implant
- Has a low chance of malfunctioning
2. Inflatable implants: These are the most common types of implants used, which can be inflated for erection, and deflated at other times. Inflatable implants are usually of two types- 'three-piece inflatable implants' and 'two-piece inflatable implants'.
The pros of 'three-piece inflatable implants' are:
- Gives the most natural, firm erections
- Provides flaccidity when deflated
The pros of 'two-piece inflatable implants' are:
- Provides flaccidity when deflated
- Requires less complicated surgery than the 'three-piece'.
What are the risks involved?
- Implant problems: In rare cases, implants may not work properly. In some semi-rigid devices, the internal parts might break over time; in inflatable devices, the pump might fail and fluid might leak.
- Internal erosion: In a few cases, the implant might stick to the skin of your penis, or can wear away the skin from inside the penis.
- Infection: You might be at the risks of severe infection if you have spinal cord injury or diabetes. Men who need revision surgery of their implants are at a higher risk than their first surgery.