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Thyroid Disease And Sexual Dysfunction

Thyroid Disease And Sexual Dysfunction

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Thyroid diseases and their impact on male and female sexual function is an issue that has not been historically given greater importance in sexual medicine, in relation to -for example- the impact of diabetes or high blood pressure. But fortunately, the trend is beginning to reverse, as in the last decade we found an increase in the number of well-designed studies exploring this relationship. Considering that thyroid diseases are quite common in the general population, it is reasonable and desirable that this is happening.

Let’s start by defining these pathologies. Hypothyroidism is characterized by the fact that the thyroid gland does not produce the amount of thyroid hormones that are needed for the normal functioning of the body, while hyperthyroidism is the excess production of these hormones.

In this sense, we found an article published in 2018 in Sexual Medicine Reviews entitled The impact of thyroid disease on sexual dysfunction in men and women. In this work, thyroid disease, sexual dysfunction, the relationship between the two conditions, and their treatments are reviewed in depth.

Hypothyroidism and hyperthyroidism are common medical disorders that manifest in a wide variety of ways that have been well described in the medical literature. Primary hypothyroidism accounts for 95% of all forms of hypothyroidism. In contrast, hyperthyroidism has a larger and larger number of etiologies. Regarding symptoms, hypothyroidism manifests itself with symptoms such as weight gain, fatigue, constipation, cold intolerance, cognitive slowness, dry skin, edema, myalgia, and also menstrual irregularities. For its part, hyperthyroidism occurs in both sexes with a combination of increased appetite and weight loss, heat intolerance, tremors, palpitations, emotional lability, and anxiety.

The primary treatment for hypothyroidism is replacement therapy in the form of synthetic T4. Modalities for the treatment of hyperthyroidism include radioactive iodine, various antithyroid medications, and thyroidectomy.

Thyroid disorders have been associated, as we will see below, with significant disturbances in male and female sexual function.

Hypothyroidism and sexual dysfunction

The limited number of studies available on the prevalence of the dysfunction in patients with hypothyroidism has shown that more than 60% of men with this condition experience erectile dysfunction. With regard to female sexual dysfunction, studies show figures ranging from 21% to 46%.

In relation to the mechanisms through which thyroid deficiency can exert direct and indirect effects on sexual function, in the case of men it is the alteration of the regulation of the hypothalamic-pituitary-gonadal axis, which leads to a reduction in circulating sex hormone levels. In women, studies have shown that low circulating thyroid hormone is the single most important factor driving sexual dysfunction. Studies have also revealed that prolonged primary hypothyroidism can lead to hyperprolactinemia, which is another potential mechanism for sexual dysfunction that applies to both men and women. On the other hand, hypothyroidism is associated with fatigue,

There are several reports that demonstrate an association between sexual dysfunction in male patients with hypothyroidism, especially in the form of erectile dysfunction, ejaculatory dysfunction, low sexual desire, and alterations in sperm characteristics and fertility. The relationship between hypothyroidism and erectile dysfunction has been particularly documented, but we also have studies that link it to the other sexual dysfunctions mentioned.

The association between hypothyroidism and female sexual dysfunction has also been documented, although fewer studies are available compared to men. Special attention has been paid to the link between hypothyroidism and changes in sexual desire, vaginal arousal/lubrication, and orgasm. Considering that the incidence of hypothyroidism also peaks in the menopausal age, perimenopausal symptoms can overlap with hypothyroid symptoms and also contribute to sexual dysfunction.

Hyperthyroidism and sexual dysfunction

In men, the prevalence of sexual dysfunction in patients with hyperthyroidism has been estimated to be 48% to 77%, and in women, it is 44% to 60%.

Similar to mechanisms seen in patients with hypothyroidism, studies have shown that hyperthyroidism can, directly and indirectly, modulate sexual function. Although the exact mechanism remains a matter of debate, three pathways have been implicated: sympathetic, endocrine, and psychiatric.

The most common sexual sequelae of hyperthyroidism in men are erectile dysfunction and premature ejaculation. Regarding women, different studies found significantly lower scores in all domains of the Female Sexual Function Index (FSFI): desire, arousal, lubrication, orgasm, satisfaction, and pain, compared to age-matched controls.

