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erectile dysfunction

How erectile dysfunction affects married life

Erectile dysfunction (ED) can have significant effects on a married couple’s relationship and overall quality of life. ED is a common condition in which a man has difficulty achieving or maintaining an erection sufficient for sexual intercourse. It is typically caused by physical or psychological issues, and it can have a range of causes, including age, chronic health conditions, and stress.

One of the primary ways in which ED can affect a married couple’s life is through its impact on their sexual relationship. When a man experiences ED, it can cause feelings of inadequacy, frustration, and low self-esteem. This can lead to decreased interest in sex and a lack of intimacy in the relationship. The partner of a man with ED may also experience feelings of frustration, disappointment, and emotional distance as a result of the difficulties with sexual intimacy.

In addition to the emotional effects of ED on a relationship, the condition can also have practical consequences. For example, ED can lead to decreased fertility, which can be a source of stress for couples trying to conceive. It can also lead to financial strains, as treatment options such as medications or therapy can be expensive.

The emotional and practical impacts of ED can lead to feelings of distance and disconnection between partners, as well as feelings of anger and resentment. These emotions can create additional stress and strain on the relationship. It is important for couples to communicate openly and honestly about their feelings and concerns related to ED and to seek help and support if needed.

There are various treatment options available for ED, including medications, therapy, and lifestyle changes. It is important for individuals experiencing ED to speak with a sexologist in Delhi to determine the best treatment plan. With the right treatment and support, couples can work through the challenges of ED and maintain a healthy and fulfilling relationship.

Overall, ED can have significant effects on a married couple’s life, including their emotional and sexual relationship and their overall quality of life. It is important for couples to communicate openly and honestly about their feelings and concerns related to ED and to seek help and support if needed. With the right erectile dysfunction treatment in Delhi and support, couples can work through the challenges of ED and maintain a healthy and fulfilling relationship.

benefits of sex

2 signs the body gives when it goes too long without sex

Far beyond pleasure, sex plays an important role in maintaining our health.

There are several situations that can cause people to stop having sex. Overwork, lack of disposition, traumas, relationship endings and even personal decisions are just some of them. Regardless of the reasons, when you stop having sex you will notice that certain things can change with regard to our health and attitudes.

Did you know, for example, that a bad mood can be related to sexual abstinence? And it doesn’t stop there: changes such as the appearance of pimples, dry skin and hair loss can also occur. Everybody reacts in a way, my friend.

The fact is that, far beyond pleasure, sex plays an important role in maintaining our health and well-being.

If not, you don’t believe it, just look at what has already been proven about the “side effects” that arise when you don’t have pleasurable sex for a long time:

#1 – LESS SOFT SKIN. Sex increases blood circulation and oxygenation in the body, making a person look much healthier. This is directly reflected in the appearance of the skin. That is, if you spend a long time (months, for example) without having sex, your skin starts to feel dry and less soft.

#2 – INCREASE SEXUAL FANTASIES. Without sex, the body is anxious to have sex and the mind, to try to fulfill this need, ends up working hard on fantasies involving sex.

#3 – ACNE EVERYWHERE. Believe me, sweat from sexual intercourse helps with the facial cleansing process, in addition to reducing stress, which is consequently responsible for keeping pores clean. No wonder they say that “sex is a good mood”.

#4 – INSECURITY. As sex is an activity that improves our self-esteem, its absence implies a greater sense of insecurity in relation to our attitudes. When this insecurity reaches its peak, we can even develop more serious psychological problems, such as depression.

#5 – ANTISOCIALS. Lack of sex can also make us less sociable people. This occurs due to the decrease in the production of endorphins, substances that help maintain a good mood and the desire to be surrounded by people.

#6 – PHYSICAL DISEASES. Do you have frequent headaches, nausea or stomach upsets? This could also be happening because of sexual abstinence. The reason? Lack of sex decreases the production of serotonin and endorphins, which are known to act as natural painkillers.

#7 – THE CHANCES OF DEVELOPING PROSTATE CANCER GROW. Well, my friend, according to data from the American Urological Association, men who have sex frequently reduce their risk of developing prostate cancer by 20%. This happens because during ejaculation harmful substances can be eliminated from the prostate. So when men stop having sex, they increase their chances of developing cancer.

