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Priapism is a condition of the penis where the erection persists long after the sexual stimulation. It is a painful condition and is extremely common among patients suffering from sickle cell anaemia. Medical treatment is necessary at the earliest in order to prevent any damage to the tissue. This condition is mostly observed in people in the age segment of 30-40.

Symptoms of priapism:
The symptoms of priapism vary according to the type of priapism a person is affected with. Two of the most common types of priapism are non-ischemic and ischemic priapism. While the latter is more common to those with a family history of the same disease, the former can occur to any person. Some of the common symptoms of both the condition include the following:

1. An erection that lasts for more than an hour or more
2. Pain in the penis during erection
3. Rigid shaft of the penile with a soft tip

What are the causes of priapism?

1. Blood-related disorders such as leukaemia, thalassemia, and sickle cell anaemia
2. It can also arise from side effects of other medications such as fluoxetine, sertraline, papaverine, warfarin, atomoxetine, chlorpromazine, phentolamine etc
3. Abuse of alcohol, marijuana, drugs etc.
4. An injury or trauma to the penis, perineum and pelvis restricting the blood flow.
5. Penis cancer
6. Metabolic disorders such as amyloidosis and gout
7. Neurological disorders such as syphilis or an injury to the spinal cord
8. A toxic infection or a bite from a spider

What are the possible complications?
Priapism can lead to serious consequences, especially the ischemic type. The trapped blood inside the penis that is devoid of oxygen can start damaging the tissue of the penis. If this disease is not treated on time, it can lead to erectile dysfunction.

How is priapism diagnosed?
A doctor starts from a physical exam and goes through medical history in order to get first-hand knowledge of the condition. This is followed by the prescription of tests such as blood gas measurement, ultrasound, count of red blood cells and platelets and other toxicology tests.

What are the treatment options?
There could be various approaches that are taken by a doctor. Excess blood can be drained out with the help of a syringe and the penis can be flushed with saline in order to get rid of the oxygen-devoid blood out of the penis. Certain medications can be injected into the pen that helps the blood to flow normally without accumulating inside the penis. If all else fails, a surgeon can perform a procedure in order to drain the blood from a different route.

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).

In case you have a concern or query you can always consult an expert & get answers to your questions!

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).

In case you have a concern or query you can always consult an expert & get answers to your questions!

Priapism is a condition of the penis where the erection persists long after the sexual stimulation. It is a painful condition and is extremely common among patients suffering from sickle cell anaemia. Medical treatment is necessary at the earliest in order to prevent any damage to the tissue. This condition is mostly observed in people in the age segment of 30-40.

Symptoms of priapism:
The symptoms of priapism vary according to the type of priapism a person is affected with. Two of the most common types of priapism are non-ischemic and ischemic priapism. While the latter is more common to those with a family history of the same disease, the former can occur to any person. Some of the common symptoms of both the condition include the following:

1. An erection that lasts for more than an hour or more
2. Pain in the penis during erection
3. Rigid shaft of the penile with a soft tip

What are the causes of priapism?

1. Blood-related disorders such as leukaemia, thalassemia, and sickle cell anaemia
2. It can also arise from side effects of other medications such as fluoxetine, sertraline, papaverine, warfarin, atomoxetine, chlorpromazine, phentolamine etc
3. Abuse of alcohol, marijuana, drugs etc.
4. An injury or trauma to the penis, perineum and pelvis restricting the blood flow.
5. Penis cancer
6. Metabolic disorders such as amyloidosis and gout
7. Neurological disorders such as syphilis or an injury to the spinal cord
8. A toxic infection or a bite from a spider

What are the possible complications?
Priapism can lead to serious consequences, especially the ischemic type. The trapped blood inside the penis that is devoid of oxygen can start damaging the tissue of the penis. If this disease is not treated on time, it can lead to erectile dysfunction.

How is priapism diagnosed?
A doctor starts from a physical exam and goes through the medical history in order to get first-hand knowledge of the condition. This is followed by the prescription of tests such as blood gas measurement, ultrasound, count of red blood cells and platelets and other toxicology tests.

