Tag Archives: sex doctor in Delhi

premature ejaculation

Questions and Answers About Ejaculation Control

One of the most discussed topics in this men’s health blog is premature ejaculation, and in fact most of the questions from our readers have to do with this topic.

That is why we decided to summarize the information of the different articles that we publish on premature ejaculation and present the most frequently asked questions about it with their corresponding answers.

How could you define premature ejaculation? Is there a normal time of sexual intercourse or intercourse?

The best sexologist in Delhi, Dr. P K Gupta explains that it is necessary to consider the time elapsed from vaginal penetration to ejaculation, the inability to delay ejaculation and the resulting negative personal consequences of the problem. Consequently, sex doctor in Delhi defined lifelong or primary premature ejaculation as a male sexual dysfunction characterized by:

-Ejaculation that always or almost always occurs before or within approximately one minute of vaginal penetration.

-The inability to delay ejaculation in all or almost all vaginal penetrations.

-The negative personal consequences such as anguish, annoyance, frustration and / or the avoidance of sexual intimacy.

Is premature ejaculation frequent?

It is definitely much more prevalent than most people realize. However, we do not have unified figures, and in fact they vary considerably. The highest prevalence rate that has been documented to date is 31% (in men between 18 and 59 years old) and was found in the National Survey of Health and Social Life of the United States of America. However, the prevalence is unlikely to be that high considering the relatively low number of men presenting for consultation with sexologist in Delhi for this symptom.

Are there different degrees of premature ejaculation?

According to the sex specialist doctor in Delhi, three degrees are established:

Grade I or Mild . After penetration and a few coital movements.

Grade II or Moderate . Immediately after penetration, it is also called ante portas .

Grade III or Severe . Before penetration, also recognized as ultra early .

What are the causes of premature ejaculation?

Several causes of premature ejaculation have been established, both from a biological and psychological point of view: generalized anxiety, penile hypersensitivity, performance anxiety, genetic predisposition, poor general health and obesity, inflammation of the prostate, hormone disorders thyroid, diabetes, emotional problems and stress, bad masturbatory habits, traumatic sexual experiences, chronic prostatitis, among others.

Sex specialist in Delhi highlights the particular negative influence of rapid self-stimulation habits, when the man seeks a sexual discharge instead of trying to prolong the pleasure of arousal prior to orgasm. On the other hand, anxiety about sexual performance, understood as the marked (almost obsessive) concern about not ejaculating quickly, generates a physiological acceleration and the lack of awareness of the levels of arousal, perpetuating the problem.

Are there sexual positions that favor or complicate ejaculatory control?

In general, the posture that allows better control is the one in which the couple sits on top of the man, who is lying on his back. In this case, he is physically relaxed and can better perceive the signals of sexual arousal, a fundamental condition for ejaculatory control.

Lateral postures also make it easier to control ejaculation. This is possible because the penetration is not very deep, and the movements in general are not as fast as in other cases.

In general, the missionary position, that is, the man on top, is not favorable for the control of ejaculation since the body is tense, the penis enters the vagina more precisely and in general the position leads to an unstoppable race towards orgasm. In a few cases, men state that it is the best position for them because they better manage the speed and depth of coital movements.

What are the main compensation mechanisms used by men with problems to control ejaculation?

The folkloric methods are many, some really unusual and even counterintuitive. In the consultation during the sex treatment in Delhi we frequently hear the following: mental distraction –thinking of non-sexual or anti-erotic images, drinking alcohol, smoking marijuana, prior masturbation, causing pain by biting or pinching the skin, among others.

How are the treatments for premature ejaculation?

The recommendation of the current protocols is to coordinate medical and psychological treatment (focused on sexual symptoms). According to current scientific evidence, drug therapy is superior in reducing premature ejaculation symptoms compared to psychological treatment alone. However, the pertinent psychological problems and mechanisms should not be overlooked, and it is important to treat, for example, levels of performance anxiety and modify dysfunctional sexual habits for a definitive solution to the problem.

Behavior therapy methods include the stop-start technique and the squeeze technique. Another possible therapy, increasingly recommended by sexologist doctor in Delhi, is pelvic floor rehabilitation exercises. All of these behavioral therapy approaches have the potential to be beneficial when combined with drug treatment.

