Male Sexual Dysfunction and Performance Anxiety I would like to begin by discussing a particular patient. He is a 24 year old male in a live in relationship with his girlfriend. They are to be married in a few months. They have been sexually active for the last 6 months. Everything was fine till last…
Texting is fine-but Sexting? The widespread use of technology, especially the smart phone, has made the world a smaller much safer place to live in or has it? When you send or receive sexually explicit messages/photos on the phone it is described as sexting. The Sunday Telegraph first coined the word sexting and published it…
Semen Analysis – How to collect a sample? It is important to understand that men presenting to a fertility clinic need to be given specific instructions as to how to collect a semen sample. Of primordial importance is the fact that a single semen sample is never enough, does not complete the picture, and at…
Pre Marital Check Up- Is it relevant? When you run a sexual medicine and andrology clinic in India, it keeps you busy. Men walk in all the time, some looking at Google, some calling the yellow pages and some others who have heard from their friends. Their concerns and complaints may vary, but, if there…
Erectile Dysfunction – Can it be drug induced? Erectile dysfunction (ED) is the inability to achieve and sustain an erection necessary for adequate vaginal penetration. The most important question that I ask my patients who present with this problem is “Are you taking any medications”? A variety of drugs can cause ED and it is…
Nightfall – Wet Dreams – Dispelling the myths I was browsing through the internet the other day and was fascinated to see a number of websites offer magical cures for Nightfall/Wet Dreams. This is a common problem that men present with at my clinic. The typical history is that a person who masturbates regularly stops…
Erection and Erectile Dysfunction – A vascular phenomenon The blood flow in the penis (the inflow and the outflow) determines erection. Given above is a picture of the anatomy of the penis. The penis has a shaft and a head called the glans. In a cross section there are three tubes inside the penis. Two…
Obstructive Azoospermia Role of Trans Rectal Ultrasound (TRUS) in Male Infertility Male infertility evaluation involves a thorough history, clinical examination, lab tests and a few scans. Men are often perplexed when they are asked to undergo scans and are quite skeptical about getting a Trans Rectal Ultrasound (TRUS) done. A TRUS may be associated with…
Diagnostic work up in Patients with Erectile Dysfunction(ED) Erectile dysfunction, we all know is a vascular phenomenon. The important thing about it is however that it is accompanied by a host of co morbid conditions which can directly or indirectly contribute or maintain it. When a doctor suggests evaluation with lab and other diagnostic modalities,…
Testosterone Replacement Therapy – Who should get it? I have been writing about testosterone replacement / therapy (TTh) in my previous blogs. You are all aware that testosterone (T) is the main male hormone responsible for desire/ libido and also strength, virility, muscle mass and bone density in men. It is also known that T…
The female orgasm has always been a mystery from the beginning of time. An orgasm can be of two types according to the activating stimulus. Clitoral orgasm is obtained exclusively from direct stimulation to the clitoris and Vaginally activated orgasm is obtained during vaginal penetration without clitoral stimulation. Female Orgasmic disorder has a prevalence of about 25-30%.
Sperm Morphology- Does it matter how I look? A semen analysis has “Morphology” as one of its subheadings. Sperm Morphology refers to how a sperm looks under the microscope. The World Health Organization (WHO) in its 2010 manual says that 4% normal looking sperm would refer to normal semen morphology. This brings us to the…
Non Consummated Marriages – Is that official? Dictionary.com defines consummate as “To bring to a state of perfection; fulfill”. Another one in terms of marriage would be “To complete (the union of marriage) by first marital sexual intercourse”. One would assume that in this day and age of the internet, this would be a myth.…
What are you Ejaculating – The Composition of the Ejaculate When men who have had a vasectomy see that they can still ejaculate, they get worried. Can I still get my wife pregnant doc? I see the white fluid is coming in spite of the procedure. This is not an uncommon question. It is essential…
Sexual Dysfunction- A major cause of Infertility in young couples One out of four couples who present to my clinic with Infertility issues have Sexual Dysfunction. The typical couple is usually in their late 20’s to early 30’s. They are married for about 6-18months. Usually both are working. How do they get here? Most common…
Use of Ho Yag Laser to treat Male Infertility Male infertility is a bane for many a childless couple. The most common affliction that a man presents with is Oligozoospermia (reduced sperm concentration ) or Azoospermia ( complete absence of sperm ). There are many conditions responsible for these problems. Varicocele is one of them.…
PICSI- Physiological Intra Cytoplasmic Sperm Injection Fertility depends on the quality of the sperm and the egg. Qualitatively better gametes result in better fertility rates. This obviously happens in nature. A challenge in vitro however is to determine what constitutes the best quality gametes. When an ICSI procedure is planned, sperms are usually chosen based…
Sex Therapy or Psychotherapy for Non Consummated marriages I have often waxed eloquent about Non consummation of marriages and I find that this is a problem that can be nipped in the bud. It is a shame that young men and women with no or minimal sexual problems are not able to have intercourse for…
Priapism (Prolonged Erections ) – I don’t need it! A 40 year old presented with an erection lasting about 10 hours which was causing him a lot of discomfort . Initially he was very happy about the erection but as time wore on he started getting worried . I don’t need it anymore doc !…
Vacuum devices for Erectile Dysfunction Many treatments have been proposed to cure Erectile Dysfunction with varying success rates. As early as 1874, John King, an American physician described the vacuum device. However, it was not until 1982, the U.S. Food and Drug Administration granted permission for it’s use. The major advantage of Vacuum device is…
Male Circumcision – Is it for all? Before we start off with the article, let me tell you that I am shocked when I learnt that people are searching for ‘home circumcision’, ‘how to do circumcision at home’, ‘how to cut foreskin at home’, ‘home treatment for sunnat’, ‘sunnat operation at home’, ‘how to foreskin…