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Dr. Ramesh Maheshwari provides answers that are helped me improve my health. Clearly the problem
Finally with Dr Ramesh Maheshwari's treatment, I am completely cured from the disease. He is not just highly qualified, but has years of experience in handling high risk cases. The friendliness of staff is the best in the WNHO Clinic. I am really grateful as his erectile dysfunction has give me a ray of hope. The WNHO Clinic is designed in such a way that every patient feels at ease. He is not just friendly, but also is very motivating. The symptoms were severe and unmanageable, as I was suffering from erectile dysfunction, but Dr Ramesh Maheshwari was able to handle it. Over the period of time I noticed a number of changes in myself.
Dr Ramesh Maheshwari has a very positive attitude towards all the patients. The entire WNHO Clinic is very nicely designed. Even though my problem was very big, the entire experience of undergoing erection problems treatment was very relaxing. Dr Ramesh Maheshwari guidance has helped me immensely and has helped gain confidence. All of sudden I developed this erection problems and didn't know what to do. I read about this doctor on one of the social media platform. He certainly knows the in and out of his speciality. I have had this erection problems from quite some time.
All of sudden I developed this male sexual problems and didn't know what to do. With the help of Dr Ramesh's treatment for male sexual problems I am feeling so great. He is a very practical doctor. Even after my treatmentwith my old doctor, I never felt so much relief, but he has treated my completely. The friendliness of staff is the best in the WNHO Clinic. I thank him for the treatment he gave, it benefitted em great extent.
It was getting very difficult for me to cope us with my premature ejaculation issue. He is not just friendly, but also is very motivating. Even though there was a long queue, still the staff was very pleasant. In the very first sitting, Dr Ramesh clearly told us the problem and the what the treatment procedure will be in future. As someone I knew, consulted him and they referred us.
One of my colleague referred Dr Ramesh as I was looking for permanent contraception. He is well aware about innovative techniques to treat problems. The vasectomy surgery given by him was very effective. The overall atmosphere in the WNHO Clinic is very soothing. Thanks to him for the perfect advice.
I had fertility issues for which I chose to visit Dr Ramesh Maheshwar. He is quite famous sexologist in Pune. Consulting him was worthy enough and the fertile period treatment he gave benefitted me to a great extent. I owe him a big thank for the treatment he gave. I am absolutely fine now.
Due to my male sexual problems, i was feeling very depressed and had no hope. But Dr Ramesh has given me a ray of hope .He is a very practical doctor. I have consulted so many doctors , but no one was able to solve my sexual problems. His advice and treatment has helped me immensely.
I have consulted Dr. Ramesh Mheshwari online for my Tight foreskin problem.He provided with proper mdeication which started showing effect after couple of uses only.He is knowledgable and give expert advice with proper care. I really want to think him for the treatment given.
I found the answers provided by the Dr. Ramesh Maheshwari to be well-reasoned. Answer is reasonable. By ignore ..i naturaly addited with masturbate .. i need proper and effective answer to control of daily .. even weekly 2 to 3 times k. But i daily .
AI was quite depressed with my masterbation addiction. I consulted Dr Ramesh. He is well knowledgeable sexologist. And I am very impressed with his way of treatment. Finally with his treatment, I am completely cured from the disease.
I consulted Dr Ramesh for the small penis treatment. I must say that he has broad knowledge in the field of sexology. I thank him for the expert care and advice.
I found the answers provided by the Dr. Ramesh Maheshwari to be helped me improve my health. Thnx sir..please tell some treatment if possible for you.
Abhay R Tambolkar
Doctor is very helpful gives inspiration to patients but cost of medicine & other related treatment should be low
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I found the answers provided by the Dr. Ramesh Maheshwari to be professional. Thanks sir
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Women’s Sexual Problems
What are they?
Sexual problems in women are common. They are estimated to affect around one-third of young and middle-aged women and about half of older women. The main types include : --
* A lack of sexual desire
* A lack of sexual arousal
* Problems with orgasm
* Pain during or after sex
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Inability or absence of successful peno- vaginal intercourse in a couple.
About 15% of couple have problem of Unconsummation though they can have orgasm by masturbation or by oral stimulation of the genitals. It is not so common in the west, be for social and cultural reasons. The longest duration of Unconsummation seen was for 9 years.