In relation to the treatment, the correction of hypothyroidism in men and women produced positive effects on sexual function, normalizing the phases of desire, arousal, and increasing levels of sexual satisfaction. Studies also show a significant improvement in sexual function in hyperthyroid patients treated with antithyroid medications.

In conclusion, the recent evidence presented in this review suggests that thyroid axis dysregulation plays an important role in sexual dysfunction that cannot be overlooked. Correction of thyroid hormone deficiency or excess was associated with an evident resolution of sexual dysfunction in male and female patients with hypothyroidism or hyperthyroidism.

By deepening the understanding of the relationship between thyroid disease and sexual dysfunction, sexologist in Delhi working in the field of sexual medicine can more accurately and rapidly identify patients with these conditions, as well as resolve associated sexual symptoms through treating the underlying thyroid disorder.

sexual dysfunction

Unexpected Failure

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In this post, I want to discuss the issue of male sexual dysfunction once again. It affects about one in three men in my patients and is characterized by premature ejaculation or erectile dysfunction.

The quality of life of patients aggravated by sexual problems is deteriorating in every way. Problems are encountered in the family, which is reflected in their public activities or careers. There are many circumstances that negatively affect the performance of an erectile function.

The solution is here! The main thing is not to lock the patient in his head and not be left alone under psychological pressure. Nor do you recommend taking different medications arbitrarily, it may be harmful to your health. Too many people think that achieving an erection is the easiest process. Trust me, this is not the case. Erection occurs at the expense of complex chemical processes. Through innervation, a large amount of blood flows to the genitals, and if everything went well, the genitals reach an erect state.

Telling you about one clinical case. A 43-year-old man came to visit me last month and had been complaining of impaired erectile function for 2 months. The anamnesis (life story) revealed that the very first sudden failure was so depressing that after each act he only thought about erection, the “failures” continued. In addition, the arbitrary intake of various drugs has significantly affected his health. The survey also found that he was diagnosed with diabetes 2 years ago, and it had been a year since he had even seen an endocrinologist.

I advised the patient to perform several diagnostic tests. Based on their results, unregulated blood sugar levels were determined. Glucose (sugar) was even detected in the general analysis of urine. Dramatic changes in blood circulation in the genitals were also observed. I advised to see an endocrinologist and I also explained that combination therapy was necessary.

After one month of treatment, the endocrinological status stabilized and developed with positive dynamics. For my part, I prescribed treatment according to the proper scheme. His sexual function was also regulated. The psychological side was also regulated. His quality of life has improved and become satisfactory.

Erectile dysfunction (impotence) is considered by many older men to be a disease. Unfortunately, I have to say that as a result of observations in recent years, its development has become very frequent in men aged 20-30. In such clinical cases, the psychological factor is also more difficult to detect.

To conclude this post positively, I will tell you that there are many treatment options for erectile function that include both medical and surgical approaches.

To contact a doctor, a sexologist in Delhi, and undergo proper treatment. Do not worry, do not think that everything is over.

I wish you successful and varied sex life!

At what age does a man stop having an Erection

Male Aging And Declining Testosterone

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“Several symptoms that occur related to hormonal deficit overlap with the natural aging of man or even diseases prevalent in this population, which makes it a difficult task to accurately distinguish the true cause.”

The man, over the years, suffers a natural aging process of his cells generating countless repercussions in the body, as well as the progressive and slow decline of his hormonal function, especially after 40 years. It is known that the woman when approaching 50 years old, undergoes a stop of her reproductive function and important decline of her hormonal function, called menopause. In the elderly man, these reproductive changes occur slowly and gradually, with more subtle symptoms. This process is called Androgenic Deficiency in Male Aging (DAEM).

The hormone directly linked to reproductive function in men is produced by cells located in the testicles and is called testosterone (the main male androgen hormone). From the age of 40, the decline of testosterone in the body of man is around 1% per year. The term andropause, commonly used to characterize this clinical condition, should not be used, because unlike women, there is no hormonal pause, but its gradual deficit. The correct term is Androgenic Deficiency in Male Aging.

