Monthly Archives: May 2020

The Importance of Conservative Treatment of Chronic Kidney Disease

What is the conservative treatment?

Conservative treatment consists of all the measures we use to delay the worsening of chronic kidney disease. A good diet, activities that contribute to a healthy lifestyle and use of medications, are part of the conservative treatment of chronic kidney disease. Because it is a progressive and irreversible condition, conservative treatment is super important for the progression of the disease to be slow or even to stabilize, giving more peace of mind for the patient to proceed with the treatment, says nephrologist in Delhi.

When to start conservative treatment?

Conservative treatment should be started when the patient is diagnosed with chronic renal failure. Thus, the chances of preserving and prolonging kidney functions are greater. This care contributes to the patient’s quality of life, preparing him in the best possible way for the continuation of treatment, explains the best nephrologist in Delhi.

Chronic kidney disease and conservative treatment

The patient diagnosed with renal failure receives guidance from the nephrologist in Noida to take care of his kidney. The measures vary according to the clinical case of each patient, so we will address in general the strategies and tips used to care for kidney health through conservative treatment:

Methods used in the conservative treatment of renal failure 

Lowering Cholesterol – Dyslipidemia Treatment

By dyslipidemia, we mean the increase in cholesterol and triglyceride levels or the decrease in HDL in our bloodstream. The control of these levels is super important, not only for the renal health of the patient but also for his cardiovascular system. A good diet, avoiding fried and fatty foods, as well as the practice of physical activities, contribute to the treatment of dyslipidemia, nephrologist in Gurgaon explains.

Control of blood pressure and blood glucose

Control of blood pressure is very important to prevent the progression of renal dysfunction. The patient should avoid processed foods (ready-made spices, sausages, salt, preserved foods) due to the high sodium content. This care is essential to prevent the progression of renal dysfunction.

For glycemic control, it is necessary to have a diet rich in whole foods and pay attention to the levels of glycated hemoglobin and fasting glycemia. The nephrologist in Delhi may limit your intake of carbohydrates with a high glycemic index.

Adequate diet – Chronic renal patient

The ideal diet for good kidney health varies according to the clinical case, stage of the disease and dietary restrictions of each patient. To preserve kidney health, the patient must pay attention to the intake of salt, protein, calcium, phosphorus, among other foods that can aggravate the kidney problem. The diet is always prepared with the participation of a kidney specialist in Delhi and a nutritionist. Healthy eating is undoubtedly one of the most important practices for good kidney health.

Stop Smoking – The Harm of Cigarette for Kidney Health

The harms of smoking go far beyond kidney health. Tobacco consumption is a major cause of death in the country, a serious problem for our public health. Tobacco affects blood pressure, blood circulation, causes coronary heart disease, cancer, among many other health and social problems. Today, there are drug treatments and psychological support to quit smoking, but the most important thing is the smoker’s willpower, which suggests the best kidney specialist in Delhi.

Medicines in conservative treatment

In conservative treatment, medications are also used to slow the progression of chronic kidney disease. The patient suffering from kidney failure needs to decrease the loss of protein in his body and the medications contribute to this process. The drugs are also used to improve symptoms of kidney disease, such as swelling. The course of the medication, its dose, and frequency of use are defined by the kidney specialist in Noida responsible for the patient.

Treatment of anemia 

Anemia occurs when the amount of red blood cells in the blood is low. These blood cells are responsible for transporting oxygen to the cells of our body, being fundamental for the proper functioning of our body. Renal patients suffer from altered levels of erythropoietin (a hormone produced by the kidneys that contribute to the production of red blood cells). Low levels of red blood cells can cause discouragement, poor appetite, weakness, and sleep. To supply this deficiency, it is necessary to replace erythropoietin and iron in our body, says kidney specialist in Gurgaon.

Replacement of minerals and vitamins 

Chronic kidney disease causes changes in the levels of minerals, vitamins, and hormones produced in our body. There are treatments to address each of these deficiencies. 

Calcium is only absorbed in our intestines with the presence of vitamin D, which is formed in the kidneys. Renal failure can impair the formation of vitamin D and consequently the levels of calcium in our body. Calcium acts on bone formation and contributes to muscle contraction, including that of the heart. The kidney with kidney failure cannot properly eliminate excess phosphorus from the body, which accumulates in the bloodstream. Low levels of calcium and high levels of phosphorus in the body can lead to hyperparathyroidism, which causes weakening of the bones. Therefore, the replacement of minerals, vitamins, and hormones are essential for chronic kidney patients to prolong the health of their kidneys and have a better quality of life, suggests kidney specialist in Delhi.


