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Ajay Kumar - Sexual Health Care & Research Centre

  4.4  (178 ratings)

Sexologist Clinic

E - 28, Shastri Nagar, Behind Main Post Office Jaipur
1 Doctor · ₹300 · 5 Reviews
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Ajay Kumar - Sexual Health Care & Research Centre   4.4  (178 ratings) Sexologist Clinic E - 28, Shastri Nagar, Behind Main Post Office Jaipur
1 Doctor · ₹300 · 5 Reviews
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Our medical care facility offers treatments from the best doctors in the field of Sexologist.By combining excellent care with a state-of-the-art facility we strive to provide you with qua......more
Our medical care facility offers treatments from the best doctors in the field of Sexologist.By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have placed in us.
More about Ajay Kumar - Sexual Health Care & Research Centre
Ajay Kumar - Sexual Health Care & Research Centre is known for housing experienced Sexologists. Dr. Ajay Kumar Gupta, a well-reputed Sexologist, practices in Jaipur. Visit this medical health centre for Sexologists recommended by 70 patients.

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Shastri Nagar Jaipur, Rajasthan - 302016
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First Time Sex - 6 Tips For You

MBBS
Sexologist, Jaipur
First Time Sex - 6 Tips For You

Anything that's done the first time can be nerve wrecking. It holds true for sex also. For men, it would be all about being able to perform; women, on the other hand, usually look at sex as an indicator of a relationship's potential.

Whether you're a woman or a man, keep these points in mind to make the best of the first time together with your partner.
1. Don't go in with a lot of expectations
You need to remember that sex improves with time as you become more comfortable with each other. Sex for the first time is not the be all and end all of the things; it's just the first of the several that you'll be having.
2. Breathe to release tension
Long and deep breaths are the key to beating the tension that gets built up around having sex for the very first time. This small tip can help to make your first less stressful, and more amazing.
3. Don't forget to kiss or miss foreplay
A study in the evolutionary psychology reveals that only 1 out of 7 women agrees to sleep with men without indulging in foreplay first. Men must remember that women are not always on the lookout for just sex, but something beyond that. Men should try to reassure the women with lots of kissing and touching. They could begin by planting gentle kisses.
4. Descend slowly
On an average, it takes about 8 minutes for a woman to be aroused before she desires her clitoris to be stimulated. Doubling, this time, is a good practice as it takes that much to reach orgasm. Spending 15 minutes of your time playing around with your partner's body before descending is what you should aim for during your first time.
5. Don't blame yourself
Women tend to blame themselves if their partner experiences erection difficulty or premature ejaculation. But such problems are typical, with the root cause being anxiety surrounding the occasion than you. So don't waste time beating yourself up over it, rather enjoy the moment. As many as 80% women cannot reach orgasm through sexual intercourse.
6. Every sexual encounter is distinct
It's very common for folks who are having sex for the first time to not speak up and let their partner know what's making them feel good and what's not. This is incorrect. You should not assume that your partner is an expert on sex. Even if he or she is more experienced than you, every sexual encounter is not the same. This holds true for men as well as for women. So be open and talk about what turns on you on.

Not Getting Orgasm - 5 Mental Reasons

MBBS
Sexologist, Jaipur
Not Getting Orgasm - 5 Mental Reasons

Sex is not only a physical need, sex is a great way to emotionally bond and get closer to your partner as well. Any dissatisfaction in the bedroom can affect other aspects of your life, and can lead to fights, squabbles and general unhappiness. The inability to orgasm can become a major bone of contention. There can be various reasons behind the inability to climax. Some of the common ones are detailed below:

