One of the most discussed topics in this men's health blog is premature ejaculation, and in fact most of the questions from our readers have to do with this topic. That is why we decided to summarize the information of the different articles that we publish on premature ejaculation and present the most frequently asked questions about it with their corresponding answers. How could you define premature ejaculation? Is there a normal time of sexual intercourse or intercourse? The best sexologist in Delhi, Dr. P K Gupta explains that it is necessary to consider the time elapsed from vaginal penetration to ejaculation, the inability to delay ejaculation and the resulting negative personal consequences of the problem. Consequently, sex doctor in Delhi defined lifelong or primary premature ejaculation as a male sexual dysfunction characterized by: -Ejaculation that always or almost always occurs before or within approximately one minute of vaginal penetration. -The inability to delay ejaculation in all or almost all vaginal penetrations. -The negative personal consequences such as anguish, annoyance, frustration and / or the avoidance of sexual intimacy. Is premature ejaculation frequent? It is definitely much more prevalent than most people realize. However, we do not have unified figures, and in fact they vary considerably. The highest prevalence rate that has been documented to date is 31% (in men between 18 and 59 years old) and was found in the National Survey of Health and Social Life of the United States of America. However, the prevalence is unlikely to be that high considering the relatively low number of men presenting for consultation with sexologist in Delhi for this symptom. Are there different degrees of premature ejaculation? According to the sex specialist doctor in Delhi, three degrees are established: Grade I or Mild . After penetration and a few coital movements. Grade II or Moderate . Immediately after penetration, it is also called ante portas . Grade III or Severe . Before penetration, also recognized as ultra early . What are the causes of premature ejaculation? Several causes of premature ejaculation have been established, both from a biological and psychological point of view: generalized anxiety, penile hypersensitivity, performance anxiety, genetic predisposition, poor general health and obesity, inflammation of the prostate, hormone disorders thyroid, diabetes, emotional problems and stress, bad masturbatory habits, traumatic sexual experiences, chronic prostatitis, among others. Sex specialist in Delhi highlights the particular negative influence of rapid self-stimulation habits, when the man seeks a sexual discharge instead of trying to prolong the pleasure of arousal prior to orgasm. On the other hand, anxiety about sexual performance, understood as the marked (almost obsessive) concern about not ejaculating quickly, generates a physiological acceleration and the lack of awareness of the levels of arousal, perpetuating the problem. Are there sexual positions that favor or complicate ejaculatory control? In general, the posture that allows better control is the one in which the couple sits on top of the man, who is lying on his back. In this case, he is physically relaxed and can better perceive the signals of sexual arousal, a fundamental condition for ejaculatory control. Lateral postures also make it easier to control ejaculation. This is possible because the penetration is not very deep, and the movements in general are not as fast as in other cases. In general, the missionary position, that is, the man on top, is not favorable for the control of ejaculation since the body is tense, the penis enters the vagina more precisely and in general the position leads to an unstoppable race towards orgasm. In a few cases, men state that it is the best position for them because they better manage the speed and depth of coital movements. What are the main compensation mechanisms used by men with problems to control ejaculation? The folkloric methods are many, some really unusual and even counterintuitive. In the consultation during the sex treatment in Delhi we frequently hear the following: mental distraction –thinking of non-sexual or anti-erotic images, drinking alcohol, smoking marijuana, prior masturbation, causing pain by biting or pinching the skin, among others. How are the treatments for premature ejaculation? The recommendation of the current protocols is to coordinate medical and psychological treatment (focused on sexual symptoms). According to current scientific evidence, drug therapy is superior in reducing premature ejaculation symptoms compared to psychological treatment alone. However, the pertinent psychological problems and mechanisms should not be overlooked, and it is important to treat, for example, levels of performance anxiety and modify dysfunctional sexual habits for a definitive solution to the problem. Behavior therapy methods include the stop-start technique and the squeeze technique. Another possible therapy, increasingly recommended by sexologist doctor in Delhi, is pelvic floor rehabilitation exercises. All of these behavioral therapy approaches have the potential to be beneficial when combined with drug treatment. The topical methods are a simple local treatment modality, wherein the lidocaine-prilocaine cream studied most. The results of research on these types of therapies indicated that the duration of vaginal penetration increased 6.3 times. We definitely have a lot of evidence and therapeutic tools to help our patients with a premature ejaculation diagnosis. Timely consultation is key to short and effective premature ejaculation treatment in Delhi.