It is estimated that the proportion of individuals over 65 years of age will increase significantly over the next 30 years. Census data show that the number of Americans aged 65 and over will rise from around 40 million today to somewhere around 90 million in the next 30 years. In this context, the prevalence of diseases such as cancer, vascular diseases, and hormonal decline will increase dramatically. Therefore, age is an independent risk factor for dropping testosterone, and monitoring with a sexologist in Delhi is essential for the proper diagnosis and treatment of this condition.

Symptoms

Several symptoms that occur related to hormonal deficit overlap with the natural aging of man or even diseases prevalent in this population, which makes it a difficult task to accurately distinguish the true cause. The main repercussions with the drop in testosterone are decreased libido (sexual desire), erectile dysfunction (difficulty in having/maintaining a penile erection), increased body fat, loss of bone mass (osteoporosis), loss of muscle mass, decreased hair (beard, hair), anemia, depression, and irritability.

Faced with the suspicion of the hormonal decline related to the aging of man, the best sexologist in Delhi, through a complete clinical evaluation and with complementary laboratory tests, when establishing the correct diagnosis, will offer the various treatment options. There is no way to avoid this natural human aging process, but maintaining healthy living habits contributes to the prevention of diseases related to the decrease in testosterone levels.

Testosterone hormone replacement therapy is safe and effective. It is available in injectable and gel presentations for daily application. The medical follow-up of this treatment is very important for the improvement of the man’s quality of life, as it is not exempt from side effects, so it needs to be well indicated.

sexual stimulation

Doctors discover key nerve in women’s ankles, which can increase desire

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Flowers and chocolate used to be the best options for men who wanted a night of love.

But there is another way to put a “spark” in your love life – giving your partner’s ankle a little electric shock .

Doctors have discovered a key nerve in women’s bodies that can increase their desires.

It runs from the soles of the feet to the bottom of the spine, but is most easily accessible at the ankle, where it can be reached with electricity. In a small experiment with women, they gave a small electric shock at this point with needles and it was also found that there was an increase in blood supply – apparently, like a female version of Viagra. Pioneering therapy physicians believe it could help women with low sex drive.

Tested on laboratory rats, there was an improvement in blood flow in more than 25 minutes, and American researchers are now giving women volunteers a three-month treatment of weekly treatments lasting half an hour.

Tim Bruns, a biomedical engineering expert who is leading the research at the University of Michigan, said:

“We are really hopeful, it can help many women who suffer from sexual dysfunction .
Some studies say that 10 percent of adult women have arousal disorder, but others report that it is as high as 28 percent.”

Scientists became interested in ankle therapy after women who cure bladder problems also report improvements in their sex lives.

Many said they were more interested in sex. This may be because the tibial nerve that crosses the ankle meets the nerves that connect to the pelvis within the spinal cord.

A stimulus to the ankle can therefore increase blood flow to a more intimate area, creating the same effect as a night of love. Offering an alternative to drugs, which have mixed results and can have side effects. Research on mice, published in the Journal of Sexual Medicine, showed that three out of four saw significant improvements in blood flow.

The same US researchers are testing 30 women with what is called an arousal disorder .

The results are expected to be released later this year.

Professor Bruns said, “If the stimulation is repeated several times, it can lead to better blood flow and stronger nerve connections to the genitalia. This would improve the symptoms of the genital arousal disorder .”

According to sexologist in Delhi, up to 45% of women are believed to have a dysfunction that decreases their sexual desire.

Sexual Health

Lifestyle Changes Can Improve Sexual Health

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Lifestyle changes, such as quitting smoking, exercising more, and eating healthier foods, are sometimes recommended for people with sexual problems. But how much of an effect do these changes have? Scientists considered this issue in a recent study by the Journal of Sexual Medicine.

In particular, they looked at how six lifestyle factors – smoking, alcohol use, physical activity, diet, caffeine consumption and cannabis use – affected three sexual health outcomes – female sexual dysfunction, erectile dysfunction (ED) and premature ejaculation.

