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premature ejaculation

Premature Ejaculation – Causes And Techniques

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According to sexologist in Delhi, India, Premature ejaculation is when, despite the man’s intentions, he is unable to properly control the time of his ejaculation and ejaculation occurs before or shortly after the vagina is satisfied, before the partner is satisfied.

Premature ejaculation is a condition that can affect men of any age. The term means that the affected man is unable to regulate the time of orgasm and ejaculation. Recent research shows that 20 to 30 percent of men are affected by premature ejaculation, but since many do not seek help, this rate may be even higher.

Premature ejaculation can be a serious problem in a relationship. If ejaculation occurs before a partner orgasms, he or she may remain dissatisfied and become offended, which can be a source of tension between partners, warns top sexologist in Delhi, India.

To understand the process, it is important to know that ejaculation occurs as a result of mechanical stimulation of the acorn, which can occur in the absence of an erection or even in the case of a partial erection due to an increased state of excitability.

Premature ejaculation can be:

  • inherently existing (when the man had premature ejaculation during his very first sexual intercourse), or
  • developed afterwards (if early sexual ejaculation did not occur in the majority of sexual intercourse in the man’s life).

WHEN TO SEE YOUR DOCTOR?

If you feel that premature ejaculation is a real problem in your case as well, see your sexologist doctor in Delhi, India. Report any factors you think may affect your sexual performance. If the best sex doctor in Delhi, India believes that there are not (only) psychiatric problems in the background, physical examinations (e.g., prostate) are also needed to rule out the possibility of any more serious illness.

Causes of premature ejaculation

The most common cause of premature ejaculation is clearly psychic. It is relatively common in adolescents and possibly young adults due to their inexperience, which can be further exacerbated by improper upbringing, parental attitudes that voice the improperness and guilt of sex. Fear of discovery, partner pregnancy, and sexually transmitted diseases can contribute.

Premature ejaculation may be associated with incipient erectile dysfunction. In this case, the patient tries to maintain or strengthen the weakening erection with an increased concentration, and as a result of this increased state of irritability, ejaculation occurs sooner.

According to sex specialist in Delhi, India, there is rarely a physical cause behind premature ejaculation, but certain disorders may be considered:

  • abnormal hormone levels,
  • abnormal levels of neurotransmitters (brain compounds),
  • abnormal reflex activity of the ejaculatory system,
  • certain thyroid problems
  • inflammatory infection of the prostate or urethra,
  • inherited traits.

Rarely causes of premature ejaculation:

  • Nervous system damage due to surgery or trauma.
  • Stopping from medications or narcotics used for anxiety or other mental problems.

Treatment options for premature ejaculation

Premature ejaculation can be eliminated with sexual therapy, psychotherapy and medication. For many, a combination of these premature ejaculation treatment in Delhi is most effective.

Sex Therapy – In some cases, sex therapy already helps with simple steps such as pre-sexual masturbation, which helps delay ejaculation during sex. In addition, the best sexologist in Delhi, India may recommend that you abstain from sexual intercourse for while and use other sex toys instead in order to relieve the anxiety of being together.

Pressure Technique – This method works as follows:

  1. Step – Start sexual activity as usual, including stimulation of the penis, and continue until you feel almost ready to ejaculate.
  2. Step – Ask your partner to press the end of your penis at the point where the acorn joins the trunk of the penis until the urge to ejaculate is gone.
  3. Step 2 – Then wait for about 30 seconds and then continue the foreplay. You may experience a minor erection after the press, but don’t worry, you will regain a full erection after the penis is re-aroused.
  4. Step – If you feel you need to ejaculate again, repeat the constant pressure.

If this technique is repeated as many times as needed, you will be able to penetrate your partner’s vagina without rapid ejaculation. With this method, you will learn to delay ejaculation, and after a while you will no longer need to use the pressure technique.

Medication – Premature ejaculation can be treated with certain antidepressants and creams used for local anesthesia. Be sure to consult your doctor before using them, as you may experience nausea, dry mouth, drowsiness, and decreased libido.

