12/27/2020 1 Comment Male Dysfunctions And FearMale dysfunctions and fear, virility, machismo, social changes in women and men. For some time now, in consultation Dr P K Gupta, sexologist in Delhi, has observed the changes that society is undergoing with almost no power (or wanting to) do anything to remedy it. Our society is getting rid of centuries of macho dictatorships and this is having consequences for genders and orientations, I want to imagine that in a future time all this will find its comfort zone and we can live without so much alteration or dysfunctions our lives and our sexuality. All religions have generated an abysmal difference between men and women, they have relegated the different orientations to obscurity. At some point in history, the man decided to make women invisible, reduce her to an inferior being and thus for centuries he believed he was doing things well because everything he did was supported by the prevailing ideologies (directed 100% by men too) . I will never understand what caused this process but of course something had to do with the man's fear of the woman, his condition of being a reproductive relegated him to a working bee. In the current process of social change, women and men are freeing themselves, slowly and with pain, but the path to freedom is true that it does not hurt even if you lose everything in it. However, in consultation at sexologist clinic in Delhi if part of that pain that I comment appears, current men, the younger and not so young generations, because from those separated at forty-something down, everyone is finding that the supposed freedom that should be for to arrive is still far from appearing and has been chained to fear. Fear because among other things men do not talk about our problems and our doubts, "it is not going to be that the other knows that I am inferior to him", it is not going to be that the other thinks that I am a softie, that I have feelings and especially that I feel like I don't know. Fear of this curse of being forced to be virile, especially when being virile is defined in quantifiable terms (two balls, 20 cm, 3 without removing it, it does not take a slap, etc ...). To be virile, social tactics have been imposed on men since time immemorial, courage is one of them, having it means being a true man, as if women when they do everything that being a woman has meant until now did not require high doses of value. Thus, almost childish themes have been designed to play with courage: confrontations with the other, for whatever reason, today the absolute idiocy of sticking with the opposing team until killing, killing or dying by the horns of an animal wild, playing with AIDS in brothels or on the street without using a condom, because that is how I show that I am a tough guy. In fact, we observe how parties appear that only defend these acts and become enemies of the advance towards freedom of women and men tired of so much useless and completely uncertain demo. Fear of not being as "man" as the porn actor on duty, porn attempts to adapt to its new status as an educator of an educated society through a globalized screen, many young people today know more about BDSM than how their parents They have made them. All this chaos, which I hope does not become as eternal as machismo (30 centuries) is leading to the subject that I work on many very different dysfunctions: sexual phobias, aversions, erectile dysfunction, lack of desire, dissatisfaction, premature ejaculation, hundreds of separations without much justification, unwanted loneliness, depressions, anxieties and a long etcetera. It goes without saying that women are also contributing and suffering to this chaos because to be one you have to worry about reading many new theories and proposals that if you do not know them only make you the victim of change. The man in his flight backwards increases his violence against them and this is unfortunately very evident. A Happy end: well-directed information solves all this, in some cases short but essential sex treatment in Delhi will be required. Unfortunately sex education becomes difficult without political involvement and we already know what matters to them, for the moment they stop suffering and go to the best sexologist in Delhi who work with it.
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12/20/2020 0 Comments Premature Ejaculation (PE)The last twenty years have seen an advance in evidence-based medical knowledge regarding Premature Ejaculation (PE). Let's see what is happening with this problem and its treatment. Why do we need to treat PE? Premature ejaculation is the most common male sexual dysfunction. It affects about a third of men at various times in their lives, with little variation depending on age and continent. Many studies have shown that it causes very significant suffering in men of course, but also in the partner and the couple. PE has a very strong impact on the quality of life of men in general, in particular on sexual satisfaction which is greatly reduced. Premature ejaculation also has a strong impact on self-confidence and self-esteem. This problem also impacts on female sexuality. Moreover, men with premature ejaculation often feel immense guilt vis-à-vis their partner. Communication difficulties can appear in the couple as the two partners find it difficult to approach the problem: the woman because she is afraid of plunging her man into an anxiety of failure, of hurting and upset him and man because he chooses instead denial and avoidance. Intercourse becomes less frequent (“you're still going to ejaculate too fast, what's the point of trying?”), which further increases the speed of ejaculation and can lead the couple into a seizure, explains sex specialist in Delhi. How to define PE? It is defined as follows by the best sexologist in Delhi: PE is a male sexual dysfunction characterized by ejaculation which always or almost always occurs before or at most about one minute after vaginal penetration, by an inability to delay ejaculation during all or almost all vaginal penetrations and through negative personal consequences, such as pain, hassle, frustration and / or avoidance of sexual intimacy. There are two main clinical forms: primary PE where ejaculation is very rapid, following shortly or sometimes preceding penetration, almost systematic for all sexual relations, with all partners, since the start of sexual activity. Concretely, most frequently, they are men, mainly young and inexperienced, experiencing strong performance anxiety. They are under 30, and they have an obvious lack of learning. These young men often have a guilty masturbation, and they are used to quickly release their tensions by masturbation. Secondary PE occurring after a period of sexual life when ejaculation was not a problem. This change can be due to life events affecting private life (for example the arrival of a child), to psychological, relational or medical problems. In this case, it is often linked to an erectile dysfunction. (The man then seeks maximum excitement to obtain and maintain an erection that he is afraid of losing and, therefore, he precipitates the onset of his ejaculation). Besides these two main clinical forms, there are also men who complain that everything is normal in terms of their ejaculation delay. These are men who have in mind performances disconnected from sexual reality. Perhaps it is necessary to look on the side of pornography with its actors "delayed ejaculators or ejaculators". In this sense, porn movies would lead to pressure to conform to an imaginary standard. What are the causes of PE? All the research carried out highlights two dimensions that can explain this pathology. The first is sexological and the other neurochemical.
