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मोटापे (Obesity)  के लिए योगाभ्यास | Swami Ramdev

मोटापे (Obesity) के लिए योगाभ्यास | Swami Ramdev

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The Secrets To Having A Good Erection

The Secrets To Having A Good Erection

A delicate subject to tackle, erection is a sensitive subject for men. Dr. P K Gupta, sexologist in Delhi, answers all our questions on the subject and takes the opportunity to deliver his advice in order to be able to better master the subject.


True: the only erection that does not need to be stimulated is the one that occurs in the morning. It actually occurs during REM sleep phases. During these periods, the “sympathetic” system which most of the time keeps the penis at rest by small muscles no longer controls the situation. The muscles relax. “The nocturnal erection, involuntary movements and gestures have nothing to do with an erotic dream “, explains the best sexologist in Delhi.

In adolescence, the mere sight of an attractive girl can cause an erection, but this reactivity loses its splendour over time and emotional control.


True and false. It depends on the amount of alcohol absorbed. The consumption of alcohol in small doses promotes letting go and can help some individuals to liberate themselves sexually. But beware, too much alcohol really harms erection. Longer to come, more complicated to hold, the erection does not like alcohol abuse, and neither does ejaculation.

The alcohol problem? Manage the right amount. Because too much alcohol prevents a hard and long erection. In fact, under its influence, the blood circulation is modified, like the secretion of testosterone”, explains sexologist doctor in Delhi.


True: the more a man makes love, the more interest he has in the sexual act, the better he is armed to control his erections.


False: an erection is a very sensitive mechanism. Generally speaking, a stressed or anxious man can have erection problems. “When your partner does not have an erection, it is often because he is afraid of disappointing or that he is stressed, ” explains top sexologist in Delhi. Erectile dysfunction is a beautiful metaphor. Men are often in the performance and they are afraid of not being up to par. To avoid showing their weakness, some of them, stressed, take shelter from sexual intercourse and undergo erectile dysfunction. Even when desire is present, erection can be lacking.


True: to limit the tension related to the erection, it is important for the partner to show that he/she likes his sex in erection or by caresses, kisses, looks or why not even words! It is important to show that your pleasure is not necessarily linked to penetration or orgasm, but also to the simple physical sensual proximity of your body against hers. Learn to massage, cuddle without systematically seeking to have sex. And, remember, a simple kiss can trigger an erection.


True: Your partner has a slight weakness for cotton underwear? Food sex games? He is extremely sensitive to the caresses of the shoulders? To stimulate your partner, use your strengths and “small weaknesses”. “Without becoming a sexual object, it is good to know how to develop your sexual and sensual sensitivity. Men are mainly stimulated by sight, learn to know the codes of sexual attraction of your partner and to play with it,” recalls sex specialist in Delhi.


False: it is essential never to make reflections that are neither murderous nor compassionate (do not become your mother). We must remain in the register of tenderness. “Above all, do not interpret the erectile dysfunction at all. Do not take offense at a reduction in stiffness. It can come back, if you continue your caresses, if not, just understand that your partner is not a machine, move on to other things, more tender caresses, cuddles in love so as not to overhang it and let the erection come back later ”explains sexologist in Delhi. One should not attach importance to a temporary erectile dysfunction, and especially not to associate “Not to bandage is equivalent to not being a man and not having desire”.


True: this time is called the refractory period. This period after ejaculation is the time during which a new orgasm is impossible. It is a natural phenomenon against which we cannot fight. This period evolves with age. Extremely short at 17 or 18, it can reach a day or two at 80. It lasts on average 2 to 3 hours.

However, you can note that the higher your excitement, the shorter the refractory period,” explains sexologist in Delhi. Over the ages, Viagra can be prescribed, because one of the beneficial effects of this drug is to shorten this refractory period from 1 hour to 10 minutes,” concluded sexologist in Delhi.

Sexual Disorders: When To Consult?

Sexual Disorders: When To Consult?

Taboo, sexual difficulties are more frequent than one might imagine. According to sexologist in Delhi, one in two people would suffer from sexual difficulties, one in three from a real sexual disorder. They affect men as well as women, the young, and the elderly.

When encountering sexual difficulties, when should you consult?

When sexual difficulties cause significant distress, either individually or as a couple, it is best to consult a sex specialist in Delhi. These problems should not be underestimated because they can be accompanied by great personal or marital suffering and seriously affect the quality of life. Also, if the disorder recurs, if it is persistent and lasting, the help of a specialist will improve well-being.

Who to contact in case of sexual difficulty?

When suffering from sexual difficulties, you must contact the primary care physicians, either your family doctor, your urologist or your gynecologist. But, as much to specify, not all the doctors, nor the psychologists are trained in the field or are comfortable to speak about it. If you do not find the result expected, do not give up, but consult a recognized sexologist doctor in Delhi. Your attending physician can give you the address of a specialist.