#8 – HAIR LOSS AND WEAK NAILS. Sex improves blood circulation and basically makes “everything work as it should”, and this, of course, directly influences the health of your hair and nails. If you start to see more hair on your pillow or notice your nails getting weaker, this could be a sure sign that you need to get laid.

#9 – LACK OF SLEEP. Have you been having a lot of insomnia? Lack of sex could be the reason. Sexual activity causes our body to produce a hormone called oxytocin, which is responsible for balancing our organism so that we have a good night’s sleep. Therefore, the absence of sex can result in difficulty sleeping.

#10 – A LOT OF STRESS. Of course, this is not the only reason for your lack of patience, but in these cases, it happens because during sexual practice we tend to release tension and, without this release, the chances of it accumulating are greater, which causes high peaks of stress. and emotional anxiety.

#11 – IMPAIRED SEMEN. If, on the one hand, the volume of semen can increase after two days without intercourse, after a long time without sex, it runs the risk of decreasing – and, consequently, causing impotence problems.

#12 – LOW IMMUNITY. If you get sick often, lack of sex may be related to this: according to researchers from Wilkes-Barre University, in Pennsylvania, those who have sex at least twice a week have a 40% greater amount of immunoglobulin A, which protects the organism from viral or bacterial invasion through the mucous membranes.

condom inside the vagina

Condom inside the vagina – What to do

If the condom gets stuck inside the vagina right after sexual intercourse, it must be manually removed if it is visible or palpable. Otherwise, it is essential to look for a gynecologist urgently so that he can make the withdrawal in his office. With the help of a speculum, the professional will have complete visibility of the vaginal cavity and there will be no risk of rupture.

Why go to the gynecologist

The gynecologist is the only one authorized to remove the condom if it is not visible because, on many occasions, the condom breaks into several small parts that can remain inside the vagina if one of them is not removed.

What happens if the condom stays inside the vagina

When staying inside the vagina, even a small piece of the condom can be seen by the immune system as a foreign body, causing irritation, itching and inflammation. In addition, a possible contamination of the condom can be the gateway of a bacterial or fungal infection, for example.

Risk of getting pregnant

If the condom gets stuck in the vagina during the woman’s ovulation period, there is a chance of pregnancy as the semen retained in the condom at the time of ejaculation may have stayed inside the vagina. In this case, it is necessary to proceed in the same way as when the condom breaks and to take the morning-after pill as soon as possible.

Be careful when handling the condom

It is necessary to be aware that attempts to remove the condom with hands or other objects can cause wounds on the vaginal wall and contamination that later trigger an infection. It is necessary to remove the condom as soon as possible, but it is retained in the vagina for a few hours until the consultation with the gynecologist does not pose any risks because the vagina is a closed cavity and in no way can the condom reach the uterus or abdomen.

sexual myth

Experience in sex is not a degree

Experience in sex is not a degree: why you may have had many relationships and not be a good lover

As in the kitchen, in sex it is not the same to do the usual many times, than to learn and cultivate oneself to innovate.

It is true that experience is a degree. But perhaps we are taking too much for granted that, in terms of sex, the more you practice, the better you do it and the more you know, giving rise to what is one of the great myths of sexuality.

To begin with, because “having a lot of experience” is something relative. Yes, in a resume we can verify that this person has developed different functions and imagine what capacities he has been forced to develop. We can even check previous employers. When it comes to sex, having had many relationships does not always mean that person has learned and has been improving. Plus, it’s much harder to call your exes to check.

“The experience is very subjective”, the sexologist in Delhi Dr P K Gupta emphasizes this idea . “Perhaps a person has only had one partner, but he has experienced a lot. On the other hand, another has had many partners, but has been able to delve little into sexuality. Thus, every time she starts with someone new, she generates the same pattern and, since there is no trust, no one tells her that she does not like it and she continues to believe that she does everything well”, he exemplifies as one of the most common situations .

Lots of practice, but little theory

So why do we always tend to think that, in the art of sex, experience makes perfect? This myth is mainly based on two ideas. The first is that we continue to believe that quantity matters more than quality. However, nobody usually asks about the quality of relationships, but about how long they last and how many times they have a week. When perhaps that is not the most important fact.

