Male And Female Sex And Skin Treatment Clinic India Bihar Patna: Erectile Dysfunction, Premature ejaculation, Early Ejaculation, Impotence, Low Sex Desire, Hormones Disorder, Sex Therapy, Drugs, Small Penis & Penis Enlargement, Sexual weakness, Gupt Rog, Sex Clinic, Best Top Sexologist India, Bihar, Patna

Emai id - mpandey366@gmail.com
dr.manoj09334200215@yahoo.com
Phone No. 09334200215,09279953889
www.kayakalpclinic.in

Check Up Fees Rs. 500/-
Herbal Treatment

Dr.S.Kumar
Dr.Manoj Pandey Vaidh Kaya Kalp Clinic
Dr.Mrs.Jully Pandey For Ladies Treatment Behind Bihar Namkeen Bhandar
B.A.M.S Ayurvedachrya, D.U. H.Z.B Ranchi Infront of Yamaha Moter Cycle
Psycho-Sexologist And Dermatologist Show Room
Arya Kumar Road
Machhua Toli
Patna - 800004
Bihar, India.

Welcome!

Male And Female Sexual Super Speciality Kaya Kalp Clinic Patna Bihar India

Sex is not the answer. Sex is the question.
"Yes" is the answer.
WELCOME!

" Male And Female Sex Treatment Clinic "

Dr. Manoj Pandey Vaidh, Dr. J. Pandey, Dr.S.Kumar

is the director of Pandey Super Speciality Clinic

Patna Bihar (India) and is having medical Qualification

B.A.M.S Ayurvedacharya (Sexual Medicine- India)

& is also member council of Sex Education (International).

NATIONAL & INTERNATIONAL AWARD AWARDED DOCTORS

Dr.Manoj Pandey ( Vaidh ), & Dr. S. Kumar, Dr.Mrs.J. Pandey

B.A.M.S. ( Ayurvedacharya ) (K.S.D.S.U) D.U.

Aunthentic Psycho Sexologist And Dermatologist

For Male and Female Treatment.

AWARD AWARDED

International Health Samman –Reyukai-(Japan) – 2004

Ayurved Rattan Award – 2004

Servashresth Ayurved Chikitsak Award – 2005

Ayurved Shiromani Award – 2005

Patliputra Dhanwantri Award – 2005

Patliputra Charak Award – 2005

Dr. S. Kumar ( Psycho-Sexologist and Dermatologist )

Dr. Manoj Pandey (Vaidh) ( Psycho-Sexologist and Dermatologist )

Dr.Mrs.Jully Pandey Gynaecologist For Ladies Treatment

Mob. No.09334200215, 09279953889

Dr. Sexologist Talks is an advice on your sexual problems facing by you in your routine life.

A sexual problem, or sexual dysfunction, refers to a problem during any phase of the sexual response cycle that prevents the individual or couple from experiencing satisfaction from the sexual activity. The sexual response cycle has four phases: excitement, plateau, orgasm, and resolution.

Premature ejaculation

Premature ejaculation (PE) occurs when a man experiences orgasm and expels semen soon after sexual penetration and with minimal penile stimulation. It has also been called early ejaculation, rapid ejaculation, rapid climax, premature clax, and (historically) ejaculation praecox. There is no uniform cut-off defining "premature," but a consensus of experts at the International Society for Sexual Medicine endorsed a definition including "ejaculation which always or nearly always occurs prior to or within about one minute. now you don't need to worry about with same issue, there is lots of way for help you out, concern your doctor now.

Erectile Dysfunction

Erectile dysfunction (ED) is sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual performance. Now get the solution. Men in inner regional areas had a 12 per cent lower risk of erectile dysfunction than those in major cities, a new study has revealed.

Early Ejaculation

Premature ejaculation (PE) occurs when a man experiences orgasm and expels semen soon after sexual penetration and with minimal penile stimulation. It has also been called early ejaculation, rapid ejaculation, rapid climax, premature climax, and (historically) ejaculation praecox. There is no uniform cut-off defining "premature," but a consensus of experts at the International Society for Sexual Medicine endorsed a definition including "ejaculation which always or nearly always occurs prior to or within about one minute.

Fertility clinics

Fertility clinics are staffed medical clinics that assist couples, and sometimes individuals, who want to become parents but for medical reasons have been unable to achieve this goal via the natural course. Clinics apply a number of diagnosis tests and sometimes very advanced medical treatments to obtain the desired conceptions and pregnancies.

Erectile Dysfunction (Impotence)

What is Erectile Dysfunction?

What do we mean by Erectile Failure: is defined as persistent or recurrent, partial or/ complete, failure to obtain or sustain, an erection until completion of satisfactory sexual activity. Alternative terms for erectile dysfunction are Impotence, erectile failure, erectile dysfunctions, sexual inadequacy, sexual weakness, less erection, decreased erection, failure in intercourse, sexual incompetence, unable to sex i.e. intercourse, erection problem, napunsakata, less hardness of penis, looseness of penis in mid of sex or before penetration, E. D., ED, etc.

The symbol for the man's "masculinity" is the erect penis. It represents manhood and is expected to be ready to perform at a moment's notice. When man suffers with erectile failure it comes as a major shock, when suddenly the symbol of his masculinity does not respond on. It usually means much more to the man than the simple fact that he is not responding sexually at that moment. It causes him to question his status as an adequate male. Thus when he fails, becomes panicky

Severity of Impotence

It can take on many forms as: It may be complete erectile disorder: i.e. some men achieve no erection at all. For others, an erection may occur in the regular manner, but as the love play continues the erection is lost (we call it mid failure). For still others, the erection may be maintained very adequately up to the point of entry. As soon as entry is either contemplated or attempted, the erection disappears. For some, erection may be maintained beyond the point of entry, and then wane after a period of activity inside the vagina. No matter when the erection goes away, its loss is always troublesome. Erectile dysfunctions though a benign disorder has a great impact on the affected individual. Patient feels frustrated, depressed, ashamed, has lowered self-esteem & may even disturb his family relationship. There has been an explosion in the interest in male sexual dysfunction with the development in techniques of modern scientific diagnosis & treatment of male sexual disorders with very good treatment outcomes. Now majority patients are cured by proper diagnosis & correction of the defect. Thus now more & more people are seeking medical advice regarding their problems.

