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Overview

Sexual Dysfunction: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Sexual dysfunction is/are the problem/s that a person may experience during any phase of the sexual response cycle. This prevents the person or the couple from experiencing any satisfaction from sexual activities. The different facets of the sexual response cycle include excitement, orgasm, plateau and resolution. Research has shown that about 43 % of women and 31 % of men suffer from some sort of sexual dysfunction.

There are 4 different types of sexual dysfunction. They are – desire disorder which implies that a person has little or no interest in any kind of sexual activities; arousal disorder means when a person is emotionally ready for sex but the body refuses to cooperate; orgasm disorder occurs when a person is emotionally ready for sex but is not being able to reach climax and pain disorder means a person is experiencing pain during the act.

Some of the causes of sexual dysfunction may include stress, psychological issues, heart disease or other medical conditions, drug use, intake of alcohol and diabetes.

The treatment for sexual dysfunction in men can involve the use of oral medicines. Other treatments are mechanical methods like vacuum pumps and constriction rings, local therapies like suppositories and injections and surgical methods like penile implants. For women, there can be non-medical treatments like counseling, reverting to a healthy lifestyle, use of lubricants or devices like vibrators. Women with low sexual desire are often recommended a medicine called flibanserin. When female sexual dysfunction is linked to hormonal problems, estrogen therapy or androgen therapy is generally recommended.

How is the treatment done?

Mechanical methods like the use of vacuum pumps help to treat sexual dysfunction in 50-75 % of the cases. The device is to be used by a man on his penis to expand it temporarily. This device is particularly useful for people with diabetes. Constriction rings are used to treat sexual disorder in those men who get an erection but fail to sustain it throughout the intercourse. This condition is called early detumescence and can be cured by placing a rubber ring at the base of the penis after erection.

Local therapies involve the use of pellets which are inserted into the tip of the penis with a pre-filled applicator. This therapy is mostly beneficial for people with diabetes. Another local therapy is the injection therapy whereby the shaft of the penis of the patient is injected with a drug which helps to produce an erection.

Penile implants are one of the oldest methods of treating erectile dysfunction in men. Some doctors may even go for vascular surgery to repair the blood vessels and increase the blood flow to the penis.

For females suffering from sexual dysfunction, healthy communication with her partner, healthy lifestyle habits, counseling or physical use of vaginal lubricants and use of devices that stimulate the clitoris are some of the non-medical treatment options. In women, sexual dysfunction treatment often involves the addressing of some medical condition or hormonal change. Treatment of sexual dysfunction due to hormonal changes can be done with estrogen therapy which involves use of vaginal ring, tablet or cream. Another method of treatment is androgen therapy which involves the use of testosterone.

Who is eligible for the treatment? (When is the treatment done?)

Any person can suffer from sexual dysfunction but it generally tends to occur in aging people. A person can undergo treatment for sexual dysfunction if he/she suffers from the symptoms associated with the condition. The symptoms that a man can experience are inability to maintain or achieve an erection, delayed or no ejaculation even with adequate sexual stimulation and inability to control the timing of ejaculation.

The symptoms in women are the inability to achieve orgasm, inability to relax the vaginal muscles to allow intercourse and inadequate vaginal lubrication before and during intercourse. Moreover, men and women both lose interest in sex, experience pain during intercourse and have problems getting aroused.

Who is not eligible for the treatment?

Sexual dysfunction occurs when a person is unable to achieve satisfaction while indulging in sexual activities. The doctor will look at the entire medical history of a patient and even perform a physical test to find out if a person is actually suffering from this condition. A doctor will generally find out about the person’s attitude towards sex as well as other contributing factors like fear, anxiety, past sexual trauma, medications, personal issues and if the person was addicted to any drug or alcohol. After thorough evaluation of these factors, the doctor will understand whether a person is eligible for treatment or not.

Are there any side effects?

Constriction rings are usually safe but may cause pain, numbness and cold sensation in the area for some people. A person should consult a doctor if he has sickle-cell disease, heart disease or if he is on blood thinning medication. A penile vacuum pump may cause small red dots to appear on the skin, can cause pain or bruising, and even give a feeling of numbness or coldness. Prostaglandin E1is injected into the shaft of the penis in injection therapy. The side-effects may include persistent erection and scarring of the male sex organ. Use of the same drug in the form of pellets may cause aching or burning in the penis and minor bleeding.

