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Premature-Ejaculation

HOW TO DETECT PREMATURE EJACULATION

The premature ejaculation is a male sexual health problem affecting approximately 30% of men. There are several factors that can cause it and they are often related to anxiety or other psychological problems, although these are not the only causes. To be able to guide an adequate treatment, it is important to detect premature ejaculation when it occurs and go to a sexologist in Delhi, India.

We can define this problem as the lack of control at the moment of expelling semen during sexual intercourse. Due to this, ejaculation occurs moments after the first moment of penetration, which makes it impossible to maintain the erection and reach the climax of intercourse. Even in some cases, the expulsion of semen can occur before penetration with only a minimum of stimulation. The problem is not associated with the rapidity of ejaculation but rather in the lack of ability to control the moment in which it occurs. Thus, in any case, neither member of the couple can reach the maximum sexual pleasure in the relationship, says sexologist doctor in Delhi, India.

THE KEYS TO DETECTING PREMATURE EJACULATION AND ITS MAIN CAUSES

The symptoms and causes that allow to detect premature ejaculation can be easily identified by the man. It is important to note that in many cases the difficulty in detecting premature ejaculation has to do with the shame that the sufferer may feel, which makes it difficult for one to recognize that they have symptoms.

The main symptom that will make us detect premature ejaculation is uncontrolled expulsion of semen before oneself or the sexual partner wants it. As we have pointed out, the fact of ejaculating before penetration occurs or moments after initiating it is also an indication.

The causes that produce this problem can be of different types. First there are the psychological factors. Anxiety or a simple state of nervousness can affect the encounter with the sexual partner, either because they are afraid of not being up to the task during the sexual act or because of a previous bad experience with the same or another partner. In the same way, detecting premature ejaculation can affect future relationships if the problem is not treated correctly.

As sex specialist in Delhi has said, there are other causes apart from psychological factors. We are talking, for example, of genetic disorders, although they occur less frequently. Cases of premature ejaculation related to the use of addictive substances such as alcohol, cannabis or cocaine and derived from the consumption of some drugs have also been detected.

In another section, there are cases not related to any of the above and that are due to some habits generally acquired during adolescence. If a man has frequently masturbated in a rush because he did not have an intimate space and moment, he may have become used to ejaculating after very rapid stimulation. In patients with this problem, it is usually necessary to meet best sexologist in Delhi, India.

If you have or think you have any of the symptoms of premature ejaculation, you need to see a doctor who specializes in sexual health. At the Dr P K Gupta Sexologist Clinic in Delhi, you will be attended by Dr. P K Gupta himself with extensive experience and a high rate of success in his patients. He will perform a physical examination and a diagnosis to offer the most appropriate premature ejaculation treatment in Delhi.

how to delay ejaculation

How To Delay Ejaculation – Methods, Tablets

Premature ejaculation can spoil the atmosphere in the bedroom. This is the source of many men’s complexes. The question “how to delay ejaculation” is asked not only by men but also by their women, who want to support their lovers. Premature ejaculation can cause many problems. At the very beginning, it leads to a decrease in libido, and then to deliberate avoidance of intercourse. Fortunately, there are safe ways to delay ejaculation.

How to delay ejaculation – ways

There are many ways to delay ejaculation. This dysfunction is very common, but men are reluctant to seek help themselves. It is still a taboo subject that they do not want to talk about. To find out how to delay ejaculation, we should first answer the question of why we ejaculate prematurely. The most common cause is stress or tension. Sometimes premature ejaculation occurs when a man is very aroused. Unfortunately, there are also more serious reasons for this. Most often they are some kind of hormonal disorders or cardiovascular diseases.

Few people are aware that premature ejaculation can also be caused by urological problems or neurological disorders. Therefore, it is so important to talk to your sexologist doctor in Delhi if you notice any abnormalities. Sometimes premature ejaculation is the first symptom of a more serious disease that men notice.

In fact, there are different ways to delay ejaculation, depending on the cause of the problem. Due to the fact that this is an embarrassing problem not only for men but also for their women, it is worth trying to solve it at home. A good way is to masturbate about an hour before intercourse or start all intercourse with the man ejaculating. Thanks to this, both parties will be satisfied.

Sometimes measures that reduce penis sensation can help. However, if our partner’s lifestyle and stress are to blame, the use of relaxation techniques such as meditation or yoga may prove to be the main factor. It happens that the problem is also solved by changing positions frequently. Thanks to this, the stimuli change, and the man experiences pleasure a bit differently.

If we do not know exactly what may be the cause of our embarrassing problem, it is worth visiting a sexologist in Delhi. You can go there alone or with your partner. Special exercises can also bring good results, as long as you do them regularly. It is said that training for half an hour can bring positive results.

How to delay ejaculation – pills, and exercises

Ejaculation delay pills should be the last resort. Before we reach for them, we should try other solutions.

The so-called three-finger technique. It is a technique for compressing the perineum. If we want to delay the upcoming ejaculation, just press three fingers on the point located in the central part of the perineum. This point is between the testicles and the anus. Then wait until the excitement subsides a little.

An important exercise is the Kegel exercises that men should also do. It should be a series of 30 quick contractions and relaxation of the pelvic floor, as well as several series of long contractions lasting about 10 seconds. Such exercises should be repeated in the morning and evening, and with each week you should increase the duration of the muscle tone.

Another technique is the withdrawal technique, which involves withdrawing the penis from the vagina and leaving only the tip of the penis when the man feels the impending ejaculation.