Hyperkalemia occurs when blood potassium levels are above normal. At a very high level, hyperkalemia can manifest itself through muscle weakness and cardiac arrhythmias. Its main causes are chronic kidney disease and diabetes. Because it is present in fruits and vegetables, the best way to prevent the accumulation of potassium in the body is through a good diet. The doctor for kidney in Delhi responsible for the treatment will probably recommend a diet that contributes to the elimination of potassium from the body, aiming to improve the renal health of the patient.

Acidosis treatment – Renal patient 

Acidosis is the accumulation of acid in the renal patient’s bloodstream. Renal failure prevents the elimination of toxins from the body through the urine. In turn, acids and toxins accumulate in the bloodstream. Acidosis also contributes to the increase of potassium in the blood, which can lead to hyperkalemia.

A doctor specializing in kidney health

All of these measures that we cover are used in the conservative treatment of chronic kidney patients. It is important to note that the top nephrologist in Delhi is the only one who can check the real condition of our kidney health. Kidney health is directly linked to a good quality of life, which is why your care is so important.

Abdominoplasty Surgery

The abdominoplasty surgery or popularly known as tummy tuck in Delhi is the skin and fat removal procedure from the abdomen. There are many factors that contribute to the change in the shape of the abdomen among them:

  • Genetics
  • Large variations in weight
  • Pregnancy in the case of women

The abdominal wall formed by muscles, fascias, fatty tissue and skin end up “relaxing” and take on a disharmonious shape in relation to the rest of the body.

The plastic surgery called classic abdominoplasty or dermolipectomy, is one of the most performed in plastic surgery in Delhi, it consists of correcting the flaccidity of the entire abdominal wall through the plication (embryos with stitches) of the musculature and removal of a skin spindle and fatty tissue in the region. lower abdomen, explains the plastic surgeon in Delhi.

The resulting scar is a horizontal line below the waistline and around the navel. The aim is to “take advantage” of the scar from the previous cesarean if present. In some cases, a small vertical scar on the midline associated with the horizontal one is necessary.

Classic abdominoplasty in Delhi is performed in the operating room under general or epidural anesthesia and lasts around 2 to 3 hours. Hospital discharge is the day after surgery.

Variations of classic abdominoplasty:

  • Lipo abdominoplasty

Lipo Abdominoplasty or popularly know as liposuction in Delhi is a technique in which liposuction of the entire abdomen is performed before muscle plication and skin spindle removal. The resulting scars are similar to those of classic abdominoplasty;

  • Mini abdominoplasty

Mini abdominoplasty is a technique that corrects the flaccidity of abdominal muscles just below the navel and in which a smaller skin spindle is removed than in classic abdominoplasty. The resulting scar is a horizontal line below the waistline.

Frequently asked questions about abdominoplasty surgery:

How much weight will I lose with the surgery?

It depends on the amount of skin and fat removed (skin spindle or liposuction). The biggest change is visual, that is, the body contour and not the scale.

How long will I see the result?

The contour change is immediate, but the final result can only be seen after at least 3 months. The main reason for this period is that the lymphatic drainage is compromised by surgical manipulation and, thus, there is an accumulation of fluid that changes the shape of the abdomen. The lower region of the abdomen, that is, close to the scar is the one that remains swollen the longest. Lymphatic drainage performed by an experienced cosmetic surgeon in Delhi can shorten the recovery period.

Will I lose the result if I get pregnant?

As long as the patient becomes pregnant within a minimum of 2 years after surgery, the result can be kept very close to that obtained if some precautions are taken during pregnancy, such as not gaining excess weight (> 13 kg) and maintaining some regular physical activity (water aerobics, walking), suggests the plastic surgeon in Delhi.

Do I have to keep a drain?

With some exceptions, we use the drain in Classic Abdominoplasties and Lipo-abdominoplasties due to the accumulation of fluid under the skin and subcutaneous tissue. The drain remains for 7 to 10 days depending on the amount of liquid drained. Patients have no pain on withdrawal.

Polycystic kidney disease: symptoms, treatments, and causes

What is polycystic kidney disease?

Polycystic kidney disease is characterized by the presence of multiple kidney cysts, which grow slowly and progressively and are filled with liquid as if they were several bladders or bubbles filled with water of different sizes.

The most common type is adult polycystic kidney disease (PADD), which affects people aged 30 to 40 years, both men and women, of all ethnicities.


