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sexual desire in men and women

Sexual And Physical Changes Occurring As We Age

Gender and sexuality involve many aspects: affection, love, respect, warmth, sharing, and addiction (obligations). These gifts are the right of the youngest as well as of the older adults.

Two aspects of sexuality are touched upon in this blog: the changes that occur with age and suggestions of adaptability to these changes.

For most healthy adults, pleasure and interest in sex should not diminish with age. Age is not a plausible reason to give up the sexual practices that people enjoy throughout their lives. However, some minor adjustments may be necessary to accommodate any physical limitations or the consequences of different diseases or medications.

Physical changes commonly encountered in men

  • the male sexual appetite begins to change after the age of 50 years. However, a man’s sexual behavior is most likely affected by his or her health status or attitude towards sex and intimacy that changes with age.
  • it may take a longer period of time until the erection is installed and a longer interval between erections is required
  • the erection will be less firm. However, a man who has good blood flow to the penis will be able to achieve a firm enough erection for subsequent sexual intercourse.
  • older men may delay ejaculation for a long period of time.

Physical changes commonly encountered in women

Most of the physical changes occur after menopause and are the result of decreased estrogen levels. These changes can be influenced if the woman is using hormone replacement therapy

  • the woman needs a longer period of time to get excited
  • the skin of the woman can become more sensitive and irritable, causing the handling and the intimate contact to be less pleasant
  • the walls of the vagina become thinner and dry and irritable during sexual intercourse
  • the orgasm can be shortened and the contractions experienced during the orgasm can be uncomfortable.

Not all women face such problems. What you can do is to experiment and find ways for a pleasant active sex life despite physical changes.

Cultural and psychological factors

In addition to physical changes, there are psychological and cultural factors that affect sexuality at older ages. For example, in some cultures, sexuality is associated with a youthful aspect and vigor. Too many people think that if they are older they are less desirable and less sexually active. Older adults can accept these prejudices and adopt the idea that they are not allowed or are not allowed to be sexually active.

Sexual pleasure and love have no age limits. Almost everyone has the capacity to discover throughout their life the pleasure of sexual intercourse. The belief in the myth that older people no longer have an interest in sex is actually the loss of wonderful opportunities. Loneliness caused by one’s choice, divorce or widowhood can also be a problem. As you get older, there is the possibility that the number of people in the same age group from which you could choose a potential partner to reduce. Women or men alone may not know how to express their sexual impulses. Generally speaking, it is preferable to express sexual desires rather than suppress them until they almost no longer exist.

Physical and emotional needs change over time and depending on different circumstances. Intimacy and sexuality may or may not be important for each individual. The problem here is an option. If it is deliberately decided that sex is no longer appropriate, then that is the right decision. A life full of sex-free life is possible. However, if the option to continue an active sex life is chosen, support and encouragement may be required. You may still discover unexploited erogenous areas to be explored.

Maintaining sexual activity

Only exercise is the key to maintaining physical condition, periodic sexual acts constitute the best way to maintain sexual capacity.

It is never too late to start an exercise program and start new sexual relationships. Many older people who have been single for several years discover new satisfying sexual practices with new love relationships. For others, self-stimulation ( masturbation ) is common and does not involve health risks or adverse effects.

There are some additional considerations:

  • to amplify the sexual response, it is recommended by sexologist in Delhi to insist more on the prelude and the direct contact with the genital organs
  • to focus on erogenous areas. Fantasy and imagination help to challenge certain people. To try to induce the mood by using candles and slow music or anything else that could trigger a sexual mood
  • Many drugs, especially antihypertensive drugs, tranquilizers and some drugs used for heart disease, inhibit sexual appetite. It is recommended to consult the doctor regarding these adverse effects. Your doctor may reduce your dose or prescribe other medicines. Do not recommend stopping the medication before consulting your GP
  • If the sexual act becomes uncomfortable due to the vaginal mucus dryness, it is recommended to use vaginal lubricants to reduce irritation. The use of oil-based ointments is not recommended. The sexologist in Delhi may indicate the use of estrogen-containing vaginal creams, which will help improve vaginal tissue changes.
  • Colostomy, mastectomies and other interventions that produce changes in the physical appearance should not be the end of the sexual life. Open communication about fears and expectations related to this aspect can bring partners closer and help them overcome these barriers. If necessary, counseling both partners can help to better adapt to the new situation
  • people with heart disease can enjoy active, satisfying sex life. Most doctors recommend sexual abstinence for a short time after acute myocardial infarction. In the case of angina, consult your sexologist doctor in Delhi if nitroglycerin administration is indicated before intercourse.

Do not take concomitantly with nitroglycerin sildenafil citrate (Viagra)!

  • if arthritis prevents the normal course of sexual intercourse, to experience different positions. Try to place pillows under the thighs. To use the outpatient antiallergic treatment of arthritis
  • moderate alcohol consumption is recommended – small amounts of alcohol can intensify the sexual response by annihilating inhibitions. Consumption of increased amounts of alcohol can diminish sexual performance
  • Prescription drugs that amplify sexual response like sildenafil citrate ( Viagra ) for men and testosterone for women are available. Some people find that herbal products like ginkgo biloba and ginseng enhance their sexual appetite. Both the prescribed and herbal remedies have no adverse effects.

Other aspects of sexuality

Sexuality derives from the actual physical act itself and is a part of every individual. It involves the needs of touch, affection, and intimacy.

