The Secrets To Having A Good Erection

A delicate subject to tackle, erection is a sensitive subject for men. Dr. P K Gupta, sexologist in Delhi, answers all our questions on the subject and takes the opportunity to deliver his advice in order to be able to better master the subject.

THERE ARE INVOLUNTARY ERECTIONS

True: the only erection that does not need to be stimulated is the one that occurs in the morning. It actually occurs during REM sleep phases. During these periods, the "sympathetic" system which most of the time keeps the penis at rest by small muscles no longer controls the situation. The muscles relax. "The nocturnal erection, involuntary movements and gestures have nothing to do with an erotic dream ", explains the best sexologist in Delhi.

In adolescence, the mere sight of an attractive girl can cause an erection, but this reactivity loses its splendour over time and emotional control.

ALCOHOL AFFECTS ERECTION

True and false. It depends on the amount of alcohol absorbed. The consumption of alcohol in small doses promotes letting go and can help some individuals to liberate themselves sexually. But beware, too much alcohol really harms erection. Longer to come, more complicated to hold, the erection does not like alcohol abuse, and neither does ejaculation.

"The alcohol problem? Manage the right amount. Because too much alcohol prevents a hard and long erection. In fact, under its influence, the blood circulation is modified, like the secretion of testosterone”, explains sexologist doctor in Delhi.

FREQUENCY OF INTERCOURSE PROMOTES ERECTION

True: the more a man makes love, the more interest he has in the sexual act, the better he is armed to control his erections.

A MAN WHO HAS NO ERECTION HAS NO PLEASURE

False: an erection is a very sensitive mechanism. Generally speaking, a stressed or anxious man can have erection problems. "When your partner does not have an erection, it is often because he is afraid of disappointing or that he is stressed, " explains top sexologist in Delhi. Erectile dysfunction is a beautiful metaphor. Men are often in the performance and they are afraid of not being up to par. To avoid showing their weakness, some of them, stressed, take shelter from sexual intercourse and undergo erectile dysfunction. Even when desire is present, erection can be lacking.

TO MAKE YOUR ERECTION LAST, EXPRESS YOUR DESIRE

True: to limit the tension related to the erection, it is important for the partner to show that he/she likes his sex in erection or by caresses, kisses, looks or why not even words! It is important to show that your pleasure is not necessarily linked to penetration or orgasm, but also to the simple physical sensual proximity of your body against hers. Learn to massage, cuddle without systematically seeking to have sex. And, remember, a simple kiss can trigger an erection.

TO MAINTAIN AN ERECTION, PLAY WITH WHAT EXCITES YOUR PARTNER

True: Your partner has a slight weakness for cotton underwear? Food sex games? He is extremely sensitive to the caresses of the shoulders? To stimulate your partner, use your strengths and "small weaknesses". “Without becoming a sexual object, it is good to know how to develop your sexual and sensual sensitivity. Men are mainly stimulated by sight, learn to know the codes of sexual attraction of your partner and to play with it,” recalls sex specialist in Delhi.

IT SHOULD BE POINTED OUT TO HIM IF HIS ERECTION IS WORSE

False: it is essential never to make reflections that are neither murderous nor compassionate (do not become your mother). We must remain in the register of tenderness. "Above all, do not interpret the erectile dysfunction at all. Do not take offense at a reduction in stiffness. It can come back, if you continue your caresses, if not, just understand that your partner is not a machine, move on to other things, more tender caresses, cuddles in love so as not to overhang it and let the erection come back later ”explains sexologist in Delhi. One should not attach importance to a temporary erectile dysfunction, and especially not to associate "Not to bandage is equivalent to not being a man and not having desire".

THERE IS A PERIOD DURING WHICH A MAN CANNOT HAVE AN ERECTION

True: this time is called the refractory period. This period after ejaculation is the time during which a new orgasm is impossible. It is a natural phenomenon against which we cannot fight. This period evolves with age. Extremely short at 17 or 18, it can reach a day or two at 80. It lasts on average 2 to 3 hours.