The commonest cause of Unconsummation is ignorance about the sexual act, though sexual aversion, rigid hymen, atresia of vagina, trauma, infection and sexual dysfunctions like impotence, premature ejaculation vaginismus, dyspareunia, etc. and up in Unconsummation of marriage.
Attention is mainly focused here on the Unconsummation due to ignorance about the sexual act. The other conditions responsible for Unconsummation are managed by treating the cause.
1. sexuality is a basic instinct in the animals for reproduction and propagation life. Unlike the other animals, sexual behavior in the human being is the outcome of learning and conditioning. Sex being a very private issue and considered as a taboo, there is hardly any opportunity for learning the intercourse. therefore ignorance, myths and misconceptions about sexual act prevail.
2. All the quadruped and biped animals perform coitus by the rear entry, while human being is the only animal doing intercourse in a face –to – face position.
3. the act is done in the dark.
4. the vaginal opening and its direction are not visible externally.
How the problem presents?
Unconsummation is more common in urbanized and well- educated clients. They are normal in every respect except for their ignorance about the sexual act.
1. The client complaint may come for the guidance saying, I don’t know how to do intercourse. Please help me.
2. The chief complaint may be, I can’t penetrate.
Perhaps he tries at the wrong site or in a wrong direction; or she may be having vaginismus.
3. Some men may not know that they have to do pelvic movements after penetration.
4. Woman keeps her legs straight
This can be an important statement by the client giving a clue to the diagnosis. This COITAL position there is no proper alignment between the direction of penis and vagina; therefore penetration is not possible.
5. My penis is not hard enough for penetration this could be the complaint. The female might not have been sufficiently stimulated through foreplay. Nature has designed the structure of the vagina in such a way that man gets maximum rigidity of penis in the vagina and then only he can ejaculate.
6. Man may lose erection after trying at a wrong site ( at urethra or at clitoris) for a long time and blame himself. In such case, woman may complain of pain during the coital act.
7. If the women has vaginismus, man may not be able to penetrate. He may lose erection and label himself as impotent.
8. All the semen comes out
This is the complaint by the women when the man ejaculates on the vulva instead of in the vagina.
9. Women complaint of primary infertility. To the surprise of the examiner, the hymen may found to be in fact proving Unconsummation. Till this fact is brought their notice, they feel that they are doing the coitus in a perfect way.
1. The couple may continue to do intercourse in a wrong way without being aware about Unconsummation.
2. Women may complain of pain during the intercourse
3. Man way lose the erection after trying intercourse unsuccessfully at a wrong site for sufficient length of time. He may think himself suffering from impotence.
6. Marital conflict/ divorce
1. history is most important.
Foreplay : yes/no
Erection of penis in man and lubrication of vagina in women : Yes/No
Women flexing her hips during coitus in missionary position : Yes/No
Site & direction of penetration : Right/ Wrong
Pelvic movements: Yes/No
Illumination in the room: Yes/No
2. In every case of impotence and infertility, Unconsummation should be ruled out.
3. Women sleeping in the supine position with legs straight on the bed during the intercourse should make the clinician suspect Unconsummation.
4. Genital Examination:
Presence of hymen in the married female .
Only one finger dilatation of vagina
Presence of smegma on the glans/coronal sulcus in the male
Painful retraction of prepuce (or phimosis) may be an accidental finding.
5. Post-coital Test: Absence of sperms in the sample.
1. Both the partners should attend the counselling session.
2. Anatomy of male & Female genitals should be explained to them with the help of clay model, charts or slides.
3. Examination of the genitals:
One finger PV examination of the females should be done in the presence of the male to enable him to understand the site and the direction of the vaginal barrel.
4. The following instructions will help the couple in overcoming Unconsummation.
For the couples who sleep on the floor.
Lights should be on or the coitus should be done during the day.
The couple should engage in foreplay till he gets erection of penis and she gets lubrication of vagina.
The female should be in a supine position on the bed, with a pillow under her buttocks, and with her thighs flexed and abducted at her hips. This rotates her pelvis and brings her vaginal opening accessible for the penetration by the male.