On the other hand, the best sexologist in Delhi suggests that the tablets should be used when the problem is caused by the hypersensitivity of the penis glans or labia nerve hyperactivity. Better results than tablets give the so-called combined therapy. It is a combination of training with electrotherapy or physio kinesiotherapy.

It is worth mentioning that ejaculation is controlled by the central nervous system. Premature ejaculation is said to occur in men who have low serotonin levels and high dopamine levels in the areas responsible for ejaculation control. The only medication that can give you relief is dapoxetine. It is very effective after the first application. In addition, it is quickly absorbed and is easily excreted from the body. That is why it is considered an effective and safe drug.

Some men, instead of dapoxetine, use special sprays that contain anesthetics – lidocaine and prilocaine. Unfortunately, these remedies have little effect and can also make the penis numb. In addition, overdosing them can lead to erection loss and ejaculation. Few people are aware of the fact that anesthetics introduced into the partner’s vagina can reduce her sensations, and additionally lead to disturbances in her orgasm, says sex specialist in Delhi.

sexual problems

Male Sexual Dysfunctions. How To Deal With Them?

Statistics dispassionately report: in every other bedroom there are various kinds of sexual problems. Sometimes on one side, sometimes on the other. The difference, however, is that if the woman “didn’t work out” she doesn’t make it a problem. On the other hand, when a “mishap” happens to him – it almost means the end of the world. And no wonder, because men identify very strongly with their sexuality and erotic performance and any failure in this regard is a cause for great concern for them. However, it would be much better if the gentlemen, instead of worrying, took the bull by the horns and looked for the source of the problem or professional help.

Unfortunately, only a few percent of men with bedroom problems see a sexologist doctor in Delhi, India. We can say about them “lucky” – because thanks to the quick treatment they return to full fitness. It turns out that most male problems are temporary problems that can be dealt with. And win!

Erectile dysfunction – when to seek help?

The first enemy of true masculinity is erectile dysfunction. There are several different phenomena under this name. Sometimes it is a condition in which an erection does not appear at all. Sometimes the penis stiffens, but not enough to have a satisfactory intercourse. And sometimes, although it achieves the desired hardness, it loses it at some point. If such a situation happens once – it is already difficult for a lover, but you can still say “it’s temporary, it will pass, the next time it will be better”. The male ego suffers, but hope does not die. But if erection problems occur several times, the man becomes afraid. What I feel? He is desperate, the world is slipping from under his feet. The threat of the label of impotent peeks into the eyes – because what is a guy who “can’t” worth?

There is a vicious cycle: the more a man is afraid of problems with potency, the more likely that they will occur. And that – in the opinion of men – ashamed to admit such a powerlessness, instead of seeking help, they begin to avoid intercourse – this is the easiest way not to confront the problem. Is this method good? Definitely not. Because not only does the problem persist, but there are also misunderstandings with the partner who feels unwanted, unattractive, and rejected by her lover. And when the atmosphere between the partners breaks down, the desire drops even more and sex stops “pretending”.

How do I get out of this vicious circle? First of all, approach the problem with calmness. You must remember that temporary erectile dysfunction happens to most men, especially if they are exhausted or very stressed. Only when the problems persist for some time are, they treated as a problem requiring consultation with the best sexologist in Delhi, India. But beware: even if the problems drag on, no doctor will call you impotent. This must not be done. He will sooner hear about sexual dysfunction or problems with potency. Impotence is a negative concept that can only aggravate the problem, and that’s not the point …

The causes of erectile dysfunction

The causes of erectile dysfunction are complex. They can be emotional or psychogenic – it will be, for example, depression or a subconscious aversion to a partner, and sometimes to sex in general. The reason may be hormonal disorders, when low levels of male sex hormones do not “feed” the libido, the man is not aroused enough, so he cannot have an erection. The causes are also neurological (e.g., multiple sclerosis), anatomical or iatrogenic (caused by damage e.g., after accidents or surgeries).

It also happens that erectile dysfunction is the first sign of other, completely unrelated to erotic diseases, for example problems with the prostate or kidney failure, as well as diabetes or atherosclerosis. The last two diseases quite quickly have a negative impact on such a delicate sphere as the erectile mechanism: diabetic neuropathy involves damaged nerves, and angiopathy – blood vessels. Meanwhile, for an erection to occur, both circulation and innervation must function perfectly.

All these problems have one thing in common: each requires consultation with a sex specialist in Delhi. And it is worth considering medical help, the more so that after the cause has been cured, sexual performance returns one hundred percent.

The blue pill – Viagra

What do men with erectile dysfunction most often ask doctors? For the magic blue pill – Viagra (or any other drug containing sildenafil, vardenafil or tadanafil). Although you need to know a bit about Viagra to be able to actually use it.

The main active ingredient in Viagra is nitric oxide, which acts on the blood vessels to increase their flexibility and efficiency. In addition, it stimulates a whole cascade of various biochemical changes that lead to an erection. The composition of the pill has also been enriched with substances that inhibit the process of penile relaxation, maintain, and prolong the erection. Therefore, if the problem lies in circulatory disorders, Viagra will actually deal with it immediately. However, for the blue pill to help, the man must want sex and must be aroused (that is, his partner must “turn him on”). If there is no excitement, you will not get an erection, even after taking Viagra.