"However, you can note that the higher your excitement, the shorter the refractory period," explains sexologist in Delhi. Over the ages, Viagra can be prescribed, because one of the beneficial effects of this drug is to shorten this refractory period from 1 hour to 10 minutes,” concluded sexologist in Delhi.

Fertility Test In Men And Women

Whether it is to know when you are most fertile or to prepare for having a child, fertility tests for women allow you to know the period of the reproductive cycle in which you are. In men, they are used to measure the level of sperm. How to properly use male and female fertility tests?

What is a fertility test?

A fertility test makes it possible to know the fertility rate of a person, that is to say, his capacity or not to be able to procreate naturally. Male and female fertility tests are different. They can be done in the hospital, by taking a blood test, after consulting a sexologist in Delhi. But there are also self-tests, sold in pharmacies, to be carried out directly at home. In men, they measure the level of sperm in the sperm, while in women, they provide information on the period of ovulation.

Fertilization, ovulation, menstrual cycle: some reminders of biology

In order to understand the functioning of a woman's menstrual cycle, that is to say, her menstrual cycle, it is first necessary to define the phenomenon of ovulation and that of fertilization. As best sexologist in Delhi explains each month, during a period of about a day, the ovulation phase takes place. During this, the ovum (or oocyte) is expelled by the ovary. The latter lives approximately 24 hours in the body. In order to maximize the chances of getting pregnant, you must have sex on this day, so that sperm comes to fertilize the woman's egg (note that the sperm expelled during ejaculation survive between 3 and 5 days in the cervix).

Fertilization of the ovum by the sperm, which corresponds to the fusion of the male and female gametes, if it takes place, is then done in stride, within the uterus. If it does not happen, the rules will reappear the following month to start a new cycle, suggests top sexologist in Delhi.

Why and when to take a fertility test?

Fertility tests can be done for several reasons. For example, if you want to have a child but are having difficulties, a test can tell you about your situation regarding procreation, and whether these difficulties have a cause. If you are looking to have a baby, the test can also tell you which is the best time to have a sex to maximize the chances, that is, if the period is right for fertilization.

In this case, your sexologist doctor in Delhi may order a daily test, which will allow you to have sex on specific dates, which correspond to female ovulation. Finally, a test can, conversely, allow you to know the period when you are least fertile, and when intercourse is less conducive to fertilization (but also does not guarantee 100% not to fall pregnant).

How to do a fertility test in the hospital?

When a couple is having difficulty having a child, it is possible to be prescribed fertility tests, female and male, to check whether one of the two partners is not infertile, or has a low rate of fertility. If you want to obtain reliable results, it is advisable to turn to fertility tests by a blood test, prescribed by a sex specialist in Delhi, which will be carried out in the hospital.

In certain cases, in the event of an anomaly detected, additional analyzes may be prescribed. In men, this test, called a spermogram, is used to assess the quality and quantity of sperm in the semen, and to check for infection. It is carried out with a sperm sample taken after masturbation, in a specialized laboratory, says sexologist in Delhi.

The male and female self-test, to know your fertility rate at home

For women, fertility self-tests are actually ovulation tests. They are used in the same way as pregnancy tests, on the toilet. Thanks to a hormone detected in the urine, which is present in greater quantity during the ovulation phases, the test indicates or not if one is in a period of high fertility. In this case, this is the best time to get pregnant. For men, the self-test makes it possible, as in laboratories, to calculate the quantity of mobile sperm present in the sperm. Be careful though, this system, although quite reliable, provides information only on the quantity and therefore does not allow other important elements to be taken into account, such as the shape of the sperm. The result of the self-test must, therefore, be put into perspective, suggests sexologist in Delhi.

What to do in case of infertility?

The first step is to target the cause of infertility: does it come from a man, a woman, or both? Be aware that below 15 million sperm per milliliter, a man is considered infertile. Then, medical follow-up must be done with a sexologist in Delhi. Indeed, these days, it is quite possible to get pregnant despite an infertility problem: it is possible to consider solutions to help procreation, either by helping natural fertilization or in vitro.

