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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

Social Stigma & Sex - Impact On Mental Health!

M.Phil - Clinical Psychology, Bsc - Psychology, Msc - Applied Psychology
Psychologist, Delhi
Social Stigma & Sex - Impact On Mental Health!

We consider ourselves to be ‘modern and ‘open’ in our perspectives, thoughts and beliefs, but still, there are lots of issues that prevail in our society which people are not comfortable to talk about or afraid to discuss those issues openly with others. Issues related to sex, sexual desires, sexual orientations, sexual preferences are among those issues which are not easily discussed in our society.

Sex is the most basic of acts for human beings. It's an instinct we all are born with. Though people around the world remain hung over sex's moral and political implications, we all can come to at least one consensus that it is why we are alive today and our future generations will always depend on it in the first place.

A child, in his or her growing years, especially during adolescence, develops lots of curiosity related to sexual desires. The reason for it is also biological, as a child in this stage goes through various physical and hormonal changes and they start sensing these desires from inside. But when they try to express their queries, feelings or desires, our stigmatized society pulls them back. Gradually they develop a belief system that ‘sex' is something forbidden and not to be discussed openly.

Eventually, when they grow up and the time comes when they are supposed to address their own sexual needs, desires or impulses, they face challenges because of this inculcated belief systems.

These issues can lead to, if not addressed properly, various psychological distress in people like anxiety, depression and various sexual disorders.

Here, would like to mention some of the sexual disorders found among young population, like;

  • Sexual Arousal Disorder: In this condition, both men and women can develop an aversion to and/or avoidance of sexual contact with their partner. Lack of sexual excitement and pleasure in sexual activity.

  • Sexual Desire Disorder: Lack or absence for some period of time of sexual desire or libido for sexual activity or of sexual fantasies.

  • Erectile Dysfunction: Inability to develop or maintain an erection of the penis.

  • Premature Ejaculation: In this condition, ejaculation occurs before the partner achieves orgasm. Men, in this condition, generally expresses that they have less or no control over ejaculation. The opposite condition to this is Delayed Ejaculation, where there is an inability for or persistent difficulty in achieving orgasm, despite sexual desire and sexual stimulation.

  • Orgasm Disorder: This condition is commonly found in women, characterized by persistent delays or absence of orgasm.

  • Sexual Pain Disorder: It is also commonly found among women and also known as Dyspareunia (painful intercourse) and Vaginismus (an involuntary spasm of the muscles of the vaginal wall causing difficulty in intercourse).

The cause behind these conditions can be sometimes physiological, but it has been seen that in most of the cases, there are some or other underlying psychological factors leading to those conditions.

Young adults, even in this era, find it difficult to talk about their sexual orientations, sexual preferences, their first intercourse, difficulty with sexual desires, difficulties or queries related masturbation or problem in ejaculation or any other sexual dysfunctionalities. One reason for this hesitation may be a ‘fear of rejection' that young adults face due to the inflexible social norms.

Many sexual issues that an individual face maybe because of some physical problems or a change in one's life circumstances. Causes of many sexual problems or disorders are also not well-known or understood. Treatments are available like medications or psychotherapeutic interventions, but to seek those help people should accept and open up with their concerns.

Different Techniques That Can Be Used For Egg Freezing!

MD - Obstetrtics & Gynaecology, DGO
IVF Specialist, Mumbai
Different Techniques That Can Be Used For Egg Freezing!

Egg Freezing, which is also known as mature oocyte cryopreservation, refers to the method through which reproductive potential is restored among women. Eggs get harvested from the ovaries, frozen and in an unfertilized manner and are stored for purpose of using them later on. The egg freezing procedure is recommended for those women, who would like to delay conceiving baby due to various kinds of reasons.

Before the freezing of eggs, it is important to first retrieve the eggs. Let us look at how the eggs are retrieved, followed by the procedure of egg freezing through two different ways.