Polycystic kidney disease is inherited in 90% of cases and its cause is due to mutations in the PKD1 (85%) and PKD2 (15%) genes, which pass from parents to children in a dominant way, that is, if one parent has illness, your child has a 50% chance of having it too.

When discovered of polycystic kidney disease in a family, all close relatives should be investigated after the age of 18 and advised by nephrologist in Delhi if they wish to have children.

Symptoms of Polycystic Kidney Disease

Symptoms of polycystic kidney disease usually occur due to the growth of cysts, which increases the size of the kidneys. This causes them to appear:

  • Back pain, continuous or intermittent, in the lumbar region
  • Pain in the abdomen
  • Blood in the urine
  • Excessive urination at night.

Diagnosis of polycystic kidney disease

The simplest form of diagnosis of polycystic kidney disease is through ultrasound examination, however, sometimes the cysts are small and are not easily visible. If in doubt, a renal computed tomography or nuclear magnetic resonance will remove the doubt.

A genetic test is the best way to detect the disease, but it is not universally available.

Treatment of polycystic kidney disease

According to the best nephrologist in Delhi, there is no specific treatment and polycystic kidney disease has no cure, although many studies are ongoing and may change this scenario in the future. However, it is part of the treatment to relieve the symptoms of polycystic kidney disease.

It is necessary that the patient with polycystic kidney disease undergo regular medical monitoring with a nephrologist in Noida. The kidney specialist in Delhi will order blood and urine tests establishing the follow-up frequency. The nephrologist in Gurgaon will recommend remedies that you should avoid that can make your kidney function worse.

In addition, it is important that the patient:

  • Avoid alcohol
  • Stop smoking
  • Reduce your salt intake.

The patient must also be careful when practicing physical activities. Contact sports that eventually rupture the cysts by direct trauma (field and indoor soccer, judo, etc.); should be avoided, suggests kidney specialist in Noida.

Possible complications

A frequent complication of polycystic kidney disease is that the larger cysts can rupture leading to the appearance of blood in the urine, which can be frightening but is usually self-limiting. This means that rest and hydration usually stop bleeding.

Patients with polycystic kidney disease may have episodes of urine infection, which must be recognized early so that they do not cause further damage than those already existing in the kidney structure. In addition, patients have a higher frequency of stones (kidney stones), which should be avoided with specialized medical monitoring, suggests kidney specialist in Gurgaon.

Blood pressure tends to rise and almost 2/3 of patients with polycystic kidney disease have hypertension. Pressure control is essential so that the kidneys do not suffer the consequences of this further complication.

Combining changes in structure due to the presence of cysts, plus urinary infections, kidney stones, and increased blood pressure, it is easy to understand why the kidneys may lose some of their function until it is necessary to replace their functions with dialysis in Delhi. This stage of the disease usually happens after the age of 60.

Cysts can be present in other locations such as the liver, ovaries, and pancreas. Patients with polycystic kidney disease and a history of headache may have a cerebral aneurysm (a dilation in the cerebral vessel) due to malformation. Diverticular bowel disease and changes in heart valves are also associated with polycystic kidney disease, says nephrologist in Delhi.


As it is an inherited disease, polycystic kidney disease cannot be prevented.

Basic tips before getting a Dental Implant

Although more than 80% of implants placed continue to function properly after 15 years, from the dental clinic in Rani Bagh they insist that the patient should follow some advice before deciding to have a dental implant.

Currently, dental implants are among the most reliable surgical techniques of all those performed in human beings. Despite this reliability, from the dental clinic in Saraswati Vihar, they insist that patients have to follow some basic tips that will help them choose the most suitable center and have some knowledge of what the surgical intervention they will undergo will be.

What should you know about dental implants?

They are metallic elements that are surgically placed in the jaws below the gums, restoring the lost dental parts. The implant fuses with the jaw bone, providing stable support for artificial teeth. An advantage of this procedure is that it does not require the wear of adjacent parts, explains the dentist in Delhi.

Dental implants act as substitutes for dental root. They are the basis on which crowns or prostheses can settle to replace teeth that have been lost. Although this is the ultimate goal, it is essential to sit calmly and plan in detail a treatment that is stable, functional and aesthetic in the long term before placing an implant.

The first thing the dentist in Rani Bagh will do will be a comprehensive, dental and periodontal medical history to assess possible interference between the patient’s overall health status and implant treatment.

What is the initial phase of dental implant study and planning?

It is the moment when the implant team will advise you and give you all the information you need. Keep in mind that treatment with osseointegrated dental implants is simple, but of high technical complexity. It must be well studied and planned.

