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male infertility

Male Infertility of Testicular Origin

According to the best sexologist in Delhi, there are numerous factors that can cause male infertility as a result of their effect on the generation and maturation of sperm in the testicles themselves, generating oligozoospermia (low concentration of sperm in semen), asthenozoospermia (low mobility of sperm), teratozoospermia (abnormal in sperm morphology) or secretory azoospermia (no sperm are produced in the testes).

The most common causes of male infertility of testicular origin include the following:

  • High testicular temperature: the normal temperature of the testicles should be between 35.5º and 36º. Any elevation above these figures has a negative impact on the sperm maturation process that begins in the seminiferous tubules.
  • Toxic agents: there are numerous environmental factors to whose exposure the testicles can see altered the activity of Sertoli cells, which play an essential role in the transformation of spermatidine into mature sperm: tobacco, environmental pollution, pesticides, consumption of meat from animals hormonalized with estrogens, use of certain drugs, radiotherapy, professional exposure to toxic substances, etc.
  • Klinefelter syndrome or XXY males: this is a chromosomal abnormality in which males have an extra X chromosome, causing a drop in testosterone that prevents sperm production (azoospermia). In addition, it causes anatomical alterations in the sexual organs, such as hypoganadism or micropenis.
  • Other genetic factors: in recent times, genetic alterations have been detected in areas of the Y chromosome that negatively affect the spermatogenesis process, causing oligospermia or azoospermia. This is the reason that in assisted reproduction clinics men with a sperm concentration of less than five million.
  • Trauma: strong blows to the testicles can affect the mechanisms of sperm production and maturation.
  • Testicular pathologies: there are different diseases that affect the testicle and that condition the correct production of sperm:

–  Varicocele: is responsible for 20% of cases of male infertility that are detected in assisted reproduction clinics. It is characterized by venous valve insufficiency of the spermatic veins and, depending on its severity, can cause teratozoospermia and oligozoospermia.
–  Cryptorchidism: It is a problem that occurs essentially in boys as one or both testicles do not descend into the scrotum, so, among other things, they are subjected to temperatures above 36º, which affects the quality of the sperm. It can also occur after puberty as a result of mumps.
–  Hydrocele: it is the accumulation of fluid around the testicle, which causes a significant increase in the overall volume of the scrotal bag that contains it. In principle, it may not compromise fertility, but there is a risk of complications that can cause infertility.
–  Genitourinary infections: they can cause testicular atrophy, obstruction of the seminal tract, generation of antisperm antibodies or compromise the accessory glands. They account for 5% of cases of male infertility, although some studies indicate that in 15% of men the semen analysis offers positive results.

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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!

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Male Aging And Declining Testosterone

“Several symptoms that occur related to hormonal deficit overlap with the natural aging of man or even diseases prevalent in this population, which makes it a difficult task to accurately distinguish the true cause.”

The man, over the years, suffers a natural aging process of his cells generating countless repercussions in the body, as well as the progressive and slow decline of his hormonal function, especially after 40 years. It is known that the woman when approaching 50 years old, undergoes a stop of her reproductive function and important decline of her hormonal function, called menopause. In the elderly man, these reproductive changes occur slowly and gradually, with more subtle symptoms. This process is called Androgenic Deficiency in Male Aging (DAEM).

The hormone directly linked to reproductive function in men is produced by cells located in the testicles and is called testosterone (the main male androgen hormone). From the age of 40, the decline of testosterone in the body of man is around 1% per year. The term andropause, commonly used to characterize this clinical condition, should not be used, because unlike women, there is no hormonal pause, but its gradual deficit. The correct term is Androgenic Deficiency in Male Aging.

It is estimated that the proportion of individuals over 65 years of age will increase significantly over the next 30 years. Census data show that the number of Americans aged 65 and over will rise from around 40 million today to somewhere around 90 million in the next 30 years. In this context, the prevalence of diseases such as cancer, vascular diseases, and hormonal decline will increase dramatically. Therefore, age is an independent risk factor for dropping testosterone, and monitoring with a sexologist in Delhi is essential for the proper diagnosis and treatment of this condition.

Symptoms

Several symptoms that occur related to hormonal deficit overlap with the natural aging of man or even diseases prevalent in this population, which makes it a difficult task to accurately distinguish the true cause. The main repercussions with the drop in testosterone are decreased libido (sexual desire), erectile dysfunction (difficulty in having/maintaining a penile erection), increased body fat, loss of bone mass (osteoporosis), loss of muscle mass, decreased hair (beard, hair), anemia, depression, and irritability.

Faced with the suspicion of the hormonal decline related to the aging of man, the best sexologist in Delhi, through a complete clinical evaluation and with complementary laboratory tests, when establishing the correct diagnosis, will offer the various treatment options. There is no way to avoid this natural human aging process, but maintaining healthy living habits contributes to the prevention of diseases related to the decrease in testosterone levels.