Premature ejaculation – causes

This is the second most common male nightmare. This is a state where ejaculation occurs so quickly that intercourse is not satisfactory for both parties. Because although a man experiences physical discharge because of ejaculation, a woman has no chance of orgasm – statistically speaking, she needs at least 10 minutes of stimulation and intercourse to feel satisfied. A man, although he often needs less than three minutes, seeing and feeling his partner’s dissatisfaction, is also not able to derive satisfaction from being close. Although there is no rule here: there are couples where a woman is satisfied with a short intercourse – this is most often the case when she is not a big fan of sex herself and treats it as a marriage, onerous duty. In this case, rapid ejaculation in your partner is not so much a problem as a solution.

Nevertheless, most men dream to be able to make love like a real macho for many hours, and preferably all night (although few women dream about such long-distance close-ups). And ejaculation after two or three minutes is a reason for them to complex. It also happens that a man “shoots so quickly” that he ejaculates before the penis is inserted into the vagina. However, this is quite typical of very young men who are very excited to have access to a female body at all.

However, if we visit a sexologist clinic in Delhi, we will find out that, regardless of our own expectations as to the length of intercourse, premature ejaculation is a condition in which intercourse lasts less than three minutes. If this time exceeds even a few seconds, it is not considered an anomaly by sexology, but a normal condition.

Where do these problems come from? Apart from being young, you can blame them for the emotional tension, the man’s insecurity, his fear of failing to test in bed, and sometimes… infections in the genitourinary tract.

Ways of premature ejaculation

There are several ways to do this. The first is to reduce sexual tension before intercourse – or masturbation for short. If the first ejaculation happens this way, the second “try” will be longer. It is best if the first ejaculation is the “joint work” of the lovers. Then it brings the partners closer to each other, and the woman can even help the man reach the first climax.

The second way is to use special condoms filled with a special anesthetic. It reduces the penis sensitivity to stimuli, and thus slows the build-up of excitement under the influence of frictional movements.

Another method is a strong grip on the base of the penis when a man feels that the ejaculation is approaching (another school says that it is on his head) and quite firmly pressing it. This is to impair circulation. The excitement decreases, you may even experience a partial loss of erection – but this is nothing to worry about, two moves and the erection comes back. In this way, you can press the member several times during intercourse, prolonging it.

But these are all half measures. The most reasonable solution is to visit a sexologist in Delhi, India who will teach a man to properly “handle” his penis during intercourse. He will tell you how to stop ejaculation when it is already approaching. The man may then practice slowing down during intercourse or while masturbating.

Priapism – penile dysfunction

Priapism is another penile dysfunction, fortunately it is extremely rare. The disorder is when the penis fills with blood to get an erection – but after ejaculation, blood doesn’t drain from the cavernous bodies of the penis – as it should. It stays in the cavernous bodies of the penis, causing a long-lasting, prolonged, painful erection. It is a health-hazardous condition! In this case, you should go to the hospital as soon as possible, where the sexologists in Delhi will clear the blood outflow and make the erection pass.

erectile dysfunction

Modern Solutions For Erectile Dysfunction

Today, erectile dysfunction affects more and more men. Thanks to modern therapeutic therapies, however, we can deal with them better and better. Despite this fact, the effectiveness of the available preparations does not exempt us from responsibility for our own health or the appropriate temperature in the relationship. Find out what it takes to beat ED.

What is ED?

Erectile dysfunction (ED) is a problem that has a significant impact on the quality of life not only of a man, but also of his partner, and, consequently, of the entire relationship. Moreover, these disorders often cannot be treated as a separate ailment but should be considered as a symptom of an imbalance in the body (e.g., as a result of a developing disease).

ED is defined as the chronic inability to obtain and maintain an erection of a penis, allowing for satisfactory sexual intercourse. The frequency of this ailment in modern times is growing alarmingly. It is estimated that it can, to a moderate or severe degree, reach up to 20% of the adult male population. No wonder then that in response to the current demand, the interest in this topic is growing in the media, more and more patients are in sexologist clinic in Delhi, and modern therapeutic therapies are appearing on the market that enable solving the problem.

Sex as a health test

Erectile dysfunction is based on psychological, organic or (most often) a combination of both. The first of these groups includes causes such as stress, anxiety, guilt, and depression. In turn, the second one includes health problems (most often vascular, hormonal, or neurological), taking certain medications or (much less often) injuries or diseases of the penis.

ED often occurs in the course of diseases such as hypertension, hyperlipidaemia, and diabetes. They can also be a symptom of an undiagnosed cardiovascular disease. Since the modern lifestyle is conducive to the occurrence of such ailments, more and more patients refer to a sexologist in Delhi with ED problems. This is due to a poor diet, a sedentary lifestyle, lack of physical activity, constant use of electronic devices or addiction to drugs (smoking and drinking alcohol). So, it turns out that sex is a good test of how we care for ourselves and what is our health. When something starts to fail, it is likely to affect our intimate sphere.

From diagnosis to treatment decision

Although erectile dysfunction is a problem underestimated by many men, it cannot be ignored – both for health reasons and because of its impact on the whole of life. They have a negative impact on intimate relationships and self-esteem. As shown by a survey conducted by the Sexual Dysfunction Association, 62% of respondents lowered self-esteem, in 29% of cases worsened satisfaction with the relationship with a partner, and in 21% they were the direct cause of termination of the relationship.

Although the awareness of the importance of this ailment is growing steadily, the average time from starting to seek medical help in patients with erectile dysfunction is long – it is approximately 12 months. This may be because of a lack of knowledge about the effects of ED, resistance to going to a sex specialist in Delhi, or tabooing the problem. The result is millions of people who suffer from sexual dysfunction and its consequences, while they could be successfully helped by medical consultations and modern therapeutic therapies.

