P-shot, also called Priapus Shot is a medication free procedure used to treat erectile dysfunction. As an added beneficial effect, the procedure may add an inch of length and a fraction of an inch girth to your penis. P-shot is not just for men with erectile dysfunction.
Anejaculation is a condition when the sperm/semen doesn’t exit the body when a man orgasms. At the climax, usually every man ejaculates a few million sperms along with some liquid that supports the life of sperms. Here, you should note that ejaculation and orgasm are two different things.
Jelqing is a process of massaging your semi-erect penis with your fingers, causing micro tears in the muscles of the penis shaft so that, as they heal, the penis gets longer and thicker. Well, the idea may have stemmed from the gym guys who repetitively tear their muscles to grow their arms, legs and other muscles in their body. But, does the same concept apply for penis’ muscles too? Let’s find out.
In some men, penis becomes even more sensitive that they may feel a tingling kind of uncomfortable feeling or if they are aroused, they may just ejaculate within a few seconds. The most bothersome condition with a sensitive penis is when a man ejaculates within a minute after vaginal penetration during sex.
A couple of decades ago, when I started my practice, the question ‘How to get pregnant” would have been a funny one. There were not many infertile couples and almost 95% of them made babies naturally without the help of any doctor. But today, 40% of couples are not able to make babies naturally and need some kind of assistance from a doctor.
ESWT, Extracorporeal Shock Wave Therapy is a method approved by the FDA to treat certain injuries. The handheld part of the ESWT machine delivers low intensity shock waves that help in repairing the erectile tissue and also the blood vessels. The energy delivered through the device also helps in repairing the blood vessels running into the penis shaft.
Penis pumps for erectile dysfunction are a little different from those pumps intended for elongation of penis. Out of several different treatment options for erection problems, penis pump is one good treatment method that works without any medicine.
Important thing to note is, as men age, the amount of testosterone levels go down gradually and this can be seen once a man crosses his 30s. This drop should be gradual and in normal healthy circumstances, a man will be able to have sex even after 60 years of age. (Frequency varies by weeks or even months).
Important thing to note is, as men age, the amount of testosterone levels go down gradually and this can be seen once a man crosses his 30s. This drop should be gradual and in normal healthy circumstances, a man will be able to have sex even after 60 years of age. (Frequency varies by weeks or even months).
Libido meaning – Libido is the sexual drive or the desire to have sex. Libido is a unisex term that can refer to the desire to have sex in men or women. Low libido refers to the lowered interest in having sex or lack of interest in having sex.
Micro penile syndrome, also called small penis problem, refers to the condition where a man/male has an erect penis that is smaller than 3.66 inches. If your penis is at least 4 inches or longer when erect, it is most often enough to satisfy your partner in bed, unless she has some preferences.
Frenulum breve – what is it? Is frenulum breve common? Is frenulum breve genetic? Is frenulum breve dangerous? know answers to such frequently asked questions about frenulum breve or short frenulum under penis.
Teratozoospermia (also called Teratospermia) refers to malformed shape of the sperms. Sperm morphology refers to the size and shape of the sperms and when the sperm morphology is defective, the condition is referred to as Teratozoospermia. When less than 4% of the sperms are in perfect shape, then the person is said to be suffering from Teratozoospermia condition.
Balanitis is defined as the inflammation of the head of the penis (glans) and or the foreskin on the head of the penis. This is very common condition in uncircumcised men. Some medical experts are more precise when using balanitis. They use balanitis to refer to the inflammation of the penis head alone. When the foreskin on penis head is inflamed, they term it as Posthitis
I am suffering from Premature Ejaculation; can I get my female partner pregnant? Can premature ejaculation be cured? Can premature ejaculation cause infertility?
“What I would like to convey to every man suffering from quick ejaculation is – please don’t suffer in silence. Get in touch with a good sexologist near you and get your problem fixed. If it is a mental issue, few sessions of therapy may be necessary. If your premature ejaculation is a biological issue, medications are available to treat the problem.” Adds Dr. Karthik Gunasekaran.
What is PRP Injection?
PRP stands for Platelet-Rich-Plasma. The plasma is extracted from your own blood by passing it through a centrifuge machine which separates plasma from the blood and concentrates them to 8x the normal count present in the blood. Concentrated plasma looks amber (chrome yellow) in colour. The plasma rich in platelets is injected into the area/tissue which needs to be repaired, regrown or regenerated.
