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thyroid disease and sexual dysfunction

Thyroid Disease And Sexual Dysfunction

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

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

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

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

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

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

Hypothyroidism and sexual dysfunction

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

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

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

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

Hyperthyroidism and sexual dysfunction

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

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

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

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

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

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

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Unexpected Failure

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

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

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

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

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

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

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

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

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

I wish you successful and varied sex life!

Sexual Health

Lifestyle Changes Can Improve Sexual Health

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

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

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

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

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

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

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

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

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

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Sexual Dysfunction – A Silent Killer of Relationship

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

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

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

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

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

In women:                                                                                                                                                  In men:

 

EXCITEMENT

 

EXCITEMENT

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

PLATEAU

 

PLATEAU

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

ORGASM

 

ORGASM

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

RESOLUTION

 

RESOLUTION

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

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

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

 

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

Predisposing factors:

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

Precipitating factors:

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

Maintenance factors:

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

Physiological causes of dysfunctions:

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

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

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

Female sexual dysfunctions:

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

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

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

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

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

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

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

Male sexual dysfunctions:

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

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

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

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

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

erectile dysfunction treatment in Delhi

Erectile Dysfunction of Neurological Origin

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

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

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

Erection Problems Caused by Nerves

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

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

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

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

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

Erectile Dysfunction Caused by Emotional Disorders

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

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

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

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

How to Decrease Anxiety and Emotional Discomfort?

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

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

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

Nerve-Caused Erection Treatments

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

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

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

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

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

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Potency disorder – what to do?

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

Potency disorders due to dramatic environmental changes

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

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

Improper nutrition supports erectile dysfunction

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

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

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

Tocopherol – Vitamin E the fertility vitamin

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

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

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

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

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

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

Eat natural zinc

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

Omega-3 fatty acids

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

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

Processed foods should be avoided

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

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

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

Caffeine affects the adrenal glands

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

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AT WHAT AGE DOES A MAN STOP HAVING AN ERECTION?

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

Age in men’s sexual health

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

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

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

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

The most frequent male erection problems

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

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

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

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

erection problems during sex

Erection Problems During Sex

Ouch, my man no longer has confidence in him sexually! What if it was related to erection problems? Indeed, men do not feel successful if their erection is not up to par.

Lack of confidence = erection problems

Nine in ten men believe that a lack of sexual confidence can have a negative effect on non-sexual aspects of their lives.

Indeed, a majority of Indians consider that the lack of sexual confidence leads to a more general lack of confidence.

65% of Indians observe a decrease or even a loss of their insurance after an insufficiently rigid erection during sexual intercourse.

51% experience a decrease in sexual pleasure and 47% are less confident in their life in general.

Erection problems = personal problems

66% of Indians questioned believe that erectile dysfunction represents an inability to obtain and maintain an erection sufficient.

Less than one in two (49%) think that treating erectile dysfunction allows men to live normal lives.

45% think that erectile dysfunction is linked to a depressive state, lack of confidence, or insurance. 13% think that erectile dysfunction is only psychological.

The more I trust myself, the more I satisfy you

Being able to satisfy your sexual partner is most often associated with sexual confidence, for 79% of Indians.

83% of Indian people observe a link between the satisfaction of the sexual partner and sexual confidence.

Erection + orgasm = confidence

For 34% of Indians, this confidence is linked to the orgasm reached with each sexual intercourse.

33% of Indians consider that this sexual confidence is linked to a completely rigid erection.

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Keeping a Good Erection: Everything to Counter Erection Problems

Erectile problems such as impotence affect the majority of men at least once in their life. Often transient, they are caused by physical or psychological factors. What are the different erectile dysfunction and how to counter it?

What is a male erection?

An erection is a reaction of the body due both to a physiological neurological phenomenon, which is therefore triggered by a brain mechanism and to a vascular phenomenon, in other words at the initiative of the blood system. It is a hardening and swelling of the penis due to an abundant flow of blood to the area. Concretely, the corpora cavernosa, the elements that constitute the penis, are engorged with blood, making the penis firm and dilated.

The erection can be triggered by stimulation, arousal, or sexual attraction, but not only. This is, for example, the case for nocturnal erections. It can also take place during the day, caused by a relaxation of the body or certain movements that stimulate the penis.

Erection problems: what are they?

There are several erection related disorders, which usually result in an inability to get an erection. They have different origins, whether physiological or psychic. These disorders are defined by insufficient rigidity of the corpora cavernosa, which keeps the penis in a flaccid state. This state disrupts the course of sexual intercourse and in particular prevents the penetration or practice of certain acts. Similarly, it is possible to have a “soft” erection, that is to say where the penis is not in its state of maximum rigidity.

The origin of erectile dysfunction

Most of the time, erectile dysfunction is of psychological origin: stress, a lack of self-confidence, fatigue, or sadness can counteract arousal and/or prevent an erection.

They can also come from a vascular dysfunction, that is to say at the level of arteries and blood circulation. Indeed, the penis being a highly ribbed area, a problem with blood pressure can have consequences on erection. The same goes for tobacco, alcohol, and diabetes, which influences the arteries. Finally, it can also be a hormonal problem, especially from a certain age. In men, androgen deficiency can appear, which impairs erectile functions.