1. Lack of stimulation
Studies show that only 25% of women reach climax during sexual intercourse. The remaining 75% of women require more stimulation, like fingers or even toys and tongues to reach orgasm. Amongst this is a subset of 10-15% of women who never reach orgasm. Thus, a large number of women require extra stimulation to achieve climax during sex. You must talk to your partner about putting in some extra effort and providing the extra stimulation you need to achieve climax.
2. Over-thinking
Many men and women over-think their actions in bed. From their expressions to how they are reacting and how they are making their partner feel - everything is under constant scrutiny and revision. This leads to a lot of stress, which can hinder your ability to reach orgasm. You need to relax in the bedroom, because whatever you do will feel good in some way or another. Your anxieties can also distract you from what is going on, which means you don't get the chance to fully experience the pleasures of sex. If it helps, speak to your partner about your anxieties and tell them what you are stressing about during sex.
3. Differences between men and women
Men are visual creatures. This means that what they see turns them on. A woman's orgasm, on the other hand, happens in her head. Thus, men and women have different roots to their stimulation. Lack of an orgasm might mean either of these needs isn't being fulfilled. A great way to work around this and make sex more fun is to include a lot of foreplay in your love-making session. You can do this by trying out role-playing or using sex toys. Make sure to take it slow for a great build-up to your orgasm.
4. Performance issues
Porn has an impact on your sex life. It can increase your expectations to a considerable extent, which may not be fulfilled, thus hampering your experience in the bedroom. A lot of people become so focused on reproducing that experience that they forget that its real life. The focus on performance overwhelms their actual experience of sex, which results in an inability to reach orgasm. Try to accept the fact that you don't really have to perform for your partner. Your partner appreciates you for what you are, despite everything.
5. Mental blocks
A problem in the relationship, certain health conditions like depression, past trauma and negative social conditioning can all have negative impacts on your ability to orgasm. Talk to your partner about past trauma if you have any, and what your triggers are. Consider speaking to a sex therapist as mental health issues should never be neglected. Depression hits the libido hard, and the problem is only compounded by antidepressants. Negative social conditioning can only be helped by therapy, so try to reach out to a mental health professional.

6 Ways Alcohol Impacts Sex Life

MBBS
Sexologist, Jaipur
6 Ways Alcohol Impacts Sex Life

While small amounts of alcohol do not have any effect on your sexual health, moderate amounts of drinking are known to cause problems in both men and women.

Let's take a look at the effect alcohol may have on your body and sex life:
1. It acts as a depressant -
Acting as a depressant (a drug that reduces stimulation or arousal in various parts of the brain), alcohol inhibits certain areas of the central nervous system that are important for orgasm and arousal, more specifically - the circulation, respiration, and feeling of nerve endings.
2. It dehydrates your body - Sexual arousal requires an adequate supply of oxygen and flow of blood to the private areas so as enable you to experience the different sensations that accompany a sexual act. Adequate blood flow in the case of women is important for lubrication and in the case of men for developing and sustaining an erection. Less fluid in the body and a depressed nervous system can affect your sexual performance.
3. It's not an aphrodisiac if you go overboard - Several studies show that alcohol can help certain people to overcome feelings of deficiency or sexual reserve. This can only happen if you limit your consumption to only 1-2 drinks. If you go overboard, the depressant action of the drink begins to take effect preventing your body's ability to react sexually.
4. It causes fewer erections - Drinking large amounts of alcohol or even long-term drinking can cause erection problems to develop. Erectile dysfunction is said to occur when too much drinking causes dehydration leading to a decrease in blood volume and an increase in the angiotensin hormone, which is associated with ED. The likelihood of this occurring gets further increased if the body's central nervous system is unable to act in a natural way.
5. It leads to delayed ejaculation and orgasm - A 2004 study reveals that about 11% of alcohol users face difficulty in having an orgasm. While the men faced difficulty in ejaculating, women participants required more stimulation to reach an orgasm, compared to men and women who did not drink or drank little.
6. It causes vaginal dryness - The dehydrating effect that normally occurs if you drink a lot can also cause vaginal dryness. It causes a decrease in your sensations and hampers the production of vaginal secretions for sexual penetration, leading to painful sex. If you wish to discuss about any specific problem, you can consult a Sexologist.

