Category Archives: sexologists in delhi

sexual dysfunction

Sexual Dysfunction – A Silent Killer of Relationship

, , ,

We call sexual dysfunctions the set of disorders in which psychological and / or physiological problems make it difficult for the person to enjoy their sexual activity as they would like. It is a disorder in some phase of the sexual response – excitement, plateau, orgasm, resolution.

Sexual dysfunctions are frequent and it is estimated that 40% of men and women can present them at some point in their lives. The most frequent among women is a lack of interest in sex and arousal problems, and premature ejaculation and impotence appear more frequently among men.

In the diagnosis and treatment of each dysfunction, the sexologist in Delhi analyzes whether the symptoms are primary or secondary, absolute or situational, or if the severity is total or partial.

The physical changes that occur in the four stages of sexual response (excitement, plateau, orgasm, and resolution) serve as the basis for analyzing at what stage sexual dysfunction occurs.

Thus, when the person is mentally and physically excited, the following physical changes appear:

In women:                                                                                                                                                  In men:

 

EXCITEMENT

 

EXCITEMENT

  • Vaginal lubrication
  • Penile erection
  • Clitoral erection
  • Scrotal size increases
  • Swollen lips
  • Increases the size of the testicles
 

PLATEAU

 

PLATEAU

  • Lip coloration
  • Cowper gland discharge
  • Vaginal tightening
  • Prostate gland contraction
  • Vaginal tightening
  • Prostate gland contraction
  • Elevation of the uterus and retraction of the clitoris
  • Terminal vesicle contractions
 

ORGASM

 

ORGASM

  • Contractions of the uterus
  • Ejaculation
  • Rhythmic contractions on the orgasmic platform
  • Contractions of the penis, urethra, and sphincter
  • Rectal sphincter contraction
  • Rectal sphincter contraction
 

RESOLUTION

 

RESOLUTION

  • The uterus and vagina return to their initial state
  • The penis and scrotum recover their initial state

We can classify the dysfunctions related to the sexual response cycle:

WOMENMENS
  • Disorders of desire
  • Excess
    Deficit
  • Excess
    Deficit
  • Sexual arousal disorder
  • Lack of general excitement
  • Problem of starting an erection
    Problem of maintaining an erection
  • Orgasm disorder
  • Difficulty reaching orgasm
    Lack of orgasm
    Premature
    orgasm Delayed orgasm
  • Absence of ejaculation
    Premature ejaculation
    Delayed ejaculation
  • Sexual resolution disorder
  • Delayed resolution
  • Others
  • Dyspareunia
    Vaginismus
    Sexual phobias Socio- sexual
    anxiety
  • Dyspareunia
    Sexual phobias Sexual
    partner anxiety

 

Among the psychological causes of dysfunctions we find the following factors:

Predisposing factors:

  • Lack of information and sexual formation or inadequate information received.
  • Moral education devalues ​​sexual activity.
  • Insecurity in the psychosexual role.
  • Traumatic sexual experiences.

Precipitating factors:

  • Relationship problems (poor communication, fights, infidelity).
  • The appearance of a sporadic problem (excessive tiredness, alcohol, stressful work or family situation).
  • Organic special moments (after a heart attack, after childbirth, anxiety disorder or depression, etc.).

Maintenance factors:

  • Non-existent or inadequate sexual formation.
  • Anxiety associated with sexual interactions.
  • Inappropriate personal or partner performance in sexual relations.
  • General problems in the couple relationship.
  • Specific fears or phobias.

Physiological causes of dysfunctions:

Diseases or injuries: of the cardiovascular system, endocrine system, genitourinary tract, nervous system.

Effects of drugs: sedatives, antiandrogens, anticholinergics and antiadrenergics, psychotropic.

(The most frequent physical disorders are: diabetes, hypertension, hypogonadism, spinal disorders, etc .; at the drug level they are antihypertensive, antidepressant, alcohol, barbiturate, etc.).

Female sexual dysfunctions:

Hypoactive sexual desire (“sexual apathy”, “lack of sexual desire”, “lack of interest in sex”).
Lack of interest in sex, absence of fantasy, dreams or thoughts of sexual content, difficulty engaging in autoerotic or partner sexual activity.

Aversion to sex
Intense feelings of disgust, displeasure, repulsion or fear of situations of a sexual nature (concrete or thought). Sexual contact is usually avoided.

Sexual arousal disorder
Loss of arousal levels, physical and emotional disconnection from sexual intercourse. Inability to respond to caresses, sexual physiological responses are not experienced.

Orgasmic disorder
Difficulty reaching orgasm after an adequate level of arousal.
Dyspareunia
Pain during intercourse.

Vaginismus
Involuntary contraction of the outer third of the vagina upon penetration.

Sexual dysfunctions due to medical illnesses
Some illnesses can influence sexual functioning due to the physiological alterations they produce or the medication they require; These include: diabetes, arthritis, multiple sclerosis, spinal cord injury, thyroid, endometriosis, vaginal infections.

Substance-Induced Sexual Dysfunctions
The use of some drugs or drugs can affect sexual response.

Male sexual dysfunctions:

Impotence, erectile dysfunction:
Inability to obtain or maintain an erection sufficient to perform intercourse satisfactorily.

Premature ejaculation:
Inability to exercise voluntary control over the ejaculatory reflex.

Delayed ejaculation:
The man cannot ejaculate due to excessive involuntary control of the ejaculatory reflex.

Anorgasmia
There is no sensation of pleasure, but the semen does come out.

Dyspareunia
Pain during intercourse, which can be during or after sexual intercourse.

Sex Positions

Questions and Answers About Sex Positions

,

One of the topics of greatest interest to men and women in relation to their sexuality is that of sexual positions. And somehow underlying the belief that one of the most outstanding virtues of a good lover is precisely the mastery of coital skills: exciting postures and movements, time control, and knowledge of almost acrobatic variants.