The male should squat on his heels ( vajrasan or Namaaz Position)
Between her thighs. In this position he being perpendicular to her body is in a position to locate and align his penis with the vagina which is at the lower end of vertical cleft, and in upward and backward direction.
Then he advances towards her that his right thigh is under her left one , and his left thigh is her right one. On reaching near her vulva, he separates the labia by his left hand and inserts his penis by his right hand. In the event of difficulty, the female should help him with her hand in guiding the insertion penis.
Supporting his body on the knees and holding her thighs by his hands he makes to and for movements of his pelvis till he ejaculates in the vagina.
For the couples who sleep on the cot: (T position )
Light should on or the coitus should be done during the day. The female sleeps on the cot in a supine and slide down till buttocks are on the foot end the bed.
She flexes and abducts her thighs, and the male kneels on the floor between her thighs, supporting his knee on the pillows so as to align his penis with her vaginal opening. In this position the male is perpendicular to the female.
The advantages are that he can see the external genitals of both and maneuver the penetration, can make pelvic movements by holding her thighs, and can stimulate the clitoris simultaneously while doing intercourse.
The success rate is high. once the couples learn the coital act they simply wonder as to how they could miss such a simple and universal procedure
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- Contact of mouth of one partner with the genitals of the other is known as oral sex. Stimulation of the male genitals by tongue, lip and mouth is known as fellatio, and oral stimulation of the female genitals is called cunnilingus.
- Either from of oral- genital sex can be done with partner stimulating the other individually. Fellatio and cunnilingus are used to induce or heighten the sexual arousal. Vatsyayan has labeled oral- genital sex ‘Auparishtak’ and mentioned 8 different ways of performing it.
- Licking, sucking, kissing and rubbing of genitals and motion employed can make the person feel good due to moisture and warmth of oral – genital contact. In fellatio, methods of stimulation include sucking the glans or shaft of penis, licking penis or scrotum and kissing anywhere along the genitals. The glans and frenulum are particularly sensitive to oral stimulation. Many women are highly aroused by licking or sucking of clitoris during cunnilingus. Oral stimulation of minor lips and of vaginal opening is also practiced. Some women are uncomfortable with fellatio because they feel gagging.
- Some women do not want the man to ejaculate in her mouth, though there is no health risk in swallowing semen accidentally.
- Oral – genital sex is quite common and many see it as normal and pleasurable part of lovemaking. While many people are interested in the pleasure of oral – genital sex others consider it dirty, perverted and unnatural. Many think genitals as unclean. From a scientific viewpoint, the oral genital contact is no less hygienic than mouth-to-mouth kissing, provided the parts are kept clean. About 60 percent of American couples perform oral- genital sex.
- Though oral- genital sex does not give rise to any disease, during fellatio, man should not thrust his erect penis deep into the throat as it may cause vomiting or choking. Cunnilingus should not be performed during pregnancy, as it may cause air embolism resulting in sudden death. Person having STI or HIV infection should avoid oral genital sex.
- No one should be forced or coerced in doing anything he or she opposes. Men seem to be interested more in oral genital sex than women. However , it she has aversion of performing oral genital sex, he should not insist on it.
Masturbation is deliberate self- stimulation, which effects sexual arousal.
- About 94 percent males are involved in masturbation which leads to orgasm. Some individuals do not masturbate because they do not have sufficient sex drive.
- There are some slow reacting individuals who find it impossible to effect orgasm in masturbation. Where adults discovered the activity in children, reprimanded or punished the youngster, made a public exhibition of the offence, can upset the child’ s peace of mind.
- Masturbation provides the chief source of sexual outlet in early adolescence. There are few males who masturbate only once or twice in their lives and there are others who have frequencies that may average seven to twenty or more in a week for long periods of have years. There are few males who are still masturbating at seventy five years of age. Masturbation after marriage is confined to those periods when wife is away. Sometimes masturbation is the product of the fact that the wife does not want sexual relations as frequent as the male would like to have, or that periods of pregnancy, menstruations or illness interfere with regular intercourse.
- There are definite taboos against masturbation, with the explanation that masturbation will drive one crazy, give pimples, make one weak, bend the penis, cause impotence, affect vision or do some physical harm. More often masturbation is simply rejected because it is considered unnatural.
