While treating a case of PE we take into consideration the following factors:

• Physical factors
• Concurrent medical history
• Dietary habits
• and Psychological status

1) Physical factors: Many physical factors are associated with the occurrence of premature ejaculation. The most common among these are hypersensitivity, low semen viscosity (watery semen), any injury to the penis, phymosis, paraphymosis, urine infection, prostate enlargement, prostatic infection etc. When we prescribe medication to our patients we always take into consideration if the person being treated has any of these physical signs. This is a basic rule of thumb but the fact is most medical practitioners and even the most qualified one miss this simple step. this is a major reason why people find that they can not stop premature ejaculation even after years of treatment and therapy.

2) Concurrent medical history: It is very important to access as well. Certain medical conditions like diabetes, high BP, depression, malnutrition, thyroid etc have no direct relation with sexual system but they are somehow responsible for it. To get rid of PE they should also be treated with care.

3) Dietary habits: Dietary habits also play a role. Certain food items are very helpful to stop premature ejaculation while some food items tend to decrease the intercourse time. In India specially, the eating habits are very bad. We eat oily, fried, spicy food which is not good for sexual health. They also lead to indigestion, colitis, flatulence (gas) and constipation.

4) Psychological status: The psychological status of a man is very important to assess for successful treatment of PE. Patients with sexual dysfunctions like Ed with diabetes are strongly associated with premature ejaculation and low libido. Performance anxiety is also a big role in the development of premature ejaculation. In more than 90% of the patients physiological factors are involved in some way or the other and ignoring these factors may lead to a complete failure of the treatment therapy.

Premature ejaculation is a very complex condition. It is a mix of psyco-somatic factors which are very difficult to diagnose. Therefore if you arr still finding the answer to your quastion “How to stop prematue ejaculation” then my advice is to consult an expert and discuss your problem in detail. This way you will save tons of your time, energy, money and most imprtatly your HEALTH!!Cheers!!

In our quest to find out the best way to enlarge the penis size we took three groups of volunteers. Each group had three males in the age group of 25-35, all married and willing to add some extra inches. Health wise the chosen volunteers were all of similar health status. We started the trials for three months and noted down the results on the following criteria:

1. Safety
2. Efficacy
3. Patient Compliance (ease of use)
4. and Final Result (after stoppage of the therapy given)

First group was given a commonly used penis enlargement oil (a brand which is advertised almost daily in the newspapers) to be applied locally over the penile shaft as per the instructions of the manufacturer.

Second group of volunteers was advised vacuum pump devises. These are cylindrical devices with vacuum generating properties. They are simply applied to the penis and vacuum is created which pulls the penile tissues.

The third group was given herbal penis enlargement pills for oral use. Here are the findings we got after three months.

1. Group “A”- (On Penis Enlargement Oil Therapy) : Out of the the three none of the volunteers got any signinificant improvement in their size after three months. In fact the volunteers confessed to have misseed many massage sessions during this period due to non availability of space and family resons. It was also reported that the use of this oil led to a very severe burning sensation and itching over the shaft of the penis. The itching was sometimes so intense that the volunteers had to take medication to get rid of it. They also reported increase in penile nerves sensitivity which led to premature ejaculation at times.
2. Group “B” – (On Vacuum Pump Device Therapy) : In this case out of the three two volunteers found increase in length of their organ by 1-1.5 inches. No increase in width was noted.  Unfortunately the third volunteer injured his nerve and tissues due to wrong use of the devise. There was severe pain and inflammation in this case and he had no choice but to stop using the device.  UPDATE: Within just two days of stopping this procedure the size of the penis returned to normal. It was found that the increase in size was just the stretching effect of the vacuum and there was no solid tissue development.
3. Group “C” – (On Herbal Penile Enhancement Pills) : This group was given X-tra Large Penis Enlargement Capsules twice a day for three months without any gap. After completion of the course two of the three volunteers reported excellent growth. They got a whooping 2 and 2.7 inches increase in length respectively. The width in the both the cases also improved by almost 20%. The third volunteer reported slightly lower growth of 1.5 inches but that too was satisfactory for him since he already had 6.5 inches in length. All of the three also reported increase in overall health, energy and stamina. They were able to last longer in bed and much more able to satisfy their partners. UPDATE: Even after three weeks of stopping the medicines there was no decrease in length or width. And the overall performance got even better with time.

Conclusion: This three months trial course of the three different methods led us to the conclusion that penis enlargement oil is the worst of the three methods used for enlargement purpose. Not only there was no significant improvement in length or width but also there were some serious side effects with this. Patient compliance was also the least with oil as it requires lot of time and effort. The vacuum device scored second in terms of increase in length but there was no improvement in width with this. Also the enlargement was more of an elongation or stretching which comes back to normal as soon as you stop this. This method also requires adequate training and precaution before use otherwise it may damage the nerves and tissues.

