Patient Review Highlights
I found the answers provided by the Dr. Shamik Das to be very helpful. thanks sir
The incidence of premature ejaculation (PE) in men is reported to be 30% and is on the rise. It is the release or ejaculation of semen sooner than he would like during a sexual encounter with his partner. It is one of the most common male sexual problems.
It is considered that a man who can't 'last' for longer than five minutes would typically fit the definition of one suffering from 'premature ejaculation'.
Premature ejaculation can be a cause of embarrassment and can lead to frustration as sex may not lead to a pleasurable experience. Even partners of men who suffer from pe can be left feeling extremely dissatisfied. This can adversely affect relationships and have impacts on the affected person's self-esteem.
What causes premature ejaculation?
Ejaculation is controlled by the central nervous system. When a man is sexually aroused or stimulated, signals are carried from the spinal cord to the brain and from there sent to the reproductive organs to enable the release of semen through the penis. The exact cause of PE is still unknown. Many causes may attribute to PE from biological (low serotonin levels) to psychological factors and other related issues.
These are discussed further:
1. Biological causes: Serotonin is a natural substance made by the nerves. An increase in serotonin levels in the brain help men prolong the time taken to ejaculate and low levels of this substance can lead to PE.
2. Psychological factors: It is believed that following psychological factors can increase PE:
- Performance anxiety and unrealistic expectations
- Low self-esteem
- Relationship issues
It comes as a relief that PE need not be life-long and with some help it can be treated:
How is PE treated?
Quite often PE occurs with new partners and may decrease on its own over a period of time with absolutely no treatment. A urologist or sexologist may advice on certain techniques that you and your partner could try out to delay orgasm. A doctor may suggest use of numbing creams or gels if the skin of the penis is excessively sensitive. If the issue is a psychological one, therapy or counselling is advised which if followed can effectively reduce PE and help achieve a more satisfying sexual experience and subsequently improve relationships.
How to make a girl more romantic in private places such as theaters etc? Where all to touch that she could be comfortable?
I've many a times tried having intercourse during sex but due to some or the other reason my foreskin wasn't sliding much down, it just goes only a bit down and due to which I had to stop it right then. And now I feel very much shy to even go upto this level with any girl. Is there any solution to this. Will my penis skin anytime in future become proper to slide or is this a lifetime problem. Kindly reply me soon as this problem according to me is quite serious, because none of my friends are facing such a problem.
There is a general misconception about impotence and erectile dysfunction being two separate conditions. In fact, impotence is just another term for erectile dysfunction. If you have a problem in achieving an erection more than 70% of the times when you want to have sex, you are suffering from erectile dysfunction.
Impotence is the same thing, but it also encompasses other concerns related to sexual health such as low libido and issues with ejaculation.
Causes of erectile dysfunction
Disruption of blood flow in the body or disruption in hormonal secretion and nerve supply to the body
Vascular and neurological causes
Occurrence of a disease known as atherosclerosis, which is caused due to smoking and diabetes. In this case, the arteries in the penis get narrowed and clogged.
Neuropathy, which occurs because of diabetes or diabetic neuropathy
Nerve damage because of a previous surgery around the pelvis area
High blood pressure or hypertension also result in damaged arteries throughout the vascular system. Blood flow gets impaired and proper erection is hampered.
Physical causes such as high cholesterol and obesity, Parkinson’s disease and multiple cases of sclerosis
Smoking, excessive drinking and substance abuse
The reactions and side effects of certain medicines
Several psychological factors such as depression, excessive stress, tension, and performance anxiety, which reduce libido
Poor communication with the sexual partner
Intake of several medicines such as alpha adrenergic blockers, beta blockers, chemotherapy medications and central nervous system depressants
Treatment for erectile dysfunction
Different treatments may be used to treat erectile dysfunction. These include the following:
Medication: A group of drugs known as PDE-5 or phosphodiesterase type 5 inhibitors are used for the treatment of erectile dysfunction.
Vacuum devices: Vacuum erection devices help in providing an erection in men. A mechanical procedure is involved where the penis is made rigid using a vacuum pump sealed around it. This device draws blood and an erection becomes possible.
Surgical treatment: Penile implants can be used to treat erectile dysfunction. Mechanical implants are used, which help to keep the penis hard. A vascular surgery is another option, which incorporates the correction of blood vessels responsible for erectile dysfunction.
Natural treatment: There are a number of lifestyle changes that help a man naturally treat erectile dysfunction. Regular exercising, especially weight-bearing ones, not only aids in increasing blood flow, but also improves production of testosterone. Following a balanced diet with more intake of fruits and vegetables, limiting alcohol and avoiding smoking also generate positive results.
The term impotence and erectile dysfunction are quite related as they indicate the same conditions. However, today the term erectile dysfunction is more popular over the term impotence. In case you experience any of the symptoms of this condition, you should consult a doctor immediately.
It is common for women to experience genital irritation and itching. At some point of time, every woman is likely to experience some form of vaginal irritation. It is a condition which often causes great distress and embarrassment. Vaginal irritation is commonly caused by a yeast infection. Irritation may also occur due to certain chemicals and sanitary pads, which are used during menstruation. Persistence of such irritation and itching may cause vaginal pain.
Vaginal irritation can be managed in several ways. Here are some tips on how to manage and control vaginal irritation using simple remedies:
Use apple cider vinegar: Apple cider vinegar contains antibacterial and antifungal properties. It helps in removal of irritation completely when caused by a bacterial or fungal infection. Take two spoonful of apple cider vinegar, add hot water to it and wash your vagina using this water. The vagina is made acidic due to which the bacteria does not last long.