This phase aims to:

  • Provide information about the implants or the type of prosthesis indicated.
  • Help choose the ideal time to perform the treatment.
  • Individually check the oral and general health status of the patient for possible risks or contraindications of the treatment to be performed.
  • Inform the patient of the appropriate treatment plan.
  • Prepare the recovery of your comprehensive health, guiding you on other possible treatments that you may need, whether dental (periodontal, restorative…) or general.

With all the information provided by the patient’s models, the scanner or x-ray, the patient’s medical history, the patient’s mouth, and what the patient demands or expects from treatment, the dentist in Saraswati Vihar can predictably plan the number and location of dental implants, as well as the shape, size, and orientation of the final restoration.

According to the Best Dentist in Delhi, “the treatments with Dental Implant in Pitampura that we perform have worked very positively and with very good results, both in duration, comfort, reliability, and aesthetics. To achieve these results, patients should follow some basic tips before having a dental implant, so that the whole process, from start to finish, goes smoothly.”

Therefore, the dentist in Delhi recommends following some basic tips:

  • Choose a trusted and referenced dental clinic.
  • Have direct dealings with the dentist and absolute trust in who will perform the surgery.
  • Establish a close and mutually trusting relationship with the dental implantologist in Pitampura.
  • The chosen center must report all possible treatments, from the number of implants to the type of prosthesis, either removable or fixed.
  • The patient must be informed of the type of implant to be carried and the trademark, as well as the type of prosthesis the material from which it is made.
  • Another factor to consider is the time, from the beginning of the surgery phase to the time of implanting the parts. To shorten the patient’s stay at the center and reduce their distress and stress.
  • Likewise, the patient must know at all times what is going to be done in his mouth and what the waiting time will be. On the other hand, the aesthetics are also of concern and that is why the client has to know if after surgery and until the time of the implant will be able to wear a prosthesis or not.

Another important aspect is that the patient must be informed about any setbacks that may arise with the implants.

weakness & infertility


All men can suffer from an erection disorder throughout their lives, according to the sexologist in Delhi. However, they must learn to distinguish between what is a trigger, which can happen to everyone, and what can be a more serious problem with a varied origin. The best sexologist in Delhi explains what is Erectile Dysfunction and what are its causes.

The Erectile Dysfunction is the inability to get and maintain an erection for satisfactory sexual intercourse. This symptomatology must persist for six months to be considered a pathology. In addition, there must be a failure every four intercourse for the man to begin to suspect that he has a problem beyond a simple trigger. According to the sexologist in Noida, the signs that suspect the existence of Erectile Dysfunction are, in addition to those mentioned:

  • less frequent spontaneous erections in the morning and with less stiffness;
  • if the climax is reached faster, in less time or with an incomplete erection;
  • in case of loss of erection when changing posture;
  • or when an erection is not achieved at all.

Erection is defined as a vascular and nervous mechanism in which hormonal factors intervene. Those responsible for the erection are the cavernous bodies of the penis that are responsible for carrying blood to it. The causes that will cause problems for the erection to take place are divided into organic, which happens in 90% of cases, and psychic or nervous, in the remaining 10%, explains the sexologist in Delhi.

 Among the organic causes include:

  • Diabetes: it is a disorder that alters the vascular endothelium and decreases circulation, so the blood flow to the penis is lower.
  • Arterial hypertension: it is one of the second most frequent cause. What it produces is a peripheral vasoconstriction of blood vessels that hinders the circulation of blood to the penis.
  • Altered or increased blood cholesterol: this causes the walls of the arteries to harden, thereby contracting and not dilating enough to allow the passage of blood flow.
  • Tobacco, alcohol and drugs: these are toxic habits that affect the circulation and vascular endothelium.
  • Some drugs: it will be convenient that they be indicated methodically by an experienced professional so that they do not influence the erection.

Among the psychological causes are fear of failure, anxiety, stress, tension and nervousness. All of them influence negatively since they stimulate the production of adrenaline by the nervous system, which affects the heart rhythm and decreases the thickness of the arteries. As a result of the vasoconstriction that occurs, blood circulation to the penis arrives defective. In addition, there are cases of mixed causes where organic and psychic can coexist, explains the best sexologist in Noida.

Sexologist in Delhi insists on the importance of detecting any problem related to erection, since in many cases it is usually the first sign of more important diseases that may be affecting the health of man. Therefore, it is essential to put yourself in the hands of a male sexual health expert who studies the origin and indicates the treatment to follow, in which drugs will be indicated and shock wave therapy can also be carried out. In addition, it will be necessary to establish a series of healthy habits that imply changes in the diet and the abandonment of toxic substances.