Possible outcomes of ED therapy

Usually, however, we have a misconception about how we can get help. However, medical practice shows that it is completely different. – Statistically, 2-3 visits to my sex clinic in Delhi are enough for the patient to regain a satisfactory sexual life. Of course, there are also more complicated cases, which, for example, require additional tests or consultations with other doctors, when a man is already taking certain medications that may interact with phosphodiesterase type 5 inhibitors. Usually, however, with the current level of psychological and medical knowledge, able to help very quickly – says Dr. P K Gupta, the best sexologist in Delhi.

The sexologist doctor in Delhi also indicates the main groups of patients who most often come to him for consultations. The two main ones are men between 18 and 30 years of age, who often approach sex in a task-oriented way, and men over 50, when the intimate sphere is affected by the aging process of the body. However, the age group in the 30–40 years is also slightly smaller. It is then that we often focus on our professional career and neglect other spheres of life. – This is a serious mistake, because sex boosts our health, professional success or satisfaction resulting from interpersonal relationships. This area affects our entire psychophysical life – says the top sexologist in Delhi.

How to prepare for an appointment with a specialist?

There are two aspects to the management of ED. The first one covers psychotherapy, clarification of physiological issues and advice in the area of ​​pro-health prophylaxis. The second deals with the organic aspects of the disorder. – The results of medical examinations should be brought with you to the appointment. Take even those that, in our opinion, have nothing to do with the problem, e.g., blood tests, cholesterol, sugar level, prolactin tests, liver tests, tests for vitamin D, EEG, EKG, ultrasound, etc. It is very important to have with you list of medications taken. In addition, let’s take information cards from hospitals, if we are hospitalized, explains sex doctor in Delhi.

Sometimes, as part of the therapy, the sexologist in Delhi orders additional tests that may affect disorders, e.g., the level of thyroid hormones or testosterone. Usually, however, we receive appropriate medications from the first contact with a doctor. They are helpful not only because of their mechanism of action in the body, but also help the patient to mentally unblock and believe in the final success – says the best sexologist in Delhi.

Mechanism of Action of Drugs for ED

The management of patients with ED has changed significantly in recent years. In the past, for example, penile prostheses were implanted without knowledge of the erection mechanism. Erectile dysfunction treatment in Delhi has ranged from more invasive approaches (e.g., shockwave, local intracavernous injections, and urethral suppositories) to convenient oral treatments.

The currently available preparations belong to the so-called phosphodiesterase type 5 (PDE-5) inhibitors. They include active substances such as sildenafil, tadalafil, vardenafil or the new generation avanafil. Basically, they have a similar mechanism of action. They block the enzyme that breaks down nitric oxide. The increased level of this substance contributes to the relaxation of the smooth muscles of the penis. They become sufficiently stretchy and create space for the inflowing blood that is necessary to achieve an erection.

While at rest the male member fills 30–70 ml of blood, 250–300 ml is needed to achieve the optimal level of hardening. This prevents stress, tension, anxiety, and a whole range of diseases related to the vascular system, because as a result of them blood is directed not to the penis, but to other parts of the body (e.g., a reaction to a stressful situation in the form of fight or flight pumps it to the muscles of our hands. and legs).

Medications for ED– simply put – they exercise the cavernous bodies of the penis, prepare them for blood to flow in and mobilize the vessels to move it. They are not only safe, but also have a positive effect on the entire body. Thanks to them, for pressure regulation, blood thinning or better oxygenation of our organs, e.g., the brain. It is worth remembering that all of them are cardiological drugs – explains the top sexologist in Delhi.

erectile dysfunction

Erection – What Are The Reasons For A Lack Of An Erection?

Most men experience erection problems from time to time. Some men have erectile dysfunction. Then it becomes difficult to get or maintain an erection. What are the causes of erectile dysfunction and when to start testosterone treatment?

Erectile dysfunction

Erection is the ability to get and then keep your penis stiff enough to start and continue intercourse. During an erection, the cavernous bodies in the penis fill with blood (using special mechanisms responsible for the inflow and outflow of blood), causing an erection – i.e., an erection.

It is estimated that erectile dysfunction occurs in approximately 320 million Indians by 2025. Testosterone, a male sex hormone, is also related to erection. After the age of 50, men’s testosterone levels slowly decline, and erectile dysfunction is becoming more common. However, treatment with testosterone does not necessarily help with erectile dysfunction.

Treatment with testosterone does not improve erection in men with normal testosterone levels. And research shows that it does not always help even men with low testosterone levels.

Erection – reasons for the lack of an erection

Lack of erection is usually caused by low blood flow to the penis or a problem with the nerves that control erection. This is the result of other conditions such as hardening of the arteries, high blood pressure, and high cholesterol or diabetes. These conditions constrict blood vessels and reduce blood flow to the penis or damage the erectile nerves, explains sexologist in Delhi.

Low testosterone levels can affect sex drive but does not usually cause erectile dysfunction.

Lack of erection – testosterone treatment

Testosterone treatment is associated with many risks, including:

  1. treatment with testosterone may cause the body to retain too much water,
  2. it can also cause acne, enlarged prostate and breasts (gynecomastia).

Other side effects of hormone testosterone treatment include:

  1. lower fertility,
  2. increase in red blood cells which can lead to heart disease
  3. increase in sleep apnea symptoms,
  4. higher risk of prostate cancer.

