Monthly Archives: December 2021

sexologist in North Delhi

Sexual difficulties and dysfunctions in men and women

“ Sexual health is a state of complete physical, emotional, mental well-being associated with sexuality and not just the absence of disease or illness ” (WHO, World Health Organization).

The person may have alterations or disturbances in their sexual response cycle, resulting in sexual difficulties or dysfunctions that prevent them from having a satisfying and satisfying sex life, explains best sexologist in North Delhi, South Delhi, West Delhi.

The causes that may be the source or contribute to these difficulties may be organic, psychological or mixed. Physical and psychological health problems, medication use, smoking, affective or relational problems, lack of sexual experience and body knowledge, sexual trauma, as well as socio-economic and occupational factors may all negatively affect the response, says sexologist in North Delhi.

Sexual dysfunctions can be triggered by organic causes and often aggravated by their emotional repercussions.

Dysfunction can be primary if it coincides with the onset of sexual activity and secondary if it has been acquired over time. It can be generalized if it is present under any circumstances, or situational if it is present only under certain circumstances.

Consultation with a sexologist in South Delhi is an effective way to unlock fears and anxieties, allowing you to build positive attitudes toward sex. Education and information about the human sexual response are also very important and effective in resolving or diminishing the impact that some sexual difficulties have on the person. In some cases, therapeutic approaches may include the suggestion of certain exercises and specific techniques.

Male Sexual Dysfunctions

Many men are still very withdrawn in seeking medical help regarding sexual and reproductive problems they may have. But the sooner they assume they may need medical support and advice from the best sexologist in South Delhi, the more quality of life they earn. It is important to share so as not to suffer. Many of the dysfunctions are easily treatable.

The most common male sexual dysfunctions are:

 Dysfunction Type
WishHypoactive sexual desire disorder
ExcitementErectile dysfunction
OrgasmEjaculatory Dysfunctions

Orgasm inhibition

AcheDyspareunia

Hypoactive sexual desire disorder

 “Persistent or recurrent absence or deficiency of fantasies and desire for sexual activity” (Source: DSM IV)

Psychological Causes:

  • May be associated with other sexual dysfunction in man or partner
  • Emotional distancing and conflict in the couple have also been associated with this dysfunction, although it is difficult to see if it is the cause or consequence of this dysfunction.
  • Psychiatric disorders (depression and anxiety disorders)
  • Life Events, Grief and Other Losses

Organic causes

  • General effects of a physical illness
  • Specific physical disorders: Liver disease, Prolactin-secreting pituitary tumors, Testosterone deficiency (rare, although it is common in clinical practice for patients to associate their decreased desire with decreased testosterone, making it more difficult to recognize more likely causes such as loss of attraction). by partner)
  • Iatrogeny: Antihypertensives, antidepressants, antipsychotics, anticonvulsants

Erectile dysfunction

Age is a factor that relates to the onset of erectile dysfunction. While younger individuals are more likely to develop erectile dysfunction of the psychological cause, older men usually develop erectile dysfunction of organic cause due to increased comorbidity with various risk factors.

Erectile dysfunction or sexual impotence is the persistent or recurrent inability to achieve or maintain an adequate erection until sexual activity is complete, causing marked discomfort or interpersonal difficulty.

Erectile dysfunction may be due to various causes, including organic, psychological or mixed.

For the resolution of erectile dysfunction, it is essential not only to go to a sexologist in West Delhi to arrive at a proper diagnosis but also open dialogue with the partner.