Oral penis enlargement supplements topped the charts in almost all spheres. There was significant increase in length and girth along with improvement in overall health and sexual function.

So if you are thinking of using penis enlargement oil in near future, think twice. Look for better, safer and more effective options.

Diabetes

Diabetes is a condition when the blood sugar level is always kept above the normal level. This leads to a condition called hyperglycemia. Prolonged hyperglycemia over a period of time leads to several systemic complications among which sexual dysfunctions specially erectile dysfunction, impotence, infertility, premature ejaculation, low libido and sexual weakness are the most common in men. Most of the men suffering from diabetes for long time also find that their penis size gets shrunken, there is little or no erection, desire to have sex also reduces and the patient fails to perform in bed. Therefore diabetes patients should seek professional advice as soon as they come to know about their problem else they could find themselves in a sea of sexual dysfunctions. Here I am discussing a few points which should be followed by men who have diabetes.

1. Don’t overlook: Most men overlook the initial symptoms of diabetes.  An increased thirst, frequent urination, weakness, lethargy, sudden weight loss etc are some of the most common symptoms which should never be overlooked. If you have any of these symptoms it is also good to get your fasting and PP blood sugar level checked by a pathologist.
2. Keep track of your blood sugar levels: If you have been diagnosed with diabetes then always keep a track record of your blood sugar levels. This will help your doctor to assess your case and if you get any serious illness your past reports and tests will always be very helpful for treating you effectively.
3. Eat healthy: Healthy food habits are a must for every diabetic patient. Follow your doctor’s recommendations religiously.
4. Exercise regularly: Adopt a healthy lifestyle and consult your doctor about a suitable workout schedule. Exercise is a good way to control sugar level but you should first consult your doctor. He will advise you the nature and extent of exercises depending on your blood sugar parameters and other complications if any.
5. Always be regular with your medicines: Last but no the least. Always take your medicines on time. Accurate dosing and timing of taking medicines is very important. Inappropriate intake or irregular schedule of taking the medicines may have some serious impact on your health specially sexual health.

In our practice over 20% of the patients suffering from sex problems are having an increased blood sugar level. We always encourage our patients to follow the above mentioned guidelines for maintaining their blood sugar levels which in turn helps them regain their sexual strength and sexual power more quickly. So if you are diabetic patient having any type of sex problem then you must first control your sugar. Else you may not find the desired results. No matter how good or effective medicine or treatment you take for your sex problems.

I don’t understand from where people get this kind of perception in their mind? How could an ayurvedic  medicine which is meant for treating sexual dysfunctions can reduce sperm count? This is totally ridiculous. But when I got these queries continuously from my patients I realized the need to investigate. After months of research and investigations and questioning my patients I came to know the following :

1. There are hundreds of online clinics and pharmacies available in India and abroad which are selling fake, low quality sex enhancement products.

2. There are only a handful of online clinics and pharmacies in India which are genuine and sell legitimate products.

3. The fact is that over 80% of the people searching the internet are captured by these false clinics and self proclaimed experts. These companies pay huge attention to the online advertising and search engine marketing which leads innocent people to get trapped easily.

4. The medicines these clinics and websites provide to their customers are adulterated with harmful chemicals and allopathic medicines like viagra, dapoxitine, cialis etc. If the patient consumes such medicines for a long time he is bound to get severe side effects over time.

5. 80% of the patients get trapped by these fake sites and get to consume the adulterated medicines. Since these medicines have harmful chemicals, heavy metals and allopathic medicines in them which may produce serious side effects to the patient including permanently damaging the reproductive system and causing impotence or low testosterone levels and low sperm counts etc. This is the reason why there is a general perception being made in the mind of people that all the ayurvedic or herbal sex enhancement medicines cause impotence / dependence or low sperm count.

So what should you do to avoid being trapped by the so called doctors or false online clinics.  Well, its very simple but still most people overlook these things.  Here is a brief idea of how you can get an alarming thought when you are looking for a reliable source of treatment online. Whenever you go to an online website look for the following :

1. Name of the company and its address. This is basic thing that should be present clearly over the website’s contact page. If someone is hiding behind the scene, it means there is something fishy out there. Never trust someone who is not comfortable showing their true name and address to the public.

2. Contact Number. A contact number should be there where you can call the company directly. If a contact number is present it always wise to call and make sure that you get relevant answers to all your queries.

3. It is also important to check if they give full details of their doctor / doctors or in charge in chief or owner. If a photograph is present it is a good sign of reliability. Remember no cheaters or quack will ever post his details online. Because it can lead him to be tracked easily.