However, it is important to first contact a sex doctor in Delhi. Because sexual disorder can, in certain cases, be the symptom of an organic disease. It is therefore essential to rule out any somatic health problem before treating the sexual disorder itself, to avoid any health risk and to be able to cure the patient.

What is a “sexual disorder”?

There are three main categories of sexual disorders, which can be at the origin of a sexological consultation:

Sexual dysfunctions

Sexual dysfunctions are the most common causes of consultation with the best sexologist in Delhi. Among them, we must mention: the drop in desire in men or women, the absence of orgasm, premature ejaculation, vaginismus, and pain during intercourse called “dyspareunia”, etc.

Gender identity disorders

Gender identity disorders relate to issues related to trans-sexuality or the difficulty of experiencing one’s sexual orientation, whatever it may be.


The term “paraphilia” refers to all atypical sexual behavior (prohibited or not by law). Among the two hundred paraphiliae (approximately) described to date, we can cite voyeurism, exhibitionism, sadomasochism, pedophilia, fetishism, sexual addictions, etc.

More generally, one can also turn to a top sexologist in Delhi in the event of discomfort on one of the aspects of his sexual life or general questions on sexuality, which represents a reason for consultation quite frequently. On the fringes of sexual disorders, strictly speaking, it must be emphasized that false beliefs themselves can have a heavy impact on sexuality. Information sessions of the “counseling” or “coaching” type are an opportunity to undermine misconceptions that are fatal to sexuality and to regain personal fulfillment. 

Should you go alone or as a couple?

There are no rules on this, everyone does as they can and as they wish. However, if it is a question of marital sexual difficulties, the sexologist in Delhi may ask to see the couple at least once during the therapy. 

Why consult a specialist in sexology?

Sexual health is a right recognized by the World Health Organization (WHO), which defines it in these terms: “Sexual health is a state of physical, emotional, mental and social well-being in relation to sexuality, and not just the absence of disease, dysfunction or infirmity. It is an integral part of overall health, well-being and quality of life. ”

Also, sexual difficulties can generate great suffering, the consequences of which should not be underestimated. They can lead to a loss of quality of life, and even a feeling of deep distress within the couple or the family.

In addition, certain sexual problems can be the expression of a somatic disease that should be diagnosed and treated by sexologist in Delhi.

Take care of your sexuality on a daily basis

Sexual well-being depends in part on good physical and mental health. A healthy diet and a healthy lifestyle, the practice of regular physical activity contribute to feeling good in your body, in your emotions, and in the relationship with the other.

Respectfully, respecting your partner, listening, and spending time together can contribute to a better sexual understanding. According to sexologist in Delhi, couples who share intense and stimulating activities strengthen their sexual harmony.

Many myths and received ideas circulate on sexuality and can compromise sexual fulfillment, as well as a lack of knowledge on the issue. Getting information can be useful as long as you turn to reliable sources.

Neurological Disorders Five Times More Likely to Cause Suicide

The danger of self destruction is especially high among those with ALS and is additionally high in those with Huntington’s illness, MS, and epilepsy.

Individuals with neurological conditions like Parkinson’s sickness, different sclerosis (MS), amyotrophic sidelong sclerosis (ALS, otherwise called Lou Gehrig’s illness), Huntington’s malady, and dementia are at a higher risk for self-destruction, an examination conducted in February 2020 in the Journal of the American Medical Association has found.

As indicated by a report released in US for this present month by the Centers for Disease Control and Prevention (CDC), self destruction rates rose in almost every US state somewhere in the range of 1999 and 2019. Half of all states saw suicides increment by in excess of 30 percent since 1999.

Stress, Hopelessness, and Low Quality of Life

As indicated by the creators, from the Danish Research Institute for Suicide Prevention (DRISP) in Copenhagen, the higher paces of self destruction among those with these mind issue are likely the after-effect of stress and sentiments of misery when they become familiar with their analysis and anticipation. In spite of the fact that the indications of a large portion of these conditions can be dealt by medicating and different approaches, none can be restored — in any event, not yet.

Likewise, a considerable lot of these leads to noteworthy incapacity, which may affect the personal satisfaction of the individuals who are analyzed just as their families and companions.

Inherent & Related Causes:

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    • Genetic Factors, truth be told, organic elements are likewise capable.
    • Chromosome variations from the norm
    • Metabolic issues
    • Congenital contortion
    • Infections
    • Environmental factors
    • Asphyxia/Hypoxia
    • Improper nourishment
    • Complication while conceiving an offspring
    • Interaction impacts

A portion of these causes are connected with mind issues like despondency and uneasiness, which may prompt self-destruction.

People With Neurological Disorders Almost Twice as Likely to Take Their Own Lives

While the vast majority comprehend the term self destruction to mean deliberately or purposefully ending one’s life, it’s essential to comprehend the curve of self-destructive conduct and the related actions.

With an end goal to build mindfulness and comprehension of this developing medical issue we utilizes the accompanying suggested phrasing:

Self-coordinated brutality:

Behaviour that is self-coordinated and purposely brings about injury, or potential injury, to oneself.