Beyond the fact that there are also quite a few false beliefs on this question, we think it is interesting to summarize the most frequently asked questions about it and, of course, answer them.

Is it true that there are hundreds of sexual positions, or is it just a myth?

Although the variants are almost innumerable when we use our imagination and vary the angle of the bodies, the location of the hands and legs or use resources such as cushions, chairs or tables, we could summarize the sexual positions – in pairs of men and women – in four groups: the man on top, the woman on top, from the side and the man behind the woman.

Each position has variants, even advantages and disadvantages that we will analyze later, but most of the ways in which we position ourselves in sex are within this classification.

How much does sexual posture influence a woman to reach orgasm?

Despite what many men believe, despite the fact that it can produce a lot of pleasure and excitement, vaginal penetration is not the best mechanism for most women to reach orgasm. As the clitoris – particularly the glans – is the erogenous zone with the greatest sensitivity, its direct stimulation is essential for approximately half of women, and this type of stimulation does not usually occur in coital friction.

That said, although there are some complementary postures, movements, or stimuli for a woman to reach orgasm, it is very important to develop erotic skills related to stimulating the clitoris such as caresses, oral sex, or the incorporation of sex toys. Therefore, if we broaden the concept of what a good lover is, it would be much broader than just mastering various sexual positions, rhythms, and times. Eroticism is an art more than a marathon.

What is assisted orgasm and what posture does this technique facilitate?

The female assisted orgasm consists of the stimulation of the clitoris while having intercourse. This stimulus can be produced with caresses (with your own hands, those of the partner or both) and also with a vibrator, preferably small and easy to use. Considering the characteristics of a woman’s orgasm, especially the predominance of the clitoris as its trigger, it is a technique that is very important to learn and perfect.

The most suitable coital postures for this maneuver are: the woman sitting on top of the man, who can be sitting on a chair, or lying on his back. In this case, the most practical thing is for her to use her own hands. And the lateral postures are also comfortable, which allows manual stimulation of any of the parts in a comfortable and effective way. It is interesting to incorporate a small vibrator as it facilitates and enhances sexual stimulation, achieving faster and more intense orgasms.

What position facilitates the ejaculatory control of the man?

There are always personal preferences or experiences, but in general, it is the female or Andromeda superior. Except in the case in which the couple’s movements are very exciting, in general in this position the man feels less pressure from the vagina on his penis, and his body is also relaxed -something that facilitates the control of ejaculation-.

Another variant is the lateral position, that is to say on the side, which basically raises two options: to be in front of the couple, or with the back behind them (this variant is what we know as a spoon ). Both can be visually exciting, but they do not allow as vigorous movement as other positions which favor control.

Finally, we have the missionary posture known as the classic, with the man on top. In general, it leads to a race to orgasm, but for some men, it allows an almost millimeter control of movements and that can be key when it comes to mastering the timing of sex.

And which position would be the most difficult for control instead?

In general, it is what is called the puppy, a really wild and primitive posture. It is so exciting for the average man – both visually and genitally – that it is usually performed when the moment of climax has arrived. It is even the one we recommend the most for those men with difficulties to ejaculate, particularly with a variant: the couple lies face down, he penetrates her vaginally and she then closes her legs, causing an extremely exciting pressure on the penis.

What posture would you recommend to maintain good penile rigidity?

At this point, we enter a much more subjective zone of sexual preferences, experiences, and techniques. For example, if the man tends to get turned on by the partner’s breasts, having her on top can be an excellent and almost infallible stimulus. While for others that same posture generates an inhibitory effect by producing less genital sensations than others, or because it implies less control of coital movements.

Therefore, sexologist in Delhi recommends that each man ask himself: What sexual stimulus produces the most psychological and visual excitement? What type of movement, rubbing, or position improves my erectile capacity? And then knowing the particular erotic map will be easier to find the indicated position.

Sexual Response

Sexual Response

,

The sexual response reveals the cycle of desire, arousal, orgasm, and satisfaction, although in different ways in men and women. What happens in our bodies when we feel erotic pleasure?

What is a sexual response?

The sexual response refers to the cycle of human sexuality that includes the process of desire, arousal, and orgasm in men and women. The sexual response consists of several phases that, in general, follow one another in the order that you will find below. For example, it is difficult to reach an intense and pleasant orgasm without having previously gone through a phase of increased arousal.

However, there are two aspects that accompany us throughout the cycle of our sexual response: desire and satisfaction. Without satisfaction in the different phases, we will hardly find the desire that maintains our impulse to initiate or continue an erotic encounter.

Specifically, the phases of sexual response are as follows:

  • Desire phase
  • Excitation phase
  • Orgasmic phase
  • Resolution phase
  • Satisfaction phase

Although men and women share these phases, in each of the sexes there are a series of physiological aspects and reactions, as well as a series of anatomical changes, that differentiate us. Below we will address in more detail what happens in each of these phases and how they vary in them.

The sexual response: desire phase

The desire appears in our lives in general, and specifically in our sexuality, as a physical and mental perception that drives us to the subject or the object of our desire. Sometimes it arises involuntarily, it surprises us, we become aware of it without having foreseen it, for example when you read a scene from a novel and notice a tingling inside you and you say to yourself: well, I would like to try it. Desire is also deliberately elicited by voluntary, exciting, attractive, or suggestive erotic action that can set it in motion.

Desire is felt, perceived, and leads us to seek its satisfaction. When the initial desire grows, we begin to notice the changes that the phenomenon of arousal causes in our body. The desire usually triggers the beginning of our sexual response and accompanies us, full of nuances, throughout this erotic process.

The desire phase in women

It is not uncommon to hear that in women desire is something complex and even incomprehensible; however, the heart of the matter is simply the fact that female desire functions not identically to male desire. Visual stimuli, for example, have less of an effect on women, while emotions, imagination, and sensual caresses play an important role.