The side-effects of estrogen therapy include bloating, bleeding from the vagina, nausea, headache, indigestion and others. Some of the side effects of androgen therapy may be weight gain, acne, frequent mood changes, breast development and problems with urine flow.

What are the post-treatment guidelines?

After undergoing penile implant surgery, a person will experience mild pain for several weeks. A person will need to take antibiotics for about a week after the surgery to avoid infection. Strenuous physical and sexual activities should also be avoided for a few weeks. The doctor might also ask the patient to inflate and deflate the inflatable penile implants twice a day so that he gets used to using them. There are, however, no such post-treatment guidelines for treatment via mechanical methods. One may experience pain after the use of constriction rings. He should immediately go and see a doctor.

How long does it take to recover?

The penile implantation procedure may cause bruises on the organ and can also make the scrotum to swell. However, the swelling and pain disappears after about 14 days with the help of several warm baths per day. Hormone therapy in women is generally done over a few months time and may even take years. Hormones should be used for treatment for the shortest period of time but a woman needs to check every 3-6 months whether she needs to continue with the therapy or not.

What is the price of the treatment in India?

Medications for hormone therapy are available for as low as Rs 100 for a week. However, the entire procedure starting from the diagnosis to the therapy may cost between Rs 1, 00,000 – Rs 2, 50,000. Constriction rings are available within the price range of Rs 300 – Rs 900. Vacuum pumps to treat erectile dysfunction cost something around Rs 19,500 and Rs 32,500.

Are the results of the treatment permanent?

Use of constriction rings and vacuum pumps are temporary measures that help to spruce up your conjugal life temporarily. They do not provide a permanent solution. Surgical methods like penis implants may provide a longer-lasting effect but there are chances of some side-effects too. Hormonal therapy in women may help to deal with sexual dysfunction on a long-term basis. However, the therapy should have to be continued if the situation demands.

What are the alternatives to the treatment?

Women respond well to counseling sessions. Instead of going for hormone therapy or taking medications, a woman can talk to a counselor about how to enhance intimacy with her partner, how to optimize the body’s sexual response and what exercises to do. For men, Panax ginseng and Rhodiola rosea works well to treat erectile dysfunction. DHEA or dehydroepiandrosterone is a remedy for erectile dysfunction in men with concurrent diabetes. Acupuncture can also help to deal with sexual dysfunction.

Safety: Medium Effectiveness: High Timeliness: Medium Relative Risk: Medium Side Effects: Medium Time For Recovery: Medium Price Range:

Rs 100 - Rs 2,50,000

Popular Health Tips

Sexual Dysfunction - How It Affects You?

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
Sexual Dysfunction - How It Affects You?

Both men and women can suffer from sexual dysfunction which in common man’s speak is a problem that prevents you from experiencing sexual satisfaction. If you are experiencing sexual dysfunction in any part of the sexual response cycle which traditionally includes excitement, plateau, orgasm, and resolution, you are not alone. Research suggests that 43 percent of women and 31 percent of men report some degree of sexual dysfunction or difficulty.

It also remains a topic that many people are hesitant to discuss and resolve worldwide. Read on to know more on sexual dysfunction so that you can understand it and seek treatment for it because treatment options are available and extremely helpful.

Types of sexual dysfunction
Sexual dysfunction is classified into four categories:

  1. Desire disorders: This is a generalized lack of sexual desire or interest in sex
  2. Arousal disorders: Inability to become physically aroused during sexual activity
  3. Orgasm disorders: A delay or absence of orgasm
  4. Pain disorders: Pain during intercourse


Symptoms of sexual dysfunction
In men:

  1. Erectile dysfunction - An inability to achieve or maintain an erection for penetrative sexual intercourse
  2. Retarded ejaculation - An absent or delayed ejaculation despite sexual stimulation
  3. Early or premature ejaculation - Inability to control ejaculation

In women:

  1. Inadequate vaginal lubrication before or during sex
  2. Inability to relax the vaginal muscles for sexual intercourse to happen
  3. Lack of interest in or desire for sex, an inability to become aroused or pain during intercourse are also classified as sexual dysfunction.

Causes of sexual dysfunction

  1. Physical causes - A number of medical conditions can cause problems with sexual function like diabetes, heart and neurological problems , hormonal imbalances, kidney or liver failure, and alcoholism and drug abuse. Anti depressant use can also affect sexual function.
  2. Psychological causes - Stress and anxiety, sexual performance anxiety, relationship problems, depression etc. are some of the psychological causes responsible for sexual disorders. Feelings of not being good enough and the effects of a past sexual trauma also come into play.

