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Dr. Niket Kasar

MBBS

Sexologist, Pune

Dr. Niket Kasar MBBS Sexologist, Pune
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Niket Kasar
Dr. Niket Kasar is a popular Sexologist in Tilak Road, Pune. He has done MBBS . You can meet Dr. Niket Kasar personally at Chaugule Clinik in Tilak Road, Pune. Book an appointment online with Dr. Niket Kasar on Lybrate.com.

Find numerous Sexologists in India from the comfort of your home on Lybrate.com. You will find Sexologists with more than 32 years of experience on Lybrate.com. Find the best Sexologists online in Pune. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MBBS - NA -
Languages spoken
English
Hindi

Location

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1st Floor ,1535 , Shiv Mangal Apartments, Near Heera Photo Studio, Tilak Road, Sadashiv Peth.Pune Get Directions
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I am 21 years old but my physical figure is not uptomarks this happen. Ed because of masturbation and untimely eating. please help me to get me back.

BHMS
Homeopath, Sindhudurg
I am 21 years old but my physical figure is not uptomarks this happen. Ed because of masturbation and untimely eating...
Strictly avoiding that triggers which compel you to do masturbation like porn, friends and privacy etc. Doing regular yoga and aerobics will definitely help you. Healthy diet like fresh fruits dry fruits specially dates almonds anjeer etc avoiding fish egg n chieken strictly mutton can be taken. And last not least medicine. For this there are special medicine for this problem which reduces your urge to do masturbation with helping you to regain lost vigour and vitality plus boosting overall health. Homoeopathic treatment takes away the habit of masturbation and remove its bad effects. Do not ignore the necessity to consult the qualified homoeopaths to avoid sexual embarrassment at the time of marriage. Consult me for homoepathic treatment without side effects. Recommend me by clicking on recommend option and leave feedback.
5 people found this helpful
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I have white thick curdy discharge and a little itching is it urine infection? Do I need to go to doctor? Or can I apply any cream? I have baby and I'm breast feeding.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I would advice you to use Cansoft-cl vaginal pessaries- insert 1 tablet daily in the vagina at night for 6 consecutive nights and see if it makes a difference. If the symptoms persist please see a Gynaecologist.
5 people found this helpful
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I have problem of phimosis. I am of 21 and I am afraid of operation. What should I do to solve this problem.

MBBS
General Physician, Chennai
I have problem of phimosis.
I am of 21 and I am afraid of operation.
What should I do to solve this problem.
Surgery is the only option, it is a simple no need to be so nervous get it done and have great time.
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I have masturbation daily 2to 3 times. Any problem in this type of way. What should I do.

PG Dip(psycosexual diseases), MBBS
Sexologist, Delhi
I have masturbation daily 2to 3 times. Any problem in this type of way. What should I do.
Dinesh excecessive of anything is bad and ur doing excessive mastrubation,stop it for 21 days and give rest to penis.After twenty one day do once a week mastrubation
44 people found this helpful
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Hi I am 35 years old my problem is from last 2 years my penis becoming too smaller so what the treatment is better. Please advise.

MD
Sexologist, Srinagar
Hi I am 35 years old my problem is from last 2 years my penis becoming too smaller so what the treatment is better. P...
Apply phalotop oil twice daily. If you want further assistance please consult me privately on lybrate.
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Hello sir recently I got married. And we feel that still 2 more years we don' t need children. Please suggest what are the steps we need to take for that. Please advice

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
For this you should have a proper knowledge of safe and unsafe periods firstly. Secondly you can use condom in unsafe period. Thirdly you can go for contraceptive iucd devices forthly u can go for once a day contraceptive pills.
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Sir, I had an unprotected sex last month around 2nd april just after the period and after that I hd taken contraceptive pills-unwanted 72 within 72 hours. But later after few weeks I had problem with urine as it was coming with some blood drops and blood cloths, later I went to a doctor and they had taken my urine sample for test and she said I had some infection so she had given some antibiotics and urikind sachet and advice to have plenty of water. But now the problem is that there is one week delay from my periods as it last happened on 27th march and now for today I am having stomach pain and loose motions, and for preventive measures I had taken pregnancy test at the time of visiting my doctor and later on 29th april and it shows negative result. Help me asapsir, I had an unprotected sex last month around 2nd april just after the period and after that I hd taken contraceptive pills-unwanted 72 within 72 hours. But later after few weeks I had problem with urine as it was coming with some blood drops and blood cloths, later I went to a doctor and they had taken my urine sample for test and she said I had some infection so she had given some antibiotics and urikind sachet and advice to have plenty of water. But now the problem is that there is one week delay from my periods as it last happened on 27th march and now for today I am having stomach pain and loose motions, and for preventive measures I had taken pregnancy test at the time of visiting my doctor and later on 29th april and it shows negative result. Help me asap.

