Tag Archives: Sexologist in Delhi

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.

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what is impotence

What is Impotence

What is impotence? Explain its treatment as well?

The impotence of not being able to cohabit correctly even after sufficient stress or insufficient tension in the private part can be called impotence. Nowadays it is called erectile dysfunction (lack of right tension) rather than impotence or impotency.

There are four stages in a man’s sex cycle. Libido, adequate tension in the sense, penetration into the female genitalia and extremities. Lack of libido can sometimes result in disturbance of the nervous system, sometimes arousal may decrease. After 65-70 years of age, this problem also arises due to a lack of male hormones. A man gets enough excitement in one state, such as in the morning, while urinating, or during masturbation, but if he does not get excited in another state then this problem will be considered as mental, not physical. This problem is often found, especially in patients with diabetes.

Sugar is a major cause of impotence. In the sex cycle of diabetic patients, libido and peak/ejaculation state remain normal, but private part stress often decreases. Such patients should be under sugar control so that the problem does not escalate. If the decrease in stress persists even after the sugar is under control, then indigenous Viagra may prove to be effective in such a situation. This tablet is available in a quantity of 25, 50, or 100 mg, which should be taken one hour before coitus. This pill proves to be more effective on an empty stomach. This tablet should be taken at least once in twenty-four hours. Many times physical impotence, as well as mental impotence, are also associated. This pill works in both states.

Impotence never comes due to a lack of sperm. Even in case of impotence, it is useless to get sperm tested. The physical causes of impotence are many, such as disturbances in the nerves, lack of male hormones, or fear of failure in the brain once failed. Here, it is important for patients to understand that failure is common. It does not mean the end. For example, if a cricketer hits a double century in the first innings and gets out on zero in the second innings, it does not mean that he can never hit a century later. Such patients can get rid of the problem by increasing their confidence and consultation with a sexologist in Delhi.

erectile dysfunction

Facts and myths about erection

It is a barometer of somatic and mental health. It affects your confidence, ego, and relationship quality more. The best part is that you can take care of her, but wait a minute – aren’t you boycotting her? Learn the facts and myths about the erection.

MYTH: “One-off misfire” indicates erectile dysfunction

You are not a machine – fatigue, taking certain medications, too frequent sexual contact, alcohol abuse can cause weakness or lack of erection. If the problem persists and begins to have unpleasant consequences, see a specialist.

FACT: Emotions Can Affect Erectile Dysfunction.

Erectile dysfunction can have many causes – organic, psychogenic, and mixed. Especially in young men, erection problems may be the result of a decreased sense of self-attractiveness, fear of failure or unwanted pregnancy, religious, moral or ethical inhibitions. A psychogenic cause may also be partner conflicts, open or hidden grievances towards the partner or the loss of her attractiveness.

MYTH: Erectile dysfunction affects “old men”.

Your grandfather, your dad, and even you can suffer from potency disorders – the problem affects all age groups. It is democratic and growing – it is estimated that the number of men with erectile dysfunction in the world in 2025 will amount to 320 million! This is largely due to the modern lifestyle: improper diet, lack of exercise, weakness for alcohol and nicotine, the development of civilization diseases such as hypertension and diabetes. Research shows that most men with ED are in the 51-60 age bracket.

FACT: Erectile dysfunction can be caused by drugs.

It is estimated that around 25% all erectile dysfunction occurs as a side effect of taking pharmaceuticals to treat other conditions. The substances that may cause erectile dysfunction are: antidepressants, antihypertensive drugs, neuroleptics, antiepileptic drugs, chemotherapeutic drugs.

MYTH: Erectile dysfunction is a natural and inevitable consequence of the aging process

Erectile dysfunction is more common among older men primarily because the risk of civilization diseases increases with age. However, old age does not have to mean sexual inactivity. Unfortunately, erectile dysfunction appears more and more often in young men. They are largely the result of a lifestyle: stressful work, unhealthy diet or the use of stimulants. Erectile dysfunction should be treated regardless of whether it occurs in a 20-year-old or a 70-year-old. However, in addition to proper treatment, it is worth trying to change your lifestyle to a healthier one. Physical activity, a balanced diet, avoiding stimulants and stress will certainly effectively support the treatment process.

FACT: Men experience their first erections in utero.

Already in utero, our body prepares to experience pleasure later in life. According to studies, from around 16 weeks of gestation, while still in the womb, the boy experiences the first erections.