How common erectile disorder is?

In a survey in USA (1994) 39% of 40 Yr. old men, 67% of 70 Yr. old men complained of some degree of impotency. Complete erectile failures were present in 5% at age of 40 Yr., 15% at age 70 Yr. In India 1 in every 10 men suffers from some degree of impotence.

How much erectile dysfunction affecting your quality of life?

If you are suffering with some of these problems it means you need treatment.

I feel frustrated because of my erection problem

My erection problem makes me feel depressed.

I feel like less of man because of my erection problem.

I have lost confidence in my sexual ability.

I worry that I won't be able to get or keep an erection.

I feel that I have lost control over my erections.

I worry about the future of my sex life.

I have lost pleasure in sex because of my erection problem.

I try to avoid having sex.

I worry that I am not satisfying her because of my erection problem.

The above questionnaire will decide that whether your problem is significant or not, if answer of any one question is yes then you must consult us either personally or through online & get cure of your sex problem.

Low Sex Desire (Libido)

The low sex desire is called when the desire for sex is lower than average. This decreased libido leads to un-satisfaction in opposite partner. Even the person who suffers with less i.e. diminished sexual desire & low frequency of sex suffers with various psychological depression disorders. Even the relation between the couples deteriorates.

Causes of Low libido (Diminished sex desire)

Hormones Disorder:

Hypogonadotropic hypogonadism (hypothalamic or pituitary deficiencies) - Hypogonadisms,Hypothyroidisms,Testosterone,deficiency,hyperprolactinemias, Hypogonadotropics states: Hypothalamic - pituitary deficiencies: Idiopathic GnRH deficiency, Kallman syndromes, Prader-Willi syndromes, Laurence-Moon-Biedl syndromes, pituitary hypoplasia, Trauma, post surgical, postiradiation, Tumour (Adenoma, craniopharyngioma, other), Vascular (pituitary infraction, carotid aneurysm), Infiltrative (Sarcoidosis, histiocytosis, hemochromatosis) Autoimmune hypophysitis, drug-induced hyperprolactinemia, untreated endocrinopathies, Diabetics Glucorticoid excess, Hypopituitarisms, Cushings disease, Addisons disease. Isolated gonadotropin deficiency (non acquired): Pituitary, Hypothalamic Associated with multiple pituitary hormone deficiencies: Idiopathic pan hypo pituitarism (hypothalamic defects), Pituitary dysgenesis, Following inflammation, Infiltrative or destructive processes (autoimmune,hemosiderosis),Fertile eunuchsyndrome,Idiopathic

hypopituitarism.

Hypogonadism :-testicular failure, development defect, drugs, trauma, congenital defect, congenital adrenal hyperplasia, Chromosomal defect, testosterone hormone biosynthetic defect, Mumps orchitis leading to testicular atrophy, Primary testicular defect-disorders of testicular differentiation or inborn errors of testosterone synthesis, Klinefelter syndrome, Other X polysomies (i.e. XXXXY, XXXY) Rainbow syndrome.

Hypothyroidisms :- Excess asthenia i.e. chronic asthenia is a also a significant cause of low sex desire. Sickle cell disease, chronic cardiac disease, chronic renal disorder, chronic pulmonary dysfunction, chronic hepatic disease, Infections mono-nucleosis, hepatitis, chronic balanitis, chronic prostatitis, and chronic urethritis.

Addiction as chronic alcoholism, chronic smoker, heroin or cannabis use.

Drugs Granulosa-theca cell, Brenner, mucinous/serous cystadenomas, Krukenberg. mumps oophoritis, Resistant ovary (Savage syndrome), Autoimmune disease Psychiatric disorder as depression, neurosis, & many other psychiatric disorders.

Disorders of sex centre:

In the brain there is a particular center in the hippocampus part of fore brain, which regulates the desire of sex. Sex center has some well-defined portion, which control different component of normal sexuality. These are as follows as one part of sex center controls sexual desire other parts controls erection, time taken in orgasm enjoy of sexual act including enjoyment of orgasm. So any disorder of sex center due to various causes can lead to less desire. This occurs due to desire controlling portions of sex center does not work properly so that inspite of not having any physical or mental disorders the patient desire for sex is low. Beside low sex desire patient may be sexually otherwise for or patient may be suffering with impotence, premature ejaculation.

The causes of sex centre dysfunction can be divided into two groups:

Immediate cause Remote causes. Such a classification is helpful in the treatment of decreased libido. If the loss of desire is due to immediate causes, a removal of these factors results in adequate sexual desire.

If it is due to remote causes, then detailed sex therapy may be necessary for a more lasting cure. It can cause less sexual desire alone or patient may have associated erectile disorder, premature ejaculation, or lack of enjoyment of sex.

Absent Orgasm

It is a condition in which women does not gets orgasm even after prolong sexual intercourse &when she gets orgasm after prolong sex then it is called inhibited orgasm. In some women even after normal sex desire, excitation & enjoyment, they do not achieve peak o sexual enjoyment i.e. orgasm. As against many women get multiple orgasm during same sexual act. Some women get orgasm during clitoral stimulation during manual stimulation or masturbation, but do not orgasm during vaginal sex. The orgasm is divided into clitoral orgasm & vaginal orgasm. In one study approximately 10% never experienced the orgasm in their lifetime & rest few percent women achieve the orgasm occasionally. The absence of orgasm is classified as either primary means she has never experienced the orgasm.

