Sunday, 7 April 2019

Erectile dysfunction (impotence): what it is and what is its treatment


Erectile dysfunction is one of the sexual problems that most worries men. It usually happens for different reasons, although execution anxiety is one of the psychological origins that can provoke it and that turns this problem into a vicious circle from which it is difficult to leave, says the best sexologist in Delhi, India.

Erectile dysfunction can cause consequences in different areas of a person's life:  problems of self-esteem, relational difficulties, etc.
Erectile dysfunction, why is it produced?
Any alteration of the mechanisms that intervene in the erection can cause erectile dysfunction. From the outset, it is very important to know if there is any alteration at the organic level (as is the case of neurological or vascular problems). 
Once discarded any affectation of organic origin, it is when we can examine the problems of psychological origin, being the execution anxiety again the protagonist of this dysfunction, says sexologist in Delhi, India.
Causes: anxiety for execution
Execution anxiety is a state of alert that appears as a response to the set of thoughts that connect with previous unsatisfactory results and predict a new failure.
The battery of messages related to "will I achieve it?", "What if it goes wrong again?" Or "what could change this time?” Leads the individual to a state of mind governed by over-analysis; the demand and fear join forces to find a channel of expression.
Questioning one's own capacity coupled with enormous ignorance (what is causing the problem) generates a feeling of frustration that, again, feeds the thoughts related to the alert explains sexologist doctor in Delhi.
How can Psychotherapy help us?
From psychotherapy work different areas that can trigger stress and anxiety in the patient's life (life experiences, current work, and family situation, relationship, etc.), as well as more specific aspects related to the anxiety of execution.
The obligation to offer results, excessive altruism and self-observation are three key issues of execution anxiety. With the aim of improving the self - control capacity, the sex treatment in Delhi focuses attention on the detection of automatic thoughts that trigger the alert state. In the line of the commented, this type of thoughts respond to:
  • The need to give a very consistent and lasting erectile response.
  • The control of the satisfaction of the couple more than their own and joint eroticism.
  • Continuous observation of the penis and its functioning.
Talking about these types of concerns offers the patient a channel of expression that will increase emotional self-awareness. This, added to the creation of alternative thoughts, will diminish the voice of self-demand and facilitate the work of self-empathy. Likewise, to build a discourse with all the elements that are left in the "backstage" of the problem (taboos) will facilitate the understanding and the approach within the couple says sex specialist in Delhi.
Guidelines and tips to follow
An important point is to provide the patient with guidelines that reduce the level of nervousness and pressure in sexual experiences.
More specifically, one of the indications that are sometimes offered in sexual therapy is to "prohibit intercourse" throughout the first sexual encounters, thus achieving the concerns previously mentioned (results 10, the satisfaction of the couple and the physiological response itself) cease to be a source of anxiety.
There are many myths regarding the genitalization of sexual relationships or the belief that they are only complete if penetration and orgasm are achieved. It is true that the genitals are a very important part of the human body, but reducing sexuality to genitality is limiting the experience, especially if we consider that the totality of our organism is sexuated. The skin is a sexual organ, and as such, must be taken into account in our intimate relationships, says the best sex doctor in Delhi.
Penetration is just one more practice within the multiple possibilities we have to satisfy ourselves. There can be very pleasant sexual relations without intercourse. This connection again with pleasure is another objective within Psychotherapy.
What happens if the person does not ask for help?
First of all, it is important to differentiate between an isolated manifestation and a problem established.
When it comes to the dysfunction that is repeated over time, serious problems appear, such as the affectation of self-esteem, avoidance of sexual relations and conflicts at the couple level. In reference to this last point, the belief that "you are becoming more distant" and "you do not want me anymore", attributes the origin of the problem to erroneous causes and ends up becoming a reason for discussion and distancing.
From couples therapy it is essential to work on communicating the fears and needs of each member, thus achieving an atmosphere of love and mutual attention ... A problem that was previously experienced from loneliness now happens to live hand in hand, says top sexologist in Delhi.
And premature ejaculation, why is it produced?
Premature ejaculation is the most frequent sexual problem among the male population. This lack of control can be due to very diverse causes. In fact, the origin is inaccurate. What we do know is that it depends on psychological factors and, often, beliefs related to man and sexuality (cultural aspects).
Among the factors that contribute to the existence of this dysfunction are the predisposing factors (for example, the family history, the circumstances that accompanied the first sexual relations and the bad learning), the precipitants (among which the low sexual frequency, the plaintiff couple and the anxiety of execution), and the maintainers (where the anxiety of execution, the lack of psychosexual abilities and the  conflicts of couple stand out again), without forgetting all those biological aspects that could exist in each course.

Sunday, 17 March 2019

Premature ejaculation: what is it?


