Category Archives: Sexual Healths

Stigma Surrounding Infertility

‘So Many Live in Silence’ Due to Stigma Surrounding Infertility

“People feel immense pressure to be able to have their own child. Therefore, if there is difficulty having a child or conceiving, people often feel like a failure.”

Infertility Awareness Week is close to my heart. Just over five years ago, I was diagnosed with endometriosis, a chronic reproductive health condition that, among other debilitating symptoms, can cause infertility.

At 27 years old and very much single, I’ve had more conversations than I can count about preserving my fertility, about the impact the ovarian reconstruction I had two summers ago might have on my ability to conceive, and about the high likelihood that I will need a hysterectomy to treat suspected adenomyosis, a disease distinct from endometriosis that grows in the uterine walls.

Almost all of my close friends also have endometriosis. I’ve watched people I love and others in the community experience pregnancy losses and navigate the often traumatic process of in vitro fertilization.

We live in a society that still designates value to people assigned female at birth by their reproductive capabilities, which means infertility is commonly accompanied by feelings of inadequacy and shame.

Sex. Abortion. Parenthood. Power.

Then there’s the outside judgment—like comments about your worthiness as a partner if you’re unable to conceive. Or questions like, “Why don’t you adopt?” But once you’re faced with the reality of infertility, you realize it’s much more complicated than that. For example, people with disabilities and chronic illnesses can be legally discriminated against in the adoption process—meaning that, for many, IVF might be their only shot at starting a family.

But the IVF process itself, like much of health care, is dictated by a patient’s privilege and economic status. IVF is costly, and insurance coverage for it is abysmal, which means that your ability to have a child through IVF hinges on your financial situation. (Only 19 states require insurance plans to cover some level of infertility treatment, and only 13 of those states require IVF coverage, according to the national infertility association Resolve.) LGBTQ couples face added discrimination and financial barriers, as much of the discourse around IVF—and even the way infertility is medically defined—revolves around cisgender heterosexual couples.

Infertility is common, but discussing it remains incredibly fraught. We talked to Dr. Mary Jane Minkin, clinical professor of obstetrics and gynecology at Yale Medical School, and Dr. Banafsheh N. Kashani, a reproductive endocrinology and infertility specialist, to help demystify the topic and cut through the stigma and taboo. The interviews have been edited for length and clarity.

Rewire News Group: Can you define infertility and what causes it?

Dr. Mary Jane Minkin: If a person is under 35, we usually define infertility as one year of trying to conceive without success (and that means having regular intercourse, at least every other night, at least around ovulation). For a person 35 or older, we usually use six months trying and not conceiving to begin evaluation.

Dr. Banafsheh N. Kashani: There are different causes of infertility, but they can be due to a “male factor” from low sperm numbers or low motility. Alternatively, infertility can be due to a “female factor.” This can be related to an ovarian factor and an issue with ovulation, or egg quality, which often declines as a result of increasing maternal age. Other female factors include an issue with the fallopian tubes being blocked or poorly functioning, or a problem with the uterus or womb which does not allow a pregnancy to implant or develop.

Why are conversations about infertility and pregnancy loss rife with stigma?

BK: People feel immense pressure to be able to have their own child. Therefore, if there is difficulty having a child or conceiving, people often feel like a failure. It’s a sensitive and intimate subject and so many live in silence and do not feel comfortable sharing their stories.

As a provider, I allow my patients to open up and share their stories from the first moment I meet them. I make sure they are so comfortable, that they feel like they are having a conversation with their best friend. This allows patients to finally open up and express all of their emotions, which they had been otherwise holding back. And most importantly, I want them to know they are not alone. Infertility and pregnancy loss are far more common than we think, because so many suffer in silence.

MJM: Indeed, sometimes people do feel a stigma—which they really shouldn’t. At least 10 percent of couples will have significant infertility issues, and we need to support these couples as they go through the process of trying to conceive.

How do the cost barriers to infertility care impact access?

MJM: Fertility therapy can be costly, and its coverage varies from state to state. Just the cost of some of the medications used to help people ovulate (one of the causes of infertility is not ovulating well) can be thousands of dollars.

BK: There are some states that have mandated coverages for infertility testing and treatment, but the majority of states do not. As a result, many couples delay getting tested to determine the cause of their infertility. This delay can have a huge impact, as some forms of infertility are treatable through surgery, medications, or supplements.

Unfortunately, for the majority of couples with infertility, treatments tend to be out of pocket—and some services like In vitro fertilization (IVF) can cost upwards of $20,000. This cost can be prohibitive to getting the proper treatment.

Can you talk a little bit about the psychological toll of infertility? Do you have any suggestions for patients on how to cope with it?

BK: Infertility treatments are hard and take a physical and mental toll on all couples. Not only can there be physical pain as a result of the injections, and bloating and discomfort throughout the process, there is also an emotional burden. The hormone therapies can make people feel more emotional or have mood swings. Additionally, treatments are often described as a roller coaster with ups and downs. All of this can have a significant psychological impact.

