Erectile Dysfunction Treatment

 

WHAT IS ERECTILE DYSFUNCTION?

ED is the inability to get a hard penis on sexual arousal or inability to maintain the hardness till completion of sexual intercourse .

 Erectile dysfunction (ED) is a common multifactorial Dysfunction affecting 40% of men over age of 40 years and 70% above 70 years. With increasing incidences of life style diseases like Hypertension, Diabetes, Cardiac Problem, Obesity, Sedentary life style and drug abuse, incidences of ED are increasing day by day.

It is traditionally divided in two types: Psychological and Physical. Most of cases have a mixed bag of causes .

 Not discussing your problem with right person or taking advice from a quack can be disastrous.

Causes of Erectile Dysfunction;-

Most common cause is Reduced Blood Flow to penis at the time of arousal. It is just like your heart beat: when you do the exercise, more blood flow is required by heart. Similarly, erection needs 10-15 times more blood flow into penis. If it is impaired due to any reason, you are likely to have ED

1. Stress
2. Anxiety
3. Depression
4. Obesity
5. Smoking & Tobacco chewing
6. Lack of exercise
7. Alcohol abuse
8. Diabetes
9. Heart diseases
10.  High blood pressure
11.  Neurological diseases
12.  Vascular diseases
13.  High cholesterol
14.  Relationship problems
15. Medicines used to treat many physical problems

As ED is a multifactorial disorder, it is important to  find out the possible factors contributing to ED in every case.

Investigations:-

1. For Assessment of Blood Flow : - Combined intracavernosal injection of Vasoactive substance and Stimulation test, Rigidometry, Penile Perfusion Index and Penile Doppler are helpful.
2. For Psychological Factors: - Careful history taking, Questionnaires for different problems are recommended.
3. For Neurological Factors: - SSEP in Dorsal Nerve of penis is suggested.
4. For Hormonal Factors:- Blood test is done to determine sex hormone level.
5. Other Blood Biochemistry:- Like Liver Function Test, Kidney Function Test, Blood Sugar Test are very important.
6. NPT:- Sometimes we need to find out presence or absence of erection, Its duration; or differentiate psychological type from physical ED. This test is very helpful to differentiate the two conditions. This test is done overnight when an instrument is strapped on your thigh with sensors attached to penis. It records all overnight penile activity; the data once obtained are transferred to a computer and analyzed.

 TREATMENTOF ERECTILE DYSFUNCTION

Counseling:-

In many cases, counseling alone may be quite helpful especially in case where ED is present with one partner but absent with another. It is called Situational ED. Ideally, it should be couple sex counseling. If you are patient enough to wait, it can be quite rewarding.

Medicines:-

There are many medicines available to improve blood flow into penis; the testosterone supplement is also recommended in appropriate cases

Intrapenile Injection:-

Vasoactive substance is injected by a very thin needle ,to be followed by penile stimulation. You can get it injected from the doctor or take in prefilled syringes to be injected by you or your partner before initiating sex

Caution:-  After taking injection, if hardness persists even after 4 hours despite stoppage of sexual stimulation, it can be dangerous and result in Priapism . You should apply ice packs on penis or climb up and down two or three flight of stairs a couple of times. A few pushups may be helpful as well. If the hardness doesn’t subside, rush to an appropriate doctor..   

Vacuum Erection Device (VED):-

In this method, a plastic cylinder is fitted over the penis; and controlled negative pressure created. This pressure helps in retention of blood in the penis. Thereby erections is achieved. A ring is fixed at the base of penis to maintain it for a maximum of 30 minutes. You should remove the ring before 30 minutes, otherwise ischemic changes may damage your penis.

Penile Prosthesis:-

If medicines are contraindicated, or have intolerable side effects, or do not work; If intrapenile inj. are not accepted, or had resulted in priapism- in such  cases penile prosthesis is recommended. This is a very effective, safe , permanent and irreversible mode of treatment. It stays for 12-15 years. You need to stay in hospital for 4-7 days and get training about how to operate the device. You may find a minor change in the size but overall satisfactions level, as reported by the couples, is very good after surgery.

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Nightfall Treatment in Jaipur

 

Nightfall/Wet dreams

It doesn’t really matter which part of the world you live in. Some myths are ubiquitous that set the unmatched consequences for the society at large, especially if some myths are attached to sexual health.  Nightfall is a common transformational phenomenon but is being hyped as a disease. 

Let us be clear of the fact that nightfall is not a disease. Nightfall is a result of genital erection and uncontrolled flow of the semen due to unintentional mind indulging in unanticipated thinking. Nightfall is very common among kids crossing the age of adolescence and attaining puberty. 

Nightfall no way affects the reproduction capabilities or potency of a man. It is not a problem if it’s infrequent; but becomes a case for medical examination, if it persists for a long time with a consistent nature.

What is Nightfall?