Testosterone hormone replacement therapy is safe and effective. It is available in injectable and gel presentations for daily application. The medical follow-up of this treatment is very important for the improvement of the man’s quality of life, as it is not exempt from side effects, so it needs to be well indicated.

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Doctors discover key nerve in women’s ankles, which can increase desire

Flowers and chocolate used to be the best options for men who wanted a night of love.

But there is another way to put a “spark” in your love life – giving your partner’s ankle a little electric shock .

Doctors have discovered a key nerve in women’s bodies that can increase their desires.

It runs from the soles of the feet to the bottom of the spine, but is most easily accessible at the ankle, where it can be reached with electricity. In a small experiment with women, they gave a small electric shock at this point with needles and it was also found that there was an increase in blood supply – apparently, like a female version of Viagra. Pioneering therapy physicians believe it could help women with low sex drive.

sexual stimulation

Tested on laboratory rats, there was an improvement in blood flow in more than 25 minutes, and American researchers are now giving women volunteers a three-month treatment of weekly treatments lasting half an hour.

Tim Bruns, a biomedical engineering expert who is leading the research at the University of Michigan, said:

“We are really hopeful, it can help many women who suffer from sexual dysfunction .
Some studies say that 10 percent of adult women have arousal disorder, but others report that it is as high as 28 percent.”

Scientists became interested in ankle therapy after women who cure bladder problems also report improvements in their sex lives.

Many said they were more interested in sex. This may be because the tibial nerve that crosses the ankle meets the nerves that connect to the pelvis within the spinal cord.

A stimulus to the ankle can therefore increase blood flow to a more intimate area, creating the same effect as a night of love. Offering an alternative to drugs, which have mixed results and can have side effects. Research on mice, published in the Journal of Sexual Medicine, showed that three out of four saw significant improvements in blood flow.

The same US researchers are testing 30 women with what is called an arousal disorder .

The results are expected to be released later this year.

Professor Bruns said, “If the stimulation is repeated several times, it can lead to better blood flow and stronger nerve connections to the genitalia. This would improve the symptoms of the genital arousal disorder .”

According to sexologist in Delhi, up to 45% of women are believed to have a dysfunction that decreases their sexual desire.

penis

10 Fascinating Facts About Penises

  1. You can get an erection while still in the womb

Once the genitals begin to develop while the baby is still in the womb, it is possible for the foetus to get an erection at just 10 weeks old.

  1. There are three different types of erection

If you start to see something sexy or start thinking about your wildest fantasies, you will have a psychogenic erection.

But if you have an erection while sleeping, it is called a night-time erection.

The last type is the reflexogenic erection which is what happens when physical contact occurs.

  1. Men have multiple erections a day

The average man has 11 erections throughout the day – and three to five while sleeping.

  1. You can get an erection after death

This phenomenon is actually just a gravity trick.

If a man dies in an upright position, gravity will cause blood to accumulate in his legs, but as they fill, they will be pushed into the penis, providing a post-mortem erection.

  1. The average penis size

Penises come in all shapes and sizes and there really is no such thing as “normal”, but the average size according to science.

The average length of the erect penis is approximately 13.2 cm in length and 11.7 cm in circumference.

At normal temperatures, a resting penis usually measures 9.1 cm in length and 9.3 cm in circumference.

Most men fall within the normal range; however, some men suffer from a condition called micropenis. This is defined as being 6.35 cm or less when fully erect.

  1. Penises respond to certain scents

Different odors can make the penis “watchful”.

One study found that the scent of black licoricey and donuts increased blood flow to the penis by 32%, while donuts mixed with pumpkin pie increased blood flow by 20%.

But the biggest increase was achieved with the lavender and pumpkin pie combo that increased the blood flow of the penis by 40%.

  1. There are endless erections

The priapism is a disorder in which men have consistent and painful erections.

Priapism is a medical emergency, which means that you must run to the hospital if it does, because if it is not treated within 24 hours, you can damage your erection for life, warns sexologist in Delhi.

A prolonged erection can permanently damage the tissues of the penis, making erections harder in the future.

  1. The penis has no bone

Most mammals have a baculum (penis bone), but humans do not. Interestingly, other primates, like gorillas and chimpanzees, have one.

  1. Your penis is shaped like a boomerang

This shocking discovery was made by a French researcher who studied couples who have sex on an MRI machine.

It turns out that the penis is in the shape of a boomerang, but you would never know why the “root” is hidden by the pelvis.

  1. The flaccid penis can be classified as “growing” or “displayed”

According to one study, penises that are smaller when flaccid (“growing”) actually get longer when erect, compared to larger flaccid penises (“displayed”).

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Sexuality in Pregnancy

Many factors in addition to the biology of pregnancy intervene to determine the patterns of sexual behavior during pregnancy. The way a woman feels motherhood, the quality (or absence) of her marriage, cultural expectations, pre-existing sexual attitude, and other individual considerations are undoubtedly of the utmost importance. The presence of medical complications in the pregnant woman or the concern about abortion or genetic complications of the fetus, will also influence sexual behavior. ”

(Masters & Johnson, 1966)

When talking about sexuality in pregnancy, it is necessary to take into account that there may be changes due to the physiological and psychological changes that are characteristic of each trimester. On the other hand, the way in which the couple experiences their sexuality is conditioned by the individuality of each of the partners and by their social context, which in turn is a reflection of a set of beliefs, traditions, and myths.