Touching

Touching is a wonderful and necessary sensation. Newborns who are not touched do not grow well. Children who are untouched develop affective disorders. Touching is equally important for adults. Touching helps us in contact with others and can amplify sexuality

  • massage – professional massage is great, but the simple rubbing of the shoulders and neck can also be very enjoyable. It is recommended to perform a massage by a friend to perform shoulder massage
  • hugs are recommended – everyone needs hugs. Some people are lazy to use hugs, but it is normal to ask, “Would you like a hug?”
  • it is recommended to buy a pet. Caring for a pet can help in discovering the needs of touch. Some studies have shown that people who care for pets live longer.

Affection

Giving and receiving affection is a wonderful feeling. If a person has feelings of affection for another, make sure he or she is communicated. If someone expresses their feelings of affection to appreciate. It is never too late to make new friends and to forge long-lasting relationships.

Intimacy

Intimacy is the quality of close physical and emotional contact with another person. Intimacy plays a great protective role against depression. Conversations with a confidant can ease your life problems. It may happen that a loved one who has died cannot be completely replaced, but the intimacy can be reconstructed by the following procedures:

  • focusing attention on children, relatives or old or new friends
  • to look for a person who is in a similar situation. One of the most important benefits of support and counseling groups is that members often become intimate with one another.
  • display an attitude of availability – because people need each other.
sex education

10 Curiosities Related To Sexual Activity

When it comes to sexual activity, most people have different curiosities. In the past, people did not ask their sex questions to which they wanted to be answered on the online forums as it is now. So, a smaller percentage of people discuss such intimate things with their friends or sexologists in Delhi.

And most don’t talk too much about their intimate lives, not even with their sexual partners. Before having sexual contact anyone should discuss with the other one about sexual history, risks and the latest analysis he has done to detect sexually transmitted diseases.

Do you practice protected sex?

There is no way to know for sure how many sexual partners a person has, but an even more important thing is to find out if during the sexual acts the condom was used. Although it has decreased lately, however, the percentage of people infected with the HIV virus is still worrying. Besides blood transfusion, unprotected sexual contact remains the highest risk factor.

Even though the treatments for HIV disease have improved, they have evolved considerably in the last years and they allow to extend the life of the patients, there are many people suffering from this disease. There are also other sexually transmitted diseases that are less noticed, such as chlamydia, whose infection rate has increased quite a bit in the last decade.

Did you carry out investigations for sexually transmitted diseases?

There are many unknowns at the beginning of a relationship but the possibility of the presence of sexually transmitted diseases should not be one of them. It is not the most exciting topic that could be discussed before sexual contact, but it is a good idea for both partners to be informed about this.

Of course, there are high chances of not knowing the truth and it can be uncomfortable to ask for written evidence. However, any sexually active person who has had unprotected sexual contact and manifests various symptoms must be treated in order not to transmit the disease to his or her partner.

Curiosities Related To Sexual Activity

Is it normal to decrease sexual appetite in the type of marriage?

Many married couples want to know if it is normal for the libido to decline after the relationship has been formalized. The answer is a positive one. However, there are many married couples who can have an active and fulfilled sex life. It is natural for sexual desire to diminish as a person ages, regardless of relationship status.

More than 50% of couples have a relatively poor sex life after age 65. It has been shown that an active healthy life is an indicator of a solid relationship (marriage). Also, the likelihood of extra-marital sexual intercourse decreases as people age. Surveys have shown that married people have more sex each year than their single peers. However, married couples over the age of 70 have on average about 15 sexual contacts, while single people of the same age have less than 10 sexual contacts per year.

It is normal that sexual appetite to decline after marriage, but not immediately but as the partners get older. The libido can be stimulated by including new elements in sexual life, practicing fantasies, changing positions and location or introducing role-playing games.

Should you be worried about his / her pornographic preferences?

It is perfectly normal for adults to watch pornographic material and many happy couples experience this together. It is wrong when one of the partners has a preference for viewing abnormal sexual images: minors, violence, etc.

If, however, the partner is dependent and spends too much time in front of pornographic images, which affects his normal life (personal relationships and work), this aspect becomes a problematic one. On the other hand, if pornography has replaced sexual intercourse in a couple, the intervention of a psychotherapist is necessary.

Why is sex sometimes painful?

Over 30% of women experience discomfort during intercourse, and in 10% of them, the pain is chronic. Some women experience pain at every sexual contact, while in the case of others, this unpleasant symptom may occur suddenly, without having previously manifested. If the sexual act becomes painful (especially if it causes bleeding), this aspect will be discussed as soon as possible, with the gynecologist or urologist.

There are several different causes for painful intercourse: insufficient lubrication, bacterial or fungal infection or endometriosis, inflammation of the urethra or thinning of the vaginal walls, etc. Although the sexologist doctor in Delhi must be consulted, until the visit, the following measures can be taken:

  • extension of the prelude
  • use of lubricants
  • avoid sexual intercourse during showering
  • avoid sexual contact, if you do not want to support them
  • avoid anal sex
  • avoid sexual toys that you do not want to use
  • try to find a sexual position that produces pleasure.

Is sexual contact allowed during pregnancy?

The existence of a normal pregnancy should not prevent a healthy sexual relationship. However, for future parents, sexual intercourse could be one of the last things they might want. However, sexual acts can be maintained, without any problem, during pregnancy without problems. However, if there are bleeding or leakage, sexual contact will be avoided and the sexologist in Delhi will be discussed urgently.

One of the fears of future parents is that the sexual act could cause a miscarriage. If the mother and baby are healthy, this will not happen and will not trigger premature labor. The cervix blocks access to the uterus during pregnancy so that the fetus is in no way affected by sexual contact, being totally protected. It is normal for couples to hesitate, but they should not be worried if the health of the mother and baby are optimal.