My recommendation is for couples to find a support group. Finding support allows couples to talk more openly about their struggles, the many ups and downs of the process, and also hear success stories. These success stories often provide hope that can push couples through the difficult times.

To that point, many of the couples I know dealing with infertility and undergoing IVF struggle with intimacy. Why do you think it’s so common for intimacy to suffer when a couple is going through infertility?

MJM: Going through the infertility process can really take the fun out of having sex. The medicalization can take sex from a loving and fun event to a chore; but it’s always good to still view it as a solid part of your relationship and make it as enjoyable as possible.

BK: Unfortunately, when trying to conceive, there is a lot of pressure to have intercourse and get pregnant that month. We all know that ovulation occurs one day of the month, and that is why there is a lot of pressure to have intercourse around the time of ovulation. But this often puts a lot of strain on a relationship. When sex is scheduled it is less fun, and often partners feel incredible amounts of pressure to perform. This can affect a relationship long-term. Some have described that sex becomes a chore rather than a fun and intimate connection. It’s important to recognize if this change is taking place in your relationship, and make sure to have intimate moments outside the fertile window as well.

When patients start coming to you, what are some of the most common misconceptions they have about IVF and infertility care?

MJM: Many couples don’t know about infertility care. And the first thing to understand is that it’s ideal to start by talking with your OB-GYN provider first, before jumping right off to an infertility doc. Many of the preliminary tests can be done by your regular provider, and they can start doing some interventions.

For example, if you are not ovulating well, there are some oral pills that can be used to help. You don’t have to jump into injectable medications right away. So start with a conversation with your regular provider, and go from there.

BK: Patients are often so worried that seeking a fertility specialist or sexologist in Delhi means they have to have IVF. This is a myth. There are so many ways to naturally optimize fertility, such as through the use of vitamins, supplements, and dietary changes. There are fertility-friendly lubricants, such as Pre-Seed, which can help increase the chances of getting pregnant each month. Also, many worry that treatments are expensive, but there are many ways that treatments can be made more affordable for couples.

Most fertile people do not understand how hard it is to be infertile. No one can truly understand the grief, sadness, and struggles that couples go through when trying to conceive and being unsuccessful.

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Oral Sex and STIs

Oral Sex and STIs : I Wanna Know

Can someone be infected with a sexually transmitted infection (STI) from oral sex?

Yes. Many STIs, including chlamydia, gonorrhea and syphilis, can be spread through oral sex. However, the chances of giving or getting STIs during oral sex can be lowered by using a condom or dental dam.

What is oral sex?

By definition, oral sex is when someone puts his or her lips, mouth or tongue on a man’s penis, a woman’s genitals (including the clitoris, vulva, and vaginal opening), or the anus of another person. There are different terms used to describe types of oral sex:

  • Fellatio is the technical term used to describe oral contact with the penis.
  • Cunnilingus describes oral contact with the clitoris, vulva or vaginal opening.
  • Anilingus (sometimes called “rimming”) refers to oral contact with the anus.

Oral sex is common among sexually active adults. According to a national survey conducted from June 2006 through December 2008, over 80% of sexually active youth and adults ages 15-44 years reported having had oral sex at least once with a partner of the opposite sex. The same survey found that 45% or more of teenage girls and boys (ages 15-19 years) report having had oral sex with a partner of the opposite sex.

As with other types of sexual activity, oral sex carries the risk of STIs. It may be possible to get some STIs in the mouth or throat from giving oral sex to a partner with a genital or anal/rectal infection, particularly from giving fellatio. It also may be possible to get certain STIs on the penis, and possibly the vagina, anus or rectum, from receiving oral sex from a partner with a mouth or throat infection. It’s possible to have an STI in more than one area, for example in the throat and the genitals.

STIs Transmitted Through Oral Sex


Site of initial infection:

  • Throat
  • Genital Area
  • Urinary Tract
  • Rectum

Symptoms: Often there are no symptoms. If there are symptoms, they might include a sore throat, abnormal discharge from the vagina, penis, or rectum, and/or a burning feeling when urinating.

Treatment: Easily cured with antibiotic medicines.


Site of initial infection:

  • Throat
  • Genital Area
  • Urinary Tract
  • Rectum

Symptoms: Often there are no symptoms. If there are symptoms, they might include a sore throat, abnormal discharge from the vagina, penis, or rectum, and/or a burning feeling when urinating.

Treatment: Can be cured with antibiotic medicines, but drug-resistant strains of gonorrhea are increasing in many parts of the world.


Site of initial infection:

  • Mouth
  • Lips
  • Throat
  • Genital Area
  • Anus
  • Rectum

Symptoms: Often there are no symptoms. In the first or primary stage of infection, may have a single sore or multiple sores on mouth, throat, genitals, or anus. In the second stage, may have a skin rash (often on the palms of the hands and the soles of the feet, but also on other body parts). The symptoms of syphilis will disappear with or without treatment, but without treatment the infection remains in the body and may cause organ damage.

Treatment: Curable with antibiotic medicines.