Since during pregnancy, the genitals and breasts will be the preferred targets of hormones, and these are also the preferred targets of sexual responses, changes in sexuality during pregnancy turn out to be inevitable and understandable. Many other structures change, from rounded shapes to widening holes, and all of these can have a positive or negative effect on the couple’s intimate relationship.

1st trimester (0 – 12 weeks)

This phase is characterized by the increase and stiffness of the breasts, vaginal tension, nausea and vomiting, tiredness, and nausea, all of these factors justify the decrease in desire and sexual response.

2nd trimester (13 – 27 weeks)

The second trimester is a period of calm, more comfortable for women. There is an increase in vascularization and engorgement of the breasts, the labia majora, and the vagina, which increase sexual tension, facilitating orgastic capacity, in addition, the discomfort due to excess tension observed in the first trimester is mitigated. Some women describe a significant improvement in sexual intercourse at this stage.

3rd Quarter (28 – 40 weeks)

This quarter has the most differences from case to case. Certain women will continue to express an increased interest in sexuality, while in most cases there is a marked reduction in sexual relations in relation to the second trimester. It should be noted that at this stage of pregnancy the abdomen has a greater weight and volume, in addition to heartburn, muscle pain, and possible outflow of milk, caused by excitation and/or strong uterine contractions after orgasm. It should be noted that in this phase the libido remains elevated, due to the abundant vaginal lubrication and the increase of the pelvic pressure of the uterus, which increases the resolution time, increasing the orgasm.

It is important to note that there are some factors that have an impact on sexual desire, some that are constant throughout pregnancy, others that are more frequent in the third trimester, among which the body self-image, the fear of hurting the baby can be highlighted, as well as the size of the woman’s abdomen that can cause discomfort in certain sexual positions, for example, in the missionary position.

In short, sexuality in pregnancy is experienced differently by couples. It is important to take into account that the various emotional, physiological, hormonal, and psychological changes can make it necessary to change sexual patterns and habits. Depending on the state and health of the pregnant woman, there may be stages in which it is important to stop penetration and it is necessary to resort to other forms of sexual stimulation, such as masturbation, oral or anal sex. Other women only need greater intimate closeness and greater attention on the part of their partner. It is essential that the two communicate so that this phase can be lived in the best way by both, suggests sexologist in Delhi.

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Can yoga improve sexual function?

Yoga, the ancient Indian tradition that incorporates breathing and meditation with posture, is widely practised today. And many people and sexologist in Delhi think that regular yoga practice has sexual benefits.

Here are some of the ways that yoga can improve  sexual function :

– Relaxation. Stress, anxiety and fatigue can make sex difficult or unsatisfactory. Yoga can relax the body and relieve these symptoms.

– Better blood flow to the genitals. For a man, relaxation of the body helps the blood flow to the penis, giving it a  firmer erection. For a woman, greater blood flow to the vagina helps with better sensation and lubrication.

– Potential for better cardiovascular health. Yoga can reduce the risk of heart disease symptoms, such as atherosclerosis (hardening of the arteries), which can also improve genital blood flow.

– Attention. Yoga focuses on the body and breathing, making the practitioner more aware of these areas. This attention can be useful during sex, too. Focusing on the physical, sensual aspects of sex – and keeping your mind organized – can make sex more enjoyable.

– Flexibility. After practising yoga for a while, the body grows accustomed to different forms of stretching, bending and movement. This can make sex more comfortable. It can also help couples who are experiencing new sexual positions.

– Stronger pelvic floor muscles. Some poses strengthen and tone the pelvic floor muscles, which can lead to more intense orgasms.

Patients who are new to yoga practice should do some research before starting the practice. A professional can help you determine which type of yoga is best. Some patients, such as those with back, neck, or shoulder problems, may need to change positions to suit their needs. A qualified yoga instructor should be able to suggest – and teach – these adjustments.

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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.

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Questions and Answers About Sex Positions

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

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

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

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

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

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

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

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

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

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

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

What position facilitates the ejaculatory control of the man?

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

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

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

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

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

What posture would you recommend to maintain good penile rigidity?

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

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

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Sexual Response

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

What is a sexual response?

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

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

Specifically, the phases of sexual response are as follows:

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

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

sexual response

The sexual response: desire phase

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

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

The desire phase in women

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

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

The desire phase in men

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

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

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

The sexual response: arousal phase

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

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

Arousal in women

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

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

Excitement in men

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

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

The sexual response: orgasmic phase

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

Orgasm in women

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

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

Orgasm in men

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

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

Differences in orgasm between men and women

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

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

The sexual response: resolution phase

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

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

Resolution phase in women

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

Resolution phase in men

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

The sexual response: satisfaction phase

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

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

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

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