Also Check:

What are the effective Joint Pain Treatment options

Joint pains are noted among all aged people and the number of patients is increasing each year. As per doctors, several factors are causing joint pain problems even among young people. This may be due to their lifestyle, sitting in a single position for a long time, lack of physical workout and unbalanced diet. For people who are diagnosed with any kind of joint pain, it is recommended to look for suitable Joint Pain Treatment from a reputed clinic. Such treatment may not cure the pain but will provide relief. With proper medication, therapy or surgery the treatment for any Joint Pain is possible.

If you diagnose any type of joint pain, you have several options for its treatment. This may include –

Home remedies: Simple home remedies include applying heating pad or ice to get relief from pain and recover quickly.

Physical workout: We know that a regular dedicated exercise can help to get relief from joint pain. Doctors suggest that swimming, walking or other aerobic exercise is best to get relief from joint pain. It is important to perform gentle stretching exercise that helps to stay fit, active and free from joint pains.

Weight loss: Losing weight is suggested by doctors to lower the pain, strain, and swelling.

Other treatments: Along with the above remedies, it is suggested to get topical treatments and dietary supplements that help to counter the joint pains. In addition, if the above treatments are not effective, doctors may also prescribe supportive aids, antidepressants, physical or occupational therapy, steroids, painkilling drugs, etc.

For Joint Pain Treatment and relieve pain, it is recommended to consult an expert doctor who can perform the initial diagnosis, understand the actual cause of the pain and then suggest the right treatment. In a critical case where no treatment works, it is best to go for the surgery. A surgeon removes the part of bones, implants an artificial joint that helps the patient to get relief from joint pain. With advanced medical technology, today there are possible treatment options available as per the condition of the individual patients. So if you experience joint pain, it is best to consult a doctor and get the right treatment.

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Dr. Monga Clinic
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Kidney Transplant: How it works and What are the risks?

Kidney transplant in Delhi aims to restore renal function by replacing a sick kidney with a healthy kidney from a healthy and compatible donor.

Generally, kidney transplantation is used as a acute renal failure treatment in Delhi or in the case of patients who do several hemodialysis sessions per week. Transplantation usually lasts between 4 and 6 hours and is not very suitable for people who have injury in other organs, such as cirrhosis, cancer or heart problems, as it can increase the risks of the surgical procedure.

How the transplant is done?

Renal transplantation is indicated by the nephrologist in Delhi in cases of multiple hemodialysis per week or, more often, advanced chronic kidney disease after renal function analysis by laboratory tests. The transplanted kidney can be from a living donor without any disease, and may or may not be related to the patient, or from an already deceased donor, in this case the donation can only be made after confirmation of brain death and authorization of the family.

The donor kidney is removed along with a portion of the artery, vein and ureter, using a small incision in the abdomen by the kidney transplant doctor in Delhi. Thus, the transplanted kidney is placed in the receptor, the portions of the vein and artery are linked to the veins and arteries of the receptor and the transplanted ureter is linked to the patient’s bladder. The non-functional kidney of the transplanted person is usually not taken away, as its little function is useful when the transplanting kidney is not yet completely functional. The sick kidney is only removed if it is causing infection, for example.

Kidney transplantation is performed according to the patient’s health conditions, and is not very indicated in people who have heart, liver or infectious diseases, for example, because it can increase the risks of the surgical procedure, explains the nephrologist in Noida.

How to assess whether transplantation is compatible?

Before the transplant is performed, blood tests should be performed in order to verify the compatibility of the kidneys to thus reduce the chances of organ rejection. Thus, donors may or may not be related to the patient who will be transplanted, as long as there is compatibility, explains the nephrologist in Gurgaon.

How is the postoperative?

Recovery after kidney transplantation is simple and lasts about three months, and the person should be hospitalized for one week so that possible signs of reaction to the surgical process can be observed closely and treatment can be done immediately. In addition, during the three months it is indicated not to perform physical activities and perform weekly tests during the first month, spaced for two monthly consultations until the 3rd month due to the risk of rejection of the organ by the body.

The use of antibiotics is usually indicated after surgery to prevent possible infections, and immunosuppressive medications, to prevent organ rejection. These medicines should be used in accordance with medical advice by the nephrologist in Delhi.

