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…
DetailsErectile 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…
DetailsNightfall – 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…
DetailsErection 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…
DetailsObstructive 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…
DetailsDiagnostic 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,…
DetailsTestosterone 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…
DetailsThe 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%.
DetailsSperm 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…
DetailsNon 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.…
DetailsWhat 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…
DetailsSexual 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…
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