MYTH: Tight briefs can affect erectile dysfunction

The research so far shows a relationship between the type of underwear you wear and fertility, not potency. Wind-free and tight to the body, it causes pressure and overheating of the perineum area. If the testes are overheated, the quality of sperm decreases, which is mainly manifested by a significant reduction in the number of sperm and their lower mobility.

FACT: Men get erections while sleeping.

Nocturnal penile erections are the spontaneous and natural responses of the male body. A typical and healthy male usually has three such episodes at night, lasting 2-3 hours, and they are associated with eye movements.

MYTH: Erectile dysfunction cannot be treated If left untreated

It can lead to many negative consequences (depression, anxiety disorders). Modern medicine offers us many effective methods of treating erectile dysfunction (testosterone supplementation, injections into the corpus cavernosum, vacuum pumps). Drugs approved for the treatment of erectile dysfunction are phosphodiesterase type 5 inhibitors. The substances successfully inhibit the decomposition of nitric oxide, which may lead to the relaxation of the muscle of the blood vessels and, as a result, to an erection.

FACT: A man’s orgasm is shorter than a woman’s

Orgasm is 6 seconds. For comparison, female – as much as 23 seconds.

MYTH: Alcohol has a relaxing effect and can increase your ability to maintain an erection.

Small amounts of alcohol can encourage you, but larger amounts weaken the nervous system and therefore increase the risk of erectile dysfunction.

MYTH: Oral medications to treat erectile dysfunction are addictive.

Potency medications do not affect the central nervous system – so you cannot become addicted to them, as you would to alcohol or drugs.

FACT: Cigarette smoking promotes erectile dysfunction

The main culprit when it comes to erection problems caused by smoking is nicotine, a substance that has very adverse effects on blood vessels (including those found in the male genitalia). Nicotine acts in the opposite way to the active substance in erection aid, it causes the arteries to narrow and therefore reduces the blood supply to the corpora of the penis, which can make it difficult or even impossible to get an erection.

MYTH: Only men feel the impact of erectile dysfunction.

Erectile dysfunction is a problem not only for men, but also for women. Intimate relationships often suffer, especially when the relationship issue is not discussed. Your partner may feel unloved or think it’s their fault. Frustration, a sense of shame and low self-esteem resulting from potency disorders can also lead to difficulties at work or in relationships with loved ones.

FACT: BMI influences erection

BMI, which is a body mass index that indicates overweight and obesity, poses a risk of potency problems. They are both the result of obesity-related diseases and an independent cause of sexual problems. Among the mechanisms explaining the direct influence of obesity on the increased risk of erectile dysfunction are hormonal disorders, impaired endothelial function and insulin resistance. Research indicates that overweight is associated with a 1.5-fold increase in the risk of erectile dysfunction, obesity – more than 3-fold.

low sex desire treatment in Delhi

Where To Treat Premature Ejaculation

First of all, you need to know what exactly premature ejaculation is. It is a condition in men characterized by a lack of control over ejaculation, which makes full sexual intercourse impossible.

LOOKING FOR A PREMATURE EJACULATION TREATMENT

There are multiple variables of premature ejaculation but now we show you where you can know exactly what your problem is and how you should solve it.

If you are wondering where can I get best premature ejaculation treatment in Delhi?  Dr. P K Gupta’s Super Specialty Clinic puts at your service the best sexologist in Delhi with a large number of years of experience who will be able to solve all your doubts through practical cases that will combine your doubts and his experience to reach a result becoming.

You have endless possibilities for your consultations to be quick and effective, but if you wish you can make the consultation in the comfort of your home and treat premature ejaculation online, through videoconference, indicating the date and time you want, you will receive a diagnosis without having to go to the sexologist clinic in Delhi, except for specific exceptions.

Dare to put an end to it, without fear, without questions, without feeling ashamed for a condition that affects 42% of men, feel supported by a clinic and by the best doctor in this type of issue. Dr. P K Gupta’s Clinic is at your disposal to support you, and of course, make your day-to-day easier.

Dr P K Gupta Super Specialty Clinic Pvt. Ltd.

1B, Metro Plaza, Next to Gate No. 8, Karol Bagh Metro Station,
Karol Bagh,
New Delhi, Delhi 110005
India
Phone: 9999925201
Email: pkguptametrotower@gmail.com
Monday10:00 - 20:00
Tuesday10:00 - 20:00
Wednesday10:00 - 20:00
Thursday10:00 - 20:00
Friday10:00 - 20:00
Saturday10:00 - 20:00
Sunday11:00 - 15:30

low sex desire

Sexual Desire Disorder In Men

A generalized idea and assumed by all are that men always have a remarkable sexual desire that has nothing to do with that of women. However, this maxim is not true at all because it is very common, more than you can imagine, what is known as sexual desire disorder in men.

