All About Erectile Dysfunction

Nature of erectile dysfunction

Definition

Erectile dysfunction is the permanent or recurrent inability to obtain or maintain an erection sufficient for the performance of the sexual act.

Trouble or breakdown?

• You have to differentiate between occasional sexual breakdown and persistent erectile dysfunction.
• All men experience sexual breakdowns when they are tired or stressed but they are transient and punctual.
• As you get older, it takes longer to get aroused and prolonged stimulation is needed to achieve a rigid erection.
• These changes are normal from the fifties.
• True erectile dysfunction is a long-term condition. It should be consulted with sexologist in Delhi if it has lasted three months or more.

Nature

1. We distinguish erectile dysfunction:
   • organic due to aging or illness
   • psychogenic due to psychological, emotional, relational, or situational problems.
2. Very often these two types of dysfunction are linked.
3. Erectile dysfunction must be distinguished from other male sexual disorders, such as premature ejaculation, anorgasmia, and lack of desire, although they can also coexist with erectile dysfunction.

Frequency

• Erectile dysfunction (abbreviation: ED) affects 30% of men after 50 years, according to top sexologist in Delhi.
• The older we get, the more likely we are to have this condition. 78% of patients with both hypertension and diabetes have erectile dysfunction.
• It is estimated that more than 160 million men worldwide are affected. As life expectancy increases, this prevalence will increase.

Manifestation of erectile dysfunction

Difficulties in erection

• It usually occurs gradually: the man finds that he has a normal desire and that he feels excited but that his erection comes with difficulty or is not complete.
• He may find it difficult to penetrate his partner or, if penetration is possible, the erection gradually decreases and he cannot complete the sexual act.
• Ejaculation can occur but the penis remains soft.

The disappearance of the erection

• Little by little, the erection no longer comes at all and the spontaneous nocturnal or morning erections disappear. This phenomenon is very often due to the physiological consequences of underlying pathology (diabetes, multiple sclerosis, etc ...) or of surgical intervention (total prostatectomy, etc ...)
• Erectile dysfunction can also suddenly appear as a result of physical or psychological trauma.
• Erectile dysfunction can, therefore, be described by the best sexologist in Delhi as mild, moderate, or severe.

The spiral of failure

Principle

• The physical and psychological causes should not be completely separated.
• Indeed, the first sexual breakdowns are the cause of doubts and avoidance, especially if the man does not find support in his partner or if she makes fun of him.
• Losing your erection is losing your self-esteem and doubting your virility, being reduced by the disease, and adding this symptom increases anxiety and guilt, explains sexologist doctor in Delhi.

Mechanism

• When erectile dysfunction sets in, the man finds himself in the grip of doubt and loses self-esteem. He is overcome by the obsession with his erection: will she come? Will it last long enough? Will I satisfy my partner? says sex specialist in Delhi.
• Shame on his condition, self-deprecation, guilt leads him to avoid frustrating sex.
• Therefore it tends to observe itself too much, to try by all means to control this rebellious erection and, contracting, it only gets the opposite effect since this worried state prevents the relaxation of the muscles of the cavernous bodies inhibiting natural erection.
• The partner also feels frustration and misunderstanding. Added to this is great guilt for his attitude: why does my partner no longer want me? Why am I no longer having an effect on him? Does he have another woman in his life? She does not understand why the man puts in place a strategy of avoidance of relationships. The more he does this, the more she is abandoned and unloved, which can induce reactions of anger or jealousy, even threats of separation which aggravate male anxiety, warns sexologist in South Delhi.
• As the man feels ashamed and guilty, he dares not to say what is happening to him, the misunderstanding sets in and, if the illness or the worries of daily life do not fade, the erection is not more present when it should support intimacy and the lost emotional relation.
• The vicious circle of failure thus installed, the couple can mourn their sex life. Their quality of life is altered and the couple finds themselves in great danger of separation.

How to get out of the spiral…

Only the decision made by the man to express his concerns to the sexologist in East Delhi and his partner will allow him to put all the chances on his side to find a harmonious sex life and preserve the longevity of his couple.

Erectile dysfunction - When and how to consult?

Principle

• One should not wait more than three months to consult, as any delay in diagnosis is detrimental to the cardiovascular state.
• It is never easy to talk about your sexuality, or your relationship when you are in conflict.
• In addition, the partner may be reluctant to get involved in the diagnosis and treatment of erectile dysfunction, out of fear or out of modesty.
• But any man who has had sexual difficulties for several weeks (or even a few months) must consult for a diagnosis. The setting up of care avoids harmful consequences on the health or the life of couple.

The role of the doctor

• Sexologist in Delhi who treat erectile dysfunction know how difficult it is for men to talk about their sexual problems.
• They are trained to listen to them and practice long consultations to examine all aspects of the problem.
• Sometimes the doctor consulted does not feel empowered to treat erectile dysfunction. In this case, he will send to a specialist sexologist in Delhi and will remain informed of the therapeutic follow-up.

Consult alone or as a couple?