MD - Dermatology , Venereology & Leprosy, MBBS
Dermatologist, Gurgaon
Sir, I had an unprotected sex last month around 2nd april just after the period and after that I hd taken contracepti...
relax. sex within few days of periods rarely makes you pregnant. also you took I pill. so after I pill . period may be delayed.
1 person found this helpful
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I had a breakup with my bf ,we didn't have sex due to distance but we had phone sex more than 4 years and we always have full sex chats, but after break up I feel alone and very aroused and when I see porn I started putting carrot inside just to satisfy myself what to do control my sex feeling,

Diploma in Anesthesia, MBBS
General Physician, Hyderabad
I had a breakup with my bf ,we didn't have sex due to distance but we had phone sex more than 4 years and we always h...
instead of foreign object use finger after proper washing which will be sufficient for the arousal and satisfaction. for organsm with fingers use the other parts like rubbing and squeezing the breast and rubbing on the clitoris etc., Good luck
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Good evening . My wife has no sexual desire since last three months. Kindly advice me what to do

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Have adequate foreplay. Consult doctor. Sometimes application of some drugs work well. Try to remove her anxiety.
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Male Erectile Disorder (Impotence)

MD-Dermatology, MBBS
Sexologist, Pune
Male Erectile Disorder (Impotence)

Male Erectile Disorder (Impotence)

Definition


Persistent or recurrent inability to attain, or to maintain until completion of sexual activity, an adequate erection.

This is also know as erectile dysfunction.

The disorder may cause marked distress or interpersonal difficulty. There are different patterns. Some individuals report inability to obtain erection from the beginning of sexual experience ;while others report being able to experience erection only during masturbation or on awakening, but not during the coitus. Some experience adequate erection,lose it when attempting penetration. Still other report that have an erection that is sufficiently firm for penetration, but they lose erection before or during thrusting.

Male erectile disorder is frequently associated with anxiety, fear of failure, pressure of sexual performance, and decreased sexual excitement and pleasure. This can disrupt marital relationship and may be the cause of unconsummated marriage and infertility.

Etiology

Aging:with advancing age,
-The orgasm is less intensive,
-The ejaculate is reduced

The interval between the two successive acts is increased.

Psychological factors:
Fatigue,
Depression,
Stress,
Mental disorders,
Guilt,
Fear of failure,
Low self esteem
Religious restrictions
Homosexuality
Long/serious illness
Traumatic initial experience
Negative feelings towards the partner
Vascular causes
Use of tobacco/Alcohol
Atherosclerosis
Peyronie's disease
Diabetes
Hypertension
Venous leak or occlusion
Trauma
Surgery
Radiation
Harmonal causes :

Hypogonadism
Hyperprolactinemia
Diabetes
Thyroid disease
Androgen deficiency
Estrogen excess Adrenal
pituitary of Hypothalamic disease

Neurogenic causes :

Peripheral Neuritis
Autonomic neuropathy (in Diabetes)
Multiple sclerosis
Spinal cord disease

Drug related casuses :

Antiandrogens
H2receptor antagonists
Diuretics
Antihypertensive
Anticholinergics
Antidepressants
Antipsychotics
CNS Depressants
Substance abuse

Miscellaneous

Rental failure
Prostatectomy

Diagnostic tests

Stamp Test :A long strip of postal stamps in wound around the base of the penis at night before going to bed. Next morning if the perforations of the strip are found to be torn off, impotence is supposed to be of psychological in origin.

Peno-brachial index : The ratio of penile systolic blood pressure to that of brachial systolic blood pressure is normally 0.6. If found to be low, impotence is vascular in origin .

Papaverine Injection Test : Papaverine is a vasoactive drug. Using a 26 gauge needle, 30 mg papaverine is injected at the mid-shift of Corpus cavernosum of the penis. He is isolated, asked to stoke the penis and expose to erotic literature. An erection will occur in 10 to 15 minutes. If the erection is short-lived or partial, then impotence is considered as vasculogenic. If the erection is full, then impotence is considered to be neurogenic or psychogenic. In origin.

Caution : This test should be performed in a hospital setting or where the facilities for detumescence are available. The patient should be observed for next few hours till the erection subsides.

Rigiscan Test :

This is a gold standard for evaluation of Nocturnal Penile Tumescence and Rigidity (NPTR). This test is based on the physiological principle that a male gets erection 3 to 5 times during REM sleep. At night before going to sleep one ring of Rigiscan is slid over the base of the penis and the over the tip. Next morning, the tracing obtained are studied. This test can quantify erectile tumescence and rigidity. Rigiscan tracing indicates whether the impotence is organic or psychological in origin.

Arterial insufficiency and venous leaks can also be suspected on the basis of Rigiscan graphs. Patients with purely artery disease have low levels of rigidity but of adequate duration. Patients with venous leak will have varying rigidity levels with shortened duration.

Penile Ultrasound :

This test is for evaluation of the functioning of the penile arteries. A simple acoustic Doppler emits auditory signals or a colour Doppler can help visualization of arteries. Cavernosometry and caver nosography: this haemodynamic test is useful for diagnosing venous-occlusive dysfunction of the corpora. Biothesiometry, electromyography , nerve conduction studies: these are for evaluation of neurogenic impotence.