Under this denomination is protected a decrease or an absolute loss of libido on the part of the individual of the masculine gender. And it can be produced by a wide number of factors, both physical and mental.

MOST FREQUENT CAUSES OF SEXUAL DESIRE DISORDER IN MEN

Thus, among the most frequent causes that cause a disorder of sexual desire in men are, for example, stress, anxiety, routine within the couple, the intake of medications such as antidepressants, endocrine pathologies, hormonal deficiencies …

In this way, for one or more reasons, it is common for men, at some point in their life, to suffer the well-known disorder of sexual desire in men that has several modalities. In this sense, we have to emphasize that one of the best known and most common is the so-called disorder of sexual desire in hypoactive or inhibited men, which is characterized by the fact that the individual who suffers it does not have sexual needs either as a couple or alone, not he manages to get aroused in situations that at another time in his life would have raised his libido and he also has no fantasies.

All this can lead to the man feeling anguish and being worried not only about himself but also about his relationship with his partner. However, it is important to make it clear that a sexual desire disorder in men is a problem that can be solved by carrying out the corresponding low sex desire treatment in Delhi, taking into account the causes that originate it, where hormonal methods take center stage to other necessary measures such as good communication with your partner and a healthy life, says sexologist in Delhi.

Dr P K Gupta Super Specialty Clinic Pvt. Ltd.

1B, Metro Plaza, Next to Gate No. 8, Karol Bagh Metro Station,
Karol Bagh,
New Delhi, Delhi 110005
India
Phone: 9999925201
Email: pkguptametrotower@gmail.com
Monday10:00 - 20:00
Tuesday10:00 - 20:00
Wednesday10:00 - 20:00
Thursday10:00 - 20:00
Friday10:00 - 20:00
Saturday10:00 - 20:00
Sunday11:00 - 15:30

stress and sexuality

How Stress Affects Our Sex Lives

In some situations of our daily or work life we ​​are subjected to moments of stress that can lead to situations that prevent us from enjoying our sexuality. In order to face it, it is very important to know how to identify these states both individually and in relation to our sexual partner.

There are many daily situations in which we have problems in our minds such as worrying about work, housework, caring for the family or the financial situation, to give a few examples. The stress that these daily worries can cause can lead to various disorders, even some that derive in the sexual area.

The effects that stress can have on sexuality are similar to those it can have on other disorders or aspects of life. In most situations we are able to detect them ourselves. On the other hand, in the inhibition of sexual desire it is more frequent that we realize the problem too late, when the libido has dropped to very low levels.

As described by best sexologist in Delhi, some of these problems are due to the fact that in recent years there have been changes derived from the Internet and information management. In any case, he also remembers that stressful situations have always existed throughout the history of humanity, although they have manifested themselves in other ways.

The sexologist in Delhi affirms that the current social organization tends to reward people who present stressful behaviors, such as those who are able to assume more responsibilities at work. In other words, the people most valued for their professional skills may be the most sensitive to showing symptoms of stress and consequently, their sexual life being affected.

TO CARRY OUT THE SEXUAL ACT IT IS NECESSARY TO DISCONNECT FROM EVERYDAY PROBLEMS AND THIS IS REALLY COMPLICATED IN STRESSED PEOPLE.

In stressful situations and in general under any psychological problem, the pressure to which we are subjected affects our brain and therefore can cause problems for other functions of the body, leading to the impossibility of maintaining an erection. Sexologists indicate that increased cortisol causes a decrease in the levels of some hormones such as testosterone, the main male sex hormone. The consequence of this is usually a decrease in sexual desire.

There are some behaviors that can help us prevent these situations that will also improve other aspects of our life, in addition to sexuality. For example, we can periodically search for spaces or activities that allow us to completely disconnect from our obligations such as playing sports, or enjoying our hobbies. In this way we will get to the moment of sexual encounter with the most relaxed mind. In the case of living with our sexual partner, this can be done jointly, for example by sharing household chores. In any case, we must try to know ourselves and find time to put our pleasure ahead of our obligations.