• If you prefer to be alone to see a sexologist in Delhi during the first consultation this is quite possible.
• But it is good that the partner is associated at one time or another with the erectile dysfunction treatment in Delhi, because its opinion on the sexual life and the emotional life of the couple, its implication and its support are very important for a lasting positive result.

Sexual Problems, Prevention and Treatment

SEXUAL PROBLEMS

Sexual problems are defined as difficulty during any stage of sexual act (desire, arousal, orgasm and resolution), which prevents the individual or partner from enjoying sexual activity.

Information

Sexual difficulties can begin early in a person's sex life or may develop after the individual has experienced sex in a pleasant and satisfying way. The problem may develop gradually over time or may be sudden and present as a total or partial inability to participate in one or more stages of the sexual act. The cause of sexual difficulties can be physical, psychological, or both, says sexologist in Delhi.

Emotional factors that affect sex encompass both interpersonal and psychological problems within the individual. Interpersonal problems include marital or relationship problems between people or a lack of trust and open communication in the partner. Personal psychological problems include depression, sexual fears or guilt, or previous sexual trauma.

Physical factors that contribute to sexual problems include:

• Back injuries
• Increased prostate gland size
• Diseases (such as diabetic neuropathy, multiple sclerosis, tumors and, in rare cases, tertiary syphilis)
• Drugs, such as alcohol, nicotine, narcotics, stimulants, antihypertensives (blood pressure lowering drugs), antihistamines and some psychotherapeutic drugs (used to treat psychological problems such as depression)
• Endocrine disorders (problems with the thyroid, pituitary or adrenal gland)

• Insufficiency of various organs (such as the heart and lungs)
• Hormone deficiencies (low testosterone, estrogen or androgen levels)
• Neurological damage (such as spinal cord injuries)
• Problems with blood supply
• Some birth defects

Sexual dysfunction disorders are generally classified into four categories:

1.      Sexual desire disorders: Sexual desire disorders (decreased libido) can be caused by a decrease in normal estrogen production (in women) or testosterone (in both men and women). Other causes may include age, fatigue, pregnancy, medications: it is well known that antidepressants reduce sex drive in both men and women. Psychiatric illnesses, such as depression and anxiety, can also cause reduced libido, says the best sexologist in Delhi.

2.      Sexual arousal disorders: Sexual arousal disorders were formerly known as frigidity in women and impotence in men, although these terms have now been replaced by less punitive ones. Impotence is now known as erectile dysfunction and frigidity is currently described as one of several specific problems with desire, arousal or anxiety, explains sexologist doctor in Delhi.

For both men and women, these conditions can manifest as an aversion and rejection of sexual contact with a partner. In men there may be total or partial inability to achieve or maintain an erection or a lack of sexual arousal and pleasure in sexual activity.

There may be medical causes for these disorders, such as decreased blood flow or lack of vaginal lubrication. Chronic diseases can also contribute to these difficulties, as well as the nature of the relationship between couples. As confirmed by the success of Viagra, many erectile dysfunctions in man can be mainly physical, not psychological; as for women the most common causes are: Pain for lack of lubrification, for lack of well-made prolegomens; contraction or blockage, lack of appetite, for psycho-emotional problems, explains top sexologist in Delhi.

3.      Orgasm disorders: Orgasm disorders are persistent delay or absence of orgasm after a normal sexual arousal phase. The disorder occurs in both women and men. Again, antidepressants are common culprits, as they can slow the achievement of an orgasm or eliminate it altogether, describes sex specialist in Delhi.

4.      Sexual pain disorders: Sexual pain disorders affect women almost exclusively and are known as dyspareunia (painful sexual intercourse) and vaginismus (an involuntary spasm of the vaginal wall musculature that interferes with sexual intercourse). Dyspareunia can be caused by insufficient lubrication (vaginal dryness) in women. There may also be abnormalities in the pelvis or ovaries that can cause pain with sexual intercourse. Vulvar pain disorders can also cause dyspareunia and inability to have sex due to pain.

Poor lubrication can be the result of insufficient arousal and stimulation or hormonal changes due to menopause or breastfeeding. Irritation from birth control creams or foams can also cause dryness, as can fear and anxiety about sex.

It is unclear what causes vaginismus, but it is believed that previous sexual trauma, such as rape or mistreatment, may play a role. Another female sexual pain disorder is called vulvodynia or vulvar vestibulitis. In this condition, a woman experiences pain and burning during sex, which appears to be related to skin problems in the vulvar and vaginal areas. The cause is unknown, says sex doctor in Delhi.

Sexual dysfunctions are more common in early adulthood: most people seek medical attention for these conditions when they are close to age 30 and throughout their lives. The incidence increases again in perimenopausal and postmenopausal years in women, and in the geriatric population, typically with gradual onset of symptoms most commonly associated with physical causes of sexual dysfunction.

Sexual dysfunction is more common in people who abuse alcohol and drugs. It is also more likely to occur in people with diabetes and degenerative neurological disorders. Progressive psychological problems, difficulty maintaining a relationship, or a chronic lack of harmony with the current sexual partner can also interfere with sexual function, explains sexologist in South Delhi.

Prevention

Open, informative and accurate communication on sexual issues and body image between parents and their children can prevent children from developing anxiety or feelings of guilt about sex and can help them develop healthy sex.