Possible Risks and Complications

Some complications of kidney transplantation may be:

  • Rejection of the transplanted organ;
  • Generalized infections;
  • Thrombosis or lymphocele;
  • Fistula or urinary obstruction.

To avoid serious complications, the patient should be aware of warning signs that include fever greater than 38ºC, burning when urinating, weight gain in a short time, frequent cough, diarrhoea, difficulty breathing or swelling, heat and redness at the wound site. It is also essential to avoid contact with sick people and polluted places and make a correct and adapted diet, advises the kidney specialist in Noida.

Partial Knee Replacement

A partial knee replacement in Delhi is a surgery that can be considered for the treatment of severe knee arthritis.

Traditionally, patients have undergone total knee replacements, placing a metal or plastic implant on them. Today, with innovative technology, total knee replacement is not necessary, usually a partial knee replacement is sufficient.

What is partial knee replacement?

Partial knee replacement is also known as the Oxford knee. The knee consists of three separate compartments and if only one compartment is damaged, partial knee replacement in West Delhi can be performed.

Your orthopaedic surgeon in Delhi will determine if you are a good candidate for this type of surgery or if you need a total replacement.

The idea of this surgery is to replace only the damaged part of the joint and leave the other healthy parts intact. Replacement can occur on the side (external) or medial (internal) of the knee.

Patients who are good candidates for this type of surgery must be over 55 years old, not obese and lead a relatively sedentary life.

In many cases arthritis is widespread and partial knee replacement is not possible. Damage to joint cartilage is so severe that this type of surgery cannot be performed. In this case orthopaedic in Dwarka recommends to replace a total knee.

If partial knee replacement in Delhi is performed for someone who is a poor candidate, the risk of failure is high. In this case a conversion to a total knee replacement is required.

Total or regional anesthesia is used.

What are the risks of partial knee replacement?

Risks of partial knee replacement include:

  • Failure to comply with the procedure
  • Fluid buildup in the knee
  • Blood clots
  • Nerves and damage to blood vessels
  • Knee pain
  • Sympathetic dystrophy reflects

What are the benefits of partial knee replacement?

This procedure is minimally invasive surgery. The advantages are:

  • Faster recovery time
  • Smaller incision
  • Less blood loss
  • Less pain
  • More natural movement

What to expect after surgery?

The recovery time after this surgery is faster than for a total knee replacement. It varies, but you will usually be able to walk, drive and do all the things you did before two to three weeks after surgery.

Consult with your orthopaedic in Delhi, because the damage at this stage can lead to serious problems, causing surgery failure.

You will need physical therapy for four to six months after surgery. Your orthopedic in Delhi will also prescribe pain relievers, as you will have mild to moderate pain during your recovery time.

These implants showed a high success rate with results of 95% at age 15 and beyond.

myths related to premature ejaculation

Premature Ejaculation: What it is, Causes and Treatment

Premature ejaculation is one of the most common sexual dysfunctions that affect men.

Even today, the different problems or difficulties related to sexual desire and performance are a great source of anguish and frustration for those who suffer from them – especially because of the stigma and secrecy that exists around them.

Although there are no definitive data, premature ejaculation is one of the most common sexual dysfunctions among men. In this article, we will see what premature ejaculation is, what are its causes and what premature ejaculation treatment in Delhi exists to solve this problem, both from psychology and medicine.

What is premature ejaculation?

According to the best sexologist in Delhi, premature ejaculation is a male orgasmic disorder in which man, after minimal sexual stimulation, experiences involuntary ejaculation in a persistent and recurrent manner.

Now, when can we consider that ejaculation occurs early? According to the well-known researchers on human sexuality William H. Masters and Virginia Johnson, it can be considered that there is a diagnosis of premature ejaculation if the man reaches orgasm before his sexual partner in more than 50% of sexual encounters.

However, many other authors and researchers differ radically with this description. According to the sexologist in Delhi, the diagnosis of premature ejaculation cannot be subject to the time required for the other person to reach orgasm.

The reason is that each person needs different times to develop a complete sexual response, so using this variable time as a diagnostic criterion is not very effective.

According to sexologist doctor in Delhi, the main aspect when distinguishing a case of premature ejaculation is the lack of voluntary control over the ejaculation reflex. That is, there is premature ejaculation when in cases in which orgasm is given as an immediate and uncontrollable response once the man reaches an intense level of sexual arousal.

There is also another important parameter for the diagnosis of this dysfunction. Frequently, in premature ejaculation, there is an absence or decrease in the perception of erotic sensations. It is a sensation similar to genital anesthesia.