Diagnosis of sexual dysfunction
The doctor will begin with a history of your symptoms, followed by a physical exam to rule out medical problems.
A major part of diagnosis is psychological. The doctor will evaluate your attitude about sex, as well as other contributing factors like fear, anxiety, past sexual abuse, relationship problems, medications, alcohol or drug abuse, etc. to understand the underlying cause of the problem.

Treatment
Most types of sexual dysfunction can be treated by addressing the underlying physical or psychological problems. Other common ways to treat sexual dysfunction are:

  1. By changing a medication which may be casing sexual dysfunction - If you have a sexual dysfunction due to hormone deficiencies, you may benefit from hormone shots, pills, or creams. Men can use Viagra or Cialis for erectile dysfunction by increasing blood flow to the penis.
  2. Mechanical aids - Penile implants or vacuum devices can be used in men to maintain an erection. Vacuum devices are used in women too and so are dilators to help women who have an extremely narrow vaginal opening.
  3. Sex therapy - Marriage counselors and therapists help couples resolve their relationship issues that may be causing sexual dysfunction.
  4. Behavioral therapy - This helps you to seek insight into your behaviour which may be causing sexual dysfunction and address it.
  5. Psychotherapy - This type of therapy can help you resolve prior sexual trauma, feelings of inadequacy, anxiety, fear, or guilt, and poor body image. In case you have a concern or query you can always consult an expert & get answers to your questions!
2831 people found this helpful

Common Sexual Disorders in Men & Women

M.Ch - Urology/Genito-Urinary Surgery
Urologist, Guwahati
Common Sexual Disorders in Men & Women

Sexual problems are very common in men and women. There are various reasons because of which sex may not be as pleasing as it can be. The reasons for this could range from the emotional connect that is shared with the person to actual physical issues which stop you from performing. Read on to know the 3 most common sexual problems in males and females.

Males

  1. Impotence: When the male cannot attain and/or sustain an erection to allow for a good intercourse, it is termed as impotence. This is one of the most common problems, and it could be due to strained relationships, performance anxiety, smoking, diabetes, hormonal problems, etc. Most often, it is psychological and easy to cure.
  2. Reduced libido: A man not being “in the mood” may be something hard to associate with, but many a time, it happens. This is largely due to psychological causes, and if the partners don’t strike a chord, that could be the reason too. Other reasons could be hormonal imbalance, high blood pressure, etc.
  3. Ejaculation issues: There could be disorders which could be due to ejaculation that is premature, inhibited, or retrograde. These lead to improper release of sperms, either premature or delayed or back into the bladder. The underlying problem usually is easily identified by the doctor and is treatable.

Treatment:

  1. In all of these, admitting the problem is the first and most effective step towards treatment.
  2. In addition to counseling, which usually involves the partner, hormones may be needed in some.
  3. Quitting smoking, beginning exercise, blood sugar and pressure control, etc. are also required.
  4. In very rare cases, vacuum devices and penile implants may be required.

Women

  1. Dyspareunia: The most common sexual problem in females is painful sex, which makes it difficult for the couple. This could be due to vaginal dryness, UTIs, pelvic area infections, etc. This is one of the main reason for reduced libido. Topical lubricants are often useful, in addition to counseling to allay fears and improve overall relationship.
  2. Reduced libido: This is very common in women, and could be due to relationship issues, painful sex, hormonal imbalance, etc. This is also possible due to the multiple roles that a woman plays, so much so that she never has time to think about it.
  3. Anorgasmia: Women have more difficulty in achieving orgasm, which is also more psychological and often a combination of sex education and counseling helps.

Treatment

  1. Includes combination of medications, hormonal therapy, and sex education.
  2. Vaginal dryness is improved using lubricants
  3. Supplement hormones are very useful.
  4. Sex counseling also involving the partner
  5. Infections or inflammation in the pelvic tract need to be treated with medications. If you wish to discuss about any specific problem, you can consult a Urologist.
1922 people found this helpful

Sexual Health Problems - Ways To Treat Them!

M.A. (Scholar), BHMS
Sexologist, Mumbai
Sexual Health Problems - Ways To Treat Them!

A sexual dysfunction or sexual health problem is an issue that may occur at any period of the sexual cycle. Sexual issues affect both, men and women.

Sexual dysfunction in men can be a consequence of a physical or mental issues, including stress.