Secondary or acquired anorgasmia is called when inhibited orgasm develops later in life. Due to absence of orgasm coitus is not very pleasurable for such ladies. But luckily this problem is very easily amenable to treatment with newer drugs & advent of modern sex therapy techniques. It may be generalized i.e. absence orgasm with masturbation as well as no coital orgasm also. It can be situational also in which she gets orgasm with masturbation not during sex. In some women orgasm occurs only after very prolong stimulation to wife so that couple is always under pressure to achieve orgasm rather than enjoying the sexual act. This kind of inhibited orgasm is very frustrating for the couple. Absence of orgasm is most common sexual dysfunction in women whether married or unmarried.

Causes of Lack of Orgasm Are Hormones Disorder :

Hypogonadotropic hypogonadism (hypothalamic or pituitary deficiencies) Hypogonadisms, Hypothyroidisms, Testosterone deficiency, hyperprolactinemias, Hypogonadotropics states: Hypothalamic - pituitary deficiencies: Idiopathic GnRH deficiency, Kallman syndromes, Prader-Willi syndromes, Laurence-Moon-Biedl syndromes, pituitary hypoplasia, Ovarian Dysfunctions Hypothyroidisms Untreated endocrinopathies & Diabetics Glucorticoids excess, Cushings disease, Addisons disease Absence of proper excitation of G. spot by her partner Weak P. C. Muscles Wrong techniques of jerks & other sex techniques.Due to fears due to various sexual myths Any guilt or negative thinking about her sexuality Excess asthenia i.e. chronic asthenia is a also a significant cause of absent orgasm.

Defect of spinal cord

After an abdominal or uterine disorder requiring surgical procedure

Any radiation exposure

Any major surgery on genitals

Multiple sclerosis

Addiction as chronic alcoholism, chronic smoker, heroin or cannabis use.

Due to Drugs: Sedative: Narcotics, tranquillizers, amphetamine, cocaine, many antidepressant, and anti-psychotics, anti - hypertensives, alprazolam, diazepam, many other drugs. Due to Psychiatric disorder as depression, neurosis, & many other psychiatric disorders.

Any kind of sexual dysfunction in man leading to non - enjoyment of sexual act by female may lead to low desire in women.

Any cause of painful sexual intercourse (as due to vaginismus or dyspaerunia) will also lead to secondary loss of interest in sex females whether married or unmarried. Disorders of Sex Centre

In the brain there is a particular center in the hippocampus part of fore brain, which regulates the enjoyment achieved during sex. When this peak excitation reaches a particular threshold, the muscles around vagina starts contracting. This phenomenon is called orgasm. Sex center has some well-defined portion, which control different component of normal sexuality. These are as follows as one part of sex center controls sexual desire other parts controls excitation i.e. lubrication in response to sexual excitation, time taken in orgasm & enjoyment of sexual act including enjoyment of orgasm. So any disorder of sex center due to various causes can lead to absent orgasm in females. This occurs due to orgasm controlling portions of sex center does not achieves the peak of sexual excitation & final orgasm so that in spite of not having any physical or mental disorders the patient either does not getting orgasm or getting it after long delay. Beside absent orgasm patient may be sexually otherwise fit or patient may be suffering with low desire or some other sexual dysfunctions.

The causes of sex centre dysfunction can be divided into two groups:

(1) immediate cause, and

(2) remote causes.

Such a classification is helpful in the treatment of decreased libido. If the loss of desire is due to immediate causes, a removal of these factors results in adequate sexual desire. If it is due to remote causes, then detailed sex therapy may be necessary for a more lasting cure.

Sexual Performance anxiety means development of anxiety before sex. Patient develops obsessive concern for her orgasm i.e. whether or not She'll get orgasm. Due to this anxiety She tries to concentrate more on getting it & contracting the pelvic & leg muscles rather than allow it to occur in natural response to erotic pleasure. But unluckily most ladies do not know that orgasm occurs spontaneously & automatically in response to more & more enjoyment she gets in touching & loving by her partner. Thus the more she tries to get orgasm, but the just opposite happens i.e. she never gets it. Thus this anxiety to get orgasm every time where as it really further worsens the prospects of getting orgasm. This performance anxiety can be cured by sex therapy in few sittings.

Spectator Attitude:

Those women who suffer with absent orgasm, whenever She goes for sexual activity though engaged love making, her brain is always thinking and involuntarily (unconsciously) trying hard to achieve the vaginal orgasm. This is called spying for her own orgasm. Thus her mind is always preoccupied about whether she'll get the orgasm or not. Thus in place of enjoying the sexual experience , She remains concerned for orgasm, thus sex centre does not reaches the peak & orgasm never occurs. She loses confidence in her capability to achieve the orgasm, and instead of relaxing & enjoying She starts watching her own sexual responses like 'spectators', rather than being involved in what is going on. So that in place of enjoying the partner's touch, She always keeps spying her own sexual response leading to lack of enjoyment of sexual activity thus\leading to repeated failures in getting orgasm.

These all above problems contributes to repeated absent orgasm. So that in all cases of absent orgasmic patients, after proper diagnosis & treatment of primary cause, these secondary problems also need to be tackled by sex therapy then only patient can get permanent cure. So by sex therapy, the patient is taught how to avoid spectator role and become free of performance anxiety.So these problems hinder her in getting orgasm Thus the anxiety of failure into getting into orgasm and spectatoring (the patient watching all the time to see if She'll get orgasm or not) are also the important cause. After correcting these causes the normal orgasm starts occurring. If these factors are removed by sex therapy, orgasm starts occurring. The new, intensive team treatment of sexual dysfunction has revolutionized sex therapy. 'In most cases, for cure of absent orgasm detailed sex counseling & sex therapy is necessary.

