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Mann Clinic

Sexologist Clinic

Bhaganagari Society, 1st Floor, Tilak Road, Opp Maharastra Mandal, Sadashiv Peth. Pune
1 Doctor
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Mann Clinic Sexologist Clinic Bhaganagari Society, 1st Floor, Tilak Road, Opp Maharastra Mandal, Sadashiv Peth. Pune
1 Doctor
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About

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 place......more
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 Mann Clinic
Mann Clinic is known for housing experienced Sexologists. Dr. Poonam Patil, a well-reputed Sexologist, practices in Pune. Visit this medical health centre for Sexologists recommended by 83 patients.

Location

Bhaganagari Society, 1st Floor, Tilak Road, Opp Maharastra Mandal, Sadashiv Peth.
Tilak Road Pune, Maharashtra - 411030

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Please help me to avoid masturbation as effective a method. Im finding it difficult to leave that habit.

MBBS
General Physician, Bangalore
Please help me to avoid masturbation as effective a method. Im finding it difficult to leave that habit.
Divert your attention to the other things in life Get married soon" Vittudu thambi! Ithu venam thambi!
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What is the symptoms of aids? Aids can be treated or not? suggest perfect hospital to treat.

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
What is the symptoms of aids? Aids can be treated or not? suggest perfect hospital to treat.
Unexplained flu, cold fever, pain in the throat, muscular aches, weight loss, brittle nails are few Symptoms of hiv. There is no cure as of now there is only treatment to improve the quality of life and suppress the symptoms for a while.
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My penis size is not so long. It's about 4'4 inch and m not satisfied with it I want to increase its size. M 22 years old.

BHMS
Homeopath, Sindhudurg
My penis size is not so long. It's about 4'4 inch and m not satisfied with it I want to increase its size. M 22 years...
The average size of penis is 5.54 inches (14.07 cm) length and 3.11 inches (7.9 cm) girth are enough to perform a successful sexual intercourse. When the length of the erect penis is below 4.5 or 4 inches then we call it micro penis. Some reasons are responsible for this problem such hormone, masturbation habit from childhood, infection in the prostate gland etc are very common reasons. Homeopathic remedies are very helpful to increase the size or length of the penis and make it strong. You can consult me by clicking on consult option for homoeopathic treatment or you can buy package of penis enlargement offered by me which includes medicine and consultation..
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He always ask me do you masturbate? My answer is no. Because he do. He want to know side effects. Because he masturbates once in a week. He is ssc pass only.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
He always ask me do you masturbate? My answer is no. Because he do. He want to know side effects. Because he masturba...
Tell him: 'Masturbation is not really bad; it is the addiction to it that is bad. Not even the number of years is a problem but the frequency and compulsiveness to do it is to be considered for its ill-effects. At your age you may feel it difficult and it can become addictive if you have alone time, if you obsess about it, and if you are not into relationships. The problem with addiction to this is that you may go on to prefer masturbation to heterosexual contact, even when you are married. That obviously would be an insult to your wife and will lead to a lot of conflict. Heterosexual contact is very wholesome and the physiology is made exactly for penile and vaginal contact. You will instead enjoy a poor replica of this and not know or care for the difference. The second thing that can happen with addiction is that it will become compulsive and will have no boundaries or limits, since it can be done all by yourself, whenever, wherever, and however too. The big problem a lot of children get into is the guilt around this. A useful way to discharge the energy is to get into contact games, or exercises, or even hobbies to channelize it. Also you should not spend too much time alone, and you need to keep your mind occupied with other interesting things and a lot of socializing. Even if you are not interested in marriage, for whatever reasons, it will help you to get into a friendship with a girl and enjoy the relationship where there will be a lot of excitement when you fall in love. Right now your hormones may be very active and your physiological apparatus is primed and ready for sexual stimulation. But because of your age and even otherwise it is important to develop good control and not feed into your impulses. Keeping yourself occupied and living a healthy social life are the keys to manage your sexual drives.
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I am having a penis size of 13 cm and I really don't feel confident in front of my friends and girls. I don't talk much to girls and the reason is that I don't feel confident because of my penis size. Please let me know how I can grow my penis size effectively and harmlessly. Please be specific and provide me 100% harmless and guaranteed methods. But I would prefer ayurvedic medicines.