Review all over-the-counter and prescription medications for possible side effects related to sexual dysfunction. Avoiding excessive alcohol and drug use also helps prevent sexual dysfunction, suggests sexologist in East Delhi.

Couples who are honest and open about their sexual preferences and sensations are more likely to avoid some form of sexual dysfunction. Ideally, sexual partners should be able to communicate their sexual desires and preferences.

People who are victims of sexual trauma such as abuse or rape at any age are urged to seek psychiatric counselling urgently. Individual counselling with a trauma expert can demonstrate that it is beneficial in allowing victims of sexual abuse to overcome sexual difficulties and enjoy voluntary sexual experiences with a partner of their choice, says sexologist in Delhi.

Symptoms

• Men or women

• inability to feel excitement
• lack of interest or desire in sex (loss of libido)
• painful sexual intercourse (less common in men than in women)
• Men
• delay or absence of ejaculation, despite adequate stimulation
• inability to control the timing of ejaculation
• inability to achieve an erection
• inability to maintain an adequate erection to develop sexual intercourse
• Women
• urtial pain in the vulva or vagina upon contact with these areas
• inability to achieve an orgasm
• inability to relax the muscles of the vagina enough to allow sexual intercourse
• inadequate vaginal lubrication before and during sexual intercourse
• low libido due to physical/hormonal problems, psychological problems or relationship problems

SIGNS AND EXAMS

The sexologist in Delhi will investigate any physical problems and perform tests based on the particular type of sexual dysfunction you are experiencing. In any case, a complete medical history should be developed and an examination carried out to:

• Highlight specific fears, anxieties, or blame for sexual behaviour or performance.
• Identify any disease or condition that causes predisposition.
• Bring out any history of sexual trauma.

A physical examination of the couple should include the whole body and not be limited to the reproductive system.

Treatment

Sex treatment in Delhi depends on the cause of sexual dysfunction.

For men who have difficulty achieving an erection, the drug sildenafil (Viagra), which increases blood flow to the penis, can be very useful. It should be taken 1 to 4 hours before intercourse. Men who take nitrates for coronary artery disease should not take it.

Mechanical aids and penis implants are also an option for men who can't get an erection and find that sildenafil doesn't help them.

Women with vaginal dryness can be helped with lubricating gels, hormone creams and, in cases of pre-menopausal or menopausal women, with hormone therapy. In some cases, women with androgen deficiency may be helped by taking testosterone. Kegel exercises can also increase blood flow to vaginal/vulvar tissues, as well as strengthen the muscles involved in orgasm.

Vulvodynia can be treated with numbing cream, biofeedback or low doses of some antidepressants that also treat neuralgia.

Simple, open, accurate and supportive education about sex and sexual behaviours or responses can be all that is needed in many cases. Some couples may require joint counselling to address interpersonal problems and communication styles. Psychotherapy may be required to address anxieties, fears, inhibitions, or poor body image.

Complications

Some forms of sexual dysfunction can cause infertility.

Persistent sexual dysfunction can lead to depression in some individuals. It is necessary to determine the importance of the disorder to the individual (or partner, as the case may be). Decreased sexual function is important only if it is a cause for concern for the partner. Also, sexual dysfunction that is not addressed correctly can lead to conflicts or breakups of the partner, warns sexologist in Delhi.

Premature Ejaculation: The Role of The Partner

A fulfilling sexuality is fundamental in the life of a couple. As such, premature ejaculation can cause many difficulties, and threaten the harmony between the two partners. Faced with the embarrassment and loss of confidence that the man who suffers from it may feel, the role of the woman is crucial. " It is a disorder that goes beyond each other " underlines Dr P K Gupta, sexologist in Delhi.

Are male sexual disorders still taboo? This is the question raised by the Emoi study, the results of which were revealed in 2016. The figures speak for themselves: premature ejaculation is the most common male sexual disorder. One in five men will be affected in their lifetime and regardless of age.

Dr P K Gupta, best sexologist in Delhi, gives us an overview, recalling that " love is made by two and when one of the two is in difficulty, it makes sense to count on your partner to unblock the situation. " Thus, in the more or less long term, this sexual disorder can upset the balance of the couple, and represent a real threat. Going beyond this difficulty, which can cause conflicts, arguments or withdrawal, is done in pairs, and the role of the partner is decisive.

Premature Ejaculation: a feeling of shame and failure for men 

More frequent than we say and more devastating than we think, premature ejaculation is an under-treated sexual disorder because it involves shame and stigma. Premature ejaculation is often a bad experience for men. It is not uncommon for some to be withdrawn, with a deep sense of failure. " Man can be touched in the depths of his being in what constitutes for him a part of his identity: his sexual capacities " explains sexologist doctor in Delhi.

Those who suffer from it may even experience shame, and above all a general loss of confidence. The risk for them is to develop an anxiety of not succeeding with each new report, which aggravates the problem even more. According to the Emoi study, premature ejaculation is a disorder that a man can learn to control and which becomes problematic only if it is a source of discomfort, discomfort or distress, for the person who complains or for his partner.