How can women reach orgasm?

During the orgasm, multiple processes take place: blood pressure increases, the vaginal walls contract, and the brain release multiple endorphins. Orgasm can result from any kind of sexual activity, but some may work better for some than for others, depending on the person. A woman can orgasm by stimulating her clitoris, vagina or both. Stimulation of the G-spot, which is located about two centimeters from the entrance to the vagina, above the pubic area, in the abdomen area, can produce an orgasm.

However, it seems that this area is not erogenous for all women. One solution to achieve maximum sexual pleasure would be to stimulate the clitoris before or after sexual activity, through disturbance. Sometimes stress is guilty, and practicing some relaxation techniques can do wonders. Other times it only takes a little diversification, perseverance, imagination, and patience, even from the partner.

Does size matter?

Starting in adolescence, for most men penis size matters. However, men should not worry so much: for women the right size of the sexual partner’s penis is about 13 cm, which is about 1 cm smaller than the average size of most men’s penis.

Also, an overly generous male sexual organ could cause discomfort to the partner when it comes to the mechanics of the sexual act. Regardless of size, however, the hygiene, feelings, and care of the two partners for the preferences of the other person matter.

Some men have difficulty completing sexual intercourse

Some men suffer from delayed ejaculation. Although the fact that they can sustain a sexual act for a long time may seem positive, this is not a pleasant one for those who suffer from this disorder or for their partners. Delayed ejaculation is less common than premature ejaculation but is quite common.

Some of the people affected by this condition do not have an orgasm because, most of the time, it takes more than an hour for the orgasm to be reached and it is completed by ejaculating a small amount of sperm, and sometimes it may be missing. Also, another drawback is the exhaustion of the partner.

Delayed ejaculation has several possible causes, some of physical nature other of psychic nature. Those who repeatedly manifest late ejaculation should consult a sexologist in Delhi for investigations. Various disorders can lead to difficulty in orgasm: diabetes, vascular disorders, spinal cord injury, excessive use of alcohol or drugs, use of antidepressants.

If the sexologist in Delhi does not discover any physical cause, the intervention of a psychotherapist will be required. Guilt, stress, emotional trauma, and anxiety can affect a male person physically, including when it comes to his or her sexual performance.

Premature ejaculation

Premature ejaculation is defined as a type of uncontrolled ejaculation that occurs on average 3 minutes after the beginning of sexual intercourse and can affect a man out of three over the course of their life. Premature ejaculation can occur after minimal stimulation, before penetration or immediately after it.

However, if ejaculation occurs at any time after 4 minutes from the beginning of intercourse, this is normal. Ejaculation that occurs earlier can cause frustration or dissatisfaction for both partners. Premature ejaculation can endanger an intimate relationship. This can be caused by psychological or biological factors.

Emotional traumas, feeling guilty for various reasons, fear of pregnancy or anxiety about performance, excessive alcohol consumption, depression can lead to premature ejaculation. Also, between erectile dysfunction and stress, there is a close connection. Hormonal imbalance or too many neurotransmitters could negatively affect the sex life of a male person. Also, genetic inheritance and thyroid disorders can be blamed for premature ejaculation.

One trick to delay ejaculation is for one of the partners to squeeze between the thumb and forefinger for a few seconds when the moment of ejaculation is approaching. Then there will be a pause of 30 seconds after which the sexual act will resume. The technique can be repeated several times.

There are also some creams (which contain low amounts of anesthetic) or medicines that can delay ejaculation (some medicines used to treat depression or anxiety), but it is advisable that they are prescribed by the sexologist in Delhi.

Erectile Dysfunction And Alcoholism

Erectile Dysfunction And Alcoholism

Alcoholism will invariably lead to sexual problems within a relationship. For men, this often means difficulty in getting and maintaining an erection even when not drinking.

How can alcoholism cause sexual problems?

Alcoholism is not easy to define, because the definition has to cover several factors: –

  • there are toxic effects of consuming too much alcohol in a short or long time
  • effects that are observed especially in certain tissues: liver, brain and nervous system.

The social consequences of alcoholism must also be taken into account.

For many alcoholics, the disorder of personal life may be evident earlier and maybe more important than the chemical changes that occur within the body.

If either partner is an alcoholic, then sexual difficulties will almost certainly be the consequence of this problem.

For men, it most commonly manifests in the form of erectile dysfunction, which can be present even when the man is awake. Alcoholism has an adverse effect on libido: Alcoholism is present for a long time with various hormonal problems, one of them being the lowering of testosterone. Sexual activity is unlikely to become an attractive activity for any person with a partner in a state of intoxication and this is only one aspect of the couple’s problems that alcoholism brings.

Alcoholism and psychiatric disorders

In addition to the direct effects of alcohol use, many alcoholics have significant psychiatric disorders, the most common being depression.

Many people with depression start using alcohol to feel better and learn later that alcohol doesn’t help them – but drinking can get out of control very quickly.

Older people are a growing section of the population, but loneliness and depression are common and often unrecognized.

Old age and the presence of depression are both closely associated with sexual dysfunction.

Erectile Dysfunction And Alcoholism

How is the treatment of alcoholism affected?

As with alcoholism, erectile dysfunction is underdiagnosed and hidden. For this reason, it is not known how many people are affected by both problems.

Treatment cannot be instituted before all problems are acknowledged. The treatment of erectile dysfunction associated with alcoholism should clearly focus on controlling alcohol consumption, preferably complete cessation of drinking, but chronic alcoholism is very difficult to treat successfully.