In women, desire is usually associated with willingness to initiate a sexual encounter, when in reality this is false. Desire in women can be associated with the desire to have erotic exchanges other than a traditional sexual encounter, and these can range from a kiss or sensual caresses to an exciting and explicit encounter, but without penetration, for example. The diversity in the nuances of what women want when they want is immense.

The desire phase in men

In general, male desire is triggered many times by a visual stimulus, and also by imagined stimuli or sexual fantasies. Of course, as in the case of women, it is also triggered by a series of tactile stimuli that the person perceives as pleasant, exciting, and satisfying.

In general, male desire and arousal are usually associated with penis erection, although, although this association is often true, there are always exceptions and there may be desire without an erection and even excitement without desire.

Of course, many men break the mold and surprise their partners with original wishes and innovative ideas. Ultimately, every man and every woman can have their own desire triggers, and these may be different from other peoples. The search for normality, or socially standardized desire, is often a great enemy of sexual desire.

The sexual response: arousal phase

In the arousal phase, our sexual tension increases, it grows fueled by the erotic stimuli that surround us. This increasing sexual arousal manifests itself in a series of characteristic changes in our anatomy and physiology, and in turn in an increase in our desire. Of course, this phase can be short or long, everything will depend on our body, our feelings and the circumstances.

Throughout this phase –the second within the sexual response–, in both men and women, the heart rate accelerates, our blood pressure rises and our muscles become tenser and tenser.

Arousal in women

The clitoris swells, or what is the same, remains erect, and the labia major and minor also swell and their color becomes more intense, as blood flows into it.

As we progress through this stage, the glans of the clitoris – the visible part of this organ of pleasure – retracts and is covered by the cap. This is important as it may mean that we want a change in how we stimulate ourselves. In addition, the vagina becomes lubricated and enlarged, the uterus rises, and the nipples harden and increase in size.

Excitement in men

The vasocongestion of the male genital area causes the erection of the penis, in addition the scrotum swells and the testicles rise. Some men, as in the case of women, also experience a tightening of the nipples and an increase in their sensitivity.

As we advance in this phase, and the excitement increases, the hardness of the shaft of the penis and the glans intensifies, and its color become more purplish. All this is due to the influx of blood into the corpora cavernosa, which is the erectile tissue of the penis. Cowper’s glands or bulbourethral glands secrete precum to acidify the urethra and prepare it for the passage of semen during the orgasmic phase.

The sexual response: orgasmic phase

When arousal increases and a threshold is exceeded, orgasm arrives. In the orgasmic phase – the third within the sexual response – the muscular tension that we had accumulated during the increasing arousal intensifies even more and is released shortly thereafter. Our breathing continues to increase in rate, as do our heart rate and blood pressure. It is the highest expression of the arousal phase.

Orgasm in women

The orgasmic phase is characterized by a series of contractions that begin in the outer third of the vagina, extending toward the vulva and anus, and into the uterus. These contractions, which are very intense at first and then softer, take place at 0.8-second intervals. The number of contractions ranges from three to fifteen, depending on each woman; her age, her orgasmic frequency, the muscle tone of her puboccyocgeal muscles, the level of arousal, and the quality of the stimuli, for example. These are generally very pleasant contractions.

These spasmodic contractions refer to the organic phenomenon, but a woman is much more than her body and, consequently, the perception of this is a very personal experience, closely related to the degree of abandonment to the sensations of pleasure and her expectations of satisfaction. In this, men and women fully agree.

Orgasm in men

As in the case of women, spasmodic contractions also occur every 0.8 seconds, they are usually very pleasant and are perceived in a subjective and significant way by each man, but, unlike the female orgasmic response, the male has two phases: the emission phase and the ejaculation phase.

In the emission phase, the prostate and seminal vesicles contract, and the semen reaches the base of the urethra. It is the moment when you have the feeling of no return, that ejaculation is inevitable and imminent. Then the ejaculation phase begins, giving rise to contractions in the urethra and penis that cause the semen to escape.

Differences in orgasm between men and women

Female sexual anatomy and physiology work in such a way that they do not require a period of rest between orgasm and orgasm. If stimulation continues after the first orgasm, in women arousal can again reach the threshold that will lead to another orgasm. This is why a woman can be multi-orgasmic.

In the case of men, on the contrary, after ejaculation, there is a refractory period that lengthens the time necessary between one orgasm and another, as we will see below in the resolution phase.

The sexual response: resolution phase

After orgasm or orgasms, when stimulation ceases, the body prepares to return to the equilibrium phase before the cycle of sexual response begins. The heart rate, blood pressure, respiration, muscle tension, and vasocongestion in the genital area gradually disappear to give rise to the usual rhythm and coloration of our body at rest.

In this resolution phase, it is interesting to leave us a space to enjoy these invaluable moments and not run away to resume daily obligations.

Resolution phase in women

The swelling of the clitoris and the labia major and minor disappears, and the glans is visible again; the vagina and uterus regain their usual position, and the nipples their previous texture and hardness.

Resolution phase in men

The erection decreases, and the scrotum and testicles also regain their normal position. After ejaculation, which is not necessarily orgasm, the refractory period begins, which is the time a man needs to be able to start the entire cycle of sexual response again. This period has a variable duration depending on age and health status. In adolescents and young people, it can go from one to several hours, while in adults and in old age it can last even several days. During this time, the man will re-manufacture the pre-seminal and seminal fluids that are necessary for the male sexual response to occur.

The sexual response: satisfaction phase

The satisfaction is a subjective assessment that accompanies us throughout the erotic process and is particularly important at the end of the cycle of sexual response at that moment of pleasure and relaxation preceding the return to our daily lives. How do I feel right now? Did I like the experience? Have my expectations been satisfied?

Although it is a subjective experience, it is not for that reason less important, but on the contrary, it is a very significant experience for the future of our future sexuality, since it is a perception that leaves a clear mark. Therefore, the degree of satisfaction or dissatisfaction can bring us closer to or away from a new desire to initiate an erotic or autoerotic encounter. In short, if there is satisfaction, we will want to repeat since it will be something that we consider pleasant, desirable, and exciting. If there is no satisfaction, for whatever reason, it is most likely that our desire will diminish and the attraction for the sexual, erotic, or sensual experience will lose a part of its value.