Herpes (types 1 and 2)

Site of initial infection:

  • Lips
  • Mouth
  • Throat
  • Genital Area
  • Anus
  • Rectum
  • Buttocks

Symptoms: Often no noticeable symptoms. At times, blisters or sores are present on the mouth, lips, throat, genital area, anus, or buttocks.

Treatment: There is no cure for herpes, but medications can shorten and decrease or prevent outbreaks.

Human papilomavirus (HPV)

Site of initial infection:

  • Mouth
  • Throat
  • Genital Area
  • Anus
  • Rectum

Symptoms: Often there are no symptoms, although some types of HPV can cause genital warts—small bumps in and around the genitals and anus, or in the mouth or throat. Others types of HPV can develop into cancer of the mouth, throat, cervix, or rectum.

Treatment: There is no cure for HPV infection, but 90% of persons clear the infection within 2 years. Genital warts can be removed through different methods, including freezing. Appropriate follow-up and treatment for genital and rectal HPV infections (detected by abnormal Pap smear and/or HPV test results) is essential for cancer prevention and detection.

Human immunodeficiency virus (HIV)

Site of initial infection:

  • Mouth
  • Genital Area
  • Anus
  • Rectum

Symptoms: Often there are no initial symptoms; however, after first being infected some people experience flu-like symptoms. HIV damages the body by destroying specific blood cells that help the body fight disease. HIV infection can lead to acquired immune deficiency syndrome (AIDS).

Treatment: There is no cure for HIV or AIDS, although anti-HIV medications can slow the progression of HIV infection and can help keep an HIV infected person healthy.

Note: Certain things have been suggested to increase a person’s chances of getting HIV during oral sex, if exposed to an infected partner, such as having poor oral health, having bleeding gums or gum disease, having sores in the mouth or on the genitals, or being exposed to the “pre-cum” or “cum” (also known as pre-ejaculate or ejaculate) of an infected partner. However, no scientific studies have been done to show whether or not these factors actually do increase the risk of getting HIV or STI from oral sex.

How can I reduce my risk?

The chances of giving or getting STIs during oral sex can be lowered by using a condom, dental dam or other barrier method each and every time a person has oral sex:

For fellatio (mouth-to-penis contact):

  • Cover the penis with a non-lubricated latex condom.
  • Use plastic (polyurethane) condoms, if a partner is allergic to latex.

For cunnilingus (mouth-to-vagina contact) and anilingus (mouth to anus contact):

  • Use a dental dam, or
  • Cut open a condom to make a square, and put it between the mouth and the partner’s vagina or anus.

The surest way to not get a sexually transmitted infection from oral sex is to abstain from vaginal, anal, and oral sex or to be in a long-term mutually monogamous relationship with a partner who has been tested and is known to be uninfected. However, many infected persons may be unaware of their infection because STIs often have no symptoms and are unrecognized.

Sexually active individuals should get tested regularly for STIs and HIV, and talk to all partner(s) about STIs. Anyone who thinks that he/she might have an STI should stop having sex and visit a doctor or clinic to get tested. There are free and low-cost options for testing available. It is important to talk openly with a sexologist in Delhi about any activities that might put a person at risk for an STI, including oral sex.

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sex in the time of covid 19

Sex in the Time of COVID-19

With mandatory mask-wearing and physical distancing of at least six feet becoming the norm around the nation, the question remains—is sex safe?

In short—it can be, but sexologists in Delhi say any type of in-person sexual activity does carry some risk. But there are ways to have intimate contact and remain connected.

How is it transmitted?

Let’s start with what we know. COVID-19 is a respiratory disease, so direct contact with saliva—through kissing, for example—can easily pass the virus. While COVID-19 has not yet been found in vaginal fluid, it has been found in the feces of people who are infected. So this means that rimming (oral/anal contact) and anal sex may spread COVID-19 as well. Remember that condoms and dental dams reduce contact with saliva and feces during anal and oral sex or oral/anal contact.

A recent study has also found the coronavirus in semen, both in men who had active infections and those who had recovered, but it isn’t clear at this point if it can be sexually transmitted through semen.

What’s the risk?

So where does that leave us? With different levels of risk. Given we currently know about COVID-19 and how it’s transmitted, the safest sexual activity is solo or remote. Solo sex (a.k.a. masturbation) can be both satisfying and safe—just remember to wash your hands! And technology makes different types of remote options, like video chats, sexting, available too.

The next safest option is sex with someone you already live with, provided that person is also taking steps to reduce their potential exposure to COVID-19 (like social distancing, hand washing, wearing a mask in public spaces).

Here are a few basic tips on how to enjoy sex and to avoid spreading COVID-19:

  • You are your safest sex partner. Masturbation will not spread COVID-19, especially if you wash your hands (and any sex toys) with soap and water for at least 20 seconds before and after sex.
  • The next safest partner is someone you live with. Having close contact—including sex—with only a small circle of people helps prevent spreading COVID-19. All partners should be consenting.
  • You should limit close contact—including sex—with anyone outside your household. If you do have sex with others, have as few partners as possible and pick partners you trust. Talk about COVID-19 risk like you would other safer sex topics (e.g. PrEP, condoms). So ask: do they have symptoms or have they had symptoms in the last 14 days? Have they been diagnosed with COVID-19? People are considered likely no longer infectious if at least 10 days have passed since the day their symptoms started and if they have not had fever for at least three days.
  • If you usually meet your sex partners online or make a living by having sex, consider taking a break from in-person dates. Video dates, sexting or chat rooms may be options for you.