BHMS
Homeopath, Sindhudurg
I am having a penis size of 13 cm and I really don't feel confident in front of my friends and girls. I don't talk mu...
Hello In homoeopathy ,there are many fruitful remedies to keep penis long and strong. The average size of penis is 5.54 inches (14.07 cm) length and 3.11 inches (7.9 cm) girth are enough to perform a successful sexual intercourse. When the length of the erect penis is below 4.5 or 4 inches then we call it micro penis. Some reasons are responsible for this problem such hormone, masturbation habit from childhood, infection in the prostate gland etc are very common reasons. Homeopathic remedies are very helpful to increase the size or length of the penis and make it strong. You can consult me by clicking on consult option for homoeopathic treatment or you can buy package of penis enlargement offered by me which includes medicine and consultation..
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Hello Doctor I am in visakhapatnam in India Age: 33 I have a BILATERAL GRADE III VARICOCELE in my left and right testicle, I got married in since 4 and half years ago but not able to get my wife pregnant. My Latest semen test :7.8 millions My Testosterone and FSH was normal. Sir any possible cure varicocele how to increase my sperm count? Thanking you sir.

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Hello Doctor I am in visakhapatnam in India Age: 33
I have a BILATERAL GRADE III VARICOCELE in my left and right test...
You have to consult a good experienced urologist and go in for the varicocele surgery as that is causing your sperm count to be low. Min sperm count in a man should be 20 million to get a lady pregnant. In case of more doubts and clarification kindly consult me in private via the online consultation given in Lybrate through my profile page.
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When I was doing intercourse with my partner my dick is not sticking out (not strong enough) for a while. It becomes small in a min or two while penetrating my dick into her vaginas. How can I sustain my dick for long time. Also, I am not sure my penis is touching her uterus and sperm is passing thru her uterus or not. I have been facing this problem for last three months. Pls advise sir.

MBBS
Sexologist, Panchkula
When I was doing intercourse with my partner my dick is not sticking out (not strong enough) for a while. It becomes ...
Your penis is not strong enough at time of penetration into the vagina. I advice you to take proper balanced vegetarian diet. Take 8 to 10 glasses of water daily to detoxify body. Take fruits and vegetables in daily diet. Do meditation for mental strength daily. Take milk and milk products. Take light dinner always. For better guidance and natural safe permanent treatment, consult privately.
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I am still studying in last semester engineering. And I will marriage at this year December-January. Now I am more thinking of porn and I wanna watch porn video and I wanna masturbations. So sometime I control it and sometime I do it. So I have question. How I will do now for marriage life and sex life?

MBBS
Sexologist, Panchkula
I am still studying in last semester engineering. And I will marriage at this year December-January. Now I am more th...
You can do masturbation two times a week, more than this is harmful for your future married life. Limit your porn watching. I advice you to take proper balanced vegetarian diet. Take 8 to 10 glasses of water daily to detoxify body. Take fruits and vegetables in daily diet. Do meditation for mental strength daily. Follow this and give feedback.
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Sir kaise pata chalega ki erection jara vi nai aa rha to ye penis me injury ki wajah se hai. Penis injury ke kya symptoms hai?

MBBS
Sexologist, Panchkula
Sir kaise pata chalega ki erection jara vi nai aa rha to ye penis me injury ki wajah se hai. Penis injury ke kya symp...
Penis mai injury ki wajah se erection parr koi asar nahi padega. Agar erection nahi aa rahi hai toh iss ka karan hai stress, galat khana pinna aur weak pelvic floor muscles aur semen ka patla hona.
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If there is sex between my wife and another sex between us after 30 to 40 min but it is unsafe this time. Is there chances of get pregnant because of sperm on my penis which is remain after first time sex and second time there is no ejaculation. How long sperm can live in open atmosphere. Please tell me about this.

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
If there is sex between my wife and another sex between us after 30 to 40 min but it is unsafe this time. Is there ch...
The lifespan of a sperm is 72 hours approximately inside the woman's womb. So yes there is every chance your wife might get pregnant. Thank you.
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I face problem of Premature ejaculation and Erectile dysfunction. Can you please guide the treatment and remedies.