- Masturbation does not ordinarily continue for than a minute or two. Some individuals achieve orgasm in ten to twenty seconds. In males masturbatory techniques are largely manual. Some boys masturbate by moving the penis against a bed or against some other objects. All males experience sexual fantasies during masturbation. Some use erotic pictures for stimulation during masturbation. Many individuals find some additional stimulation in observing their own genitalia.
- Boys learn to masturbate through friends or through the literature. Frequency of masturbation is inversely proportional to nocturnal emission. Males with high frequency of masturbation may have low rate of nocturnal emission and vice versa.
- Masturbatory activity does not do any harm to the individual. It is the conflict, fearful social disgrace, guilt-feeling that harms. It affects ultimate sexual capacities, occasionally attempting suicide. On the other hand, Masturbation provides a regular sexual outlet which alleviates nervous tension and boys live a balanced life. There is no evidence to prove that masturbation interferes with high mental, physical or moral efficacy.
- There is tremendous individual variation in the capacity to engage in this sexual activity without undue fatigue. therefore, it is not possible to define “excess” secondly the autonomic Nervous system has control over is adequate according to the situation
- For most male, coitus is primary, masturbation secondary. Masturbation is an alternative for coitus.
- Masturbation is one activity in which the second largest number of female engages both before and after Marriage. In coitus a female may be delayed or completely prevented from reaching orgasm however, the techniques of masturbation usually offer the female the most specific and quickest means of achieving orgasm.
- Masturbation has not been as frequent and as regular a source of sexual outlet for female as it has been for the male. Many male are inclined to overestimate the incidence and frequencies of masturbation among female.in female masturbation is erotic satisfaction and some release from erotic tension are its objective
- Most of the female discover how to masturbate as a result of the exploration of their own genitalia. Females do not discuss their sexual experience in the open way as males do. Many females do not begin masturbation till the age of thirty, While most of males begin masturbation after the onset of adolescence. About 94 percent of males masturbate, while only 62 percent of females masturbate at some time in the course of their lives.
- There is a higher incidence of masturbation among the older females since there is an actual increase in erotic responsiveness at the older ages, reduced coital activities at the age, reduction of inhibition and they might have learnt by experience of obtaining their peak incidence in teenage. In elderly females as the estrogen level falls, the sex stimulating testosterone hormone level increases.
- Some women who fail to reach orgasm in coitus are then stimulated manually by their husbands, or they masturbate themselves until they reach orgasm. Some of the married females, on the other hand, confine their masturbation to periods when their husbands are away from home.
- The frequency of masturbation in single females is once in every two to three weeks and in married females it is once in a month. There is individual variation in any type of sexual activity. There are some females who regularly masturbate to the point of orgasm several times in immediate succession, as often as 10 to 20 and even more times within single hour. Many women often fear that masturbation would do them physical harm, and consider it morally wrong and biologically abnormal. The scientific truth is that masturbation does not harm in any way.
- Females choose more types of technique of masturbation then males do. Females most frequently involve in manipulation of clitoris and or labia minora. Clitoris is a small, bud like structure – a homologue of male penis, which is located at the upper end of vertical cleft of female genitalia. Labia minora are the paired inner lips and represent body of the penis in male. In masturbation the female usually moves a finger gently and rhythmically over the sensitive areas, or applies rhythmic or steady pressure with several of her fingers or with her whole hand.
- Frequently one or two fingers are moved forward between the labia in a manner, which brings each stroke against the clitoris. Sometimes the labia are gently and rhythmically pulled to stimulate them. Because these structures are attached to the clitoris, she simultaneously stimulates the organ. Occasionally, her heel or some other object is used to press on the sensitive areas. Clitoris and labia minora are the portions of genitalia which are best supplied with the end organs of touch.
- Females do not masturbate by penetration of vagina, since walls of vagina are practically without nerves, although there may be some sensory nerves close to the entrance of vagina.
- Deep vaginal penetration is men’s fantasy and is not the sexual need of women. Major lips of female genitals are involved in masturbation much less frequently. The abovementioned techniques are used by 84 percent of females; while 10 percent of females masturbate by crossing their legs and pressing them to exert steady and rhythmic pressure on the whole genital area. Such pressure affects the clitoris, labia minora and majora.