The use of anesthetic creams can reduce sexual pleasure as it also reduces the sensitivity of the penis. Although the cream was wiped out before intercourse, in some studies, women reported a decrease in the sensitivity of their genitals. Rarely, the lidocaine or prilocaine in these creams may cause an allergic reaction.

Alternative Therapy – A recently published study reported that yoga is effective in treating premature ejaculation, but researchers stress that more research is still needed in this area.

Tips, techniques

During intercourse, the stages described above can also be observed during intercourse. If the man indicates the onset of the prognosis phase, it is possible to interrupt intercourse and then resume it after the state of arousal has eased (individually variable, approximately 30-60 seconds). This interruption method can be supplemented and made more efficient by using the so-called “compression technique”.

The procedure is effective because the nerve pathways that are responsible for ejaculating and blocking it are guided at this site. If squeezing is applied to the right place, at the right time, and with the right strength, any male biological reflex function will be triggered that will surely stop premature ejaculation before the inevitable stage. The compression technique can be applied several times in succession.

It has no harmful effects, except that if it is tried late, in the inevitable stage, ejaculation occurs with an unpleasant, sharp feeling. The compression technique should be mastered first during hand pacing and then during intercourse.

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adolscent erectile dysfunction

Adolescent Erectile Dysfunction

Adolescent erectile dysfunction can have serious consequences: early treatment is essential

Surprisingly, erectile dysfunction can also occur in teenage boys.

Erectile dysfunction is a condition in which, as a result of abnormal functioning of the organ system, a man suffers from a potency disorder permanently and for a long time. However, erectile dysfunction problems are no longer just a disease of the elderly, it can occur in more and more men under the age of forty, but also in teenage boys, says sex specialist in Delhi.

Adolescents who experience erectile dysfunction can be mentally injured, and the condition can also affect their later sex lives and the quality of their relationship, so it’s worth starting to explore and treat the causes as soon as possible, suggests sexologist in Delhi.

Adolescent erectile dysfunction

It seems unlikely that a teenage teenager will have erectile problems, although as well as mental, there may be an organic problem in the background.

According to a study conducted on 40 young people between the ages of 14 and 19 who had had an erection problem for an average of two years and who therefore sought help from one of the centers that specialized in it. The research found that half of the teens had reduced or absented sexual urge, 30 had trouble getting an erection, and 35 had trouble maintaining an erection for an extended period of time.

Penile blood flow was monitored by ultrasound in 25 boys, 12 of whom were found to have inadequate flow, and 13 were presumed to have psychological causes behind the problem.

Early treatment is essential

Performance failure can also cause shame and lack of self-confidence in young people, but prolonged erectile dysfunction can also affect their general mental state and their existing or later relationships. According to the person skilled in the art, if there is a physical cause, treatment is often possible with hormone therapy or vascular surgery and medication. If the possibility of organ damage is ruled out, the problem is most likely of mental origin, says the best sexologist in Delhi.

Psychic causes can include anxiety, stress, childhood abuse, or depression. Inexperienced couples may experience erectile problems in the early stages of sexual intercourse, which will make the young person increasingly frustrated, tense, and fear of leaving, which may accompany them throughout adulthood.

There are several methods of sex treatment in Delhi to help get rid of anxiety, performance failure, and poorly innervated attitudes. Counseling with sexologist doctor in Delhi helps you explore the problem, resolve tensions, and resolve it.

Is childhood masturbation harmful or not?

From the age of six, children gradually map out the roles of their own gender and engage in cognition of their bodies, and later, during adolescence and early puberty, they develop a sexual interest in the other sex. The development of this process is as natural and normal as complacency at a young age, which is taboo to this day, says top sexologist in Delhi.

Erection Loss

5 Tips on How to Overcome Erection Loss

Stress, anxiety, the time to put on a condom, the desire to do everything right… Know that the loss of erection at the time of penetration is a very common problem. But do not despair: in these cases, it is best to get around the problem, enjoy the moment and take pleasure in other ways, other than by penetration. So, the erection can come back or intercourse can happen in different ways!

