Monthly Archives: May 2020

Premature Ejaculation: The Role of The Partner

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A fulfilling sexuality is fundamental in the life of a couple. As such, premature ejaculation can cause many difficulties, and threaten the harmony between the two partners. Faced with the embarrassment and loss of confidence that the man who suffers from it may feel, the role of the woman is crucial. ” It is a disorder that goes beyond each other ” underlines Dr P K Gupta, sexologist in Delhi.

Are male sexual disorders still taboo? This is the question raised by the Emoi study, the results of which were revealed in 2016. The figures speak for themselves: premature ejaculation is the most common male sexual disorder. One in five men will be affected in their lifetime and regardless of age.

Dr P K Gupta, best sexologist in Delhi, gives us an overview, recalling that ” love is made by two and when one of the two is in difficulty, it makes sense to count on your partner to unblock the situation. ” Thus, in the more or less long term, this sexual disorder can upset the balance of the couple, and represent a real threat. Going beyond this difficulty, which can cause conflicts, arguments or withdrawal, is done in pairs, and the role of the partner is decisive.

Premature Ejaculation: a feeling of shame and failure for men 

More frequent than we say and more devastating than we think, premature ejaculation is an under-treated sexual disorder because it involves shame and stigma. Premature ejaculation is often a bad experience for men. It is not uncommon for some to be withdrawn, with a deep sense of failure. ” Man can be touched in the depths of his being in what constitutes for him a part of his identity: his sexual capacities ” explains sexologist doctor in Delhi.

Those who suffer from it may even experience shame, and above all a general loss of confidence. The risk for them is to develop an anxiety of not succeeding with each new report, which aggravates the problem even more. According to the Emoi study, premature ejaculation is a disorder that a man can learn to control and which becomes problematic only if it is a source of discomfort, discomfort or distress, for the person who complains or for his partner.

It is sometimes difficult to break the deadlock: the man sees himself as unworthy of a woman’s interest because of her rapid ejaculation. It is often the tree that hides the forest. Ejaculation is the problem put forward because it seems obvious, while other less confessable, less identifiable problems are nevertheless responsible for relational failure: shyness, fear of women, lack of self-confidence … We will have to look face all these problems and perhaps choose the help of a sex specialist in Delhi to face them.

Premature Ejaculation: a brake in the romantic relationship? 

Men suffering from premature ejaculation sometimes find it difficult to project themselves, to imagine themselves in a love story. Too often, their thoughts project them as of the meeting in the failure of the sexual relation and the disappointment of his partner… Starting out losing, he gives up before trying. However, premature ejaculation cannot be responsible alone for the breakup within a couple. In a relationship based solely on sexuality, it will sometimes be an obstacle. Especially if the woman is looking for vaginal pleasure and only that pleasure. But few women are in this case. Their ability to enjoy goes as much through the clitoris and caresses only through sexual intercourse.

For a woman, as for a man, the charm of a meeting consists of a set of elements  : the way of being of the other, the centers of common interests, the discovery of a different world or in a way of seeing life, the interest that the other has in you … Love stories arise from all this. The fact that the other has a defect will only be problematic if the link cannot be made.

Premature ejaculation should not be an obstacle for a romantic encounter. It can sometimes take its place in the secrets that the couple exchanges to get to know each other better. Without denying its inconvenience it is not fair to make it an insurmountable mountain.

The role of the partner is decisive in the face of premature ejaculation

The role of the partner is decisive in overcoming this problem. However, everyone must do their part. It is an opportunity for the couple, whether in the direction of evolution, or of the breakup.

To restore harmony within their couple, some adapt. ” It goes a bit fast, so they are focusing more on clitoral orgasm,” added top sexologist in Delhi. This is often the case for couples who get along well. The partner is willing to overcome this difficulty, she shows understanding and listening.

” For others, this situation will be the pretext for crises, it is the case when the couple is already in difficulty ” specifies sexologist in East Delhi. When the partner reacts immediately in a negative way, with conflicts and arguments, it is also a sign of a deeper dysfunction. ” A couple who does not resolve a sexual difficulty is not called to last, ” observed sex doctor in Delhi.

How to reconcile premature ejaculation and full sexuality?

Sexuality can be considered without vaginal penetration or by leaving it a secondary place. All of the caresses, what is commonly called foreplay, can become the center of sexuality. Orgasm can be obtained for the man, as for the woman by touching. Many couples adhere to this sexuality not centered on penetration, by choice or to live serenely with premature ejaculation. Men are sometimes afraid that their women will compare them to previous partners for the duration of sexual intercourse. But the comparison could relate to the caresses lavished with more or less tact and sensuality and there, everyone can be a winner!

Thus, reversing the classic scheme, making “preliminaries” the highlight of sexuality and vaginal penetration for a moment among the others or even leaving it aside, not making it a necessary step, will allow the couple to reinvent their sexuality. For many women, pleasure is established more easily and more intensely by stimulation of the clitoris and even the vagina with the fingers or tongue. Men are also fond of oral caresses. A dildo can also be used in sexual games.

Everyone gives and receives. Whoever, man or woman, knows the first enjoyment: the other will be attentive, then, to continue his caresses so that the orgasm of his partner occurs.

The keys to supporting your partner

  • Constructive dialogue.  Putting words and re-establishing dialogue is necessary. All the more so if there is an attempt to withdraw from it. ” It is important that the man can talk about his suffering and what he feels, between failure, and discouragement, and the partner of what she is also going through in this situation ” explains sexologist in South Delhi. It is often the silence or denial of the situation that is more harmful than the sexual problem itself. It is of course prudent to avoid reproaches which only aggravate the situation;
  • Develop more appropriate sexual behaviors, less oriented towards penetration. Pleasure can be the subject of new experiences. ” The preliminaries in particular are likely to revive an intimacy marred by the fear of failure ” offers sexologist in Delhi. Caresses, massages, or playful games are all erotic ways that will not put the man in difficulty. The objective is more to go towards sensuality and pleasure than excitement, which finds a conclusion too quickly with your partner;
  • Develop patience and reassure.  The partner plays an important role in male reinsurance. Greeting him with kindness, without judging him is essential. ” This sexual disorder can make men very susceptible and vulnerable, ” recalls sexologist in Delhi. He is in difficulty, to become aware of it is necessary;
  • Offer the consultation.  In the majority of cases, it is the partner who pushes for the consultation. Sometimes she is the one who makes the appointment with the sexologist in Delhi. There are medical solutions available today. It is a way for her to take care of the relationship…

Trochanteric Bursitis: Causes and Treatment Options

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The bursae are small sacs filled with fluid that are found near the joints. The bursae help the joints to move easily, allowing the muscles and tendons to slide over the bones and other structures. The human body has over 150 bursae in its composition.