Non-self-destructive self-coordinated viciousness:

This incorporates conduct that is self-coordinated and planned to cause injury or can possibly cause injury, however for which there is no proof, verifiable or unequivocal, of self-destructive purpose.

Suicidal self-coordinated savagery:

This incorporates conduct that is self-coordinated and expected to cause injury or can possibly cause injury, with proof, certain or unequivocal, of self-destructive expectation.

Undetermined self-coordinated brutality:

Behaviour that is self-coordinated and planned to make injure oneself. However the self-destructive aim is hazy based on the proof.

Suicide endeavour:

A nonfatal self-guided damaging conduct with endeavour to kick the bucket. A self destruction endeavour isn’t constantly effective.

Interrupted self-guided brutality:

An individual finds a way to harm themselves however stops oneself or is halted by someone else.

Eventually, more than 35,000 of those remembered for the examination died by self-destruction, and about 15 percent of the individuals who passed on by self destruction had been determined to have a neurological issue. Generally speaking, we found that those with neurological scatters are twice as liable to end their own lives as the individuals who hadn’t been determined to have these conditions.

Danger of self destruction among those with ALS was very nearly multiple times higher than that of everyone, while the self destruction chance for those with Huntington’s, MS, and epilepsy was generally twice as high.

Be on the Lookout for Depression, Anxiety, and Suicidal Thoughts

In view of their discoveries, the Premium Surgeon recommends that parental figures — companions and friends and family just as social insurance experts — intently screen those with these conditions for gloom and tension, passionate misery, and self-destructive contemplations.

“Emphasize that self destruction is an uncommon occasion — by and large and furthermore among individuals with neurological scatters. It’s doubtlessly essential to know about one’s psychological prosperity — particularly when determined to have an interminable issue. Fortunately, it’s rare sorts of people who create burdensome manifestations, however in the event that one does, at that point it is critical to address a medicinal services proficient and survey whether further activities are required

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Sexual breakdown: the do’s and don’ts

Sexual breakdown happens. But how do you manage this delicate situation? The impossibility of obtaining a valid or lasting erection can indeed cause discomfort in the woman partner, who often does not know how to react. So, what to do and what not to do: advice from men!

Often in case of erection problems, lovers, who however desire, turn, which causes a cold and freezing of the sexual relationship. Sexologist in Delhi tells you everything so that this punctual impotence does not permanently affect the couple.

Don’t be offended. When a man has erection problems, women often think that he is not arousing or that he does not like him. Witness the reaction of Miss B. who said to her lover: “You must not want me actually. Now, all men say it: you absolutely must not think that there are a cause and effect link between you and this wobbly erection. “Otherwise this man would no longer see you,” notes the best sexologist in Delhi. Eh yes! If he sees you, it’s good that he wants you. But you? Do you hold it against him?

Above all, don’t get angry. Sometimes, to deal with what the woman feels as a vexation, she gets angry … “Clearly it was too much, I told her that we were not compatible, that it was mechanical! “(Miss B.). Once this final sentence has been pronounced, there is no longer any chance that the man will try again because he is too afraid to miss. Just imagine the opposite situation for two seconds: you have no lubrication and your partner drops you for that … Not cool. So, do not add to it … at least for a while, the time to get an idea of ​​the extent and the frequency of this problem, says top sexologist in Delhi.

Don’t try to be more desirable. As it does not come from you, no need to try pseudo-exciting things like baby dolls or sexy striptease, it could make things worse for your lover and make you all the more bogged down in the feeling of humiliation. So, we stay calm!

Do not loosen. Do not start to get into big debates like: “You know, sex is 50% of a couple, and the average reports of the Indian being three per week, I have the right to wonder if you n ‘m not below the average in terms of conjugal obligations, moreover… ” suggests sex specialist in Delhi.

Do not neglect the “ mitigating circumstances … or not!” Problems at work, stress, winter depression, etc., there are several elements that can explain a libido at half-mast! But not only … Drug use, alcohol, porn addiction, etc. Maybe the problem isn’t with sex, says sexologist doctor in Delhi.

Relax the atmosphere. Imagine that it is not easy for your partner to bounce back, he too hesitates between laughing and crying, so relax him! Put yourself in his arms, be cuddly, offer a massage, a bath, a film, sushi … In short, show him that you are not there only for sex. He must have the feeling that having a good time with you does not only depend on the quality of his erection. You have to put yourself in his place: it must be very stressful to tell yourself that the person with whom you are at risk of leaving if you are not at the same level. So, breath to allow him to do the same suggests sex doctor in Delhi.

Bet preliminary. The worst thing in these moments is that we don’t dare to do anything anymore: “I couldn’t touch him anymore for fear of another failure, confides Miss B, so it remained platonic on remaining from the night. On the contrary, you have to have a diversion, it is, for example, a good opportunity to work on the preliminaries and all the pleasures without penetration. Kisses, caresses, fellatio, masturbation … There is enough to do! And then a body is big, right? So, explore gently and sensually this immense universe that is the other, suggests the best sex doctor in Delhi.