DIAGNOSIS OF CAUSE

Onset: We take detailed history, as for quality of pain whether is at the introitus, superficial or deep inside, whether it is mild, moderate or severe pain. Then we decide whether it occurs all the time only during sexual activity. How is the response of previous treatment? Response to previous therapy, Libido, Stress (physical or mental), History of precipitation by some drugs any past history of sexual abuse or painful sex.

DETAILED HISTORY

For diagnosis of cause of absent orgasm, detailed history is taken. After which thorough physical examination is done for relevant causes.

Onset: We take detailed history, as for duration of absent or delayed orgasm whether it is from the beginning or of recent onset, whether it is mild, moderate or severe. Then we decide whether it occurs all the time or only occasionally. How is the response of previous treatment? Response to previous therapy, any pain during sex, Stress (physical or mental), History of precipitation by some drugs any past history of sexual abuse or painful sex.

EXAMINATION OF GENITALS

We examine whether any Sexual Development defect is present or not. The vagina is examined for some local problem. If the vaginal examination is painful with accompanied spasm is proof of the some local cause. Status of female hormone is assessed by examination of various estrogenic signs. Galactorrhoeas & features of other hormones disorders are checked up. Blood supply of vagina is assessed by, palpating texture of vaginal wall. Nerves supplying the female genitals examined by sensation testing & Deep Tendon reflexes. Then other systems of body are also examined.

Diagnostic Tests

Complete sex hormones profile as Estradiol, SHBG etc.

Thyroids test

Serum prolactins

Androgen levels

Investigation for systemic disease

Other tests which may be required depending on likelihood of the any of above causes.

Detailed Sex Counseling : detailed sex counseling session, in which our male & female sex counselors meet with respective patient, talking in detail resulting in detection of primary cause leading to low sex desire.

In biochemistry Tests as liver function or kidney function tests are done.

These tests confirm the diagnosis of absence of orgasm confirmed.

TREATMENT OF ABSENT ORGASM

Once the diagnosis of lack of orgasm is confirmed after detailed history, examination, relevant investigations, we start the treatment. It involves giving the sex therapy session, which is focused on eliminating the anxiety & spectatoring for achieving orgasm & hormone therapy or other treatment as indicated.

The various treatment options are:

Sex Therapy

Hormone Therapy

Treatment of any secondary cause found as infection, or local cause or any psychiatric disorder.

Sex Therapy : The various sex therapy is offered by sex therapist are structured directed sex therapy sessions leading to elimination of the anxiety that whether She'll achieve the orgasm or not & She becomes confident of her ability. By these exercises she starts getting orgasm regularly. Along with we tell the partner about the various sexually very sensitive areas of her body including G. spot, stimulating which in proper way makes women get a very intense orgasm. Then various vibrators are used which leads to quick discharge. Sex therapy begins with detail sex education about the anatomy of male & female genitals. Then we give the patients specific exercises, which, the couple has to do at their home. After every exercise session lady becomes more confident in her ability to achieve the orgasm. Along with these exercise various orgasmic tools are also used. With these exercises along with behavioral therapy, hypnotherapy, & couple's therapy leads to cure in approximately two months. Certain pelvic exercises also help in getting orgasm quickly. We teach patient how to eliminate excessive focusing on having an orgasm. Even some women fake the orgasm to please her partner & hide her inadequacy.

Hormones Therapy:

Hormones therapy is given to cure the hormone problem whenever hormone disorder is found. Estrogen treatment is given when deficiency of hormones are found. Hormones therapy helps n fast cure of this problem & do not have any adverse effects as they given to only those patients in whom some hormone disorder is found.

Other drugs found effective are anti-inflammatory, serotonin reuptake inhibitors etc are used when indicated. Response of Treatment

As we have fully dedicated team of highly qualified, experienced, doctors, sex counselors, sex therapist, who are expert in the treatment of female sexual problems, we get cure in almost all cases. It is cured in most patients by two months treatment.

Lack of Enjoyment During Intercourse

This is also called female arousal disorder, it is characterized by minimal vaginal lubrication or no lubrication et all during sexual excitation along with absence of feeling of excitation. In one study many women complained of lack of sexual arousal so that they get very little lubrication & vagina does not relaxes so that sexual intercourse is painful. In population many women complain of difficulty in getting excited. Many of such women complain of absence of orgasm & sex may be even be painful. It can be from beginning of sexual life or may start later in life. In some arousal may be absent with one partner whereas it is normal with other partner.

Causes of Lack of enjoyment during intercourse

Disorder of sex centre: So that vagina & muscles around it goes into painful spasm at the point of penis entry rather than relaxing.

Hormones Disorder: Hypogonadotropic hypogonadism (hypothalamic or pituitary deficiencies) Hypogonadisms, Hypothyroidisms, Testosterone deficiency, hyperprolactinemias, Hypogonadotropics states: Hypothalamic - pituitary deficiencies: Idiopathic GnRH deficiency, Kallman syndromes, Prader-Willi syndromes, Laurence-Moon-Biedl syndromes, pituitary hypoplasia, Ovarian Dysfunctions Hypothyroidisms Untreated endocrinopathies & Diabetics Glucorticoids excess, Cushings disease, Addisons disease

Excess asthenia i.e. chronic asthenia is a also a significant cause of low sexual excitation & arousal.

Chronic vulvo-vaginitis, and chronic urethritis.

Addiction as chronic alcoholism, chronic smoker, heroin or cannabis use.

Drugs: Sedative: Narcotics, tranquillizers, amphetamine, cocaine, many antidepressant, and anti-psychotics, anti-hypertensives, many other drugs.