- During masturbation the female may lie face down or with her knee drawn against her belly. Her buttocks may then move rhythmically forward and against each other. in face down position the female presses her genitalia against the bed or against the pillow, which is placed under her pelvis or between her thighs. Thus the clitoris and other portions of genitals are stimulated. The speed with which the orgasm is achieved through the use of such technique is equal or superior to that with which orgasm may be achieved by other method.
“The ignorance of woman physiology which prevails among most men is boundless and incredible”
- “Honesty is probably the sexiest thing a man cans give to woman
- An individual lives as a man or as a woman. It is difficult for a man understand the sexuality of woman and vice versa.
- A man feels that her sexual pleasure is as his. In reality there is a lot of difference between the two. Her anatomy, hormones and conditioning are responsible for the difference. Till recent times (1976) women never talked about their sexual pleasure. Therefore, myths continued to exist.
What man’s feel?
- (Man’s conceptualization about women’s sexual needs)
- “A woman has ten times sex desire than that of a man
- To satisfy her. He should have frequent sex with her
- She needs a long duration of sex for her sexual satisfaction
- If not fully satisfied, she may seek extra marital relationship
- She get orgasm in her vagina by friction of penis
- Man needs to have a thick and long penis for her satisfaction
- The first experience of sex is very sensational for both
- Woman is dependent upon man or her orgasm
- During masturbation the woman put a long object in her vagina
- Sex with a virgin women gives extra pleasure
The facts are
In man there is no homologous organ like vagina. The biggest misconception is that the women gets erotic pleasure in her vagina. If man were to have vagina, its opening would be 1 inch in front of the anus on the median scrotal raphe. Though the touch sensation is present, it is not as erotic as the touch of glans. This touch can be felt up to one inch deep in the vagina. Beyond that the vagina is insensitive, since it is developed from endoderm (like esophagus). A woman does not put any long object in her vagina during masturbation, she stimulates her clitoris and inner side of labia minora.
In man the organ of pleasure and of intercourse is one and the same i.e. penis. In woman, the organ of pleasure is clitoris and the organ of intercourse is vagina. She can have erotic pleasure by stimulating clitoris and without indulging in intercourse. During the intercourse the penis does not touch the clitoris and therefore she does not get the orgasm by vaginal stimulation. A women, unlike man, is self – sufficient for erotic pleasure. Secondary she is devoid of testosterone, a sex- desire stimulating hormone. The hormones present in her are for menstruation, pregnancy, delivery and lactation. For these reasons, women does not seek sexual pleasure from extra marital relationship. Nymphomaniacs, Gigolos and male sex workers are rate to find. A virgin woman is ignorant and inexperienced in the matter of sexual activities. Such woman generally has fear of pain during vaginal penetration.
First night after the wedding is also disappointing since both husband and wife are novice, ignorant and inexperienced about sexual act. In general, the woman is not interested in intercourse as much as the man is. For her, intercourse is the one way of pleasing the person whom she loves. For man it is something taking and for woman it is something giving. For man, it is final goal for woman it is means of achieving the goal. Unlike man, a woman can survive without sexual stimulation for years.
What women feels?
(women’s sexual needs)
Women complains that :
- He makes a lot of haste during the sexual act
- He does not indulge in sufficient foreplay
- The foreplay is routine and mechanical
- He is not romantic
- As soon as her reaches climax, he turns his face and goes to sleep
- He leave me half way
- He is very selfish in the matter of sex
- He uses me like a sleeping pill
- He is interested in nothing else but intercourse
- He is very rough. I expect him to be slow, soft, honest, faithful and spend more time in loving each other
- He feels that I should be ready for sex as and when he desires. He never cares for my mood
- It is he who decides when, how long how often and in what way to perform sex
- I wonder why he goes after other women in spite of providing him everything he desires.
What the researchers say?
Lying on the back and stimulating the clitoral area with hand gives satisfaction physically, but not psychologically. The difference between this and sex with a partner is that the intense heat of another body is missing, plus the stimulation of the other parts of the body. But, masturbation you can do alone, quickly and you are sure of an orgasm.
- Majority of women do not experience orgasm as a result of intercourse.