Discuss (but don’t epilogue). Very often men appreciate the conversation with women, it allows them to express their sensitivity. Chat with your companion in peace, reassuring him, listening to him. He may have existential problems or stress: try to understand him as you would for a friend, without waiting for immediate results, just to support him, says sexologist in Delhi.

Be patient and optimistic. Good things come to those who wait for. A man can be in a difficult period (which he cannot or will not necessarily want to talk about right away), without necessarily ending your relationship in absolute terms. Know that everything changes and that over time things can change in the right direction. How many couples make love better after some time together than at the beginning?

We’re going to see a doctor. Most men think that the causes of impotence cannot be treated when it is not. There are centers specializing in erectile dysfunction. The sexologist in Delhi will check that everything is in good working order, he will define whether the problem is psychological or physical and, once the diagnosis has been established, he will propose the most adequate sex treatment in Delhi. Simple, effective! But you can’t go in the place of the other, so you can only suggest.

You know everything! Now, if it lasts too long, you don’t feel any possible evolution and/or the other doesn’t communicate with you, you have the right to go. Even if we repeat to whoever wants to hear that couple relationships involve permanent concessions, there is no question of being perpetually frustrated either, explains sexologist in Delhi.

Men Betrayed By Their Hormones

Women would not be the only ones to experience a decrease in their hormonal activity with age. Even if the decrease in testosterone is not as abrupt in humans, it would not be without consequences. Should we use substitution treatment? Who to book it for? All these questions are at the heart of a lively debate.

Decreased libido, fatigue, increased cardiovascular risk, irritability, increased waist size … All of these common symptoms in older men could hide testosterone deficiency. 

Andropause, an inappropriate term

Like women, would men see their hormones drop to their fifties? Much less brutal than the upheaval of menopause, the deficit in testosterone linked to age would translate a progressive reduction of this hormone. Not constituting a male fatality (unlike menopause which affects all women), this slow transition allows most men to maintain their reproductive function until an advanced age. This is why the term deficit in testosterone linked to age is preferred to that of andropause.

According to sexologist in Delhi, this decrease in testosterone begins at the age of 30 at a rate of 1 to 2% per year. But important personal factors come into play since some men will maintain high testosterone levels throughout their lives, while others will have very low testosterone levels. Apart from aging, other causes can lead to such a deficit: damage to the testicles (trauma, surgical removal, irradiation, chemotherapy, etc.), hormonal disorders (certain diseases of the pituitary gland), certain drugs and genetic abnormalities.

The number of men involved is the subject of controversial assumptions. According to the best sexologist in Delhi, “at least 20% of men over the age of 60 (…) and about 50% of those over the age of 80 have abnormally low testosterone”. Figures to be compared with the aging of the population.

Deficit in testosterone linked to age, your unforgiving world

Produced by Leydig cells in the testes, testosterone acts on many organs: muscles, vessels, liver, prostate, genitals, brain, bones, skin, hair, etc. Settling insidiously, the disorders are difficult to dissociate from the natural manifestations of aging.

Sexologist doctor in Delhi reminds that deficit in testosterone linked to age can manifest itself by symptoms of banal appearance after 50 years:

  • Sexual disturbances with impaired libido, sexual activity, erectile function, pleasure and ejaculation deemed insufficient;
  • Functional symptoms such as asthenia and increased fatigability, sleep disturbances but also sweating, hot flashes;
  • Modification of the body diagram: decrease in muscle mass and strength, increase in visceral fat, pubic and axillary depilation, testicular hypotrophy;
  • Character disorders: irritability or indifference, loss of self-esteem, lack of motivation and fighting spirit, disturbances in concentration, recent memory;
  • The development of osteoporosis.

However, it is neither compulsory nor frequent that all of these events be simultaneously present. The assimilation of these symptoms frequently associated with physiological aging could lead to an underestimation of the problem or to a medicalization of a natural phenomenon.

A difficult diagnosis

“Faced with these uncharacteristic symptoms, it is the concordance of these signs that will cause the top sexologist in Delhi to think of a deficit in testosterone linked to age, whose sexual problems cover only about a third of the cases” declares sex specialist in Delhi. But in the end, only a hormonal assessment can confirm the diagnosis. The dosage should be done on an empty stomach in the morning between 7:00 a.m. and 10:00 a.m., the time of day when testosterone levels are highest. Normal values ​​are usually between 3 and 10 ng / ml, but results may depend on the laboratory and the results of other dosages. In the event of an abnormally low result, the dosage should be repeated to confirm the permanence of the hormonal deficit. Additional dosages are sometimes necessary to verify the functioning of the pituitary gland, explains sex doctor in Delhi.

But here again, the rub, since it is not easy to determine the threshold value of testosterone below which it makes sense to treat. The value of testosterone sufficient to maintain libido or muscle tissue could vary from one man to another, says sexologist in South Delhi

As the list of harms attributed to low testosterone (an increase in cardiovascular disease, a decrease in bone density) grows , the rationale for hormone therapy remains the subject of debate, says sexologist in East Delhi.