In both women and men, the entire process of sexual response is accompanied by emotions and feelings, and a desired and expected excitement will not be experienced the same as excitement that we consider inappropriate. The feeling of adequacy is very important in our sexuality. In the same way, so are realistic expectations about what we can expect from our body, in addition to the knowledge to get the most out of our senses.

It is still a myth that satisfaction comes by itself. Therefore, whether you are a man or a woman, the best proposal is to explore and discover in a playful way the potentialities of each of the phases of your sexual response, suggests sexologist in Delhi.

Balanitis

Know The Main Risk Factors For Balanitis

, ,

Balanitis is an inflammation of the mucosa that lines the glans (head of the penis). The problem can even extend to the foreskin, which is the skin over the region. In this case, it is a balanoposthitis. The main symptoms are itching, burning or even pain, in addition to a reddish appearance, which may have secretions.

In this post, we will learn more about the condition. Read on!

When does balanitis occur?

The disease is directly related to the hygiene conditions of the penis. This is because of the lack of an adequate cleaning routine promotes the formation of a secretion, composed of dead cells that accumulate in the place. However, there are some factors that can increase a man’s chances of developing the problem.

Individuals who have not been circumcised, for example, are more susceptible to balanitis. The reason is that the skin that covers the glans ends up making hygiene more difficult. Thus, there is a perfect environment to trigger the inflammatory process, since the area becomes warmer, moist and with residues.

On the other hand, people with type 2 diabetes are also more likely to have the disease. In addition, age is a risk factor, since the incidence is higher in men over 40 years. Obesity and previous diagnoses of sexually transmitted diseases are other points of attention, as well as unprotected active sex life.

The use of substances that irritate the glans or allergies due to various products can also trigger inflammation. Therefore, when the first signs appear, the person should see a doctor. The condition may worsen further due to occasional urinary infections.

What are the diagnosis and treatment indicated?

In the clinic, the best sexologist in Delhi will do the clinical test to diagnose the disease through the appearance of the lesions. It will probably be necessary to perform laboratory tests to identify the causative agent of the infection and to be able to direct treatment.

It is worth remembering that inflammation may or may not be associated with an infection and, therefore, this will define which medication is appropriate for the case. The clinical protocol will be indicated to the patient’s partner in order to avoid recurrence.

As the proper hygiene of the region is the main form of prevention, surgery to remove excess skin may be recommended in cases where the narrowing of the foreskin prevents the exposure and correct cleaning of the glans.

As suggested, the best form of prevention is in how a man cleans his sexual organ. Other even more serious problems, like penile cancer, are related to lack of cleanliness.

For correct hygiene, the individual must retract the skin (foreskin) and wash the glans region, ensuring that no residue or secretion remains.

In addition, it is recommended to dry the penis after urinating and to wash it correctly after the sexual act, as well as to consult the specialist in case of suspected abnormalities. These and other cares help the man to maintain health and to avoid balanitis.

Want to know more? I am available to answer any questions you may have and I will be very happy to answer your comments on this matter. Read other articles and learn more about my work as a sexologist in Delhi!

Erectile Dysfunction of Neurological Origin

Erectile Dysfunction of Neurological Origin

, ,

Erectile Dysfunction of Neurological Origin has a close relationship with male sexual impotence. The one characterized by a lack of permanent erection.

However, occasional failure does not makeup to develop this disease.

The main cause of this problem is emotional. That affects about 70 percent of cases. The remaining 30 percent represents an organic dysfunction, which can be caused by arterial, hormonal problems. And in a smaller percentage as a result of changes in the anatomy of the male member; As in Peyronie’s disease.

Erection Problems Caused by Nerves

Anxiety is the emotional cause that most blocks the mechanism of an erection. Men may be afraid of failing more than once or feeling inhibited; when they relate to a person who attracts their sentimental attention.

Premature ejaculation may also be responsible for this problem. The fear of ejaculating too quickly, not giving pleasure to the couple, and not achieving ideal penetration. It creates great anxiety, which leads to the inability to have a firm erection during sex.

Other reasons such as stress and economic problems can also contribute to erectile dysfunction. “There is a lot of talk about how people should behave to stimulate desire”

Ideally, it would be to transform the family environment and daily routine, but it’s not an easy task. However, every effort is worthwhile in order to have the desired person at your side.

Also, certain sexologists in Delhi emphasize, that when it comes to sexuality the focus should be emotional. Because it’s part of the intimate relationship between two people. “It is important to establish whether the male member malfunctions and compromises the relationship. Or if it works badly because the relationship is already compromised.”

Erectile Dysfunction Caused by Emotional Disorders

It is common to relate human aging to impotence. In fact, testosterone can decrease in old age; But not at a level that requires replacing it.

According to sexologist in Delhi, aging does not cause a loss in erection or sexual desire. If not it varies the attitude of each individual. A person over the age of 70 may have satisfactory sexual activity. As long as she is healthy optimistic and willing.

The same can apply for young men, who are depressed or sick. “Sexuality has no pattern, just remember that on vacation people enjoy sex more.”

Lovers have not changed; What has changed is the environment and libido profile. It is currently noticeable that sexuality varies at every moment from person to person. It depends on the interpersonal relationship and partly to the quality of life of the human being,” the best sexologist in Delhi explains.

How to Decrease Anxiety and Emotional Discomfort?

If you want to achieve inner peace, the main thing is to forgive the people who once hurt your self-pride and forgive yourself for the actions done. To feel calmer and relaxed as such.

In addition, it’s important to do daily physical activity for at least 30 minutes a day. Applying kegel exercises, accompanied by meditation exercises such as yoga. They can help you fall asleep. Contributing to a better lifestyle.