The therapeutic management of PE derives from these two dimensions. Of course, its modalities vary depending on the individual and the situation, but most often, PE will respond to a combined treatment, combining sexological therapy with pharmacological treatment. Several behavioral sex therapies exist aimed at making the patient acquire skills in his sexual choreography allowing him to modulate his arousal. The most classic protocols are “Stop and go” or “stop-start” (The principle is to break down the excitation into stages and stop at these stages), compressions or “Squeeze” (The principle is to '' teach the man, through various compressions, to reduce his arousal when he is about to ejaculate) and sex-functional therapy (The principle is to manage the intensity of the stimulation that the man receives and changes caused by excitement, especially breathing and muscle tension). Pharmacological premature ejaculation treatment in Delhi is based on the use of a Serotonin reuptake inhibitor which allows rapid efficacy on the symptom useful to motivate the patient, essential in the event of severe PE (less than a minute) for set up a possibility of skills acquisition or when the couple is in crisis and the demand for a quick result. Conclusion Every patient with PE has the opportunity to treat it. For this, he must overcome the embarrassment and shame to consult with a sexologist in Delhi. PE is most often a pathology that concerns the couple and the inclusion of the partner in the care process is most often useful. Each patient should be able to benefit from basic psychosexual education. The sexologist doctor in Delhi now has different treatments and can offer each patient and each couple an appropriate psychosexological intervention, alone or in addition to pharmacotherapy. 12/13/2020 0 Comments Erectile Dysfunction Men's DiseasesErectile dysfunction, the same as impotence, is one of the most common sexual problems common in men of all ages. Erectile dysfunction (impotence) in men is defined as the inability to achieve and maintain the erection needed to perform sexual intercourse. Erectile dysfunction for men often becomes a great ordeal, as it is not only a physiological but also a psychological problem. According to statistics, virtually all men, starting from the age of 20, have been affected by the problem of erectile dysfunction at least once. It should be noted that this problem is the most common sexual disorder in men. Hundreds of millions of men on earth suffer from erectile dysfunction. That is why the question of how to treat this sexual disorder does not lose its urgency. What can cause erectile dysfunction? Different forms of the disease are distinguished based on the underlying causes. If we divide the reasons into a main group, we can distinguish between them: Psychogenic:
Men find it difficult to admit their own sexual problems. Due to the shy nature and delicacy of the problem, the patient often locks himself in, does not want to discuss the issue and share the feelings of failure in personal life with others, therefore, does not turn to a sexologist in Delhi at all. Such an attitude towards the problem is medically wrong and often leads to a worsening problem. Modern medicine possesses many methods to help a patient with erectile dysfunction. In some cases of erectile dysfunction (including organic forms) it is impossible to completely cure the patient. However, even in this case, sexologists in Delhi can conduct symptomatic treatment to maximize the elimination of this pathology. Consider some modern methods of treating erectile dysfunction:
"We must also not forget that some medications can influence the quality of erections and their replacement by other medications - under medical supervision - can reverse the situation" What used to be called “sexual impotence” is now called erectile dysfunction (ED). By definition, erectile dysfunction is the inability to obtain and / or maintain penile erection “sufficient for satisfactory sexual performance”. Several studies show that up to 52% of men may have some degree - mild, moderate or severe - of erectile dysfunction. ED significantly decreases the quality of life of many men and can also compromise the couple's relationship. Before a great taboo - even today it is still for some men - ED is increasingly being discussed among men and their sexologists in Delhi. From a didactic point of view, we can divide the causes of ED into two major groups: psychological and organic causes. Psychology in general is recent, with an abrupt onset and is not associated with organic risk factors. It is often intermittent, happening in some situations, with certain partners or in certain places. Many of the men report normal masturbations, but fail to achieve satisfactory erection during intercourse, says sexologist in Delhi. Organic ED, in general, has a long history, with the quality of stiffness decreasing progressively over the months and years and is not intermittent. In general, it comes from vascular changes (arteries and veins) of the penis, changes in the innervation of the penis or endocrinological factors (men with ED should always testosterone test). It may also be due to some local diseases on the penis, such as the appearance of fibrosis, says the best sexologist in Delhi. Risk factors Most of the time, organic ED is related to risk factors such as diabetes, high blood pressure, high cholesterol and triglycerides, obesity (the so-called Metabolic Syndrome), sedentary lifestyle, excessive alcohol, smoking, depression etc. Changing habits and controlling these risk factors can improve erections in many men. We should also not forget that some medications can influence the quality of erections and their replacement with other medications - under medical supervision of sexologist doctor in Delhi- can reverse the situation. When the cause is psychological, only good guidance can be enough to improve the situation, but we often have to resort to brief sexual therapy, which is usually performed between two to six months in order to reduce anxiety about sex and the called “performance fear”, which is the fear of entering into sexual intercourse and not getting an erection. Sometimes, we can associate medications with sex therapy to facilitate erection, says sex specialist in Delhi. The first-line erectile dysfunction treatment in Delhi is oral medications from the family of phosphodiesterase type 5 inhibitors. They are erection facilitators and need desire and stimulation for the erection to occur. They should be taken about an hour before intercourse. When these drugs are not successful, the second line of treatment is drugs that can be injected into the penis using a small syringe and needle. It is usually painless, and erection occurs within 5 to 10 minutes. They are erection-inducing drugs. When these don't work either, we can resort to penile prosthesis implantation surgery, which aims to provide adequate rigidity to the penis. Prostheses can be malleable or inflatable. The man with erectile dysfunction should see his sex doctor in Delhi to discuss the best treatment for his problem, its risks, contraindications and side effects. Currently, erectile dysfunction is always treatable, but treatment must be individualized for each patient. |
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May 2022
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