Psychiatric disorder as depression, neurosis, & many other psychiatric disorders.

Any kind of sexual dysfunction in man leading to non-enjoyment of sexual act by female may lead to absent arousal & excitement.

Any cause of painful sexual intercourse (as due to vaginismus or dyspaerunia) will also lead to secondary loss of excitation in women whether married or unmarried.

Decreased blood supply to vagina due to various medical conditions can lead to diminish vaginal lubrication, pain during intercourse

Infections : In genital tract or vulvae vestibule, vulvo-vaginitis

Less lubrication due to various reasons as hormone deficiency

Connective tissue diseases leading to dryness Psychological problems: as depression & other psychiatry disorders Sicca syndrome Idiopathic

Decreased blood supply to vagina due to various medical conditions can lead to diminish vaginal lubrication, pain during intercourse Vulvar vestibulitis

Restrictive upbringing, Inadequate sexual information, early insecurity in psychosexual role.

Obstructive vaginal lesions : Vaginal stenosis, vaginal scarring, post surgical problems, retroverted uterus, organic diseases of uterus, endometriosis, adenomyosis, tubes or ovaries, chronic pelvic inflammatory diseases, urethral diverticulum

Idiopathic vulvodynia.

Disorders of sex centre

In the brain there is a particular center in the hippocampus part of fore brain, which regulates the desire of sex. Sex center has some well-defined portion, which control different component of normal sexuality These are as follows as one part of sex center controls sexual desire other parts controls excitation i.e. lubrication in response to sexual excitation, time taken in orgasm & enjoyment of sexual act including enjoyment of orgasm. So any disorder of sex center due to various causes can lead to less excitation in response to sexual stimuli. This occurs due to arousal & excitation-controlling portions of sex center does not work properly so that inspite of \ not having any physical or mental disorders the patient does not gets sexually excited. Beside absent excitation patient may be sexually otherwise be fit or may be suffering with some other sexual disorder.

The causes of sex centre dysfunction can be divided into two groups

Immediate cause

Remote causes.

Such a classification is helpful in the treatment of absent excitation. If the absent excitation & arousal is due to immediate causes, a removal of these factors results in adequate excitation & lubrication & enjoyment by women. If it is due to remote causes, then detailed sex therapy may be necessary for a more lasting cure.

DIAGNOSIS OF CAUSE

First step in proper treatment of absence of sexual excitation & arousal is accurate diagnosis of cause of her absence of sexual excitation & arousal. So we first try to find out cause. We take detailed history, thorough sex counseling and physical examination by female doctor, examination genitals. After that depending on likelihood of particular, cause relevant tests are done at our centre. Thus you may consult us at our centre & at same time you may get all test done also. The time taken in getting all the reports ready is 36 hours. So if you are from out of Delhi, you may come here for two days.

DETAILED HISTORY

Onset: We take detailed history, as for duration of absence of sexual excitation & arousal whether it is from the beginning or of recent onset, whether it is mild, moderate or severe. Then we decide whether it occurs all the time or only occasionally. How is the response of previous treatment? Response to previous therapy, pain during sex, Stress (physical or mental), History of precipitation by some drugs any past history of sexual abuse or painful sex.

EXAMINATION OF GENITALS

We examine whether any Sexual Development defect is present or not. The vagina is examined for some local problem. If the vaginal examination is very painful with accompanied spasm is proof of the some local cause. Status of female hormone is assessed by examination of various estrogenic signs. Galactorrhoeas & features of other hormones disorders are checked up. Blood supply of vagina is assessed by, palpating texture of vaginal wall. Nerves supplying the female genitals examined by sensation testing & Deep Tendon reflexes. Then other systems of body are also examined.

DIAGNOSTIC TESTS

At our centre we have all the facility for complete investigation of cause of absence of sexual excitation & arousal & other difficulties. So we perform following tests, step by step depending on their need based on history & examination. The various diagnostic tests needed/performed are as follows: -

Complete sex hormones profile as Estradiol, SHBG etc.

Thyroids test

Serum prolactins

Androgen levels

Investigation for systemic diseases

Other tests which may be required depending on likelihood of the any of above causes.

In biochemistry Tests as liver function or kidney function tests are done.

These tests confirm the diagnosis of absence of sexual excitation & arousal confirmed.

TREATMENT

After the diagnosis of cause of absence of sexual excitation & arousal is made, treatment includes medicines to cure the basic cause.

The various treatment options are:

Hormone Therapy: When female sex hormone deficiency is found or disorder of other glands the correction of hormone dysfunction is done. Hormone therapy is very effective in curing absence of sexual excitation & arousal, when hormone is the cause for absence of sexual excitation & arousal. It is given in the form of oral tablets. Skin cream, local application of gels. These medicines are given in well tested prescribed doses as described in authentic textbooks. Some hormone precursors have also been used for increasing sexual excitation in many patients in whom no hormone disorder is found.

Se therapy is offered in which we teach the patient about the various techniques in such a way that it increase the enjoyment of body touch better excitation & arousal in female. This leads to good lubrication of vagina thus women enjoys the sex more pleasurable. Due to this more enjoyment of sex leads to women getting orgasm more often. All this improves the desire of sex as well as enjoyment of sex.

Treatment of chronic asthenia is done by replacement of antiasthenic drug with good results.

Treatment of Urogenital infection balanitis, prostatitis, and epididymitis gives immediate relief & very dramatic increase in absence of sexual excitation & arousal.

Stop Offending drugs which patients is consuming is identified after detailed history & drug challenge is discontinued with permanent cure of the absence of sexual excitation & arousal.

Treatment of psychiatric disorder are diagnosed & treated.

Oral supplement of DHEAS is also effective.