The causes of erectile dysfunction can be very varied:

  • Vascular diseases (arteriosclerosis, heart problems, hypertension, etc.)
  • Neurological problems (nerve damage, multiple sclerosis, degenerative diseases, etc.)
  • Diabetes
  • Hormonal problems (reduction in hormone production)
  • Use of certain medications
  • Psychological problems
  • Stress
  • Depression
  • Execution Anxiety
  • Fear of failure
  • Low self-esteem
  • Dissatisfaction / Marital Conflict
  • Poor information/myths about sexuality

Since the causes of erectile dysfunction are diverse in nature, treatments may involve sexual counseling, drug therapy and in some cases surgery. Before making any decision, the best sexologist in West Delhi may start by giving some advice that may be beneficial to a man’s sexual health, such as exercise, careful diet, reduced alcohol or tobacco use, and longer rest.

Ejaculatory Dysfunctions

Premature, early or rapid ejaculation

Difficulty in controlling ejaculation, which in some cases may occur before, at or soon after penetration, limiting sexual satisfaction. It is one of the most common sexual dysfunctions, especially among younger people, however many shame in the face of this difficulty does not allow many men to seek treatment.

The causes are mainly psychological, related to anxiety and stress, but biological causes may be involved. It may also be associated with alcohol or drug use. Your treatment may include sex therapy, psychotherapy, and medication suggested by sexologist in North Delhi.

Anejaculation

The complete absence of ejaculate being preserved the sensation of orgasm. Due to the lack of issuance phase, there is an expulsion phase.

Etiology:

Main Psychological Causes:

  • Fear of causing a pregnancy
  • Ejaculations out of coitus in the form of nocturnal pollutions on waking or during masturbation

Main Organic Causes:

  • Multiple sclerosis
  • Transverse myelitis
  • Spinal cord injuries
  • Drug and Surgical Iatrogeny

Retrograde cumshot

Total or partial absence of ejaculate emission due to insufficient closure of the internal urethral sphincter. The sperm passes from the posterior urethra into the bladder and remains orgasmic, explains the best sexologist in North Delhi.

Etiology:

The causes may be psychological, neurological and medication.

Asthenic Cumshot

Also referred to as drooling ejaculation or partial ejaculatory incompetence (Kaplan, 1988), it consists of the decrease or absence of muscle contractions that project sperm (ejaculation without force).

Etiology:

  • It occurs in men with spinal cord injuries below L1, such as paraplegic and para-paraic lesions in whom only the medullar secretory center remains active.
  • Obstructive urologic cause: BPH, Urethral strictures, External sphincter hypotonia

Retarded cumshot

Also called ejaculatory incompetence, it is due to the delay or specific inhibition of ejaculation mechanisms. It is involuntarily a very late ejaculation.

Relatively uncommon and prevalence does not exceed 5%, says sexologist in South Delhi.

Male orgasm inhibition

Persistent difficulty or inability to reach orgasm despite desire, arousal and stimulation. The man is unable to ejaculate with his partner, being able to ejaculate in masturbation or during sleep. Different from anejaculation because in this man can achieve orgasm, says the best sexologist in South Delhi.

Relatively rare and probably the dysfunction found less frequently in clinical practice.

Etiology:

Organic causes related to pharmacological iatrogenesis:

  • Anticholinergics
  • Antiadrenergic
  • Antihypertensives
  • Psychopharmaceuticals

Psychological Causes:

  • Inadequate stimulation
  • Fear (pregnancy, commitment)
  • Performance Anxiety
  • Prior sexual trauma
  • Partner Hostility and Marital Problems
  • Latent Homosexuality

Dyspareunia

Genital pain before, during or after intercourse. Occurs only about 1% in clinical specimens

Organic Causes:

  • Genital infection
  • Prostatitis
  • Phimosis

Psychological Causes:

  • There are no results of studies on the psychological treatment of this condition.

Female Sexual Dysfunctions

sexologist in South Delhi

Hypoactive sexual desire

It consists of the decrease or total absence of sexual desire. The woman does not express interest in preliminary sexual or erotic activities and does not feel the desire to initiate sexual activity and may avoid intimate physical contact, says sexologist in West Delhi.

Hormonal changes, endocrinological disorders, taking certain medications or psychological factors such as depression or anxiety disorders can all contribute to decreased sexual desire.