Nightfall is commonly referred to as wet dreams and scientifically known as Nocturnal Emission. It is common among youngsters. Basic feature of nightfall is the unexpected and forced ejaculation while in sleep. Most of us might have experienced wet dreams in our teenage. When someone wakes up with wetness in their boxers, it can be said that one likely had nightfall. Many a times, boys wake up from their sleep when they feel stickiness or wetness in their undergarments. This problem occurs in girls also. Girls sometimes feel orgasms in their sleep which wets and lubricates their private parts. Though it is rare with girls but with boys, it is a hot topic to deal with. 

Need for addressing the problem of Nightfall

Puberty is a tough period. There is lot of sexual and hormonal changes taking place in your body and you are too young to understand and discuss about them. There are hormonal as well as sexual changes in the body. As a teenager, you feel uncomfortable and shy to talk about it to your friends and parents. In India, where exposure to sex education is extremely poor, you tend to keep the problem to yourself. Therefore, there is a need to break the stereotype associated with nightfall and talk about it openly. 

Causes of Nightfall

• Excessive viewing of porn or talking about adult-related topics: This increases libido resulting in excessive masturbation, which further reduces the semen viscosity and weakens the nerves of male reproductive organ. Men cannot hold their sperm. Sexual inactivity and excessive masturbation will lead to nocturnal erections and ejaculation. 
• Heavy dosage of medicines and sedatives: This can have after-effects on the body leading to leakage of semen. Weak nerves can also be another reason. Congested prostate gland can cause semen leakage as your body is relaxed during the night and semen can find its natural passage to come out. Nocturnal erections are a result of your mental state also. Your anxiety level, stress, depression, unhealthy lifestyle lead to nightfall. 
• Obesity and Indolence: Nightfall is still under state of ambiguity and it is often mixed with moral and religious values leading to myths. This is completely a wrong notion and needs to get rid of. It is a case of medical study which can be treated, as well as curable. 

Treatment of Nightfall 

Most men face problem in finding the suitable solution to address the issue of nightfall. Few of the suggested remedies are -

• Avoid watching excessive pornographic videos and literatures.
• Try doing yoga and meditation before going to bed. This will help you not to carry unnecessary thought.  
• Taking a shower before going to sleep, would relax your senses and get sound sleep. 
• Always urinate before going to sleep.
• Position of your sleep also matters. Avoid sleeping with your private part rubbing against the bed. 
• Rely on balanced diet. Avoid spicy and oily food during night. Always go for light and rich fiber intake for dinner. Spicy food makes your mind restless. 

One must not take wet dreams lightly. They should be diagnosed and treated timely. If nightfall or wet dream persists, you should consult a physician, who will prescribe you the required tests and medicines. Counseling and few laboratory tests confirm nightfall and medicines can be prescribed accordingly. Always be open to your doctor. There is also need to spread awareness about nightfall and its treatment and should not be confused with all the religious and moral values and myths. 

Conclusion 

Nightfall is a natural phenomenon among adolescent kids and teenagers and should not be considered a taboo. Focus should be on how to stop this problem. Myths like getting sexually weak and erectile dysfunction should not be taken seriously. Consult your doctor if the problem persists for a longer duration. 

For more information or personalized guidance-  Please Click Here : Top Sexologist in Jaipur

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Is Sex Important In A Relationship

Is Sex Important In A Relationship? – There is no one answer to this. It all depends on individual to individual. What is important to some may not be important to others at all. It ultimately depends on your personal beliefs, physical desires, and the nature of your relationship.

Sex is not a necessity. Many people do have happy, fulfilling, healthy, romantic relationships even without having sex with their partners or having sex with their partners occasionally.

There are various reasons why people don’t want to, or don’t have sex. This may include:

·      Having a low libido (also known as “sex drive”)

·      Living with an underlying medical condition, such as chronic pain

·      Wanting to date for a longer period of time before having sex

·      Being unmarried and wanting to abstain from sex before marriage

However, this doesn’t mean that the relationship will be unhealthy, and it certainly isn’t a sign that your partner doesn’t love or value you!

Sex can be important for some and is an important part of healthy relationship. Many people want to have a sexual connection with their romantic partner. Sexuality exists on a spectrum. Asexual people experience little-to-no sexual attraction, while allosexual people do experience sexual attraction. Because there is so much of variety in our feelings about sex and our capacities for sexual attraction that, we all have different approaches to sex — but no approach is wrong.

Why sex can be important part of your relationship? There are many reasons for this:

·      It could be an opportunity to bond with your partner.

·      It could be an opportunity to show your partner love and affection.

·      You might feel more secure in your relationship if you’re having sex often.

·      It could simply be pleasurable and fun.

·      You may wish to become pregnant.

Sex offers lot of other benefits other than pleasure, and there are many reasons why having sex is good for your brain, body, and relationship.

Emotional reasons and benefits:

·      It can improve your self-confidence.

·      It can help you connect with your own body in a pleasurable way.

·      It can help you bond with your partner, and could be a way of expressing love and care for them.

·      It can relieve stress.

Physical reasons and benefits:

·      People who have frequent sex have better immune systems.

·      We get a surprisingly good workout after having sex.