For couples from whom pregnancy is a concern, don’t forget contraception as well. Once again, condoms (both internal and external) can fill that role, and telemedicine options are available as well, if you can’t venture out to a clinic or pharmacy.

Relationships Under Lockdown

Some of you may be thinking, “Sex?! Are you kidding? My partner is driving me crazy!” You’re not alone. Even couples with healthy, strong relationships may find themselves under strain during this time—struggling with being confined 24/7 under stay-at-home orders. Others may be pressed because of distance, forced to live apart due to health concerns or quarantine.

If you’re feeling stress, there are resources to help. You can get tips on how to respect and help one another and disagree fairly. If you need more support, you can find a counselor who can offer phone or online support.

A Note of Caution for Parents

With schools canceled across the country, many kids are spending more time online, possibly with less supervision than usual as parents are struggling to work remotely while caring for children. For this reason, law enforcement has warned that kids are particularly vulnerable to online predators at this time. Some reports suggest an increase in digital activity among sexual predators who target children.

So what can parents do? Talk to your kids about the risks and help them learn how to identify “red flag behavior” in people they may meet online, like asking for personal information or encouraging secrecy. Be an askable parent willing to talk to your kids without judgement or shame.

fertile period of men

Know when is the fertile period of men

The fertile period in men only ends around 60 years of age, when their testosterone levels decrease and sperm production decreases. But despite this, there are cases of men over 60 who manage to get a woman pregnant. This is because, although the production of sperm decreases, it does not stop completely until the end of man’s life.

This means that men have a constant fertile period, since the beginning of puberty, unlike women. The woman, despite being prepared to become pregnant from her first menstruation, menarche, only becomes pregnant during a small fertile period of each month. This period lasts approximately 6 days and only happens once a month, ceasing to occur when menopause begins.

Up to what age is man fertile?

Male fertility starts, on average, at age 12, which is the age when the male sexual organs are mature and capable of producing sperm. Thus, if there is no change that interferes with the sperm production process, the man’s fertile period lasts until the so-called andropause, which corresponds to the menopause that occurs in women.

The symptoms of andropause usually appear between the ages of 50 and 60 and are characterized by decreased testosterone production, which directly interferes with the ability to produce sperm. However, this can be controlled through testosterone hormone replacement, which should be done as directed by the sexologist in Delhi.

Despite the decrease in testosterone concentration over time, the production of viable sperm can still happen and is therefore fertile.

How to assess fertility

The man’s fertility can be verified by means of some laboratory tests that inform the sperm production capacity, as well as its characteristics. Thus, sexologist in Delhi can request the performance of:

  • Spermogram, in which semen characteristics are evaluated, such as viscosity, pH, amount of sperm per ml of semen, shape, motility, and concentration of live sperm. Thus, the doctor can indicate if the man is fertile or if the infertility is due to insufficient production of sperm or production of poorly viable sperm;
  • Testosterone dosage, as this hormone is responsible for stimulating the production of sperm, being, therefore, directly related to the reproductive capacity of man;
  • Post-coitus test, which checks the ability of the sperm to swim through the cervical mucus, which is the mucus responsible for lubricating the woman, and thus fertilizes the egg.

In addition to these tests, the sexologist in Delhi may request an ultrasound of the testicles in order to check for any changes in this organ that may interfere with male fertility.


The Penis: What Parts It Has And What Are The Main Types

The penis is one of the organs that make up the male reproductive system. There is currently significant social pressure on the size of this member.

Within the male reproductive system or apparatus the penis is the most important organ; At least socially speaking. There are many techniques and methods used to lengthen the male limb, although several of them are not at all effective or beneficial to health.

Likewise, although all penises share the same anatomical parts and functions, not all are equal in size and shape. That is why they are classified into different types.

In the following article, a sexologist in Delhi explains what the penis is, what parts it has and what functions each of them performs, as well as what types of penises exist. Finally, we will check if its elongation is possible and what are the most common methods.

What is the penis?

The penis is an organ of the male reproductive system, and it is also the external organ of the urinary tract. In most cases, this member usually has a flaccid form, and it is until sexual arousal occurs when it enlarges and becomes an erect penis.

In relation to the erection, this occurs because during sexual arousal the internal tissue increases. The latter as a result of the same tissue is filled with blood.

This is how this sexual organ stays hard and makes intercourse possible. When, despite being exposed to supposedly exciting stimuli, an erection is not produced, we talk about a possible erectile dysfunction, which has very different causes, from psychological to physiological.