Treatment of sex center disorder: In cases of absence of sexual excitation & arousal due to sex center disorder there are many drugs, which improve the sexual excitation & arousal like hormone precursors, sex center stimulator drugs. These drugs act on sex center & correct the biochemical defect in sex center, leading return of the sexual excitation & arousal.

Treat other systemic disease when they are detected.

Response of Treatment

When treated is started after the diagnosis of cause. After appropriate drug therapy, sex education & sex therapy patient recover in two months time. The sexual excitation & arousal of patient recovers. After return of libido to normal her family relationship also normalizes.

Side Effects

It has no side effects if given in proper doses and in-patients when it is really indicated. This it is absolutely safe when given by our qualified doctors, in proper doses.

Premature Ejaculation (Early discharge)

There can be four types of disturbances in semen ejaculation (i.e. orgasmic discharge)

Premature Ejaculation i.e. early discharge or early orgasm.

Absent Ejaculation

Delayed Ejaculation

Retrograde Ejaculation & others

What is Premature Ejaculation?

Premature ejaculation (also known as early discharge or quick orgasm, early fall, Shigra-patan) is one of the most frequent, of sexual disorders in the male and is characterized by sudden ejaculation of the semen, just prior to or immediately after vaginal penetration during intercourse (before one wishes or before he could satisfy the female partner). Approximately 10% to 30% people of all age group suffer with quick semen discharge. Premature or 'before time' in other words, is a condition where the man has no voluntary control over his ejaculation. He is quick on the trigger once he starts the coitus. This is a very frustrating disorders of male sexual function in which man feels totally helpless. This leads to bitterness in husbands & wife relationships. For the man, lack of control of his body functioning leaves him feeling unsure of himself. His pleasure is often decreased by the abrupt early discharge. Eventually his preoccupation with trying to postpone ejaculation will hinder his ability enjoy himself to sexual pleasure. When a man is, feeling inadequate, and ejaculating fast, the woman will probably be left unsatisfied. Her frustration will only increase the negative pattern. This is an easily treatable condition.

What is normal time of discharge?

In one scientific study European males took approximately ten minutes in discharge whereas Americans took fourteen minutes in getting orgasm.

How common is pre mature ejaculation due to some well-defined internal causes?

Many of recent studies have proved that, most cases of quick ejaculation are Psychogenic is not correct (which was old belief). In one study by Schwartz & Pirke & colleague found that in many patient of pme male hormones were deranged. Similarly Colpi et all found that evoked sacral potentials & Bulbocavernosal reflex were hyper-excitable in many patients. Thus psychogenic cause should never be labeled unless Hormonal & other causes have been excluded, by thorough examination, hormones & other tests as mentioned below.

Causes of Premature Ejaculation

There are number of possible causes have been propounded about the causes of premature ejaculation.

Hormone Disorder

Neurogenic Causes

Sex Center disorder i.e. Hyper excitability of sex center

Psychogenic i.e psychiatric illness

Urogenital Infections

Increased penile sensitivity to touch

Drug induced many drug cause PME

In following Section we'll discuss these causes in detail:

Hormone Disorder : In recent studies it have been seen that many hormone disorder directly causes premature ejaculation. Additionally hormone disorder may cause other sexual dysfunction, which may secondarily cause early discharge. These hormones are important for normal control on your ejaculation.

Deficiency of neuro-transmitters as serotonin & other have been found to be one of the significant causes of early semen fall.

Urogenital Infections : Any infection of urethra, prostate, epidididymis, seminal vesicle, Orchitis, epididimo-orchitis etc. Leads to irritability of sacro-coccigeal nerves, which govern the function of all these sex organs. This irritability leads to lowers threshold for ejaculation. Thus infections are one of the significant of early orgasm.

Small Penis & Penis Enlargement

What is small Penis?

As we know average penile length is six inches (i.e. fifteen centimeter). When penis is somewhat smaller than this, is called small penis. And when it is too small than normal is called micropenis. This small penis size is found in approximately one percent of men .The small penis may occur as single disorder or in some persons it may be associated with thin penis. In some persons penis is very thin as in children. It makes them sexually unsure of himself and decreases their confidence. They feel inferiority complex in exposing themselves in public places as in swimming pools & sea beaches etc. Thus it must be consulted urgently, so that diagnosis and treatment can be started as soon as possible. For this you may consult at our sex n hormone center for complete diagnosis & treatment. In majority cases proper diagnosis & hormone therapy of about one year duration leads to penis growth in size and normalization of penis in length & thickness. Thus you consult at our center where doctor have experience of treating such problems. In very-2 rare cases surgical intervention is needed in which case by microsurgery technique the penis enlargement is achieved in length (as well as in thickness i.e. girth if required).

Causes of small penis

The following are the major causes of small penis & Thin Penis:

Male Hormones Disorder:

Hypogonadotropic hypogonadism: (hypothalamic or pituitary deficiencies) Hypogonadisms, Hypothyroidisms, Testosterone deficiency, hyperprolactinemias, Hypogonadotropics states: Hypothalamic - pituitary deficiencies: Idiopathic GnRH deficiency, Kallman syndromes, Prader-Willi syndromes, Laurence-Moon-Biedl syndromes, pituitary hypoplasia, Trauma, post surgical, postiradiation, Tumour (Adenoma, craniopharyngioma, other), Vascular (pituitary infraction, carotid aneurysm), Infiltrative (Sarcoidosis, histiocytosis, hemochromatosis) Autoimmune hypophysitis, drug-induced hyperprolactinemia, untreated endocrinopathies, Diabetics Glucorticoid excess, Hypopituitarisms, Cushings disease, Addisons disease. Isolated gonadotropin deficiency (non acquired): Pituitary, Hypothalamic Associated with multiple pituitary hormone deficiencies: Idiopathic pan hypo pituitarism (hypothalamic defects), Pituitary dysgenesis, Following inflammation, Infiltrative or destructive processes (autoimmune, hemosiderosis), Fertile eunuch syndrome, Idiopathic hypopituitarism.