In fact, it can happen to everyone. And the partner is usually understanding. But if it is not… It is important to talk about what happened – or else to change partners (o)…

Anyway, the best sexologist in Delhi will give you 5 tips on how to make things go well:

Why did I “blow” during sex? Is it normal for this to happen?

This can really happen, but it is still necessary to identify the problem.

From time to time, it is normal to have this kind of difficulty. There are several reasons for this, as long as the difficulty does not become a pattern.

Usually, things get better on their own. Sometimes an appointment with sexologist in Delhi can help as well.

For example, we know that many men, when they discover a partner for the first time, end up feeling more stressed. That’s because they want to do well, maybe they are worried about the time to put the condom on… And these factors are accentuated if the person is a little more anxious or a perfectionist.

Thus, over time, the person will feel calmer, he regains confidence and things evolve! This is a passing thing, not least because men are not machines with an on / off button (which is comforting, by the way)!

In addition, there is a second case: the person does not have an erection problem when he masturbates, he has morning / night erections… Things only get “bad” during intercourse – or during penetration.

Thus, it is not possible to speak about erectile dysfunction, because erections are present outside the sexual context for two. The block is mainly psychological.

To overcome the problem, you will probably have to look at yourself and work on it – and the partner’s role is essential to reassure you. Because, of course, sexual intercourse is a shared act.

Loss of erection during penetration: what to do?

We are going to give you some tips on how to overcome the loss of erection on penetration, but you also have the possibility to freely discuss the problem with sex specialist in Delhi in these matters.

We identified the 2 main cases:

  1. one occasional discomfort with a new partner or partner (this is normal) and
  2. a constant difficulty during penetration, but without signs of erectile dysfunction with physiological causes.

In relation to the second case, the nature of the problem must be examined in greater depth. The problem may be a simple psychological block, as we have already commented, or it may arise due to other factors.

For example, we know that excessive masturbation can lead to “failures” for a number of reasons. It is another normal phenomenon: if you masturbate several times a day, you increase the risk of not having energy when it is time for intercourse.

On this issue, too much pornography certainly does not help either.

Combining masturbation and pornography is not the problem in itself. The problem is to replace the reality of sex with unrealistic fantasies or let yourself be influenced a lot by porn movies, with the risk of having a false image of your own sexuality or of your partner.

If you feel you are in either of these situations, decrease the frequency with which you masturbate and avoid pornography. From that moment on, things should improve when you are with your partner.

A healthy lifestyle is also important: good nights sleep, healthy eating, regular physical activity, etc.

Overcoming a psychological block

If the problem is more specific and occurs despite a healthy lifestyle, without excessive masturbation or pornography, the difficulty is probably psychological.

Here are some simple tips to make the penetration part less stressful:

1) Face the relationship with tranquility

During sex, do not focus on penetration, otherwise you will lose your temper every time.

In sex, it is important to keep your mind free, carefree. And to do that, you must first learn to rest and relax in your daily life.

Play sports, invest in yoga or meditation to reduce stress or anxiety.

Learn to feel your own breath: inhale slowly and then exhale, feeling the air pass through your lungs before you leave. Practice this type of exercise frequently, repeat it for 5 minutes to control your heart rate in time H.

2) Check if the problem occurs when putting the condom on

If so, then get ahead and don’t wait until the last moment to put the condom on!

Keep a condom close at hand, so you don’t have to look for one desperately on the spot – which can cause a loss of erection.

3) Remember: sex is a shared act

The role of the partner is therefore fundamental.

If you have any difficulties at the moment of penetration, let the partner take care of that moment: instead of putting yourself in an active (“dominant”) position, prefer a more passive position, in which (the) partner will be on top of you, for example.

4) Don’t just focus on this loss of erection and penetration

If you think about penetration before you even have sex, the chances of “failing” are greater…

Take your time, there are other ways to enjoy yourself. Play with your partner, exchange caresses, kisses and other stimuli.

Oral sex is a great way to start the relationship and to share pleasure: it will divert your attention from your erection, without your arousal diminishing.

Another important point: leave the routine Kiss → Oral sex → Penetration. There is no predefined standard! Be instinctive and listen to your and your partner’s desires.