It is sometimes difficult to break the deadlock: the man sees himself as unworthy of a woman's interest because of her rapid ejaculation. It is often the tree that hides the forest. Ejaculation is the problem put forward because it seems obvious, while other less confessable, less identifiable problems are nevertheless responsible for relational failure: shyness, fear of women, lack of self-confidence ... We will have to look face all these problems and perhaps choose the help of a sex specialist in Delhi to face them.

Premature Ejaculation: a brake in the romantic relationship? 

Men suffering from premature ejaculation sometimes find it difficult to project themselves, to imagine themselves in a love story. Too often, their thoughts project them as of the meeting in the failure of the sexual relation and the disappointment of his partner… Starting out losing, he gives up before trying. However, premature ejaculation cannot be responsible alone for the breakup within a couple. In a relationship based solely on sexuality, it will sometimes be an obstacle. Especially if the woman is looking for vaginal pleasure and only that pleasure. But few women are in this case. Their ability to enjoy goes as much through the clitoris and caresses only through sexual intercourse.

For a woman, as for a man, the charm of a meeting consists of a set of elements  : the way of being of the other, the centers of common interests, the discovery of a different world or in a way of seeing life, the interest that the other has in you ... Love stories arise from all this. The fact that the other has a defect will only be problematic if the link cannot be made.

Premature ejaculation should not be an obstacle for a romantic encounter. It can sometimes take its place in the secrets that the couple exchanges to get to know each other better. Without denying its inconvenience it is not fair to make it an insurmountable mountain.

The role of the partner is decisive in the face of premature ejaculation

The role of the partner is decisive in overcoming this problem. However, everyone must do their part. It is an opportunity for the couple, whether in the direction of evolution, or of the breakup.

To restore harmony within their couple, some adapt. " It goes a bit fast, so they are focusing more on clitoral orgasm," added top sexologist in Delhi. This is often the case for couples who get along well. The partner is willing to overcome this difficulty, she shows understanding and listening.

" For others, this situation will be the pretext for crises, it is the case when the couple is already in difficulty " specifies sexologist in East Delhi. When the partner reacts immediately in a negative way, with conflicts and arguments, it is also a sign of a deeper dysfunction. " A couple who does not resolve a sexual difficulty is not called to last, " observed sex doctor in Delhi.

How to reconcile premature ejaculation and full sexuality?

Sexuality can be considered without vaginal penetration or by leaving it a secondary place. All of the caresses, what is commonly called foreplay, can become the center of sexuality. Orgasm can be obtained for the man, as for the woman by touching. Many couples adhere to this sexuality not centered on penetration, by choice or to live serenely with premature ejaculation. Men are sometimes afraid that their women will compare them to previous partners for the duration of sexual intercourse. But the comparison could relate to the caresses lavished with more or less tact and sensuality and there, everyone can be a winner!

Thus, reversing the classic scheme, making "preliminaries" the highlight of sexuality and vaginal penetration for a moment among the others or even leaving it aside, not making it a necessary step, will allow the couple to reinvent their sexuality. For many women, pleasure is established more easily and more intensely by stimulation of the clitoris and even the vagina with the fingers or tongue. Men are also fond of oral caresses. A dildo can also be used in sexual games. 

Everyone gives and receives. Whoever, man or woman, knows the first enjoyment: the other will be attentive, then, to continue his caresses so that the orgasm of his partner occurs. 

The keys to supporting your partner 

• Constructive dialogue.  Putting words and re-establishing dialogue is necessary. All the more so if there is an attempt to withdraw from it. " It is important that the man can talk about his suffering and what he feels, between failure, and discouragement, and the partner of what she is also going through in this situation " explains sexologist in South Delhi. It is often the silence or denial of the situation that is more harmful than the sexual problem itself. It is of course prudent to avoid reproaches which only aggravate the situation; 
• Develop more appropriate sexual behaviors, less oriented towards penetration. Pleasure can be the subject of new experiences. " The preliminaries in particular are likely to revive an intimacy marred by the fear of failure " offers sexologist in Delhi. Caresses, massages, or playful games are all erotic ways that will not put the man in difficulty. The objective is more to go towards sensuality and pleasure than excitement, which finds a conclusion too quickly with your partner; 
• Develop patience and reassure.  The partner plays an important role in male reinsurance. Greeting him with kindness, without judging him is essential. " This sexual disorder can make men very susceptible and vulnerable, " recalls sexologist in Delhi. He is in difficulty, to become aware of it is necessary; 
• Offer the consultation.  In the majority of cases, it is the partner who pushes for the consultation. Sometimes she is the one who makes the appointment with the sexologist in Delhi. There are medical solutions available today. It is a way for her to take care of the relationship… 

Love: The 10 Enemies of The Couple

For your couple to work, no need to look for miracle recipes. On the other hand, you can avoid certain traps which may over time weaken the links between you. Little guide to bad habits to absolutely avoid!

If the routine can sometimes be good, because it provides benchmarks, certain habits are to be avoided so as not to harm the relationship. For example, if it is good to watch the right movie as a couple, solo television, or even a duet, can ultimately have harmful effects on the relationship, says sexologist in Delhi. 

