Common Sexual Dysfunctions in Men

In men, sexual dysfunction refers to the difficulty in performing intercourse. Sexual dysfunction encompasses a variety of disorders that affect the following aspects.

• Sexual desire (libido)
• Ability to achieve or maintain an erection (erectile dysfunction or impotence)
• Ejaculation capacity
• Ability to achieve an erection without a deformity in the penis
• Ability to achieve an orgasm

The best sexologist in Delhi states that sexual dysfunction can be a consequence of certain physical or psychological factors. Most sexual problems are due to a combination of physical and psychological factors. A physical problem can lead to the appearance of psychological problems (such as anxiety, depression or emotional stress) that, on the other hand, may aggravate the physical problem. Sometimes, some men press themselves or feel pressured by their partner to perform sexually adequately, and become anxious when they cannot do it (sexual performance anxiety). Sexual performance anxiety can cause problems and make a man's ability to enjoy sex much worse.

Ejaculatory disorders are the most frequent sexual dysfunctions in men, says sexologist in Delhi. The disorders include

• Premature ejaculation, before or shortly after penetration into the vagina ( premature ejaculation )
• Ejaculation in the bladder ( retrograde ejaculation )
• Inability to ejaculate ( anejaculation )

The erectile dysfunction is common in middle-aged men and elderly. Some also have reduced libido.

Psychological Causes of Sexual Dysfunctions

·        Anger with the couple

·        Anxiety

·        Depression

·        Lack of harmony or annoyance in the relationship with the couple

·        Fear of pregnancy, dependence on another person or loss of control

·        Feelings of indifference towards sexual practices or towards the couple

·        Culpability

·        Inhibitions or ignorance of sexual behavior

·        Anxiety about sexual failure (concern about performance during intercourse)

·        Previous traumatic experiences related to sexual activity (for example, rape, incest, sexual abuse or previous sexual dysfunction)

Normal male sexual function

Normal sexual function is a complex interaction that involves the participation of both the mind and the body. The nervous, circulatory and endocrine (hormonal) systems interact with the mind to produce a sexual response. A delicate and balanced interaction between these systems controls the male sexual response, says sexologist doctor in Delhi.

The desire (also called sexual stimulation or libido) is the impulse to want to have sex. It can be triggered by thoughts, words, sights, smells or touch. According to top sexologist in Delhi, desire leads to the first stage of the sexual cycle, excitement.

Then sexual arousal occurs. During arousal, the brain sends nerve signals through the spinal cord to the penis. The arteries that supply blood to the erectile tissues (corpora cavernosa and corpus spongiosum) respond by becoming wider (relaxation and dilation). The arteries markedly increase blood flow to these areas, which become congested with blood and expand. This expansion exerts a pressure that compresses the veins of the penis, which normally evacuate the blood from the penis, but which now retard the flow of blood and thus raise the blood pressure inside the penis. The high pressure in the penis produces the erection and the rigidity. It also increases muscle tension throughout the body, says sex specialist in Delhi.

In the plateau phase, excitement and muscular tension intensify.

The orgasm is the peak or climax of sexual excitement. In the orgasm, the muscular tension in the whole body increases more, the muscles of the pelvis contract and then the ejaculation ensues.

The ejaculation occurs when nerve stimulates muscle contractions in the male reproductive organs: the seminal vesicles, prostate, and epididymal duct vas deferens. These contractions cause the semen to penetrate the urethra. The contraction of the muscles that surround the urethra increases the impulse of the semen out of the penis. The neck of the bladder also contracts and prevents the semen from moving back and going towards the bladder.

Although ejaculation and orgasm often occur simultaneously, they are separate phenomena. Ejaculation without orgasm can occur infrequently. Likewise, orgasm can occur without ejaculation, especially before puberty or as a side effect of certain medications (such as antidepressants) or after surgery (such as removal of the colon or prostate), says best sex doctor in Delhi. Usually, orgasm is usually very pleasant.

In the resolution phase, the body returns to the state prior to the excitement. Once the ejaculation or orgasm is reached, the arteries of the penis constrict and the smooth muscle of the corpora cavernosa and corpus spongiosum contracts, thereby reducing the blood supply and increasing its output, so that the penis recovers the flaccidity (detumescence). After an orgasm a second erection cannot be achieved for some time (refractory period), often about 20 minutes or less in young men, but more so in older ones, because it usually increases with age, says the best sexologist doctor in Delhi.

Why do young people turn to drugs for erections?

The fear of not fulfilling the bed or not having an erection at the time it touches leads many young people to consume Viagra (sildenafil citrate), a drug indicated for erectile dysfunction in those over 18 years.

"Children who resort to this medication, commonly known as the blue pill, often have a sense of insecurity that leads them to want to look good. Therefore, they do not suffer an erectile dysfunction due to an organic problem, but anticipatory anxiety of psychological origin. Other times they do it to counteract the effect of alcohol or other drugs, "explains sexologist in Delhi.

"Young people often look for shortcuts to get things. They drink to be disinhibited, without knowing that alcohol has a depressant effect on the central nervous system preventing achieving both erection and ejaculation. To compensate, they take a pill, and what they are doing is to medicalize something that should be natural, "adds the best sexologist in Delhi.

In some cases, the sex specialist in Delhi acknowledges, "consult with us and, if we consider it necessary, we give them the drug to reduce that anxiety, but then we take it away explaining aspects such as what are the natural mechanisms of the sexual response (for example, what is a natural erection) and we offer them concrete strategies ".

How to reduce that anticipatory anxiety? "We do it by working on the detection of intrusive thoughts. Sometimes, people tend to use hypotheses to see why they cannot have an erection, however, often a punctual trigger is simply due to fatigue or even because the girl does not like it. If there is no sexual attraction, it is very difficult for the response to be triggered in the form of an erection or for it to remain, "says top sexologist in Delhi, stressing the importance of knowing oneself.