The topical methods are a simple local treatment modality, wherein the lidocaine-prilocaine cream studied most. The results of research on these types of therapies indicated that the duration of vaginal penetration increased 6.3 times.

We definitely have a lot of evidence and therapeutic tools to help our patients with a premature ejaculation diagnosis. Timely consultation is key to short and effective premature ejaculation treatment in Delhi.

sleep and sex

People who sleep 8 hours have more orgasm

There are many reasons to get a good night’s sleep. Sleeping for at least eight hours can help improve memory, curb inflammation, and sharpen your attention.

But there is another hidden benefit: those who sleep more each night have more orgasms!

Sex specialist in Delhi, Dr. P K Gupta states that sleeping more can lead to a greater increase in sexual desire and increase sex hormones, such as testosterone.

Sexologist in Delhi tells that the two are so closely linked and how not only good sleep can lead to better sex, but good sex can lead to better sleep.


Sexologist doctor in Delhi says that if you have problems with sleep or sex, it can affect others.

“A good night’s sleep can increase interest in sex and a good sexual encounter can lead to better sleep,” sex doctor in Delhi explains.

A 2015 study conducted by the University of Michigan School of Medicine found that women who slept more had more sex drive the next day.

For every additional hour women slept, the chances of having sex with their partner increased by 14%.

The same study found that more sleep also equated to better genital arousal.

“Women are balancing different demands, whether it be work or children. They feel tired and stressed.”

Best sexologist in Delhi says there are two things that can be done to improve a woman’s sexual desire.

First, sex does not have to happen overnight when you are tired. Find a different time of day,” he said.

The second is what the sex therapist calls “just do it”.

Dr. Gupta says the research has shown that most women in long-term relationships no longer feel spontaneously aroused.

They don’t realize that diminished sexual desire is expected and end up feeling that something is wrong with them, ” We think we first need to feel aroused, then have sex. But there is no need to follow this basic format,” top sexologist in Delhi explained.

“Reverse the equation because, after having sex, you will feel excited and all of these hormones will be released, and you will feel good when you are in the moment.”


Lack of chills translates into a lack of sexual desire in both sexes because it increases levels of cortisol, also known as the stress hormone.

Although this can affect women, it has a particularly powerful effect on male libido.

Along with the fact that insufficient sleep also lowers levels of the sex hormone testosterone, the impact is significant.

A University of Chicago study looked at the time and quality of sleep for men and found that men who slept four hours had significantly lower T levels than those who slept eight hours.

The problem is that cortisol and testosterone work against each other, according to several studies.

High levels of testosterone allow men to decrease body fat, build muscle and maintain a high libido.

The cortisol works exactly the opposite and leads to muscle breakdown and gain visceral fat and slow the immune system.

Not getting enough sleep can also decrease men’s sexual functioning, said sexologist in South Delhi.

A study at Donaustauf Hospital in Germany in 2009 found that men who suffer from sleep apnea are more likely to have erectile dysfunction and general sexual dysfunction.


Just as better sleep can lead to better sex, the reverse is also true, both immediate and long term.

The reason is mainly biological. After orgasm, our body releases a hormone called oxytocin, also known as the “cuddle hormone” (others call it the love hormone).

Oxytocin triggers drowsiness immediately because it counteracts the effects of cortisol.

Sexologist in East Delhi explains that physical contact during sex can also help to improve long-term sleep.

“When you are in physical contact, you experience reduced stress, which in turn helps you to relax and therefore falls asleep,” sexologist in Delhi said.

Studies have shown that intimate touch can help lower blood pressure and heart rate, relieve pain, and reaffirm bonds within relationships.

There are also gender-specific benefits to how good sex helps us sleep.

In women, sex increases the levels of the hormone estrogen. Estrogen is a hormone that maintains sleep and high levels have been shown to improve the quality of sleep, reduce the time to fall asleep and increase the amount of REM sleep (deepest sleep phase).

The effect on women is long-term. There is a natural decrease in estrogen levels after women enter menopause, which is why postmenopausal women are more likely to suffer from insomnia.

For men, among the many hormones they release during ejaculation, one is a biochemist known as prolactin.

Prolactin levels are naturally higher during sleep, and research shows that animals injected with the chemical get tired immediately.