When to treat?

Many products already offer different methods of administering testosterone (tablets, oily and intramuscular injections, patches, gel, etc.). Despite this amazing diversity, there are few scientific studies to confirm that these hormonal supplements can help older men. Most studies are only extrapolations from work carried out on young men suffering from an early testosterone deficiency (hypogonadism).

In addition to their small number, studies on deficit in testosterone linked to age argue in favor of such a treatment with a restoration of libido, sleep, spatial memory, an improvement in mood, a reduction in fat mass and an increase of muscle mass and strength… Knowing that this androgen deficiency is a usually permanent condition, the treatment would therefore be treatment for life. A period to be compared with the slight decline in these products which does not exceed 4 years, explains sexologist in Delhi.

A difficult assessment of the benefit-risk balance

Side effects include an increase in the number of red blood cells, worsening of sleep apnea, a moderate increase in prostate size, and a risk of advancing micro-cancer of the prostate.

Currently, the long-term effects of androgen replacement therapy remain unknown, particularly with regard to prostate and cardiovascular risk. Scalded by the dangers of HRT of menopause, some scientists fear that these treatments encourage the occurrence of hormone-dependent cancers (whose growth is promoted by hormones). In men, prostate cancer is androgen-dependent and high levels of testosterone could rapidly progress micro-cancers. Consequences which could be thwarted by more regular screening.

Such a prescription can therefore only be made after analysis of the benefits and risks specific to each patient who must be clearly informed, suggests sexologist in Delhi.

Men at particular risk of prostate cancer (men of color, men over 40 with relatives with prostate cancer and people in their fifties will need to undergo specific screening before treatment is started. -indicated for men who have had a history of prostate or breast cancer, this management requires strict monitoring, carried out in consultation with a blood test (PSA test), first at 3 months and then at a rate variable which will never be more than 12 months Finally, the treatment can be interrupted at any time without any particular risk, except the return to the initial situation, says sexologist in Delhi.

Decreased Libido In Men: How To Boost Your Libido?

Lack of libido does not only affect women. Erectile dysfunction or simply lack of desire, a man’s libido fluctuates according to mood, time, and loss of libido can also have hormonal causes. For a fulfilled sexuality, simple solutions exist to regain your male libido, says sexologist in Delhi.

Male libido: the factors behind a loss of sexual appetite

The loss of libido materializes in men by a sexual desire at half-mast, and sometimes breakdowns of erection. These disorders are partly of medical origin, partly of psychological origin, explains best sexologist in Delhi.

The medical causes of loss of libido

A low testosterone level can cause a decrease in libido in men. With age, in particular, hormone production decreases and the intensity of male sexual desire suffers. But other factors of a medical nature can influence the lack of libido: drug treatments, illness, unhealthy lifestyle – regular intake of psychotropic substances or alcoholism, for example – are often singled out, point out sexologist doctor in Delhi.

Psychological factors of lack of libido

Under too much professional or family pressure, the man who feels stress or fatigue is less inclined to have sex. Similarly, the wear and tear of the couple over time or the arrival of a child can jeopardize their libido.

How to regain your male libido?

Personally, men have at their disposal several solutions to test to boost their libido.

Lack of libido of medical origin: the means to remedy it

When the loss of sexual desire is induced by taking medication, there is no question of stopping treatment on a personal initiative. Man has every interest in this scenario to consult his doctor to find with him a therapeutic alternative with less harmful side effects on his libido. If the disorders are of hormonal origin, it may be beneficial to have blood tests and then set up a suitable testosterone therapy. Finally, adopting a better lifestyle can help regain your male libido, suggests sex specialist in Delhi.

Take care of yourself to fight a loss of libido

Like a woman, a man who feels bad about himself does not feel desirable. It’s time to highlight its seductive assets: new wardrobe, hardsports sessions, facials … so many ideas to regain your self-esteem and have the feeling of pleasing again. In the same vein, regaining your libido can go through rest and a cure of vitamins: an optimal physical form allows to overcome fragile psychological states, directly influencing the libido of man, explains sex doctor in Delhi.

Loss of male libido: the couple in question

Often, the lack of libido in men has its origin in the couple. In this hypothesis, the partners must become aware of it to find together effective means to re-boost sexual desire.

Reserve moments for two

The arrival of a child at home, an intense professional rhythm, or a busy social life can keep lovers away. For fulfilling sexuality, lovers can plan special moments for their couple. An evening, a weekend, or a vacation for two allows you to find yourself as in the first days of the relationship, during which the libido of the man is generally at the top. By reconnecting in this way, the couple can also revive love, essential for some to sexual desire says sexologist in Delhi.