Erection – when to treat with testosterone?

Symptoms or signs of low testosterone levels can include decreased sex drive, loss of body hair, enlargement of the mammary glands, the need to shave less, a decrease in muscle size and strength, and easier bone breakage. In some cases, the testicles may shrink.

The best sexologist in Delhi may order a blood test to measure your testosterone levels. The blood test should be done more than once. This is best done in the morning when testosterone levels are at their highest.

If the tests show low testosterone levels, the sex doctor in Delhi should look for possible causes. For example, low levels can be caused by a problem in the pituitary gland.

The causes of erectile dysfunction

Failure to get an erection can be an early warning sign of a more serious condition, such as heart disease, high blood pressure, or diabetes. Treating this condition can improve your overall health and erection.

The medications you are taking may be another cause. Failure to get an erection can be a side effect of many medications, including medications for high blood pressure, depression, anxiety, heartburn, allergies, pain, seizures, and cancer. If the cause is medication, your sexologist doctor in Delhi may change the dose or switch to a different medication.

Drugs to aid erection

Some medications increase blood flow to the penis if taken an hour before sexual activity. They should not be taken if you are taking nitrate medications, such as nitro-glycerine pills for heart problems. The combination may cause your blood pressure to drop suddenly.

Usually, erectile dysfunction has a physical cause that can be treated. But depression, performance anxiety, and relationship problems can cause erectile dysfunction or make things worse. It may be helpful to consult a sex specialist doctor in Delhi. Unfortunately, only about 40% of men decide to see a sex specialist in Delhi, which, according to the data, can help after even 2 or 3 visits.

However, you can try a set of potency dietary supplements with maca, vitamin D and selenium, which have a positive effect on the hormonal balance of men.

premature ejaculation

Tips to make your sex more satisfying

There are many factors that determine satisfaction with sex life: the frequency of intercourse, the level of communication with a partner or a sense of one’s attractiveness. One of the most important of these is the length of intercourse – after all, it is hard to talk about satisfaction with sex when it ends before the partners have time to enjoy each other. Unfortunately, many men are dissatisfied with the length of their intercourse. Here is what sexologist in Delhi recommends for longer intercourse.

What is premature ejaculation?

According to the  best sexologist in Delhi, premature ejaculation is a sexual dysfunction in which ejaculation occurs with a minimum of sexual stimuli, before or shortly after penetration, resulting in negative emotional experiences in a man or his partner. If the problem of premature ejaculation persists, it can seriously affect relationships, a man’s self-esteem, and stress levels, especially when dealing with the opposite sex.

The causes of premature ejaculation

There is no one reason why men are forced to look for ways to prolong intercourse. It is known that premature ejaculation can accompany cardiovascular and prostate diseases. Some studies also suggest that this phenomenon may be related to too low levels of serotonin, a neurotransmitter mediating many processes in the brain. In such a situation, sexologists in Delhi may prescribe dapoxetine, i.e., pills to prolong the intercourse belonging to SSRIs (selective serotonin reuptake inhibitors), i.e., acting similarly to antidepressants.

Other causes of premature ejaculation include excessive sexual abstinence or, conversely, too high frequency of masturbation. It often happens to young men and teenagers whose hormonal production is still operating at high speed.

How to extend the ratio – the most popular methods

This means that the key to satisfying sex can be the right attitude: calmness, openness, and healthy confidence. Sometimes psychotherapy may be necessary. However, there are a few “tricks” that can help you make intercourse longer.

  1. As is known, alcohol has an anesthetic effect, which also applies to the nerve endings on the penis. Used in moderation, it can help you relax and control your orgasm better. Of course, you cannot go overboard with it, because if we drink too much, sex may become impossible.
  2. Condoms of various thicknesses are available on the market – also thicker to reduce sensations and delay ejaculation.
  3. There are also anesthetic gels on sale to help prolong intercourse. However, these preparations may also have a negative impact on the satisfaction with sex – the anesthetic effect may be too high, and the gel may also anesthetize the inside of the partner’s vagina.

Fortunately, there are also less invasive methods that do not require any kind of product. Just trying these methods can be an interesting diversion in your sex life.

  1. The three-finger technique, according to legends, originated in ancient China. It involves pressing the perineum (the point between the testicles and the anus) just before ejaculation. It is considered very effective in delaying orgasm.
  2. Kegel training, i.e., the muscles of the pelvic floor that we tighten to stop the passing of faeces and urine. They can be trained just like any other body muscle. Clenching them against the coming orgasm can delay it. In addition, this type of exercise increases awareness of your own body, which also affects the length of intercourse.
  3. As you feel your orgasm approaching, you can also stop penetration and allow yourself a moment to cool down. This moment can be used to caress the partner in other ways, combining this method with others mentioned above or changing the sexual position. All this makes the intercourse not only longer, but also more varied.

If you ejaculate very shortly after penetration began, or even before it happened, then perhaps nothing is lost. It is worth trying to take care of your partner, and maybe after a while the erection will return, and you will be able to conduct a “second round”. It is very likely that ejaculation will come much later during her.

fear of sex

Fear of Sex: Causes And Solutions

Intimate encounters in a couple are an important source of reinforcement that allows the relationship to stay together. However, there are people who find in those moments one of the greatest fears that they must face, either due to the panic of ridicule, not being up to the task, the possible pain that can occur during intercourse or other variants. This fear of sexual intercourse affects both men and women in different ways and is much more common than it seems.