Sexual life of the elderly

Sexual life of the elderly

Sexual life of the elderly: the importance of breaking stereotypes and providing better guidance to patients with dysfunctions

A recent study showed that many men and women with dementia living in their homes are sexually active and, although sexual dysfunction was frequent, they rarely talked about sex with a sexologist in Delhi.

These surveys, as well as older ones, break stereotypes about the sexual life of the elderly and highlight the need for more people to talk to their sexologists in Delhi about sexual issues.

Causes of sexual dysfunction in the elderly

Aging promotes anatomical, physiological (mainly hormonal) and psychological changes that influence sexuality at the end of life. Changes that accompany sexual function include decreased libido, sexual responsiveness, comfort level and frequency of sexual activity.

On the other hand, the sexual dysfunctions of the elderly are influenced by factors that include physical effects of diseases, medications, psychiatric disorders, and psychosocial stress, related to the loss of close people or hospitalizations due to acute illnesses.

A cardiac or cerebral vascular event can raise fears about performance or even death during sex. It is worth mentioning that data have indicated that the probability of sudden death after sex is low.

Main sexual disorders in the elderly

Sexual disorders in elderly men are erectile dysfunction and delayed ejaculation, while in elderly women there is little sexual interest, orgasmic disorder and genital-pelvic pain.

The main predictors of sexual interest and activity at the end of life are: previous level of sexual activity, physical and psychological health, as well as availability, level of interest and integrity of the partner. For men, the main factor for sexual activity seems to be physical health and for women, it seems to be the quality of the relationship.

Residents in long-term environments are significantly less likely to be sexually active, as they face barriers such as difficulty finding partners, lack of privacy and, of course, physical, and mental health problems.

How to assess sexual status and conduct to be adopted in dysfunctions

Examination of sexual status asks about current sexual functioning, past sexual experiences, and attitudes towards sexuality.

The assessment and treatment of sexual dysfunction requires a relationship of trust between the sexologist doctor in Delhi and the patient. The physician’s attitude and language must be appropriate and convey security.

The clinical evaluation must be complete and include mental and psychological status, such as marital stress and grief, for example; urological and/or gynecological function and laboratory tests, especially of the metabolic and hormonal profile, such as testosterone, thyroid and prolactin.

An important point is the detailed knowledge of the medications in use, as several can cause sexual dysfunction.

Anti-hypertensive drugs, especially beta-blockers and diuretics, antiandrogens, used in the control of prostate tumors, and several psychotropic drugs, particularly selective serotonin reuptake inhibitor antidepressants, venlafaxine, and mirtazapine, especially in men, stand out.

Sex doctor in Delhi mentions that sexual dysfunction can be caused by both the antidepressant and the depression that recommends the use of the medication.

Role of education and referral indication

In the management of cases of sexual dysfunction in the elderly, education has an important role. Patients should be informed about factors and causes and possible treatments for dysfunctions. Education about sexually transmitted diseases and safe sexual practices should not be neglected.

Referring patients to specialists, such as urologists, gynecologists, psychiatrists or sex specialist in Delhi, can be useful depending on the problem identified.

Long-term care facilities should train their staff to respect the privacy of residents and assess their ability to avoid possible risks associated with sexual intercourse.

Patients who suffer cardio or cerebrovascular events or interventions should receive advice from doctors or rehabilitation programs on how to gradually resume habitual sexual activity.

The basic psychotherapeutic approach is similar to that of younger individuals, although it must take into account long-standing bad relationships, as well as deficiencies in general and cognitive health.


The specific treatments for sexual disorders are not different from those used for young adults, but some specific recommendations for the elderly should be remembered. Among them, the adoption of measures that minimize pain or discomfort, such as the use of analgesics, oxygen, inhalations, lubricants, and comfortable positions for the sexual act.

Of course, drugs that can cause sexual dysfunction (mentioned above) should be replaced, if possible. Metabolic and hormonal disorders should be investigated and corrected.

Testosterone replacement to treat the decline in serum testosterone concentration, which occurs with advancing age in men in the absence of identifiable pituitary, hypothalamic or testicular disease, is questioned.