The other idea to banish is that sex is only learned through practice. As if we didn’t need to know anything about theory. If we transfer this idea to the kitchen, there are those who think that everything is to put on, and who knows that, to cook really well, and not just muddle through, you have to have some clear ideas and have a couple of cookbooks on hand . Well, with sex, the same thing happens. We can always make the same dish, but to stand out, it is necessary to learn, innovate and strive to improve.

“Only the practical experience is very lame”, clarifies the best sexologist in Delhi about this idea. “That is why it is very important to read, talk, exchange opinions and experiences, listen, be receptive and have an open attitude to learning.”

In fact, one of the great problems of sexuality is that we go into practice, having learned very little theory. And what we have doesn’t always come from the most appropriate sources. Above all, in the absence of formal sex education. “Normally we go to the Internet, we continue to see an expert as a resource when faced with a problem, it is hard for us to think that they also serve to advise us, inform us and guide us in a personalized way when in doubt”, Dr P K Gupta points out.

However, another of the big mistakes is to go with our doubts to a friend with more experience or to the ‘fuckologist’ on duty, who tries to give us the keys based on his own experience in particular, without understanding that sex is a science and that many times, what works least is to generalize.

And then what makes a good lover?

Being clear that having a lot of experience does not necessarily make us better, if it has not been of quality, one might wonder what we can do to be much more competent lovers. “Experience usually helps, it’s true, but it’s just an extra”, clarifies Dr P K Gupta once again. “What would help us is to know the bodies, to know how sexuality works and, above all, to learn sexual skills, that is, to know the body of the other, to know how to empathize with their needs, to know how to talk about it naturally, etc. We should all train ourselves to know the physiology, the points of pleasure and learn to communicate, ”says the sexologist in Delhi as a recipe.

Another key idea is provided by Dr P K Gupta. “An important issue is interest, motivation.” In the end, wanting to be a good lover consists of making an effort to be one, and for that you have to be open to learning and improving, and not simply repeating the same recipe over and over again. “The greater your interest and your desire to learn, the easier it will be for you to deal pleasantly with different people.”

Finally, Dr Gupta concludes that there are things that can be learned through experience, but not in any way. “There are aspects to cultivate, for example, listening, curiosity, empathy, learning, humor, play. It is very important to be aware that what one person likes may not excite another and that each erotic experience is a new experience, whatever we have had. That is why it is so important to deepen your learning and your listening and not stick with the typical ‘tips’ that anyone can offer”.

Symptoms of sexual problems in marriage

Symptoms of sexual problems in marriage

In married life, sex is a very important part of life. A happy couple must have good sex (higher quality than most). For a family to thrive, parents must be actively involved in their happiness. When sex life is very low it can be a warning sign that there are other problems in a marriage, other than sex.

It is important to consider that poor sexual health in marriage increases the chances of separation in less than a year. In this sense, it is important to consider the symptoms that will indicate that your sexual health is declining significantly, suggests sexologist in Delhi.

Symptoms of low sex drive

  • You have sex once or twice a month
  • Sex becomes more than just a matter of taste
  • He engages in sexual relations only if they are premeditated
  • You do not feel close or intimate with your partner after having sex
  • Your partner’s sexual desires have ceased to exist, and yours is also reflected in their absence.
  • It seems that you are the only one who wants to have sex because your partner is not interested in sex
  • There is no sense of pleasure or selfishness in a sexual relationship with your partner
  • None of you want sex while you sleep
  • Your spouse enjoys solitude and doesn’t want to have sex with you
  • You may enjoy pornography on your own and / or masturbate instead of having sex with your partner

While sexuality is important, research shows that couples who communicate well and share things are more likely to have sex. Before you try to improve your sex life with toys or underwear or sex, work with communication skills and spend more time with your partner.

How do you control premature ejaculation

How do you control premature ejaculation?

Premature ejaculation affects many men worldwide, it is the most common sexual problem among those under 40 years of age. It is important to understand the physical and mental causes behind the problem, but until this happens, fortunately, many techniques will help to delay or eliminate premature ejaculation.

Take a deep breath!

deep breath

Deep breathing is a form of meditation that often helps control sexual desire and tension leading to premature ejaculation. Superficial, rapid breathing speeds up the pulse, which can cause premature erections and ejaculation.

Try to inhale the air well for 5 seconds, then hold it in for 3 seconds and only then blow it out slowly, again for 5 seconds. If you can continue this rhythmic breathing for 5 minutes, you can take great advantage of it in the bedroom too! In addition, trying to breathe with your partner, paying attention to each other, greatly enhances intimacy.