The ejaculation early or premature is, with erectile dysfunction, a disorder of the most frequent male sexuality. As explained by sexologist in Delhi, its causes are varied: they can be psychological, behavioral, neurobiological or genetic.

While definitions vary across countries and medical societies, they all agree on three points. Premature ejaculation results in:
  • an ejaculation that occurs too quickly, before the man or his partner wish and that, consistently or very often;
  • an inability to "hold" or control ejaculation;
  • the psychological impact negatively.
It should be noted, however, that premature ejaculation, during first sexual intercourse or a new relationship, is normal. It becomes problematic only if it persists and constitutes a real embarrassment, says the best sexologist in Delhi.

We distinguish:
  • the ejaculation early primary that is present in each report, with different partners throughout life.
  • the ejaculation early secondary or acquired appears as it was not present in previous sex. It is usually associated with an underlying disease such as prostatitis, an erectile or a neurological disorder, or a psychological problem, says top sexologist in Delhi, India.
Who is affected by premature ejaculation?
According to sex specialist doctor in Delhi, premature ejaculation affects 20 to 30% of men.
However, it is difficult to obtain precise figures, especially as the diagnostic definition has long remained vague. On the other hands, very few men who consider themselves affected by this disorder consult a sexologist doctor in Delhi for this reason.

According to the best sex doctor in Delhi, India the prevalence of premature ejaculation would vary between 3 and 30% depending on the studies.

Causes of premature ejaculation
It is now known that premature ejaculation, which has long been considered a purely psychological disorder, is also linked to neurobiological disorders and/or genetic susceptibility.

The exact causes are however unknown.

Several biological factors could contribute to this disorder, including:
  • hypersensitivity of the glans,
  • a hyperexcitability of the ejaculation reflex,
  • disorders of the transmission of nerve messages in the brain or hypersensitivity of certain nerve receptors (especially serotonin receptors),
  • inflammation of the prostate (chronic prostatitis),
  • abnormalities of the thyroid gland (hyperthyroidism),
  • a neurological disease, such as multiple sclerosis.
To date, no large-scale study has clearly demonstrated the role of any of these neurobiological causes.
It is clear that some psychological and environmental factors also have a role to play, says sexologist in South Delhi.

Evolution and possible complications
Premature ejaculation is not a disease in itself. It is a disorder that becomes problematic only if it is a source of embarrassment, discomfort or distress for the person who complains or for his partner, sexologist in North Delhi explains.

Thus, the psychological consequences of premature ejaculation can be very negative, for the subject as for the couple. Men who suffer from it may develop symptoms of depression, anxiety, or even fall back on themselves by avoiding any romantic or sexual relationship, says sexologist in East Delhi.
This is why it is important to talk about it, especially since solutions exist, whether medical or not.

Symptoms of Premature Ejaculation, People at Risk and Risk Factors

SYMPTOMS  
According to the recommendations by the best sexologist doctor in Delhipremature ejaculation has symptoms:
  • Ejaculation occurs always or almost always before intravaginal penetration or within one minute after penetration
  • there is an inability to delay ejaculation during each or almost every vaginal intercourse
  • this situation has negative consequences, such as distress, frustration, embarrassment and / or avoidance of sexual relations.

According to sexologist in West Delhi, there is insufficient scientific evidence to extend this definition to non-heterosexual sex or intercourse without vaginal penetration.

Several studies show that among men suffering from permanent premature ejaculation:
  • 90% ejaculate in less than a minute (and 30 to 40% in less than 15 seconds),
  • 10% ejaculate between one and three minutes after penetration.
Finally, according to the ISSM, 5% of these men ejaculate involuntarily even before penetration.

People at risk
Risk factors for premature ejaculation are not well known.
Unlike erectile dysfunction, premature ejaculation does not increase with age. On the contrary, it tends to decrease with time and experience. It is more common among young men and at the beginning of a relationship with a new partner, says sex doctor in Delhi, India. 

Risk factors
Several factors can promote premature ejaculation:
  • anxiety (including performance anxiety),
  • having a new partner,
  • low sexual activity (infrequent),
  • the withdrawal or abuse of certain drugs or drugs (especially opiates, amphetamines, dopaminergic drugs, etc.),
  • alcohol abuse.
Prevention and medical treatments of premature ejaculation
Can we prevent premature ejaculation?
Often, when premature ejaculation is transient or unimportant, the premature ejaculation treatment in Delhi is primarily based on psychosexual counseling. Thus, several measures or techniques can help delay the time of ejaculation, including:
·        bring the partner to stimulate the penis until ejaculation is imminent, then pause to relieve the excitement before proceeding
·        apply manual pressure at the base of the glans during the report ("squeeze"), when the signs of ejaculation are felt. It is advisable to press the glans between thumb and forefinger (thumb placed on the brake) for 2 or 3 seconds so as to stop the ejaculation reflex.