Eating a balanced diet also helps counteract anxiety. Foods such as: Spinach, celery, chard, beetroot, and asparagus; can be accompanied by fish or chicken. The nutrients of these edibles also encourage better circulation by the high concentration of nitrates.

Nerve-Caused Erection Treatments

The following are 2 treatments for Erectile Dysfunction of Neurological Origin:

1. In case erectile dysfunction occurs due to failure of the nerves that stimulate the male limb. The most appropriate treatment is self-injection.

This treatment involves injecting into the cavernous body a drug that causes vasodilation to the virile limb, favoring the entry of more blood.

It takes immediate effect ten minutes after injection. Causing a satisfying male erection. Self-injection may be applied in diabetics and in men who have had radical prostatectomy. Which is the total removal of the prostate caused by cancer.

2. In certain emotional cases, psychotherapy has also been shown to be effective. When in diabetic men the disease is poorly controlled; There may be radical changes in nerves that stimulate the male limb, causing erectile dysfunction.

sexologist in Dwarka

Sexual Dysfunctions Treatment

What are Sexual Dysfunctions?

You can talk about sexual dysfunction when you experience difficulties regarding desire, arousal, orgasm, or resolution during any stage of the sexual act. The appearance of pain at any time of the act is also considered a dysfunction, says sexologist in Dwarka.

When we refer to the sexual response of people, we must know that it normally follows a progression common in all individuals and that it is divided into desire, excitement or plateau, orgasm, and resolution. When problems or disorders occur in one or more stages of this progression, we would be facing sexual dysfunction.

The appearance of sexual dysfunctions can have harmful effects on people who suffer from them since they often experience difficulties in their relationships with their partner and their self-esteem is reduced, explains the best sexologist in Dwarka.

Anyone can occasionally present small abnormalities in their sexual response, although we would be talking about dysfunction when the problem lasts for a certain time, at least three months, and which also occurs persistently.

What is the reason for Sexual Dysfunction?

If we ask ourselves the reason or the possible origin of sexual dysfunctions, we can distinguish three types of main factors:

Predisposing factors, which increase the chances of the appearance of a dysfunction:

  • A restrictive religious or moral education
  • Living a traumatic experience in childhood
  • Presence of parents with problems in their relationship
  • Sexual myths
  • Feeling insecure with one’s gender

Precipitating factors, which can cause dysfunction:

  • Relationship problems
  • Sexual dysfunction in the couple
  • Adverse situations in the social, work or family environment
  • Inappropriate interaction with the partner in the sexual sphere
  • Inappropriate sexual experiences
  • Pregnancy or childbirth
  • Focus on a previous sporadic failure

Maintaining factors, which lead to the dysfunction not disappearing and therefore recurring on other occasions:

  • Lack of information on dysfunction
  • The anticipation of sexual failure or failure
  • Anxiety and/or fear of the sexual act
  • Communication problems and/or attraction with the partner
  • Feeling of responsibility or guilt with the partner
  • Depression
  • Substance use (alcoholism)
  • Anorexia
  • Anxiety

What are the main symptoms of Sexual Dysfunction?

Although the causes of sexual dysfunction can be very varied, its symptoms are common. In general, we find elements such as a lack of interest in sex, little receptivity to sexual activity, or lack of fantasies or sexual thoughts, says sexologist doctor in Dwarka.

We can analyze the symptoms in more detail depending on whether the person suffering from the dysfunction is a man or a woman, which would allow us to make the following classification:

Symptoms in men

  • Impossibility of achieving an erection
  • Premature ejaculation
  • Problems ejaculating, delayed ejaculation or inability to ejaculate
  • Difficulty maintaining proper erection and having satisfying sex

Symptoms in women

  • Vaginismus, or difficulty achieving painless or uncomfortable penetration, due to involuntary muscle contraction of the vagina
  • Lack or insufficiency of vaginal lubrication
  • Pain, stinging, or burning sensation in the vulva or vagina while having sex
  • Anorgasmia or inability to reach orgasm

Symptoms common to men and women

  • Inability to get excited
  • Lack of sexual desire or interest
  • Pain in sexual relations (more frequent in women than in men)

What types of Sexual Dysfunctions are there?

There are four categories of sexual dysfunction, depending on the factor that is related in each case:

Sexual desire disorders

This disorder is the most frequent and is characterized by the deficiency or absence of sexual appetite, fantasies, or erotic thoughts, as well as lack of receptivity to have sexual relations. It is more frequent in women than in men, since it can affect about a third of women between 18 and 59 years of age, and even close to half of the women once menopause begins.

This type of desire disorder has various causes, both cognitive and biological or affective, so its diagnosis and treatment can be complex, explains b.

  • Hypoactive sexual desire disorder: occurs when sexual desire persistently and continuously decreases, lasting at least six months, experiencing a lack of sexual fantasies as well as little or no interest in having erotic relationships. In this type of case, the origin may be associated with factors such as anguish, anxiety, or problems in maintaining interpersonal relationships.
  • Sex aversion disorder: Also called sexual rejection, it is characterized by an extreme or irrational fear of sex. It is a relatively rare disorder and occurs in both men and women. It resembles phobias in that the person suffering from this disorder experiences physiological reactions such as sweating, increased heart rate, nausea, etc., when witnessing some type of sexual behaviour or, sometimes, even at the mere thought of it.

Sexual arousal disorders

We speak of disorders of arousal in those cases in which the people who suffer them experience difficulties in the second stage of sexual response, that of excitement or plateau. Traditionally, this type of disorder was known with derogatory names, such as “impotence” or “frigidity”, although nowadays its motives and causes are much better known and are more de-stigmatized.

These types of disorders are usually related to medical or physiological causes, in addition to psychological ones, such as, for example, a lack of blood flow in men or vaginal lubrication problems in women, explains sexologist doctor in Dwarka.

Sexual arousal disorders are more frequent in men than in women, although the latter also experience them.