Retrieval of Egg

Egg Retrieval takes place just like it is done in case of in vitro fertilization (IVF). Women would need to be put under medication for hormones or through injections, which shall lead to the stimulation of ovaries, leading to more eggs getting matured. After this women would receive the necessary medication to stimulate ovulation and then the extraction of eggs takes place through the use of a needle. Specialists perform this whole procedure by putting women under the effect of anesthesia and are also guided by ultrasounds. Once the extraction is completed, the freezing takes place.

There are two different techniques involved in the egg freezing process. They include:

Slow Egg Freezing Method

A substance called cryoprotectant is used in order to protect the biological tissues from getting damaged out of freezing. This slow freezing method of getting eggs freezed relies on low initial concentrations of crytoprotectant. The cryoprotectant in low concentration is introduced when the egg is at a relatively warm temperature and still continues to experience the usual functions of a living cell. Then the cryptoprotectant would spread all throughtout thus fill the egg, hence replacing most of the water inside the egg. The egg is then inserted into a small container made of plastic and ultimately get placed inside a cooling chamber. The lowering of temperature, to around -6 degree centigrade, takes place through injecting very tiny amounts of liquid nitrogen into the cooling chamber. The cooling process is controlled by a computer.

The main purpose of these techniques is to avoid ice crystals from getting formed in the egg. During the spreading of the cryoprotectant, if the ice crystals are still present, they can cause damage to the egg and hence the egg may not survive the process of thawing. Then the temperature is lowered further to around -32 degree centigrade. By this time, the egg’s metabolic rate become slow. The container where the egg was placed, is then dipped inside the liquid nitrogen, forming a solid.

Rapid Egg Freezing Method or Vitrification

At the time of rapid freezing method, there is high concentration of initial cryoprotectant whereas the cell remains at room temperature. The egg is unable to stay for long in this temperature and thus gets poured immediately onto the liquid nitrogen. Cryoprotectant spreads at a rapid rate so as to avoid ice-crystal from getting damaged. Vitrification is a very new method for freeing eggs. Recent research has shown that vitrification of eggs largely improves the possibility for survival after thawing and the rates of pregnancy.

2954 people found this helpful

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!
2839 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.
1958 people found this helpful

Sexual Problems - Know The Common Triggers Behind Them!

MD - Community Medicine, Additional BA (Psychology)
Sexologist, Nagpur
Sexual Problems - Know The Common Triggers Behind Them!

Any kind of dysfunction points to the issues experienced during any stage of the cycle of physical issue that prevents the participants from experiencing any kind of satisfaction from the intimate activities.

Though the researches imply that sexual problems are common all across the globe; 43% of women along with 31% of men are affected by some sort of dysfunction; however, it is something that most people are hesitant to talk about. But thankfully enough, most cases of sexual problems can be effectively treated, and can be prevented from occurring again, by sharing your concerns with a qualified doctor.

You should consider visiting the doctor along with your partner.

What leads to sexual problems?

Sexual problems can be caused either due to physical or psychological reasons. Many medications and clinical conditions can cause a variety of sexual dysfunctions, and these physical conditions include heart and vascular disease, high levels of blood sugar and blood pressure, any kind of neurological disorder, chronic diseases of the kidneys, liver and lungs, and hormonal imbalances.

In addition to this, the side effects stemming from any medicine, including antidepressant drugs, can cast a harmful impact on the sexual desire and its normal functioning. On the other hand, psychological causes refer to the stresscaused due to work pressures, anxietydepression, excessive concern about sexual performance, feelings of guilt, and relationship problems.

What are the common sexual problems?

What leads to sexual problems can cause a wide variety of issues in both men and women. While erectile dysfunction is most commonly found in men, vaginal dryness is the most common issue in women. Sexual dysfunction can take a variety of forms, and it is not plainly confined to the dysfunction or simple disinterest in sex, which is commonly termed as lack of sex drive.

It can also involve pain while having sex or an inability to maintain the erection or experiencing pain while getting an orgasm. There are some people who experience excruciating pain during intercourse, which is often accompanied with a burning sensation.

All couples have the right to enjoy a happy and healthy sex life, which can be considered a crucial aspect of any relationship. So, if you are having any kind of difficulty that is interrupting your lovemaking, it is imperative to speak with your doctor to get the right diagnosis, and discuss openly with your partner to find out the ideal solution of your sexual problems. Couple therapy is a very effective way of treating such problems among people. The purpose of couples therapy is to restore a better level of functioning in couples who experience relationship distress.