Renewal and the unusual to regain your libido

Time has a detrimental effect on the sexuality of most couples. When the routine replaces the surprise, sexual arousal suffers immediately and the man can find himself subject to erectile dysfunction or a breakdown of desire for his partner. The lovers, to face it, must show imagination and spice up their sexual relations: by renewing their positions, by trying libertine practices, by adding accessories and sex toys, by realizing fantasies or by surprising the other with sexting … there are many ways to fight against a loss of libido, says sexologist in Delhi.

When a man’s libido depends on a woman

It can happen that the lack of male libido is caused by the neglect of the partner. In this context, the man can suggest to his companion to leave him the big game. Naughty underwear, taking initiative or erotic games: when the woman surprises her lover, the libido of the man is likely to go up sharply, explains sexologist in Delhi.


If you have repeat (inguinal) hip pain and are an athlete or frequently engage in physical activity with discomfort during or after this activity, you may have a hip pinch or hip impingement. A lesion or incipient cartilage can give the first symptoms, explains the orthopaedic in Delhi.

The problem is in the case of those who are sedentary, because it is a disease that can appear silently. It has no symptoms, as it does not generate stress on the hip. Here the pain can appear late when the cartilage of the joint is totally worn, causing osteoarthritis of the hip.

This disease was discovered 20 years ago. Before its existence, most hip ailments were diagnosed as mono arthritis, causeless inflammation, idiopathic osteoarthritis, unknown cause, or joint wear and tear in late cases.

Over time, it was discovered that about 80% of these patients had an alteration in relation to the shape of the bones of the acetabulum with the femur. They already called this hip pinching.

This disease contains a lot of different pathologies, it is a set of alterations in the joint, which can be the deformity of the acetabulum or the femur.


The symptoms of hip impingement can be pain in the groin, discomfort in the hip area around a pain type C, after exercise or appears daily without physical activity. Patients who have been with the disease for a long time and have never had discomfort, the main sign is loss of mobility in the hip.

Also, knee pain that you don’t have any findings may be from hip problems. “The knee cries for the hip,” says orthopaedic doctor in Delhi.

Symptoms depend on the deformity and physical activity.

If there is a lot of deformity and a sedentary lifestyle, symptoms may start. In as much, if there is little anatomical alteration, but the patient is very active, it is more probable that the hip pinch is manifested. And finally, those who have minimal deformity and do little physical activity, it is likely that they can reach the age of 65 and their hip will never hurt.

Exams and Diagnosis

In the first instance, the orthopaedic doctor in Delhi performs a clinical examination, accompanied by the patient’s symptoms, in which he will move the patient’s leg and, specifically, the hip joint to assess pain and range of motion.

To make an accurate diagnosis, the traumatologist indicates a plain radiograph of the pelvis and hip, and an MRI or Artroresonance study. With the radiologist’s evaluation, it is possible to determine where the lesion is, what its size is, if there is a ruptured labrum, tendon injuries, among other types of specifications.

What is the Labrum?

The labrum is the ring of cartilage, which is located on the outside of the hip joint. It works as a “glue” between the femur and the acetabulum.


A labrum tear can occur from high-impact sports or physical activity. Also due to hip abnormalities, says the orthopaedic in Delhi.


The treatment for hip pinching in patients with little deformity, elderly and do not have a significant burden of physical activity, is palliative. That is, it seeks to reduce symptoms, before opting for hip surgery in Delhi, with anti-inflammatory drugs, kinesiotherapy, which has an effect on periarticular inflammation.

The other intermediate option is to inject the hip with anti-inflammatory drugs, such as corticosteroids. Which seeks to eliminate acute hip pain. It is a transitory treatment, because the pain will return. If you do little exercise, it will most likely last 1 to 2 years. However, in the case of active people, the hip ailment may go away for 1 month or 1 week.

Patients who have a lot of deformity, are athletes and young people, the treating doctor will probably indicate a surgery.

Hip arthroscopy

Hip arthroscopy in Delhi is a minimally invasive surgery that corrects acetabular and femoral deformities through two holes of 1 centimeter each. Damage is repaired, which is usually the labrum and cartilage. “The surgery lasts around 1 hour and a half. What we do is à la carte”, says the orthopaedic surgeon in Delhi.

In addition, in 10% of patients, the muscle area can be intervened, if there is a highly inflamed tendon that has not regenerated, a tenotomy is performed. If there are gluteal problems, the tendon is cleaned.


Once the hip surgery in Delhi is performed, the patient must be hospitalized overnight in the clinic. However, recovery from a hip pinch is slow. During the first 2 or 4 weeks you should use canes.

The most important thing for an optimal recovery is the rehabilitation that expert hip kinesiologists must carry out.

“People who do poorly rehabilitation can have pain between 6 to 9 months. Those who do a good rehabilitation should not be more than two months with significant pain. Even so, the global rehabilitation to return to play sports, play ball -for example- is six months. If after 6 months I have significant pain, we must start looking for causes of why and treat it, “warns orthopaedic in Delhi.

In a year, the patient may have minimal or some periarticular discomfort, but should not have joint pain.