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There are many reasons to get a good night's sleep. Sleeping for at least eight hours can help improve memory, curb inflammation, and sharpen your attention. But there is another hidden benefit: those who sleep more each night have more orgasms! Sex specialist in Delhi, Dr. P K Gupta states that sleeping more can lead to a greater increase in sexual desire and increase sex hormones, such as testosterone. Sexologist in Delhi tells that the two are so closely linked and how not only good sleep can lead to better sex, but good sex can lead to better sleep. HOW THE BEST SLEEP IMPROVES SEX FOR WOMEN Sexologist doctor in Delhi says that if you have problems with sleep or sex, it can affect others. "A good night's sleep can increase interest in sex and a good sexual encounter can lead to better sleep," sex doctor in Delhi explains. A 2015 study conducted by the University of Michigan School of Medicine found that women who slept more had more sex drive the next day. For every additional hour women slept, the chances of having sex with their partner increased by 14%. The same study found that more sleep also equated to better genital arousal. "Women are balancing different demands, whether it be work or children. They feel tired and stressed." Best sexologist in Delhi says there are two things that can be done to improve a woman's sexual desire. First, sex does not have to happen overnight when you are tired. Find a different time of day,” he said. The second is what the sex therapist calls "just do it". Dr. Gupta says the research has shown that most women in long-term relationships no longer feel spontaneously aroused. They don't realize that diminished sexual desire is expected and end up feeling that something is wrong with them, " We think we first need to feel aroused, then have sex. But there is no need to follow this basic format," top sexologist in Delhi explained. "Reverse the equation because, after having sex, you will feel excited and all of these hormones will be released, and you will feel good when you are in the moment." HOW BETTER SLEEP IMPROVES SEX FOR MEN Lack of chills translates into a lack of sexual desire in both sexes because it increases levels of cortisol, also known as the stress hormone. Although this can affect women, it has a particularly powerful effect on male libido. Along with the fact that insufficient sleep also lowers levels of the sex hormone testosterone, the impact is significant. A University of Chicago study looked at the time and quality of sleep for men and found that men who slept four hours had significantly lower T levels than those who slept eight hours. The problem is that cortisol and testosterone work against each other, according to several studies. High levels of testosterone allow men to decrease body fat, build muscle and maintain a high libido. The cortisol works exactly the opposite and leads to muscle breakdown and gain visceral fat and slow the immune system. Not getting enough sleep can also decrease men's sexual functioning, said sexologist in South Delhi. A study at Donaustauf Hospital in Germany in 2009 found that men who suffer from sleep apnea are more likely to have erectile dysfunction and general sexual dysfunction. BETTER SEX ALSO IMPROVES SLEEP Just as better sleep can lead to better sex, the reverse is also true, both immediate and long term. The reason is mainly biological. After orgasm, our body releases a hormone called oxytocin, also known as the "cuddle hormone" (others call it the love hormone). Oxytocin triggers drowsiness immediately because it counteracts the effects of cortisol. Sexologist in East Delhi explains that physical contact during sex can also help to improve long-term sleep. "When you are in physical contact, you experience reduced stress, which in turn helps you to relax and therefore falls asleep," sexologist in Delhi said. Studies have shown that intimate touch can help lower blood pressure and heart rate, relieve pain, and reaffirm bonds within relationships. There are also gender-specific benefits to how good sex helps us sleep. In women, sex increases the levels of the hormone estrogen. Estrogen is a hormone that maintains sleep and high levels have been shown to improve the quality of sleep, reduce the time to fall asleep and increase the amount of REM sleep (deepest sleep phase). The effect on women is long-term. There is a natural decrease in estrogen levels after women enter menopause, which is why postmenopausal women are more likely to suffer from insomnia. For men, among the many hormones they release during ejaculation, one is a biochemist known as prolactin. Prolactin levels are naturally higher during sleep, and research shows that animals injected with the chemical get tired immediately. Oral medications provide a convenient way for men to manage their erectile dysfunction (ED). These drugs are called phosphodiesterase type 5 (PDE5) inhibitors. Some of the most prescribed ED drugs are as follows:
While PDE5 inhibitors are effective for many men with ED, some men wonder if they will see better results if they take more medications than the sexologist in Delhi has prescribed. But doing so can be dangerous. Therefore, it is important to use these medications exactly as your sexologist doctor in Delhi prescribes and carefully read the accompanying information pack. The top sexologist in Delhi must also know what other medications or supplements a man is currently taking. One of the risks of oral overdose of ED drugs is priapism, an erection that lasts several hours. Priapism can happen if too much blood flows into the penis, causing it to swell. Some men with priapism experience discomfort or pain. Men who have a long-lasting erection are urged to seek emergency medical care. When blood is in the penis for a long time, it is difficult for oxygen to reach the area. This situation can lead to tissue damage, permanent erectile dysfunction, or disfigurement of the penis. Treatment for priapism may include draining excess blood from the penis, medication, or surgery. Another risk associated with oral ED drugs is a drop in blood pressure. Men may start to feel weak, dizzy, and nauseous. They may start breathing more quickly, experience blurred vision, and have difficulty concentrating. In severe cases, low blood pressure can substantially reduce the amount of oxygen that reaches important parts of the body, such as the heart and brain. Eventually, these organs can become damaged. Men who believe they have taken too much of any drug are advised to see a sex specialist in Delhi as soon as possible. They should also seek immediate medical attention if they experience any of these symptoms after taking an antidepressant medication:
According to the best sexologist in Delhi, India, 43% of Indian men have premature ejaculation at some point in their life. Furthermore, it is an underdiagnosed problem and, as a consequence, not treated. What are ejaculation disorders? The male ejaculation is the expulsion of sperm through the urethra of the male when it is exposed to sexual stimuli. When there is an alteration in this ejaculation process, it is called ejaculation disorder. This type of sexual dysfunction is the most common among men and, in fact, occurs frequently among men of different ages. The ejaculation process is usually characterized by the expulsion of sperm in a duration of between 15 and 20 seconds and after a certain period of time, although the latter is relative. Another of the main characteristics of these disorders is the influence they exert on the quality of life of patients since it usually causes psychological and emotional problems. Although there are various ejaculation disorders, the most frequent and common are mainly three: premature ejaculation, retrograde ejaculation, and delayed ejaculation. Sometimes anejaculation can also occur, that is, the absence of ejaculation. What types of ejaculation disorders are there? There are mainly three types of male ejaculation disorders:
The diagnosis of ejaculation disorders is based primarily on the sexologist's interview with the patient. In this consultation, the patient must provide the sexologist in Delhi, India with his complete medical history. Through it and in conjunction with the interview, the sex specialist in Delhi, India will be able to determine if the patient suffers from said ejaculation disorder always or only on certain occasions. This especially becomes important when there is a difference between the appearance of the disorder when sexual intercourse occurs or when masturbation occurs. If the alteration in the ejaculatory process occurs only when having sexual intercourse and does not occur during masturbation, then it is very likely that the cause is psychological and not physiological. On the other hand, in case the disorder always occurs both in the case of having sex and masturbating, the top sexologist in Delhi, India will carry out a physical examination of the patient in search of a physiological and clinical cause that produces it. After the physical examination, the sexologist doctor in Delhi, India may consider it appropriate to perform certain diagnostic tests to determine the existence of said pathology. These can be varied from analysis to a urinalysis or a sperm analysis, among others. What is the treatment for ejaculation disorders? The treatment of ejaculation disorders varies greatly depending on the type of condition and, above all, its cause. If it is determined that the cause is emotional or psychological, the patient is referred to a sex doctor in Delhi, India who will help him to solve his problem through his consultations. However, if the cause is physiological, its treatment will depend on the disorder suffered and on said physiological