TV every night

Television is a love killer, there is no doubt about it! To be avoided: dinner before 8 p.m. Eating your meal every evening in front of the television news does not facilitate complicity ... And then, by dint of watching the film and then going to bed, you don't even take the time to talk to yourself and worry about the other. Organize thematic evenings for lovers, board games, meals to prepare for two ... in order to change and leave the TV aside, several evenings a week, suggests the best sexologist in Delhi. 

Stop dating

Consequence or not of the presence of the TV, you do not go out! And this little restaurant that you loved so much; would it have closed? And the movie evenings that continued into passionate debates? Now you only go out once a month, and only to go to friends or possibly to receive. No more couple outings and romantic evenings! We must rediscover this magic of accomplice getaways, suggests sexologist doctor in Delhi!

Extra time 

Even if this is not always obvious with professional constraints, it is essential not to come home late every night from work. Not only do you no longer have time for yourself, but you are also tired and irritable, which is not really easy for your partner! As long as work has completely taken over your life, it quickly becomes your only topic of conversation… Try to come home early enough to have a little time before dinner ... Without taking the opportunity to sprawl in front of the TV! And above all, forget about the work from time to time, to pay more attention to the other, suggests top sexologist in Delhi.

To let go

It is not because we are in a relationship and that we have known each other for years that we should let go! Stop wandering around in a jog, your hair messed up… and leaving your things lying around all over the house: take care of yourself! Certainly, your spouse loves you as you are, but why not make an effort to show yourself in the best possible light? You show him that you attach importance to his presence. In addition, for self-esteem, it is also important to take care of us, says sex specialist in Delhi.

Carelessness towards your partner

One of the couple's other great enemies is the lack of attention. And it is not a question here of offering flowers or small gifts, but simply of looking at it. To notice when he (she) went to the hairdresser or bought a new jacket. Above all, do not hesitate to tell him when you find him elegant or that he (she) impresses you with his relevant remarks. Because compliments are always pleasant ... But only if they are thought of, says sexologist in South Delhi!

Excessive jealousy 

Sexologist in East Delhi suggests to stop monitoring or questioning them all the time. Because the basis of a couple is mutual trust. By dint of suspecting it, you will eventually tire your partner and push him/her into the arms of another! 

Abstinence and low libido

Sex doctor in Delhi says sex life is important in a couple. If it is normal to settle down over time, this should not become the rule! Because you have to keep fantasy and imagination! Reserve privacy periods, vary locations and positions ... 

In-laws, sometimes a source of disputes

No, of course, not all in-laws are the ones we like to decry in the movies. And the agreement is often cordial between the partner and the parents-in-law. But the main thing is to know not to insist or recognize when the other has a little enough. Do not impose Sunday lunch on him every week if you feel that he (she) is starting to "saturate”. And of course, this rule also applies to your evenings with colleagues, meetings of university alumni says sexologist in Delhi.

The absence of projects with the other

Forming a couple is not only about-facing everyday life without thinking about tomorrow. You have to build together. Short-term projects (vacation spots, buying a car, etc.) to more ambitious projects (children, going to the provinces, etc.). Do not hesitate to reflect on your future and how you envision it. This will bring you cohesion and the desire to move forward ... together, says sexologist in Delhi!

Lack of communication 

The lack of dialogue is of course harmful for the couple. Admittedly, it often results from a lack of time or attention related to the various causes already mentioned. However, it is frequent that the dialogue exists, but that nobody listens to the opinion of the other ... In this case, it is up to you to do together a work of dialogue posed, by making efforts to really seek to understand what the other means. If necessary, don't hesitate to get help from a sexologist in Delhi.

Premature Ejaculation Treatment Options

Premature ejaculation

When a man is sexually stimulated - directly or indirectly - he is usually given a stand. Further direct stimulation of the penis leads to ejaculation for a shorter or longer period. Some men get ejaculation very quickly which can cause problems in cohabitation.

Sexologist in Delhi defines premature ejaculation when the man gets ejaculation within one to two minutes after the commencement of intercourse and the problem should have lasted for at least six months.

Rapid ejaculation can cause problems in a couple if the partner needs more time to self-orgasm.

Many couples solve the problem for a time with:

1) A quick-release first then intercourse

2) Stimulates his partner to orgasm before intercourse

When the man's ejaculation simultaneously causes the condition to disappear completely or partially, and the desire may likewise, problems can arise in the cohabitation of both parties. If the problem of premature ejaculation persists for a long time or may have always existed, and if it has a negative impact on sexual intercourse, you should try to do something about it with your partner.

You are wise to talk to a sexologist doctor in Delhi about the problem, because it is the problem of both, which must be solved together. It's not something the man can do alone.

You who do not have a permanent partner or live yourself can also practice the stop-start technique, see below PHASE 1.

How to treat premature ejaculation?

The premature ejaculation treatment in Delhi and the training - usually consists of several different parts.

One idea might be to try to solve your problem of premature ejaculation with so-called stop-start technology.

How to use stop-start technology?