Trochanteric bursitis occurs when the bursae in the hip become inflamed. Trochanteric bursitis is one of the most common causes of hip pain, explains the orthopaedic in Delhi.

The name of this condition comes from the fact that it affects a bony area called the trochanter. The trochanter is the upper part of the femur and is located at the hip joint.

Signs and Symptoms

Trochanteric bursitis is a common cause of hip pain in active, middle-aged women. This condition can cause significant hip pain, especially if the person is putting pressure on the hip.

People with this condition may also experience the following symptoms:

  • Pain that usually occurs on the outside of the hip;
  • Pain that worsens during physical activity;
  • Pain when climbing stairs;
  • Pain when sitting on the affected side;
  • Pain on touch and pressure.

The pain associated with trochanteric bursitis is usually more severe at night, especially when a person sleeps on the affected side. If the tendons in the hip are inflamed, the symptoms may be more aggressive.

Trochanteric bursitis may have symptoms similar to those caused by rupture of the gluteus medius muscle, which is a muscle that attaches to the same area.

If symptoms persist and muscle rupture is suspected, an orthopaedic doctor in Delhi should be consulted as soon as possible, as this injury may require surgery.

Causes

Some of the causes associated with trochanteric bursitis include:

Trauma – a history of repeated or severe falls or blows to the hip can cause trochanteric bursitis;

Overuse – people who engage in repetitive physical activities, such as running or cycling, can cause inflammation of the bursae at the hip;

Vicious positions – positions that can put extra pressure on the hips can cause trochanteric bursitis. Posture-related conditions, such as scoliosis, can also cause trochanteric bursitis;

Calcium deposits or bone spurs – sometimes a person can develop additional bone growth on the trochanter. They can rub against the bursae, leading to their irritation and inflammation;

History of chronic diseases – people with chronic diseases, such as gout, thyroid disease, psoriasis and rheumatoid arthritis, may be at increased risk of developing trochanteric bursitis;

Background Surgery – A person is more likely to develop trochanteric bursitis if he or she has had hip surgery in the past.

Between 3-17% of people with hip prostheses have developed trochanteric bursitis. Sometimes, hip replacement surgery in Delhi can result in a slight difference in leg length, which can also contribute to the appearance of trochanteric bursitis;

Overweight – overweight or obesity are factors that can contribute to the development of trochanteric bursitis. This is due to the fact that being overweight puts more pressure on the hip and the area around it.

Establishing the Diagnosis

The orthopaedic in Dwarka will begin diagnosing trochanteric bursitis by first examining a person’s medical history, along with the associated clinical picture.

Also, for diagnosis it is necessary to physically examine the balance, detecting delicate areas near the place where the bursae are located. In some cases, the doctor may feel areas of bulging tissue in the affected hip.

In addition to the physical exam, your orthopaedic in Delhi may recommend additional medical imaging tests to check for abnormalities associated with the condition. These investigations include:

  • Radiography;
  • Bone density tests;
  • Magnetic resonance imaging (MRI).

The orthopaedic doctor in Dwarka will consider not only the symptoms that indicate trochanteric bursitis, but will also try to rule out other similar conditions. These include:

  • Osteoarthritis;
  • Fibromyalgia;
  • Bone fracture in the upper femur;
  • Hip dislocation.

Treatment Options

Treatment options used for trochanteric bursitis include:

Rest – to give time to inflamed bursae to heal. Sometimes a person with trochanteric bursitis may need special devices to move, such as crutches. Avoiding activities that have caused trochanteric bursitis is indicated in most cases.

Non-steroidal anti-inflammatory drugs – they help reduce pain and inflammation. Because these drugs can cause side effects, such as stomach pain and bleeding, it is recommended to use them in the short term.

Applying ice – ice can reduce inflammation and help manage pain.

Physical therapy – engaging in various physical exercises recommended by therapists can help improve range of motion and strengthen the muscles around the hip.

The physical therapist may use other treatments, such as massage and ultrasound.

Corticosteroid injection – your orthopaedic in Delhi may recommend these injections to reduce pain and inflammation.

Weight loss – weight loss is indicated for overweight people. Excess weight puts your hips under extra pressure, resulting in severe pain.

If these methods of treatment are not effective, as the patient is still in pain, the doctor may recommend surgery. Surgery is performed by the orthopaedic surgeon in Delhi only if symptoms have not improved after 12 months of medical treatment.

In extreme cases, a person can remove their bursae by minimally invasive techniques. The procedure can be performed laparoscopically, through very small incisions, using a small chamber to guide the surgeon.

Removal surgery does not usually involve hospitalizing the patient, and recovery takes only a few days.

Perspective

Trochanteric bursitis can be a difficult and painful condition. Usually, drug treatments with nonsteroidal anti-inflammatory drugs can help improve the clinical picture. Surgery is the last recommended treatment method for those with persistent painful symptoms, says the orthopaedic in Delhi.

A person is more likely to develop trochanteric bursitis as they get older, and women are at higher risk than men. The outlook is generally favorable, but it depends on how quickly the treatment is installed.

Erectile Dysfunction: What is the Ideal Treatment?

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Erectile dysfunction results in the inability to achieve or maintain an erection sufficient for satisfactory sexual activity. We talk about erection problems when the troubles occur for more than three months. Indeed, an occasional erection failure is quite common and should not worry the couple. Do not hesitate to go to a sexologist in Delhi to talk about it, to define the cause and get appropriate treatment.

Lack of information related to treatment

The causes of these intimate problems are relatively well known to respondents: a psychological origin, age, physiological causes (particularly diabetes and cardiovascular disease, medication, a lack of interest in sex … Conversely, information on treatment suffers from a real lack of knowledge: almost a third do not know that these problems can be treated.

The importance of talking to your doctor

In the event of erectile dysfunction, in a survey, respondents would naturally turn to their general practitioner (49%), even before their partner/friend (18.5%) and the best sexologist in Delhi (17.3%). According to their statements, the choice to go to another doctor, an andrologist or friends remains quite rare.