Finally, ejaculation occurs when a man reaches orgasm and expels semen. This can be triggered by oral sex, intercourse – anal or vaginal – or masturbation. Through the practice of tantric sex, orgasm can be delayed and even occur in the absence of ejaculation. This is also known as “dry orgasm.”

The average size of this organ

The normal penis size, or rather, the average size (the one that most men usually have), ranges between 12 and 16 centimeters during erection. That is, the average penis size, presented by about 80% of men when they have an erect penis is usually between that measure.

However, it should be stressed that in its flaccid form there are many disparities in the measures of this member.

And how much is the maximum that this member can get to measure? Well, according to the Guinness Book of Records, the largest penis in the world is 48 centimeters and belongs to a Mexican, followed by an American actor and writer with a penis of 34 centimeters.

Parts of the penis and functions

As with any organ, the penis and the male reproductive system are made up of different parts and each one fulfills a certain function. Sexologist in Delhi explains below what these parts and functions are.

Within the male genitals, the human penis is composed of three pillars:

  • two corpora cavernosa that are next to each other, in the superior or dorsal part of the penis.

  • a spongy body, which is on the bottom or on the ventral side of the same member.

These tissues retain arterial blood during sexual arousal and cause an erection to occur.

In addition, the structure of the external male reproductive system is mainly composed of the 5 elements described below:


The glans is a bulbous tissue that is also known as the head of the member since it is at the end of it. It has a high concentration of nerves and that is why it is said to be the most sensitive part of the penis.

In the glans is the opening of the urethra, which is where urine, semen, and pre-seminal fluid come out.

2. Foreskin

The foreskin is a kind of elastic skin that covers and protects the tip of the male reproductive organ in its flaccid state. It retracts during the erection to expose the glans. Circumcised penises do not have this skin because they are operated and removed.

3. Scrotum

The scrotum is located at the base of the penis and is defined as an outer sac that contains within the testicles. Its temperature is usually 3 to 4 ° C (being lower than the temperature of the human body) so that healthy sperm can be produced.

4. Bridle

The frenulum is a part of the foreskin that meets the back of the glans. It is located below the head of the member and has a “V” shape. It is usually a very sensitive part that can even break during intercourse.

5. Trunk

The trunk of the penis extends from the tip of the penis to the area that connects to the abdomen. Inside it is the urethra. There are different shapes, such as curves or straight.

Types of the penis (size and shape)

Like female genitalia, there are many types of male sexual devices, with different shapes and sizes. Each of them is characterized by something in particular, which may be important for a better or worse sexual experience, although not necessarily.

Next, we will see the 8 most common types of penis.

1. Circumcised penis

In this case, the main feature is that the foreskin (the skin that protects the glans) has been removed by an operation. Most men usually have it this way.

As something to highlight about this type of penis is that they are usually quite sensitive because they do not have the foreskin. It is important to stimulate especially the glans in these cases.

2. Without circumcision

Unlike the previous one, the uncircumcised penis has intact the skin that covers the limb. At the time of erection, the foreskin is stretched and can be easily stimulated by raising and lowering this skin.

3. Curved or crooked penis

It has a curved shape, either up, down or to a specific side. It is normally said that it is ideal for stimulating the female G-spot. However, if your curvature is too pronounced it can be somewhat painful during intercourse.

When they are extremely curved they are known as Peyronie’s Syndrome.

4. Micropenis

The micropenis is a physical condition characterized by an abnormally small size of the male sexual member. Approximately its length in its flaccid state is around 2 centimeters. And on the other hand, when it is erect, it does not reach 7 centimeters.

If diagnosed correctly, there are medical treatments for proper management in micropenis cases such as testosterone administration.

5. Thick or fat penis

Obviously the size is not only determined by the length, but also by the width of the member. A thick penis would be one that exceeds 4-5 centimeters.

As with all sizes and types of penis, this is a feature that is known to use can be very pleasant.

6. Big penis

It is not necessary to have a member of 48 centimeters to consider it a large penis. Actually, if it exceeds approximately 16 or 17 centimeters, it can already be considered a large penis.

However, these types can cause problems at the time of sexual intercourse, but with good lubrication, exercises and choosing the indicated positions, they do not have to represent any problem.

7. Small penis

Its size is usually between 8 and 11 centimeters in its erect form. There are some penises that may seem small when they are not in erection and then really increase their size.

Although it is said that size matters, sexual pleasure is not determined by the size of the member, and a small penis can be enjoyed in the same way as one with a larger size.

8. Standard penis

It is a member whose size is that of the average. Its size does not usually vary much when it is erect or when it is flaccid. As stated before, the average is usually between 12 or 16 centimeters.

Penis enlargement treatment in Delhi: How to enlarge?

The increase in member size represents a very important social and cultural concern for many people. The social pressure exerted in relation to masculinity linked to the size of the member is very marked in Western societies.

Even many men suffer psychological problems related to this. Therefore, there are currently different devices and methods to meet this demand. Sexologist in Delhi describes below 5 of the most popular strategies to enlarge the penis:

1. Exercises to enlarge the penis

Stretching exercises are quite used in non-surgical procedures. One of the most popular is jelqing. It is a type of exercise very similar to milking movements. It consists of avoiding compressing the glans for approximately 6 minutes and in the meantime applying heat to the penis.