Currently, there are multiple types of fears, phobias and disgust in society, caused by the idea of ​​exaggerated control that one has, perfectionism, excessive hygiene, among others. All this contributes to the constant appearance of more and new cases of sex panic, which is reflected every day in the avoidance of the practice, as the main mechanism, anxiety crisis before the situation, it can even lead to somatization and appearance of diseases of difficult diagnosis.

But how do you know if you are afraid of sex?

As Dr. P k Gupta, sexologist in Delhi points out, nowadays there is a trend towards “self-diagnosis through the search for information – rather misinformation according to the expert – on the Internet and after that a greater inclination to self-therapy or an attempt at self-psycho treatment. ” However, from sexology this fear can be divided into several types. On the one hand, the real phobia of sexuality or any of the elements that encompasses it, such as pregnancy, coital behavior or one’s own or the other’s genitalia. The phobic character also occurs that presents a more stable form of behavior, by automatically regulating the panic attack. And on the other hand, disgust.

Sexologist doctor in Delhi points out that both the latter and phobias have in common that they can turn into disorders if they turn into irrational fear. “It is rational to feel disgusted if I touch or taste something disgusting, but it is not rational if I stop having a relationship because I have some hair on my genitals or I force myself and my partner to always shower before and after the relationship,” exemplifies the expert.

Once this fear has been diagnosed, the causes of its appearance must be known. The origin may be due to several reasons, such as the trauma caused by rape or abuse, the anxiety of a woman to become pregnant due to her mother’s own fear or personalizing the sexual problems of others in oneself.

However, currently one of the main causes derives from the search for perfection in sexual life. The media, the early consumption of pornography, the over information, are generating real panic pictures about sexual relations. “Currently, there are men who, because of watching pornography at a very young age and the irrational idea that this is what to do and with that power and staging, become overwhelmed and feel unable to put it into practice. When they have their first experience and see how far they are from that irrational model, they enter an avoidance loop,” exemplifies sex specialist in Delhi.

Also, the excessive advertising of hygiene products and their results is generating new disgust and phobias. “Today the concept of the perfect vulva has appeared, sold by plastic surgeons. I understand that when there is a malformation someone wants to make it disappear, but turning a normal, large, small vulva, with more or less labia minora, into an object of personal rejection is an iatrogenic barbarity”, best sexologist in Delhi points out.

Possible solutions

Although there are several reasons why fear of sex can be present in anyone’s sexual life, the existing measures to solve it are also varied. The first step is to identify the problem, once it has been achieved, you should immediately go to a sex doctor in Delhi.

The expert points out that “one should not wait too long to ask for professional help”, to which he adds that “many try to seek outside help, face their fear with courage, for this they go to brothels, get married to force themselves, or introduce objects into their sexual organs. ” On the contrary, you have to be aware and realistic when identifying the problem and go to the sex specialist doctor in Delhi. Dr. Gupta believes that “you should never go to the search for detailed information, or to self-treatment.”

In addition, for this fear to disappear successfully, the help and support of the partner is necessary. This plays a very important role. “The behavior that the couple must adopt is to understand that the other has a problem and that he or she does not have to be the culprit or cause. The ideal help that he or she can offer is first in convincing and then collaborating with him or her in therapy”, explains the sexologist in Delhi.

Once this fear is overcome, the next step is to achieve maximum security in the sexual sphere, for this we must “eliminate the concepts of perfect sex, the concept of tantric sex or Disney romanticism, which have done as much damage as the pornographic one”, sexologist in Delhi emphasizes. All have created fear and insecurity or frustrations by distancing expectations from reality. “In sex, like everything in life, security is achieved with practice,” says the best sexologist in Delhi.

ed problems

Treatment of Erectile Dysfunction

Treatment of erectile dysfunction… Perhaps this is the most awaited text. However I must inform you that I will not talk about any magic formula for having good erections. So, it is likely that I will disappoint you. It will also not indicate a new miracle medication. Anyway, like almost everything in life, to get results we have to make an effort. I will talk about what is important and has scientific support for erectile dysfunction treatment in Delhi.

First of all, I would like to point out that with some exceptions: psychogenic erectile dysfunction, after pelvic / perineal trauma and due to hormonal causes – sexual impotence is treated, but does not cure, in such a way that the dialogue between doctor, patient and partner it’s essential.

Is the partner’s involvement important in the treatment of erectile dysfunction?

Certainly. The partner often takes responsibility for the lack of erection. Then she loses self-esteem, for imagining that the patient is no longer attracted. At other times, she suspects that he has another relationship and, therefore, is unable to satisfy her as before. Undeniably, some (ones) start to investigate the patients’ lives, unhappy (because) they avoid sex.

In addition, several studies indicate that, in the face of the man’s erection failure, the partner has a differential role. Thus, that who admits that he may be experiencing a health problem and encourages him to seek treatment becomes an ally. However, that minimizes, is indisposed or becomes indifferent, contributes to the maintenance or worsening of erectile dysfunction.

Non-drug treatment

Life Style Change

According to what sexologist in Delhi said earlier , it is interesting to think that the beginning of the treatment is the change in lifestyle and the control of risk factors. Therefore, starting regular physical activity, giving up smoking and other drugs and dietary reeducation are central. Certainly, controlling existing diseases and exchanging medications that happen to contribute to sexual impotence is also interesting.