Gender dysphoria is used to describe the feeling of uneasiness or discomfort felt by a person whose biological sex doesn’t match with their gender identity. Biological sex refers to the genitals and other physical features of a person that belong to a particular gender. Gender identity refers to the mental feeling or belief of their gender.
Stress is typically temporary depending on your circumstance whereas anxiety is continuing to feel stressed or worried. Causes of stress can be either work, finances, personal relationships etc. People with anxiety may feel nervous, helpless, restless, depressed or even worthless.
Painful Ejaculation, also called dysorgasmia or orgasmalgia refers to the pain in the penis or scrotum or in the perineum area during ejaculation. Occasional pain is common and most often you need not worry about it. But if the pain is persistent and hindering your sex life, you need to see a good sexologist in your city to figure out the root cause and get it treated.
Prone masturbation can simply be explained as a position of masturbation where a man lies face down on his chest masturbates. During this process, the person applies pressure on the erect penis for more pleasure. The pressure can be given either by pressing his hip to the bed/pillow under him or by pressing or even squeezing the penis with his palms very hard.
One must note that problem of infertility doesn’t always lie with the woman. In 40% of the cases, the man can be infertile and in some cases, both of them may be infertile. When you are planning to see a doctor to have a baby of your own, there are few things you need to ask your gynecologist/doctor and know.
Well, the doctors say that he “buckled against his partner’s perineum”. May be he was pushing it hard against his partner’s perineum? He will be right person to explain in detail we guess. Perineum is the area between the penis/vagina and the anus of a person. It has several nerve endings and stimulating the area by rubbing and massaging may make your partner feel good, sometimes even better than actual penetrative sex.
Every male wants to satisfy his partner to the max in the sheets. In order to achieve he may prepare physically and mentally give his best. But in reality, that actually creates anxiety and affects negatively with poor performance. This is called ‘Performance Anxiety’. We have a good read on Men’s performance anxiety for interested readers.
“Masturbation is a healthy habit”, you would have heard this from Dr. Karthik Gunasekaran of Metromale Clinic & Fertility Center a hundred times if not thousands. There are some branches of science that are against this opinion but modern science didn’t find any evidence in support of those claims.
Premature Ejaculation is quick and uncontrolled ejaculation in less than a minute after intercourse. Apart from psychological problems, deficiency of some minerals in the body such as zinc, magnesium can also cause PE. Eating more nuts, fruits, spinach, trying stop and start techniques, squeeze techniques along with numbing sprays and climax delaying condoms can improve the ejaculation time.
Pollution is leading to erectile dysfunction
Pollution is a leading factor for declining fertility in men and women
Increased pollution is causing male babies to be born with smaller penises.
Performance Anxiety is one such emotional factor which can even lead to no sex by causing Erectile Dysfunction. The thought that you may not “perform” well to please your partner can put off the thought of having sex that can result in your penis not becoming erect at all.
Note that while you are in your teens and lower 20s, you will have testosterone levels at their peaks and you will be able to have sex multiple times in a day. As you age, especially once you start moving into your 30s, it is normal that your ability to have sex decreases and it can easily be noticed when you are in your 40s.
1) Increase in sugar levels in the blood is called diabetes. Occasional spike in blood sugar levels is ok if it is due to the food taken but if the higher levels are continuous, you will be diagnosed with diabetes.
(2) Type 1 and Type 2 are two types of diabetes out of which Type 2 is more prevalent. (3) Diabetes damages nerves and blood vessels resulting in erectile dysfunction. (4) Control your blood sugar levels with the tips provided in this article to be sexually functional
When a man lies down on his chest/stomach and masturbates, the position and act is called ‘Prone Masturbation’. The person usually applies pressure on his erect penis by pushing himself (his hip) towards the bed, pillow or the floor. Some may even thrust their hip into their hands by putting them around his penis.
When ejaculation is uncontrolled and happens before or shortly after sexual penetration with minimal stimulation, without wish of the person and partner, it is termed as Premature Ejaculation. Occasional early ejaculation is absolutely normal but if it continues, you need to seek medical help.