The problems men may encounter include:

  1. Erectile dysfunction (ED): ED can be a cause of medications, for example, diabetes or hypertension, or by anxiety about engaging in sexual relations. Dejection, weariness, and anxiety can add to it.
  2. Ejaculation issues: These include untimely (discharge that happens too soon during intercourse) and the powerlessness to discharge by any means. The causes include medicines, like antidepressants, nervousness about sex, a past filled with sexual injury and trauma, (for example, an accomplice being unfaithful), and guilt.
  3. Low libido: Mental issues like anxiety and tension about engaging in sexual relations can prompt a diminished or no sexual craving. Diminished hormone levels (especially if testosterone is low), physical ailments, and pharmaceutical symptoms can lessen the testosterone.

In many cases, sexual dysfunction in women might include:

  1. Vaginal dryness: This can lead to issues with excitement and craving, as sex can be painful when the vagina is not lubricated. Vaginal dryness can come about because of hormonal changes that happen during and after menopause or while breastfeeding, for instance. Mental issues, similar to tension about sex, can also cause vaginal dryness.
  2. Low drive: Absence of sexual yearning can be created by lower levels of the hormone estrogen. Exhaustion, misery, and tension prompts low charisma.
  3. Trouble achieving orgasm: Failure to have an orgasm can influence both men and women. Once more, some stimulant drugs can likewise bring about a solution for these issues.
  4. Pain during sex: Known as vulvodynia or vulvar vestibulitis, and even vaginismus, these conditions can bring about spasms that lead to pain during intercourse.

If you are encountering sexual health problems, raise your worries with your specialist. You can regularly redress your issue by:

  1.  Getting the best possible treatment of any hidden therapeutic condition
  2. Speaking with your partner transparently about your sexual relationship
  3. Keeping away from liquor, smoking, and medication use
  4. Overseeing anxiety, uneasiness, and gloom
  5. If you think you are suffering from any other ailment, discuss with your specialist about therapy that can help you in such a case.
  6. Restorative treatment: This includes treatment of any physical issue that might add to a man's sexual problems.
  7. Drugs: Medications, for example, Cialis, Levitra, Staxyn, Stendra, or Viagra may enhance erectile capacity in men by improving the blood stream to the penis.
  8. Mental treatment: Therapy with a prepared advisor can help address sentiments of uneasiness, apprehension, or blame.
  9. Education about sex and sexual practices and reactions may also help.
4 people found this helpful

How A Psychiatry Can Help You With Sexual Dysfunction?

Diploma In Psychological Medicine, MBBS
Psychiatrist, Thane
How A Psychiatry Can Help You With Sexual Dysfunction?

Both men and women can suffer from sexual dysfunction which in common man’s speak is a problem that prevents you from experiencing sexual satisfaction. If you are experiencing sexual dysfunction in any part of the sexual response cycle which traditionally includes excitement, plateau, orgasm, and resolution, you are not alone. Research suggests that 43 percent of women and 31 percent of men report some degree of sexual dysfunction or difficulty.

It also remains a topic that many people are hesitant to discuss and resolve worldwide. Read on to know more on sexual dysfunction so that you can understand it and seek treatment for it because treatment options are available and extremely helpful.

Types of sexual dysfunction
Sexual dysfunction is classified into four categories:

  1. Desire disorders: This is a generalized lack of sexual desire or interest in sex
  2. Arousal disorders: Inability to become physically aroused during sexual activity
  3. Orgasm disorders: A delay or absence of orgasm
  4. Pain disorders: Pain during intercourse


Symptoms of sexual dysfunction
In men:

  1. Erectile dysfunction - An inability to achieve or maintain an erection for penetrative sexual intercourse
  2. Retarded ejaculation - An absent or delayed ejaculation despite sexual stimulation
  3. Early or premature ejaculation - Inability to control ejaculation

In women:

  1. Inadequate vaginal lubrication before or during sex
  2. Inability to relax the vaginal muscles for sexual intercourse to happen
  3. Lack of interest in or desire for sex, an inability to become aroused or pain during intercourse are also classified as sexual dysfunction.

Causes of sexual dysfunction

  1. Physical causes - A number of medical conditions can cause problems with sexual function like diabetes, heart and neurological problems , hormonal imbalances, kidney or liver failure, and alcoholism and drug abuse. Anti depressant use can also affect sexual function.
  2. Psychological causes - Stress and anxiety, sexual performance anxiety, relationship problems, depression etc. are some of the psychological causes responsible for sexual disorders. Feelings of not being good enough and the effects of a past sexual trauma also come into play.