However, how many times have you heard of it? In fact, it is necessary to change habits, as well as to assume the consequences of what we chose to do today. Selecting a good diet and developing healthy habits is certainly a personal responsibility. In summary, giving priority to reducing refined sugar, white flour, fatty meat fats, butter, fatty milks, and trans fats can be a first step. At the same time, stopping tobacco use and starting physical activities will surprisingly help, says sexologist doctor in Delhi.

Sex Therapy

Because the psychogenic factor is important, and to a greater or lesser extent, it is present in practically all patients, but, especially in young people, best sexologist in Delhi emphasizes the importance of performing sexual therapy. It is often the only treatment needed and other times it can be an ally with medications.

The objectives of sexual therapy for erectile dysfunction are:

  • Identify and work with resistance to medical intervention that results in treatment abandonment;
  • Reduce performance anxiety;
  • Understand the context in which the patient has sex;
  • Promote psychoeducation and adapt the patient’s “sexual script”.

The effectiveness of therapy depends on focusing on pleasure, reducing anxiety, decreasing the emphasis on the sexual act and promoting awareness of sexual feelings. They can optimize the results: therapeutic bond and motivation / support of the partner, establishment of goals for the patient and his / her partner. The focus of sex therapy should not only be improving performance, but sexual comfort and pleasure.

And young people, why do they have erectile dysfunction?

Before going on to the general guidelines of the treatment, I would like at this point to stop for a while and speak specifically about young people. In them, most of the risk factors discussed are absent. In contrast, insecurity, fear of failure and negative self-image can be seen as significant causes. The problem may also arise from a conflict related to sexual orientation or identity.

Under these circumstances, the young man releases high concentrations of adrenaline in the circulation, which impairs the filling of the corpora cavernosa of the penis, and thus presents difficulty in erection. Once the dysfunction starts, the continuation and aggravation depend on emotional factors: shaken self-esteem increases the fragility and the lack of confidence in recovery and performance, explains sex specialist in Delhi.

Undeniably, what I put above are the most important points of treatment, however, it is difficult for patients to strive to do so. And I’m not judging people for that. Changing our lifestyle, taking care of existing illnesses, accepting that we need best sex treatment in Delhi and looking for it is a challenge for all of us.

fear of sex

Why am I afraid or avoid having sex?

  • 5% of visits to the sexologist have fear of sex as a common link.
  • It occurs more among women, but men suffer too.
  • The aversion is not a sexual dysfunction or a low desire state and can be a “temporary” or “permanent” situation.

Sex is a rewarding experience for most mortals. Or at least they were. Modern society – with its new ways of relating – has transferred its rules and values ​​and, consequently, its fears to bed, according to the best sexologist in Delhi.

Everyone agrees that the aversion to having sex – that is, the fear of having sex with a stable or sporadic partner – is on the rise in the new century, since before it was “isolated cases” who suffered some kind of rejection they affirm.

Although there are no reliable surveys in sexology, professional experience at the foot of the couch allows us to extrapolate some figures. As explained by the professionals, about 5% of patients who go to the sexologist clinic in Delhi do so because of a phobia or sexual aversion.

Of these, the least are those whose fear is based on objective causes: previous sexual abuse, bad experiences or sexual dysfunctions such as vaginismus, which end up causing rejection. The rest of the patients who come to the consultation have developed a sexual phobia based on the fear of not being up to the task in their response.

“The fear increases because now people talk more about sex and compare more. They have more promiscuous relationships and with more sexual partners “, explains Dr. P K Gupta, sex specialist in Delhi. “The value of competitiveness is transferred to the sexual field,” he adds.

An opinion shared by the top sexologist in Delhi Dr. P K Gupta. “Today you have to be an ace in everything, including in bed,” he says. “The sexual fearful is someone demanding, they are personalities with fear of not measuring up and who see that they have no training in the sexual aspect,” he adds. “People come to consultation because the couple knows or wants more because they have had other sexual relationships in which they have enjoyed more,” he says. That’s where the fears begin.

Complexes of all kinds

Is this aversion … suffered by women and men alike? “Fear is manifested more in women than in men, but they also suffer from it,” says sex doctor in Delhi, who explains that “fear of commitment or stable relationships is occurring in them” as a trigger for aversion.

In women – continues the sexologist doctor in Delhi – fear may be before practicing it, for fear of the uncertainty that it creates for them. There is also fear of pain during the relationship and physical complexes regarding his body when faced with nudity.

In sexual social fear there are complexes of all kinds. Self-esteem, excessive demand or cases in which there has been a very restrictive sexual education. Or sometimes a combination of all of them, confirms sexologist in Lajpat Nagar.

The fear of sex – which can develop in a first-time partner or in experienced lovers who after years of relationship change partners – can be “permanent” or “temporary” , the latter depending on personal circumstances such as stress, sexologist in Delhi point outs. In both cases, phobias can be treated with a variety of therapies.

On the other hand, it is advisable not to confuse sexual aversion with a state of low sexual desire or with a physiological dysfunction when maintaining intimate contact.

Sexual aversion: Phobia of sexual contact. Relationships are feared or avoided. Some of these people are not able to maintain certain sexual activities, for example oral sex, while others express anxiety about any situation associated with sex: a kiss.

Low sexual desire: When what predominates is the lack of interest in relationships, we would be facing the case of lack of sexual desire, but not fear.

Sexual Dysfunction: Problems point in human sexual response.