If, despite everything, this emotional balance cannot be reached and this affects sexuality, it is necessary to go to a professional to diagnose the problem and establish an appropriate treatment. At sexologist clinic in Delhi we have a highly qualified medical team that will help you resolve the situation.

sexual relationship

Sexual Relationships And Couple

Sexual relations are something that is part of the life of a couple. It is very normal that passion and sexual desire are more intense at the beginning of the relationship. However, this passion often diminishes over time and causes a lack of sexual desire or loss of sex drive and libido.

SOME TIPS TO GET OUT OF THE ROUTINE IN SEXUAL RELATIONS WITH YOUR PARTNER

Sex with a partner is a way of relating and maintaining the mutual bond, therefore it is not healthy that sex is purely routine, but a way of enjoying together. In addition, sexual relations are very healthy for both the body and the mind.

There is no secret to keeping your sensuality and sexual desire alive. The main thing is to keep communication alive and share the wishes and concerns of the other.

In addition to this, you can resort to generating new situations that are not used to giving, such as having sex in places in the house where it is not customary to do. It is also fun to start the sexual act with some unusual foreplay, such as performing a “striptease” to the partner, playing with food, or doing an erotic massage. For this, it is convenient to know how the couple likes to receive the massage so that it is the most pleasant and stimulating.

Apart from the sexual act, there are many possibilities that stimulate the relationship and can help us improve sexual desire. For example, bathing together with the bathroom lights off and candles lit around them, which can be accompanied by scented bath salts. Thinking back to communication between the two of you, it can be fun exchanging racy text messages before physically meeting your partner, or even having a phone conversation explaining what we want to do when we meet.

And for those who are looking for other ways to have sex, a good idea is to visit a Sex Shop together and choose some type of toy to use in bed. In these shops there are almost always news that help us discover new ways of relating. The more daring would also like to play domination in bed. It can be done without having to buy any gadget and with total safety, for example by tying the wrists with a tie or covering the couple’s eyes with a handkerchief. From here the fantasy of each couple can go anywhere.

In short, starting from the base of maintaining good communication between the couple, the possibilities of getting new stimuli for sex are practically infinite and only depend on the imagination of each one, but in some cases it is advisable to put yourself in the hands of professionals and specialists such as the Dr P K Gupta, best sexologist in Delhi, who will be able to determine what psychological and physiological factors are causing the lack of libido and sexual drive in the couple.

Dr P K Gupta Super Specialty Clinic Pvt. Ltd.

1B, Metro Plaza, Next to Gate No. 8, Karol Bagh Metro Station,
Karol Bagh,
New Delhi, Delhi 110005
India
Phone: 9999925201
Email: pkguptametrotower@gmail.com
Monday10:00 - 20:00
Tuesday10:00 - 20:00
Wednesday10:00 - 20:00
Thursday10:00 - 20:00
Friday10:00 - 20:00
Saturday10:00 - 20:00
Sunday11:00 - 15:30

azoospermia treatment

Azoospermia – Causes, Symptoms, Treatment Methods

Azoospermia is the complete absence of sperm in the semen. This disease affects about 1% of men, while azoospermia is the cause of infertility in a man in 5-10%. The diagnosis of azoospermia requires two independent tests.

Types of azoospermia

Azoospermia can occur in two types. The first is the situation in which there was some reason to stop production by the body of a man sperm, whereas previously the production of sperm was not impaired or was only slightly reduced. In most cases, such an impairment (inhibition) of sperm production is impossible to cure, so it is an irreversible situation. With reversible azoospermia we have to do when sperm production is not inhibited, and only reduced sperm and do not spread to the outside with sperm.

Azoospermia – symptoms

The basic symptom of azoospermia is the complete absence of sperm in the ejaculate (semen), which makes it impossible (temporarily or not at all) to have biological offspring. Besides, azoospermia does not cause any other disease symptoms.

Azoospermia – causes

The causes of reversible azoospermia include inflammation and post-inflammatory conditions within the reproductive system and obstruction of the sperm drainage pathway.

The most common cause of irreversible azoospermia are complications from childhood diseases, especially mumps. Azoospermia can also be a genetic birth defect – then it is impossible to cure it. In these cases, azoospermia is caused by mutations in the AZF gene located on the long arm of the Y chromosome.

The most common cause of congenital azoospermia, however, is underdevelopment or atrophy of the testicles. In some cases, azoospermia occurs due to medication, radiotherapy, and chemotherapy.