The different treatments available

Today, new solutions exist, whether oral or local treatment.

An oral erectile dysfunction treatment in Delhi is usually offered as first line. We find: sildenafil (Viagra and generics), vardenafil (Levitra), tadalafil (Cialis and generics) and avanafil. “Either we anticipate and we take a drug three-quarters of an hour, an hour before intercourse, or we don’t want to anticipate and we take daily treatment in small doses, a little less powerful but there is no need to program. We can try the two treatment modes and choose the most suitable”, indicates sexologist doctor in Delhi. For example, tafalafil 5mg can be prescribed daily.

Acting on the relaxation of the smooth muscles of the corpora cavernosa, these molecules increase the blood flow at the origin of the erection. To be effective, they must be associated with sexual stimulation such as foreplay, caresses … Please note, these treatments may be subject to contraindications or interactions with other treatments, talk to the top sexologist in Delhi.

A hormonal treatment may be a solution if laboratory tests showed a testosterone decline associated with clinical signs such as fatigue and a significant increase in abdominal fat. Testosterone can help regain sexual desire and also increases muscle strength. This erectile dysfunction treatment in Delhi is only temporary and should be monitored by blood testosterone tests.

A local treatment may be prescribed. It comes in the form of injections into the cavernous body of the penis. The method of administration is often scary but the injection is not painful and the sex specialist in Delhi accompanies his patient step by step and for as long as necessary. They are only available on medical prescription and are reimbursed when erectile dysfunction is linked to a serious and well-defined physical impairment (following prostate cancer and prostatectomy, paraplegia or tetraplegia, multiple sclerosis by example…) This erectile dysfunction treatment in Delhi allows a quick and good quality erection even without sexual stimulation.

The fitting of a penile prosthesis may be considered as a last resort. It is intended for men for whom other erectile dysfunction treatment in Delhi proves to be ineffective or contraindicated for medical reasons. This choice must be made in a concerted manner between the patient, his/her partner and a specialized sex doctor in Delhi.

On a daily basis, the men concerned admit that these disorders alter their life as a couple/family (84% of respondents) and the image they have of themselves (78%). Beyond the sexual problem, several feelings mingle: impairment of their manhood, feeling of aging badly, guilt, shame, depression… So many negative feelings that can encourage breakdowns, which will then feed this fear of failure: the terrible vicious circle specific to erectile dysfunction, says sexologist in Delhi.

If you are having a hard time with this situation, if it affects your personal and family life, talk to your sexologist in Delhi. It will help you find the most suitable treatment for finding a fulfilling sex life. In addition, an erectile dysfunction can be the discreet sign of a cardiovascular disease: it is thus useful to speak about it during a medical consultation with sexologist in Delhi to rule out all physiological causes.

Love: The 10 Enemies of The Couple

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For your couple to work, no need to look for miracle recipes. On the other hand, you can avoid certain traps which may over time weaken the links between you. Little guide to bad habits to absolutely avoid!

If the routine can sometimes be good, because it provides benchmarks, certain habits are to be avoided so as not to harm the relationship. For example, if it is good to watch the right movie as a couple, solo television, or even a duet, can ultimately have harmful effects on the relationship, says sexologist in Delhi.

TV every night

Television is a love killer, there is no doubt about it! To be avoided: dinner before 8 p.m. Eating your meal every evening in front of the television news does not facilitate complicity … And then, by dint of watching the film and then going to bed, you don’t even take the time to talk to yourself and worry about the other. Organize thematic evenings for lovers, board games, meals to prepare for two … in order to change and leave the TV aside, several evenings a week, suggests the best sexologist in Delhi.

Stop dating

Consequence or not of the presence of the TV, you do not go out! And this little restaurant that you loved so much; would it have closed? And the movie evenings that continued into passionate debates? Now you only go out once a month, and only to go to friends or possibly to receive. No more couple outings and romantic evenings! We must rediscover this magic of accomplice getaways, suggests sexologist doctor in Delhi!

Extra time 

Even if this is not always obvious with professional constraints, it is essential not to come home late every night from work. Not only do you no longer have time for yourself, but you are also tired and irritable, which is not really easy for your partner! As long as work has completely taken over your life, it quickly becomes your only topic of conversation… Try to come home early enough to have a little time before dinner … Without taking the opportunity to sprawl in front of the TV! And above all, forget about the work from time to time, to pay more attention to the other, suggests top sexologist in Delhi.

To let go

It is not because we are in a relationship and that we have known each other for years that we should let go! Stop wandering around in a jog, your hair messed up… and leaving your things lying around all over the house: take care of yourself! Certainly, your spouse loves you as you are, but why not make an effort to show yourself in the best possible light? You show him that you attach importance to his presence. In addition, for self-esteem, it is also important to take care of us, says sex specialist in Delhi.

Carelessness towards your partner

One of the couple’s other great enemies is the lack of attention. And it is not a question here of offering flowers or small gifts, but simply of looking at it. To notice when he (she) went to the hairdresser or bought a new jacket. Above all, do not hesitate to tell him when you find him elegant or that he (she) impresses you with his relevant remarks. Because compliments are always pleasant … But only if they are thought of, says sexologist in South Delhi!

Excessive jealousy 

Sexologist in East Delhi suggests to stop monitoring or questioning them all the time. Because the basis of a couple is mutual trust. By dint of suspecting it, you will eventually tire your partner and push him/her into the arms of another!

Abstinence and low libido

Sex doctor in Delhi says sex life is important in a couple. If it is normal to settle down over time, this should not become the rule! Because you have to keep fantasy and imagination! Reserve privacy periods, vary locations and positions …

In-laws, sometimes a source of disputes

No, of course, not all in-laws are the ones we like to decry in the movies. And the agreement is often cordial between the partner and the parents-in-law. But the main thing is to know not to insist or recognize when the other has a little enough. Do not impose Sunday lunch on him every week if you feel that he (she) is starting to “saturate”. And of course, this rule also applies to your evenings with colleagues, meetings of university alumni says sexologist in Delhi.

The absence of projects with the other

Forming a couple is not only about-facing everyday life without thinking about tomorrow. You have to build together. Short-term projects (vacation spots, buying a car, etc.) to more ambitious projects (children, going to the provinces, etc.). Do not hesitate to reflect on your future and how you envision it. This will bring you cohesion and the desire to move forward … together, says sexologist in Delhi!