Treatment

Counseling

Sexual dysfunction is a marital unit problem and therefore both, husband and wife, should attend. Counselling is towards strengthening the marital relationship. Wife is requested to co-operate. The client is requested to quit smoking and alcohol. He is advised relaxation exercise, yoga. The couple is educated about anatomy, physiology of sexual organs sexuality are countered. Their myths and misconceptions about sexuality are countered. They are also explained that he does not have to do anything to have an erection. Erection is a physiological response to effective stimuli.

7 people found this helpful

I'm 23 years old. How to enjoy with my boyfriend without getting pregnant? We don't do intercourse? Still afraid lose my virginity this much soon. But pleasure is not enough for both of us in small romantic act.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
If at all, you are planning for a complete sexual act or an intercourse and want to be safe and avoid pregnancy, it is advisable that you have it in your safe period (your safe period can be calculated according to your menstrual period days). Also you should ask your sexual partner to use a barrier contraceptive like condom during the act.
1 person found this helpful
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Hi, I'm 18y and uncircumcised. When my penis is soft I can pull my foreskin completely but when it's erect I can't. It gets tight.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Hi, I'm 18y and uncircumcised.
When my penis is soft I can pull my foreskin completely but when it's erect I can't.
I...
Unless it causes problems like pain or repeated infection you need not go for circumcission. In many cases the penis foreskin becomes retractable completely in due time.
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There is a slight pain at the tip of my penis. The pain is very less but it feels very uncomfortable. I have applied dettol and then antiseptic. But it does not help so. I mastuburate but not regularly. So what should I do?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
There is a slight pain at the tip of my penis. The pain is very less but it feels very uncomfortable. I have applied ...
Dear user. The causes of Penis Pain could be any of the following: Urinary tract infection. Balantis (infection under the foreskin) Infected penile implant. Sexually transmitted diseases (e.g. Chlamydia, genital herpes, gonorrhea, syphilis) Riding a bicycle, all-terrain vehicle, horse, or motorcycle. Penis cancer etc. Please consult a physician for physical examination and investigation. Take care.
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Kya hastmaithun karna galat hota hai. Kya ise 30-35 ke umra tak karna sahi hai, jabki ye lat 15-16 ke umra se hi laga ho. Isse kya kya problem ho sakta hai.

MBBS
Sexologist, Panchkula
Kya hastmaithun karna galat hota hai. Kya ise 30-35 ke umra tak karna sahi hai, jabki ye lat 15-16 ke umra se hi laga...
You can do Masturbation 2 times a week, more than this is harmful. Daily Masturbation is definitely harmful for future married life. Excessive masturbation can cause problems in bearing child. It can cause erectile dysfunction,Early Ejaculation ,sperms count and size problem of penis and body weakness and memory problem also in the long run.
3 people found this helpful
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I want to get rid of premature ejaculation. What is the treatment? I am following good diet plans, make regular walking. But still I ejaculate within 1 -2 mins of insertion.

MBBS
General Physician, Cuttack
I want to get rid of premature ejaculation. What is the treatment? I am following good diet plans, make regular walki...
You are having premature ejaculation. It may be due to 1. Anxiety, depression 2. Fatigue, stress 3. Relationship issues, performance anxiety, 4. Consumption of alcohol, tobacco etc 5you can take the following measures a) avoid stress, anxiety, depression b) avoid alcohol and tobacco consumption c) go for regular exercise d) lead a healthy living style e) practice relaxation technique by deep breathing exercise (take deep full breath for 5 seconds, hold it for 3 seconds, exhale slowly for 5 seconds). Do it for 5 minutes without breaking the rhythm. It controls arousals and tension that lead to early ejaculation. F) use condom to reduce sensation g) take foods to increase testosterone like eggs /asparagus/dark chocolate/carrots/oats/ashwagandha/avocado/blue berries/ banana/walnut/cereals/onion/garlic/almonds/bean/ mushroom h)
4 people found this helpful
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Y sperm comes out early is there any problem. Is there any problem doing sperm out from ourbody.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Y sperm comes out early is there any problem. Is there any problem doing sperm out from ourbody.
Dear Lybrate user. I can understand. A nocturnal emission is an involuntary ejaculation of semen that occurs during sleep. Studies show that approximately 83% of men experience a nocturnal emission at some point in their lives. There is nothing wrong with a person if he or she experiences a nocturnal orgasm or nocturnal emission, as they are normal and healthy experiences. If you have experienced a wet dream, you should not feel ashamed. There is no way to prevent nocturnal orgasms or emissions from happening. I suggest online sex counseling. Take care.
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Is masturbations good? When I do, in 20 sec, it ejecting. I'm over weight. How can I reduce the weight.

MBBS
Sexologist, Gurgaon
Is masturbations good? When I do, in 20 sec, it ejecting. I'm over weight. How can I reduce the weight.
No its bed / harmful for health, aviod it, if you want to reduce your weight control diet and physical exercise and wright reduce medicine. Ok.
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