What are the treatment options?
There could be various approaches that are taken by a doctor. Excess blood can be drained out with the help of a syringe and the penis can be flushed with saline in order to get rid of the oxygen-devoid blood out of the penis. Certain medications can be injected into the pen that helps the blood to flow normally without accumulating inside the penis. If all else fails, a surgeon can perform a procedure in order to drain the blood from a different route. In case you have a concern or query you can always consult an expert & get answers to your questions!

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.

Trichotillomania is a condition that urges a person to pull out hair from eyebrow, scalp and other parts of the body. This can lead to bald spots and several other complications in the body. Compulsive hair-pulling often starts in the teenage years.

Trichotillomania coupled with depression can lead to social and work-related impairment in a person. Hair-pulling, therefore, is a serious condition that a person should get rid of. Here is a list of 10 ways to manage trichotillomania effectively:

1. A plan to stop trichotillomania: It is important to notice when the urge of pulling the hair starts. Once this is being identified, it is time to interrupt the chain of feelings and listen to positive reminders in the head. Keeping a journal to note down the timings of hair-pull can help to identify a pattern. The time chart can then be used to keep one engaged.
2. Eliminate stress: It has been found that stress plays a pivotal role in hair-pull. It is, therefore, wise to prepare a list of activities that can cause stress. Once the list is prepared, each activity can then be analyzed individually and tackle accordingly. Thus, hair-pulling can be avoided.
3. Muscle relaxation: This is another method to release stress and refrain from trichotillomania. All it requires is to tighten the muscle for 5 seconds and then make the muscles loose. It reduces muscle tension and relaxes the body.
4. Think positive: Negative thinking is certainly one reason for hair-pull. Refraining from the fear of failure, negative thinking, too much critical thinking etc. can help a person stay away from tension and eschew the habit of hair-pull every now and then.
5. Try Exercise: Various studies have shown that a regular exercise regimen can go a long way in cutting down the tendency to pull hair. With exercise, the body produces an increased number of endorphins. The latter is believed to be the hormone that results in positive thinking.
6. Get sleep: Getting enough sleep is another crucial step towards eliminating Trichotillomania. Eight hours of sleep is crucial for the body to function properly. It fuels the body with enough energy and positive thought to sail through the day without having the urge to pull hair.
7. Talk it out: It has been found that talking it out can help a great deal to reduce the tendency of hair-pull. It makes sense to talk to close friends, family, and relatives about the apprehension and other negative news that may be bothering an individual.
8. Consult a health professional: A doctor is the best bet when the disorder has been persistent for a long time. He can give sound counsel on the ways to cope up with the disorder and chart out a plan to get permanent relief from the condition.
9. Medication: If a doctor feels that the condition has surpassed the state of habits and lifestyle changes, he might prescribe drugs to reduce the symptoms and get relief from depression, anxiety, fluctuating emotions resulting in less pulling of hair. Some of the common medicines that are prescribed by medical professionals include Olanzapine, Fluoxetine, and Aripiprazole.
10. Find a support group: For those who are not willing to take a bet on doctors and medications, one best way to eliminate this condition is to join a self-help group. They act as a learning center and can greatly help to cut down the habit of hair-pulling.

Feeling tired all the time? Do you feel that you can’t focus on things anymore? Have you lost interest in things and people you once loved spending time with? Does your temper fly off the hook at the drop of a hat? If it is a ‘yes’ to the questions above, then you might be slowly but steadily succumbing to depression. Depression is a psychological disorder that is characterized by symptoms of extreme sadness, worthlessness and hopelessness over a prolonged period of time.