Hyperogonadotropic hypogonadism: testicular failure, development defect, drugs, trauma, congenital defect, congenital adrenal hyperplasia, Chromosomal defect, testosterone hormone biosynthetic defect, Mumps orchitis leading to testicular atrophy, Primary testicular defect-disorders of testicular differentiation or inborn errors of testosterone synthesis, Klinefelter syndrome, Other X polysomies (i.e. XXXXY, XXXY) Rainbow syndrome.

Partial androgen insensitivity

Growths Hormones Deficiency

Thyroids hormones deficiency

Idiopathic small phallus: In many patients all the hormone growth factor & every thing else is normal, still they have small genitalia. This occurs due to Decreased capacity of penile tissue to grow. This occurs due to defective morphogenesis of the penis in utero so that its growing capacity decreases later in life. This is also one of the common causes of small & thin penis.

Low Sex Desire (Decreased Libido)

Causes of Low libido (Diminished Sex Desire)

Hormones Disorder:

Hypogonadotropic hypogonadism (hypothalamic or pituitary deficiencies) Hypogonadisms, Hypothyroidisms, Testosterone deficiency, hyperprolactinemias, Hypogonadotropics states: Hypothalamic - pituitary deficiencies: Idiopathic GnRH deficiency, Kallman syndromes, Prader-Willi syndromes, Laurence-Moon-Biedl syndromes, pituitary hypoplasia, Trauma, post surgical, postiradiation, Tumour (Adenoma, craniopharyngioma, other), Vascular (pituitary infraction, carotid aneurysm), Infiltrative (Sarcoidosis, histiocytosis, hemochromatosis) Autoimmune hypophysitis, drug-induced hyperprolactinemia, untreated endocrinopathies, Diabetics Glucorticoid excess, Hypopituitarisms, Cushings disease, Addisons disease. Isolated gonadotropin deficiency (non acquired): Pituitary, Hypothalamic Associated with multiple pituitary hormone deficiencies: Idiopathic pan hypo pituitarism (hypothalamic defects), Pituitary dysgenesis, Following inflammation, Infiltrative or destructive processes (autoimmune, hemosiderosis), Fertile eunuch syndrome, Idiopathic hypopituitarism.

Hypogonadism: testicular failure, development defect, drugs, trauma, congenital defect, congenital adrenal hyperplasia, Chromosomal defect, testosterone hormone biosynthetic defect, Mumps orchitis leading to testicular atrophy, Primary testicular defect-disorders of testicular differentiation or inborn errors of testosterone synthesis, Klinefelter syndrome, Other X polysomies (i.e. XXXXY, XXXY) Rainbow syndrome.

Hypothyroidisms.

Untreated endocrinopathies & Diabetics.

Glucorticoids excess, Cushings disease, Addisons disease.

Excess asthenia i.e. chronic asthenia is a also a significant cause of low sex desire.

Sickle cell disease, chronic cardiac disease, chronic renal disorder, chronic pulmonary dysfunction, chronic hepatic disease, Infections mono-nucleosis, hepatitis, chronic balanitis, chronic prostatitis, and chronic urethritis.

Addiction as chronic alcoholism, chronic smoker, heroin or cannabis use.

Drugs: Sedative: Narcotics, tranquillizers, amphetamine, cocaine, many antidepressant, and anti-psychotics, anti -hypertensives, many other drugs.

Psychiatric disorder as depression, neurosis, & many other psychiatric disorders.

Disorders of sex centre: In the brain there is a particular center in the hippocampus part of fore brain, which regulates the desire of sex. Sex center has some well-defined portion, which control different component of normal sexuality. These are as follows as one part of sex center controls sexual desire other parts controls erection, time taken in orgasm enjoy of sexual act including enjoyment of orgasm. So any disorder of sex center due to various causes can lead to less desire. This occurs due to desire controlling portions of sex center does not work properly so that inspite of not having any physical or mental disorders the patient desire for sex is low. Beside low sex desire patient may be sexually otherwise for or patient may be suffering with impotence, premature ejaculation.

The causes of sex centre dysfunction can be divided into two groups:

Immediate Cause

Remote Causes

It can cause less sexual desire alone or patient may have associated erectile disorder, premature ejaculation, or lack of enjoyment of sex.

Night Falls / Nocturnal Emission (Semen discharge during sleep)

We discuss in detail about the detail physiology and causes of night falls & what one should do for it. Multiple growths on penis, which occurs on base of glans in one or two row. They are pearl like small asymptomatic growth. They can be due to warts, benign growths, & pearly penile papule. We diagnose the cause of such problems & then treat accordingly.

Semen passing in urine : The various causes of passing semen in urine is discussed & managed by us.

Swelling on penis after sex or masturbation: The various causes of swelling on penis is discussed & managed by us.

Burning in urine after sex: The various causes of burning in urine after sex is discussed & managed by us.

Ulcer on penis after sex: The various causes of Ulcer on penis after sex is discussed & managed by us.

Difficulty in pulling the foreskin over the glans when penis is full tight: The various causes of difficulty in pulling the foreskin over the glans when penis is full tight is discussed & managed by us.

Phimosis & paraphimosis: Difficulty in pulling the foreskin over the glans when penis is full tight is called Phimosis. When foreskin is pulled back but it is unable to go to it original position is called paraphimosis. T his sometimes produces a kind of constriction band over the glans penis leading t a kind of pressure band. This results into swelling of the glans penis. The various causes of Phimosis & paraphimosis is discussed & managed by us.

Pain in penis during or after sex

The various causes of Pain in penis during or after sex is discussed & managed by us.

