Lybrate.com has a nexus of the most experienced Homeopaths in India. You will find Homeopaths with more than 37 years of experience on Lybrate.com. Find the best Homeopaths online in Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Yogesh D Javle
Treatment Of Erectile Dysfunction
Skin Care Treatment
Treatment of Migraine Treatment
Treatment of Neurological Problems
Weight Management Treatment
Piles Treatment (Non Surgical)
Sexually Transmitted Disease (Std) Treatment
Cysts Removal Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Thyroid Problems Treatment
Submit a review for Dr. Yogesh D JavleYour feedback matters!
Hai doctor. My name is swalih.In some days I have heart pain. What is the reason for this heart pain.
I have black spots as well as pimples on my back. I use a scar removal cream for 4 months but it does not work. What should I do.
In assessing a lump or nodule in your neck, one of your doctor's main goals is to rule out the possibility of cancer. But your doctor will also want to know if your thyroid is functioning properly. Tests include:
• Physical exam. You'll likely be asked to swallow while your doctor examines your thyroid because a nodule in the thyroid gland will usually move up and down during swallowing, whereas a nodule that forms in other parts of your neck won't.
• Thyroid function tests. Tests that measure blood levels of thyroxine and triiodothyronine, hormones produced by your thyroid gland, and thyroid-stimulating hormone (tsh), which is released by your pituitary gland, can indicate whether your thyroid is producing too much thyroxine (hyperthyroidism) or too little (hypothyroidism).
• Ultrasonography. This imaging technique uses high-frequency sound waves rather than radiation to produce images. It provides the best information about the shape and structure of nodules and may be used to distinguish cysts from solid nodules, to determine if multiple nodules are present and as a guide in performing a fine-needle aspiration biopsy.
• Fine-needle aspiration (fna) biopsy. Nodules are often biopsied to make sure no cancer is present. Fna biopsy helps to distinguish between benign and malignant thyroid nodules. During the procedure, your doctor inserts a very thin needle in the nodule and removes a sample of cells. The procedure, which is carried out in your doctor's office, takes about 20 minutes and has few risks. Your doctor is likely to take several samples from a single nodule. If you have more than one nodule, your doctor will usually take samples from these as well. Often, your doctor will use ultrasound to help guide the placement of the needle. The samples are then sent to a laboratory and analyzed under a microscope.
Thyroid scan: In some cases, your doctor may recommend a thyroid scan to help evaluate thyroid nodules. During this test, an isotope of radioactive iodine is injected into a vein in your arm. You then lie on a table while a special camera produces an image of your thyroid on a computer screen.
Nodules that produce excess thyroid hormone — called hot nodules — show up on the scan because they take up more of the isotope than normal thyroid tissue does. Cold nodules are nonfunctioning and appear as defects or holes in the scan. Hot nodules are almost always noncancerous, but a few cold nodules are cancerous. The disadvantage of a thyroid scan is that it can't distinguish between benign and malignant cold nodules.
The length of a thyroid scan varies, depending on how long it takes the isotope to reach your thyroid gland. You may have some neck discomfort because your neck is stretched back during the scan, and you'll be exposed to a small amount of radiation.
As many as 30-40 % men across the world including India experience problem of PE at some time of life. In Part 1, we learnt about the condition called Premature Ejaculation (PE). In this 2nd part, let’s understand about it’s diagnosis & types of PE - why and how it happens.
How to Diagnose PE:
The specific criteria for premature (early) ejaculation are as follows:
- In almost 75-100% sexual activity, the experience of ejaculation occurring during sexual intercourse within 1 minute after vaginal penetration and before the individual wishes it.
- The problem has persisted for at least 6 months and is a cause of mental stress to the person.
- The dysfunction cannot be better explained by any other nonsexual mental disorder, any medical disease, the effects of a drug or medication, etc
Severity of PE:
The severity of premature (early) ejaculation is broadly defined as follows:
1. Mild (occurring within approximately 30 seconds to 1 minute of vaginal penetration)
2. Moderate (occurring within approximately 15-30 seconds of vaginal penetration)
3. Severe (occurring even before sexual activity, at the start of sexual activity, or within approximately 15 seconds of vaginal penetration). In such cases conception will not be possible unless artificial insemination is used.
TYPES and Characteristics of P.E. :
Premature ejaculation can be Chronic (lifelong) or Acquired (recent).
With chronic (lifelong) premature ejaculation, the person has been experiencing premature ejaculation since he became sexually active (ie, post puberty).
Acquired (recent) premature ejaculation means that the condition began in an individual who previously experienced an acceptable level of ejaculatory control and only recently has developed PE.
What are the Causes?
The causes of PE can be divided into two broad sub-heads, which are psychological or biological cause:
1. Psychological Causes:
Premature ejaculation is believed to be a psychological problem and does not represent any known organic / physical disease involving the male reproductive organs or any known defect in the brain or nervous system. It is usually due to a pattern that is hard to change and is a result of your previous sexual experiences.
One of the most common reason is childhood habit of reaching climax/ ejaculation quickly because of fear of discovery when masturbating or during early sexual experiences with a female partner. This pattern of rapid attainment of sexual release is difficult to change in later stage of life (in marriage or long-term relationships).
Other reasons are situations in which one may have hurried climax/ ejaculation in order to hide any problem or feelings of guilt that make you rush through sexual encounters. Also, psychological causes include anxiety and relationship issues which can also result from deep anxiety about sex that relates to bad experiences encountered by the patient during development (eg: incest, sexual assault, conflict with parents, etc ).
2. Biological Causes
A number of researchers have found differences in nervous stimulations and hormonal differences in men who experience premature ejaculation compared with individuals who do not.
Some believe that some men have hyper-excitability or oversensitivity of their genitalia.
Abnormal functioning of the ejaculatory system can be attributed to:
- Thyroid problems; infection or inflammation of the urethra or prostate.
- Nerve damage occurring due to trauma or surgery (a very rare cause).
- Abnormal levels of hormones and/or neurotransmitters (chemicals present in the brain)
- Higher free and total testosterone levels or varied other biochemical markers
*The research however has been non-conclusive.
In Part 3 and 4, we will discuss the right approach and therapy for the men / couple suffering due to PE.