The sexual act must not revolve around penetration. Women, for example, have even more orgasms outside of penetration!

5) Try to use a cockring, for example!

At the beginning of intercourse, and when your erection is strong, you can also use a cock ring! It will help you maintain your erection.

But be careful: the ring can be a little difficult to put on and requires a little practice.

And last but not least: if you lose your erection during intercourse, you don’t have to end sex because of it – that would be the worst thing for you and your partner.

In doing so, you will feel guilty and enter a vicious circle. So, try to have pleasure in other ways, as we explained, this will reassure you for the next time.

Conclusion

If, despite everything we have said, your difficulty persists, seek the assistance of a top sexologist in Delhi. Our tips can be useful, but we know that they are very comprehensive. The sexologist doctor in Delhi, in turn, will be able to clearly identify what the problem is in your case.

For example, taking erection medications in small amounts can help you overcome this small difficulty, it can make you feel calmer, ending the problem of penetration in the long run.

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weakness & infertility

WEAKNESS AND INFERTILITY: WHAT IS THE DIFFERENCE?

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Both weakness and infertility can affect a man’s sexual characteristics and ability to conceive, but in different ways.

WEAKNESS AND INFERTILITY

Weakness and infertility can both affect a man’s sexual health and ability to have children, but in different ways.

Conversely, impotence, called erectile dysfunction (ED), refers to problems in getting or holding an erection. This can make sex difficult or impossible. Male Infertility means that sperm cannot form or be released.

Here we will look at two conditions, the causes that lead to them and how to deal with them.

WEAKNESS

Up to 30% men in India has erectile dysfunction. As you get older, this becomes a habit. The Cleveland Clinic reported that one in 10 men over the age of 20 will end up with ED problems in the long run.

To achieve a complete erection, it is necessary to work in harmony with several different organs, including the nervous system, muscles and blood vessels. If any of these systems are compromised, men may have difficulty getting an erection.

Some of the main causes of ED are:

  • stroke or heart disease
  • depression or other mental illness
  • stress (including anxiety at work)
  • diabetes mellitus
  • Parkinson’s disease or multiple sclerosis
  • high blood pressure or high cholesterol
  • antidepressants, antihistamines, or medications that lower blood pressure
  • nerve damage
  • Peyronie’s disease (scar tissue in the penis)
  • obesity
  • tobacco consumption
  • alcohol or drug abuse

It can also be related to the treatment of prostate cancer or surgery or radiation (prostate hypertrophy or BPH). Erectile dysfunction can also be caused by emotional problems, such as:

  • stress
  • guilt
  • anxiety
  • low self-esteem

INFERTILITY

If you have been trying to conceive your partner unsuccessfully for at least a year, you may be dealing with infertility. The problem can come from both partners. One-third of the time, the issue is all about men.

Male infertility can be related to sperm production or ejaculation. Some reasons for indifference include:

  • cancer treatment such as chemotherapy or radiation
  • diseases such as diabetes
  • varicose veins in the testicles
  • exposure to pesticides and other toxins
  • alcohol abuse
  • use of certain medications such as steroids
  • genetic conditions such as cystic fibrosis
  • injury or surgery to the testicles or other organs in the genitals
  • other infections that cause reaction or testicular injury
  • sexually transmitted diseases, such as HIV, gonorrhea, or chlamydia
  • retrograde ejaculation, when sperm flows into the bladder rather than through the penis
  • early discharge
  • undesirable testicle (s)
  • vasectomy

The cause of infertility can be unclear. This is because men who engage in infertility often have other functions, such as problems with sexual function, decreased libido, swelling and loosening in the abdomen.

HOW TO TREAT IMPOTENCE

If you are having difficulty getting an erection, see your sexologist in Delhi. Although it is difficult to talk about impotence, treatment is very important. If the problem is not resolved, it can damage your relationship and prevent you from having children.

First, your doctor will perform a physical exam. Sexologist doctor in Delhi may then order lab tests to look for conditions such as diabetes, heart disease, or hormonal problems that may be causing your erection problems (e.g., testosterone levels, HbA1c, or fasting lipid panel).