Men Betrayed By Their Hormones

Women would not be the only ones to experience a decrease in their hormonal activity with age. Even if the decrease in testosterone is not as abrupt in humans, it would not be without consequences. Should we use substitution treatment? Who to book it for? All these questions are at the heart of a lively debate.

Decreased libido, fatigue, increased cardiovascular risk, irritability, increased waist size … All of these common symptoms in older men could hide testosterone deficiency. 

Andropause, an inappropriate term

Like women, would men see their hormones drop to their fifties? Much less brutal than the upheaval of menopause, the deficit in testosterone linked to age would translate a progressive reduction of this hormone. Not constituting a male fatality (unlike menopause which affects all women), this slow transition allows most men to maintain their reproductive function until an advanced age. This is why the term deficit in testosterone linked to age is preferred to that of andropause.

According to sexologist in Delhi, this decrease in testosterone begins at the age of 30 at a rate of 1 to 2% per year. But important personal factors come into play since some men will maintain high testosterone levels throughout their lives, while others will have very low testosterone levels. Apart from aging, other causes can lead to such a deficit: damage to the testicles (trauma, surgical removal, irradiation, chemotherapy, etc.), hormonal disorders (certain diseases of the pituitary gland), certain drugs and genetic abnormalities.

The number of men involved is the subject of controversial assumptions. According to the best sexologist in Delhi, “at least 20% of men over the age of 60 (…) and about 50% of those over the age of 80 have abnormally low testosterone”. Figures to be compared with the aging of the population.

Deficit in testosterone linked to age, your unforgiving world

Produced by Leydig cells in the testes, testosterone acts on many organs: muscles, vessels, liver, prostate, genitals, brain, bones, skin, hair, etc. Settling insidiously, the disorders are difficult to dissociate from the natural manifestations of aging.

Sexologist doctor in Delhi reminds that deficit in testosterone linked to age can manifest itself by symptoms of banal appearance after 50 years:

• Sexual disturbances with impaired libido, sexual activity, erectile function, pleasure and ejaculation deemed insufficient;
• Functional symptoms such as asthenia and increased fatigability, sleep disturbances but also sweating, hot flashes;
• Modification of the body diagram: decrease in muscle mass and strength, increase in visceral fat, pubic and axillary depilation, testicular hypotrophy;
• Character disorders: irritability or indifference, loss of self-esteem, lack of motivation and fighting spirit, disturbances in concentration, recent memory;
• The development of osteoporosis.

However, it is neither compulsory nor frequent that all of these events be simultaneously present. The assimilation of these symptoms frequently associated with physiological aging could lead to an underestimation of the problem or to a medicalization of a natural phenomenon.

A difficult diagnosis

“Faced with these uncharacteristic symptoms, it is the concordance of these signs that will cause the top sexologist in Delhi to think of a deficit in testosterone linked to age, whose sexual problems cover only about a third of the cases” declares sex specialist in Delhi. But in the end, only a hormonal assessment can confirm the diagnosis. The dosage should be done on an empty stomach in the morning between 7:00 a.m. and 10:00 a.m., the time of day when testosterone levels are highest. Normal values ​​are usually between 3 and 10 ng / ml, but results may depend on the laboratory and the results of other dosages. In the event of an abnormally low result, the dosage should be repeated to confirm the permanence of the hormonal deficit. Additional dosages are sometimes necessary to verify the functioning of the pituitary gland, explains sex doctor in Delhi.

But here again, the rub, since it is not easy to determine the threshold value of testosterone below which it makes sense to treat. The value of testosterone sufficient to maintain libido or muscle tissue could vary from one man to another, says sexologist in South Delhi.

As the list of harms attributed to low testosterone (an increase in cardiovascular disease, a decrease in bone density) grows , the rationale for hormone therapy remains the subject of debate, says sexologist in East Delhi.

When to treat?

Many products already offer different methods of administering testosterone (tablets, oily and intramuscular injections, patches, gel, etc.). Despite this amazing diversity, there are few scientific studies to confirm that these hormonal supplements can help older men. Most studies are only extrapolations from work carried out on young men suffering from an early testosterone deficiency (hypogonadism).