  • Male Erection Disorder: Also known as erectile dysfunction, it consists of the inability to obtain or maintain a satisfactory erection. This entails, therefore, the inability to develop sexual relations, especially those that involve penetration. In order to really be an erection disorder, this problem must be maintained for a minimum of six months, and also must not be caused by other causes, such as substance use (medications, drugs, etc.)
  • Disorder of female sexual arousal: it consists of the total or partial failure of vaginal lubrication, and which consequently makes intercourse difficult or impossible. The causes of this type of disorder can be both psychological (depression, low self-esteem, anxiety, stress, etc.) and physical (lack of estrogens, infections, etc.)

Orgasm disorders

Also known as anorgasmia, it is the inability to reach orgasm even when there is great sexual desire or appropriate stimulation is being received. We can speak of orgasm disorders when we find persistent absence or delay of orgasm after having successfully developed the excitement or plateau phase, says the best sexologist in Dwarka.

Although it is more frequent in women, this disorder also occurs in men; in any case, in both cases, the psychological component is of great importance. In addition, this disorder can severely affect the self-esteem of people who suffer from it.

  • Male Orgasmic Dysfunction: This disorder consists of the absence or abnormal delay of orgasm in the male. However, it is important to note that this absence of an orgasm does not imply the absence of excitement or pleasure, but only the inability to reach the culmination of the sexual act.
  • Female Orgasmic Dysfunction: Like men, women may also experience orgasmic dysfunction disorders; they, to reach orgasm, can experience different types and intensities of stimulation. Despite this, many women have never experienced an orgasm. And there are even some others who have stopped experiencing it after having sexual intercourse normally during a period.
  • Premature ejaculation: This is the most frequent sexual disorder in men; however, there is still a certain taboo on this. It consists of the sudden and early expulsion of semen, earlier than desired, and which cannot be controlled. It affects almost a third of men; however, it is estimated that at least 70% of them have experienced it at some point in their lives. It does not imply any risk to the health of those who suffer it, but it can lead to problems related to self-esteem, warns sexologist in Delhi.

Pain disorders

The sexual pain disorders consist of suffering genital pain during intercourse affected person. It is much more frequent in women than in men, although the latter can also suffer from it. Thus, while dyspareunia affects both men and women, vaginismus affects only the latter.

  • Dyspareunia: This is a disorder that affects both men and women, although it is much more frequent in these. This disorder can range from simple genital irritation after intercourse, to experiencing deep pain. Dyspareunia is usually defined as discomfort or pain before, during, or after intercourse.
  • Vaginismus: Unlike dyspareunia, vaginismus affects only women. This disorder consists of the difficulty to have sexual relations, due to an involuntary muscular contraction of the vagina. Therefore, although vaginismus makes intercourse very difficult or impossible, women who suffer from it can practice other types of games or sexual practices, and even achieve orgasm through them.

How is Sexual Dysfunction treated?

Today the most effective treatment is sex therapy. This has the main objective of creating or restoring the sexual well-being and satisfaction of both members of the couple.

The first objective will always be an evaluation to establish a diagnosis of dysfunction. It is important after the diagnosis that there is adequate information about the dysfunction that is suffered and about sexuality. Then the sex treatment in Delhi will focus on sexual objectives. This part is the most important, where different very effective programs have a place. Finally, prevention and possible relapses will be worked on, suggests sexologist in Delhi.

Vulva and vagina

Vulva and vagina: know what you can or cannot do with them

,

The most delicate part of the female anatomy deserves – or rather, it requires! – special care in everyday life to always stay healthy and free from problems such as infections and unwanted secretions. The best sexologist in Delhi provides the list of what is prohibited and what is allowed to do with your vulva and vagina.

FORBIDDEN

Use absorbent daily.

Although many brands have their own versions for daily use, gynecologists do not recommend this practice. Continued use of tampons can smother the vagina and accumulate secretions and sweat, increasing the risk of infections. Breathable ones, that is, without plastic wrap, can only be adopted in extreme cases, such as loss of urine, excessive sweating or excessive vaginal content. Even so, they need to be changed every three or four hours. However, routinely using the tampon on days when a woman does not have a menstrual flow poses risks: as the vaginal environment is hot and humid, it favors the proliferation of bacteria and fungi.

Wash the vagina internally with a shower No way!

No way! The internal showers modify the vaginal pH, change the local flora (a set of microorganisms that live in balance) and favor genital infections, causing secretions. If the vagina has normal and balanced flora, washing it internally can cause foreign bacteria to enter. The ideal, in fact, is to clean only the external area – pubic area, vulva skin, root of the thighs and perianal region – and the so-called intermediate compartment, which includes the interior of the labia majora and the labia minora up to the hymenal membrane. In the internal compartment, sexologists in Delhi recommend washing only the “entrance”, there being no need to introduce any soap or perform internal showers.

Wash the vagina internally with accessories

He recently went viral on the post of a girl sharing that used to wash her vagina and anus with a toothbrush. In no way should women imitate such an attitude. First, because the vagina is “self-cleaning”, that is, it is able to clean all secretions and flaking naturally. Frames candidiasis they may leave some “plates” stuck internally, but you should not introduce any type of accessory to remove them. A vaginal cream prescribed by the gynecologist can solve the problem. What’s more, the vagina is mucous and therefore a thin and delicate area. There is a danger that the brush’s bristles – or any object that is more harsh or sharp – will hurt the inner walls. Not to mention that using the same item – and this is even true for sex toys – in the anus and vagina can cause cross-contamination, since the local bacteria are different.

Use perfumes and sensual indoor cosmetics

The normal vaginal discharge has a slight and almost imperceptible odor. At the end of the day, with sweat, it is common for the smell to become more intense, but this is perfectly natural. Using perfumes to “mask” the original feminine fragrance is quite a step towards an unbalanced pH, resulting in irritations and discharge. On the vulva (outside), talc and possibly deodorant and perfumes can be applied. In the pink part, the vagina, nothing should be used. Gynecologists also recommend avoiding glitter pills, manufactured with the purpose of spreading glitter during penetration, and the so-called Hot Balls, jelly balls for sale in sex shops that melt inside the vagina and promise to cause various sensations, such as heat, cold and ” shocks “. These products can alter the entire local flora.