These "exercises" must be repeated several times in order to manage to hold about twenty minutes without ejaculating. Little by little, they will better control ejaculation, says sexologist in India.

Medical treatments for premature ejaculation
The recent recommendations of the best sexologist in India advocate a combined management combining, if necessary:
  • pharmacological treatment
a psychosexual intervention.

Sunday, 3 March 2019

The definitive guide on male orgasm: everything you have to know


In general, much more is said about the female orgasm than the male. Tricks so that they reach the climax, how to make them really enjoy, what they think while they practice sex, why they pretend and how they do it.

The truth is that women enjoy fewer orgasms than men - in particular, 61.6% compared to 85.5% - and there are even those who, unfortunately, have never had them. Getting them to arrive becomes a kind of biblical feat that, among other things, leaves the male orgasm at the height of the bitumen as if it were something very simple. Error! It also has its intricacies and what is behind it is much more complex than you imagine, says best sexologist in Delhi, India.

The best orgasms are during sex
"Although masturbation is very fun, maximum pleasure is achieved when you are having sex with another person," explains sexologist in Delhi, India. After having an orgasm, both men and women release a hormone called prolactin that makes us feel good, rested, satisfied and happy. But, did you know that when we reach the climax while having sex with another person, up to 400% more is released? Of course, we talk about another league much more pleasant than onanism.

They are unlimited
Although the period between having an orgasm and being able to have a new erection varies a lot between one man and another, it turns out that some say they only need to wait about three minutes in order to be ready again. They are not supermen, this ability can be trained and improve over time, says sexologist doctor in Delhi. Save your excuses because the male orgasm is not limited!

Orgasm is not ejaculation
Most people think that male orgasms are when they ejaculate. This is usually the case, but not necessarily. In reality, ejaculation can occur after reaching the climax and even not occur. A man can have an orgasm and have not expelled semen: "Men who reach orgasm without ejaculating have the potential to reach uninterrupted climaxes," explains top sexologist in Delhi, India.

Men can have multiple orgasms
Yes. Seriously. Although female multiorgasm is much more common, men can get it if they try hard and practice often.

In addition to the hard work -and well advised, that no one is born known- we have to get used to the idea that many of those who enjoy during the act will not be ejaculatory but pleasant. "The key to achieving repetitive orgasms in men is to reach climax without ejaculating," sex specialist in Delhi adds. The good news: there are several techniques to achieve it. "  

75% of men reach orgasm within two minutes or less of having started to masturbate

A remedy for headache
By having an orgasm we release a lot of endorphins that, in addition to making us feel euphoric, block pain. According to a recent study, those people who had sex despite having some migraine ensured that after reaching orgasm "the pain had disappeared or had been significantly reduced," explains sexologist in South Delhi. Come on, we can go banishing the excuse of ' not tonight, it hurts my head' because getting down to work would really solve that discomfort.

The speed of semen
Semen is expelled much faster than we think. The average speed of male ejaculation is 45 kilometers per hour, so it is advised by the best sex doctor in Delhi to warn the other person so that he is prevented from being shot and avoiding uncomfortable accidents. Exactly, we're talking about oral sex.

Yes, they can be taken in two minutes (or less)
A recent study by Masters and Johnson - a pioneering research team in studies on the nature of the human sexual response and the diagnosis and treatment of sexual disorders and related dysfunctions - revealed that 75% of men achieve orgasm at two minutes or less than having started to masturbate. If it is solo, perfect, everyone who organizes their time and leisure time as best suits them, but early ejaculation can be a real problem during sex.

"Among professionals of sexology has not yet reached any agreement on the time below which a man should be considered premature ejaculator", explains sexologist in West Delhi, mostly because the greater or lesser delay to ejaculate it is variable even within the same person and depends on the moment, on tiredness, on one's desire, on how the person feels ... But let us not be alarmed that the little capacity for endurance has a solution: "There are certain techniques aimed at the progressive recognition of Pre-ejaculatory sensations that can help (always with the guidance of a sexologist) to improve the ejaculation time ", recommends sexologist in North Delhi.

Your orgasms are shorter
"Finally, a little justice in the world!" Exclaims sexologist in East Delhi. And the reason to be happy does not lack. As we commented, men tend to reach orgasm more easily than women and there are few occasions when they stay halfway. So what less that, to achieve it, the pleasure lasts a few seconds more in them. However, the intensity and duration of the euphoria can vary greatly among people, regardless of gender.

Men have a G spot
Exactly the same as women, men have erogenous zones that, if stimulated properly, can produce much more intense orgasms. In case you did not know of its existence, it is convenient to know that the male G-spot is at a depth of about 5 centimeters inside the anus and you can locate it because you will notice a small lump as big as a walnut. Go, let's end the fears, taboos, and prejudices of the heterosexual years. What are you missing the key to pleasure!