In summary, the causes of azoospermia include:

  1. insufficient sperm production in the testicles (or no production) due to damage or atrophy of the testicles,
  2. damage to sperm-forming tubules as a result of testicular inflammation, taking certain medications, chemotherapy, and radiotherapy,
  3. hormonal imbalance (too high levels of androgens, prolactin, estrogens or too low levels of gonadotropins and gonadoliberin)
  4. testicular cancer,
  5. genetic defects (for example, Klinefelter syndrome)
  6. testicular defects,
  7. obstruction of the sperm exit pathway, possibly caused by inflammation or trauma to the testicles.

Lack of sperm in semen (azoospermia) can also be caused by hypothalamic disease and diseases of the pituitary gland, which impair the production of gonadotrophins (LH and FSH) and gonadoliberin (GnRH) and cause a deficiency of these hormones, thus affecting male fertility.

Treatment methods for azoospermia

If the sexologist in Delhi makes an initial diagnosis of azoospermia (based on an interview with the patient and preliminary semen analysis), detailed andrological tests, hormonal tests, additional tests and, in some cases, other additional tests are necessary.

If the tests show that the ability to produce sperm is preserved (which for some reason does not escape during ejaculation), your sexologist doctor in Delhi may order a testicular biopsy for diagnostic purposes. If live sperm are obtained in this way, they are frozen, and a pair is prepared for in vitro treatment.

In the case of azoospermia that does not completely inhibit sperm production (but only sperm leakage), the number of sperm obtained by testicular biopsy is so small that in vitro fertilization is the only effective method of fertilization. If there is a complete absence of sperm in the semen (total azoospermia) in your case, a sperm bank may be considered. You can also try to fertilize the egg (in vitro) with immature spermatids.

In the case of azoospermia caused by obstruction of the pathways through which the sperm leave the sperm, surgical restoration or correction of the sperm can be performed so that the sperm can escape.

Dr P K Gupta Super Specialty Clinic Pvt. Ltd.

1B, Metro Plaza, Next to Gate No. 8, Karol Bagh Metro Station,
Karol Bagh,
New Delhi, Delhi 110005
India
Phone: 9999925201
Email: pkguptametrotower@gmail.com
Monday10:00 - 20:00
Tuesday10:00 - 20:00
Wednesday10:00 - 20:00
Thursday10:00 - 20:00
Friday10:00 - 20:00
Saturday10:00 - 20:00
Sunday11:00 - 15:30

low testosterone

Low Testosterone: Let’s Understand

“I have low testosterone” is a frequent and growing complaint in the office, although it is not always correct. Decreased testosterone levels can lead to a number of signs and symptoms, such as erectile dysfunction and decreased sexual desire. For this reason, many men go to the best sexologist in Delhi because they believe that their problem is the decrease in testosterone. However, this is not always true.

As explained, erectile dysfunction is multifactorial. Therefore, circulatory, metabolic, neurological, hormonal, medication and psychological etiologies may be involved. Testosterone, then, is a small part that can contribute to erectile dysfunction.

Likewise, the decrease in sexual desire is also related to different etiologies. Among them: depression, post-traumatic stress, kidney failure, coronary heart disease, heart failure, stroke, STDs and AIDS, eating disorders, erectile dysfunction, dysfunctional partner, couple conflicts, medications and hormonal changes. Therefore, the linear reasoning that decreased sexual desire and erectile dysfunction are synonymous with low testosterone levels, is wrong.

Androgenic Male Aging Disorder

Although subjects of all ages come to the sexologist in Delhi to find out about their testosterone, the patients who most seek information about their hormonal status are middle-aged and elderly. That certainly has a reason. We all age, at least for now. Thus, there are gradual changes in our organism, but at some point they are noticeable, including the disposition for sexual intercourse. Indeed, sexual desire is different and erections are not the same when comparing older men and young people. The sexologist in Delhi will be able to assess and guide what is part of our normal aging and what may possibly be outside of expectations.

Androgenic Male Aging Disorder is a clinical and biochemical syndrome associated with unhealthy male aging. It is characterized by signs and symptoms in multiple organs, in addition to a negative impact on quality of life, resulting from the decrease in serum testosterone levels.

Testosterone throughout life

The healthy aging man has a natural decline in testosterone as the years go by – about 1-2% per year. This drop in hormone levels is not responsible for the worsening of your sexual quality of life. There is a peak in testosterone around 20 years of age and a decrease in its concentration throughout life. In this way, the elderly man gets to have his testosterone levels close to 300ng / dL.

Low Testosterone – What happens?