However, there are no conclusive studies that support this technique. And in addition, adverse effects such as secondary erectile dysfunction or infra pubic pain have been evidenced.

2. Extension devices

It includes the use of different devices, such as extenders or vacuum pumps. In this case, there are also not enough studies to prove its effectiveness. Specifically, in the case of extenders, it has been shown that there could be an increase in penile length in its flaccid state, but not when it was erect.

3. Pseudo-extension methods

It simply consists of modifying the pubic area so that, without changing the actual length of the penis, an optical effect of a larger size is produced. It is achieved by shaving pubic hair and dieting to reduce the volume of fat at the prepubic level.

Putting piercings on the penis can also fall into this category, as it generates a similar effect, and can also produce greater pleasure. Of course, it is very important to do this with the right professional and following all the corresponding care instructions.

4. Use of phytotherapy

It is about consuming vitamin supplements associated with phytotherapy that they say, promotes vasodilation of the corpora cavernosa, increases the production of testosterone, favors elongation, among other things.

However, this practice and products have not been scientifically endorsed, so their benefits have not been proven.

5. Cosmetic surgery

Aesthetic surgery to lengthen the penis can be lengthening or thickening. They are known as “penile cosmetic surgery” and are indicated for a limited number of people. Specifically for those diagnosed with micropenis.

For the rest, it is advisable to receive counseling from a sexologist in Delhi before undergoing such an intervention. This is because, after receiving information about it, as well as after exploring the concerns related to the enlargement of the male limb, approximately 96% of people finally refuse to undergo cosmetic surgery.

Sex Phobia

Sex Phobia (Erotophobia): Causes, Symptoms And Treatment

Sex is one of the greatest pleasures that human beings can experience, and it is beneficial not only physically, but also to promote well-being. However, some people suffer a great fear of sex and sexuality, which is known as erotophobia or phobia of sex.

Erotophobia is an irrational fear of everything that has to do with sex and sexuality and is a complex disorder whose symptoms may vary from one individual to another. Some feel great fear when they come into contact with sexual objects, others feel sexual intimacy and others have penetration. People with this phobia may experience high doses of fear of any type of sexual activity or the possibility of intimate with another person.

Types of sex phobia

As for the irrational fear, anxiety, and avoidance experienced by people with erotophobia, the object or situation that causes the phobia can vary from case to case, as well as its severity.

Erotophobia is a complex disorder that encompasses other specific sexual phobias. They are the following.

1. Genophobia

Also known as coitophobia, it refers to irrational fear and stress peaks in sexual intercourse. Individuals who present this pathology can start romantic relationships, enjoy activities such as kisses or hugs, but feel a great fear of sexual intercourse and penetration.

2. Gymnophobia

Also called nudophobia, is the fear of nudity. It is a complex disorder in which people are afraid of being naked and that people around them are.

This fear may indicate body image problems or feelings of inadequacy, although it can also occur as a result of a traumatic experience.

3. Fear of privacy

This fear has nothing to do with the sexual act, but with the fact of feeling close to the other person both emotionally and physically.

4. Paraphobia

The fear of sexual perversion is also a complicated phobia. Some people are afraid of perverting themselves, while others fear the perversions of others.

Some people with paraphobia are able to enjoy traditional sexual relationships that fit well within their personal moral code, while others are afraid that any form of intimacy can be perverted.

5. Haphephobia

This phobia is characterized by the fear of physical contact, that is, to be touched, and often affects all relationships, not just those of a romantic nature. Some people experience it to the minimum contact, while others face a longer contact.

6. Phobia of vulnerability

Like the extreme fear of intimacy, the fear of vulnerability is often linked to the fear of abandonment. Many people fear to show themselves as they are because they believe that they will not like others. Fear of vulnerability can affect numerous relationships, both sexual and non-sexual.

7. Philematophobia

Also known as philematophobia, it is the fear of kisses. It can have many causes and is often linked to physical concerns, such as a concern about bad breath or even germ phobia.

Causes of sex phobia

Sex and sexuality are very important aspects of the human condition, and erotophobia can have a devastating impact on those who experience it. Some people who suffer from this phobia choose to live their lives asexually, that is, without having sex, and others have serious difficulties in maintaining intimate relationships with other people in a satisfactory manner.

Generally, the cause of this phobia is the associative learning or classical conditioning that occurs when a person experiences a traumatic event related to sex and sexuality, for example, having suffered a bad sexual experience in the past or have been subject to teasing about the size of his genitals (in the case of men).

Now, irrational beliefs and bad sexual education can also cause the person to develop this phobia. Few sexologist in Delhi claims that some people are more likely than others to develop these types of pathologies due to genetics.