BHMS
Homeopath, Sindhudurg
I face problem of Premature ejaculation and Erectile dysfunction. Can you please guide the treatment and remedies.
Hello.. do kegel exercise along with homoepathic treatment. . Answer following question to find out sexual disposition - Have you been able to get and keep erections in the past? Are you having trouble getting an erection or keeping erections? Do you have erections during sleep or in the morning? Do you drink, smoke,tobacco chewing or use recreational drugs? What is your state of mind? Are you stressed, depressed, or anxious? Are you having relationship problems? How often do you have premature ejaculation? Has this problem developed gradually or suddenly? Do you have premature ejaculation only with a specific partner or partners? Do you have premature ejaculation every time you have sex? What do you think may be the cause of this problem? Are you suffering from hurriedness, frustration or stress? Do you have any guilt of your past experiences? Tips - Tea and coffee should be reduced . Proper sleep should be taken for proper functioning of the brain. Exercise greatly helps in building the strength of the organs. Men should do simple exercise to maintain proper working of the body parts. homoepathic treatment cures premature ejaculation, erectile dysfunction permanently without side effects you can Consult me by clicking on consult option for homoepathic treatment .
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Hello Doctor, Does Masturbation increase DHT and cause Hair loss? After Masturbating, I have itchiness in my scalp. DHT might be the reason?

MBBS, MD - Dermatology, venereology & Leprology
Dermatologist, Kota
Hello Doctor,
Does Masturbation increase DHT and cause Hair loss? After Masturbating, I have itchiness in my scalp. D...
Dear Ashish. There is no direct connection between the two. But, Masturbation does makes one weak. Reduce the frequency.
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I did a unprotected sex with my bf and with hrs I take i-pill. Is there is any chance to get pregnant and in how much days my periods gets back if I am not pregnant. Please help is it any chances of pregnancy.

BHMS
Homeopath, Delhi
I did a unprotected sex with my bf and with hrs I take i-pill. Is there is any chance to get pregnant and in how much...
Dear you have to wait till your next cycle - period date when it is due for. If menses doesn't appear then get a pregnancy test done.
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I'm 25 yrs. I'm taking ova shield tablet. This is my 12th day. Do I have chances to get pregnant this month. I've PCOD too. And I'm taking medications for that too.

DGO, MBBS
Gynaecologist, Bhavnagar
I'm 25 yrs. I'm taking ova shield tablet. This is my 12th day. Do I have chances to get pregnant this month. I've PCO...
Have relations on 12th, 14th and 16th day of menstrual cycle to get conceived. This month or later you will get the result. But complete the treatment for pcos.
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It's about my cousin. She said her husband wants to have sex during her pregnancy and found anal sex as an alternative. They both are mentally agreed but are confused. Need all sorts of advice, medicine, or accessories required to use during this type of sex. How come they should proceed for doing this.

MD-Pharmacology, MBBS
Sexologist, Delhi
It's about my cousin. She said her husband wants to have sex during her pregnancy and found anal sex as an alternativ...
They can have vaginal sex as well during pregnancy in case the gynaecologist has not asked them to do so Trying anal sex at this stage may not be advisable.
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Sir inside my pennies on skin small white patches are coming why can you please tell me about the problem.

DHMS (Hons.)
Homeopath, Patna
Sir inside my pennies on skin small white patches are coming why can you please tell me about the problem.
Hello, Its a sort of fungal infection need to be cleaned, locally. Homoeo medicine:@ Echinacea Q -20 drops with 1/4 cup of water, apply, locally. Avoid, junk food, alcohol, nicotine & caffeine. Tk, care.
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Doctor I am not having any problem with sex and any of the erectile dysfunction. But I need to know how can I maintain the good health of my penis and have a very good sex life throughout.

MBBS
Sexologist, Panchkula
Doctor I am not having any problem with sex and any of the erectile dysfunction. But I need to know how can I maintai...
You want to be strong sexually always. Remember to take proper balanced vegetarian diet. Take 8 to 10 glasses of water daily to detoxify body. Take fruits and vegetables in daily diet. Do meditation for mental strength daily. Take light dinner always. Keep your weight normal as compared to your height. For better guidance, consult privately.
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I suddenly gained weight like in my breasts and butt thigh what does it mean im already a pcos patient and I had intercourse with my boyfriend but he did not ejaculate I had intercourse on 15th April (NOTE: I did not have my periods for 3 past three months BEFORE HAVING INTERCOURSE )so I guess I will not be pregnant even pls tell me. Some tips to have my period.