4. Visitors, messages and communication : It is also important to read reviews, comments and queries posted by other visitors. Try to interact with the site owners and if possible, fellow visitors through comments or email before giving away your hard earned money.

I am sure if you keep these points in mind when searching the internet you will always be safe and a mile away from fraudulent sites. If you have an experience you want to share or you have any other idea you think is beneficial for all of us please share in the comments section below.

Have a safe internet experience!

If you have also experienced anything like this or you have any information that could be helpful to all please leave your thoughts in the comments section below.

A 70 year old lady gave birth to a child in India. *Source : The Times Of India

Sex is an integral part of our lives. Just like we need food to satisfy our appetite, we need to have healthy sex to satisfy our soul. Our sex life starts at the time of puberty which is typically 12-14 years in India. But the end of our sex life is not uniform. Some people continue enjoying their sex life actively till 60-70 years of age while some people find it hard to have sex just after crossing 50. Recently I came across an article in the Times of India about a 105 year old man in Rajasthan who became the proud father of a son. This was like a miracle for most of us but he was confident. I read his interview in which he confessed to have been enjoying sex regularly even at this age.

So why actually we have such diverse sex lives? There are so many reasons, and frankly speaking we can not avoid most of them. Yes it is a fact. We have to face each and every thing in our life, we have to look after our family, we have to work 9-5 and we have to perform our social duties. We can not just run away from all this. But wouldn’t it be great if we could alter our habits a bit and follow some simple tips to enjoy sex even at old age. Below I am giving a list of 10 simple but mostly overlooked tips which if followed properly will help you live a more sexually active life :

1. Proper Diet : Proper nutritious diet is essential for sexual health. Not only sexual health but overall health and well being.  Diet rich is mucilage, starch and protein is specially helpful for proper functioning of the sexual organs till old age. Almond, Dates, Coconut water, fish, chicken, egg, paneer, mango and banana are specially recommended for sexual well being. Some of the spices used in Indian kitchens like Jawitri, Jaiphal, Long etc are also used in sex enhancement medicines since ancient times. Milk and honey are regarded as the heavenly nectar for sexual health. Including these items in your dietary habits can take you long way to enjoy sex till old age. Also you should avoid highly spiced food item, fast food, packaged foods and processed food items.

2. Regular Excercise : Now this is very difficult for most of you. Isn’t it? I don’t know why but most of us are allergic to regular exercise. OK its obviously very difficult to manage time for regular excercise from your busy schedule. You work 10-6, then you travel through the nasty traffic to your home which takes 2 hours to travel for a mere 30 minutes ride, then you sleep at 12 am. How can you wake up at 5 am? Thats a big question.

Well, we can not completely change our lifestyle and the surrounding things but we can at least alter them a bit to give us some spare time. If not more then at least 15 – 30 minutes. I am sure we can manage with that. Now I am not going to give you a huge list of expert aerobic exercises for any particular sexual dysfunction. Just a 15 minutes yoga, meditation and brisk walking is all that required to maintain your health, specially sexual health. Walking is a very good exercise in particular because it increases the strength and blood flow to the lower part of the body. I personally don’t advice heavy weight lifting to even the youngsters because I have seen so many cases where the person actually harmed himself rather than doing anything good for his health. So in short, brisk walking, cycling, yoga and meditation is all you need to be sexually active till old age.

3. Sound Sleep : A sound sleep of 8-10 hours is essential for your body. and sex is nothing separate. The negative effects of less sleep are not comparable to anything else. So if you are not sleeping enough, chances are that your sexual energy is going to be lost quickly than it should. For people doing night-shifts and rotational duties the risk of developing sexual dysfunctions and depression is much higher than those who work regular 9-5 job.

4. Maintain a healthy relationship : Most of us often overlook the importance of warmth, bonding, respect and faith in our relationships. Specially men tend to be more casual in relationships. A strong bond, trust, respect and joy in a relationship can take us a long way. There is a always a feeling of happiness if your relationship with your spouse is flourishing. We often ignore showing love to our partner when we grow old or when the relationship matures to a long period of time. This is wrong thing. You must keep your emotions young. Its all in the mind. If you feel young, you look young. Keep the flame burning. Express your love to her. Believe me its not that hard when you turn 50. Remember people who mature emotionally tend to grow old early. Keep your mind young and enjoy youth till old age.

5. Meditation : Meditation is very good for your mind and body. Take time to meditate at least half an hour a day.  Now this is one thing whose benefits can not be explained but can only be felt. You must start mediation to believe what I say. There are many forms of meditation, Yoga, Pranayam, Dhyan, Prayer, Namaz or simply closing your eyes and feeling you are lost in a black room are all different forms of meditation. Choose your preferred form of mediation and feel the difference.