“In India there has been no sexual revolution”

Dr P K Gupta, Consultant Sexologist in Delhi & director of the Dr P K Gupta’s Super Speciality Clinic Pvt. Ltd.

What does Indian lack in sexual matters?: Information.

And what is the most wrong?: They continue to see penetration as the summum of sexual intercourse.

Do taboos persist?: You are afraid to innovate and enjoy your sexual relationship with ease.

Not experienced in bed?: Oral sex is still taboo and other practices are considered much worse. In India there has not yet been a sexual revolution.

Who suffers more from fear?: Men have more fear of sexual interaction because they are not up to the task, and women are more afraid of emotional loss. This is because the man attributes and is attributed more responsibility in sexual satisfaction and that creates pressure. In the case of women, it is because it generates more attachment in sexual relations and therefore affects them more.

How is this phobia detected ?: Without realizing it, you run away from having a relationship. There are fewer fears in a sporadic relationship than in a stable one, where there is affection.

Are fears old ?: It occurs more when the time [age] to have a partner arrives, but it is also occurring in older people, who divorce and have to start from scratch.

How do I act?

Clinical sexologist in Delhi Dr P K Gupta points out the guidelines to face a sexual aversion or phobia.

Must be…

  1. Face fear by not allowing yourself to be blockedby it or giving in to anxiety.
  2. Avoid anxiety at the idea of ​​not having an adequate sexual performance.
  3. Promote good communication with the couple by expressing emotions correctly and taking the sexual relationship with ease.
  4. Seek support from sexologist in Delhi when sexual aversion becomes chronic, since in general the phobia will escalate and become disabling.

You have to flee from …

  1. The erroneous information that circulates on the networks and that reinforces the ignorance about the anatomy of the own body and that of the couple are harmful.
  2. Comparing yourself to other people, especially at the level of physical complexes and sexual performance, incorporates fear into sexual relationships.
  3. Lack of coordination and lack of rapport with the partner, neglecting their needs can precipitate rejection.
  4. Lack of self-esteem favors insecurity.
Early Detection of Erectile Dysfunction Can Save Lives.

Early Detection of Erectile Dysfunction Can Save Lives.

The development of erectile dysfunction is attributable to neuronal, vascular, hormonal, metabolic, and psychological factors. As explained by the best sexologist in Delhi that erectile dysfunction is found more frequently in men with hypertension, hyperlipidemia, acute coronary syndrome, diabetes mellitus, and metabolic syndrome, supports the hypothesis that this disease is an important marker of future cardiovascular risk. This point has been deepened in a study published in 2016 in the Journal of Sexual Medicine entitled Coronary heart disease, diabetes and sexuality in men. This work surveys different studies in this regard, and summarizes the recommendations for sexologists in Delhi who receive patients with erectile dysfunction in consultation.

In long-term research conducted in Western Australia, it was found that men with erectile dysfunction have a cardiovascular risk seven times higher compared to men without the disease. It is therefore not surprising that the prevalence of erectile dysfunction is higher in patients with heart disease, and it has been found to range from 42% to 75%.

Analyzing the different risk factors, hyperlipidemia contributes to erectile dysfunction through endothelial dysfunction, affecting the relaxation of the cavernous smooth muscle. In fact, population studies have shown that dyslipidemia and obesity are the main risk factors for erectile dysfunction. According to different studies, approximately between 26% and 70% of men with erectile dysfunction had an increase in serum cholesterol.

On the other hand, researchers Curkendall and Glasser found that 18% of the population studied with erectile dysfunction had undiagnosed hypertension. In general, erectile dysfunction is twice as common in hypertensive patients as in men with normal blood pressure, and it is also more serious.

Early Detection of Erectile Dysfunction Can Save Lives.

Let’s now look at some recommendations for doctors based on the International Consultation on Sexual Medicine Reports:

-The detection of erectile dysfunction provides the opportunity to decrease the risk of cardiovascular disease.

-Erectile dysfunction is a marker for a significantly increased risk of cardiovascular disease, coronary artery disease, stroke, and all-cause mortality.

-The risk of coronary events associated with erectile dysfunction is higher in younger men (30 to 60 years of age).

-Erectile dysfunction has a similar or even higher risk of predictive value for cardiac events than traditional risk factors such as family history, myocardial infarction, smoking and hyperlipidemia.

-Erectile dysfunction often occurs in the presence of silent coronary artery disease, with a time window from the onset of dysfunction to a coronary artery event of two to five years.

-The more severe the erectile dysfunction, the greater the degree of risk of coronary artery disease, its possible severity and the risk of peripheral artery disease.

-Lifestyle modification is generally recommended as the part of first-line treatment to correct erectile dysfunction and decrease cardiovascular risk, but evidence suggests that this could be effective only in men without established cardiovascular comorbidities.

-Recent studies have suggested that phosphodiesterase type 5 inhibitors, the first-line drugs to treat erectile dysfunction, could decrease cardiovascular mortality through multiple mechanisms, predominantly related to improved endothelial function.

The final recommendation to sexologist doctors in Delhi is not to fall into the prejudice that erectile dysfunction is always of psychological cause. Therefore, it is necessary to carry out different studies to understand its nature and the risk factors involved in its development. In this way, erectile dysfunction treatment in Delhi will be more effective, and in some cases it will reduce the risk of future cardiovascular events and prevent the progression of the severity of erectile dysfunction. Sexologist in Delhi suggests that there is a three to five year window from the onset of dysfunction to subsequent cardiovascular events, therefore we cannot ignore the opportunity to detect them.