4 people found this helpful

Popular Questions & Answers

I have sexual dysfunction, impotence that means premature ejaculation. Penis is bending downward, and small too. What medicine should I administer.

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, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Dear user. I can understand. Please don’t panic. You must understand PREMATURE EJACULATION. Premature ejaculation is diagnosed when you have premature ejaculation within one or two minute of sex, continuously several times with the same partner for over six months. There is nothing called premature ejaculation while doing masturbation. Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation is a common problem which happens due to psychological stress and anxiety in majority of people. I suggest sex therapy and sex counseling for you.
9 people found this helpful

Hi, I am male, age 41 years, feel weak, depression work Environment, Sexual dysfunction, I cannot enjoy it, Lack of penis strength and desire, rapid ejection.

MBBS, MS - General Surgery, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES)
General Surgeon, Meerut
Stress seems to be the biggest factor in your case until an unless you are happy and satisfied you can't be happy with your physical mental and sexual health. Life is full of compromises and adjustment is key to success if you can change anything you can then go ahead else modify yourself to the situation.
1 person found this helpful

I am 24 years old, as I had bp 140/100 sometimes and was having high pulse rate 130-140. So my doctor prescribed me betacap tr 40, and I was taking that for a year ,and I was ok no problems, but now I am facing some problem in my sexual life like erectile dysfunction, so is this because of the medicine or what ?Please suggest me what to do?

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
Betacap is known to cause erectile dysfunction in few patients, in view of your heart rate it was probably prescribes to you, but you can consult your treating doctor for change in medication. Also the cause of your high BP and fast heart rate should be thoroughly investigated, please consult a cardiologist regarding the same.

Sir I am 33 Male suffering from erectile dysfunction and loss of sexual desire am taking antidepressants like serta (sertraline) 50 mg and risperidone 2 mg for 5 years .my prolactin level increased to 35 ng and reduced testosterone by 70% pls suggest.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Mohammad , hi Warm welcome to Lybrate.com I have evaluated your query thoroughly . * This is most probably from the side effect of sertaline , has to stop it for better sex life . Hope this clears your query . Wishing you fine recovery . Welcome for any further assistance . Regards take care .
2 people 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
Play video
How To Prevent Sexual Disorders?
Hello,

This is Dr. Imran Khan, sexologist and has a special interest in preventing disease. Aaj ka mera topic hai ki bimariyon se kaise bacha jaye. Sexual disorder ho ya koi or problem ho, sabse bachna bhut jruri hai. Bimariyon ke ilaj pe bhut jyada jor dia jata hai. Lekin unke preventions pe utna kam nhi kia jata hai. Ye jyada acha hoga ki hum koi bhi bimari hone se bacha len. Aap sexual problem se kaise bach skte hain? 4 alphabets yaad rkhiye. SIDE: S - Stress, I - Interpersonal relationship, D - Diet, E - Exercise. Koi aise 4 cause hote hain jo bimari ki vjha bante hain.

Hume patient ka lifestyle dekhna chaiye. Bimari bhi hume hmare lifestyle ki vjha se hi effect krti hai. Stress is the killer of sexual health. Stress ke types hain - mental and physical stress. Like job ka pressure, financial pressure. Aap uljhe rehte hain or kafi preshan rehte hain. Apko apne routine ka nhi pta hota. Isko manage krna bhut important hai. Isme anxiety, depression, psychosis. Manage krne ke lia best way hai ki aap sexologist se milen jo apki lifestyle manage krne ke lia advice de. Interpersonal relationship: apke partner ke sath apka relation kaisa hai. Relation me performance anxiety bani rehti hai. Ye bhut important hai ki hum isko smjhen.