Low Libido- Causes, Symptoms & Treatments

Libido: what is it?

The libido or sexual desire is the desire to engage in sexual activity. Sexual desire can arise spontaneously or in response to a partner, images or thoughts.

The intensity of the desire depends on various factors such as the quality of the couple relationship, physical health, psychological state or events that mark life (pregnancy, mourning, stress at work, etc.). The drop in sexual desire is one of the different sexual dysfunctions that men and women can experience at any time in their lives, says the best sexologist in Delhi.

Low libido becomes problematic when it worries the person or his partner and affects the romantic relationship. However, this condition does not always affect the ability to have sex, says sexologist in Delhi.

Causes of low libido

Sexual desire is a complex interaction of several factors, including physical and emotional well-being, life experiences, rhythm of life and intimate relationships.

A drop in sexual desire can have a physical cause such as:

  • A sexual problem, such as pain during sex or an inability to reach orgasm.
  • A sickness. Several diseases can affect sexual desire, for example arthritis, cancer, diabetes, high blood pressure (hypertension), depression, or neurological diseases.
  • The effects of a drug. Several drugs, such as certain antidepressants often decrease sexual desire. Other drugs to treat prostate problems or hair loss, or to regulate blood pressure can affect your libido, explains sexologist doctor in Delhi.
  • Surgery. Surgeries related to the breasts or genitals can affect self-image, sexual function and sexual desire.
  • Alcohol or drugs. Abuse of alcohol or certain drugs can affect libido.
  • Tiredness. Excess fatigue caused for example by caring for elderly parents or young children can affect sexual desire.

Hormonal changes:

  • Menopause. During the transition to menopause, women’s estrogen levels drop. This can cause vaginal dryness, so painful or uncomfortable sex can be the cause of avoiding sex. On the other hand, if after menopause, the ovaries secrete very few estrogens, they continue to secrete relatively large amounts of androgens (testosterone …). However, this androgen level becomes lower than before menopause, which can be taken into account in a decrease in sexual desire, says sex specialist in Delhi.
  • Pregnancy and breastfeeding. Hormonal changes during pregnancy, as well as after childbirth and breastfeeding can affect sexual desire. Not only hormones, but fatigue, body changes, and the stress of having a new baby can affect sexual desire.
  • Prolactin. An abnormal increase in prolactin (a hormone responsible, among other things, for triggering and maintaining lactation) blocks sexual desire, in men, as in women, explains top sexologist in Delhi.
  • Low testosterone. In men, testosterone is produced in the testes. This hormone is essential for maintaining bone density, fat distribution, muscle mass, production of red blood cells, production of sperm and sexual desire. With age, testosterone gradually decreases (by around 1% per year after the age of 30). Sometimes testosterone can decrease very significantly with age. A drop in testosterone can also be due to a disease.
  • The contraceptive pill. Taking the contraceptive pill tends to decrease libido in 20 to 40% of women, because it decreases the amount of testosterone circulating in the blood in women, says sexologist in South Delhi.

A drop in sexual desire can have a psychological cause, such as:

  • Childhood sexual abuse.
  • Depression.
  • Intense stress related to a financial situation or a job.
  • Low self-esteem.
  • A conflictual love relationship (lack of communication, unresolved conflicts, infidelity, lack of trust in your partner).

Symptoms of decreased libido, risks and prevention

Symptoms of decreased desire

  • An unexplained and prolonged disappearance of sexual desire.
  • Sometimes a systematic repulsion with regard to sexual activities. This symptom manifests itself especially in case of psychological blockage.

People at risk of low libido

  • Age. Decreased sexual desire can happen at any age, but it manifests more frequently as a man or a woman ages.

Risk factors for lack of desire

  • Couples living in marital conflicts.
  • People who do not feel respected by their partner.
  • People with chronic illness.
  • People with significant concerns (unemployment, accident in life, serious illness of a loved one, death in the entourage …)
  • People abusing pornographic images.

Prevention of decreased desire

Basic preventive measures

In order to maintain sexual desire and increase pleasure during sex:

  • Make sure you maintain good communication with your spouse.
  • Discuss with your partner what gives you pleasure during intimate relationships.
  • Show imagination and fantasy.
  • After menopause, have an open and positive attitude towards your sexuality. Despite the decline of hormones, it is quite possible to maintain a beautiful sexual vitality, suggests sexologist in East Delhi.

Medical treatments for low libido

Hormonal therapies

Hormonal therapies are used when the drop in libido is caused by a hormonal problem.

In men, a drop in libido caused by low testosterone can be treated with testosterone replacement therapy. A blood sample is used to check the testosterone level.

Testosterone is available in patches affixed once a day in the back, on the abdomen, on the arm, or on the thighs, in gel (that is applied to the skin once a day), in injection (administered by sexologist in Delhi at 3 or 4 week intervals) or capsules.

Some women may be given estrogen. This low sex desire treatment in Delhi can have a positive effect on brain functions and mood that affect sexual response. However, this type of therapy can increase the risk of heart disease and breast cancer.