cause. Thus, for premature ejaculation, the use of anesthetic lubricants to delay ejaculation is usually indicated. In addition, the consumption of medications such as some antidepressants that have been shown to prolong ejaculation time such as paroxetine, fluoxetine or sertraline is also usually indicated. In the case of delayed ejaculation, as most of the time, it is psychological causes, psychological therapy is usually indicated to solve it. Finally, in terms of retrograde ejaculation, although it has been seen that improvements occur with the consumption of medications such as pseudoephedrine or imipramine, there is currently no definitive treatment to treat this condition. “Mankind is able to withstand the worst calamities in the world, except those in bed” (Tolstoy) Talking about sexuality is still taboo in our society today. What goes on under the sheets is often reserved for the couple's intimacy. Sometimes, even among the couple, there may be difficulties in talking about certain matters of their sexuality. And when a problem arises in the couple's sexual dynamics, how do men and women deal with it? Is it easy to seek help for sexual dysfunction? Sexual dysfunction is defined as a “disturbance of sexual desire and psychophysiological changes that characterize the sexual response cycle and cause marked malaise and interpersonal difficulties”, explains sexologist in Delhi. That is, sexual dysfunction can be any change in the sexual response (that is, in the ability to feel sexual desire, to feel arousal, to reach orgasm, etc.) of the individual, which causes malaise and affects his life and your relationships. At any point in life, we may be affected by sexual dysfunction, and the prevalence rates are very variable (eg prevalence of erectile dysfunction is 10% and 25% for female orgasm problems). These numbers are still significant, which means that many people have, at this very moment, a sexual difficulty. However, studies show that the percentage of people seeking help (medical and / or psychological) is very low (eg only 30% of men with erectile dysfunction). What justifies this data? As Tolstoy says, "humanity is able to withstand the worst calamities in the world, except those in bed". In fact, in our Western culture, sexuality and, specifically, sexual dysfunctions, encounter many barriers to their opening to the public. Few are the brave who venture to advocate for the discussion of sexuality, says the best sexologist in Delhi. On the one hand, this fact may be related to our religious education and the values it instils in relation to sexuality, chastity, purity, and blame for sexual acts that are not aimed at reproduction. On the other hand, gender roles themselves learned in society, also influence our ease or difficulty in addressing sexual issues. Gender roles are the characteristics typically attributed to men and women and, in the case of the discussion of sexuality, it is easier for a man to speak publicly about sexuality than for a woman - who is supposed to be more modest and pure. However, in smaller groups, where there is greater intimacy in relationships (eg group of friends), it is noted that women are more comfortable discussing their sexual experiences and difficulties than men, which are only for superficial references of quantity and not of quality. Especially when it comes to sexual difficulties, men encounter numerous barriers, says sexologist doctor in Delhi. However, what we, at the sexologist clinic in Delhi, know is that not talking about the subject will not make it disappear. So, if you have any sexual difficulties, always try to seek advice and an experienced ear, so that a small problem does not become a "big problem", suggests sex specialist in Delhi. 9/7/2020 0 Comments The Big Penis and WomenThe big existential question in the world today has nothing to do with metaphysics. The question that most anguishes half the Earth's population is: does penis size influence female pleasure? Which would be better, more "efficient" in the sexual act for the woman's orgasm? Small, medium or large? Scientists are eager to find the definitive answer, but for now, it is all speculation. In the sex clinic in Delhi, we experience the need for men to answer this question every day. We realized that there is a social construction about the need to have a big penis, today made mainly by the media - specifically the porn movie sites - and the ancestral idea of “power”, of domination, of standing out before others. Many of the patients who come to sexologist clinic in Delhi anxious, with their average penis size naturally (from 14 to 16 Centimeters into erection, natural average Indian), emotionally fragile for making real and imaginary comparisons of its members with those who see the video. In most cases, the justification is that they want to enlarge the penis to give pleasure to the woman. They believe that all women in the