Suffering from Low Sex Drive – What could be the reasons?From mental connection between couples to medical conditions in either partner, there are numerous factors that can affect the sexual relationship between them. Let us look in detail, what are the possible reasons that can affect the sex drive between partners. Diabetes The most common…
Can Chlamydia (STD) cause Erectile Dysfunction? Chlamydia is a Sexually Transmitted Infection that spreads through unprotected anal, vaginal or oral sex. You can refer to our section of ‘Sexually Transmitted Diseases’ or to know more details about Chlamydia, you can visit our ‘Chlamydia’ page. Chlamydia can affect both men and women and it is caused…
Natural remedies for Premature Ejaculation This article is for those who prefer natural or home remedies for any of their physical problems. Premature Ejaculation is one of the common problems that men face sometime or other during their life time. Premature Ejaculation is defined as ‘Ejaculation of semen before or within one minute after penetration’.…
6 Natural Testosterone Boosting Supplements Testosterone, a very important male sexual health hormone. Not just for sexual health, optimal amounts of testosterone helps in muscle growth, fat loss and also helps in maintaining good health. Did you know that testosterone is important for women too? Though women produce it in very small quantities (compared to…
Epididymitis – All you need to know Before we get to the topic of epididymitis let us first understand the word – Epididymitis. Epididymitis refers to a condition that occurs in the “epididymis”. Epididymis is a part of the male reproductive system. It is a long, coiled tube that stores sperm and transports it from…
What are the possible medical problems that your Testicles or Scrotum can get? As you may be already aware, one testicle often hangs lower than the other. If you are not sure why and want to know, please watch the video at the end of this article. Testicular cancer is likely the most known type…
Hematospermia Sounds strange but true. Hematospermia is a condition where blood is present in the semen (male ejaculate). It is not noticeable usually, so it is difficult to tell in the initial stages. What causes blood to mix with semen? As you can see, there are many parts in the men’s reproductive system such as…
Symptoms of Low Testosterone Levels Testosterone, the male sex hormone is a very important hormone to have a healthy energetic sexual as well as normal life. Women do have this hormone but in very small quantities in their bodies. When the testosterone levels drop in a man, its not just erectile dysfunction caused but also…
Changes to a man’s sexual organs with age Have you ever wondered what is going to happen to your penis, pubic hair, scrotum, the tissues inside your penis change as you age? If you are in your 30s, you would already know that you are not as active in sex as you were in your…
Frenulum is an elastic band like skin that connects the foreskin on the penis to the glans of the penis. It is similar to the elastic skin that exists under the tongue and the lower jaw in a person’s mouth. Frenulum is also called as ‘banjo string’ by some medical professionals.
Exercises for men for a better sex life Exercising has always been considered good for not just our physical but also mental well-being. But now, did you know that toning those muscles, or losing a few pounds can help you be better at sex? That’s true, research has found out that working out three to…
Retrograde Ejaculation – Causes and Treatment Retrograde Ejaculation – One of the ejaculatory dysfunctions experienced by men. In normal ejaculation, during orgasm, the semen comes out of the testicles through the penis. Instead, if the semen enters the bladder and does not come out of the penis – such a condition is called Retrograde Ejaculation.…
This stapler device (that you can see in the above picture) has been developed in China. It includes two parts, inner bell & outer bell. The inner bell is designed to protect the inner glans and the outer bell consists of a blade to cut the foreskin and staples to close the wound for simultaneous hemostasis.
Circumcision Techniques Before we get into the actual techniques used to perform circumcision (for babies or adults or men with penile problems), lets reiterate a bit on what Circumcision is. Circumcision is the surgical removal of the foreskin either totally or partially. It is usually performed on neonatal children but can be done on any…
Obesity and Men’s Sexual Health: How are they connected? Obesity is one of the most famous killers of our world, leading to over 1000 deaths per day in the United States of America. Its adverse effects do not only include, heart attacks, high cholesterol, and blood pressure but also takes a toll on men’s sexual…
FAQs on Small Penis Most men and women watch porn these days. Let us keep aside if watching porn is good for you and your sexual life. One other question that comes up is, is penis so long for every other man as you see in the porn film? Do they last so long as…
FAQs on Premature Ejaculation What is Premature Ejaculation? Ejaculating before or within 1 minute (some researchers give it 2 minutes) of actual penetration is called Premature Ejaculation. Is Premature Ejaculation same as Erectile Dysfunction? No. Premature ejaculation measures the time taken by the man to ejaculate. But, erectile dysfunction is a condition where a man…
Sexologist in Chennai – Treatments Offered Discussing sexual concerns of a couple with a third person is considered embarrassing and a taboo even in this modern era. But sexual problems have been on the rise these days owing to a stressful lifestyle and it is important to find the right person to seek help from.…