6585 people found this helpful

3 Common Sexual Problems In Men

MBBS
Sexologist, Jaipur
3 Common Sexual Problems In Men

Many men have sexual problems which prevent them from deriving pleasure from sexual activities. They become more common as men age. These problems are generally caused by physical or psychological issues like certain medical conditions, alcoholism, drug abuse, stress, anxiety etc. The most common ones among them are:
1. Erectile Dysfunction - Erectile dysfunction or impotence involves not being able to achieve or maintain enough of an erection to have proper sex. This is usually caused by tension about work, finances, family, relationship or even excessive worrying about not getting an erection.
The penis needs good blood flow to sustain an erection during sex. Erectile dysfunction can also be the first sign of significant cardiac or vascular disease.
Selective drugs like Staxyn, Stendra, Levitra, Cialis, Viagra etc. are generally used to treat erectile dysfunction in men. Another treatment is psychotherapy, which might help in exploring problems in the relationship or by relaxation techniques.
2. Peyronie's Disease - Peyronie's disease causes narrowing or curvature of the penis. If it is severe enough, this condition can be painful and prevent you from having sex.
Penis deformation can be caused by scar tissue, possibly because of a previous injury, that appears as a hard lump on the upper side of the penis more frequently. Many times, pain during erection is not felt after 12 to 24 months, although the penis curvature usually remains.
3. Ejaculatory Disorders - Premature ejaculation is the most common type of ejaculatory dysfunction. It occurs within two minutes of the start of sexual stimulation. There are good chances that most men might experience this at some point of their life.
There are currently few treatments for premature ejaculation. Antidepressant medication is usually the best option. Topical anaesthetics applied to the penis can also delay ejaculation by reducing sexual sensation. If you wish to discuss about any specific problem, you can consult a Sexologist.

6925 people found this helpful

Contraceptives - 4 Common Types

MBBS
Sexologist, Jaipur
Contraceptives - 4 Common Types

There are a number of contraceptives available but which method of birth control suits you depends on your sexual life, preferences and your lifestyle as a whole. Professional medical help should be sought in order to understand what method of contraception sis ideal for you.

Here is a list of 4 types of contraceptives for birth control:
1. Barrier methods - Barrier methods are designed to prevent the sperm from entering the uterus. They constitute-
- Diaphragms: It is a shallow and flexible cup that is made of either latex or soft rubber. It is inserted into the vagina before the sexual intercourse where it prevents the sperm from entering the uterus.
- Cervical caps: It is a thin cup of silicone whose function is same as the diaphragm, only it is smaller in size, so less noticeable and more rigid as well.
- Contraceptive sponges: These are soft foam sponges that are filled with spermicide and are disposable. They are also inserted into the vagina before sexual intercourse in order to prevent pregnancy by killing the sperm cells or preventing them from entering the vagina.
- Spermicides: These are chemicals that can kill the sperm and hence assist in birth control.
Other methods include male condoms and female condoms.
2. Hormonal methods - Hormonal methods use hormones in order to either stop or regulate ovulation so as to prevent pregnancy. There are various methods through which hormones can be injected into the body. Some of them are-
- Contraceptive patch: It is a thin patch made of plastic that sticks to the skin and is responsible for releasing hormones into the bloodstream through the skin.
- Vaginal rings: A thin, flexible ring that is inserted into the vagina where it stays for 3 weeks and is removed after that, only to be re-inserted in the 5th week.
- Implantable rods: They are inserted under the skin of the upper arm of women where they release progestin.
Other methods include contraceptive pills and progestin-only pills.
3. Intrauterine methods of contraception - The intrauterine device is a small device, T-shaped that is inserted into the uterus in order to prevent pregnancy. The good thing about intrauterine devices is that they can remain functioning for many years at a stretch. IUDs are two types-
- Hormonal IUD(Intrauterine Device)
- Copper IUD

4. Sterilization
Sterilization is the most reliable contraceptive for birth control as it is permanent. It either prevents the release of sperm or the fertilization of the egg. Sterilization methods can either be surgical or non-surgical. Some of the sterilization techniques are-
- Tubal ligation: It is the surgical technique used in females.
- Vasectomy: It is the surgical technique of male contraception.
Other methods include sterilization implants. If you wish to discuss about any specific problem, you can consult a Sexologist.