What are the causes of premature ejaculation?

This disorder is considered a multifactorial condition, so premature ejaculation can be associated with both physical and psychological causes.

Physical causes

Although few cases of premature ejaculation have physical causes, it is essential to perform a medical examination that helps rule out an organic origin of the disorder.

For example, in those patients who previously had good control over ejaculation and who suddenly become premature ejaculators, it is recommended by sex specialist in Delhi to carry out neurological and urological exams that help rule out the possibility of a malfunction of these systems.

In these cases, known as secondary premature ejaculation, incontinence could be a symptom of a neurological disorder – specifically a malfunction of the nerve pathways that innervate the reflex mechanisms that control orgasm.

Neurological diseases such as multiple sclerosis, degenerative diseases and physical conditions such as prostatitis can be the cause of the appearance of premature ejaculation.

Psychological causes

The psychological causes explain the majority of cases of premature ejaculation. Although it has not yet been possible to determine what psychological factors or aspects are the origins of this disorder, there are several theories that relate it to an anxiety mechanism.

According to sexologist in South Delhi, the main psychological cause of premature ejaculation is anxiety. This anxiety increases as different levels of sexual arousal are reached and are what triggers involuntary orgasm.

Other sexologists in Delhi add that, in reality, anxiety prevents the person from clearly perceiving the premonitory sensations of orgasm and, as a consequence, prevents ejaculatory control.

On the other hand, sexologist in East Delhi stated that the main cause of premature ejaculation is the conditions that occurred during the first sexual experiences of the person. If these were especially tense, fast or traumatic they can generate involuntary conditioning.

Treatment of premature ejaculation

Whatever the cause of premature ejaculation, the truth is that in all cases it generates strong feelings of anguish in the person, who feels that his sexual capacity and performance are in question and can ruin his sexual relations.

Before starting the premature ejaculation treatment in Delhi, possible physical causes should be ruled out. In most cases where there is an underlying cause or physical illness, treatment will cause an improvement in ejaculatory control.

However, because this occurs in the smallest number of cases and tends to leave a psychological mark on the person, the main premature ejaculation treatment in Delhi is sexual and psychological therapy or drug treatment.

Sex therapy

The main objective of sexual therapy is that the patient constantly focuses their attention on the sensations that surround orgasm, teaching the patient to clearly perceive and identify pre-orgasmic sensations and, in addition, to prevent the development of the sexual act from distracting from your goal.

There are several techniques for the premature ejaculation treatment in Delhi, such as Kegel exercises that help strengthen and control the pelvic floor muscles or the “compression technique”, one of the most common procedures for the treatment of premature ejaculation.

Since premature ejaculation always occurs at times of sexual interaction with another person, the patient will need the help of a sexual partner for treatment. Both people must carry out the indications of the top sexologist in Delhi as dictated.

First of all, the sexologist in Delhi must explain how the different steps that include sexual therapy through “compression techniques” are developed. This therapy is carried out gradually through sexual exercises or tasks, starting with masturbation by the couple in which the man must concentrate on the sensations and notify the couple when he feels he will reach the climax so that this it stops.

Repeating this technique is very effective in increasing ejaculation control. Once the patient improves on this task, they move on to more complex tasks such as “stop and start”, which already include penetration.

It is necessary to emphasize that the treatment of premature ejaculation should always be done by a professional sexologist in Delhi and never on their own since this can generate even more feelings of frustration and anxiety. In addition, the therapist will also carry out sex education and the elimination of myths about sexuality.


Medication may be an alternative for patients who are reluctant to sexual therapy. However, this is not always effective and is more a palliative or “patch” treatment than a solution in itself.

Drugs that increase serotonin levels in the brain help decrease the intensity of ejaculation and are used with some success in the treatment of premature ejaculation. These include some selective serotonin reuptake inhibitors (SSRIs) such as paroxetine.

The patient who undergoes a treatment of premature ejaculation using drugs usually perceives the first results within a few weeks of the start of the mediation. However, these drugs also have side effects that affect sexual performance. Among them, we find other types of sexual dysfunction such as anorgasmia, erectile dysfunction or decreased libido.

Finally, the use of topical desensitizing drugs such as lidocaine is also recommended by a sexologist in Delhi, which is applied to the tip and stem of the penis just before sexual activity. The main drawback of these products is that they usually reduce the sensitivity of both the patient’s penis and the intimate areas of the couple.