DGO, MBBS
Gynaecologist, Bhavnagar
I suddenly gained weight like in my breasts and butt thigh what does it mean im already a pcos patient and I had inte...
You are already suffering from PCOS. You should reduce weight rather than gaining weight. You should do pregnancy test to confirm you r nt pregnant. Start taking treatment for pcos. Periods will become regular.
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What is Infertility?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Jhansi
What is Infertility?

1. What is infertility?
Infertility is a term that is used to describe the inability of an individual to successfully contribute to the process of conception. In females, it refers to their lack of ability to conceive post having regular, unprotected intercourse. In some cases, it also refers to their inability to carry a pregnancy to its full term. A normal fertility helps conception in the first 12 months of trying for almost 86% of couples, with around 7-8% couples conceiving in their second year, depending on their age. Hence, many practitioners also treat an inability to conceive within the first 12 months as infertility. 

2. Is infertility a global problem?
Sub-fertility as well as infertility are a global public health issue affecting approx. 8-12% couples, worldwide. It is prevalent in both males and females. While over 10% of women world-wide, who have been in stable relationships for over 5 years yet been unsuccessful in conceiving, have been estimated to be inflicted with this problem; the count is much smaller in the case of men, primarily because of non-acknowledgement, even though it contributes to almost 50% of reported cases.

3. Do infertility problems occur only among women?
No, infertility problems are as common in men as they are in women. Almost 50% of cases of infertility are attributable to male infertility related issues. However, due to the social structure prevalent, most of such male infertility related issues go unacknowledged.

4. What could be the probable symptoms that suggest a possibility of infertility related problems?
Though the process of conception and the possibility of infertility related problems could be time-driven factors, some symptoms could indicate a bent towards infertility and could be medically examined and addressed in time to curb the problem at the very onset. Some of these indications include:

Indications in Females:
Infertility symptoms in females can be related to either one of multiple of these problems:
Changes in menstrual cycle: Irregular or infrequent periods mean that the number of days between two cycles varies each month. This is a common indication of infertility as it reflects that the ovulation cycle is not stable, i.e. the body is not producing ovules (egg) regularly or at times not at all. 
Abnormalities in periods: Sudden changes in the bleeding pattern – heavier periods, no period or cramping and pelvic pain associated with periods – could also be indicative of an underlying fertility related problem.
Hormonal Disturbances: Sudden changes in skin like more than usual acne, changes in sexual drive, unexplained and sudden growth of facial hair, excessive weight gain/loss, etc. 
Other Symptoms: Other symptoms such as pain during sex, milky-white discharge from breast/nipples (unrelated to lactation) can also be indicative of infertility and one should seek medical advice at the earliest.
Age-related: As one advances in age, the egg count decreases rapidly along with a related deterioration in the egg quality. Hence, if a woman is in her early 30s and is failing to conceive, it could be related to a fertility problem. 

Indications in Males:
Infertility symptoms in men can be quite elusive as they are very closely related to the cause of infertility. These often go unnoticed until the point that the couple start trying for a baby. Some of these are: 
• Sudden changes in sexual drive.
• Pain, inflammation or lump in the testicles or if the testicles are small and firm.
• Problems related to ejaculation and erection
• Sudden, unexplained changes in hair growth patterns.
• Known semen abnormalities

5. Who are at risk of infertility problems?
Age is one of the most crucial risk involved in fertility related matters. For couples who start trying for a baby later in age, the chances of infertility increases manifolds. Couples where either partner is in their mid-30s or into 40s are at higher risk of infertility problems. While a man’s overall lifestyle, health and other factors can affect his chances of contributing to a successful conception, in a woman age and chronic health conditions play a major role.

6. What increases infertility risk in men?
While health and lifestyle are the most important factors that contribute to their fertility levels, including their sperm quality and count, there are many other factors that affect fertility and push towards higher infertility risk among men. Some of these include:
• Age
• Alcohol and tobacco consumption
• Excessive physical exercise, especially excessive cycling
• Weight related issues 
• Exposure to toxins at workplace or as part of a medical treatment like chemotherapy/radiation
• Surgical procedures like vasectomy or its reversal
• Family history of infertility or fertility related disorders or other genetic medical conditions like cystic fibrosis
• Medical history of sexually transmitted infections (STIs)
• Certain chronic problems like high blood pressure, diabetes, renal or hormonal problems 