Diet - Hmari diet unhealthy hai. Log fast food prefer krte hain. Fast food vo bhi hai jo nutritious nhi hai. Packed food me artificial preservatives hote hai, color and chemicals hote hain. Ye sab toxic hote hain. Apke endocrine ko disturb karte hain. Sugar and sweets avoid kren. Refined oil chor den, ye processed oil hota hai. Ye arteries ko damage krta hai, Or erection me bhi problem aati hai. Heart damage hone ka risk hota hai. Refined flour (maida) avoid kren. Packaged food or junk food avoid kren. Tobacco and alcohol quit kren.

Exercise - Hum apni physical activity ko bhul gye hain. Hum apna maximum time gadgets use krne me waste kar dete hain. Exercise kafi hai ek achi life jeene ke lia. Hafte me 6 days and 45 mins koi bhi exercise kar skte hain aap. Ye general points apko describe kia gye hain. Baki sab apke case pe depend krte hain. Agar apko or information chaiye to aap qualified sexologist se consult kren. Aap mujhse bhi Gurgaon me consult kar skte hain. Apko detailed information di jayegi. Doctor se milke apko kafi benefit hoga. Or ye apki health ke lia bhut important hai. Sexual problem ko ignore na kren. Initial stage pe bhut jldi thik ho jate hain. Jitna aap ignore krenge or research kr k khud ko thik krne ki koshish krenge, apka lia ye acha nhi hoga. Google pe sari information generalised hoti hai. Har kisi ka cases person to person vary krta hai. Islia doctor se consult kren. Apne partner ko khush rkhiye. Apka relationship bhut important hai. Apka relationship apke mental health ko effect krta hai. Hmare yhan HIV diagnosis bhi dia jata hai. STDs ka treatment bhi mere clinic me apko dia jayega. Marriages ka physical and mental benefits hain.

Thank You.
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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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Sexuality In Older Age
Nameshkar mitro!