Introduce food

Playing with food is a recurring fantasy among couples who like to explore the more playful side of sex. However, it is one thing to pour condensed milk or chocolate syrup on your nipples and lick it off. Another, quite different, is to introduce whipped cream, fruit and even champagne bubbles into the vagina. This is a very dangerous practice, as some pieces of food can escape into the vagina, causing secondary contamination. Allergies, burning and pH changes are other possible strains. What’s more, foods that travel only outside the body do not cause problems, but are contaminated by vaginal and perianal bacteria, and can cause damage if digested.

Do vaginal vaporization

The technique of sitting in an herbal vaporizer won many fans after the actress Gwyneth Paltrow declared herself adept at the practice, which, in theory, would serve to tone, sanitize and balance vaginal hormones. It is not for nothing that “Goop”, the series on the star’s well-being on Netflix, has generated so much criticism. There is no scientific evidence on such benefits. Furthermore, if the steam is too hot, the woman may suffer burns. Some gynecologists, especially those with natural therapies, recommend local compresses of iced chamomile tea when there is some irritation in the vulva, but they should not be introduced into the vagina.

RELEASED

Use lubricants

Yes, especially water-based products, which will not make the condom break in contact with the latex. They do not change the flora or the local pH and are excellent in situations of vaginal dryness, such as postpartum, breastfeeding, menopause and diseases that alter hormones, such as endometriosis. However, whatever the case may be, the lack of vaginal lubrication should never be underestimated; therefore, it is always worth seeking the guidance of the gynecologist.

Sleep (and even stay) without panties whenever possible

Yes, for the entire vulvar region to breathe freely. Every woman should abuse skirts, looser pants and pieces with light fabrics. It is essential to avoid spending too much time with excessively glued or tight pieces, such as gym clothes and jeans.

Use wet wipes in emergencies

We emphasize: in emergencies and, preferably, hypoallergenic. However, use only in the external area, without introducing it into the vagina. These tissues, in general, have cellulosic base soaked in mild detergents, with the addition of softening products and pH between 5 and 6, being very useful for hygiene outside the home, long trips, public toilets and menstrual period. Its use, however, should not be abusive: the vulva is very delicate and has a thin protective greasy layer that the scarf ends up removing, which can dry out, irritate, cause itching and discharge. The most suitable is to use for hygiene of the posterior region after evacuation or in situations where daily bathing is not possible.

Wash with intimate soap

Yes, because it has the appropriate pH for the intimate region and is healthier than the conventional one. However, avoid abusing the quantity and introducing it internally — again, the recommendation is to stay only at the “entrance”.

Do specific exercises for the vagina

Under the correct guidance of a gynecologist and/or a pelvic physiotherapist, Kegel exercises (also called “pompoarism”) are excellent for strengthening the pelvic floor area. As benefits, they increase the chances of normal delivery, recover the postpartum region more easily, fight urinary incontinence, prevent bladder fall, favor body awareness, and allow more full and healthy sexuality. The starting point, roughly speaking, is to imitate the contraction that women make in the vagina when they want to hold the pee – that is why this intimate gymnastics requires guidance because done in the wrong way can generate urinary tract infections, among other ailments.

Prefer cotton panties

Cotton is a natural fabric that allows for local ventilation. So it is highly recommended, since humid and warm environments favor fungal and bacterial proliferation. It is not to eliminate the panties produced with lycra from the drawer, but to use them sparingly and on special occasions, as they get very hot.

Potency disorder

Potency disorder – what to do?

, ,

Twenty years ago, the topic of erectile dysfunction was hardly ever mentioned. In fact, there were significantly fewer people affected than at the time. Prostate cancer was also much less common than it is today. Another phenomenon of our time is the striking decrease in the sperm count of adult men. It is now around 50% lower than 50 years ago. As a result, the birth rate has declined accordingly.

Potency disorders due to dramatic environmental changes

It is obvious that the major changes in the environment over the past 50 years have also affected male fertility.

Exogenous estrogens, which for example get into the groundwater and are also absorbed by the male organism through drinking water, contribute to the feminization of men – as well as many male mammals.

Improper nutrition supports erectile dysfunction

Another reason for the increasingly frequent erectile dysfunction in men is the enormous loss in the quality of today’s foods.

In addition to the depleted soils, which lead to a high mineral loss of the food, the regular consumption of heavily processed foods in the form of ready meals, fast food, etc. stands in the way of strong potency – and thus fertility.

Trans fatty acids, which are processed in margarine, shortening, and all products made from it, such as chocolate, cookies, cakes, etc., also hinder the production of testosterone.

Tocopherol – Vitamin E the fertility vitamin

A nutrient that continues to decrease in modern nutrition is vitamin E.

This vitamin plays an important role in the fertility process – this is clear from the translation from Greek because the scientific name for vitamin E is “tocopherol” and in Greek means “father a child or expect a child”.

This is why this vitamin is also known as a fertility vitamin.

Numerous experiments on animals have shown that vitamin E, which has been used in the form of wheat germ oil, is absolutely necessary to ensure the fertility of the animals.

In further studies, it was clearly proven that extracted or chemically produced vitamin E could not have nearly the same effect as food containing vitamin E, eg vitamin E contained in wheat germ oil.

Vitamin E is usually found in sufficient amounts in whole grains, cold-pressed vegetable oils, egg yolks, butterfat, and dark green vegetables. However, this vitamin is largely destroyed by modern processing.

Eat natural zinc

The trace element zinc is also significantly involved in erectile dysfunction. Zinc fulfills many different functions in the body. It plays key roles in sugar, fat, and protein metabolism and is involved in building up the genetic material and in cell growth.