Phase 1: First, teach yourself to stop. You caress yourself and when you feel it is near ejaculation you stop and breathe. Wait for a while until the "wave" releases, then you stimulate yourself again until you come close then you stop and breathe. You do this 3 times and the fourth time you come. Remember that it is important that you do not strain and hold your breath.

Only when you master the technology and feel confident about yourself will you bring in your partner.

Important! As his partner, you have to tone down your sexuality and your need for satisfaction. You can do that and manage yourself with masturbation. You must not torment him by talking about how unsatisfied you are, suggests the best sexologist in Delhi.

Phase 2: You - the man - lie naked and relaxed on your back. Your partner sits or lies naked beside you or sits between your injured legs. You are passive and she is active.

She caresses you so you can stand. You concentrate solely on her caresses and stimuli as well as the emotions and sexual tension that these bring. When you notice that the sexual tension is increasing, and you think your ejaculation is approaching, you say stop and breathe. She will then stop caressing you, and the sexual tension will decrease. The condition may decrease, and then you know that you will not be triggered with the same.

Then she starts with the caresses again, until you say stop. This way you stop and start three times. The fourth time she should continue until you get ejaculation. This is what you call stop-start technology.

How often should one repeat the exercise?

The exercise is repeated as often as you have time and desire. But remember that you must always be the passive and she the active. It is not allowed to change or to continue caressing her, even if she and you would like it.

Important! If she needs to have an orgasm in this situation, she should do it herself, without your assistance or presence. For this training to work, you need to concentrate solely on your situation - without having to perform anything else in the sexual field, suggests top sexologist in Delhi.

When are you ready for intercourse?

Gradually you will learn to control your ejaculation better, so that it takes longer and longer before you say stop. Then, but only then, is the time to intensify the caresses. This can be done with the help of a lubricant or oil, such as intimate oil, which she lubricates on her hand before she caresses you. She can also use saliva or vaginal secretions, suggests sex specialist in Delhi.

Finally, you can do this too. Then maybe the time has come for you to try to make a real partnership. You are still lying on your back and she is slowly and carefully bounding you.

When you notice that you are once again controlling your desire for ejaculation, she gently moves up and down until you say stop and breathe. You start when you finish again and continue three times. Only the fourth time, as before, you continue until you get ejaculation.

If you agree with it and if your partner feels like it, it is a good idea if she is stimulated by you or by orgasm before or after the intercourse. However, during intercourse itself, it is still only your feelings and your ejaculation that it is about, highlights sexologist in Delhi.

It is also good to work out your pelvic floor muscles:

• By squeezing and relaxing your pelvic muscles regularly you will also learn to control and strengthen your stance, ejaculation and orgasm experience.
• An exercise might be that when you stand up and have the ability to put a towel over which you lift then drop down about 10 times.
• When you have joint and penis in the vagina, tighten pelvic muscles and relax without making any other movements.
• This stop-start technique should be considered as part of a course of treatment by a sexologist in Delhi.

Drug

SSRI (Serotonin reuptake inhibitor) drugs are used to treat this problem. The drug was intended as a remedy for depression, but was not effective enough, however, as a side effect, it turned out that men with premature ejaculation could last longer. The drug is prescribed by a sexologist in Delhi.

Ways To Treat Erectile Dysfunction Effectively

According to statistics, few men turn to a sexologist in Delhi when experiencing erection issues. However, it is very important to tell your sexologist doctor in Delhi if you have erectile dysfunction, as this sexual difficulty can be a sign that there are other health problems, usually sensitive, such as diabetes, hypertension and heart disease, which are causing erection difficulties.

It is important to diagnose whether erectile dysfunction has situational, psychological causes or is the product of organic and physiological factors, or a combination of all of the above. Fatigue, lack of exercise and lack of appetite can also affect sexual reflexes.

For some men, treatment can be very simple: losing weight, doing more exercises and quitting smoking. In other cases, in addition to erection disorder, the sex specialist in Delhi should treat the underlying physical or psychological problem.

Medical treatment for erectile dysfunction in Delhi, when it has organic causes, should be at least the most invasive. First, abandoning certain medications that may be decreasing the ability to have an erection. Second, the use of drugs or vacuum devices. Finally, the use of surgery. The use of psychotherapy is always recommended, although the main causes are physical.

Dr. P K Gupta's Super Specialty Clinic Pvt. Ltd. a recognized sexologist clinic in Delhi in the treatment of male sexual dysfunctions, warns about the importance of early erectile dysfunction treatment in Delhi. In particular, erectile dysfunction caused by organic factors can lead to progressive loss of healthy tissue of the penis and its erection capacity, when the underlying physical problem is not treated. A small problem could become more serious and irreversible. Treatment outcomes will depend on treating this situation on time.

The good news is that for many men, erectile dysfunction can be safely and effectively prevented or treated. The following treatments are currently used to address erectile dysfunction. A combination of methods may be used, depending on the case, such as prescription drugs along with psychotherapy and exercise of the pelvic muscles.