Sexual aversion

It consists of the aversion of sexual contact with consequent avoidance of all or almost all genital sexual contact.

Negative attitudes towards sex, repressive sex education, history of violence/abuse, dyspareunia are some of the factors that may contribute to this difficulty, says the best sexologist in West Delhi.

Sexual arousal disorder

It is the difficulty in acquiring or maintaining a state of adequate sexual arousal until the consummation of sexual activity, often expressed by the absence or diminution of vaginal lubrication.

Endocrinological changes, for example in breastfeeding and menopause, may lead to decreased vaginal lubrication, as well as some chronic diseases such as diabetes, thyroid disease, certain medications or smoking.

Psychological factors such as anxiety, stress, and depression, as well as relational factors such as lack of adequate stimulation of the partner and poor communication, are some of the factors that may also contribute to this difficulty.

Orgasm Disorder

Orgasm disturbance is the persistent or recurrent difficulty or inability to reach orgasm after a normal phase of sexual arousal.

Some neurological diseases, hormonal changes, use of certain drugs, alcohol and drug use, age (young) and negative attitudes towards sexual activity are some of the factors that can negatively influence the orgasmic phase.

Dyspareunia

Persistent pain in the genital or pelvic area during sexual intercourse. Although pain is most often experienced during intercourse, it can also occur before or after intercourse.

Certain organic problems such as gynecological inflammation, relational factors, psychosexual conflicts, are some of the causes that can contribute to the woman’s pain in sexual intercourse.

Vaginismus

Women’s difficulty tolerating penetration due to involuntary recurrent or persistent contraction of perineum muscles adjacent to the lower third of the vagina.

Maybe the origin of vaginismus organic factors or psychological and emotional factors that include:

  • Lack of information and wrong or negative beliefs about sexuality (guilt, conservative education)
  • Inexperience that can lead to fears or blockages and a conditioned response
  • Previous experiences with pain.
  • Traumas
Sexually Transmitted Disease

Sexually Transmitted Disease

STIs, or sexually transmitted infections, are contagious infections whose most common form of transmission is through sexual intercourse (especially vaginal, oral or anal). Safer sex is the best way to prevent infection but std treatment in Delhi is also available and effective in treating and controlling the disease.

The best-known STDs are:

  • HIV / AIDS
  • HPV Human Papilloma Virus
  • Chlamydia
  • Gonorrhea or Blenorrhagia
  • Hepatitis B
  • Syphilis
  • Genital herpes
  • Trichomoniasis

Transmission ways

The main transmission routes of STDs are:

  • unprotected vaginal sex between woman and man; ie when the penis is introduced into the vagina without a condom (internal or external);
  • anal, unprotected sex between woman and man or between man and man. That is when the penis is inserted into the anus without the protection of a condom;
  • and for some infections, oral sex; ie when the vagina, clitoris or penis is in direct contact with the partner’s mouth without a protective barrier (such as a latex sheet or impermeable plastic, for example);
  • the risk of transmission is also related to certain practices or behaviors, such as sharing sex toys; To avoid transmission, dams should be worn during oral/vaginal sex, latex gloves, and water-based lubricants during touching or penetration of the anus or vagina, condoms and lubricants should be used when sharing vibrators, etc.

Finding sexologist in Delhi you are comfortable talking to and can ensure follow-up is critical.

Whenever you start a new sexual relationship, it is important to talk to your partner about your previous relationships in order to prevent the risks of contracting an STI.

In addition, when not in contact with the body, most infectious agents responsible for STI die quickly.

Signals and symptoms

Some signals may translate into the existence of an STD:

  • abnormal vaginal discharge, often smelly or urethral discharge;
  • redness, white spots, blisters, warts or vesicles on or around the genitals, anus, or mouth;
  • change in texture and/or color in the nails and/or surrounding skin;
  • pain or burning sensation while urinating;
  • diffuse lower abdominal pain;
  • feeling of pain or burning during sexual intercourse;
  • fever.