Diagnosis of sexual dysfunction
The doctor will begin with a history of your symptoms, followed by a physical exam to rule out medical problems.
A major part of diagnosis is psychological. The doctor will evaluate your attitude about sex, as well as other contributing factors like fear, anxiety, past sexual abuse, relationship problems, medications, alcohol or drug abuse, etc. to understand the underlying cause of the problem.

Treatment
Most types of sexual dysfunction can be treated by addressing the underlying physical or psychological problems. Other common ways to treat sexual dysfunction are:

  1. By changing a medication which may be casing sexual dysfunction - If you have a sexual dysfunction due to hormone deficiencies, you may benefit from hormone shots, pills, or creams. Men can use Viagra or Cialis for erectile dysfunction by increasing blood flow to the penis.
  2. Mechanical aids - Penile implants or vacuum devices can be used in men to maintain an erection. Vacuum devices are used in women too and so are dilators to help women who have an extremely narrow vaginal opening.
  3. Sex therapy - Marriage counselors and therapists help couples resolve their relationship issues that may be causing sexual dysfunction.
  4. Behavioral therapy - This helps you to seek insight into your behaviour which may be causing sexual dysfunction and address it.
  5. Psychotherapy - This type of therapy can help you resolve prior sexual trauma, feelings of inadequacy, anxiety, fear, or guilt, and poor body image.
1 person found this helpful

Testosterone Booster: Is This An Unsafe Supplement?

MD - General Medicine
Sexologist, Delhi
Testosterone Booster: Is This An Unsafe Supplement?

Testosterone Booster: Is This An Unsafe Supplement?

If you're a bodybuilder or perhaps an athlete who must build up muscles fast so that your muscle mass building workouts will be more effective, the best thing that can be done is look for a testosterone booster. This is a kind of supplement that can help to speed up your body's muscle mass building process.

Taking this supplement could make you gain muscle in just a brief period of time. But if you need to do a search online, you'll hear a lot of horror stories concerning the experiences of individuals that have tried using the supplement. Others are complaining about the harmful side effects while there are several men that suffered from a heart attack. So with all this stuff, you cannot help but ask - are these supplements dangerous to your health? Read on as we find out the answer to this.

Is It Really Safe?

There has been lots of debate regarding the safety of the testosterone booster. Actually, plenty of medical experts have been debating on whether this kind of supplement is really safe to use or otherwise. There are several individuals who would believe the efficacy of the products and there are others who are totally against it. But the truth is that the question could be answered depending on the type of supplement that you're planning to take.

While it's correct that there are testosterone supplements which are dangerous for one's health, there's also those that are safe to be used. So let us identify which of these supplements are safe and which of them are not.

What Exactly Are Anabolic Steroids?

If you've been searching for the best testosterone booster for quite a while now, then you certainly have come across the anabolic steroids. These are products that are actually used by bodybuilders to be able to bulk up on muscles fast.

However this type of supplement is actually not safe, thus, it must be avoided. The anabolic steroids are in fact controlled substances which aren't approved by medical experts as these substances can result in negative effects on the body. The very best options and the safest alternatives of all the testosterone supplements in the market are those that are made of 100 % natural ingredients. These natural supplements won't trigger any harmful side effects or allergies, so they are safe for everybody to use.

Where You Can Buy These Natural Supplements

Because of the increasing demands of natural testosterone booster supplements, you will find that there are plenty of stores that sell these products now. Simply check out the local pharmacies near you and they certainly have these items available in their store.

You can also use the internet to shop for these supplements. There are plenty of online stores that sell different kinds of natural testosterone supplements now. However, make sure that you filter your search only on natural supplements as these are the safest and healthiest alternatives. Also, make sure that you're purchasing the product only from a highly reputable online seller so you won't end up getting scammed.

When Would You Actually Need A Testosterone Supplement?

Visit your doctor for a check-up to be able to address the question of whether you need a testosterone booster or not. Your doctor will assess your testosterone level and can provide you with advice on whether it's good for you to take up such supplements. Furthermore, the physician will provide you with the very best advice when it comes to the best supplements to purchase in the market.

There is really nothing to be afraid of with regards to taking a testosterone booster supplement for as long as you are taking the right kind of supplements. Don't let yourself be easily deceived with all the ads and promotional campaigns online. Always do your homework and seek advice from the expert.