Lack of communication 

The lack of dialogue is of course harmful for the couple. Admittedly, it often results from a lack of time or attention related to the various causes already mentioned. However, it is frequent that the dialogue exists, but that nobody listens to the opinion of the other … In this case, it is up to you to do together a work of dialogue posed, by making efforts to really seek to understand what the other means. If necessary, don’t hesitate to get help from a sexologist in Delhi.

KNEE OSTEOARTHRITIS

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Knee prosthesis is the best alternative to improve quality of life in those who suffer from severe pain and have mobility problems. Knee osteoarthritis is one of the most prevalent pathologies that has the most impact on the well-being of adults over the age of 50.

They find it difficult to climb or down stairs, walk or play a sport. The older the symptoms are more severe; pain, creaks and swelling in the knee. Because of this, they lose the ability – to varying degrees – to move freely. On average, at age 65 is when knee braces increase.

For young people, those who play high-impact, rebound sports have increased joint damage, they are also candidates for joint replacement surgery in Delhi due to joint cartilage wear or osteoarthritis.

What is osteoarthritis?

Osteoarthritis is a disease caused by changes in the structure of cartilage, in which their basic components are lost and this leads to dehydration and thinning of joint cartilage. It can affect all joints, although it is most common in hands, spine, hip, knee and ankle.

It is a disease of unknown cause, associated with genetic factors.

There are other less common causes called secondary osteoarthritis, where there is a common basis origin: overweight, prior trauma, metabolic diseases or rheumatism, such as arthritis. In the case of knee osteoarthritis, this joint is part of the mechanical body weight loading system and, for this reason, is more exposed to cartilage wear.

Cartilage is a layer of tissue, softer than bone, that lines the surface of the joints.

Over time, when worn wear, bone ends deform, leading to bone overgrowth and osteophyte formation (so-called “parrot peaks”), bone bumps that cause the joints to rub, causing pain, swelling and loss of mobility.

Symptoms

“Difficulties putting on socks or shoes, sitting on low furniture, knee pain when climbing stairs or slopes are among the most common complaints of initial osteoarthritis. They also tend to have discomfort at night, at rest, when they move during sleep,” says orthopaedic in Delhi Dr. Ashoo Consul, expert on hip and knee.

In the face of any pain that tends to repeat itself, even if it is not constant, an evaluation is recommended, because when it is permanent and more intense it can be late for solutions.

Tests and diagnosis

For the diagnosis of knee osteoarthritis, clinical examination or evaluation by the best knee surgeon in Delhi is critical. Depending on this one, the exams are complementary and range from a simple X-ray to an MRI with contrast.

“Diagnosis involves certain treatments, which depend on the stage of osteoarthritis.

If it’s initial, you may have conservative medical management. However, if patients have an important degree of joint destruction, with variable degree disability due to pain and deformity, surgery is recommended, to improve their quality of life”, notes the orthopaedic surgeon in Delhi.

Treatment

Before knee replacement in Delhi, there are several medical treatment alternatives. However, osteoarthritis is a progressive chronic disease, which has no cure with medication and is irreversible.

Conservative measures: Prior to the prosthesis, treatments for moderate osteoarthritis are as follows:

  • Anti-inflammatory Drugs: These medications help relieve knee pain and decrease inflammation associated with osteoarthritis.
  • Glucosamine and Chondroitin Sulfate: are medicines that act by trying to regenerate the cartilage worn by osteoarthritis
  • Templates: The use of silicone gel damping insoles is recommended
  • Orthosis: It is a special knee brace that is indicated when the knee is deviated, either very close knees or arched. The treatment that is most accommodating varies on a case-by-case basis, so it is advisable to consult the orthopaedic doctor in Delhi.
  • Weight management: Overweight and obesity aggravate osteoarthritis symptoms. This is why it is advisable to visit an orthopaedic in Dwarka, nutritionist or nutritionist, who will evaluate the patient’s condition to indicate a balanced diet and achieve their ideal weight.
  • Kinesiotherapy: The recommended exercises are of flexibility of low or no impact, which improve muscle tone and mobility of the joint; done three times a week and with professional supervision, can improve a person’s quality of life by increasing their abilities. Water activities also increase cardiovascular capacity. Improving quality of life is the best way to slow down the needs of a prosthesis.
  • Biological surgery: When the damage is not extensive and the patients are younger. Biological surgery is used in areas that have lost cartilage with mechanical and biological stimuli, such as hyaluronic acid, platelet concentrate, and stem cells. “Biological surgery is generally designed for a single opportunity. Try to restore knee function for more vigorous activities. It’s for less serious focal injuries and younger patients,” explains surgeon at orthopaedic clinic in Delhi.

Surgery

Once the damage to the knee is more advanced and diffuse, especially in older patients, surgery is indicated as treatment. Arthroplasty or prosthetic surgery is aimed at both calming pain and returning the patient’s joint mobility and muscle activity.

Thus, prostheses are indicated when the triggering disease has been aggressive enough, when there is a large pain or alteration of the function of this joint.

A prosthesis is an artificial part designed to replace a natural joint that is damaged and cannot be repaired.

This procedure replaces all damaged cartilage with a new artificial surface. “These new surfaces are usually a combination of noble metals and high-strength plastics. There are different types of surgeries: unicompartmental (partial prostheses) and total prostheses,” explains orthopaedic in West Delhi.

Recovery

“Knee replacement in West Delhi is for more advanced and diffuse damage in older patients. It is a major surgery, so the hospital stay is between three and five days, but patients go home autovalent, walking with the help of a cane and oral analgesia,” says orthopedic in Delhi. Recovery from knee replacement surgery is slow and painful and, in most patients, it takes about two months, improving up to a year after surgery.

Meanwhile, unicompartmental or partial prosthetic surgery has the advantage of being a less invasive intervention and with a much faster functional recovery, than the total. Prosthetic knee surgery is endorsed as one of the most beneficial medical procedures in recovering patients’ quality of life.

6 Common Questions About Testosterone Deficiency In Men

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Who suffers from testosterone deficiency, what are the symptoms and how common is it? Best sexologist in Delhi, Dr. P K Gupta, answers seven common questions about testosterone deficiency.