Masturbate more often!

masturbation

There are practical reasons for this advice: although men have significant amounts of sperm, they are not infinite. The more times you masturbate, the next time you can delay ejaculation longer.

Try interrupted masturbation! The point of this is that when you feel an orgasm approaching, it stops and then, after a short rest, continues to satisfy and stop, gradually getting closer and closer to orgasm, until you can no longer stop. Try pushing this out for 15 minutes, but if you feel your testicles or penis hurt, don’t stop yourself anymore. If you do this exercise regularly, you can experience where the point from which there is “no going back” is. If you feel you are already a master of technique, you can also try it in the bedroom.

Pressure

pressure

Applying pressure to the bottom of the penis – to the same point that helps to delay orgasm during intermittent masturbation – can slightly reduce the amount of erection, thus delaying ejaculation. Once you know exactly what this point is, you can even ask your partner to help you practice this technique.

Kegel practice

kegel exercise

The relatively easy and discreet Kegel exercise is not only beneficial for women. There is no better way to train pelvic floor muscles and strengthen the pubococcygeus muscle (PC muscle). The PC muscle is located between the pubic bone and the coccyx and helps control urine and ejaculation, respectively.

The easiest way to train this muscle is to try to stop urine leaking on the toilet. To do this, you need to use the PC muscle. During Kegel exercise, this muscle should be stretched for approx. 10 seconds, then relax. Perform at least three sequences of exercises in a row, with 10-second breaks between them. You can do the exercise anywhere, anytime, either while driving or in front of the TV. The exercise strengthens the PC muscle so you can delay ejaculation by tightening it near orgasm.

Try new sex poses!

sexual dysfunction in women

Real sex is more than a traditional source of physical pleasure. Try new sex poses or apply tantric techniques during intimate togetherness! You may even find that you last longer in certain poses, ejaculate later. Generally, when the woman is on top, premature ejaculation can be delayed while the missionary pose is avoided.

If you feel close to orgasm, stop the stimulation (e.g., pull out your penis for a short time), stretch your PC muscle, and take a deep breath! Repeat this until the ejaculation compulsion is gone.

Condom

condom

A condom reduces the sensitivity of the penis, so stimulation is less of a problem. Avoid condoms with warm lubricants that provide a warm atmosphere – the more stimulation, the greater the risk of premature ejaculation.

The use of a benzocaine condom, which can delay ejaculation by up to 5 minutes, is highly recommended. These condoms are treated with a mild anesthetic, benzocaine, which helps prevent premature ejaculation by reducing sexual stimulation. Don’t worry, you’ll still enjoy being together. If in doubt, try masturbating first to see the benefits of using it.

If you are allergic to latex, look for a condom based on polyurethane or polyisoprene.

Talk to your partner!

Communication is the basis of any relationship, and when it comes to sex, it is also important. Talk to your partner about premature ejaculation. Tell her if you feel close to ejaculation and interrupt the act for a short time. This can be a great time to pamper your partner orally or manually. If you feel ready again, they can continue making love.

Don’t have unrealistic expectations!

Focus on the joy! Premature ejaculation has no definition given in minutes or seconds. When stressed, it is not only psychologically unhealthy, but can even trigger premature ejaculation. Talk openly and honestly with your partner about your problem and possible alternatives. Remember, sex should be joyful and not stressful.

what is erection

What is erection: myths and facts about this phenomenon!

There are many rumours and myths about male erection. Increasingly, men are asking themselves how to ensure a lasting and firm erection. Therefore, they are led to look for shorter shortcuts, both to increase erectile function and to increase the size of the penis.

What is erection?

Before we start debating anything, it is necessary to define what an erection is:

Erection is a physiological phenomenon, in which the male reproductive system (the penis) hardens due to the high blood supply to the vessels that compose it.

The main purpose of erection is to allow a man and a woman to be able to reproduce. But in order to achieve this state, many factors of different origins must be present.

What is an erect penis?

We must remember that the human penis has no bones, like those of some animals. In humans, the organs responsible for erection are actually two spongy areas called corpora cavernosa. The cavernous bodies are, as their name implies, composed of tiny caves.