world dream of relating to men with huge penises. However, according to what researchers have found over the years, in hundreds of surveys carried out in different parts of the planet, "measuring" female pleasure through the size of the partner's penis is not so simple. According to sexologist in Delhi, many misconceptions have developed about the penile-vaginal relationship: men consider deep vaginal penetration extremely important to stimulate a woman to orgasm. However, the most sensitive area of the vagina - whose channel is approximately 10-12 cm long - is the part closest to the outside of the female body, 3-4 cm from the vaginal entrance. The vagina has the ability to adapt to normal penis size. Sex specialist in Delhi points out that, taking into account that the average penis size is above this mark. The detail that should be noted is: all studies already carried out have proven that the thicker circumference of the penis has given women much more pleasures than the length. The thickest member can provide greater friction against the vestibular bulbs, which are located close to and anteriorly on both sides of the urethra. Some sexologists in Delhi have even claimed that a smaller than average penis could better stimulate the G-spot, although the actual existence of that spot is still disputed. A physiological fact that cannot be ignored is that long penises (over 20 cm) can rub or hit the cervix. The vast majority - 95% of women - find this uncomfortable and painful, says the best sexologist in Delhi. During sexual intercourse, the vagina increases its length quickly after the initial insertion of the penis - from about 10 to 14 cm - but the initial and final depths vary from woman to woman by about 2.5 cm. When the woman becomes fully aroused, the vagina expands as the cervix retracts, meaning that, at certain angles of penetration, the longer penises will slide on or under the cervix. The question would be whether the woman attaches as much importance to the size of the penis as the man assumes. From the experience we had with some patient women in the clinic, size does not affect anything. But some do show preference for thicker penises. Anyway, having a large penis does not seem to mean greater female pleasure. A big penis does seem to be a matter of pleasure for the man himself. He wants to go for penis enlargement treatment in Delhi for himself, for the sake of self-esteem and personal fulfilment. This is a recurring topic of consultation with sexologist in Delhi in couples, sometimes disguised with other diagnoses such as secondary erectile dysfunction, low selective sexual desire, or secondary anorgasmia. But deep down what happens, although it is hard to recognize it, is that there is no sexual understanding or erotic attraction in the couple. In the sex clinic in Delhi, we are even seeing many cases of men who are in a relationship with women who objectively recognize as attractive, and yet they do not want them or they do not respond sexually since they consider that they do not perceive them as stimulating. Little has been studied in this regard from medical sexology and psychosexual therapy, and what we can say is based more on clinical experience than on the evidence of scientific research. However, we know enough to propose some reflections and also actions that can be helpful to clarify and perhaps solve the issue. What is sexual compatibility? Sexual compatibility is reflected in the mutual erotic attraction, as well as in the coincidence of the sexual preferences of both, that is, those behaviors, games or situations that turn them on and excite them. Many times we feel that compatibility from the chemical ... looking, smelling, feeling, in short, perceiving that person activates our sexual desire almost automatically. In fact we call sexual compatibility having chemistry. Sexually compatible couples tend to have a very spontaneous understanding at the level of non-verbal communication. Each one knows what the other likes, when is the moment to change the stimulus, to maintain a rhythm, to caress certain erogenous zones and how to do it. If the couple's relationship is harmonious and there are no sexual dysfunctions, in this case sex is experienced as highly satisfactory and a very important aspect of the bond. Over time, sexual compatibility can be enriched if we get to know each other more and more by exploring each other, talking about our fantasies and recognizing the effects of different erotic games, suggests the best sexologist in Delhi. What does it depend on that two people are compatible with sex? Some sexologist doctor in Delhi suggests that in part it is something -literally- chemical. Somehow through the sense of smell, the mechanisms of desire and sexual response are activated, and studies indicate that this usually occurs in couples in which there is genetic compatibility in the event of an eventual