Recommendations for a good erection

Having and maintaining an erection does not have to require pharmacological help if the steps proposed by the best sex doctor in Delhi are followed.

1. Think about getting and giving pleasure to the couple.

2. Sexuality is a game and a way to have fun two people.

3.  Forget the obligation to look good.

4.  Do not take full responsibility for the burden of the sexual relationship, since the two parties involved would have to put 50 percent.

5. Avoid "coitocentrism", that is, distract from the obligation of penetration by doing other practices such as cunnilingus or mutual masturbation or other games.

6. Nothing happens to lose the erection for reasons such as being more aware of the satisfaction of the couple. It is possible to recover it after a while, but for this, it is important not to be carried away by fear.

Sale without prescription in India

As per the law, Viagra cannot be sold without a prescription in India. According to sexologist doctor in Delhi, "although it is an effective and safe drug to improve sexual function, some people get this medicine without a prescription, in some cases, to an unjustified or unnecessary consumption." In short, the best sexologist doctor in Delhi says that the initial treatment is prescribed by the doctor. And is that "there are many men whose erectile dysfunction is a sentinel symptom of a basic or underlying pathology (diabetes, hypertension, cholesterol high or some cardiovascular pathology) and do not know it. Therefore, you should see the sex specialist doctor in Delhi before taking this medication for the first time. If a patient responds well he could go directly to the pharmacy and it would be enough to undergo an annual evaluation by his sex doctor in Delhi".

Dr. P K Gupta, best sexologist in India, emphasizes that this drug should not be used in patients with severe heart failure, unstable angina, or who have recently suffered a cardiac or cerebrovascular infarction.

In young people without any underlying pathology, the risk of unjustified consumption of Viagra would not be physical, but psychological. "In those young people who take it to gain security in oneself, to be good or to alleviate the effects of the consumption of alcohol and/or drugs, there is a risk of psychological dependence", warns the sexologist in Noida. This expert considers that the risks of unnecessary consumption of this medicine would be reduced with more sexual and effective education.

When there is erectile dysfunction

What is the profile of the patients who attend primary consultations with erection problems? "Most of them are between 40 and 60.  Even though we are the arrival point, many of us escape,” says the best sexologist in Delhi.

For these cases in which there is erectile dysfunction, top sexologist in Noida detailed that it is usually prescribed a starting dose of 50 mg on demand - depending on the patient's sexual frequency-, "which usually results in one pill a week". The arrival on the market of Viagra was the second sexual revolution - the first was the contraceptive pill - "because it manages to fight against the aging of the male".

To achieve an optimal Viagra effect, sexologist in Delhi gives the following advice:

1. Not having a full stomach it is recommended to take it half an hour before the meal.

2. Allow one hour between the intake of the medication and sexual intercourse.

3. Have a sexual stimulation.

4. Logically, drinking alcohol is not recommended, as it can produce a worse response to the drug.

And what about the side effects? ”A headache, facial flushing, some stomach discomfort and some glare from the light when driving", the best sexologist in Noida enumerates." The fear of suffering a heart attack is usually the origin of the reluctance of some patients to try this drug, however, in all the time that I have been prescribing it has never happened. " 

Premature Ejaculation: Five Tips For The Couple

The couple is affected by premature ejaculation depending on the importance they give to sexuality and penetration. Dr. P K Gupta, the best sexologist in Delhi, recalls that the speed in the ejaculation of primates increases the possibility of reproduction, which is an evolutionary achievement. However, "today we see it as a problem because the time of intercourse has become important".

Sexologist in Delhi considers that this is something that clashes with the data, since "85 percent of women never achieve orgasm with penetration, regardless of the time they receive stimuli, while one hundred percent does it with the stimulus of the clitoris.

Problems suffered by some couples due to premature ejaculation

In reality, some women have no problem with this premature ejaculation, since what they really like is the stimulation of the clitoris. Others, however, may suffer great dissatisfaction, because their sexual expectations are not met. In these latter cases, the inconvenience in bed can lead to problems outside the sexual relationship and lack of communication. "Some couples even avoid sexual encounters to avoid facing the situation."

To not get to this point, sexologist doctor in Delhi gives a series of tips for the couple:

1) Talk about the problem

Communication is very good for everything related to life as a couple. Top sexologist in Delhi explains that "it is good that the couple speaks, but also that they listen."

"Many men come to the head that suffer from premature ejaculation and that this is the cause of all the evils of the couple. They are tired of telling them that they do not care, that solving premature ejaculation will not solve the lack of affection he shows, the scarce domestic involvement or the lack of attention to the children, "the sex specialist in Delhi explains.

2) Do not blame

Understanding and dialogue are key, although sex doctor in Delhi recognizes that there is no single way to address the issue. What is clear is that you never have to blame the man. "Do not accuse him of lack of interest in giving her pleasure or not generating more anguish or anxiety with comments on previous relationships in which he enjoyed."

3) Do not play down the problem

We must bear in mind that "there are many men who do not even consider going to a professional. But, any attempt to diminish importance, or to make some sexual maneuvers that try to help him only generate more anxiety in them, which worsens premature ejaculation ".

4) Devote more time to the previous affection samples

It can also help that the couple spend more time to show affection and initial preliminaries, and is that best sex doctor in Delhi has seen that couples who are more direct to penetration often suffer more problems. On the contrary, those who dedicate more time to the preliminaries enjoy more. When it comes to solving the problems of premature ejaculation, in the latter case "premature ejaculation treatment in Delhi is easier and faster."

5) Seek professional help

"You should insist that you seek professional help. Men are shyer than most believe when it comes to issues that he considers diminish his virility, "says the best sexologist in Delhi.