7217 people found this helpful

Age & Its Impact On Sexual Health

MBBS
Sexologist, Jaipur
Age & Its Impact On Sexual Health

Aging is a natural process that affects every aspect of wellbeing as one gets older. Be it physical health, mental health, emotional health or sexual health, aging has an impact on it all. The desire for passion and intimacy is one that does NOT recede with age and it is best to adapt to the changes that the body goes through for a more fulfilling experience.
Aging affects the sexual health of men and women in different ways. Furthermore, it has varying effects on men and women.
What are the physiological changes that affect sexual health in women?
The onset of menopause is a major factor that has several key consequences on the sexual health of a woman. It causes alterations in the functioning of the genital and reproductive organs. Once a woman hits the menopausal stage, the vagina tends to get shorter and thinner, with stiff and narrow walls. Vaginal lubrication also decreases. These changes are known to have an impact on the ability of a woman to derive pleasure from sex.
What are the physiological changes that affect sexual health in men?
The most common sexual problem that affects older men is erectile dysfunction. Also known as impotence, this leads to the inability to achieve or maintain an erection. Premature ejaculation is an added issue. The causes for male sexual problems that occur due to aging range from diabetes and obesity to conditions of the heart and vascular system.
What are the main causes of change in sexual health with age?
Following are a few examples of factors that affect sexual performance and health with increasing age:
- Decreasing hormone levels
- Chronic joint or muscular pain
- Development of illnesses or medical conditions
- Side effects of medication
- After effects of surgery
For many people, interest in sexual activity does not decrease with age. Getting older should not come in the way of enjoying sex. Having a deep and thorough understanding of the bodies of yourself and your partner as you both age and mature will play an important role in helping the two of you derive pleasure from sex and intimacy. If you wish to discuss about any specific problem, you can consult a Sexologist.

6841 people found this helpful

STDs - Why Regular Testing Is Important?

MBBS
Sexologist, Jaipur
STDs - Why Regular Testing Is Important?

STIs or sexually transmitted diseases are infections whose transmission to a healthy person from an infected person happens through sexual contact. However, with modern medicine and diagnostic techniques, there are ways to prevent, detect and cure them effectively and quickly.
Not all diseases are curable though and it is best to follow preventive measures. Also, for sexually active adults it is an absolute necessity to get tested regularly for their health as well as the well-being of their partners.
Why do people tend to avoid getting tested for STIs or sexually transmitted infections?
One of the major factors that avert people from regular tests is the social stigma attached with sexually transmitted diseases. It is absolutely imperative for sexually active adults to go for regular checkups so that if they have any infections or diseases, it can be diagnosed quickly and remedial measure can be taken appropriately.
The benefits of regular checkups
Some of the benefits of regular checkups are mentioned here:-

  • Regular checkups can detect problems at a stage when the conditions may not have progressed too much and this will make it easily treatable.
  • With HIV positive patients, the quicker the testing gets done the quicker the treatment can be started. Thus, can prevent the onset of AIDS.
  • Regular checkups can control the progression of the diseases such as Chlamydia, which if left untreated can cause permanent infertility.
  • Getting a prospective partner tested is also a good idea as this can enable one to protect themselves from STIs.
  • Symptoms for certain STIs can be similar to many other non-sexual or non-venereal diseases. Thus getting tests done is the only way to get to know if there is an STI or if it is some other nonsexual disease.
  • HPV or Human Papilloma Virus can be detected easily with regular STI checkups and thus appropriate treatment can be started. If HPV isn't detected early, it can manifest much later in the form of cancer, which makes it more important to get yourself checked early on. If you wish to discuss about any specific problem, you can consult a Sexologist.
7401 people found this helpful

Masturbation - 10 Myths Associated To It

MBBS
Sexologist, Jaipur
Masturbation - 10 Myths Associated To It

Masturbation is rarely discussed, even amongst the closest of friends. Even though this 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. 

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. 

It causes health problems
Pleasuring yourself is the ultimate form of safe sex. There is no way for you to catch an STD 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
Masturbation does not reduce your sex drive or prevent you from having orgasms. Many people also claim that women get addicted to vibrators and cannot enjoy sex without them. However, there is no truth behind this. 

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. 

It can cause blindness
Blindness is the most outrageous myth associated with self-induced orgasms. Till date, there has not been a medical case to prove it. 

It 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. 

Only men masturbate
Men and women across the world masturbate. 

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

Pleasuring yourself is normal and not affected by what you eat or do not eat. 

It is only for young people
Men and women of all ages can enjoy self-induced orgasms. This does not have any adverse effects on your health. If you wish to discuss about any specific problem, you can consult a sexologist.

6121 people found this helpful

Natural Ways to Enhance Your Libido

MBBS
Sexologist, Jaipur
Natural Ways to Enhance Your Libido

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.

  1. 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.
  2. 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..
  3. 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.
  4. 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.
  5. 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.
  6. 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.
  7. 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.
  8. 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.
  9. 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. If you wish to discuss about any specific problem, you can consult a sexologist.
5871 people found this helpful

Treatment Options Available for Premature Ejaculation

MBBS
Sexologist, Jaipur
Treatment Options Available for Premature Ejaculation

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). If you wish to discuss any specific problem, you can consult a sexologist.

