Monthly Archives: December 2019


Sexual Breakdowns: 2 Causes That We Often Ignore

Two patients sought advice from Dr. P K Gupta, sexologist in Delhi, for the problems of the sexual breakdown of their companions. The doctor answers them.

Certain medications and problems with being overweight can lead to a drop in testosterone and, consequently, erection problems.


“Indeed, certain drugs against high blood pressure have the adverse effect of causing erection problems. I advise him to speak to his doctor so that he can choose the least harmful treatment at this level. on the other hand, over the long term, hypertension damages the arteries, so it is important to treat it in order to prevent the narrowing of the sexual arteries (and all others, from the heart to the brain).

Three non-drug treatments can be effective for this type of pathology: weight loss (in case of overweight), physical exercise, and regular practice of cardiac coherence, a respiratory technique that calms the physical and mental. Men who take care of themselves in this way sometimes regain normal blood pressure without medication or can have a lighter treatment, therefore fewer adverse effects. Note that the drugs called “erection facilitators” of the Viagra family are often very effective in this context and that they are not contraindicated in high blood pressure.

Also, note that a study shows that 80% of men with erection problems have too low vitamin D levels. Supplementation can thus be offered in winter or early spring to improve what is called endothelial function. That is to say, the functioning of the internal wall of the small arteries, which plays a significant role in the erection. This would be all the more interesting since vitamin D also seems to help reduce the risk of high blood pressure! Talk to your doctor.”


“Yes, it can harm sexuality. Being overweight already causes a drop in the male hormone testosterone, which can be the cause of both decreased desire and erection quality. Obese men have on average two and a half times more erection problems than those with normal weight, so this is a perfectly true medical argument.

In addition, different studies show that improving one’s lifestyle also improves erections. We know that to motivate someone to change, whatever the field, we must help them find the stimulation that will give them sufficient energy. Especially since obesity in men can have other sexual consequences: limiting the possibilities of positions during intercourse, of course, but also sometimes reaching the desire of one’s partner. You can talk to him about these arguments! In the same spirit, note that sedentary men have about twice as often erection problems than sportsmen. This could encourage him to move more.


Premature Ejaculation: What Consequences For Women?

Men generally report suffering from this situation. What about their partners? An original international study, led by a Swiss specialist, sought to answer them.

Premature ejaculation is characterized by ejaculation occurring after slight sexual stimulation and before the desired time. Sexologists in Delhi speak of a “male sexual dysfunction characterized by ejaculation which, always or almost always, occurs before or around the minute of vaginal penetration; the inability to delay ejaculation during all or almost all vaginal penetrations; and by negative individual consequences such as distress, worry, frustration and/or avoidance of sexual intimacy ”. Other specialists speak of ejaculation “in less than two minutes and in less than twenty movements back and forth in the vagina”.

Studies show that most men don’t have a clear idea of ​​what the “normal” delay before ejaculation may be. The few works carried out on this subject estimate, in practice, between five and six minutes the average time between the beginning of penetration and ejaculation.

Stress and anxiety

Premature ejaculation is most often associated with psychological elements such as stress and anxiety. Torque problems can also be found at variable frequency. This sexual dysfunction often represents a source of suffering for the men concerned. But what about women? A large survey in different countries has sought to answer this question. His results have just been published in the Journal of Sexual Medicine. They confirm in their own way that sexual satisfaction is an essential condition for the quality of the relationship and the sustainability of the couple.

Directed by Dr Andrea Burri  (Institute of Psychology, University of Zurich), the study brought together specialists from the University of Versailles-Saint Quentin en Yvelines, the Australian Center for Sexual Health (Sydney) and a center of Hamburg Sexual Medicine. It was conducted with 1,463 women aged 20 to 50 (average 34 years) living in Mexico, Italy and South Korea.

Source of suffering

The questions asked were: “Are you currently with a man who ejaculates earlier than you want?”; “Do you currently live with a man who has been diagnosed with premature ejaculation?”; “Do you currently live with a man who ejaculates most often less than two minutes after penetration?”; “Has your current partner ever reported a desire to have better control over his ejaculation?”

Analysis of the results provides various lessons. It thus appears that almost 40% of women consider that the control of ejaculation by their partner is a very important element, an absence of control can be a source of suffering. Almost two-thirds of women say that their partner has already expressed the desire to have better control over their ejaculation. Just over half of the women surveyed said they live with a partner who often ejaculates sooner than they would like. They are less than 10% to report being with a man in whom the diagnosis of premature ejaculation has been made.

About twenty minutes

More generally, one in two women explains that they are not sexually satisfied. It can be a libido deemed too low or dissatisfaction felt during sexual intercourse. Among dissatisfied women, three-quarters report premature ejaculation from their partner as one of the causes. Finally, when we ask all women what they think is the ideal duration of sexual intercourse, excluding foreplay, the average response is around twenty minutes.

But it appears above all that women complain more frequently of the general lack of attention from their partner concerning foreplay, kisses, and caresses in particular, than of the short time between penetration and ejaculation.