5 people found this helpful

Popular Questions & Answers

I have low T around 450 my age is 34 I think it should be around 650. Free t is 6.9 whereas it should be far greater. I have tried TRT like cernos gel, injection, sustanon injection and testoki tablets. But they didn't work. I have acute sexual dysfunction. Low semen volume 2 ml. Can any doctor tell me how to increase T by medication (except TRT and micro nutrients which didn't work in me.) Like HCG and clomphine etc. Can any doctor give me some idea especially from Kolkata. I am unable to marry.

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
Hello- With age, usually after the age of 30, the amount of testosterone in the body declines. A low testosterone level can affect both your quality of life and your health. It can cause fatigue, erectile dysfunction, depression and other emotional issues, insomnia, poor concentration, decreased bone density, and increase in body fat. In case the test shows low testosterone level and you experience the signs and symptoms for the same, don't worry. Ayurvedic aphrodisiac herbs and some simple lifestyle and dietary changes can help boost your testosterone level naturally.

I am 26 old I have sexual problems of erectile dysfunction and when erect isn't strengthen my penis are soften so how can I get relief it or what I do?

Sexologist Clinic
Sexologist, Faridabad
Dear sir please do not worry.in starring time take the gap of every 3 days in 2 intercourse. Take fruit juice, coconut, ashvagandharistha 2tsf with 2tsf water after dinner 30 minute. You will get the result. For best cure contact to any topmost doctor. Thanks sir.

I am facing sexual dysfunction like no libido no arousal delayed ejaculation and sexual anhedonia. I have normal total T and free T prolactin normal lft and heart so no endocrine problems. Although I have lost a testis due to torsion. The real problem is I have schizophrenia and used arpizol 20 mg initially now using arpizol 10 mg I have met many sexologist urologist endocrinologist. My dopamine and other neurotransmitter levels are not OK. I have also taken fluxotein. So can any good psychiatrist help me in treating sexual dysfunction by treating the neurotransmitters. I am in need of genuine help. I want to marry I am 32 years old now. Can any psychiatrist help. Thanks in advance.

DHMS (Hons.)
Homeopath, Patna
Hello, Your expression reveals that you are really in hot soup, you need to monitor your weight as obesity cause shrinkage of penis erectile dysfunction and premature ejaculation with low libido. Go for meditation to reduce your stress, strengthening pelvic, groin & penile muscles to improve libido & premature ejaculation. Tk,  apples, carrots,  spinach, garlic, pumpkins seeds, almonds, ,black chocolates to improve testerstone level to check erectile dysfunction, premature ejaculation, ensuring raised sperm count and testosterone level. Your diet be easily digestible on time to avoid gastric disorder. Homoeopathic medicines can assist you, successfully being gentle, rapid & safe in administration. @ DamianaQ -10 drops, thrice with little water. Opt 'Sex enhancer' -package for better results. Avoid,  junkfood,  alcohol &  nicotine. Tk,  care.

I am Suffering from erectile dysfunction dhat syndrome lost all sexual desire.Please help me for that.

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
Hello- Two of the most common sexual dysfunctions that affect a large percentage of men are Premature Ejaculation (PE) and Erectile Dysfunction (ED). When it gets added by lack of libido the situation get more complicated. The incidence of these conditions have been found to be equitably spread among all socio-economic groups and can affect men of all ages. Most men who have been diagnosed with ED as a primary problem, the secondary concern in most instances is PE, the two are often thought to be mutually inclusive and are always associated with reduced sexual urge. Also because reduced or hampered blood flow, critical to achieve a penetrable erection, to the genital areas is one of the main reason for premature ejaculation and erectile dysfunction, the logic of 'one reason one problem' gets applied. In the last few decades, significant advancements in treatment procedures and options have improved the outlook for these three conditions and the comprehensive treatment is possible with the help of medications.
1 person found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Sexual Dysfunction
Hello!

I am Dr Ashish Sakpal I am a consultant psychiatrist and sexologist practicing in suburban areas of Mumbai.