6378 people found this helpful

Hlw sir, I'm 19 years old. I masturbate 2 times in a week. It good or bad for me? please give some suggestions.

MBBS
Sexologist, Jaipur
Hlw sir, I'm 19 years old. I masturbate 2 times in a week. It good or bad for me? please give some suggestions.
Masturbation is never harmful for health, rather it is first sexual experience of a male or female.
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Types and Causes of Male Hypogonadism

MBBS
Sexologist, Jaipur
Types and Causes of Male Hypogonadism

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:

  1. Klinefelter syndrome
  2. Undescended testicles
  3. Mumps orchitis
  4. Hemochromatosis
  5. Injury to the testicles
  6. Cancer treatment

Causes of secondary hypogonadism:
A number of conditions can cause secondary hypogonadism, including:

  1. Kallmann syndrome
  2. Pituitary disorders
  3. Inflammatory disease
  4. HIV/AIDS
  5. Medications
  6. Obesity
  7. 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.

Treatment:
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:

  1. Injection
  2. Patch
  3. Gel
  4. Lozenge
  5. Injections of a gonadotropin releasing hormone may trigger puberty or increase your sperm production.

Patients can also improve testosterone levels with lifestyle changes, including:

  1. Losing weight
  2. Exercising
  3. Managing stress
  4. Getting adequate sleep
  5. Avoiding alcohol
  6. Giving up smoking.

In adult males, hypogonadism may alter certain masculine physical characteristics and impair normal reproductive function. If you wish to discuss about any specific problem, you can consult a Sexologist.

6290 people found this helpful

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.

MBBS
Sexologist, Jaipur
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 pe...
No medicine required at all. During bath pull back your penis skin and wash with bathing soap and water.
1 person found this helpful
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Symptoms and Causes of Amenorrhea

MBBS
Sexologist, Jaipur
Symptoms and Causes of Amenorrhea

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:

  1. 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.
  2. 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:

  1. Pregnancy (the most common cause)
  2. Breast feeding
  3. Menopause, the normal age-related end of menstruation
  4. Emotional or physical stress
  5. Rapid weight loss
  6. Frequent strenuous exercise
  7. Hormonal birth control methods, including birth control pills, the patch and long acting progesterone.
  8. Polycystic ovary syndrome, a condition is associated with a tendency to be overweight, excessive body and facial hair and hormonal irregularities.
  9. Premature ovarian failure (menopause before age 40)
  10. Hysterectomy (surgical removal of the uterus)
  11. Abnormal production of certain hormones, such as testosterone, thyroid and cortisone.
  12. Tumors of the pituitary gland
  13. Chemotherapy

Symptoms of Amenorrhea:
Hormone imbalances may cause amenorrhea together with:

  1. Excess body and facial hair
  2. Acne
  3. Lowering of the voice
  4. Altered sex drive
  5. Breast milk secretions
  6. Weight gain

In order to diagnose your condition your doctor will ask you about:

  1. The date of your last menstrual period
  2. Whether you are sexually active
  3. Your birth control methods
  4. Your pregnancy history
  5. Your eating habits
  6. Rapid weight changes
  7. Obesity or extreme underweight
  8. Your typical monthly menstrual patterns
  9. 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) 
  10. The amount of stress in your life and how you deal with it
  11. 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. If you wish to discuss about any specific problem, you can consult a sexologist.

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Diagnosis and Treatment for Dyspareunia

MBBS
Sexologist, Jaipur
Diagnosis and Treatment for Dyspareunia

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:

  1. Vaginal dryness
  2. Atrophic vaginitis, a common condition causing thinning of the vaginal lining in postmenopausal women
  3. Side effects of drugs such as antihistamines and tamoxifen (Nolvadex and other brands)
  4. An allergic reaction to clothing, spermicides or douches
  5. Endometriosis, an often painful condition in which tissue from the uterine lining migrates and grows abnormally inside the pelvis
  6. Inflammation of the area surrounding the vaginal opening, called vulvar vestibulitis
  7. Skin diseases, such as lichen planus and lichen sclerosus, affecting the vaginal area
  8. Urinary tract infections, vaginal yeast infections, or sexually transmitted diseases
  9. 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.

Diagnosis:
Your health practitioner will check for the following things

  1. If there was ever a time you had painless intercourse or if you have always had dyspareunia
  2. If you have enough natural lubrication and if your symptoms improve when you use commercially available lubricants
  3. About your sexual history (to help assess your risk for sexually transmitted infections)
  4. If you have ever been sexually abused or had a traumatic injury involving your genitals.