Symptoms of erotophobia

Due to the variety of phobic disorders related to sex and sexuality, the object or situation that causes the phobia may vary. However, the symptoms are usually the same:

  • Intense fear of objects, situations, and thoughts related to sex and sexuality.
  • Extreme anxiety in the presence of the object or situation that causes the phobia or towards the thoughts or images of it.
  • Avoidance Behaviors
  • Feeling short of breath and hyperventilation.
  • Hypersudoration
  • Dry mouth.
  • Disorientation and lack of concentration.
  • Muscle tension.
  • Anguish.
  • Accelerated heartbeat and increased heart rate.
  • Stomach upset and headache.


Phobias are frequent disorders and there are many types of phobic disorders. But despite the fact that the objects or situations that cause these phobias are different, the procedure is usually similar in most cases.

On the other hand, since sex is a very important part of a person’s life and usually also affects relationships, the treatment usually includes a reinforcement to improve self-esteem and correct those beliefs that interfere with the patient’s well-being.

sexual relations

How much should have sexual relations?

Average Rating is: 5

The ideal frequency for sexual intercourse is a topic that in general worries men more than women, obsessed with maintaining their intimate sphere at levels that are considered “normal” according to the social context on which they are based.

“Normal” is a statistical concept that depends on the age of the couple and the years of marriage or cohabitation, as well as other factors, such as the situations that are going through at that time.

In general, relationships that begin to form have a frequency of 1 or 2 times (up to 3) per day. Then, the average drops to about 3 times per week. Gradually, once every 15 days and up to 1 time every 1 or 2 months.

Sexual and loving relationships release chemicals that neurotransmitters take care of synthesizing in the brain. These substances are called endorphins and, specifically, are dopamine, serotonin, and oxytocin.

Dopamine is a chemical in the central nervous system that activates 5 cell receptors, from D1 to D5. In this way, when one feels infatuation, excitement, the fullness of energy and the fact of seeing life as something magnificent take place.

Dopamine is closely linked to endorphin and adrenaline, so when it is low (you do not have sexual intercourse frequently), endorphins also go down and depression, sadness, and many other neuropsychological pathologies are activated.

But, as with recreational drugs, it is possible that some people begin to look for more frequent relationships in order to raise adrenaline levels so that at the same time, they raise dopamine production levels.

So, what frequency is desired to not fall into these states?

Sexologist in Delhi recommends focusing on the quality of sexual intercourse rather than the amount of them a week or month. The frequency of sexual relations is not more important than the degree of satisfaction that is achieved each time a meeting is held.

The frequency in sexual intercourse does not affect the potency or sexual vigor that an individual may have. Even so, if you don’t have the typical morning erection, you have to start worrying about impending erection problems that will have an impact on the future frequency of sexual intercourse.

Even if you suffer from premature ejaculation, it is useless to have frequent sexual intercourse, if you do not enjoy or do not enjoy the couple.

Is penis size related to erection problems

Is penis size related to erection problems?

It is a popular myth to think that erection problems are related to penis size, the important thing is not the size, but the stiffness of the penis. Recall that the sexual function of the penis is given in erection and not the state of sagging, so that size is not an important factor, but the ability to stand up to achieve penetration. Interestingly, the larger a penis, the more blood it will need to achieve an erection.

How tall is a normal penis?

In India the average ranges between 10 and 13 centimeters.

Measures that really matter:

The measures that determine cardiovascular risk are the ones that really matter since they are associated with erectile dysfunction.

Does penis size reduce with age?

The size of the penis does NOT reduce with age, what does happen with age is that the penis loses stiffness and this is really important.

There are certain reasons why you can feel or observe a certain lack of rigidity such as:

  • Increase of weight: This reason can be considered as a purely visual effect. Because there is more fat in the pubic area, including abdominal fat, which exerts a weight and pressure on the scrotum, the penis may appear to be shorter. But attention, being overweight, increases the risk that blood does not flow properly, and has stiffness problems.
  • Peyronies: This disease causes a totally abnormal penile curvature. In some cases, there is fibrosis or scar in the corpora cavernosa inside the penis, which inevitably shortens its length. It is also the case that in some treatments, the use of surgery is recommended to correct the curvature, thus shortening the penis.
  • Aging: Caused by atrophy related to the lower number of testosterone in the body and less sexual activity. For these reasons it is advisable, as you get older, to have as many more sexual relations and erections, in order to avoid such atrophy.

In erectile dysfunction, several factors can contribute to the failure of certain treatments, based mainly on phosphodiesterase – 5 ( PDE-5 ) among which stress, depression or problems with the couple can be highlighted.

In a recent study conducted in North America (Michigan), a treatment of PDE -5 was performed on 50 patients suffering from erectile dysfunction, they were registered by the same doctor, and after measuring penis size, they were divided into 3 chord groups.

Although treatment with PDE-5 inhibitors significantly improved all the domains of the scores, no statistically substantial differences were found between the 3 groups according to previously measured scores, before and after treatment.

It can be concluded that penis size is not a factor in the treatment of patients with erection problems. Although it can be affirmed that treatment with PDE-5 inhibitors partially improved certain measures, no statistically significant differences were found between the 3 groups.