It must be diagnosed and treated effectively and any associated depression. For some people, this is the key to stopping alcohol use.

Although treatments for erectile dysfunction, such as drugs or mechanical devices most likely work for alcoholic men, in terms of getting an erection, they can do nothing to repair a relationship destroyed by alcohol consumption. Couple therapy can be an essential part of regaining any form of sexual relationship, says sexologist in Delhi.

foods for impotence

Food Recommendations For Impotence

Among the problems involved with erectile dysfunction are the difficulty of communicating about this. Men suffering from erectile dysfunction refuse to discuss this topic because of shame. Therefore, in their lives, there are often problems, as well as in their couple relationships, due to lack of communication and low confidence in their sexual competences.

Among the ways in which erectile dysfunction can be treated include adequate nutrition and diet, but also healthy weight. Foods that have a high content of sugar, fat, and sodium are not recommended.

Also, men who are overweight should lose weight, as being overweight can make blood flow more difficult. When the arteries and veins are blocked by fat and atheroma plaque, the blood does not circulate properly through the body, implicitly even through the penis, which needs proper blood flow to become erectile, says sexologist in Delhi.

Less fat and cholesterol, more fiber and water

One cause of impotence is a high-fat diet. Fat deposits can block blood flow to the penis. Thus, it is advisable to avoid fast food, desserts, cereals, and processed foods. Equally important is to not consume foods with high-fat content, which comes from animals.

  • Fibers– can be assimilated from fruits, vegetables, and cereals. Here are some options: apples (with rind), strawberries, peas, nuts, beans, spaghetti, potatoes, etc. Eating fresh, raw fruits can help the body eliminate much of the fat deposited in the arteries. Fruits lower triglyceride levels, which means that blood levels of fat will also decrease.
  • Water– the body is made up of 75% of the water. Water consumption restores and balances the body. Water helps the fluid flow through the body and is beneficial to everyone. It is a liquid that does not contain sugar or other fattening ingredients.

Watermelon

Sexologist in Delhi says that watermelons help protect against erectile dysfunction through its citrulline content. Citrulline is a phytonutrient that helps relax and widen blood vessels, improving blood flow to the penis. It turns into arginine in the body and arginine releases nitric acid into the blood, which stimulates the relaxation of blood vessels.

To fully benefit from the properties of watermelons, they will not be kept in the fridge until they are cut.

Foods rich in zinc

Foods such as chicken, turkey, peanuts and whole-grain products, yogurt, beef, lamb, salmon, cheese and milk, are excellent sources of zinc.

Some men with erectile dysfunction have low levels of zinc. These can result from long-term use of diuretics, but also as a result of diseases such as diabetes, some of the kidney, liver or digestive disorders. Zinc stimulates testosterone production and improves sperm mobility.

Oysters

These are some of the best foods that stimulate sexual desire and treat erectile dysfunction. Oysters contain plenty of zinc, and this is one of the most important nutrients needed to successfully perform any sexual activity.

Men who do not consume sufficient amounts of zinc suffer not only from erectile dysfunction, but may also have low sperm count, low testosterone levels, and may lose libido.

Even if it is one of the expensive foods, try to consume them if you want to avoid drugs. If you consume oysters one hour before intercourse you can see the difference.

Papaya

Papaya is a food suitable for consumption, especially by men who have erectile dysfunction. Papaya contains arginine that increases blood flow to the penis. Arginine stimulates nitric acid in the body and relaxes the muscles around the blood vessels that nourish the penis. These blood vessels dilate and blood circulation is stimulated. A more concentrated form of arginine is found in Viagra, a medicine used to treat erectile dysfunction.

Garlic

Garlic is another superfood to treat erectile dysfunction. The researchers found that it stimulates the production of hydrogen sulfide, which relaxes arteries and blood vessels. Garlic also contains allicin, known for improving blood circulation. Relaxed arteries and normal blood flow guarantee the end of erectile dysfunction.

Foods rich in vitamin E

Vitamin E-rich foods can be a powerful nutritional arsenal in the fight against erectile dysfunction. Foods such as almonds, broccoli, spinach, mango and wheat germs can help against erectile dysfunction. Vitamin E promotes the healthy functioning of the heart and arteries, proper blood circulation within the body.

Erectile dysfunction can be effectively treated by changing diet and lifestyle. In addition to eating healthy foods, avoid smoking that impedes blood flow through the arteries. Do as much exercise as you can on a regular basis to stimulate blood circulation and maintain heart health.

Other methods by which impotence can be treated

With the exception of changing your diet, there are other simple ways to cure impotence in men. One way to improve your sex life is to exercise as often as possible.

The addition of omega-3 ethyl esters, such as those in fish oil composition, can help lower cholesterol and increase sexual resistance. You can ingest omega-3 by consuming fish, but also some nuts.

Natural supplements, such as those with Ginkgo, can increase blood flow to the genitals. Ginseng increases the vitality and desire for sex and acts as an aphrodisiac.

Researchers have shown that cardiovascular disease can trigger impotence. Talk to your sexologist in Delhi if you suffer from impotence.

Dr P K Gupta Super Specialty Clinic Pvt. Ltd.

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Why Do Men Have Greater Sexual Desire Than Women

Why Do Men Have Greater Sexual Desire Than Women?

There are many beliefs that exist on this subject; Myths about sex can affect and in very few cases benefit people. There has been much talk about sexual desire in both genders, each one feels it and expresses it differently.