Based on your exam and lab results, sex specialist in Delhi will recommend a treatment plan.

Sometimes, it’s something you need to make a small change to your lifestyle, including:

  • exercise regularly
  • weight loss
  • quit smoking
  • reduce alcohol

All of these lifestyle changes can help treat your condition.

If these methods do not work, your sex doctor in Delhi may prescribe a drug (phosphodiesterase-5-inhibitor) that increases blood flow to the penis for an erection. These include:

  • sildenafil (Viagra)
  • tadalafil (Cialis)
  • vardenafil (Levitra, Staxin)

All of these medications pose a risk, especially if you have heart failure, other heart disease, taking nitrate medications for heart disease, or have low blood pressure. Talk to your top sexologist in Delhi to see if this type of medication is the best option for you.

Another drug used for erectile dysfunction treatment in Delhi is alprostadil (Caverject Impulse, Edex, Muse), which is a prostaglandin E1 therapy. This drug is self-administered or injected into the penis as an adjuvant. Creates an erection that lasts up to an hour.

If drug therapy is not right for you, penis pumps or implants can help.

If the problem is emotional, seeing a best sexologist in Delhi can help you solve problems that make it harder for you to get an erection. Your partner may participate in therapy sessions.

HOW TO TREAT INFERTILITY

If you have been trying to conceive without any luck for at least a year, you should see a sexologist in Delhi. Some tests used to diagnose infertility in men are:

  • a blood test to check hormone levels
  • genetic testing
  • sperm analysis (to check sperm count and motility)
  • ultrasound or biopsy of the testicle

Your infertility treatment in Delhi depends on what is causing the problem. There are several treatment options, including:

  • hormone replacement therapy
  • surgery to correct physical problems with the testicles
  • methods of treating a disease that causes infection or infertility

It is also used in vitro fertilization or artificial insemination (when sperm is delivered directly to the cervix or uterus) to achieve conception when there is an infertility problem.

It is difficult to even discuss with top sexologist in Delhi about both impotence and infertility. But being open about your condition can help you improve your sex life and get the right treatment.

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erection disorder

The man is not a vibrator – it does not work on the switch

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Who is the real man? There are many answers, but most of us subconsciously equate masculinity with potency, reducing personality richness to the question of physiology. Erection problems are still called “male disorders”, which have a huge impact on the patient’s self-esteem and reception by the immediate environment. When you want to solve the problems of the body, you have to start with the head. Therefore, it is high time to break with harmful stereotypes and stop treating men as sexual gadgets, ready to act regardless of the situation, says sexologist in Delhi.

It’s no secret that problems with potency affect more and more men and appear at an increasingly younger age. The abstract image of statistical data changes when we think that every fourth or fifth man we pass at work or on the street has experienced or experiences sexual dysfunction. There are many reasons for this state of affairs, but (apart from health or age-related reasons) the main ones are most often the modern pace of life, excess work responsibilities, and the ubiquitous propaganda of success. Let us add to this the cultural and historical connotations of male roles and functions as well as a deeply entrenched patriarchal pattern that does not allow for showing weakness.

It is not difficult to imagine how burdened a person feels when he is forced to face such unrealistic expectations from his surroundings. The situation of modern men is really difficult – mental tensions, stress and constant pressure translate into physical performance, including delicate erection mechanisms. The result is the inability to obtain an erection or an erection that is too short, which does not allow for satisfactory and complete close-ups. Problems with potency often become the basis of a deep personality crisis, where a man experiences a feeling of being inferior and under-valued, even if other levels of his life are above average satisfying.

At such moments, you can clearly see the enormity of misconceptions about male libido, which make the already difficult situation of men much worse. Apart from the anxiety and fear caused by the failing physiology, they are additionally subjected to pressure from their partners. Many women believe that when their partner is no longer able to “rise to the occasion”, it is tantamount to a decline in interest in the attractiveness of their partner. The popular belief that “when he loves, he always wants to and can” makes many women look at men’s problems through the prism of offended pride or fear of rejection, not understanding what their partner is really experiencing. There are quarrels during which words are uttered that can deeply hurt the male psyche. Such an atmosphere is not a favorable ground to start a discussion about which most men find embarrassing. It is much easier to cease sexual intercourse completely, which strengthens the women in their suspicions, exacerbating the crisis, says the best sexologist in Delhi.