In addition to their small number, studies on deficit in testosterone linked to age argue in favor of such a treatment with a restoration of libido, sleep, spatial memory, an improvement in mood, a reduction in fat mass and an increase of muscle mass and strength… Knowing that this androgen deficiency is a usually permanent condition, the treatment would therefore be treatment for life. A period to be compared with the slight decline in these products which does not exceed 4 years, explains sexologist in Delhi.

A difficult assessment of the benefit-risk balance

Side effects include an increase in the number of red blood cells, worsening of sleep apnea, a moderate increase in prostate size, and a risk of advancing micro-cancer of the prostate.

Currently, the long-term effects of androgen replacement therapy remain unknown, particularly with regard to prostate and cardiovascular risk. Scalded by the dangers of HRT of menopause, some scientists fear that these treatments encourage the occurrence of hormone-dependent cancers (whose growth is promoted by hormones). In men, prostate cancer is androgen-dependent and high levels of testosterone could rapidly progress micro-cancers. Consequences which could be thwarted by more regular screening.

Such a prescription can therefore only be made after analysis of the benefits and risks specific to each patient who must be clearly informed, suggests sexologist in Delhi.

Men at particular risk of prostate cancer (men of color, men over 40 with relatives with prostate cancer and people in their fifties will need to undergo specific screening before treatment is started. -indicated for men who have had a history of prostate or breast cancer, this management requires strict monitoring, carried out in consultation with a blood test (PSA test), first at 3 months and then at a rate variable which will never be more than 12 months Finally, the treatment can be interrupted at any time without any particular risk, except the return to the initial situation, says sexologist in Delhi.

Low Libido- Causes, Symptoms & Treatments

Libido: what is it?

The libido or sexual desire is the desire to engage in sexual activity. Sexual desire can arise spontaneously or in response to a partner, images or thoughts.

The intensity of the desire depends on various factors such as the quality of the couple relationship, physical health, psychological state or events that mark life (pregnancy, mourning, stress at work, etc.). The drop in sexual desire is one of the different sexual dysfunctions that men and women can experience at any time in their lives, says the best sexologist in Delhi.

Low libido becomes problematic when it worries the person or his partner and affects the romantic relationship. However, this condition does not always affect the ability to have sex, says sexologist in Delhi.

Causes of low libido

Sexual desire is a complex interaction of several factors, including physical and emotional well-being, life experiences, rhythm of life and intimate relationships.

A drop in sexual desire can have a physical cause such as:

• A sexual problem, such as pain during sex or an inability to reach orgasm.
• A sickness. Several diseases can affect sexual desire, for example arthritis, cancer, diabetes, high blood pressure (hypertension), depression, or neurological diseases.
• The effects of a drug. Several drugs, such as certain antidepressants often decrease sexual desire. Other drugs to treat prostate problems or hair loss, or to regulate blood pressure can affect your libido, explains sexologist doctor in Delhi.

• Surgery. Surgeries related to the breasts or genitals can affect self-image, sexual function and sexual desire.
• Alcohol or drugs. Abuse of alcohol or certain drugs can affect libido.
• Tiredness. Excess fatigue caused for example by caring for elderly parents or young children can affect sexual desire.

Hormonal changes:

• Menopause. During the transition to menopause, women's estrogen levels drop. This can cause vaginal dryness, so painful or uncomfortable sex can be the cause of avoiding sex. On the other hand, if after menopause, the ovaries secrete very few estrogens, they continue to secrete relatively large amounts of androgens (testosterone ...). However, this androgen level becomes lower than before menopause, which can be taken into account in a decrease in sexual desire, says sex specialist in Delhi.
• Pregnancy and breastfeeding. Hormonal changes during pregnancy, as well as after childbirth and breastfeeding can affect sexual desire. Not only hormones, but fatigue, body changes, and the stress of having a new baby can affect sexual desire.