There is certainly a relationship between testosterone levels and symptoms. As the concentration decreases, the symptoms appear:

Low testosterone, however, is not just about sexual performance. The testicles decrease in size, there may be growth of the breast (gynecomastia), loss of muscle mass and hair loss.

I emphasize the association with obesity, type 2 diabetes, metabolic syndrome and physical inactivity. I speak in association and not in cause or effect, as there is a vicious cycle. In such a way, the above diseases lead to low testosterone and this in turn leads to or worsens the first conditions.

I also emphasize that cognitive and psycho-vegetative symptoms may be related to the drop in testosterone. They are: hot flashes, changes in mood, fatigue, irritation, sleep disturbances, depression and decreased cognitive ability.

There is also a decrease in bone mineral density / osteoporosis, and thus, fractures occur with minor trauma. Up to a third of the elderly are believed to have anemia without a clear explanation. In the meantime, observational data suggest a relationship between low testosterone levels and anemia.

What then are the warning signs for Low Testosterone?

Firstly, having the warning signs does not necessarily imply a decline in testosterone. Thus, their presence should lead the patient or health professional to seek other clinical celebrations. In addition, testosterone dosage should be considered.

Are they:

  • Sexual Dysfunction;
  • Obesity, Diabetes Mellitus type 2 and Metabolic Syndrome;
  • Diseases of the hypothalamic-pituitary region, including after treatment with radiotherapy;
  • Chronic use of medications that can affect the normal physiology of testosterone;
  • Moderate and severe chronic obstructive pulmonary disease (COPD);
  • Infertility;
  • Osteoporosis or fractures with minor impact trauma;
  • Patients with HIV and sarcopenia (loss of muscle mass).

In the hypothalamus-pituitary region there is production and hormones such as GnRH, LH, FSH and prolactin that are involved in the regulation of testosterone, as this is the focus for diseases in that region.

In summary, the decrease in testosterone is a complex phenomenon. Its causes are many and its effects on our organism involve multiple organs. It is related to some problems such as obesity, metabolic syndrome and physical inactivity that generates a vicious cycle. Finally, if the warning signs caught your attention, be sure to see your sexologist in Delhi and receive full attention to your problems.

low sperm count treatment in Delhi

Seminal Quality

In approximately half of the couples who go to an assisted reproduction clinic because they do not achieve pregnancy, the infertility problem is the male and in most cases as a consequence of poor seminal quality. This is determined from several parameters:

  • Semen volume: the normal thing is that between 2 and 5 milliliters are produced per ejaculation. Taking into account that with the number of ejaculations the volume decreases and it increases depending on the time of previous sexual abstinence, systematic values ​​below and above those mentioned are indicative of problems that can affect fertility.
  • Its viscosity.
  • The way it thickens and then turns liquid.
  • The acidity (Ph) and fructose content of the liquid. Citric acid and fructose indicate the secretory capacity of the prostate and seminal vesicles. Normal levels of both substances are above 52 and 13 micromoles, respectively.
  • Sperm concentration.
  • Sperm motility.
  • Shape of the sperm.
  • Fragmentation of sperm DNA.

It must be taken into account that the semen that is expelled in each ejaculation is made up of the secretions of different glands and only 5% comes from the testicles, where sperm are produced from germ cells and a liquid very rich in testosterone that allows the former to pass through the epididymis before passing into the semen. The remainder is produced in the seminal vesicles, the prostate, and the bulbourethral and urethral glands. When put together, the different components make the semen appear slimy, sticky in texture and white or grayish (sometimes it may appear slightly yellowish) components of the semen.

The point is that seminal quality can be affected by multiple factors, such as certain diseases (such as varicocele), drug, tobacco and alcohol use, the use of certain drugs, environmental factors such as exposure to toxic substances or ionizing radiation, sexually transmitted infections, fever, working in environments with high temperatures, etc.

Normal seminal quality

The number of dead and abnormal sperm in each semen sample can be surprising. But, in any case, semen quality is considered normal when the following criteria are met:

  • The total volume of semen should be between 1.5 and 5 milliliters.
  • The sperm concentration must be at least 20 million per milliliter of semen (it can reach 150 million).
  • At least 75% of the sperm must be alive.
  • 30% of them must be well trained.
  • 25% must move forward in a quick movement and 50% must go forward even slowly.

All these values, as well as those of Ph and fructose concentration and those related to viscosity and subsequent liquefaction, can be determined by performing a seminogram or spermiogram.

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