Male libido – harmful myths

There are many myths around male potency, the effect of which is the belief, still lingering in our society, that love and willingness to have intercourse should always go hand in hand. From here it is only a step to the conviction that the inability to obtain an erection or to have full intercourse is due to external factors, such as lack of interest in your current partner or even betrayal.

The inability to have sex is perceived by women as a sign that “he doesn’t like me anymore” or one of the signs that “he has someone.” The crisis deepens, and the man copes with successive failures increasingly worse, very often losing all interest in any form of closeness. Lack of support and understanding, accusations, quarrels, and aggression in a relationship, which often accompany a decrease in the quality and frequency of sex, have a devastating effect on the male psyche, undermining self-esteem and causing general depression, sometimes even inducing depressive episodes and physiology. The more stress a man feels, fearing failure during subsequent intercourse, the worse his body functions, eventually leading to the creation of a “vicious circle”.

How it’s working? Frighteningly simple – permanent tension increases prolactin production. The more prolactin, the less dopamine corresponding to, inter alia, for feeling desire. Worse, the fear of a partner’s reaction to subsequent bed failures has a large impact on the production of adrenaline. Adrenaline, called the fight-or-flight hormone, has a profound adverse effect on erection, constricting the corpus cavernosum and obstructing blood flow to the penis. This mechanism is easy to observe when a minor stressor is enough to disturb erection and prevent further intercourse. A man stops looking for a solution to his problems, the feeling of shame and being inferior, not masculine grows, which can lead to the breakdown of existing relationships. In order to break this vicious circle, you have to end with the conviction once and for all that there is an equal sign between the masculine “wanting” and “able”. The sooner we understand this, the better and more effective the therapy of potency disorders will become, suggests top sexologist in Delhi.

How to talk about embarrassing problems?

Most of the potency disorders can be treated, modern pharmacology has more and more modern methods that help to achieve and maintain an erection. Attitude has a great influence on the effects of treatment and the patient’s psyche, therefore the atmosphere of support and acceptance is one of the key factors in the success of sex treatment in Delhi. Potency problems, especially chronic ones, are usually a real test for a relationship.

To prevent a crisis from breaking up, you need to be aware of how the other side feels and avoid designing your problems. Understanding what influences erectile dysfunction is very important and helps to avoid suspicion of betrayal or loss of interest in a partner. A matter-of-fact discussion about problems or going to a sex specialist in Delhi is a big challenge for men, which is why an empathetic attitude on the part of loved ones is very important. Women should avoid assessing their partner’s life achievements through the prism of their sexuality, which unfortunately happens very often and is reflected in culture, in the form of indiscriminate jokes about male abilities or pejorative terms of people struggling with potency disorders. Conscious elimination of this type of narrative from public discussions is an important element in shaping the atmosphere of friendly discourse. This, in turn, translates into a long-term perception of erectile dysfunction by both men and women.

It is obvious that most partners are frustrated with the lack of satisfaction with their life, to which they are fully entitled. It is important to find other ways of relieving tension and showing closeness together. You cannot and it is not worth pretending that nothing happened, because such attitudes only make it worse. Problems with potency are a challenge for both men and their immediate environment. Fortunately, the vast majority of modern medicine can eliminate the physiological causes of these disorders. We, women and men, are jointly responsible for the psychological aspect, social reception, and communication of these problems, so it’s high time to change the way of thinking!

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fear of sex

Why am I afraid or avoid having sex?

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  • 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.

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sexual problems

Men, women and sexual problems throughout life

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The sexual problems can develop at any age, but most women experience greater difficulties before age 30, while most men will experience them after 50 years. This means that many couples are sexually out of sync, with their problems causing conflict in the early life of one and the other being caused later.