The female sexual dysfunction includes a wide range of sexual problems such as vaginal dryness, low desire and interest or pain during intercourse. It is estimated that 41% of pre-menopausal women worldwide have some degree of sexual dysfunction.

The researchers reviewed 89 medical studies related to lifestyle and sexual problems. Overall, the studies included almost 350,000 people worldwide. On average, participants were about 49 years old.

For women, physical activity was linked to a lower risk of sexual dysfunction. Following a healthy diet rich in fruits and vegetables seemed to help as well. But the researchers found no link between smoking, alcohol use and caffeine intake with women’s sexual health.

Men who smoked were more likely to have erectile dysfunction (ED). Heavier smokers tend to have more severe cases of erectile dysfunction. There was also an association with physical activity. Erectile dysfunction was more common in men who exercise less. Moderate alcohol consumption (an average of 8 drinks per week) was associated with a lower risk of ED, but high consumption (an average of 23 drinks per week) was not. Following a healthy diet seemed to be good for erections.

Changing lifestyle habits can improve overall health, which can have sexual benefits. For example, low testosterone and obesity can interfere with sexual function. But physical activity can increase testosterone levels and help people lose weight. Likewise, diabetes is associated with sexual problems, such as erectile dysfunction, in men and poor lubrication in women. But physical activity can lessen the effects of diabetes and, in turn, the sexual impact.

The authors noted that the effects on sexual health of diet, caffeine and cannabis were not as widely studied as other lifestyle factors, so their conclusions were “less robust”.

They added that there were fewer studies related to women’s sexual health and premature ejaculation and recommended additional studies in these areas.

Is The Lack Of Morning Erections A Concern?

Is The Lack Of Morning Erections A Concern?

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Usually, men have multiple erections while sleeping. The process is called nocturnal penile tumescence (TPN) (or “morning erection” in popular terminology), and occurs in men of all ages, including young children. These erections are not caused by sexual stimulation, but they appear to be associated with REM sleep (rapid eye movement).

If a man wakes up during or shortly after a period of REM sleep, he may have a morning erection.

The lack of a morning erection is not necessarily a concern. Sometimes, men wake up at different points in the sleep cycle when an erection does not occur.

Still, morning erections can provide some clues about erectile dysfunction (ED). The ED may have physical and psychological causes. Sometimes physical and psychological factors are involved at the same time.

When a man suspects that he has ED, sexologist doctor in Delhi may ask about morning erections. If he is still suffering from NPT, his erection problems are likely to have a psychological origin, since his physical “plumbing” is still in operation. If he does not have TPN, physical problems can be the root of the problem.

However, morning erections are not the only criteria used to assess erectile dysfunction. Sexologists in Delhi will also consider a man’s medical history, testosterone levels and any medications he takes.

Men who think they do not have morning erections as they used to should mention the situation to the best sexologist in Delhi.

Fascinating Facts About Penises

10 Fascinating Facts About Penises

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  1. You can get an erection while still in the womb

Once the genitals begin to develop while the baby is still in the womb, it is possible for the foetus to get an erection at just 10 weeks old.

  1. There are three different types of erection

If you start to see something sexy or start thinking about your wildest fantasies, you will have a psychogenic erection.

But if you have an erection while sleeping, it is called a night-time erection.

The last type is the reflexogenic erection which is what happens when physical contact occurs.

  1. Men have multiple erections a day

The average man has 11 erections throughout the day – and three to five while sleeping.

  1. You can get an erection after death

This phenomenon is actually just a gravity trick.

If a man dies in an upright position, gravity will cause blood to accumulate in his legs, but as they fill, they will be pushed into the penis, providing a post-mortem erection.

  1. The average penis size

Penises come in all shapes and sizes and there really is no such thing as “normal”, but the average size according to science.

The average length of the erect penis is approximately 13.2 cm in length and 11.7 cm in circumference.

At normal temperatures, a resting penis usually measures 9.1 cm in length and 9.3 cm in circumference.