7. What can increase the risk of infertility among women?
Ovulation related issues contribute to over 25% of female infertility cases, with tubal blockage and uterine problems coming in as the other infertility causes in women. However, some other factors like the ones enlisted below also put females at risk of infertility:
• Advanced age
• Frequent or heavy alcohol or caffeine consumption
• Cigarette smoking
• Weight-related issues
Eating disorders and lack of balanced healthy diet
• Intense and extended athletics or no exercise at all
• History of STIs, endometriosis, polycystic ovarian syndrome (PCOS) or fibroids
• Chronic health issues like high blood pressure or diabetes. 
• Hormonal problems like thyroid etc. 
• Mental stress and fatigue

8. How is age related to a woman’s ability to conceive or infertility aspects?
A woman’s fertility rate begins to recede with her age. As a woman nears her mid-30s, her natural fertility starts to fall and many experience difficulties in conception as well as multiple pregnancy failures. The reason for this is that the ovarian reserve in women is fixed since birth and as they age it starts to fall drastically as the follicles keep leaving the reserve in a continuous flow (menstrual cycle). This follicular depletion accelerated as she approaches 40s and decreases not just her egg count but its quality too, as she ages. For men, this progressive drop in fertility rate hits after the age of 40. 

9. What are common causes of infertility in men?
One of the most common causes of infertility in men are semen disorders. The semen comprises a milky white fluid and sperms that are ejaculated during orgasm. Abnormal semen contributes to over 75% cases of male infertility. The common semen related disorders include:
i. No sperm presence in semen
ii. Low sperm mobility
iii. Abnormal sperm shape/size
iv. Low sperm concentration (under 10 million/milliliter) in the semen (Ideal: 20 million/milliliter of semen)
 

The major causes of these abnormalities and a consequent infertility in men are:
1. Ejaculation Disorders
2. Frequent use of saunas, hot baths etc. that lead to overheating of testicles.
3. Testicular infections
4. Testosterone deficiency
5. Deformed or undescended testicles that usually happens as a birth defect or abnormal fetal development.
6. Genetic disorders like Klinefelter's syndrome that lead to abnormally developed testicles.
7. Very frequent intake of medications like Sulfasalazine, Anabolic steroids (frequently taken by athletes), etc. or exposure to chemotherapy/radiation.
8. Conditions like hypospadias (a condition where the urethral opening is not at the tip of the penis but at its underside) or cystic fibrosis.

10. What are common causes infertility in women?
There are a number of conditions that lead to fertility among women, such as:

1. Ovarian Disorders: The most commonly reported reason for infertility among women is a disorder in the ovulation process. 
Ovulation involves the production and release of egg. This cycle happens on a monthly basis. However, certain situations lead to a malfunctioned ovulation. These causes include:
i. Polycystic ovary syndrome (PCOS) which lead to mal function of ovaries
ii. Very high prolactin levels in non-lactating females
iii. Damaged or abnormal eggs – Poor egg quality is common in older women
iv. Thyroid disorders
v. Medical conditions like cancer, diabetes, AIDS, etc. 
vi. Premature (before the age of 40) ovarian failure 

2. Uterine Disorders: Once fertilized, the egg travels from the ovary to the uterus and it is important that the uterus be healthy to receive and nurture the fertilized egg. However, at times, disorders of the uterus lead to infertility problems in women. Uterine disorders can be attributed to one or more of these reasons:
i. Pelvic or cervical surgery that may cause scarring or damage of the uterus or fallopian tubes or at times shortening of the cervix which serves as the mouth of the uterus.
ii. Endometriosis – a condition where the cells that line the uterus start growing outside the uterus.
iii. Sterilization treatments like tying of tubes, etc.
iv. Uterine fibroids or endometrial polyps

3. Medications: Certain medications like those used in chemotherapy or certain NSAIDS like aspirin and ibuprofen lower fertility rates in females.

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I heard that sperms get shotted out during masturbation. But for me it flows down instead of shotted out. What is the problem? And how can I stay sexually healthy such as full arousal and last long in masturbation?

Diploma in Paediatrics, MBBS
Sexologist, Dehradun
I heard that sperms get shotted out during masturbation. But for me it flows down instead of shotted out. What is the...
This is called retrograde ejaculation where semen enters the urinary bladder instead of coming out mainly due to loss of muscle tone in urethral sphincter. U should consult a urologist for the exact cause.
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