Factors that have to do with education, culture, religion are also related to sexuality.

Studies conducted by Florida State University (Florida State University) found that men are more easily excited than women since they have many sexual fantasies. Also, men think about sex at least once a day. Therefore, it was concluded that men have a greater sexual desire than women.

Why Do Men Have Greater Sexual Desire Than Women

How is the sexual desire between men and women

The sex drive in men and women do not always go hand in hand at the same time, ie, each has its own needs and priorities, so should look differently. Desire is what moves the sexuality of the couple when it is not present or decreases, the relationship can be at risk.

Life, hormones, feelings, day to day are factors that stimulate or nullify sexual desire. Sexual desire is lived differently according to the sex of each person.

Factors that influence men’s sexual desire

Men since adolescence have a greater disposition for sexual desire because:

  • They get excited more frequently.
  • They manage to have more sexual fantasies than women.
  • They think much more about sex.
  • They have greater motivations.
  • They get away from problems easily.
  • They have the ease of concentrating on the present moment and enjoying it to the fullest.
  • They are open to repeat the moments of intimacy more frequently.

Men are subject to different factors that stimulate or decrease sexual desire, as the case may be, among them we can highlight:

Age and sexual desire

In men, sexual desire is present from adolescence, once they have the first masturbation, they can maintain an active sex life until approximately 50 years; from this age, a decrease can be observed, product of aging and decrease of testosterone levels. What produces a decrease in sexual desire.

Times when sexual desire increases

For men, the best time to have sex is in the morning because testosterone levels are higher at that time, hence the presence of morning erections that accompany men. It is even said that during the summer the sexual desire of men increases.

Maintain good sleep habits: restful sleep positively influences sexual desire, as it will give a better response due to rest.

Quality time: the spaces of time given to the couple are vital in maintaining and cultivating the relationship and fueling the sexual desire of the couple. Talking, communicating, sharing moments on a daily basis are important to keep on the desire for the relationship and in the opposite sex.

Psychological factors

Men do not mind having sex with a person they are not in love with, it is easier for them to dissociate between sexual desire, feelings and even emotions. It is good to know that for men it is important to feel involved with the person with whom they have sex because to this extent their sexual desire and satisfaction obtained after the sexual act will be greater.

In men, it is an internal desire that is born of themselves. Any time, place, or situation is good to have a sexual relationship as long as your desire is at its best.

For men, sex is a priority: it affects their daily lives and all the activities they do.

Your self-esteem is key in sexual appetite because it makes it more intense and frequent to feel that you are attractive to others, especially the opposite sex.

Another of its characteristics is that it is not born spontaneously, it must be cultivated, in addition, communication is important in every relationship to stimulate and improve the fantasies, thoughts and erotic encounters that adorn the sexual encounter.

There are many men who have a greater disposition and dedication to the love preamble as well as knowing the body and connecting with the pleasure of having and maintaining a relationship with pleasant sexuality.

They are always willing to maintain a satisfactory sexual relationship, which is why we always talk about men who have a greater sexual desire, however, women also feel desires, but, unlike men, they tend to channel them and express them in other ways, making it go unnoticed.

Physical attraction can be a way to demonstrate sexual desire, in this, both women and men are able to surface their deepest emotions.

How to maintain a healthy sex life without competition in both sexes?

To avoid affecting the sexual life between the couple, there must be harmony and communication between the couple, remain active in the workplace, the physical and at the same time avoid falling into monotony within the relationship. It is also important to avoid economic, labor and sentimental concerns that can trigger stress.

Practicing a healthy life with a balanced diet free of alcohol and toxic substances contributes to a better performance of sexuality without discriminating or competing in sex.

Coexistence in all areas contributes to greater physical, mental and emotional well-being which will be reflected in each of the activities performed by the couple.

Going with sexologist in Delhi with knowledge of the pathologies is the ideal to solve any doubt or inconvenience that may appear during your active sexual life, that is the best way to live sexuality.

Penile Curvature

Penile Curvature or Peyronie Disease. Treatment Before Surgery.

Have you ever seen a duck’s penis? It is a spiral, just like a corkscrew. Imagine for a moment that your penis is like that … Did you think you could do wonders with that? Well, ask someone with penile curvature or Peyronie’s disease. What alternatives would it have? 

In the world of humans, this is not so obvious, but it is a cultural belief that a larger penis, more virile or “attractive” is considered a male. This fallacy has already been denied by science, but what about curvature?

It is unimaginable that our virile member could have such a peculiar form. What should women’s vagina be like? Nature is wise if the vagina is a direct path to the womb, the most logical thing is that all penises are straight. But no, nature sometimes plays us some passes.

It is estimated that one in ten men suffer from penile curvature or Peyronie’s disease. This refers to an abnormal curvature when the penis is in the erection

A normal penis has a slight inflection when being erect to be able to adapt to the vagina and facilitate intercourse. But when that curvature is more pronounced than normal, it can be a serious problem not only for sexual intercourse but also because it can present pain, anxiety in the individual, difficulty in fertilization and even an “aesthetic” concern.

What happened to my penis?

It is easy to realize that your penis is not like that of others; not because you do comparisons in the gym showers, but because we all know that the erect penis is firm, straight, like an arrow.

Before drawing conclusions and panicking, let’s make it clear that each body is different. Just as there are different forms of breasts in women or torso in men, penises do not have to be all the same.

As you probably know, inside the penis there are two tubes or columns called corpora cavernosa, in addition to a conduit through which urine and semen are expelled. The corpora cavernosa are covered by a kind of elastic fabric sheath called tunica albuginea. 