Of course, like all generalizations, these observations have their limits. It is quite possible that young men or older women will develop significant sexual problems. But it is usually the other way around. Those who have a perspective on this are more likely to feel prepared – and enjoy sex throughout their lives, explains the best sexologist in Delhi, India.

Sexual problems of young lovers

Many young people experience sexual problems: performance anxiety and concerns about penis size, premature ejaculation, ejaculation problems and, occasionally, erectile dysfunction. But the two biggest problems for young men – anxiety about penis size and premature ejaculation (PE) – can usually be resolved with a sexologist in Delhi, India.

Young women’s sexual concerns tend to be more complicated. Girls grow up wanting to explore their sexuality but receive mixed messages. If they feel shy or avoid boys’ approaches, they are “rude” or “cold”. But if they seem overly anxious, they are “easy” or “sluts”.

Young women are created to value attractiveness and desirability, but with so much emphasis on looking desirable, they may not feel much space to experience their own desire.

Young women are also concerned about the risk of pregnancy and are deeply disappointed if they are with men who seem less concerned.

Finally, when young women experience sex, they often do with young men who know little about women’s sexuality, specifically the importance of the clitoris for their erotic satisfaction.

Most young men (and many older men) think that sexual intercourse is the key to women’s pleasure and orgasm. Most women enjoy the special closeness of taking action. But only 25 percent of women are consistently orgasmic due to intercourse alone. To have orgasms, most need soft, sustained caresses on the clitoris. As a result of the ignorance of many young people, many young women do not receive the stimulation they need and have difficulty with orgasm. But when young women experience orgasm difficulties, they often take the wrong responsibility and think they are somehow defective, says sexologist doctor in Delhi, India.

It takes time, often years, for young women to feel comfortable with their sexuality. The process usually involves becoming assertive with men about the erotic rhythm they prefer (usually slower with more kisses, hugs and mutual massage throughout the body) and sexual movements that allow them to be sufficiently lubricated and aroused to have orgasms.

At age 30 or older, as they become more experienced in life and sex, most women make peace (more or less) with their sexuality. Most become more comfortable with what they like and allow themselves, possibly having vaginal intercourse alone, but probably combined with direct stimulation of the clitoris with hand, tongue, or vibrator.

Sexual problems of older lovers

As women advance in their early forties, they begin to enter menopause. This creates two new problems: vaginal dryness and vaginal atrophy, thinning of the vaginal wall, which can make intercourse uncomfortable and sometimes impossible. Dryness can develop at any age, but it becomes more prevalent after 40. Thinning of vaginal tissue usually becomes a problem after 55 years. Fortunately, sexual lubricants relieve most dryness and help protect against atrophy-related irritation during intercourse. Another approach is sex without sex – manual, oral, vibrator, etc.

In addition, older women face another challenge – demographics. On average, women live longer than men. As they get older, many must deal with widowhood, men with erectile dysfunction (ED) who believe (incorrectly) that they are sexually defeated and the fact that older men often stalk younger women. As a result, older women struggle with diminishing sexual opportunities for partners, says sex specialist in Delhi.

As difficult as older women’s sexual dilemmas can be, older men’s problems tend to be more frightening. After 50 years, the nervous system is less excited. Men who were constantly aroused during their twenties often felt that they had trouble feeling aroused. This is a big reason why many middle-aged and older men view pornography – to reassure themselves that they can still become aroused, explains top sexologist in Delhi.

In addition, at age 65, most men develop at least some erectile dysfunction. The cause is often medical, including: diabetes, obesity and heart disease. These conditions reduce blood flow into the penis and cause an erection in the condition of a negative rash, starting around 45 to 50 years and later, mild ED that often becomes more severe. And when older men have erections, they are not as strong or as firm as before, and can end up in the middle of sex, often for no apparent reason. Erection medications may help but may not. At best, these changes are disconcerting. At worst, men decide that they are no longer sexually functional, often with great disdain for their partners, explains sex doctor in Delhi.