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Dialysis: What it is, Care and Complications

Dialysis is a substitute treatment of kidney functions, in which substances that are harmful to the body and that the kidneys can no longer do are eliminated. The dialysis process is carried out through two ways hemodialysis and peritoneal dialysis and generally, the people who need this process is because they are in a phase of renal failure. In this article nephrologist in Delhi explains in depth what is dialysis, its care and complications.

What is dialysis?

Dialysis in Delhi is a treatment that replaces the function of the kidneys, when they are compromised in their process of cleaning the blood. People who need this procedure are because they have kidney failure and although at first glance it seems simple, the dialysis process can be quite stressful and the side effects generate enough discomfort in the patient. While dialysis occurs, the best nephrologist in Delhi will have placed the patient on a transplant list, when a compatible kidney appears, it will be the end of dialysis.

Types of dialysis

The function of the kidneys is to eliminate toxins and excess fluids from the blood, since the accumulation of these can be dangerous for our health. When this process cannot be accomplished, it will be necessary to help the kidneys through dialysis, explains the nephrologist in Noida.

There are two types of dialysis :

  • Peritoneal dialysis : is responsible for removing the remaining fluid, through the peritoneum, a membrane that covers the abdomen. In this case, a catheter is placed in the abdomen and filled with dialysis solution, which contains a type of sugar that will be in charge of eliminating waste, which will pass through the blood vessels through the peritoneum. To insert the catheter, surgery is needed, this will be placed near the navel. This treatment can be carried out at home, if you have the necessary material and prior medical authorization, which will give you greater independence.
  • Hemodialysis : in this case the access is created in a blood vessel in the arm, where the blood passes through a filter that is divided into two parts, on the one hand the waste that the body does not need is extracted and on the other the blood returns to the body, already clean. This procedure is carried out in a medical center, three times a week for 3 or 4 hours.

Care after a dialysis session

After a dialysis session it is normal for the following symptoms to appear:

  • Fatigue.
  • Weakness.
  • Tremors
  • Changes in blood pressure.

The care that should be taken after dialysis and throughout the process will be aimed at preventing infections in the area where the catheter is located. Some of them are:

  • Personal hygiene will be very important, using neutral soaps to avoid the itching of this disease.
  • Keep the catheter hole covered.
  • Consult your nephrologist in Gurgaon if you see any changes in the fistula.
  • If you receive hemodialysis and feel your arm swollen, hold it high for a while.
  • Avoid making efforts with the arm where you have the fistula.
  • Do not sleep on the side where the catheter is.

Complications of dialysis

The complications of dialysis They are not very frequent, however there are many risks of infections:

  • Peritonitis: in view of the fact that peritoneal dialysis is performed inside the body, there is a very high risk of the peritoneum becoming inflamed, this infection usually responds to antibiotic treatment.
  • Fistula infection: the puncture to create access in the blood vessel must be done three to four times a week, so the risk of infection is quite high.
  • Obstruction of blood vessels: continuous puncture can generate thrombi that make the blood vessel unusable for dialysis. Surgery should be performed to remove the blockage.
  • Feeding: as the kidneys are not able to carry out their function, patients with renal insufficiency should take good care of their diet and the amount of fluid they consume.
  • Arteriosclerosis: people with renal insufficiency have an accumulation of phosphates in the blood, which causes damage to the blood vessels and alterations such as arteriosclerosis may occur.


Starting a dialysis process, produces a significant change in lifestyle and routines, so we give you some recommendations to make the treatment more bearable:

  • Practice any physical exercise that is not violent or exhausting, such as swimming, gymnastics, cycling or walking. Always taking care of the access that has placed you for dialysis (peritoneal or vascular.
  • Communicate in your workplace the situation so that they can take the necessary measures regarding your schedule.
  • Do not isolate yourself, social relationships will help you make this process more bearable.
  • Avoid smoking, this can be a risk for cardiovascular diseases.
  • Read food labels and choose the ones that are low in sodium.
  • Control fluid intake.
  • Remove the liquid from the vegetables, skipping them after they are boiled.
  • Avoid soft drinks, as they increase thirst.
  • Changes in the personal, social and work environment are important, so do not hesitate to consult a psychologist if you consider it necessary.
  • Limit the intake of salty foods.

When to contact the doctor

  • If there is bleeding or infection in the vascular or peritoneal access.
  • Fever greater than 38 ° C.
  • If the hand where the catheter is feels cold.
  • Diarrhea or constipation
  • Nausea or vomiting
  • Trouble sleeping
  • Itch.

We suggest you to see a kidney specialist in Noida in case of presenting any type of condition or discomfort.