Treatment:

  1. Lubrication with an over-the-counter lubricant such as K-Y jelly.
  2. Antifungal medication(if you have any kind of fungal infection)
  3. Sitz baths for removing the inflammation
  4. For skin diseases affecting the vaginal area, lichen sclerosus and lichen planus often improve with steroid creams.
  5. Therapies include topical estrogen cream, low-dose pain medications, and physical therapy with biofeedback to lower the muscle tension in the pelvic floor
  6. 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. If you wish to discuss about any specific problem, you can consult a sexologist.

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A Perfect Sex Life: What Can Go Wrong ?

MBBS
Sexologist, Jaipur
A Perfect Sex Life: What Can Go Wrong ?

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. 

  1. 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.
  2. Body Image Issues: Not liking what you see in the mirror can make the thought of being naked in front of someone else unpleasant.
  3. 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.
  4. Relationship Conflicts: Conflict with one's partner over everyday issues, from money concerns to childbearing, can reduce feelings of desire.
  5. 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).
  6. 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.

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How to Have Better Sex With Diabetes?

MBBS
Sexologist, Jaipur
How to Have Better Sex With Diabetes?

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: 

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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.
  7. 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.
  8. 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.
  9. 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.
  10. 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. If you wish to discuss about any specific problem, you can consult a Sexologist.

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Types, Causes and Symptoms of Female Hypogonadism

MBBS
Sexologist, Jaipur
Types, Causes and Symptoms of Female Hypogonadism

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:

  1. Autoimmune disorders, such as Addison's disease and hypoparathyroidism
  2. Genetic disorders, such as Turner syndrome and Klinefelter syndrome
  3. Severe infections
  4. Liver and kidney diseases
  5. Hemochromatosis, which happens when your body absorbs too much iron
  6. Radiation exposure
  7. Surgery of your sex organs

Causes of Central or Secondary Hypogonadism include:

  1. Genetic disorders, such as Kallmann syndrome (abnormal hypothalamic development)
  2. Infections, including HIV and AIDS
  3. Pituitary disorders
  4. Inflammatory diseases including sarcoidosis, tuberculosis, and histiocytosis
  5. Obesity
  6. Rapid weight loss
  7. Nutritional deficiencies
  8. Use of steroids or opiates (especially long-term usage)
  9. Brain surgery
  10. Radiation exposure
  11. Injury to your pituitary gland or hypothalamus
  12. A tumor in or near your pituitary gland

Symptoms that May Affect Females Include:

  1. Lack of menstruation
  2. Slow or absent breast growth
  3. Hot flashes
  4. Loss of body hair
  5. Low or absent sex drive
  6. 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.

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Causes and Symptoms of Paraphilia

MBBS
Sexologist, Jaipur
Causes and Symptoms of Paraphilia

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:

  1. Brain injury
  2. Schizophrenia
  3. Biological factors
  4. Hormones
  5. 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:

  1. Pain
  2. Humiliating another person
  3. 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.

  1. Pharmacological interventions consist of antiandrogens.Cyproterone and medroxyprogesterone acetates are the two antiandrogens more commonly used.
  2. Psychotropic drugs may be effective solely in men with a definite obsessive-compulsive disorder component.
  3. Group therapy helps in breaking through the denial so commonly found in people.
  4. 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.

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Treatments Available for Anorgasmia

MBBS
Sexologist, Jaipur
Treatments Available for Anorgasmia

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:

  1. 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
  2. Complications of surgery in the pelvic area
  3. Gynecologic operations, difficult childbirth and prosthetic procedures
  4. Diseases, such as multiple sclerosis, spinal cord injuries and diabetes mellitus
  5. Psychological conditions such as anxiety, depression or alcoholism
  6. Certain kinds of drugs such as antidepressant medications
  7. 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:

  1. Changes in lifestyle and sexual practices
  2. Minimizing stress and anxiety
  3. Trying different techniques of sexual stimulation
  4. Kegel exercises
  5. Use of several devices, such as vacuum pumps and vibrators
  6. Cognitive therapy, a form of behavioral therapy that promotes changes in a person's ideas and attitude towards sexual activity)
  7. Counseling for couples (to allow them to address any issues in the relationship, at home and in the bedroom)
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