Lower doses of estrogen can be given in the form of vaginal creams, slow-release suppositories or a ring in the vagina. These drugs manage to increase the blood flow in the vagina and help increase desire without the risks associated with estrogen absorption.

When the desire disorder is due to a very high prolactin level, a check-up is necessary, with appropriate treatment.

Change of medication

When the drop in libido is caused by a medication, your sexologist in Delhi can usually prescribe another one.

Lifestyle changes and therapies

When the drop in libido has a psychological cause, it can be treated by lifestyle changes and techniques that help develop sexuality.

  • Exercises. Regular aerobic and power exercises can improve stamina, self-image, and mood and boost libido.
  • Reduce stress. Finding solutions to deal with financial stress, work-related stress or daily hassles can stimulate sexual desire.
  • Communicate with your partner. Couples who learn to communicate in an honest and open relationship usually maintain stronger bonds that lead to healthier sex. Talking about your sexual preferences can also improve intimate relationships.
  • Plan some privacy. Although planning sex on the calendar may seem artificial and boring, making intimate periods a priority can help regain sexual desire.
  • Add spice to her sex life. Try different sexual positions, variable places or times of the day, if you and your partner agree.
  • Advice from a sexologist in Delhi can help to understand the cause of the decline in sexual desire. These therapies usually include teachings on sexual response, techniques and recommendations for reading, as well as exercises to do in a couple.
  • Very often, the drop in libido is due to deep disorders. A depression, a difficult experience in childhood, a traumatic death, sexual assault, rape … In this case, a work of therapy will be essential to revive the vital momentum, because the libido is linked to this momentum.

When is the Treatment of Erectile Problems Really Necessary?

Most men occasionally have erectile problems. However, some people have erectile dysfunction, which means that they have trouble getting or keeping an erection enough to have sex.

If you have erectile dysfunction, you may think that a testosterone treatment would help you. Testosterone is a male sex hormone. After 50, testosterone levels gradually decrease in men and erectile dysfunction becomes more common. Unless you have other signs and symptoms of low testosterone, you should think twice before receiving this treatment. Here’s why:

Testosterone treatment does not always resolve erectile dysfunction.

Testosterone treatment does not improve erections in men who have normal testosterone levels. In addition, studies have shown that it is not always helpful in men who have a testosterone deficiency if erectile dysfunction is the only symptom.

Erectile dysfunction is usually linked to other causes.

Erectile dysfunction is usually caused by a drop in blood flow to the penis or by a problem affecting the nerves that cause the erection. These phenomena are the result of other health problems such as hardening of the arteries, high blood pressure, high cholesterol, or diabetes. These diseases help to narrow the blood vessels and reduce the blood supply to the penis or damage the nerves that cause an erection.

Low testosterone can affect sexual desire but does not usually cause erectile dysfunction.

When should you consider testosterone treatment for erectile dysfunction?

If you have had trouble getting erections for more than three months, talk to your sexologist in Delhi. He will ask you about all of your symptoms and examine you.

Signs and symptoms of low testosterone include decreased sexual desire, hair loss, breast growth, less frequent shaving, decreased muscle size and strength, and increased risk of fractures. In some cases, the volume of the testicles decreases.

If you have any of these symptoms, your doctor may ask you to have blood tests to measure your testosterone levels. The test will need to be repeated and it is best to do it in the morning when testosterone levels are highest.

If tests show that your testosterone levels are low, your doctor will need to check for possible causes, for example, a problem with the pituitary gland.

If no other cause is found, you can try testosterone treatment.

How to treat erectile dysfunction?

Most erection problems can be treated. Talk to the best sexologist in  Delhi about the following solutions for effective erectile dysfunction treatment in Delhi:

Look for medical causes. Erectile dysfunction can be a harbinger of more serious illnesses, such as heart disease, high blood pressure, or diabetes. Treating the problem will improve your overall health and the quality of your erections.

Review the list of your medications. Erectile dysfunction can be a side effect of many drugs, including drugs to treat high blood pressure, depression, anxiety, heartburn, allergies, pain, seizures, and cancer. If a drug is causing your erectile dysfunction, your sexologist in Delhi may change the dose or replace it with another.

Improve your lifestyle. Certain unhealthy habits can contribute to erectile dysfunction. Exercise regularly, lose excess weight, quit smoking, consume less alcohol, and do not use drugs.

Consider taking medication to improve erections. Some drugs increase blood flow to the penis if taken an hour before intercourse. These are sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). Ask your sexologist in Delhi about the benefits and risks of using these drugs. They should be avoided if you are taking nitrates, such as nitroglycerin tablets for a heart condition. Together, they can cause sudden drops in blood pressure.

Seek help in emotional distress. Usually, erectile dysfunction has a physical cause that can be treated. However, depression, performance anxiety, and relationship problems can also cause or worsen erectile dysfunction. Therapy, alone or with your partner, could help you. Your doctor can refer you to a sexologist in Delhi.