Most men fall within the normal range; however, some men suffer from a condition called micropenis. This is defined as being 6.35 cm or less when fully erect.

  1. Penises respond to certain scents

Different odors can make the penis “watchful”.

One study found that the scent of black licoricey and donuts increased blood flow to the penis by 32%, while donuts mixed with pumpkin pie increased blood flow by 20%.

But the biggest increase was achieved with the lavender and pumpkin pie combo that increased the blood flow of the penis by 40%.

  1. There are endless erections

The priapism is a disorder in which men have consistent and painful erections.

Priapism is a medical emergency, which means that you must run to the hospital if it does, because if it is not treated within 24 hours, you can damage your erection for life, warns sexologist in Delhi.

A prolonged erection can permanently damage the tissues of the penis, making erections harder in the future.

  1. The penis has no bone

Most mammals have a baculum (penis bone), but humans do not. Interestingly, other primates, like gorillas and chimpanzees, have one.

  1. Your penis is shaped like a boomerang

This shocking discovery was made by a French researcher who studied couples who have sex on an MRI machine.

It turns out that the penis is in the shape of a boomerang, but you would never know why the “root” is hidden by the pelvis.

  1. The flaccid penis can be classified as “growing” or “displayed”

According to one study, penises that are smaller when flaccid (“growing”) actually get longer when erect, compared to larger flaccid penises (“displayed”).

Sexuality in Pregnancy

Sexuality in Pregnancy

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“Many factors in addition to the biology of pregnancy intervene to determine the patterns of sexual behavior during pregnancy. The way a woman feels motherhood, the quality (or absence) of her marriage, cultural expectations, pre-existing sexual attitude, and other individual considerations are undoubtedly of the utmost importance. The presence of medical complications in the pregnant woman or the concern about abortion or genetic complications of the fetus, will also influence sexual behavior. ”

(Masters & Johnson, 1966)

When talking about sexuality in pregnancy, it is necessary to take into account that there may be changes due to the physiological and psychological changes that are characteristic of each trimester. On the other hand, the way in which the couple experiences their sexuality is conditioned by the individuality of each of the partners and by their social context, which in turn is a reflection of a set of beliefs, traditions, and myths.

Since during pregnancy, the genitals and breasts will be the preferred targets of hormones, and these are also the preferred targets of sexual responses, changes in sexuality during pregnancy turn out to be inevitable and understandable. Many other structures change, from rounded shapes to widening holes, and all of these can have a positive or negative effect on the couple’s intimate relationship.

1st trimester (0 – 12 weeks)

This phase is characterized by the increase and stiffness of the breasts, vaginal tension, nausea and vomiting, tiredness, and nausea, all of these factors justify the decrease in desire and sexual response.

2nd trimester (13 – 27 weeks)

The second trimester is a period of calm, more comfortable for women. There is an increase in vascularization and engorgement of the breasts, the labia majora, and the vagina, which increase sexual tension, facilitating orgastic capacity, in addition, the discomfort due to excess tension observed in the first trimester is mitigated. Some women describe a significant improvement in sexual intercourse at this stage.

3rd Quarter (28 – 40 weeks)

This quarter has the most differences from case to case. Certain women will continue to express an increased interest in sexuality, while in most cases there is a marked reduction in sexual relations in relation to the second trimester. It should be noted that at this stage of pregnancy the abdomen has a greater weight and volume, in addition to heartburn, muscle pain, and possible outflow of milk, caused by excitation and/or strong uterine contractions after orgasm. It should be noted that in this phase the libido remains elevated, due to the abundant vaginal lubrication and the increase of the pelvic pressure of the uterus, which increases the resolution time, increasing the orgasm.

It is important to note that there are some factors that have an impact on sexual desire, some that are constant throughout pregnancy, others that are more frequent in the third trimester, among which the body self-image, the fear of hurting the baby can be highlighted, as well as the size of the woman’s abdomen that can cause discomfort in certain sexual positions, for example, in the missionary position.