  1. What are the most common symptoms of testosterone deficiency?

Dr. P K Gupta, sexologist in Delhi, explains, symptoms of testosterone deficiency are usually quite vague. It is often noted that increasing fatigue and lack of initiative come over time.

Reduced sexual desire and erection problems may occur but are not always clearly correlated to serum testosterone levels as there are usually several interacting factors such as explanation.

In blood sampling, a mild anemia is usually noted where the blood value (hemoglobin value) of men with symptomatic testosterone deficiency is most often in the lower reference range.

At very low levels of testosterone in the individual man (the levels in men vary widely, partly due to receptor-level sensitivity that is partially genetically controlled), there is an increased risk of osteoporosis, impact on sperm production, weight gain with increased fat mass relative to muscle.

  1. Who is suffering from testosterone deficiency?

Testosterone deficiency in an otherwise healthy man who does not have regular medication that can affect testosterone levels is very uncommon, says top sexologist in Delhi.

Classic causes of symptomatic testosterone deficiency (so-called male hypogonadism) are either that there is some form of disease in the testicular leydig cells where the testosterone is formed, such as after chemotherapy, radiation or due to genetic disease to name just a few examples. We then call the testosterone deficiency a primary hypogonadism.

Another reason may be that the pituitary gland (a hormone-producing gland that is part of the brain) or hypothalamus (region of the brain) cannot produce hormones that signal to the leydig cells to form testosterone.

The most common diseases in this group are so-called pituitary tumors, but also genetic diseases such as radiation are other reasons why testosterone cannot be produced at the level needed by the body. We then call the state of secondary hypogonadism.

  1. How common is testosterone deficiency?

In the absence of other illness and medication with drugs affecting the formation of testosterone (glucocorticoids, opioids, etc.), symptomatic testosterone deficiency is uncommon, even with increasing age, as most endocrine organs have an overcapacity in the event of increased need, explains sexologist doctor in Delhi.

How common is it with symptom-causing testosterone deficiency (hypogonadism) is difficult to answer simply because many studies have only based on the testosterone value to define deficiency and not at the same time more objective symptomatology.

However, its relative rarity was clearly reflected in a large academic study called “Testosterone Trials” published a couple of years ago, which was based on a total of 790 men. The recruitment took place through millions of invitation letters and more than 50,000 telephone interviews to find men who were 65 or older with low testosterone levels (<9.54 nmol / l on two measurement occasions) without any obvious reason other than high age.

  1. How is testosterone deficiency treated?

According to sex specialist in Delhi, the goal of the treatment is to restore testosterone levels in the body.

There are several different treatment options:

  1. Testosterone gel used every day
  2. Testosterone injection usually injected intramuscularly every three months
  3. Pituitary hormone injection (gonadotropins) in childhood and in so-called secondary hypogonadism. Given as injections one to three times a week. This treatment does not work if the defect is primarily in the testicles.

Which treatment method is most appropriate is discussed with the sexologist in Delhi.

  1. Can testosterone deficiency lead to other diseases?

Symptomatic testosterone deficiency that occurs in adulthood primarily affects the quality of life that often becomes worse with reduced mental and physical energy and poorer sleep.

Redistribution of body configuration with reduced muscle mass and increasing fat mass. Sex desire and ability can also be affected.

If there is a pronounced deficiency, the risk of osteoporosis increases. Whether there is any connection between testosterone deficiency and cardiovascular disease is debated.

In men with type 2 diabetes, low testosterone levels have been found to be more common than those who do not have diabetes. However, treatment with testosterone has not shown unequivocally that blood sugar, blood pressure or blood fat disorders improve with testosterone treatment, explains sexologist in Delhi.

  1. Can testosterone treatment cause side effects?

Testosterone therapy may increase blood levels (hemoglobin, Hb). There may also be an increased risk of venous thrombosis for the first time after treatment.

Sensitivity to testosterone and testosterone levels means that some men may have an increase in blood pressure and in men with untreated heart failure increasing difficulty.

The risk of getting prostate cancer has not been shown to increase with testosterone treatment, but in case of already diagnosed prostate cancer, this treatment is usually not given.

In case of tendency to male hair loss, this can be accentuated by the introduction of testosterone treatment, as well as acne, says sexologist in Delhi.

Premature Ejaculation Treatment Options

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When a man is sexually stimulated – directly or indirectly – he is usually given a stand. Further direct stimulation of the penis leads to ejaculation for a shorter or longer period. Some men get ejaculation very quickly which can cause problems in cohabitation.

Sexologist in Delhi defines premature ejaculation when the man gets ejaculation within one to two minutes after the commencement of intercourse and the problem should have lasted for at least six months.

Rapid ejaculation can cause problems in a couple if the partner needs more time to self-orgasm.

Many couples solve the problem for a time with:

1) A quick-release first then intercourse

2) Stimulates his partner to orgasm before intercourse

When the man’s ejaculation simultaneously causes the condition to disappear completely or partially, and the desire may likewise, problems can arise in the cohabitation of both parties. If the problem of premature ejaculation persists for a long time or may have always existed, and if it has a negative impact on sexual intercourse, you should try to do something about it with your partner.

You are wise to talk to a sexologist doctor in Delhi about the problem, because it is the problem of both, which must be solved together. It’s not something the man can do alone.

You who do not have a permanent partner or live yourself can also practice the stop-start technique, see below PHASE 1.

How to treat premature ejaculation?

The premature ejaculation treatment in Delhi and the training – usually consists of several different parts.

One idea might be to try to solve your problem of premature ejaculation with so-called stop-start technology.

How to use stop-start technology?

Phase 1: First, teach yourself to stop. You caress yourself and when you feel it is near ejaculation you stop and breathe. Wait for a while until the “wave” releases, then you stimulate yourself again until you come close then you stop and breathe. You do this 3 times and the fourth time you come. Remember that it is important that you do not strain and hold your breath.

Only when you master the technology and feel confident about yourself will you bring in your partner.

Important! As his partner, you have to tone down your sexuality and your need for satisfaction. You can do that and manage yourself with masturbation. You must not torment him by talking about how unsatisfied you are, suggests the best sexologist in Delhi.

Phase 2: You – the man – lie naked and relaxed on your back. Your partner sits or lies naked beside you or sits between your injured legs. You are passive and she is active.