Techniques to keep your erection

It is quite possible to control your erection to make it last longer while having fun. Indeed, the erection is partly controlled by the mind, by focusing on it, it is possible to maintain it for a relatively long period. This requires knowing your body and your desire well and knowing how to understand your pleasure while maintaining it at a certain level.

Thus, each man has his own technique to control his erection during intercourse. Some think of something else to get the excitement down, others slow the pace of intercourse, etc. It is also possible to change position or opt for a sexual practice that does not involve going back and forth with his penis (unlike penetration), such as cunnilingus. This variation will mark a pause in the movements and slow the rise of excitement in the erogenous zone, says sexologist in Delhi.

Impotence: what to do in the event of a “breakdown”?

As we have seen above, erectile dysfunctions can be transient and are caused by different origins. Thus, heavy consumption of alcohol, heavy fatigue, or a lack of self-confidence can cause what is commonly called a “breakdown”. Impotence is an erectile disorder that prevents men from having an erection or that causes only a partial erection.

In the event of a one-time breakdown, there is no reason to worry about a priori. Relax and try to determine the potential cause of it. On the other hand, if these impotences are repeated, it is preferable to consult a doctor to determine if a neurological or vascular dysfunction is at the origin.

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Sexual Impotence and Prejudice

Sexual impotence is still seen as taboo by many men, who refuse to take the problem and run the matter and experts. But erectile dysfunction is a more common problem than you think and, not always, has its causes related to physical problems. Marital crises, work stress, emotional difficulties, and even the collection itself can hinder male sexual performance.

The annoyance is even greater when considering the prejudice surrounding the disease. Because of him, many men suffer in silence and fail to ask for help from a friend, someone in the family, and even dismiss doctors. According to a survey, 70% of patients with the problem do not even think about seeking a sexologist in Janakpuri. “Prejudice is our biggest enemy, because the disease, when diagnosed early, is easier to be treated”, says sexologist in Delhi Dr. P K Gupta.

In addition to the difficulty of erection itself, the sexologist doctor in Janakpuri recommends an appointment when there are changes in duration and frequency. The lack of information also makes many men get used to the disease and think that the drugs that cause the erection are enough to solve the problem (when, many times, they just mask the problem). Psychological treatment is often sufficient to resolve cases without the need for medication since men are more confident.

“Only when deciding to deal with the dysfunction, the quality of life of man already improves”, says the best sexologist in Janakpuri. It helps to lessen your doubts by clarifying the main issues surrounding impotence.

Are sexual impotence and erectile dysfunction the same thing?

Erectile dysfunction (ED) is the inability to maintain an erection that is sufficiently rigid and that lasts as long as necessary to allow sexual intercourse. Impotence is a popular term no longer used by sexologist in Janakpuri.

Does the dysfunction only affect men in old age?

No, although the problem is not common in younger men, it starts to grow in men from the age of 40. It is estimated that up to 30% of men between 40 and 70 years of age suffer from some form of erectile dysfunction. It is worth remembering that all men, at some time in their lives, have difficulty in achieving erections, especially in situations of stress and tiredness, under the influence of alcohol or when diagnosed with a serious illness.

How does the diagnosis of erectile dysfunction happen?

The diagnosis is made from the patient’s clinical history and physical examination. Tests can be ordered, especially for younger patients or those with specific problems. The first visit to the sexologist doctor in Janakpuri is usually the most difficult step. The best sexologist in Janakpuri needs to understand the problem, so it is important that the patient feel comfortable and not hide any information that may affect the treatment.

Is the man who smokes and drinks alcohol frequently in the risk group?

Yes, the use of drugs (both legal and illegal) can lead to erectile dysfunction, because they attack the central nervous system and the circulatory system, responsible for erection.

They also cause a lack of libido and rapid or delayed ejaculation. In the case of cigarettes, chronic use decreases the caliber of blood vessels (size of vessels that constrict or dilate) throughout the body, including the penis, which can lead to the problem.

Is the man who suffers from premature ejaculation more likely to have this dysfunction?

Yes, those who suffer from premature ejaculation (also known as premature or rapid ejaculation) may develop erectile dysfunction in the future, as dissatisfaction with not having adequate sexual intercourse can lead to psychogenic ED. This occurs when no organic problem is identified that could be the cause of erectile dysfunction.

What are the main causes of the disease?

We can mention three aspects that help in the development of the disease, they are: health problems (such as depression, high cholesterol, diabetes, and high blood pressure); medicines (some formulas have dysfunction as one of the side effects) and harmful habits, such as drinking and smoking.

Can the problem be cured?

Yes. The drugs available to treat erectile dysfunction, such as vardenafil (active ingredient in Levitra®), have revolutionized the history of treating the disease. There are also intracavernous injections and penile prostheses. Many men who suffer from erectile dysfunction are affected psychologically, even if the cause is of physical origin. Therefore, psychotherapeutic counseling can help you overcome the problem.