In short, sexuality in pregnancy is experienced differently by couples. It is important to take into account that the various emotional, physiological, hormonal, and psychological changes can make it necessary to change sexual patterns and habits. Depending on the state and health of the pregnant woman, there may be stages in which it is important to stop penetration and it is necessary to resort to other forms of sexual stimulation, such as masturbation, oral or anal sex. Other women only need greater intimate closeness and greater attention on the part of their partner. It is essential that the two communicate so that this phase can be lived in the best way by both, suggests sexologist in Delhi.

Can yoga improve sexual function

Can yoga improve sexual function?

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Yoga, the ancient Indian tradition that incorporates breathing and meditation with posture, is widely practised today. And many people and sexologist in Delhi think that regular yoga practice has sexual benefits.

Here are some of the ways that yoga can improve  sexual function :

– Relaxation. Stress, anxiety and fatigue can make sex difficult or unsatisfactory. Yoga can relax the body and relieve these symptoms.

– Better blood flow to the genitals. For a man, relaxation of the body helps the blood flow to the penis, giving it a  firmer erection. For a woman, greater blood flow to the vagina helps with better sensation and lubrication.

– Potential for better cardiovascular health. Yoga can reduce the risk of heart disease symptoms, such as atherosclerosis (hardening of the arteries), which can also improve genital blood flow.

– Attention. Yoga focuses on the body and breathing, making the practitioner more aware of these areas. This attention can be useful during sex, too. Focusing on the physical, sensual aspects of sex – and keeping your mind organized – can make sex more enjoyable.

– Flexibility. After practising yoga for a while, the body grows accustomed to different forms of stretching, bending and movement. This can make sex more comfortable. It can also help couples who are experiencing new sexual positions.

– Stronger pelvic floor muscles. Some poses strengthen and tone the pelvic floor muscles, which can lead to more intense orgasms.

Patients who are new to yoga practice should do some research before starting the practice. A professional can help you determine which type of yoga is best. Some patients, such as those with back, neck, or shoulder problems, may need to change positions to suit their needs. A qualified yoga instructor should be able to suggest – and teach – these adjustments.

Male Sexual Health

3 Things About Male Sexual Health You Need To Know

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Having sexual problems is something that can happen to any man. However, if a man often finds it difficult to have an erection and repeatedly has premature ejaculation, he needs to see a sexologist doctor in Delhi.

The theme is complex and in India a real taboo for many men, but with the proper treatment it is possible to resume a pleasurable sex life. Check out some important information!

1: Anxiety does not help in bed

Anxiety can directly affect your performance in bed. When there is an excess of nervousness and a great expectation or fear before the sexual act, there is a great release of stress hormones. The body thus receives an adrenaline rush, which makes it difficult for the penile muscle to relax and the blood to enter which causes an erection, causing the dreaded erectile dysfunction.

The more stressed the man is, the greater the chances of failure in the sexual act. Only 10% of cases of erectile dysfunction have organic causes, related to the penis, testicles or imbalances of hormones such as testosterone. The other 90% are caused by stress. So let go of your nervousness to enjoy the moment even more.

2: Premature ejaculation is curable

When a man has no control over ejaculation, occurring before what he would like (before or at the time of penetration, for example) it can be said that he has premature ejaculation. This condition affects about 30% of the male population.

However, the cause is usually psychological and the patient has a good chance of resolving the problem quickly. There are more complex cases, where unusual hormone levels, thyroid disorders, infections, and genetic factors are the cause. Fortunately, these cases are in the minority.

3: Erection problems happen at any stage of life

Contrary to what many believe, it is young people who have more erection problems. However, from the age of 40 the chances of mature men increase. The reasons can be psychogenic or organic factors.

Diabetes, high blood pressure, high cholesterol, smoking, and other causes can affect the body’s peripheral nerves, which compromises the brain’s ability to send commands to the penile region. For this reason, one way of taking care of sexual health is to maintain a balanced diet and avoid excessive alcohol consumption, in addition to regular physical activity.

In case of doubts or need for advice regarding your sexual health, make an appointment at Dr. P K Gupta Sexologist Clinic in Delhi. Our clinical staff is specialized and ready to help you. The matter is complex and will not be resolved automatically.