Symptoms

1. Lack of interest: This is probably the starkest of all the symptoms. Hobbies or activities that you used to enjoy once no longer catch your fancy. You find little or no pleasure in social activities or any other hobby of yours anymore.
2. A constant feeling of hopelessness: You tend to develop a negative outlook towards life in general, as you feel that the current situation will never get better and will only worsen.
3. Loss of appetite: Loss of appetite is a common feature of depression; it can also lead to rapid weight loss. If engulfed by depression, one generally tends to ignore food completely, remain hungry, both of which contribute to the vicious cycle that depression is.
4. Changes in sleep patterns: Insomnia is a condition that is marked by a sheer inability to sleep, no matter how physically exhausted one is. Depression tends to exhibit this particular symptom in maximum cases. However, oversleeping is also common.
5. Reckless behavior: Depression makes one more prone to reckless behavior; one generally develops an angry and irritated persona; this, in turn, may make one exhibit reckless and rash behavior.
6. Lack of energy and focus: Depression causes one to feel fatigued and sluggish the entire day. Factors such as a total loss of appetite contribute to this particular symptom. Stemming from these symptoms are two other major occurrences; an inability to focus on anything and an inability to decide on anything.

Self-help, Coping tips and Treatment-

1. Connect with different people: Being isolated from the rest can and usually aggravates symptoms of depression. So, reach out to other people and your loved ones; talk to your loved ones and try to empty your mind when you are having a one-to-one with them. Interacting and talking to others will make you feel better and should go a long way in taking that huge rock off your chest.
2. Try to ditch that sedentary lifestyle; go out in the open: An early morning jog can feel daunting at first but the benefits are immense. Exercising regularly has been proven to be as effective as anti-depressants in combatting depression. Even a 20 minutes jog early in the morning releases ‘endorphins’ in the body, also known as the ‘feel good hormones’. These hormones induce a feeling of happiness and relaxation, thus taking your mind off any particular event or circumstance that has been ruining your sanctity of late.
3. Avoid Alcohol and Drugs: Avoid alcohol and drugs to come out of your sadness; they have never helped and will never help. Taking these substances provides a temporary solution to depression, as it will again show up once the effects of the intoxicants wear off. It will also interfere with other medications that you may be taking to combat depression, thus reducing their potency.
4. It's high time you bought the meditating mat: Sleep has a beneficial effect on your mental health as it has been proven to improve memory and other cognitive and brain functions. Another way to improve brain function and be more relaxed is to meditate regularly. Meditation induces a state of relaxation, and if done on a regular basis, can be an effective treatment for depression. Meditation also helps with an improved focus and reduced anxiety.
5. Medications can always help: Medications such as anti-depressants are administered to treat depression. Selective Serotonin Reuptake Inhibitors (SSRIs), including citalopram, fluoxetine and sertraline are the most commonly administered medications to cure this condition. However, it is advised to try the abovementioned methods first so that you do not have to depend on medications alone; the reason being that these medications do have their fair share of side effects.

Headaches arise due to various reasons. Stress, tension, migraine, overwork and several medical conditions may cause headaches of different types. Such headaches are also called chronic headaches, and many cases of headaches are recurrent in nature. This indicates that the headaches might reappear or reoccur.

Headaches are quite frustrating and affect your entire health and performance. Recurrent headaches are even more troublesome as they strike back when you almost thought they were gone. There are several ways to deal with or control recurrent headaches. They include the following:

A. Medical treatment: Medicines can be used to treat the underlying cause of a headache and if these fail, medicines to cure the headache are used.

The different preventive medicines for recurrent headaches are:

1. Antidepressants: Tricyclic antidepressants by the likes of nortriptyline can be prescribed for treating recurrent headaches. These medications help in curing any kind of depression, anxiety and disturbances in sleep, which usually lead to recurrent headaches. Antidepressants like the selective serotonin reuptake inhibitor or SSRI and fluoxetine are also used.
2. Beta blockers: Beta blockers, commonly used to treat hypertension, also prevent migraine-related headaches. They include atenolol, metoprolol and propranolol.
3. Anti-seizure medicines: Several anti-seizure medicines help in the prevention of migraine and also cure daily recurrent headaches. They include topiramate, divalproex sodium and gabapentin.
4. NSAIDs: Prescribed nonsteroidal anti-inflammatory drugs like naproxen sodium also help in reducing headaches, which appear daily. NSAIDs are used in cases of a severe headache.
5. Botulinum toxin: Onabotulinum toxin A or Botox injections can be used to get relief from recurrent headaches and are ideal for people whose daily medications are not effective enough.