Drug treatment

There are currently three main drugs—derived from the same active substance—that are sold only with a prescription. They are the "tadalafil" (Cialis®), the "vardenafil" (Levitra®) and the "sildenafil" (Viagra®). All increase blood flow in the penis in the presence of sexual stimulation. They work by inhibiting the enzyme PDE5, which is found in the penis to prevent it from always remaining erect. Sexual activity should be taken 30 to 60 minutes before and its effect usually lasts 4 to 5 hours, in the case of Levitra® and Viagra®, and between 17 and 36 hours with cialis intake®.

It is important to know that the effects of prolonged use of previous medicines have not yet been investigated. Each drug has its own characteristics, side effects and contraindications. The best sexologist in Delhi is the only person who can tell you if you can use them. All PDE5 enzyme inhibitor medications should be used with caution if you have any of the following health conditions:

• Stroke (stroke) or recent heart attack
• Severe heart disease, such as angina or heart arrhythmia
• Severe heart failure
• Uncontrolled high blood pressure (hypertension)
• Uncontrolled diabetes
• Very low blood pressure (hypotension)

Treatment with other drugs, such as "apomorphine hydrochloride", has also been helpful, especially in patients with cardiac diseases that consume nitrates, who cannot use Cialis®, Levitra® or Viagra®. This drug stimulates dopamine—also called the pleasure hormone—responsible for sending the nerve signal of sexual desire to the brain, which increases blood flow in the penis and produces the erection, explains top sexologist in Delhi.

Psychotherapy and sex therapy

In men under age 40, psychological causes of erectile dysfunction are often more common than in older men. Among the main ones are: performance anxiety, fear of failure, low self-esteem, depression, guilt, anger, partner problems and work difficulties.

Psychotherapy/sexual therapy works on the psychological aspects that may be causing or maintaining erectile dysfunction, so that emotions, thoughts and beliefs, or a negative self-image, stop blocking the reflex of the erection. Even if erection difficulties have an organic cause, psychotherapy is necessary to address the impact that sexual difficulty is causing on esteem, emotional stability, partner relationship and work area of the patient.

To treat erectile dysfunction for psychological causes can be applied relaxation techniques, when anxiety is the problem. "Sensory targeting" is also used successfully. Through this technique, the couple exchanges caresses alternately throughout the body—except on the breasts and genitals—focusing on sensations of pleasure and not intercourse. It is also often worked on negative or erroneous beliefs, if it is found that they may be inhibiting sexual response, through psychological therapy and sex education.

Hormone treatment

Testosterone is the main hormone that is involved in erection response. It is also involved in the development of male sex organs. The decrease in testosterone levels usually increases with age, however, individual differences have been observed based on expectations and beliefs.

Decreased testosterone levels often influence the decline of desire and sexual activity, including erection. Testosterone treatment can be given orally, patches on the skin or injections, and can only be prescribed by a doctor.

In other cases, erectile dysfunction is due to high levels of the hormone prolactin. This hormone reduces male sex drive, for example, their levels usually increase naturally after orgasm, during the refractory period, when the man cannot have an erection. If erectile dysfunction is due to excessive levels of prolactin, your sexologist in South Delhi may prescribe the drugs "cabergoline" or "bromocriptine", used in the treatment of hyperprolactinemia.

Exercise of the pelvic muscles

Pelvic muscles are involved in sexual intercourse and increase blood flow to the genital area, which helps the erection reflex occur. Several studies indicate that exercise of the pelvic muscles helps restore erectile function. A sample of men over the age of 20 who had experienced erectile dysfunction for a period of at least 6 months participated in an exercise program to strengthen the pelvic floor for 6 months, with the supervision of a physical therapist. After this period, 40% of men had regained a normal erection, 36% had improved it, and 25% had not experienced any positive changes. Although the results were not entirely successful—as with other treatments—this therapy should be considered to resolve long-term erectile dysfunction and as a method of increasing the positive effects of other therapies. Like any other muscle in the body, if you don't exercise your pelvic muscles, they lose the ability to function properly, says sexologist in East Delhi.

Intracavernos injection

This treatment activates the physiological processes that produce the erection, by means of a drug called "alprostadil", which the same patient must be injected on the sides or at the base of the penis. The pain is usually little, as the needle is very fine. It should be applied 10 or 15 minutes before intercourse and requires the patient to accurately follow the dose prescribed by his doctor. Each injection produces an erection that lasts about an hour, although sometimes the erection can last longer, which can be painful.

Vacuum pumps

It is an airtight cylindrical apparatus placed on the penis. It has a pump (manual or battery) that allows air to be sucked in and a vacuum created. This causes blood to flow to the penis for an erection to occur. It is then necessary to place a constrictor band around the base of the penis to retain blood and maintain the erection. Then the cylinder can be removed. The erection usually lasts long enough for the partner to have a normal sexual relationship, although ejaculation can happen with less force. The band is removed after intercourse and should not be left on more than 30 minutes in total. One of the main drawbacks of this method is that it reduces spontaneity during sexual encounter. It is important for your sexologist in Delhi to recommend a reliable, safe and effective pump brand, as many advertisements can be misleading.