Today we are going to talk about sexual dysfunctions, as we know there are many misconceptions related to sex and its problems. So, today I would like to clear certain types of sexual problems which may exist. Sexual dysfunction can be classified into mainly 5 categories, first is disorders related to desire, jaise ki ichha mein problem hona, in desire related disorders there are mainly two categories like first is hypoactive sexual desire disorder and hyperactive sexual desire disorder. In hypoactive ichha kam ho jati hai sex ke baare mein and in hyperactive bahut tej ichha hoti hai sex ke baare mein. And the second category in sexual dysfunctions is a problem related to excitement in which there is condition called as erectile dysfunction, erectile dysfunction mein sexual activity ke dauran penis ka flaccidity ho jana, ya phir penis ka erection hone main difficulty hona yeh usually dekha gaya hai. Third category in sexual dysfunction is disorders related to orgasm in which the first is premature ejaculation and second is anorgasmia. In premature ejaculation during the sexual activity the person loses his erection early and thus resulting into problems related to reaching orgasm, jaise ki sexual dysfunction jo premature ejaculation hai usme jo penis hai uska dhilapan ho jata hai or during activity shurvat mein ek kadak pan rahta hai lekin aage chal ke dhilapan aa jata hai. Second is anorgasmia jisme jo patient hain unko kabhi orgasm hi achieve nahi hota hai. Fourth part in sexual dysfunction is problem related to pain, the category is mainly in vaginismus, vaginismus mein during sexual activity jo dono partners hai unko dard ho sakta hai jis wajah se sexual activity puri nahi ho pati. Fifth part is miscellaneous category in which there are problems related to general medical conditions and problem related to substance abuse.

In which basically jo sex ki problems hona due to koi medical condition jaise ki diabetes hona, blood pressure hona, ya phir koi drugs, ya phir koi madak dravyoin ke sevan ki wajah se sexual problems hona. These are broadly the five categories under which sexual dysfunction exist. Now we will talk about the causes of the sexual dysfunction ya phir karan yeh sexual dysfunction hone ke. The most common cause is local genital pathology, jaise ki genital organs hai unmein koi pathology ki wajah se sex mein problem aana, second cause is endocrine dysfunction ya phir hormonal changes hona body mein jiss vajah se sexual problem hona. Third cause is neurological dysfunction jaise brain ki bimariyon ki wajah se sexual dysfunction hona. Fourth cause is due to drugs jaise ki koi dawaiyoo ke lene ki vajah se, jaise ki blood pressure ki dawaiyan, psychiatric dawaiyan and the last is due to substance jaise ki koi nashe ki cheeze, jaise ki tambaku ka sevan, alcohol, ya phir koi bhi nashile padhartho ka sevan ke vajah se sex main problem aana.

So how to diagnose these kind of sexual dysfunction, inn saare sex related bimariyon ko hum pehchane kaise. The first most common thing what we do, is take general history of the patient and physical examination, second is we send the patient for some blood investigation related to his problems described in the examination and thus there are certain special tests which can be done for these sexual problems like phenyl plethysmography or doppler or a duplex ultrasonography or maybe we can do is nocturnal penile monitoring, tumescence manassin monitoring and lastly what we do is cavernosography. Now how to treat this sexual dysfunction, the first and foremost is to identify the cause causing the sexual dysfunction and treat it as per your diagnosis, second is counselling it can be individual counseling or group counselling. In counselling what we exactly do is we understand the education about sexuality and sex related problems the patient has, any particular problems related to the couple or any communicated issue with the couple which can be there during the sexual intercourse or otherwise. After counselling what we can start is behavioural therapy for the patient in which first is relaxation therapy to calm the patient the excitement related to the sexual act. Second is ascertain skill in which we explain how to communicate to each other for couples, third is biofeedback and forth is systematic desensitization. What else is there is master in johnson therapy, in which these are specialised skills which can be taught during the sexual intercourse to the patients like squeeze technique, start stop start technique and later what we can try after behavioural therapy is medication or medicines which can be given to enhance the performance of the patient during the sexual intercourse. It is a temporary phase for the medication, gradually we have to work upon the counselling and the behavioural therapy and after which the medications can be stopped.

This was the brief description of sexual dysfunctions for more information you can contact me through Lybrate or book appointment through Lybrate portal and do not hesitate to come and talk about sex and its problems related to your life. Thank you.
Play video
Male Sexual Dysfunction
Male Sexual Dysfunction: Causes and Treatment
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Link Between Sexual Intercourse And Urination
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Ayurveda And Vajikarana Therapy
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Sexual Dysfunction In Males
Hi friends,

Main Dr. V Kumar life care clinic noida se bol raha hu.