When the person feels sexually stimulated, these areas fill with blood. In addition, as the penis is covered by a layer that does not stretch, it has no choice but to gain volume while straightening, as the corpora cavernosa are filled with blood.

However, it is necessary to remember that, for an erection to occur, there must be arousal and sexual stimuli. And it is in accordance with this desire that the brain orders the penis to be erect.

In a healthy man, an erect penis can support up to 8 times normal blood flow. However, a small problem in the complex erection system can already cause erectile dysfunction.

Erection is achieved through an eight-step process:

  1. First, sexual arousal is triggered.
  2. The brain transmits this signal to the body, through the spinal cord and nerves.
  3. The blood vessels then release nitric oxide.
  4. Nitric oxide relaxes the arteries of the penis.
  1. And the blood flow in the penis grows.
  2. The veins of the penis constrict, trapping blood in the limb.
  3. Erectile tissue fills with blood, swells and hardens.
  4. Finally, the penis is erect.

Why is the penis erect?

There are several reasons why the male sex organ reaches erection. These different causes are usually called stimulants and vary according to orders and types. We can define them as follows:

  • Physical stimuli, for example: touching, contact with the penis, caresses.
  • Provocations of a psychological nature, such as: desire for the partner, sexual imagination and many others.
  • There is also the order of the sensory, for example: looking at an attractive body, smelling a perfume, etc.

However, it is still important to note that a man’s penis can be erect even without any stimulation. That is, what happens, for example, during the night, when a person is sleeping. Usually called nocturnal erections, they can occur 3 to 6 times a night. Likewise, there are morning erections, which occur very early in the morning.

This means that, at any time of the day or night, the penis can become hard. And in many situations, rigidity can be either voluntary or involuntary.

Is erection synonymous with desire?

As stated earlier, in most cases, the man must be stimulated in some way to make the penis hard. It takes stimulation for the process to start in the brain.

However, there are situations in which the penis hardens without the man feeling any form of desire. This is the case, for example, with priapism: a problem caused by different diseases or neurological disorders. Thus, priapism is an erection that lasts more than 4 hours and is often accompanied by pain.

On the other hand, involuntary erections are perfectly normal in teenagers and adults. In addition, an erection, although in most cases caused by a stimulus, does not necessarily require a sexual desire. Many men, as we said earlier, have erection without arousal – night or morning.

Night / morning erection is one of the three main types of erections possible. Also called reflex erection, its particularity is to appear very early in the morning. In fact, extensive studies have been carried out to understand its origin, what are its causes and how it works:

Morning erection and REM sleep

Men have night-time erections while sleeping: when they go into deep sleep (REM), an erection begins, lasting a period of 20 to 25 minutes.

On average, a person has five erections per night, and, in total, men spend 25% of the night with an erect penis. Therefore, the morning erection is basically the last one of the nights. Furthermore, contrary to what many believe, morning erection has nothing to do with the urge to urinate: this is a myth.

Morning erection is healthy for the body

Not only is he normal, but he is also healthy too: his body is calibrated to wake up with an erection every morning. In fact, the absence of regular morning erections can signal some hidden problem. It can be a sign, for example, of something more serious with your heart, blood circulation, hormone levels or your sleeping habits.

In general, the absence of night or morning erections is an important indicator for other health problems, precisely because they are involuntary and not psychological or related to arousal.

If your morning erection stops occurring regularly, talk to a sexologist in Delhi.

The two main theories about why men have night-time erections concern hormone levels and increased blood flow:

  • Noradrenaline production drops during sleep (this is the chemical element responsible for the control of testosterone, which makes erection possible).
  • Nitric oxide increases during REM sleep (this is the chemical element that relaxes the arteries of the penis and increases blood flow enough to cause an erection).

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: [email protected]

Monday 10:00 – 20:00
Tuesday 10:00 – 20:00
Wednesday 10:00 – 20:00
Thursday 10:00 – 20:00
Friday 10:00 – 20:00
Saturday 10:00 – 20:00
Sunday 11:00 – 15:30
Sexual Relationships

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: [email protected]

Monday 10:00 – 20:00
Tuesday 10:00 – 20:00
Wednesday 10:00 – 20:00
Thursday 10:00 – 20:00
Friday 10:00 – 20:00
Saturday 10:00 – 20:00
Sunday 11:00 – 15:30
Male Infertility of Testicular Origin

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.

Sexuality in Pregnancy

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.