For men who show signs or symptoms that could be caused by testosterone deficiency, such as changes in energy, mood and libido, replacement can be considered, but only if the concentration is unambiguously low in three dosages of samples collected in different times, between 8 and 10 am. For replacement, special attention should be paid to the risks of coronary events, prostate and breast cancer, sleep apnea and erythrocytosis.

The use of testosterone to increase libido in women lacks robust evidence and can pose risks.

Phosphodiesterase 5 (PDE, Phosphodiesterase) inhibitors, used to treat erectile dysfunction are effective for older men, although with less response. For some older men with no ideal response to use on demand, daily administration of low doses may be more effective.

Side effects seen in the elderly are headache, flushing of the skin, dizziness, gastrointestinal discomfort, back pain, and blurred vision.

Any changes in visual acuity when taking a phosphodiesterase 5 inhibitor require immediate evaluation, due to reports of cases of non-arteritic anterior ischemic optic neuropathy, characterized by the rapid onset of visual loss

Erectile dysfunction occurs frequently in coronary patients and is even considered a predictor of coronary artery disease. The coronary patient usually gives up sexual activity but can restart it when using phosphodiesterase inhibitors 5.

However, top sexologist in Delhi instructed to avoid the use of these drugs concomitantly with nitrates, as they can suffer severe hypotension, worsening myocardial ischemia, which can even trigger a serious event.


The best sexologist in Delhi should deepen their knowledge of the sexual life of the elderly. It is necessary to know how to approach the topic in an appropriate way, without omission, in order to enable the realization of possible diagnoses, the identification of the causative factors and the correct orientation.

erectile dysfunction medicine

What happens if you take too much medication for erectile dysfunction?

Oral medications provide a convenient way for men to manage their erectile dysfunction (ED). These drugs are called phosphodiesterase type 5 (PDE5) inhibitors. Some of the most prescribed ED drugs are as follows:

  • Sildenafil (Viagra)
  • Vardenafil
  • Tadalafil
  • Avanafil

These drugs work by relaxing the soft muscle tissue in the penis, allowing more blood to flow when a man is sexually stimulated. This blood is essential for a firm erection.

While PDE5 inhibitors are effective for many men with ED, some men wonder if they will see better results if they take more medications than the sexologist in Delhi has prescribed. But doing so can be dangerous.

Therefore, it is important to use these medications exactly as your sexologist doctor in Delhi prescribes and carefully read the accompanying information pack. The top sexologist in Delhi must also know what other medications or supplements a man is currently taking.

One of the risks of an oral overdose of ED drugs is priapism, an erection that lasts several hours. Priapism can happen if too much blood flows into the penis, causing it to swell. Some men with priapism experience discomfort or pain.

Men who have a long-lasting erection are urged to seek emergency medical care. When blood is in the penis for a long time, it is difficult for oxygen to reach the area. This situation can lead to tissue damage, permanent erectile dysfunction, or disfigurement of the penis.

Treatment for priapism may include draining excess blood from the penis, medication, or surgery.

Another risk associated with oral ED drugs is a drop in blood pressure. Men may start to feel weak, dizzy, and nauseous. They may start breathing more quickly, experience blurred vision, and have difficulty concentrating.

In severe cases, low blood pressure can substantially reduce the amount of oxygen that reaches important parts of the body, such as the heart and brain. Eventually, these organs can become damaged.

Men who believe they have taken too much of any drug are advised to see a sex specialist in Delhi as soon as possible. They should also seek immediate medical attention if they experience any of these symptoms after taking an antidepressant medication:

  • Rash
  • Urticaria
  • Swelling of lips, tongue, or throat
  • Breathing or swallowing problems
  • Vision problems
  • Hearing problems

Men who feel that their ED medication is not working should talk to the best sexologist in Delhi. The dose may need to be adjusted, but this should only be done under the care of a sex doctor in Delhi. Men should also remember that these drugs are prescription drugs and are not suitable for all men. For example, men who take drugs that contain nitrates should never take ED drugs.

sexual performance enhancer

The dangers of over-the-counter sexual performance enhancers

You may have heard (or read) stories where a sexual performance enhancement product caused a health problem or was banned.

Some important issues related to male sexual performance enhancement products (even penis enlargement), should be addressed.

Why do some men buy sexual enhancement products without consulting a doctor?