B. Alternative medicine procedures
Other than medications, alternative therapies to get relief from concurrent headaches can be utilized. They include:

1. Acupuncture: This ancient procedure involves the use of thin needles, which are inserted into certain areas of the skin at defined points. Acupuncture reduces the frequency and intensity of headaches.
2. Massage therapy: Massage therapy reduces stress, gives relief to pain and provides relaxation. Massaging of the tight muscles at the back of the head provides relief.
3. Herbs and nutrients: Several organic herbs help in preventing migraine headaches and reduce the intensity of headaches. They include butterbur and feverfew. Vitamin and mineral supplements can be taken to reduce headaches and prevent them from reoccurring. Coenzyme Q10 supplements, magnesium sulfate supplements can reduce the frequency of several headaches as well.
4. Investigational approach: A surgical implant, which is a battery operated electrode, can be placed around the occipital nerve. The electrode implant sends energy pulses to the nerve, and headache is eased.

Recurrent headaches can be controlled in various ways, which include medicines and several alternative procedures. You should consult a doctor before you start using some method.

One of the rare sexual problems to affect men is a condition termed as Priapism. As known to many, a normal flow of blood plays a pivotal role in ensuring a healthy and proper erection of the penis. During an erection, the tissues of the penis (soft and spongy tissues) receive an increased flow of blood (triggered by the relaxation and expansion of the arteries of the pelvis and the penis). However, any abnormality in the flow of blood can affect this erection giving rise to priapism.

Priapism is a sexual disorder characterized by an erection that lasts for an abnormally long time period (at times for close to 4 hours). With such an extended and prolonged erection, priapism results in immense pain and discomfort. The condition can affect all males, irrespective of their age (from newborns to aged people). However, men in their 30's are more susceptible to priapism. The trigger for priapism is not always sexual arousal. A person can also suffer from this condition instantaneously without any sexual excitement.

Ischemic and Non-Ischemic Priapism
Depending on the flow of blood to the penis, priapism can be either

1. Ischemic Priapism: Here, the blood that flows to the penis and the erection chambers gets trapped there, failing to move out. Also known as Low-Flow Priapism, this painful condition results in prolonged erection (often more than four hours) without being sexually aroused. In Ischemic Priapism, the penile shaft appears stiff and rigid as compared to the penile glans which appear soft and tender.
2. Non-Ischemic Priapism: This type of priapism arises from the improper regulation of the flow of penile blood. Also known as High-Flow Priapism, the condition is quite rare and can be triggered by an injury to the perineum or the penis that may rupture or damage an artery.

What triggers priapism in males?
As already stated, one of the prime factors responsible for Priapism is the improper flow or regulation of penile blood. There are many factors and medical conditions that can act as a potential trigger affecting the normal flow of blood.

1. Sickle-cell anemia: Sickle cell anemia is an inherited genetic disorder whereby the red blood cells appear sickle-shaped instead of being round shaped. Sickle-cell anemia can go a long way to trigger priapism, especially ischemic priapism (the sickle-shaped RBCs can be instrumental in blocking the penile blood vessels) in males. Ischemic Priapism can also be an outcome of Leukemia or even Malaria.
2. Multiple Myelomas, as well as Thalassemia, can also act as contributing factors resulting in Priapism.
3. Certain medications can also wreak havoc triggering priapism. Some of these medications include:
   • Antidepressants (bupropion, fluoxetine).
   • Blood thinners (such as heparin).
   • Alpha-blockers (tamsulosin, prazosin).
   • Atomoxetine and related medicines (used in the treatment of ADHD).
   • Clozapine and other related drugs used to deal with anxiety.
   • Phentolamine, and related medications used in the treatment of erectile dysfunction.
4. Priapism can also be triggered by medical conditions such as penile cancer, gout, syphilis, injury to the spinal cord or the penis, alcohol abuse.

Ayurvedic treatment helps to work on its sysmptoms, prevention and treatment of later complications, correcting imbalance, adjusting the immune system and most importantly helps in boosting energy and strong body for better health and quality of life. The purpose of this treatment is not to replace necessary orthodox medical treatment. A combination of both is recommended.