Aur aaj mai kuch khas bimariyan jo sex se related hoti hain unke bare me batene ja raha hu.kyuki maine ye dekha hai prayah usually ye dekha hai jo bachhe mere pas ilaaj ke liye aate hain. unki marriage hone wali hoti hai aur wo kafi nervous hote hain ki unko impotence ho gaya hai ya unke erection ki problem agayi hai aur thik se kadapan unke ling me nahi aata. jisko le kar unko bhari tension rehti hai.aise me wo mere pas aate hain aur maine paya hai usme aur bahut sari situtation me ye bimari, bimari nahi ho kar ek dar aur khauf zada hai. kai bar kya hota hai bachhe jo naukari karte hain jinke pas time ki kami hoti hai to unke par job ka stress hota hai anxiety hai unke upar performance anxiety hai, unke targets hain unhe poora karna hota hai unki sleep poori nahi hoti hai aise me kya hota hai ki un bachho ko bahut pressure hota hai. aur ye jo bachhe hain jinki shadi hone wali hai . jo recently marreied hai to jab unke samne ye sthiti utpanna hoti hai to bahut pareshan hote hain. main ye kehna chahunga jo erectile dysfuction isme 70 % to aisa hai ki psychological apki problems apke dimag me ghumti hai aur 30% ye bimari kis chiz se judi hoti hai jais eabesity hai sharab hai alchohal hai smoking hai ya koi diabetes ki bimari hai ya koi aisi bimari hai jo penis pe hojati hai jiski wajah se circumcsision jaise karwana padta hai . aisi batein jiski wajah se pain hota hai. To kuch chize hain aisi hai jo ki local hain. Jise hum thik kar sakte hain. Aur kuch batein aisi hain jiske liye ilaaj lamba karna padta hai.. an ye dekhna zaroori hai ki kaunsa ilaaj isme hume kab karna hai. To sabse pehle smajhne ki zarurat hai my friends ki aap darein nahi bilkul. Hichke nahi aaiyye mere pas ya kisi bhi doc k paas jaiyye apni poori baat bataiyye aur dhyan poorvak bataiyye aur jaise ilaaj wo batate hain usko aap kariye aapko fayda aap thik ho jaenge.. isme sabse zaruri hai aap kitne apne man ko insab chizo se door rakhte hain. Kaise? Jaise ED ke bahut sare karan hote hain ki admi apne ap ko compare karta hai porn stars se wo watch karta hai porn film me. Wo samajhta hai ki mujhe bhi aise action karna chahiye.

Aur uski tayyari mein wo fail ho jata hai. Isi tarah wo kai bar excessive masturbation karta hai use kya hota hai ki wo chahta hai ki jitni jaldi ho sake ki mujhe jitni jaldi ho sake pleasure point aa jae isse kya hota hai ki uske dimag ka santulan kharab ho jata hai aur fir wo kya karta hai ki wo jaldi se jaldi nikalne ka uska mind set bilkul badal jata hai. Aur fir use lagta hai ki ye to main isko perform nahi kar paunga aur isse usko is tarah ki problem hoti hai. Ye aisi chhoti moti problem jo agar aap aaap thoda sa dhyan counseling me jaein ya kisi sexologist k pas jae doc k pas jaein physicial ke paas jaein to aapko deifinite fayda hoga aur aap thik ho jaenge. Islie aap chinta nahi kariye. You will be safe and fine. Ap agar iske bare me sochenge thoda dhyan denge to apka ilaaj ho jata hai. Ek baat isme or batana chahte hain. Agar apko ye bimari lag gayi hai ho gayi hai. Isme ghabraein nahi. Thoda sa samaya dein thoda sa relationship ko or ache se chalayein ke aap usko ek challenge le kar karein usko ek relationship ko lets go together get together kyuki agar aap sath sath chalet hain to aap agar sath sath chalet hain to usko jeet sakte hain. Jaise yah ape ye laga hua hai together e can together we can conquer. Andhera rasta hai aur lamba rasta jisme ki problem hai us problem ko bhi aap mutual understanding se thik kar sakte hain. To friends mai iske bare me apko apni video jab to mai apko aur bhi kuch jankariya dunga isse zada jo aur jaruri jankariya hain knowlodge information hai. Taki aap usko apne liye video me sun sakte hain bhej sakte hain aur use fayda utha sakte hain. Agli bari mai apko maturbation ke bare mein aur dusra premature ejaculation ke bare me bataenge aur aap uska fayda uthaenge aut mai asmajhta hu ki bahut sari situation me bina ilaaj k thik ho jaenge.

Thank you very much be happy and revive your health and happiness I am doc v kumar from life clinic nodia.
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