Certain infections cause symptoms only in men, others only in women, and sometimes there may be infection without any kind of symptoms.

In some cases, the consequences of an untreated STI manifest themselves later without any abnormal signs being detected.

STD treatment in Delhi should always be done to partners involved in sexual intercourse, even if there are no symptoms. In this way, serious complications such as infertility are avoided.

It is essential for the health of people to talk to their partners about whether they have a burning sensation, pain or discomfort in the genital area and to consult a sexologist doctor in Delhi as soon as possible. Going to the consultation, the diagnosis is made quickly and the treatment begins.

Prevention and early detection

  • The best strategy to prevent the onset of an STD is safer sex;
  • A condom is the most effective method to prevent an STD;
  • It is essential to be aware of the risks, especially when the behavior and clinical status of sexual partners are unknown; more partners do not necessarily translate into greater risk, as long as everyone adopts risk-minimizing behaviors;
  • As soon as you feel uncomfortable or if you notice lesions in the genital area, a doctor should be consulted;
  • When an STD is diagnosed, people with whom you have had sex in recent times should be informed; depending on STD and other factors, “lately” may mean in recent weeks, recent months, or recent years;
  • Periodic examinations are essential for STD screening, as symptoms are very difficult to detect;
  • Prevention and early detection is the best way to avoid more serious health complications;
  • Watch for signs …

FAQ – Frequently Asked Questions

Is there a difference between STI and STD?

STI is an abbreviation for Sexually Transmitted Infections and it is these infections that can trigger disease, namely STDs (Sexually Transmitted Diseases). Despite this precision, both words are often understood as synonyms. The most important thing is to know that your main (but not the only) route of transmission is sexual intercourse, whether vaginal sex, oral sex or anal sex.

Infection is the invasion of body tissues from a host organism by agents capable of causing disease, the multiplication of these agents and the reaction of the host tissues to them and the toxins produced by them.

Infectious disease is any clinically evident disease (ie, manifested through symptoms and signs, with physiological, biochemical and histopathological changes) as a consequence of injury caused by the agent and host response.

When the infectious agent penetrates, multiplies or develops in the host without causing damage or clinical manifestation, subclinical, inapparent or asymptomatic infection is considered.

What are the main symptoms of an STI?

An STI does not always manifest clearly, so regular screening and clinical examinations are very important for diagnosis.

Some infections cause symptoms only in men, others only in women, and sometimes there may be infection without any symptoms.

But the main symptoms are usually: vaginal discharge or, in men, urethral discharge; redness, blisters, warts or vesicles on and around the genitals; pain or burning sensation when urinating; pelvic pain (lower belly); feeling of pain or discomfort when having sex; fever.

How can you avoid an STI?

The use of barrier methods (such as internal or external condoms, gloves, or latex sheets) is the most effective method of preventing an STI whenever sexual intercourse exists, including to protect sex toys.

Some parasitic diseases, such as scabies or pubic lice, can be transmitted on skin contact with contaminated sheets or upholstery. Proper and frequent cleaning of the body and spaces is the best method to reduce the risk of contracting these infections.

Some STIs, such as Hepatitis B or some type of HPV, can be transmitted on skin-to-skin contact, but there are vaccines for these infections that should also be considered.

Also considered to be less risky are sexual practices without contact with mucous membranes, or the use of non-shared sex toys.

For HIV, if an unprotected relationship occurs, it may be made available in hospital emergencies and, in some cases, post-exposure prophylaxis (PPE) to try to hinder the multiplication of the virus. It should be noted that its effectiveness is greatest if it is available in a short time: the medicine should be taken as early as possible and within 72 hours of exposure to HIV. By letting this time pass, the treatment is no longer effective. The effectiveness of treatment consists of taking antiretroviral medication for 28 days and its effectiveness is not guaranteed.