Omega-3 fatty acids

The holistic foods that contain the important fat-soluble vitamins A, D, E, and the trace elements iron and zinc in a natural combination include omega-3 fatty acids. These are found primarily in high-fat fish.

However, linseed oil is a much better source. Its Omega 3 content is around 50%. Much better because an organic linseed oil ensures the highest possible quality, which is not the case with fish.

Processed foods should be avoided

In the case of erectile dysfunction and prostate problems, all heavily processed foods should be avoided.

Some of them contain oils that have gone rancid as well as a high content of phytic acid, which blocks zinc absorption in the body. Soy products can also be problematic due to their plant estrogens.

These processed foods initially trigger unnoticed inflammation in the body. These inflammations are largely responsible for erectile dysfunction.

Caffeine affects the adrenal glands

Caffeine, which is contained in coffee, tea, non-alcoholic drinks, and chocolate, for example, should also be avoided if possible, since it stresses the adrenal glands and can therefore ultimately have a negative impact on the male potency, says best sexologist in Delhi.

False start in bed or premature ejaculation

False start in bed, or premature ejaculation

, ,

Premature ejaculation is defined as a disorder involving ejaculation in too fast time than the person interested wishes. According to the best sexologist in Delhi, problems affect even every third man and are most common in people who start sex life.

Dysfunction, which hinders sexual life and does not give satisfaction to both partners, can lead to the breakup of a relationship, depressive mood disorders, unwillingness to bond with someone and have sexual intercourse. In order to be able to assess the severity of the disorder, one had to look for some easy-to-assess parameter that would specifically classify the problem. This is how the term IELT (intravaginal ejaculation delay time) was created – this is the time measured from vaginal penetration to ejaculation. Time below fifteen seconds indicates a serious disorder, between fifteen seconds and one minute, means moderate, between one and two minutes mild.

Causes of premature orgasm

The causes of premature ejaculation are: rare sexual contact (this does not always have to worry – it often happens that the discharge of accumulated sexual tension after a long time manifests itself just as premature ejaculation), masturbation conditions, excessive sensitivity of the glans penis, narcissism or improper attitude to women, neurological disorders, traumatic sexual initiation experiences, urinary tract infections and others. So, as you can see, there are many reasons and often they have a very diverse basis.

Treatment of premature ejaculation

Sexologists in Delhi  Help should be sought from a sexologist doctor in Delhi, sometimes a psychological consultation is required. Pharmacological agents and dietary supplements are often used.

The basic drugs used in premature ejaculation treatment in Delhi include short-acting phosphodiesterase inhibitors. If the problem is caused by excessive sensory sensitivity of the penis glans, special anaesthetics are applied a few minutes before intercourse or specially designed condoms (you can use two condoms at the same time). There is also talk about the positive effects of specially developed masturbation methods – their disadvantage is that the effects come after a long time, and the technique itself requires the regularity and cooperation of both partners.

Sometimes psychotherapy, both individual and partner, is very effective.

There are a whole bunch of quite effective methods that will help fight the problem of premature ejaculation. So if the methods used on your own fail, you should not be afraid to contact a sexologist in Delhi who will examine the problem, find its cause and advise on an effective method of fighting. It is important to seek help quickly so that you do not fall into a vicious cycle of being unable to have intercourse, blaming yourself and giving up the pleasure that a successful partnership can give.

At what age does a man stop having an Erection

At what age does a man stop having an Erection?

, , , ,

As in women, in men, there are a series of changes with age. The so-called 40s crisis is usually the beginning of the changes that become even more acute. This is especially true of male sex life, and therefore many men wonder if male erection loss is a matter of age. In this post, we talk about it.

Age in men’s sexual health

The changes that a man may experience throughout his life can depend on many factors. Among them is physiological and biological. These factors appear around 45 years of age when the male begins to undergo hormonal changes derived from the natural process of aging.

These hormonal changes produce a gradual loss of testosterone, commonly known as andropause. In addition to this, an increase in the size of the prostate known as benign prostatic hyperplasia also begins to occur in many cases.

All these male pathologies, in turn, affect the sexual health of men. For this reason, it is common that from the age of 45 there are also changes in sexual life such as changes in appetite or sexual desire, ejaculation disorders, or erectile dysfunction or impotence. However, this does not happen in all men nor does it happen in the same way.

Sometimes these signs of aging appear later in life, and in fact, most often, both andropause and benign prostatic hyperplasia and erectile dysfunction appear more pronounced around the age of 50 and over.

The most frequent male erection problems

Erectile dysfunction or impotence is the most frequent erection problem among men over 40 years. Among the causes that produce it, we can find organic or physiological factors and psychological factors.

The psychological factors should be treated specifically with a sexologist in Delhi who can provide guidance to both the patient and her partner should have it. In contrast, organic causes tend to have different origins, although some are more prevalent than others. Thus, there are different causes:

  • Diseases of the cardiovascular system. They are the most common cause of erectile dysfunction and refers to all those patients who suffer cardiovascular risk factors such as hypertension, diabetes or cholesterol as well as obesity. These causes have very effective treatments today like shock waves for impotence.
  • Some drugs or medications that produce erectile dysfunction as an adverse effect because they prevent the proper functioning of the male erection. Special reference is made to sleeping pills, antidepressants and even some medications for blood pressure or heart.
  • The andropause and testosterone deficiency can also cause erectile dysfunction but can treat this case without problems.
  • The consumption of alcohol or drugs can produce impotence as well and not only affect the erection but also sexual desire.

In any case, when faced with an erection problem, it is advisable to go to the best sexologist in Delhi to find its cause and its subsequent solution. At Dr. P K Gupta Super Specialty Clinic, we know these pathologies and their treatments very well and, in addition, our sexologist doctor in Delhi is specialized in the treatment of sexual dysfunctions, which is why we offer a comprehensive treatment of erectile dysfunction.