Making Love During Menstruation

A few days a month, the woman is “upset” by her period. If some see in the blood and the pain of menstruation felt during this period as irreversible obstacles to sexual intercourse, others, on the contrary, indulge in it with pleasure. Is sex during menstruation dangerous? How to envisage the sexual act?

Menstrual pain: barriers to intercourse

The majority of couples claim to abstain from sexual intercourse during the period of a woman’s period. Several reasons motivate this periodic abstinence:

  • For some, the sight of blood does not promote sexual arousal, quite the contrary. Even the penis of her lover covered with blood can be an obstacle to desire.
  • For others, a practical aspect curbs heat: making love during menstruation, especially in the middle of menstruation when they are most abundant, involves staining the sheets, the body and the clothes.
  • Last reason that justifies abstinence during menstruation, the pain of menstruation felt by some women. Intense stomach aches, nausea, persistent migraine or even great fatigue, the woman is not in the most fulfilling period of her cycle.

However, making love during menstruation is possible and it is no riskier than during the rest of the menstrual cycle.

Can making love during your period cause pregnancy?

In principle, the woman ovulates about fourteen days before her period: she is, therefore, fertile and can become pregnant during a sexual intercourse shared around the fourteenth day before her menstruation. A priori, no chance of getting pregnant while having sex during menstruation, explains sexologist in Delhi.

However, some women face a break from the rules and some sperm have a particularly long lifespan. When the menstrual cycle is disrupted, it is possible – even if this hypothesis is rare – that the period of ovulation overlaps that of the period: the woman then risks becoming pregnant during unprotected sexual intercourse during her period. When the partners have no desire for a child, it is therefore essential to use effective contraception even during menstruation. Moreover, this means of protection when it comes to a condom can also be useful for blocking STDs, suggests best sexologist in Delhi

Having your period promotes the transmission of STDs

Blood is the primary vector of disease. Thus, sexually transmitted diseases spread all the better during menstruation. In this context, it is essential that the partners use a condom, which avoids contact with the blood, to guard against a risk of STD – unless the couple has been tested in the months preceding the sexual act.

How to make love during menstruation?

Women and men whose sexual desire is at its peak at the time of menstruation exists. On the other hand, making love during menstruation presents no particular risk, and the woman’s genitals are not modified to the point of obstructing penetration or making intercourse painful. In these conditions, it is quite possible to consider sexual intercourse during menstruation. To promote sexual pleasure, some precautions can be taken beforehand.

Notify your partner.

If surprise makes it possible to spice up the life of a couple, surprising your partner by failing to warn him that she is menstruating does not necessarily expose the woman to a very conclusive result … It is therefore important to communicate with the other, to make a decision for two to make love during menstruation or to abstain.

Prepare the terrain.

To avoid being disturbed by the vision of a large volume of blood, the couple can plan to have terry towels – avoid white – on their sheets. The woman must also take care to remove her tampon, if necessary, to avoid a surprise that is not necessarily pleasant at the time of penetration. Finally, it may be a good idea to wait until the end of your period for less abundance.

Adapt sex.

The clitoris is located above the entrance to the vagina from which blood flows during a woman’s period. However, it is rare to practice cunnilingus during menstruation. However, this is the opportunity that some couples take advantage of to test anal sex.


Micropenis: Below What Size Is The Sex Said To Be “Small”?

We call micropenis a rod of small size but whose development is otherwise normal. Sex shows no abnormality of the urethral canal and the foreskin is normal. What are the causes? Are there treatments to lengthen the penis?

The definition of micropenis meets precise criteria for measurement. The penis must, therefore, be measured and compared to “normal” values ​​as a function of age. For an adult, the average length of the penis is 11 cm in the flaccid state and 15 cm in erection. In general, the diagnosis of micropenis will be made if the penis is less than 8-9 cm erect (or a penis less than 2.5 cm for new-borns).

The micropenis is to be distinguished from dysmorphophobias which are erroneous mental representations of the size of the penis coming under psychological care.

Micropenis: what causes a small penis?

There are many causes of micropenis:

  • Insufficient production of androgens (male hormones);
  • Insensitivity of tissues to androgens;
  • Association with malformations with or without chromosome abnormality.

However, they are not always found.

Micropenis treatments

Until adolescence, penis enlargement treatment in Delhi is based on the administration of injectable testosterone. Thereafter, hormone therapy is no longer effective and must give way to surgery.

The surgical treatment associates the section of the suspensory ligament of the penis which allows to gain 1 to 2 cm, a skin plasty at the root of the penis and often an abdominal plasty. Indeed, most young adults with a micropenis also have obesity and degreasing on the periphery of the penis allows to gain in length.

However, one should not expect a miracle from this surgical gesture because the length of the corpora cavernosa (responsible for the erection) cannot be modified and the aesthetic result will always be limited.

Sex size complex: penises wrongly judged small

Too small? How to situate oneself in relation to “normality”? The subjects of male concerns very often revolve around this “secret” organ, sometimes going so far as to make mountains of it. While in most men, fears subside and reactions are more moderate, in others, the dread can drag on and cause sexual problems or lead to incongruous medical requests.