Penis implants

All implants in the penis require surgical intervention. It consists of surgically inserting two or more anatomically shaped implants into the cavernous bodies, located on both sides of the penis. Implants can be semi-rigid or inflatable. Inflatables allow you to control how long you want to maintain the erection, while semi-rigid implants always keep the penis firm enough to have a sexual relationship, but can bend under normal conditions. It is irreversible surgery, which has fallen into disuse in favor of other less invasive methods, as it permanently injures erectile tissue in the penis when implants are inserted. Therefore, it is only recommended by sexologist in Delhi when other treatments have been tested without results. It is important for the couple to agree to adopt this method to treat erectile dysfunction. Like any other surgery, there are risks of complications such as infection.

Vascular surgery

In rare cases, erectile dysfunction is due to problems in the veins or arteries. Venous surgery involves removing or tying the veins that allow blood to leave the penis. Arterial surgery connects or rebuilds the arteries to remove any blockages and increase blood flow and pressure in the penis. Although almost untreated, it may sometimes be necessary in patients who have suffered an accident that affected the normal blood supply in this area, explains sexologist in Delhi.

Erectile Dysfunction: Causes and Solutions

Erectile dysfunction is a problem that affects millions of men worldwide and has a major impact on their quality of life and that of their partners. It's still a taboo subject, so those affected are not consulting with their sexologist in Delhi. However, it is necessary to talk about this pathology to demystify it since, in addition, it usually has a solution.

WHAT IS ERECTILE DYSFUNCTION?

Erectile dysfunction is the persistent inability to get and maintain a sufficient erection to allow for successful sex. According to best sexologist in Delhi, in India, erectile dysfunction affects 10% of men, and this percentage increases to 30% in males between 40 and 70 years old.

One of the reasons it is important to pay attention to erectile dysfunction is because it may be the first sign of cardiovascular disease. Erectile dysfunction is considered a cardiovascular risk factor, being an important predictor of coronary heart disease, especially in children under 60 years of age. In addition, there is a high percentage of patients with coronary heart disease suffering from erectile dysfunction, says the top sexologist in Delhi.

In addition, erectile dysfunction and cardiovascular disease share the same risk factors: sedentary life, obesity, smoking and hypercholesterolemia.

WHY IS IT HAPPENING?

Erectile dysfunction is a multifactorial pathology. Erection is a neurovascular phenomenon that occurs under hormonal control and in a specific psychological environment. In this way, we can understand that any neurological, vascular, hormonal or psychological pathology can alter the mechanisms of erection. The main causes of impotence are those related to cardiovascular disease such as hypertension, diabetes, high cholesterol, tobacco, sedentary lifestyle, and being overweight, explains sexologist doctor in Delhi.

There are also other physical causes such as alcohol, drugs, chronic diseases (especially of the lungs, heart, liver, or kidneys), hormonal disorders (testosterone, prolactin, thyroid hormone), neurological disorders (multiple sclerosis or spinal cord injuries, for example). Many of these pathologies are more frequent in older people, so erection problems increase with age, says sexologist in South Delhi.

Surgery, such as that practiced in prostate cancer, is another possible cause.

Injuries to the penis, spine, prostate, bladder, or pelvis can also cause erectile dysfunction.

Some medicines may also facilitate the onset of this pathology.

Finally, psychological factors, such as anxiety and stress, are behind 20% of cases of erectile dysfunction.

WHEN TO SEE A DOCTOR?

First of all, it must be said that temporary erection problems are common and need not be more important. In these cases, they usually appear due to lack of sleep, stress, tiredness, problems with the partner, etc.

However, if this occurs in most sex for at least 3 months it is advisable to consult with your sex specialist in Delhi. No matter how reluctant you are, you should not be hidden from information, as you are a healthcare professional and who will be able to determine the cause and seek a solution.

TREATING ERECTILE DYSFUNCTION

The first step is to overcome the psychological barrier and banish the idea that it is something embarrassing, that subtracts masculinity or that only one happens, because, the truth is that it happens to many men. Whatever the cause, communication with the partner is essential: it is a problem that affects both of them and for which no one is guilty.

Your sex doctor in Delhi, for your part, will try to find the cause of erectile dysfunction to treat it properly. As factors can be many and varied, so can their treatments.

The erectile dysfunction treatment in Delhi can be addressed in different ways: with drugs, with vacuum devices and/or with surgical implantation prostheses.

There are currently at least six medicines that, ingested before sex, allow for a prolonged erection. Generally speaking, the differences between one and the other are at the time they should be taken and how quickly they act, but in any case, it should be the sexologist in Delhi who determines which of them is best suited for each patient suffering from erectile dysfunction. When the cause of the dysfunction is psychological, psychosexual therapy can be very beneficial for both parties.

In parallel with treatment, healthy lifestyle habits, such as losing weight, physical exercise, and avoiding alcohol, tobacco and drugs, have been shown to improve erections. It is also important to follow recommendations of a sexologist in Delhi for keeping hypertension, diabetes and blood cholesterol at bay.

Remember that behind the difficulty of having an erection there can be hidden diseases. But the important thing is that, whether there are or not, erectile dysfunction can be treated. The sexual dimension is part of life, so you don't have to give it up, says sexologist in Delhi.