The penile curvature or Peyronie appears when a plate-cicatricial-hard tissue is formed in the corpora cavernosa and/or the tunica albuginea, preventing the penis “stretches” completely during erection. The penis will more commonly bend up, but it can also be down or to the side, depending on where the scar is. 

If it is notorious with the first erections that the penis is not completely straight, it will be necessary to evaluate first if this is an emotional problem for the young person (anguish, complex, shame). Some penises are slightly tilted, others are more like a banana. If this is an issue that damages the male’s self-esteem, the concern can be cleared by visiting a sexologist in Delhi to guide us about the health status of our “friend.”

Penile Curvature

Until now there is no absolute certainty that the penile curvature has a genetic origin, although there are several investigations that point to a hereditary factor.

Now, what happens when the curvature appears suddenly or gradually, at a more mature age?

In most cases of Peyronie’s disease, it has been determined that the cause may be an injury to the genital area, whether due to microtrauma during sexual intercourse (sudden blows), some physical activity such as cycling, an accident (fracture of the penis) or radiation treatments to fight prostate cancer or surgeries that have scarred poorly.

When an injury occurs, the body’s cells act forming a scar. If this process takes place, say, disorganized, a knot can occur in the tissues and as a result, the curvature, shortening or narrowing of the penis

When is penile curvature or Peyronie’s disease considered?

It is called Curvature congenital to that which appears at birth and is manifested with the first erections in adolescence or early adulthood. According to the best sexologist in Delhi, this type of curvature could be due to a difference in size between the corpora cavernosa and the urethra, when the former is longer than the second, causing a penis to tilt down or to the side. This type of curvature is not considered serious since usually there is no fibrous or scar tissue, it does not usually evolve and does not reduce the size of the penis.

However, if the inclination is greater than 30 °, it could interfere with sexual relations and eventually lead to Peyronie’s disease, because the penis is forced too much into the penetration, injuring itself.

On the other hand, if the abnormality is not “from birth”, but occurs at some other time in life, it is called Acquired Curvature and is usually due to Peyronie’s Disease.

If we remember our geometry classes, we can more or less calculate what an angle of 30º is like. From this inclination, it is considered an abnormal curvature that must be taken care of. In extreme cases, the stooping can reach 60º or form a perfect right angle of 90º, like an “L”.

There is another factor – perhaps the most important – to take into account to go to the top sexologist in Delhi if you have a curved penis: that penetration is impossible or painful for any of the partners.

Although eroticism has many ways of expressing itself, sexual relations cannot always focus on manual or oral games. Sex in all its fullness requires penetration, especially when seeking to procreate.

If the curvature, whatever the degree, does not pose a difficulty for the above, does not bother the sufferer or the couple, the patient may not consider it necessary to visit a doctor. However, it is important to know that Peyronie’s Disease is progressive. Over time, the curvature becomes more pronounced, shortening the penis. Surely for many men, this is a great mortification. What to do then?

What treatment alternative is there for penile curvature or Peyronie’s disease?

When talking about penile curvature or Peyronie’s disease, probably the first thing you think about is surgery. It is scary, of course, that may be the reason for not seeking medical help. 

You will be glad to know that surgery is the last alternative, it is recommended only in extreme cases, where other types of treatments have not worked.

Before reaching a surgical intervention, a sex specialist in Delhi can offer you non-invasive solutions that, it has been proven, give very good results. 

Can penile curvature or Peyronie’s disease be treated with medication?

This issue is controversial among the medical community. Although few medications taken or applied topically have shown proven results, some doctors believe that pharmacological treatments with vitamin E, corticosteroids or even hormones can help. 

Is surgery the only alternative for those with penile curvature or Peyronie’s disease?

Definitely not. We already explain the benefit of medications. However, extreme cases can occur where the penile lesion has been many years of progress or for some special cause, the patient does not find a visible improvement with the first-line treatment. 

Surgery is only recommended in cases where Peyronie ‘s disease is very severe and also causes erectile dysfunction.

There are various surgical techniques to correct the curvature of the penis. Explaining each of them is not the subject of this article. A sex doctor in Delhi specialized in penile surgery is the best qualified to inform about what type of intervention is indicated, depending on the condition of each patient. 

Dr. P K Gupta, sex specialist doctor in Delhi, states that there are two fundamental rules that must be followed in penile curvature surgery: the number one is that “ the best penile surgery is the first. Reoperations are more difficult and with worse results. The second rule is that penile incursion surgery must be performed at the right time and apply the most appropriate technique for each incursion. ”

Penile curvature or Peyronie ‘s disease is a condition that men do not talk about. Unlike other conditions such as premature ejaculation, this physical anomaly is difficult to hide … and ignore. While the penis remains functional, the aesthetic appearance will be of little importance to some. Let us not fool ourselves, just as a woman can cause insecurity, shame or complexing her breasts too small, a “physical defect” in the penis can rob a man of self-confidence and pleasure with his partner. 

This problem tends to get worse and can become an impediment to having sex, let alone pleasurable, simply having them!

The ducks can be proud of the shape of their penis and go singing happily “cué cué”. A man, no. But you don’t have to suffer in silence or settle for a half-sex life.

If you suffer from penile curvature or Peyronie’s disease, there is an excellent treatment alternative before surgery.

Consult the sexologist doctor in Delhi and learn about advanced medical technology to treat penile curvature.

sex-after-childbirth

Sex After Childbirth

When To Start Sex After Childbirth?