6. Keep yourself happy : Now this is very simple yet most overlooked philosophy. Keep your cool all the time. Don’t get angry over small things. A warm and angry mind always thinks about destructive things while a calm and serene mind always thinks about constructive things. There are so many benefits of being happy that a separate article can be written about this only. When your mind is happy you produce more endorphins, dopamine and testosterone which is responsible for healthy functioning of the reproductive system.

7. Say no to alcohol : Most people drink alcohol in moderation and say that its not harmful. This is a totally wrong perception. Even minute quantities of alcohol taken over a long period of time cause serious side effects. I have also come across many people who take alcohol as a sex booster. Remember, alcohol can temporarily increase your pleasure and increase time period but over time its going to loose its effect and you are bound to increase the consumption dosage to get the desired results. This way you are doing nothing good for your body. You are just destroying your own sexual system.

8. Never Smoke : You must have noticed this somewhere – SMOKING KILLS! Yes it does. But before it kills you, it actually kills your libido. So quit smoking now if you want to enjoy sex till old age.

9. Say no to masturbation : I have written a complete article about the effects of masturbation. You should check it out to find out if it actually harmful for your sex life? You can read about masturbation and its side effects here.

10. Say no to cheap or overly advertised sex enhancement drugs : There are hundreds of sex enhancement drugs and medicines available today in the market. With the widespread reach of internet even in small town and cities we are now open to thousands of online shops and pharmacies selling cheap low quality drugs. But is it really safe to use such kind of sex enhancement drugs? Well, I would say no. Self medication can be dangerous for your body. Unless the medicines are doctor approved for use by individuals or they are recommended by doctors, you should never use them. Otherwise none but you will be responsible for the consequences. I have personally seen many such cases where the patient gone impotent after consuming some cheap sex enhancement drugs. So be aware and make sure that the medicine you are consuming is actually recommended by qualified doctors.

Now this is just a small list of simple things you can do to live a sexually active life till old age. If I have missed something or you would like to add anything that may be beneficial for all, please share it below in the comment section.

Wish you a healthy and sexy life ahead!

Being a sexologist most of the time I am asked by people about the effects of masturbation. I know most the people have questions in their mind whether doing masturbation is harmful for health specially sexual health. Well there two answers to this question : “Yes” and “No”.

No because everyone do it and not everyone gets into sexual dysfunctions just because of masturbation. You believe it or not but everyone does it. I have not come even a single male in my whole life who has never done or at least tried it. Then why do some people develop the complications while others may never see any problem ever in their life. Is there any thing that specifically targets some people and not others? Is it a psychological thing as claimed by many psychologists? Is it really the guilt and depression and the social stigma which is killing our libido or is it really the consequence of masturbation? Read on to find out…..

I have read many newspapers where they appoint some psychologist to answer their readers queries related to sexual dysfunctions. Firstly I dont understand why psychologists are regarded as the doctors who treat sexual dysfunctions? Psychology is a totally different discipline than sexology. I guess this is because there is no sexology course yet introduced in India, so the load has been taken over by the psychologists. Whatever the scene may be, I have a really strong opposition to their belief that it is the psychological stigma and guilt after masturbation which damages our sexual life. I totally disagree with this. There is no major depression or psychological factor associated with hand practice that may cause such sever case of premature ejaculation or even impotence in patients. The depression and guilt felt after hand practice is just temporary and doesn’t last for even up to a few hours. So the point of chronic or persistent depression and sexual dysfunctions does not arise. This is evident from the fact that the person doesn’t think twice before again doing it on the next day.

Masturbation does not cause sexual problems at all if done in moderation. By limitations I mean once or twice a week will not do any harm to your body or mind. It may lead to serious consequences if you follow any of the following characters :

1. Doing it in excess. Once or twice a week is OK but anything above this may be harmful. This is because you are loosing your precious semen continuously. Since most of the times people start doing masturbation in their early age, production of semen and sperms is not as evident as it is in an adult person. This leads to a negative semen deficit which may be felt by young people by the fact that sometimes they don’t ejaculate semen after doing it even for long time.
2. The social factor : Since masturbation is considered to be taboo in our society we develop a sense of fear in our mind that its not right. We always have the fear of being caught by parents or guardians. This forces us to try to do it as fast and quickly as possible. This way our nerves and mind gets trained to ejaculate as quickly as possible. Sometimes without even proper stimulation. This leads to premature ejaculation and semen leakage problem.

Apart from these two points I don’t feel masturbation can be harmful in any other way. If you have any experience of your own or you would like to share your experience please leave your feedback in the comments section below.