She caresses you so you can stand. You concentrate solely on her caresses and stimuli as well as the emotions and sexual tension that these bring. When you notice that the sexual tension is increasing, and you think your ejaculation is approaching, you say stop and breathe. She will then stop caressing you, and the sexual tension will decrease. The condition may decrease, and then you know that you will not be triggered with the same.

Then she starts with the caresses again, until you say stop. This way you stop and start three times. The fourth time she should continue until you get ejaculation. This is what you call stop-start technology.

How often should one repeat the exercise?

The exercise is repeated as often as you have time and desire. But remember that you must always be the passive and she the active. It is not allowed to change or to continue caressing her, even if she and you would like it.

Important! If she needs to have an orgasm in this situation, she should do it herself, without your assistance or presence. For this training to work, you need to concentrate solely on your situation – without having to perform anything else in the sexual field, suggests top sexologist in Delhi.

When are you ready for intercourse?

Gradually you will learn to control your ejaculation better, so that it takes longer and longer before you say stop. Then, but only then, is the time to intensify the caresses. This can be done with the help of a lubricant or oil, such as intimate oil, which she lubricates on her hand before she caresses you. She can also use saliva or vaginal secretions, suggests sex specialist in Delhi.

Finally, you can do this too. Then maybe the time has come for you to try to make a real partnership. You are still lying on your back and she is slowly and carefully bounding you.

When you notice that you are once again controlling your desire for ejaculation, she gently moves up and down until you say stop and breathe. You start when you finish again and continue three times. Only the fourth time, as before, you continue until you get ejaculation.

If you agree with it and if your partner feels like it, it is a good idea if she is stimulated by you or by orgasm before or after the intercourse. However, during intercourse itself, it is still only your feelings and your ejaculation that it is about, highlights sexologist in Delhi.

It is also good to work out your pelvic floor muscles:

  • By squeezing and relaxing your pelvic muscles regularly you will also learn to control and strengthen your stance, ejaculation and orgasm experience.
  • An exercise might be that when you stand up and have the ability to put a towel over which you lift then drop down about 10 times.
  • When you have joint and penis in the vagina, tighten pelvic muscles and relax without making any other movements.
  • This stop-start technique should be considered as part of a course of treatment by a sexologist in Delhi.

Drug

SSRI (Serotonin reuptake inhibitor) drugs are used to treat this problem. The drug was intended as a remedy for depression, but was not effective enough, however, as a side effect, it turned out that men with premature ejaculation could last longer. The drug is prescribed by a sexologist in Delhi.

Kidney Cancer – Diagnosis and Treatment

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Kidney Cancer

Kidney cancer is the third most common of the genitourinary system and represents approximately 3% of malignant diseases in adults. Kidney cancer is also known as hypernephroma or renal adenocarcinoma. The most frequent is clear cell kidney cancer, accounting for 85% of diagnosed tumours.

Kidney cancer usually affects individuals between 50 and 70 years of age, being twice as frequent in men than in women.

According to urologist in Dwarka, approximately 54% of the kidney tumours diagnosed today are confined to the kidney, 20% are locally advanced (affecting regional ganglia close to the kidney) and 25% already have metastases of the disease, mainly to the lungs, liver and bones.

Some risk factors for kidney cancer are known, including:

  • Smoking.
  • Obesity.
  • Hypertension.
  • Family history of the disease.
  • Von Hippel-Lindau disease and dialysis.

Diagnosis

6% to 10% of patients have flank pain, blood in the urine and a palpable abdominal mass. However, the most frequent form of diagnosis is incidental findings in routine examinations such as ultrasound of the abdomen.

The definitive diagnosis of the disease is made by ultrasound and computed tomography of the abdomen.

Tomography, in addition to making the diagnosis of the disease, is very useful in its staging (checking the extension to other organs) and in planning the most appropriate therapy, says the best urologist in Dwarka.

Chest radiography is used to assess the involvement of the lungs, and in some cases, it can be used for a more detailed assessment.

Nuclear magnetic resonance is rarely used in the evaluation of these tumours and is only performed in very specific situations.

Preoperative renal biopsy is usually not performed, and is only necessary in exceptional situations, in order to differentiate between malignant and benign lesions, which would not require treatment, explains urologist in Janakpuri.

The most important prognostic factors in kidney cancer, which assist in therapeutic planning and disease follow-up, are:

  • Clinical internship.
  • Obesity.
  • Histological graduation (Fuhrman degree).
  • Histological type.
  • Clinical status of the patient (“performance status”).

In order to be able to make adequate therapeutic planning, the performance status is fundamental for the type of procedure as well as it will be able to determine the response to the kidney cancer treatment. The other prognostic factors all refer to the volume of tumour existing at the time of diagnosis and the aggressiveness that certain tumours exhibit, explains the best urologist in Janakpuri.

Treatment

Surgery is the only definitive curative kidney cancer treatment. Radical nephrectomy, ie the removal of the kidney en bloc with its linings, adrenal gland (only in large tumours or in the upper pole of the kidney) and regional lymph nodes in the traditional treatment for kidney tumours.

However, with the evolution of diagnostic methods and the increasingly early findings of small renal masses, radical nephrectomy, in most cases, is no longer indicated, and partial nephrectomy should be chosen. This type of treatment consists of removing the tumour with a small safety margin, thus preserving the rest of the renal parenchyma, explains urologist in Uttam Nagar.

The oncological results of partial surgery are similar to that of radical nephrectomy for selected cases of tumours smaller than 4 centimetres, less aggressive, and can even be applied to larger tumours as long as they are in a favourable anatomical situation.

Laparoscopic radical nephrectomy is a new method that can be applied in kidney cancer treatment, offering the same cure rates as open surgery. Among the advantages is the fact that it is a less invasive method, with less morbidity and shorter hospital stay, in addition to the aesthetic advantage (small holes instead of the large scar from open surgery).

It is possible to use laparoscopic surgery to perform partial nephrectomy, however in very selected cases, and with complication rates even higher than those of open surgery.

It is also worth mentioning the treatment methods for kidney cancer that lead to tumour destruction through freezing (cryotherapy) or heat (radiofrequency) and the minimally invasive methods using needles, indicated in special situations, says the best urologist in West Delhi.

In patients with advanced disease, with distant metastases, there are forms of systemic treatment with immunotherapy (interferon or interleukin) or with the use of drugs that inhibit angiogenesis. These drugs, associated or not with surgical treatment, can lead to disease control and regression.