A question asked by many people after childbirth as they are confused about how much should they wait after childbirth.

sex-after-childbirth

There are several reasons for the couple’s sex life to be interrupted for some time after childbirth. The first is that if an episiotomy or cesarean section has been performed on the mother, the wound should be healed. There is also the fact that after childbirth the woman may suffer vaginal bleeding that lasts for some time.

Another cause is that the baby is the absolute priority of the mother and the demand for continued care that requires care can cause fatigue and even disinterest in sex. Also, the so-called postpartum depression determines the couple’s sexual life in a decisive and negative way.

The most common is to hear that the sexual moratorium should be limited to the first month after childbirth, but there are women who wait for three, six or even twelve months. The truth is that there is no rule about the most appropriate time to resume sexual life, although some couples wait at least until the review of six weeks for the gynecologist to say whether or not they can resume sexual relations.

A frequent problem is that the man wants to resume sexual practice before the woman and a refusal on the part of her can generate a feeling of rejection in him. It is fundamental to maintain open communication between them and that he knows the physical state and mood of her, that is, the reasons for her refusal.

The important thing is to spend time together, especially when the baby is resting. The signs of affection and the expression of emotions, either through caresses and/or words, will help to break distances and recover the necessary complicity for sexual life. It should also be taken into account that intercourse is not necessary for a sexual relationship to be satisfactory.

However, there are physiological aspects that must always be taken into account. On the one hand, the episiotomy may cause discomfort for some time and the woman may suffer a transient situation of vaginal dryness that makes intercourse painful. Hence the convenience of using lubricating gels to reduce discomfort during sexual intercourse, although we must insist that it is not necessary to complete it from the start.

Another habitual recommendation from the sexologist in Delhi is that the woman performs the exercise to recover her habitual physical form as soon as possible and that she practices the so-called Kegel exercises (successive contractions of the perineal area). An adequate and healthy diet, as well as rest, complete the measures to recover the physical normality of the woman and with it the sexual life of the couple after childbirth.

male-infertility

Male Infertility

One of the fields in which the best sexologist in Delhi has accumulated the most experience is the study and treatment of the male with infertility.

The philosophy of Dr. P K Gupta is to always carry out a study of the male in all those couples that consult for infertility and in those that are:

  • Altered seminogram
  • Erection or ejaculation problem as a cause of infertility
  • Genetic or family disease

male-infertility

In most couples, a male assessment should be made prior to any technique of assisted reproduction. The reasons that make us think so are the following:

  • Many of the causes of male infertility can be treated so that it is possible to solve the problem of the couple permanently. We believe that it is a better solution to solve the cause that conditions infertility (and expect to have a pregnancy in a natural way) than to achieve a pregnancy without having solved the problem presented by the man.
  • In many cases, the success rates achieved when treating males are even higher than those offered by “In vitro” Fertilization ( IVF ).
  • If the patient presents a severe alteration in the seminal quality, it is convenient to rule out genetic causes for said deterioration. The genetic alterations that the father carries are going to be transmitted to his offspring in the same degree or to a higher degree. These circumstances should be previously known to adopt the most advisable attitude based on the findings and their consequences.
  • Sometimes infertility is only the first manifestation of much more serious problems affecting the male: testicular tumor, genitourinary tuberculosis, renal agenesis, etc.

In our experience, better results are obtained than with assisted reproduction techniques in the following situations:

  • Reconstruction of vasectomies or vaso-vasostomies
  • Treatment of seminal infections
  • Treatment of erection or ejaculation problems
  • Treatment of hormonal defects
  • Varicocele correction in selected cases

When should the male be studied?

The evaluation of males with infertility problems is essential in all cases, even in those in which assisted reproduction techniques are going to be used. The sexologist doctor in Delhi must assess the males with infertility, trying to diagnose the problems that can be solved, which would allow the male to recover his fertility. When assisted reproduction techniques are going to be required, the andrological evaluation will also be necessary to rule out certain (mainly genetic) problems that may exist.

What are the main causes of male infertility?

Until a few years ago the causes that caused male infertility had not been studied in depth. However, advances in the field of sexology have made it possible to find an explanation for three-quarters of male infertility situations, which makes it possible in many cases to act on these causes in order to recover or improve their reproductive capacity.

A large part of cases of male infertility has a specific cause that can be identified. The presence of varicocele (a set of dilated veins around the testicles), infections in the seminal tract (ducts that carry semen from the testicles) and the existence of obstructions in the genital organs explain, together with genetic and congenital factors that they condition the production of sperm, approximately 70 percent of the cases, while the remaining 30 percent of the situations still do not have a known cause.

Some investigations point to different environmental factors such as exposure to radiation, pesticides or toxic substances used in the industry along with smoking as responsible for numerous cases of male infertility in recent decades. However, the exact influence of these factors on the deterioration of semen quality is not known with precision. Except in specific situations in which there has been a continuous exposure over time to high doses of these substances, we can not consider these factors as determinants of infertility.

Thus, in order of frequency, the main causes of male infertility are the following:

  • Varicocele (36%)
  • Obstructive azoospermia (17%)
  • Secretory azoospermia (15%)
  • Problems of erection or ejaculation (9%): The problems of erection or ejaculation (absence of ejaculation, the ejaculation of the semen towards the bladder instead of towards the outside, etc.) are the cause of up to 10% of cases of infertility of masculine origin.
  • Secretory Oligozoospermia (6.5%):
  • Infection of the seminal pathway (6.2%): The seminal pathway is the tube through which the sperm exit from the testicle to the outside. If there is an infectious process at some point along this route, the sperm will have to cross that infected area and this may mean that many will die or be destroyed
  • Obstructive oligozoospermia (6.2%):
  • Hormonal problems (3.1%): Sometimes male infertility is due to the existence of problems (due to excess or defect) in the sex hormones.
  • Unknown causes (16.6%): Despite having followed an adequate diagnostic process, between 15 and 20% of them will not be able to reach a diagnosis of the problem that causes the poor quality of the semen.
troublesome-sexual-life

How Does Erection Work?