offspring - something that is related to the so-called histocompatibility complex. On a psychological level, we can say that sexual compatibility depends on people making a good choice of partner. That is, they are with someone who fully matches the love map, that is, the type of man or woman desired -both from the image and from the personality and erotic behavior, and also the erotic games and stimuli that cause sexual pleasure. Can that compatibility be lost? In some cases, we find couples in which the compatibility never existed. We speak of sexual incompatibility when the couple does not match our erotic expectations. There are marked differences between the images we have of a sensual person, compared to the real characteristics of our partner. It is also common for erotic styles to be the opposite. If, for example, one loves relaxed, slow, and gentle sex, the other is attracted to a more instinctive and visceral eroticism. Sexual incompatibility is common in couples who are not chosen for sexual attraction but for other factors: emotional security, social status, economic power, and desire to form a family, external pressures. On the other hand, in the case of couples who did have this chemistry from the beginning, it can be lost due to routine sexual scripts, accustoming, changes in the order of priorities, conflicts and abuse. A separate chapter is what is called the parenting of the bond. They are those couples who have not known how to sustain their erotic relationship and there comes a point where they perceive each other in a familiar, friendly, but no longer sexual sense. "It's like she's my daughter," or "I'm sorry I slept with a brother," they say. If you intervene in time and the couple has the necessary cognitive, emotional, and motivation resources - in addition to good professional help from sex specialist in Delhi, it is possible to recover it. In other cases, it may be too late. How do you recover when a partner feels like they don't have the chemistry they used to? The possibility of bringing the positions closer when we detect areas of incompatibility is relative. It all depends on how big the differences are. If there are points of mutual attraction and coincidences in some satisfying erotic games for both of you, it is about reinforcing those shared aspects. Also through exploration and creativity, you may find some fantasies that you may not have previously known about, and that arouses mutual excitement and pleasure. Then we must establish agreements regarding the differences. For example, if there are discrepancies in the sexual positions that cause more pleasure or the coital rhythm that stimulates them the most, it is about each one finding their moment to enjoy in their own way. Let us always be clear that in sex there must be a balance between pleasing and being pleased, says top sexologist in Delhi. Is it possible to work on the differences in sexual frequency? Sexual compatibility/incompatibility also includes sex thermostats. Each person has their own level of sexual desire as a parameter that, although it varies according to different factors, follows a very personal pattern. When both members of the couple have a different level of sexual impulse, we are facing an incompatible aspect, and the problem is when that difference in the sexual thermostat is important and permanent. And as a consequence, distortions appear in relation to how we see our partner, which are often channeled in sometimes rude labels, for example: " You are frigid, you never want to do it with me" or "You are a sexopath, you do not think of anything other than sex". And from there, there is little that we can build as a solution, simply because respect has already been lost, explains sexologist in South Delhi. That is why we must avoid imposing parameters of supposed normality, such as the idea that in stable relationships, love must be made once a day, or three times a week. Each couple finds their own rhythm, the one that is most satisfying for them, and always considering that different factors can circumstantially alter the desire. When the difference is important, the first thing we have to do is understand the other, put ourselves in their place, and not judge or prejudge. From there we can think of solutions: alternatives of sexual satisfaction that do not involve intercourse (such as masturbation or oral sex) in such a way as not to pressure the partner, but at the same time the other party has a certain satisfaction of their impulse sexual. Reinforce intimacy and shared moments so that desire is stimulated. Discuss erotic games or changes in the sexual script that could increase sexual motivation. Work with sexual fantasies on a mental level, as a resource to increase sexual desire, suggests sexologist in East Delhi. |
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May 2022
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