Studies are underway to preventively use some medicines, but these methods are not yet available.

Are STIs easy to treat?

It depends. There are bacterial infections that can be treated with antibiotics. But other infections, such as HIV, remain in the body and require lifelong treatment.

Where can I get an HIV test?

An HIV / AIDS test can be done using the HIV Counseling and Detection Centers (DACs), and request specific tests from your GP or a private doctor, by hypothesis. The screening centers (free and confidential) – CAD, exist in several cities of the country: Aveiro, Almada, Barreiro, Beja, Braga, Bragança, Castelo Branco, Coimbra, Evora, Faro, Guarda, Leiria, Lisbon, Porto, Santarém, Setúbal, Viana do Castelo, Viseu and Terceira Island (Azores).

Is it possible to get infected with oral sex?

Yes. There is especially a risk of getting infections such as Gonorrhea, Chlamydia, Syphilis, HPV or HIV, whether receiving or having oral sex with an infected person.

What is genital herpes?

Genital herpes is an STI caused by a virus (usually type 2 simplex virus) through sexual contact. It is one of the most common infections. As it is difficult to detect, the virus often passes to your partner without being known to exist.
Herpes can be treated to alleviate complaints and symptoms. But there is no cure, and its recurrent appearance (relapses).

Is cervical cancer an STD?

Cervical cancer is a disease that results from persistent infections with the Human Papilloma Virus, HPV. This virus lives on the skin or mucous membranes, usually causes no symptoms, and spreads mainly through sexual contact, so it is essential to practice safer sex.

There are many different types of this virus, with different consequences  (and preferred areas of infection). Some people develop visible anogenital warts (so-called condyloma, caused by non-cancerous HPV types) or have precancerous changes in the cervix, vulva, anus, penis or mouth. Very rarely, HPV infection results in anal, genital, or head and neck cancers.

Can young people suffer from erectile dysfunction

Can young people suffer from erectile dysfunction?

Can young people suffer from erectile dysfunction?

Erectile dysfunction, also called impotence, is a pathology that affects a large number of men in the world; According to statistics, there are approximately 20 to 30 million males who suffer from it.

Erectile dysfunction is not a matter for adult men, young people can suffer from it because of many reasons. According to the best sexologist in Delhi, the number of young men suffering from impotence has increased in recent decades. As shown by different studies published in The Journal of Sexual Medicine, subjects with erectile dysfunction under 40 years of age already represent a quarter of the total population that comes to consultation for this problem.

In fact, it is more severe in young men than in older men and is receiving a lot of attention from researchers and professionals.

Causes 

The sexologist doctor in Delhi says that the causes are diverse, but these are according to each organism. There are cases that are more serious and occur in those men who are overweight or suffer from diabetes, including in addition to young people who have problems with blood circulation or trauma to the pelvis.

Psychological problems also have a lot to do, among the most important we can mention depression, anxiety disorder, stress, etc. They also influence the fear of failing in the sexual relation, the complex produced by the lack of experience, the not knowing the use of contraceptives, the fear of pregnancy becoming concrete, among others.

The psychological causes can be the easiest to correct, because they only require specialized treatment, without the need to make a pharmacological one.

When looking for culprits, it is also necessary to know if they use psychoactive substances. The toxic habits that afflict society today affect the hormonal balance and the capacity of the blood vessels. As a result, testosterone levels and blood circulation are affected and, as you can imagine, erection requires both sexual desires and, of course, a good blood supply, explains sexologist in Delhi.

Is it for life or does it have a solution?

To solve erectile dysfunction problem it is important to go to a sex specialist in Delhi who can make a complete evaluation of the sexual history of the person, its functioning and current satisfaction.

It is usually corrected when the cause that is producing it is eliminated or controlled. In the same way, there are treatments to be able to directly handle male impotence, among them: juices and shakes, drugs, injections, exercises, food, etc.