Apply cold compress: Vaginal irritation during the night can be quite troublesome and is likely to hamper your sleep, leaving you fatigued. Apply a cold compress or ice cubes directly to the vagina. This will provide substantial relief to the irritation.
Take a salt bath: Salt is effective in eliminating bacteria and itching. In case you suffer from itching, wash your vagina using concentrated salt water. This will provide instant relief from the irritation and the risk of further bacterial growth gets reduced.
Use garlic paste: Garlic contains antibacterial properties, which are quite effective in providing relief from irritation and itching symptoms in the vagina. The smell of garlic is also considered effective. Make a garlic paste and apply it inside your vagina.
Use yogurt: Yogurt contains active cultures, which remove bad bacteria by the addition of abundant good bacteria. Have a cup of pure yogurt without sugar regularly. Yogurt takes care of yeast infections quite fast. You may also apply it on the vagina, especially in the area prone to irritation.
Use basil leaves: Basil leaves contain antifungal, antimicrobial and antibacterial properties. Boil basil leaves in water and drink the water. This method eliminates bacteria, which causes vaginal irritation.
Antibacterial talc: You can use any antibacterial talc of either medical or herbal variety. A herbal, homeopathic talc is mild on the body, but takes some time to heal the infection. Medicated talcs provide faster healing. The talc destroys bacterial and fungal infections, which may occur because of the moist surroundings.
Keep it dry: Keep your vagina dry as bacterial and fungal infections commonly affect wet areas, which result in irritation. For prevention of vaginal irritation, always wear loose clothes. If the irritation gets out of control, you must consult a doctor.
Sir I want to know if at this age a penile length of 13 cms is normal or not. Also at times I have painful sensations in my scrotum balls. What might be the cause of this? Is this something to worry about?
What is this creamy white and light brown thing inside of Penis top skin. How these are forming irregularly. How to stop this.
My complain started with sanitary pad infection. When I switched to whisper from stayfree. At that time I took medicine lynx 500 for 2-3 days and steroid mixed creams. Then.i stopped but I was not relieved completely .then suddenly one day I noticed rashes in my inner thighs. That was kind of ringworm infection. I again applied steroids. That got healed in 2-3 days. But since then I am having severe itching in inner thighs. Which is slowly slowly spreading downwards and also towards vagina. Only itching. Its almost 3 months I am suffering from all this. I am shy to show it to some doctor. I am married. My husband is also having same symptoms since last one month.
When I participated with my partner in sex after releasing my sperm my penis is soring for few minutes why.
I am 28 years old. Sometime I feel pain in my balls. Last time it really hurt. After that incident, I felt like my left ball has been disconnected to my penis vein. What should I do? It feel weird to see my penis lean to the right side rather than straight.
I have had sex many times with my partner. Earlier I used to feel a sensation of few seconds during oral sex bht nowadays I am not able to feel that sensation of few seconds even though he tries a lot. Moreover in our sex life, I have never reached my end point. What should I do in order to reach my end point nd keep enjoying my sex life?
What are the limits to have sex partner and also for HIV. By how many sex partner we can get HIV 2or 3 without using protection.
Hi I am rajesh, 26 years old (unmarried). I don't have any habit of drinking, smoking and watching of porn movies. Past 8 months my penis became loose/weak. I am not getting mood even when I touch a girl or they touch me. I don't get a thought of masturbation. Morning erections are not happening. I did masturbation 5 months ago. I don't have Diabetes, BP, and Heart problems. I am thinking about the problem. Please let me know that what exactly happened to me. Is any problem I am facing, is any tests required for this problem. I am worried about my sexual life.
Impotence is embarrassing for a man. It not only affects his self-confidence, but also the relationship with his partner. It is a condition in which a man cannot achieve an erection for having sex. If you are experiencing symptoms of impotence, they are most likely due to physical issues. However, sometimes psychological issues can also be responsible for impotence.
Here are 5 psychological factors, which may be associated with the inability to achieve an erection indicating impotence:
Stress: To a great extent, stress affects a person’s performance in bed. Due to excessive stress and pressure arising from different responsibilities and commitments, he might not be able to focus on sex. Extreme stress due to fear may leave him uneasy, thereby making it difficult for him to have an erection.
Anxiety: After experiencing symptoms of impotency, it is likely that a man may get extremely anxious about the fact that he will not be able to perform well in bed again. This anxiety may also arise from relationship problems, sexual abuse in the past or when a person is in a new relationship. As such, during sex, anxiety may make a man self-conscious, which makes it quite difficult for him to have an erection.
Depression: Feeling depressed or extremely sad because of any kind of issue such as a failed relationship, a poor career or recalling some past trauma may cause erectile dysfunction. Depression makes a person tired , thereby lowering his sex drive. The medicines used for treating depression may also lower libido,as a result of which a man may fail to get an erection.
Low Self-esteem: Having a low or a negative self-esteem may cause performance anxiety. A person is likely to be worried about how he will perform in bed. Low self-esteem may arise from factors related to body image, past experiences and from an underlying feeling of guilt.
Lack of Interest: Many conditions may divert a man’s interest from having sex. The lowering of libido will make it difficult for a man to get an erection and may lead to impotence. Such lack of interest may be on account of relationship issues, certain medications or because of ageing. Anger may also make a person lose interest in having sex.
If your sex life is getting hampered because of any such psychological factors, you must visit a doctor for seeking advice, suggestions and treatment. This will allow you to uncover and resolve the impotence-related problems, thereby letting you enjoy a healthy relationship with your partner in bed.