In addition, many older men continue to experience premature ejaculation. The EP is not just a youth problem. A quarter to a third of adult men of all ages have poor ejaculatory control. But many older men experience a resurgence of PE, just as their erections begin to fail. One of the main causes of PE is stress, for example, the stress of developing erection difficulties, says sexologist in South Delhi.

The sexual changes of older men can be unnerving. After decades of taking libido and sexual functions for granted, after about 50 years or more, it is no longer automatic. This can be confusing and frustrating, causing some men to “retire” from sex.

Fortunately, men can adapt to sex when they are older, moving from sexual love based on sex to one without sex. If you are not having sex, there is no need for erections.

Older men do not need erections to have wonderful orgasms. This is true, in an erotic context (candlelight, music, seductive lover), with sufficient stimulation (masturbation and toys), men with weak erections or even completely flaccid penises can still have satisfying orgasms, says sexologist in East Delhi.

Sex without sex requires adjustments. Most lovers have spent decades with sexual intercourse central to their love. But older couples who remain sexually active often evolve into other wonderful ways to be sexual.

The best sex of your life

For couples with long relationships, the stage of life with the fewest sexual problems usually occurs between the ages of thirty and forty. At this stage, most women have transcended the sexual issues that afflict young women and most men have not yet had to address the sexual concerns of older men.

But no sexual issue of any gender at any age prevents great sex. Just as people can develop sexual problems at any age, people can also cope and enjoy wonderful love at any age. By understanding what to expect throughout life and making the generally simple adjustment that preserves great sex.

Finally, at any stage of life, if you have sexual problems that cannot be resolved with information and self-help, professional sex treatment in Delhi usually helps.

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sleep and sex

People who sleep 8 hours have more orgasm

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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.

HOW THE BEST SLEEP IMPROVES SEX FOR WOMEN

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.”

HOW BETTER SLEEP IMPROVES SEX FOR MEN

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.

BETTER SEX ALSO IMPROVES SLEEP

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.

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Sexual life of the elderly

Sexual life of the elderly

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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.

Treatment

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.

Conclusion

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.

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sexual problems

Are Sexual Problems Frequent?

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When a person, male or female, perceives some difficulties in their sexual response, they tend to think that their sexual problems are rare or infrequent. That belief generates a feeling of unease that deepens the problem. However, scientific studies show strong figures that go in a line totally opposite to common sense.

One of the most interesting articles in this regard was published in 2015 in the Journal of Sexual Medicine and is a review carried out by the members of the Committee of the Fourth International Consultation on Sexual Medicine. They compiled epidemiological studies from 2009 onwards, which include figures for the incidence and prevalence of male and female sexual dysfunctions.

In general, we have more studies regarding male sexual problems, particularly erectile dysfunction and premature ejaculation. We did not find so much information related to the loss of desire in men, a reason for consultation with sexologist in Delhi that has grown in recent years. And there is less data related to female sexual dysfunctions, although researchers have nevertheless focused more on the subject in recent times.

The figures vary considerably according to the methodology used, the assessment instruments, and the criteria for diagnosis, the country, age, and culture. However, the best sexologist in Delhi explains some general conclusions.

  • As I said earlier, the dysfunctions of sexual life are much more common than most people believe.
  • The numbers indicate that there is not a great difference between the male and female populations affected by problems in their sexuality. Between 40 and 50% of women report having a sexual problem, regardless of their age. In men, the percentages are similar, although the phase of the most affected sexual response is different according to gender.
  • In women, the most common sexual problem is hypoactive sexual desire – loss of desire.
  • In men, premature ejaculation is one of the two most prevalent problems. In this case, the main difficulty in establishing what percentage of men suffer from it is to achieve a consensual definition. Making this reservation, according to sexologist doctor in Delhi, from 8 to 30% of men with ejaculation control problems, from which we could conclude that an average of one in five has this disorder. The next most common sexual problem in men is erectile dysfunction, which also presents significant variations according to age.

As said by a sex specialist in Delhi, sexual problems are like cavities: at some point in life, you can have them. So, following this concept, it is important to get rid of prejudices and assume that it is human to suffer from these difficulties, as well as accept the need to ask for help from top sexologist in Delhi who know about their management.

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