According to a urologist in Delhi, the kidney tumour responds very poorly to chemotherapy treatments and radiation therapy. The only modalities that have proven objective responses are immunotherapy with interferon or interleukin with modest responses and high toxicity. More recently, angiogenesis inhibiting drugs have appeared, which have shown very promising response rates, being the main therapeutic option in patients with metastatic disease.

erectile dysfunction treatment in Delhi

Ways To Treat Erectile Dysfunction Effectively

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According to statistics, few men turn to a sexologist in Delhi when experiencing erection issues. However, it is very important to tell your sexologist doctor in Delhi if you have erectile dysfunction, as this sexual difficulty can be a sign that there are other health problems, usually sensitive, such as diabetes, hypertension and heart disease, which are causing erection difficulties.

It is important to diagnose whether erectile dysfunction has situational, psychological causes or is the product of organic and physiological factors, or a combination of all of the above. Fatigue, lack of exercise and lack of appetite can also affect sexual reflexes.

For some men, treatment can be very simple: losing weight, doing more exercises and quitting smoking. In other cases, in addition to erection disorder, the sex specialist in Delhi should treat the underlying physical or psychological problem.

Medical treatment for erectile dysfunction in Delhi, when it has organic causes, should be at least the most invasive. First, abandoning certain medications that may be decreasing the ability to have an erection. Second, the use of drugs or vacuum devices. Finally, the use of surgery. The use of psychotherapy is always recommended, although the main causes are physical.

Dr. P K Gupta’s Super Specialty Clinic Pvt. Ltd. a recognized sexologist clinic in Delhi in the treatment of male sexual dysfunctions, warns about the importance of early erectile dysfunction treatment in Delhi. In particular, erectile dysfunction caused by organic factors can lead to progressive loss of healthy tissue of the penis and its erection capacity, when the underlying physical problem is not treated. A small problem could become more serious and irreversible. Treatment outcomes will depend on treating this situation on time.

The good news is that for many men, erectile dysfunction can be safely and effectively prevented or treated. The following treatments are currently used to address erectile dysfunction. A combination of methods may be used, depending on the case, such as prescription drugs along with psychotherapy and exercise of the pelvic muscles.

Drug treatment

There are currently three main drugs—derived from the same active substance—that are sold only with a prescription. They are the “tadalafil” (Cialis®), the “vardenafil” (Levitra®) and the “sildenafil” (Viagra®). All increase blood flow in the penis in the presence of sexual stimulation. They work by inhibiting the enzyme PDE5, which is found in the penis to prevent it from always remaining erect. Sexual activity should be taken 30 to 60 minutes before and its effect usually lasts 4 to 5 hours, in the case of Levitra® and Viagra®, and between 17 and 36 hours with cialis intake®.

It is important to know that the effects of prolonged use of previous medicines have not yet been investigated. Each drug has its own characteristics, side effects and contraindications. The best sexologist in Delhi is the only person who can tell you if you can use them. All PDE5 enzyme inhibitor medications should be used with caution if you have any of the following health conditions:

  • Stroke (stroke) or recent heart attack
  • Severe heart disease, such as angina or heart arrhythmia
  • Severe heart failure
  • Uncontrolled high blood pressure (hypertension)
  • Uncontrolled diabetes
  • Very low blood pressure (hypotension)

Treatment with other drugs, such as “apomorphine hydrochloride”, has also been helpful, especially in patients with cardiac diseases that consume nitrates, who cannot use Cialis®, Levitra® or Viagra®. This drug stimulates dopamine—also called the pleasure hormone—responsible for sending the nerve signal of sexual desire to the brain, which increases blood flow in the penis and produces the erection, explains top sexologist in Delhi.

Psychotherapy and sex therapy

In men under age 40, psychological causes of erectile dysfunction are often more common than in older men. Among the main ones are: performance anxiety, fear of failure, low self-esteem, depression, guilt, anger, partner problems and work difficulties.

Psychotherapy/sexual therapy works on the psychological aspects that may be causing or maintaining erectile dysfunction, so that emotions, thoughts and beliefs, or a negative self-image, stop blocking the reflex of the erection. Even if erection difficulties have an organic cause, psychotherapy is necessary to address the impact that sexual difficulty is causing on esteem, emotional stability, partner relationship and work area of the patient.

To treat erectile dysfunction for psychological causes can be applied relaxation techniques, when anxiety is the problem. “Sensory targeting” is also used successfully. Through this technique, the couple exchanges caresses alternately throughout the body—except on the breasts and genitals—focusing on sensations of pleasure and not intercourse. It is also often worked on negative or erroneous beliefs, if it is found that they may be inhibiting sexual response, through psychological therapy and sex education.

Hormone treatment

Testosterone is the main hormone that is involved in erection response. It is also involved in the development of male sex organs. The decrease in testosterone levels usually increases with age, however, individual differences have been observed based on expectations and beliefs.

Decreased testosterone levels often influence the decline of desire and sexual activity, including erection. Testosterone treatment can be given orally, patches on the skin or injections, and can only be prescribed by a doctor.

In other cases, erectile dysfunction is due to high levels of the hormone prolactin. This hormone reduces male sex drive, for example, their levels usually increase naturally after orgasm, during the refractory period, when the man cannot have an erection. If erectile dysfunction is due to excessive levels of prolactin, your sexologist in South Delhi may prescribe the drugs “cabergoline” or “bromocriptine”, used in the treatment of hyperprolactinemia.

Exercise of the pelvic muscles

Pelvic muscles are involved in sexual intercourse and increase blood flow to the genital area, which helps the erection reflex occur. Several studies indicate that exercise of the pelvic muscles helps restore erectile function. A sample of men over the age of 20 who had experienced erectile dysfunction for a period of at least 6 months participated in an exercise program to strengthen the pelvic floor for 6 months, with the supervision of a physical therapist. After this period, 40% of men had regained a normal erection, 36% had improved it, and 25% had not experienced any positive changes. Although the results were not entirely successful—as with other treatments—this therapy should be considered to resolve long-term erectile dysfunction and as a method of increasing the positive effects of other therapies. Like any other muscle in the body, if you don’t exercise your pelvic muscles, they lose the ability to function properly, says sexologist in East Delhi.