So we return to the topic that addresses us. The really important thing to keep in mind regarding erectile dysfunction is the stiffness and strength of the penis. That is why there are different treatments such as low-intensity regenerative waves (shock waves) applied in different areas of the penis to help strengthen them, specific drugs that help regulate blood flow and as a last case surgery will be addressed.

At the sexologist clinic in Delhi, we have the best technology on the market to treat all our patients, with fully personalized treatments and direct and constant attention.

No matter what your problem, our sexologists in Delhi will attend you with the greatest privacy and always advise you which is the best treatment for you. Do not hesitate, and visit our sex clinic in Delhi.

Too little ejaculate

Too little ejaculate? You can change that!

Some men are worried when they notice that their ejaculate is getting less, so the amount of ejaculate is reduced. This can have several reasons but is basically nothing to worry about.

Which factors determine the ejaculate volume?

If a man gets an orgasm, he usually ejaculates too. But ejaculation and orgasm can also be done separately. But that is rarely the case. The normal ejaculate volume is between 1.25 and 4 ml – which is about a quarter to a full teaspoon. Men who ejaculate frequently in succession usually have a reduced volume of ejaculate.

At the age of 30, men produce the largest amounts of ejaculate. With increasing age, the ejaculate volume decreases. Genetics, diet, smoking and general health can affect ejaculate volume.

In conclusion, a healthy diet and lifestyle can have a positive effect on ejaculate volume. But it is also important to know that the middle lobe of the prostate (male prostate gland) often increases with age. This results in less ejaculate. Some men also complain that the ejaculate no longer “shoots out” but just trickles out. This is related to how the power of the muscular system and the pelvic floor are formed.

This power can be trained. So you can build more tension by the pelvic floor muscles is stimulated with special training sessions. But even the transfer of the urethra, which is caused for example by inflammatory processes and sometimes leads to so-called strictures in the urethra, can lead to the pressure of ejaculation is reduced. Or that the entire volume of ejaculate is not visible, because a part runs back. Medication and surgery can also cause men to experience retrograde ejaculation (which is ejaculation into the bladder) or to optically reduce ejaculate volume. If you have further questions, an experienced sexologist in Delhi will help you.

How to increase your sperm intake

But how can the sperm quantity be increased? There are several possibilities for that:

  • Drink more, especially water!
  • Be more abstemious. Men who often ejaculate within a few hours usually have a reduced amount of ejaculate. Those abstaining for 3 to 5 days usually have an increased ejaculate volume and thus a higher amount of ejaculation.
  • Less, preferably not to smoke
  • Reduce alcohol consumption
  • As little saturated fat as possible
  • The amount of ejaculate can also increase men by strengthening their potency muscles. The contraction force of the ischiocavernosus and bulbospongiosus muscles is sometimes insufficient to “work” against the “resistance” of the prostate and the urethra. Here it helps when men train this musculature, which is also called “potency musculature”.

How important is the ejaculate volume in men?

Many men attach great importance to the amount of their ejaculate. They correlate these with their masculinity. It happens again and again that men feel bad about decreasing the volume of ejaculate. Some also feel that the more ejaculate produced by orgasm, the more sexually excited they are. Anyway, the ejaculate volume is very individual! Some men ejaculate more, others less. But that has little to do with her masculinity! Because sexual fulfillment is independent of ejaculate volume.

The widespread uncertainty in this regard, among other things, also results from pornographic depictions, where often very large amounts of ejaculate are shown. Many believe that this is normal – it is often used in front of the camera with fake ejaculate. Anyone feeling insecure about their ejaculate volume should definitely discuss this with their sexologist doctor in Delhi.

Increase ejaculate volume: what you should look out for

Observe temperature

In principle, care should be taken that the testes are not exposed directly to too high a temperature. An increased temperature exposure of the testicles – especially over a longer period of time – can lead to the fact that the fertility critical ejaculate parameters suffer and/or worsen. Important in this context: Basically elevated temperatures have no significant influence on the ejaculate volume.

Low saturated fat

In addition, men should be careful not to consume too much-saturated fat. Because they can cause osmotic changes in the sperm.

Saturated fatty acids are found in all animal foods, such as butter, dairy, meat, and sausages, as well as the readiest meals and fast foods. In addition, they are part of some vegetable fats, which include coconut oil or hydrogenated vegetable fat. The saturated fatty acids slow down metabolism and often lead to high cholesterol, rheumatism, cardiovascular disease and increased risk of a heart attack.

Preferable are monounsaturated fatty acids, which help to lower the LDL cholesterol level and increase the “good” cholesterol HDL – and thus have a positive influence on sperm quantity. They are contained in nuts, olives, avocados, olive and rapeseed oil, for example. Polyunsaturated fatty acids are equally important. For the cell structure, for example, linoleic acid is of great importance. Omega-3 and omega-6 fatty acids help to reduce inflammation and prevent rheumatic diseases. Suppliers of polyunsaturated fatty acids are salmon, herring, mackerel, and tuna, as well as soy, thistle or sunflower oil.

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 sex life, explains best sexologist in North 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


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.


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


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.


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).


  • 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.


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


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.


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.


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