Sildenafil Citrate: It is an oral drug popularly sold by the trade name Viagra. It has also been referred to as the little blue pill. It acts by dilating the blood vessels supplying the erectile tissue of penis. Cialis: It is a popular brand name for tadalafil which is also administered orally. Topical Creams: Creams containing Alprostadil are sometimes used for local application over the penis
Nutraceuticals in treating Erectile Dysfunction Nutraceuticals means Healthy and Nutritional Supplement/Food items. About 50% of men experience some form sexual dysfunction at some point of their lifetime. But, those seeking medical help for it are very few as discussing sexual health matters such as libido and erectile dysfunction are associated with embarrassment and stigma of…
In an internet survey of more than 50,000 men and women, men who rated their penis as large had significantly more positive views about their body and the attractiveness of their face than did other men. However, the funny side was that a higher percentage of women were satisfied with their partner’s penis size than the percentage of men who were satisfied with their own penis size (84% vs. 55%)
Psychogenic Erectile Dysfunction – A myth or reality? It would surprise the regular guy if I told him that till the first half of the 20thcentury, the Etiology of Erectile Dysfunction (ED) was primarily attributed to a variety of Psychogenic reasons. Our current understanding of both organic and psychological factors was not always the popular…
Varicocele Repair in Azoospermia A varicocele is a dilatation of the veins of the pampiniform (venous) plexus in the spermatic cord in the male. It is a very common finding in infertile men being associated with 15% of men with primary infertility and 80% of men with secondary infertility. Though varicocele repair in infertility has…
What is Peyronie’s Disease? Peyronie’s disease is a connective tissue disorder affecting the penis. It mainly affects the fibrous sheath covering the penis, namely the tunica albuginea. Sometimes it can affect the vascular cylinders which carry the blood, the septum of the corpora cavernosa. Cause of peyronie’s disease: The cause of Peyronie’s disease still remains…
A penile fracture is a rare albeit troublesome sexual urologic emergency. I say ‘sexual’ as that is the most common cause is aggressive sexual intercourse. Usually a history of woman on top riding position is emphasized, though often times, the history is very vague due to the covert nature of the sexual activity which may involve an extramarital affair. Masturbation may very rarely be responsible
Premature Ejaculation- What’s the story from the other side? Premature ejaculation or lack of Ejaculatory control is the second most common reason men come to see me in my clinic. “It is over before it starts doctor”, they say. A feeling of anguish and the guilt of not being able to satisfy their partners lingers.…
Sexual concerns in young men – PDE5’s are not the answer! LEO ( libido, erection, orgasm ) is what men crave for. For most men, it happens automatically. For others it is a Himalayan task if you are on this side of the world. have a deep concern. A 24 year old walks into my…
Simply speaking, Premature Ejaculation refers to ejaculation occurring before the man and his partner wishes it to occur. However, the definition itself may be too premature as the time to ejaculation and thereby satisfaction is very subjective. Men with ejaculations within a minute may not complain where as some men with ejaculation times lasting more than 10 minutes complain.
Sex pills, Hormones and Internet – Feat or Counterfeit? I have a medical problem. What do I do? Whom do I ask? If it’s a sexual problem, and if I am the shy type, rest assured, I can’t talk about it. Can I lump it? Or do I have a secret friend who I can…
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…
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…
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%.
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.…
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…
Sexual Dysfunction in Men – What is the partners role? When someone walks into the office complaining of Erectile Dysfunction or Premature Ejaculation, how often do we actually evaluate the partners role in it? The partners role is often overshadowed by looking at the individuals problems. In clinical practice, it is common to see that…
Sexual functioning which is sexuality, desire and satisfaction is often a cultural and multidimensional thing. No one universal rule or law applies. I often find however there is a single common denominator which plays a great role in affecting sexual functioning. Stress. As we know, it has been proven in studies to affect male and female sexual functioning.
Weak Masturbatory Erections Do they tell us anything? One out of four patients presenting to Metromale clinic have fear of masturbation. In fact, some people have stopped masturbating after reading posts on the so called harmful effects of masturbation. However, some men complain of their erections being weaker during masturbation. These are often unmarried men…
Delayed Ejaculation – The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV-TR) defines delayed ejaculation(DE) as “a persistent delay in or absence of, orgasm in a male following a normal sexual excitement phase during sexual activity that the clinician, taking into account the person’s age , judges to be adequate in focus, intensity and direction.
Rigiscan – What is it? Nocturnal Penile Tumescence and Rigidity testing (NPTR) I got a call yesterday from a gentleman in his early thirties. Do you do RIGISCAN doctor? ‘He asked’. I said “but what is your problem”? I have features suggestive of Erectile Dysfunction (ED) and I have been asked to get a Rigiscan…