Intracavernos injection

This treatment activates the physiological processes that produce the erection, by means of a drug called “alprostadil”, which the same patient must be injected on the sides or at the base of the penis. The pain is usually little, as the needle is very fine. It should be applied 10 or 15 minutes before intercourse and requires the patient to accurately follow the dose prescribed by his doctor. Each injection produces an erection that lasts about an hour, although sometimes the erection can last longer, which can be painful.

Vacuum pumps

It is an airtight cylindrical apparatus placed on the penis. It has a pump (manual or battery) that allows air to be sucked in and a vacuum created. This causes blood to flow to the penis for an erection to occur. It is then necessary to place a constrictor band around the base of the penis to retain blood and maintain the erection. Then the cylinder can be removed. The erection usually lasts long enough for the partner to have a normal sexual relationship, although ejaculation can happen with less force. The band is removed after intercourse and should not be left on more than 30 minutes in total. One of the main drawbacks of this method is that it reduces spontaneity during sexual encounter. It is important for your sexologist in Delhi to recommend a reliable, safe and effective pump brand, as many advertisements can be misleading.

Penis implants

All implants in the penis require surgical intervention. It consists of surgically inserting two or more anatomically shaped implants into the cavernous bodies, located on both sides of the penis. Implants can be semi-rigid or inflatable. Inflatables allow you to control how long you want to maintain the erection, while semi-rigid implants always keep the penis firm enough to have a sexual relationship, but can bend under normal conditions. It is irreversible surgery, which has fallen into disuse in favor of other less invasive methods, as it permanently injures erectile tissue in the penis when implants are inserted. Therefore, it is only recommended by sexologist in Delhi when other treatments have been tested without results. It is important for the couple to agree to adopt this method to treat erectile dysfunction. Like any other surgery, there are risks of complications such as infection.

Vascular surgery

In rare cases, erectile dysfunction is due to problems in the veins or arteries. Venous surgery involves removing or tying the veins that allow blood to leave the penis. Arterial surgery connects or rebuilds the arteries to remove any blockages and increase blood flow and pressure in the penis. Although almost untreated, it may sometimes be necessary in patients who have suffered an accident that affected the normal blood supply in this area, explains sexologist in Delhi.

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Sex Addiction, Causes and Symptoms

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Sexual dependence can involve a wide variety of behaviors. Sometimes an addict has problems with a single unwanted behavior, sometimes with several, explains sexologist in Delhi.

What sex addiction is all about

A large number of sex addicts say their unhealthy use of sex has resulted in a progressive process. It usually starts with an attachment to masturbation, pornography (printed or electronic) or a relationship, but as time has passed it has progressed to include increasingly dangerous behaviors, says the best sexologist in Delhi.

The essence of any dependence is the total lack of control over compulsive behavior that leads the addict to an unwieldy life. The addicted person has no control and feels shame, pain and hatred of himself. That person may want to stop, but repeatedly he can’t do it. The lack of ability to manage your own life can be evidenced by the consequences of addicts: lost relationships, difficulties at work, arrests, economic problems, loss of interest in non-sexual matters, lack of self-esteem and a sense of despair, explains sexologist doctor in Delhi.

Concern about sexuality takes up tremendous amounts of energy. The behaviors they perform range from “Ligue”, searching for pornography on the net or taking walks in the park in search of sporadic sex. When one “acts” there is a total denial of emotions usually followed by despair and shame, or there is a sense of confusion and a total lack of hope, explains top sexologist in Delhi.

Signs of sexual dependence

We will define sex addiction as any sexual behavior in which the individual experiences:

  • Loss of control.
  • Abstinence syndrome.
  • Strong psychological dependence.
  • Loss of interest in other activities.

Other characteristics of sex addiction include:

  • A strong desire with an inability to control it.
  • Frequent concern about sexuality.
  • There are more sexual behaviors than you want.
  • Much of the time spent searching for sexual activity.
  • Restlessness or irritability if the behavior cannot be performed.
  • Cognitive distortions: “No one will love me as I am”, “My needs will never be met if I have to depend on others”, “Sex is my most important need”, “I am a bad and unworthy person”, “I will always be alone or I will feel alone”, “My body is shameful, defective or repulsive”.

Predisposition factors for sexual addiction

Factors predisposition to sex addiction include:

  • Disphoric mood.
  • Intolerance to displacenteus stimuli.
  • Impulsivity.
  • Search for stimulation.

Why does anyone become a sex addict?

There are two hypotheses that would explain why people become sex addicts:

1. Biological hypothesis:

The sex addict conditions his body to receive certain discharges of neurotransmitters (dopamine, serotonin and norepinephrine), through the process of reinforcing sexual behaviors or fantasies with orgasm, which causes them to be released into the brain causing pleasure and euphoria.

2. Psychological hypothesis:

People with low self-esteem who seek in sex an escape to a personal, social and emotional situation that they do not like; these behaviors are very common when the person has been sexually abused.

What is the difference between a person with a strong sex drive and one who has sexual addiction?

The difference would be necessity. A person with strong sexual impulse is fully attracted to sex, but if for some reason he cannot practice it does not seek satisfaction at any price uncontrolled, but has a greater degree of self-control, explains sex specialist in Delhi.

Can someone become a masturbation addict?

Yes. It would always be the first behavior that is conditioned on sex addiction, and the first that becomes an uncontrolled habit, says sex doctor in Delhi.

What role does pornography play in sexual addiction?

Sexologist in Delhi says pornography combined with masturbation is one of the cornerstones of dysfunction. Fantasy pornography creates an unreal world that the addict visits and often has no relationships with a real person.

Can someone be a sex addict and not have sex with their partner?

Yes. Sexologist in Delhi calls this sexual anorexia. In this stage of sexual addiction the addict prefers to be immersed in his own world of sexual fantasies than to have sex with his partner.

Treating sex addiction

In the treatment of any type of addiction, phases consisting of the following stages are proposed: evaluation, treatment and follow-up.

In turn, within the sex treatment in Delhi, six phases are distinguished: detoxification or maintenance; psychological disinhabitation or consequence of withdrawal from the substance or stop doing the behavior; normalization, change of previous lifestyle and search for new alternative goals to addiction; relapse prevention; maintenance program or short, medium and long-term support program; and, when necessary, harm reduction programs, suggests sexologist in Delhi.