• Prolactin. An abnormal increase in prolactin (a hormone responsible, among other things, for triggering and maintaining lactation) blocks sexual desire, in men, as in women, explains top sexologist in Delhi.
• Low testosterone. In men, testosterone is produced in the testes. This hormone is essential for maintaining bone density, fat distribution, muscle mass, production of red blood cells, production of sperm and sexual desire. With age, testosterone gradually decreases (by around 1% per year after the age of 30). Sometimes testosterone can decrease very significantly with age. A drop in testosterone can also be due to a disease.
• The contraceptive pill. Taking the contraceptive pill tends to decrease libido in 20 to 40% of women, because it decreases the amount of testosterone circulating in the blood in women, says sexologist in South Delhi.

A drop in sexual desire can have a psychological cause, such as:

• Childhood sexual abuse.
• Depression.
• Intense stress related to a financial situation or a job.
• Low self-esteem.
• A conflictual love relationship (lack of communication, unresolved conflicts, infidelity, lack of trust in your partner).

Symptoms of decreased libido, risks and prevention

Symptoms of decreased desire

• An unexplained and prolonged disappearance of sexual desire.
• Sometimes a systematic repulsion with regard to sexual activities. This symptom manifests itself especially in case of psychological blockage.

People at risk of low libido

• Age. Decreased sexual desire can happen at any age, but it manifests more frequently as a man or a woman ages.

Risk factors for lack of desire

• Couples living in marital conflicts.
• People who do not feel respected by their partner.
• People with chronic illness.
• People with significant concerns (unemployment, accident in life, serious illness of a loved one, death in the entourage ...)
• People abusing pornographic images.

Prevention of decreased desire

Basic preventive measures

In order to maintain sexual desire and increase pleasure during sex:

• Make sure you maintain good communication with your spouse.
• Discuss with your partner what gives you pleasure during intimate relationships.
• Show imagination and fantasy.
• After menopause, have an open and positive attitude towards your sexuality. Despite the decline of hormones, it is quite possible to maintain a beautiful sexual vitality, suggests sexologist in East Delhi.

Medical treatments for low libido

Hormonal therapies

Hormonal therapies are used when the drop in libido is caused by a hormonal problem.

In men, a drop in libido caused by low testosterone can be treated with testosterone replacement therapy. A blood sample is used to check the testosterone level.

Testosterone is available in patches affixed once a day in the back, on the abdomen, on the arm, or on the thighs, in gel (that is applied to the skin once a day), in injection (administered by sexologist in Delhi at 3 or 4 week intervals) or capsules.

Some women may be given estrogen. This low sex desire treatment in Delhi can have a positive effect on brain functions and mood that affect sexual response. However, this type of therapy can increase the risk of heart disease and breast cancer.

Lower doses of estrogen can be given in the form of vaginal creams, slow-release suppositories or a ring in the vagina. These drugs manage to increase the blood flow in the vagina and help increase desire without the risks associated with estrogen absorption.

When the desire disorder is due to a very high prolactin level, a check-up is necessary, with appropriate treatment.

Change of medication

When the drop in libido is caused by a medication, your sexologist in Delhi can usually prescribe another one.

Lifestyle changes and therapies

When the drop in libido has a psychological cause, it can be treated by lifestyle changes and techniques that help develop sexuality.

• Exercises. Regular aerobic and power exercises can improve stamina, self-image, and mood and boost libido.
• Reduce stress. Finding solutions to deal with financial stress, work-related stress or daily hassles can stimulate sexual desire.
• Communicate with your partner. Couples who learn to communicate in an honest and open relationship usually maintain stronger bonds that lead to healthier sex. Talking about your sexual preferences can also improve intimate relationships. 
• Plan some privacy. Although planning sex on the calendar may seem artificial and boring, making intimate periods a priority can help regain sexual desire.
• Add spice to her sex life. Try different sexual positions, variable places or times of the day, if you and your partner agree.
• Advice from a sexologist in Delhi can help to understand the cause of the decline in sexual desire. These therapies usually include teachings on sexual response, techniques and recommendations for reading, as well as exercises to do in a couple.
• Very often, the drop in libido is due to deep disorders. A depression, a difficult experience in childhood, a traumatic death, sexual assault, rape ... In this case, a work of therapy will be essential to revive the vital momentum, because the libido is linked to this momentum.