In a study, 92 men who believed they had “micropenis” sought the help of a surgeon for this problem, which affects their virility. The patient’s history, duration of disorders, and sexual habits were collected. All were offered some sex education information from a sexologist in Delhi. The length and diameter of the penis were measured at rest and in an erection.

Each patient was informed that a penis was normal if at rest and in maximum extension, it was between 4 and 7 cm respectively. Result: according to the clinical criteria used, none of the men had a too short penis.  All participants overestimated the normal size of the penis. Support (psychological support and measures) was enough for most of them to put an end to misconceptions. Such support could in many cases avoid the need for surgery, which is never without risk.


10 Benefits of Masturbation

Masturbation is taboo and suffers from many prejudices. However, it has many health benefits.

It fights against stress

As with intercourse, masturbation causes the brain to produce endorphins. However, endorphins, nicknamed the “well-being hormones” promote muscle relaxation, a state of calm and appeasement.

It promotes sleep

Masturbation promotes sleep, thanks to the endorphins produced, and soothes the states of nervousness, often the cause of insomnia. It is a natural sleeping pill if it is used before bedtime.

It allows to multiply the pleasure in duet

Practiced as a duo, masturbation is a very exciting sexual game. Whether it is caresses lavished on oneself under the gaze of the other or caresses received from him, it is an excellent way to nourish his libido, and to know his partner better.

It allows you to know your body better

Masturbation allows you to explore your body and experience several caresses. This allows a better self-knowledge, to know what is appreciated and less appreciated and then to best guide his / her partner.

It is good for the heart

Masturbation is an activity that boosts the heart system. By making the heart muscle work, it strengthens it. For people with heart disease, it represents a minimal risk: according to the best sexologist in Delhi, the cardiac accident during sexual activity is 0.19% for men and 0.016% for women.

Prevents prostate cancer

Some studies show that men between the ages of 20 and 29, who have a monthly ejaculation frequency of 21 or more times, have a 19% reduced risk of developing prostate cancer compared to those who ejaculate 4 to 7 times a month.

It acts as a pain reliever

Thanks to the endorphins secreted during masturbation, the pain is lessened, especially that linked to migraines and menstrual cramps. However, this effect is short-lived, the pain returns quickly.

It “heals” premature ejaculation

Men with premature ejaculation are advised to use masturbation to learn how to control themselves. Without a partner, it is easier for them to manage their excitement thanks to the caresses they provide themselves. The body and the brain thus learn to delay ejaculation whatever the context afterwards.

Fights against impotence

Masturbation also helps resolve impotence problems. By masturbating, the duty of performance is less present than when faced with a partner, which frees the body and the mind. Masturbation is used in this case, as a real therapeutic tool.

It boosts self-esteem

A study carried out on adolescents aged 15 to 18 in the 1990s shows that masturbation leads to a positive image of one’s body and self: for boys, it allows to develop one’s virility, while for girls, it allows develop his ability to please and values ​​his independence.


Sexual Problems in the Partner

Sexual problems in the partner are often a consequence of a dysfunctional dynamic. That is, problem, of a negative evolution of the relationship. However, in some cases, sexual problems may appear in themselves, which would also logically affect the relationship.

What are the causes of the partner’s sexual problems? 

The most common causes of sexual problems within the partner are:

  • Routine life, where sex is no longer passionate.
  • Tensions, disagreements, frequent discussions.
  • Lack of communication, complicity or affective closeness.
  • Little free time shared to be together.
  • Stress and tiredness.
  • Rejection of sex by one of the members.
  • Avoidance of intimacy and closeness.
  • Occupational or household exhaustion.
  • Mechanical sex, no affection.
  • Daily habits and routines that prevent you from being together.
  • The arrival of children, with increased responsibility, lack of intimacy and daily stress.
  • Economic problems that make an adequate climate of tranquillity difficult.
  • Problems and changes in the body of one of the members that can lead to inhibition or rejection.
  • Physical or psychological diseases, such as depression.


There are couples who have decided, after a regularly long time in their relationship, not to have sex. Sometimes it is a spoken decision, and in others consensual by both sides. At the base is usually the boredom, routine, or an earlier predisposition of some aversion or unattractive by sex.

Often this behaviour is justified by phrases such as ‘in the couple, not everything should be sex’, ‘sex is not the most important thing in life’, ‘love is above sex’, ‘I have never been very sexual’ etc. The problem usually comes when it is a decision made by only one of the members; in these cases we find logical difficulties, where the other member of the couple debates between insisting, sometimes feeling selfish, giving up sex or, in extreme cases, looking for parallel relationships in secret with the consequent infidelity.

Psychological treatment of sexual problems in the partner

Sexual problems in the partner are often an expression of a bad or deteriorating relationship. It is true that, however, one member may independently develop a non-relationship problem, such as those arising from a disease or the side effects of some medical sex treatment in Delhi.

In general, sexual problems in the couple, from our experience as a sexologist in Delhi, need a treatment based on couples therapy being additionally necessary in some cases, a treatment with brief psychotherapy or sexual therapy with either or both members.