Me Dr. Shirish Malde, sexologist, Mumbai based hun. Aaj hum ek aisi samasya ke barey mein baat karenge jisse humari kafi population pareshan rehti hai. Humara vishaye rahega sexuality at aging. Barhti hue umar ke sath sath sex ke mayne kaise badalte hain ya sex samasiyaen kia kia asakti hain uske barey mein hum jaankari lenge. Tau doston sabse pehle tau yeh batadun ke umarab barhna yeh koi sex ke liye badhya nahi hai. Yeh ek natural process hai agr barhti hue umar mein bhi kisi bhi viqti chahe who sitri ya purush agr uske sex ki ichcha agar barkarar rehti hai tau yeh bilkul normal hai. Halanke agar ichcha nahi hai tau unko fiqar kerne ki zarurat hai. Jaise umar barhti hai sharer mein kafi badlao atay hain mansik badlao bhi atey hain tau aise mein yeh badlao kia ayenge iske barey mein agar ap koi jankari hogi tau ap jau kabhi kabhi jau fiqar hoti hai jau kabhi kisi cheez ki anxiety hoti hai use bach sakte hain. Umar barhti hai waise purushon mein jau badlao jau dekhe gae hain us mein yeh hota hai ke erection aney mein thora lamba samey lagta hai, uktejana ki ziada zarurat hoti hai, aur us viqti ko apne female partner se bhi uktejina milne ki buhat ziada zarurat mehsoos hoti hai. Istrion mein halanke yeh dekha gaya hai ke unki bhi sex ki ichcha barqarar rehti hai aur jau sharerrak badlao atey hain who kafi had tak hormones ke related hote hain.purushon mein yeh hormones jab kam hote hain particularly androgens jisey mainly testosterone jau hormone hai yeh kam hone se viqti mein ek jau samsya nirmaan hoti hai jisey andropause kehte hain yeh istrion mein jau menopause hota hai uske barabar ka shabd hai. Is mein kam hue hormones ke chalet chalet viqti mein chirchirapan,thakan jaldi mehsus kerna, kaam kaaj ke doran use phurti na hona aur sex mein erection thek se na ana ya jau sex ki ichcha hai kamik ichcha mein kam hona yeh parmokh lakhshan hain. Istion mein bhi mood change hona yeh menopause ka eke ham laqshan hai. Uske sath sath shareerak badlao jau hote hain usme lubrication ka kam hona jae mah se jau discharge ata hai usme kam hona yeh parmokh lakhshan hain. Is wajah se unhe kabhi kabhi kuch sex ki samasyain sata sakti hain. Uske elawa life mein jau barhti hue umar ke sath jau 40-45-50 saal ki jab hum baat kerte hain tab insan ki life mein kafi badlao ata hai. Jaise who profession mein ziada responsible position per puhanchta hai chahe job ho,yah business ho uska apna khudka tau wahan per jau demanding nature hai who ziada hojata hai kion k eek position si hoti hai insan ki uss waqt ki tau uske pas zimedarian kafi hoti hain. Sath mein hi domestic front pe uske ghar pe bachay barhe hue hote hain 20-22 saal mein uska jau education ke waqt uska ek ahem bhomika hojati hai aur usi ke sath sath unke parents jau 60s-70s ki age mein puhanchte hain unke samasyain bhi kafi rehti hain. Tau yeh insan 40s-50s mein ek aise cross road per aker ke khara hai jahan per usko apni niji life aur apne parewar jinon ki health parewar jinon ka education yeh sab cheezon ke barey mein uske liye sochna buhat zaruri hojata hai. Tau aise mein insan kafi kabhi stress mehsus kerta hai kafi tanao mehsus kerta hai, sath hi mein usko apni fitness ka bhi buhat hi dehan rakhna zaruri hai. Kyun ke yeh who umar hai jahan per diabetes, blood pressure,cholesterol jaise life tell diseases bhi apna sar uthati hain aur insan ki apni health mein kafi diqatein paida ker sakti hain. Tau aise mein apko sirf yehi kahunga ka umarab jaise barhti hai 50-55 ke agey bhi jaise sex ka ichcha hona bilkul normal hai yeh ghalat bilkul nahi hai. Halanke ek soch hoti hai insan ko abhi vanabparastam yani 50 saal ki umar mein yeh sab chor ker ke bhagwaan ke naam mein ziada vaist rehna chahye. Me tau yeh kahunga ke bhagwan ke naam mein apko pehle se hi vaist tehna hai sirf 50 ke baad nahi. Lekin jau sharer ki jau zaruratein hain,mann ki jau zaruratein hain uske oper hum drulaksh nahi kersakte hain. Who bhi utna hi importance rehte hain humari life mein tau uska bhi jaisey jaise mauqa milta hai jaise husband aur wife ko niji ek privacy rehti hai who bilqul barqarar rakhni chahye aur sexual relation qaim rakhna chahye. Ek common saying hai use it or lose it yeh saying humare sharer ke pushton ke liye sharer ke sab organs ke liye hi utna hi lagu hota hai ke jis organ ka apne istemaal kerna band kerdiya tau who organ apni shamta gawah bethta hai. Tau mitron yeh buhat zaruri hai ke hum fitnessmaintain karen ta ke hum achi health guzar saken, bimarian aone nazdeek na hun aur ap apni life ka jau anand hai who sahi tarah se utha sakte hain kion ke wigyan ne kafi taraqqi ki hai umrab barhne ke sath sath agar apnki joints mein taqleef hoti hai, had se ziada taqleef hojati hai tau ap joints replace kerwate hain, dant agar gir jate hain tau ap dant naye bithate hain,sar mein agar baal pak jate hain ya gir jate hain tau aap wig lagate hain,moti bindu mein hum lens change kerwate hain waise hi sex life mein bhi zarurat parhne per hum dawayon ka istemaal kerke humari sex life ko barqarar rakh sakte hain. Tau mitron yeh baat dehan rahe barhti hue umar humari sex life mein bilkul badah nahi dalti hai, badah agar dalti hai tau woh humari soch hai. Kisi ne theek kaha hai ke insan shareerak roop se bura pehle nahi hota hai mansik roop se apni soch se pehle bura hota hai. Tau aye humein apni soch badalni hai hum forever young rahenge aur forever young mehsus karenge.

Aur kisi ki jankari ke liye ap mera contact ker sakte hain ya appointment fix kersakte hain Lybrate yeh app ke zariye. Yeh Lybrate ka health app hai yeh kafi useful apko sabit hosakta hai. Dhanewaad!
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