For many people, sex is not an easy topic to discuss. Some men are ashamed to talk about sexual problems, with their partner or with a sexologist in Delhi. Buying sexual enhancement products anonymously – from someone who doesn’t know them or online, from a website that promises discreet packaging – can make them feel less embarrassed.

In addition, sexual enhancement products are easy to purchase. Men can buy them without a prescription from sex specialist in Delhi, so there is no medical exam to schedule and no prescription to complete. And because the products are easy to find, men can get them quickly.

What are the dangers?

Many sexual enhancement products are marketed as dietary supplements with keywords such as “natural”, “herbal” and “safer”. These words make the products sound harmless, but the words can be misleading.

Dietary supplements are not always regulated by medical agencies. They are not subject to the same quality controls and are often not studied as comprehensively as approved products.

The ingredients in sexual enhancement products can also be problematic. For example, some products for erectile dysfunction (inability to obtain or maintain an erection) use the same active ingredient that can be found in prescription drugs, such as Viagra, Levitra and Cialis. Or, the products may include an analogue – a chemical compound that is similar to the prescription ingredient, but not quite the same. Supplements may contain more of the active ingredient than prescriptions. Sometimes, supplement manufacturers do not list all ingredients on the label, says the best sexologist in Delhi.

The danger occurs when the supplement interacts with the current medications that man uses. For example, men who take nitrates for conditions such as diabetes, heart disease, high blood pressure and high cholesterol should not take drugs without a prescription. The interaction of nitrates and drugs for sexual dysfunction can cause a critical drop in blood pressure, warns sexologist doctor in Delhi.

An innocent man who uses nitrates may think that the “natural” product, which he claims is a “safer alternative”, will not be a problem. Unfortunately, the product may contain the same active ingredient as prescription drugs, putting you at serious risk. And that interacting ingredient may not even be on the label.

What can men do?

If a man is having sexual problems or feels that his performance is not good, it is important that he see a sex doctor in Delhi. Some sexual problems are signs of a serious medical condition. For example, erectile dysfunction can be a sign of diabetes or cardiovascular disease.

Sexologists in Delhi can suggest healthy ways to deal with a sexual problem. Medication, or a change in medication, could dramatically improve the situation. A healthy diet, a consistent exercise program and stress management can also help.

Men who have taken, or are considering taking, any type of supplement should consult the top sexologist in Delhi to make sure it is safe.

Partners must also be involved. A man may feel that he is not pleasing his / her partner without taking these supplements. This partner can assure you that your activities are fine. Or the couple can discuss ways to improve their sexual relationship.

sex and sport

Sex And Sport

How do sexuality and sport interact when we combine them? Find out how you can improve your sex life if you exercise regularly, and how an erotic encounter affects sports performance.

How sport affects sexual relations

Can sexuality and sport go hand in hand? What are the results of this energy shake? In the next lines we are going to deal with two essential points to find out, taking into account how gentle and prolonged sports activities affect the sexual lives of individuals, and how sexual encounters can influence productivity in sports events.

It seems clear that practicing moderate intensity sports on a regular basis significantly improves people’s physical and mental health, and precisely these are the two basic premises to enjoy adequate sexual health, thus favoring it in an unquestionable way.

In this way, we have just cleared up the first question, and now sexologist in Delhi, India will explain in more detail the benefits of physical exercise that contribute to improving the quality of sexual relations :

1. Better cardiovascular health, better erections

Scientific evidence indicates that measured training helps our hearts stay in top shape. One of the most important physiological phenomena that occur during sexual function is the dilation of blood vessels, providing a significant flow of blood to certain areas involved in this process, explains best sexologist in Delhi, India. This phenomenon is responsible for the erectile response of some regions, such as the penis or the clitoris, so it is easy to think that sport will help us prevent the appearance of problems associated with erectile dysfunction in men and improve the sexual experience in the case of women.

2. Control metabolic disorders, facilitate arousal

The moderate practice of sports activities will also help control the levels of insulin produced by our body. Taking into account that metabolic diseases as prevalent as diabetes mellitus can induce certain sexual disorders associated mainly to the arousal phase (erectile dysfunction, or lubrication problems), monitoring this aspect will be another important argument to increase our physical activity, suggests sexologist doctor in Delhi.