·      Having regular sex may reduce the risk of developing heart disease.

·      Sexually active people have better memory and cognitive functioning.

·      Sex can relieve migraines or cluster headaches.

·      There’s a connection between frequent sexual activity and overall well-being.

·      Sex encourages affection and in turn, predicts frequency of sexual activity and further increases intimacy.

·      More sex leads to more sex which ultimately improves your sex drive and overall sex life.

This doesn’t mean that people who abstain from sex will become physically ill or struggle emotionally — it just means that people who have sex may see more improvement in other areas.

Sexual compatibility is important

It can be difficult to deal with a situation where one person feels that sex is essential in a relationship, while the other person doesn’t want to have sex.

Similarly, it can be difficult if one person has a high libido while the other person has a low libido.

However, it’s not impossible to manage. Communication can be extremely helpful. Some people find that practicing ethical non-monogamy can be a way to have their sexual needs met, without compromising on their relationship with their non-sexual partner.

Bottom line:

Not everybody needs to have sex in order to have a healthy and happy relationship — but some people do.

What’s important is that you find a partner who understands your needs and desires, no matter what they are. Open communication is essential for every romantic, healthy and sexual relationship. 

Please consult Vivan Hospital online for more information on diagnosis and treatment of sexual problems. We have an experienced team of doctors and treated more than 50000+ patients.

 

Is Sex Important In HusbandWife Relationship

 क्या पति पत्नी के रिश्ते में सेक्स महत्वपूर्ण है 

सेक्स मानव जीवन की एक मूलभूत आवश्यकता है। भोजन पानी और हवा जैसी वस्तुएं मनुष्य को जीवित रखने के लिए आवश्यक हैं , जबकि सेक्स के बिना जीवित तो रहा जा सकता है परंतु सेक्स से होने वाले लाभ से आप वंचित रह जाएंगे । सेक्स करने के अनेक लाभ हैं जैसे अपने वंश की वृद्धि और सेक्स से मिलने वाले असीम आनंद और संतुष्टि पति पत्नी को शारीरिक एवं मानसिक रूप से समीप लाती है। इस से पति पत्नी के सम्बंध प्रगाढ़ होते है। जिन शादी शुदा लोगों की सेक्स लाइफ़ अच्छी होती है , उनके आपसी सम्बंध भी अधिक मधुर होते है। इसके इलावा आपसी सम्बंध एवं सेक्स एक दूसरे से कारक एवं कारण से भी जुड़े है - अच्छे सम्बंध होने से अच्छा सेक्स होता है और अच्छे सेक्स से अच्छे सम्बंध बनते है। यही नहीं, सेक्स आपको शारीरिक एवं मानसिक रूप से सुदृढ़ और सम्बल बनाता है। 

अब प्रश्न ये उठता है कि क्या सेक्स करने की कोई सीमा है? ज़्यादा सेक्स किसी प्रकार से हानिकारक हो सकता है ? 

हमारे समाज में ये भ्रामक धारणा है कि पुरुष का वीर्य शक्ति का स्रोत है । जहां वीर्य को संचित करने से पुरुष दीर्घायु और स्वस्थ रहता है  , वहीं ज़्यादा नष्ट करने से शारीरिक और मानसिक कमजोरी आ जाती है । पाश्चात्य सभ्यता में भी ऐसे लोगों की कमी नही है जो ऐसी धारणा से ग्रसित है , परंतु यह पूरी तरह से भ्रामक और वेज्ञानिक दृष्टि से ग़लत है । वीर्य का शारीरिक शक्ति से कोई सम्बंध नही है । इसलिए आप अपनी सुविधा अनुसार और मूड पर निर्भर रहते हुए , जितनी बार सेक्स करना चाहे , कर सकते है । 

अनेक लोगों में यदि नियमित सेक्स न हो तो , विशेष रूप से पत्नी , अपने को अवांछित और पति के प्यार में कुछ कमी जैसा अनुभव करने लगती है । अनेक महिलायें अपने पति पर शक करती है कि उनका किसी और महिला से प्रेम सम्बंध चल रहा है । दोनो ही बाते अनावश्यक है । कई बार पति ज़्यादा व्यस्त रहने या मानसिक तनाव के कारण सेक्स नही कर पाता । यदि आप के साथ ऐसा हो रहा है तो बजाय ताने मारने के , उस से आदर पूर्वक बात करे और अपनी भावनाओं से अवगत कराए । निश्चय ही आपके पति भी आपकी भावनाओं का आदर करेंगे और इस और ध्यान देंगे । यदि उन्हें इस मामले में कोई समस्या आ रही है तो किसी अच्छे sexologist से सम्पर्क करे । अधिक जानकारी के लिए विवान अस्पताल में ऑनलाइन परामर्श कर सकते है। हमारे पास अनुभवी डॉक्टर्स की टीम है। हमारा उद्देश्य यह है की हम सेक्सुअल हेल्थ से सम्बंधित सारी बीमारियों का उपचार सरलता से करे। आपकी सभी जानकारी गुप्त रखी जाती है।