Pain in testicles: The various causes of pain in testicles is discussed & managed by us.

Prominent blue veins on penis : The various causes of prominent blue veins on penis is discussed & managed by us.

Abnormal shape of penis : Like thin at one place & thick at other. The various causes of abnormal shape of penis like thin at one place & thick at other is discussed & managed by us.

Hidden penis : The various causes of hidden penis is discussed & managed by us. Lifeless (like dead & soft) penis. The various causes of lifeless (like dead & soft) penis is discussed & managed by us. The various causes of prominent.

Shrunken Penis : The various causes of shrunken Penis is discussed & managed by us.

Loosely hanging scrotum/Loose scrotum: The various causes of loosely hanging scrotum/Loose scrotum is discussed & managed by us.

Thin semen, yellow semen: The various causes of thin semen, yellow semen is discussed & managed by us.

Pain in testis & scrotum: The various causes of pain in testis & scrotum is discussed & managed by us.

Oral sex (Cunnilingus & Annilingus): The various aspects of Oral sex (Cunnilingus & Annilingus) is discussed.

Knowledge about clitoris & its role in female sexual satisfaction is given by us.

Discussion about normal anatomy, physiology of vulva, vagina, uterus is given by us.

Discussion about frequency of intercourse & orgasm in female is given by us.

Discussion about various postures & techniques of intercourse is told by us.

Discussion about uses of sex toys.

Discussion about fantasies during sexual intercourse.

Other Sex related queries.

Dhat

There are many patients in whom whitish or yellow semen like or water like secretions are discharged in urine during defecation, urination or other time. This type complaint has been found in many boys or men. The various causes of such problems are: Dhat secretion in urine Spermatorrhoea Retrograde Ejaculation In this semen goes in bladder in place of, coming out through penile opening. The cause of retrograde ejaculation can be due to diabetics, some psychiatric drugs & pelvic surgeries. Thus for treatment the cause should be tried to find out by detail history, investigation. Once diagnosis is made treatment can be possible.

Pyuria

Crystalluria

Cowper's gland over activity / or infections

Significant proteinuria

Candidal balanitis

Idiopathic

Venereophobia

Leucocytouria

Prostatitis

Chylliuria

Non gonococcal urethritis

DIAGNOSIS OF CAUSE OF DHAT PROBLEM

First step in proper treatment of Dhat like secretions is accurate diagnosis of cause of his problem. So we first try to find out cause. We take detailed history, thorough sex counseling and physical examination. After that depending on likelihood of particular, cause relevant tests are done at our centre. Thus you may consult us at our centre & at same time you may get all test done also. The time taken in getting all the reports ready is 24 hours. So if you are from out of Delhi, you may come here for two days for proper diagnosis of your problem.

DETAILED HISTORY

Onset: Sudden/gradual, Response to previous therapy, Libido, Stress (physical or mental), H/O precipitation by some infection or unprotected sexual intercourse, Sec. Sexual Characters, Other symptoms suggestive of any infections.

EXAMINATION OF GENITALS

We examine whether Sexual Development is adequate or subnormal. For this testis size is measured by orchidometer (if patient is outstation then by ultrasound of testis). Then other systems are examined. Signs of urinary tract infection, any sexually transmitted diseases are examined.

INVESTIGATIONS i.e. DIAGNOSTIC TESTS

At our centre we have all the facility for complete investigation of cause of Dhat problem . So we perform following tests, step by step depending on their need based on history & examination. The various diagnostic tests needed/performed are as follows: - Biochemistry tests, phosphorus, Usg., C/S, & other relevant tests.

TREATMENT

After diagnosing the cause of Dhat like secretions we prescribe medicines that patient has to purchase himself from any medical store The success of various drugs we use in Dhat like secretions depends on accurate diagnosis of cause. If empirical treatment is prescribed as most doctors do, it often does not achieves permanent cure. These sex tonics & ayurvedic medicines can improve you Dhat like secretions temporarily but they cannot give permanent cure. Thus please get yourself fully investigated before starting treatment.

Response of Treatment

As we have fully dedicated team of highly qualified, experienced, doctors, who are expert in field of sexology. After finding the cause of Dhat like secretions by above tests it is cured in most patients by two months treatment.

Name :- Dr. Manoj Pandey Vaidh / Dr. Jully Pandey / Dr. S. Kumar

B.A.M.S., Ayurvedachrya (Sexual Medicine)

Member council of Sex Education (International).

Address :-Kaya Kalp Clinic
Infront of Yamaha Moter Cycle Show Room,

In The Street of Bihar Namkeen Bhandar,
Arya Kumar Road,
Machhuatoli,
Patna, Bihar, India,

Pin Code:- 800004

Timing :- 10:00AM- 2:00PM,

04:00PM- 8:00PM,

Sunday Only By Appointment

Mobile :- 09334200215,

09279953889
Phone :- 0612 - 2721160

Website :- www.kayakalpclinic.in
http://maleandfemalesexdoctorindia.blogspot.in

http://bestsexologistindia.wix.com/sexologist
http://kayakalpclinic.wix.com/topsexologistindia

Email id :- mpandey366@gmail.com

dr.manoj09334200215@yahoo.com

Mobile No. - 09334200215,09279953889
Phone No. - 0612 - 2721160

Male And Female Sex And Skin Treatment Clinic India Bihar Patna

India's Best Sexologist And Skin Treatment Clinic

Tuesday 4 March 2014

Erectile Dysfunction, Premature ejaculation, Early Ejaculation, Impotence, Low Sex Desire, Hormones Disorder, Sex Therapy, Drugs, Small Penis & Penis Enlargement, Sexual weakness, Gupt Rog, Sex Clinic, Best Top Sexologist India, Bihar, Patna