- Intercourse was never meant to stimulate women to orgasm
- Intercourse is not a reliable way to orgasm
- Intercourse with or without orgasm is more fulfilling than orgasm without intercourse
- Affections and closeness were the basic reasons for liking the intercourse rarely mentioning the orgasm
- Women have a different arousal system than men. Their arousal is a total body response, rather than a genital one
- The sequence foreplay, penetration and intercourse followed by male orgasm end of sequence, is always under the control of man, gives no chance for female orgasm, but teases the women inhumanly
- Sex is an activity engaged in by two for the satisfaction of one
- Female sexuality is conceptualized in male terms.
- Men and women view sexuality differently.
- Unlike men, women show different patterns of sexual response.
- Women can experience sexual arousal, orgasm and satisfaction without sexual desire or they can experience desire, arousal, satisfaction without orgasm.
- Capacity to experience sexual Pleasure and satisfaction is independent of occurrence of orgasm.
- For women, pleasure and satisfaction are characteristics of normal sexual function.
June Resinich :
- Studies indicate that women generally don’t have a preference in penis is too small. Most woman don’t even think of this issue because it is not important were willingness to share emotions and thoughts.
- Men worry about genitals and women worry about breast size.
- Most women do not insert the vibrator inside the vagina, but use it only on the external genitals. Therefore a phallic shape of vibrator is not necessary.
- Many women have difficulty in achieving orgasm through intercourse by itself, no matter how long it lasts . It is not useful to prolong thrusting. Adding manual stimulation of clitoris during intercourse may help to solve the problem.
- It is normal for a woman not to achieve orgasm by intercourse alone. Ten percent of women have never had an orgasm by any means.
Alfred Kinsey :
- There are no structures in the female which are more sensitive than the clitoris, labia minora and the extension of labia into the vestibule of vagina.
- Vagina is derived from primitive egg ducts which are poorly supplied with end organs of touch. The endodermal lining of vagina makes it similar in this respect to rectum.
- There is no functional homologue of the vagina in the male.
- The average female takes less than 4 minutes to reach orgasm in masturbation, though she may need 10 to 20 minutes or more to reach that point in coitus.
- The average female is less often aroused by anticipation of sexual relationship and she does not begin to respond until there has been a considerable amount of physical stimulation.
- Females reported that they had never been aroused by anticipation of sexual relationship and she does not begin to respond until there has been a considerable amount of physical stimulation.
- Females reported that they had never been aroused by observing male genitalia or by seeing photographs of nude males.
- Most females prefer to be stimulated tactilely in carious other parts of the body before the activity is concentrated on genitalia.
- Maximum incidences of sexually responding females are in the late twenties and thirties.
- Good health, sufficient exercise and plenty of sleep remain the most effective of the aphrodisiacs.
Promila Kapoor :
Women strongly disapproved of sex without love or even with love before marriage, and did not very much approve of sex without love even with the husband after marriage.
What the Feminist Women say ?
- Women’s sexuality is neglected. Many pages are devoted to the penis, while few paragraphs are devoted to women’s genitals. Vagina is shown as a gaping hole or as a tunnel. In fact, vagina is a collapsed tube like a deflated balloon.
- Several myths are perpetuated by medical profession e.g. vaginal orgasm, the notion that women sexual response is totally dependent upon the stimulation by penis.
- We learned that the vigorous contraction of orgasm come from pelvic and clitoral muscles in response to clitoral stimulation.
- Many who do experience an orgasm during coitus find that it is necessary to be in women on top position so that they can control the amount and type of stimulation to the pubic mound and glans of clitoris.
- Women have more powerful orgasms when they masturbate than when they have sex with the partner.
- Many women do not experience orgasm until they are in twenties or thirties, or even later, or never.
What Indian Women Say?
- It is not true that women has more desire for sex. Unlike men, women do not seek extramarital relationship. She will sacrifice everything only for being loved by her husband.
- For sexual pleasure women is not dependent upon man. Her concept of sexual pleasure can be different than that of man.
- Women do not have sex desire as much as men have otherwise there would have been dens of male sex workers
- Intercourse is necessary for fertility but not for women sexual pleasure
- It seems Mother Nature has dissociated the instinct for propagation of life into two components. Majority of pleasure component is given to the male and majority of fertility component is given to the female.