Erection is a function that depends on different mechanisms located at different levels. Let’s see how it works and some tips to avoid problems in maintaining the erection.

An erection starts from a sensory and / or mental stimulus. It is in the brain where sexual activation occurs, sending from it a signal that travels through the spinal cord through nerve stimuli that begin to stimulate the nerves located in the penis. This causes the corpora cavernosa to relax, favoring the entry of blood and resulting in stiffness in the area.

erectile-dysfunction-treatment-in-Delhi

After this, and if ejaculation is achieved, or when the sexual stimulus subsides, other elements such as adrenaline cause the muscles to contract again, the accumulated blood comes out and the penis recovers the state of sagging.

For an erection you need:

  • A nervous system that works properly.
  • A vascular system that allows blood flow.
  • Ability to retain blood in the penis and keep it erect.

Why do erection problems appear?

Erection problems can appear for different reasons, taking into account that any problem in one of the elements involved in it can prevent it from happening. Broadly speaking, these causes are divided into two types:

  • Organic causes. When there is an alteration in the blood vessels, nerves or corpora cavernosa of the penis. Most often, what is affected are the blood vessels of the penis, which makes it difficult to enter or maintain the blood needed for an erection. This may be due to obstructions, trauma or injury to the arteries.
  • Cause psychogenic. When the origin is at the level of the brain (stress, depression, problems …)

Contrary to popular belief, advanced age by itself is not a cause of erectile dysfunction, but it is the diseases that usually occur at that time that influence its development. Also, taking drugs can also adversely affect erection.

Erectile dysfunction characteristics

To be considered erectile dysfunction, which appears most frequently in men over 40 years, the following situations must occur:

  • The problem of erection persists for more than three months, there is at least one failure every four intercourse.
  • There is a change in erection quality, both in stiffness and in time.
  • Inability to have or maintain an erection upon waking up in the morning.

 

Recommendations to avoid erection problems

There are several changes in lifestyle and habits recommended by the best sexologist in Delhi that can help prevent erectile dysfunction. Among them:

  1. Avoid tobacco

Tobacco use increases the probability of having erectile dysfunction by 60% and is the most frequent cause of erection problems in men under 35 years.

  1. Reduce alcohol intake.

Alcohol causes an interruption of the erection by inhibiting the proper functioning of the central nervous system, which justifies why in a state of drunkenness the satisfactory erection response is very limited.

  1. Healthy and balanced diet.

Obesity is linked to the development of metabolic disorders that can lead to diseases related to erectile dysfunction, such as cardiovascular problems or diabetes. Therefore, it is always advisable to follow a healthy diet to avoid excess weight.

  1. Exercise.

The regular practice of exercise reduces the chances of suffering from cardiovascular diseases, a factor that influences erectile dysfunction.

  1. Active sex life.

Maintaining sexual intercourse is a good exercise to keep the blood circulation and elasticity of arteries and corpora cavernosa of the penis in good condition, reducing the likelihood of developing an erectile dysfunction problem.

If you have an erection problem, at Dr. P K Gupta Clinic, we offer you the best erectile dysfunction treatment in Delhi. Do not hesitate to contact us or request a first appointment.

man-stressed-about-ed

What are the Causes of Erection Disorders?

Anything that affects one or more of the elements involved in the erection can cause erectile dysfunction (impotence). In very general lines, we refer to organic causes when the vessels, nerves or corpora cavernosa of the penis are altered and psychogenic causes when the origin is at the level of the brain. On a large number of occasions, both organic and psychogenic causes can be found in the same individual. Apart from a large number of psychogenic problems such as depression, poor relationship, work or other problems, the fact of not having a proper erection condition a concern that makes the situation worse.

causes-of-erectile-dysfunction

Among the organic causes, the most frequent are those that affect the blood vessels making it difficult to enter or maintain the blood in the penis. This may be due to obstructions (atherosclerosis), trauma or injury to the arteries. Since the penis is like a large blood vessel, it shares all the risk factors of cardiocirculatory disease (high cholesterol, smoking, high blood pressure, diabetes, obesity). In many cases, it is possible to discover an important disease such as hypertension or diabetes, whose first manifestation is an erectile dysfunction by affecting small arterial vessels before. If the disease progresses, it can subsequently affect the arteries of the heart. For this reason,

Certain diseases, injuries or other nerve injuries can also cause erectile dysfunction. A frequent situation is that which occurs when the complete removal of the prostate is performed due to cancer. In these cases, it is very difficult that the erection nerves that are attached to the prostate are not injured.

Advanced age by itself is not a cause of erectile dysfunction, however, it is very common due to the diseases that the individual presents and that can affect the erection.

There are a lot of drugs (antihypertensives, antidepressants, etc.), drugs and other toxins that can affect the erection by acting at different levels.

Certain diseases of the penis such as the so-called Peyronie’s disease (fibrosis of the penis) can also cause dysfunction.

The decrease in testosterone mostly affects sexual desire, but it can also negatively influence erection.

Apart from those mentioned, there are many other known and unknown causes of erectile dysfunction.