3. Boost your respiratory system … and your sexual stamina

And what about our breathing? The functioning of our lungs will be positively influenced if we move assiduously, supplying all the organs of our body with blood and oxygen. This advantage will be maximized if we learn to control this process, being a great ally in our daily lives, and increasing our resistance in the sexual field.

4. Matter of weight, matter of desire

Here is another very important reason to play sports: the loss of calories. Staying in shape will provide us with multiple advantages, and that is that on the one hand we will improve our health in general by avoiding overweight and obesity and, on the other, we will feel more attractive, agile and flexible, increasing desire and love possibilities. Who knows, maybe this will allow you to try that kamasutra posture that you thought was impossible!

5. Muscle tone: toned biceps and vaginas 

At this point, it is worth remembering how muscular we are going to put on in the gym or, in other words, how our muscles are going to experience a significant increase in mass. Do you already know how you can take advantage of all that strength and energy that training will give you? This point will be especially interesting for women, because the strengthening of the pelvic muscles will help us to regain vaginal tonicity, and will also contribute to the prevention of urinary incontinence, and will even stimulate our sexual appetite, says sex specialist in Delhi.

6. Emotional issues: activate your pleasure

As we have already pointed out, playing sports not only has a significant influence on our physical health, but it also plays an essential role on our emotional well-being. Those in charge of making us feel good, controlling stress, and raising our libido, will be the well-known hormones, substances secreted by different cells of our body whose release we can promote when practicing exercise.

How having sex affects athletic performance

‘Sex is detrimental to sports performance’… Myth or reality? It seems clear that such a statement has been widely supported by coaches known, given the total prohibition of their stars keep sex during the most important and media championships in the sport.

But … Is it really necessary to take these precautions? Let’s go on the trail by unraveling the two main hypotheses on which those who claim that sexual activity negatively influences the performance of athletes are based.

Hypothesis 1: calories expended and physical exhaustion

When we consider the first hypothesis, we think about what happens during a sexual encounter: heat, friction, rhythmic and repetitive movements, different body postures…

Well, the truth is that although the duration and intensity are variable, the average amount of calories consumed during sex is around 150, nothing that a good sandwich cannot solve.

Well, it seems that more than one of us has just spoiled the party, and it is that a heated and fiery sexual relationship is not going to be enough to lose those extra kilos and get in shape; however, we are in luck, because the love affair will not reduce our sports productivity at all. With proper recovery, you will be instantly ready to tackle your sporting challenges, suggests top sexologist in Delhi.

Hypothesis 2: hormonal function and testosterone release

This hypothesis suggests that the release of testosterone during sexual practice could decrease aggressiveness and alertness in the athlete, leading to a state of distension. However, the enlightening words of sex doctor in Delhi, referred to sex as a natural anabolic, which would not only guarantee its innocuousness for a good development of sports practice, but would also behave succulent benefits to it.

In view of the circumstances, it seems that sex will not be the culprit for poor athletic performance; Moreover, it can be said that sex is a source of well-being and a wonderful natural relaxant, which probably increases the motivation of the athlete in the face of their stressful challenges.

More appropriate exercises and sports to improve our sexual life

As we are sure that we have incited your desire to play sports with these many attractive advantages, sexologist in Delhi recommends any gentle and moderate exercise capable of getting in shape, but that does not leave you out of the fight … inquire about the many options and you will surely find your favorite.

Some suggestions might be running, cycling, swimming, or hiking. One of recommendations by sexologist in Delhi is to practice yoga. Apart from helping to reduce stress (you will gain confidence and greater ejaculatory control), it allows you to improve flexibility, so you can surely dare to make new movements. Another alternative is belly dance, which provides greater coordination to the pelvic area, and barre or ballet fit, which exercises both the core and the pelvic muscles.

On the other hand, for those of you who are more of a crush in the gym, working your abs, not only serves to look like a tablet, but also enhances your balance, avoids back pain and men will have a greater ability to push during penetration. The squats and lifts hip (make the bridge) are also useful for strengthening thighs, buttocks and lower back hip that favors pushing apart the contractions during orgasm to intensify, explains sexologist in Delhi.

And above all, remember, do not end up exhausted after a long gym session if you have a crazy night in bed planned!