Sexology Clinic Pune

SEXUAL AVRSION DISORDER Definition Persistent or recurrent extreme aversion to, And avoidance of, all(or almost all) genital sexual contact with a sexual partner. Sexual aversion is severe irrational fear to sexual activity which leads to avoidance of sexual situations. It affects males as   well as female. The disturbance causes marked distress or and interpersonal when confronted by a sexual opportunity with a partner. The aversion to genital contact may be focused on a particular aspect of sexual experience (e. g. genital secretion).some individuals experience generalized aversion to all  sexual stimuli including undressing, touching  and kissing. The intensity of  reaction may range from moderate anxiety to extreme psychological distress. Some individuals may experience profound sweating, panic attacks, feeling of terror, faintness , nausea, diarrhea, palpitation, dizziness and breathing difficulties. There may be markedly  impaired interpersonal relat...

PREMATURE EJACULATION   Definition: Presistent  or recurrent ejaculation with minimal sexual stimulation before, on, or shortly after penetration and before the person wishes it. It has been difficult to define ‘Premature ejaculation ‘ since there is a great variation in physiology of ejaculation. International Society for Sexual Medicine (ISSM) has defined (PE) as “Ejaculation in less than 60 seconds from start of intercourse. PE is seen in young men from their first attempt at intercourse. Later they acquire ability to delay the orgasm after a adequate function. PE can create tension in relationship. Wife’s estimate of duration of time from the beginning of intercourse until ejaculation , as well as her judgment of whether PE is a problem, can be quite misleading. PE can create tension in relationship. Patients may misinterpret secretion from bulbo-urethral glands as semen and label himself suffering from P.E. Some may see prolonged period of intercourse in blue flims and f...

MALE ORGASMIC DISORDER Definition: Persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase during sexual activity. In this disorder a male cannot reach orgasm during intercourse although can ejaculate by partner’s manual or oral stimulation. Some can ejaculate only during masturbation. Some have ejaculation during sleep but not in waking period. Orgasm and ejaculation though occur simultaneously, are different entities. Orgasm can occur in absence of ejaculation and vice versa. Causes: Dislike for partner.                               Testosterone deficiency.Religious restrictions.                         Myopathy, Neuropathy.Maturbation guilt.      ...

MALE ERECTILE DISORDER (IMPOTENCE)   Definition Persistent or recurrent inability to attain, or to maintain until completion of sexual activity, an adequate erection. This is also know as erectile dysfunction. The disorder may cause marked distress or interpersonal difficulty. There are different patterns. Some individuals report inability to obtain erection from the beginning of sexual experience ;while others report being able to experience erection only during masturbation or on awakening, but not during the coitus. Some experience adequate erection,lose it when attempting penetration. Still other report that have an erection that is sufficiently firm for penetration, but they lose erection before or during thrusting. Male erectile disorder is frequently associated with anxiety, fear of failure, pressure of sexual performance, and decreased sexual excitement and pleasure. This can disrupt marital relationship and may be the cause of unconsummated marriage and infertility. ...

FEMALE ORGASMIC DISORDER Definition: Persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase . It was formerly known as inhibited female orgasm. Some researchers called it Female Orgasmic Dysfunction. Causes: Strong negative signals from psychosocial system results in female orgasmic disorder . In our culture the female has been forbidden to accept herself as a sexual being. Girls as they grow up, deny their sexual feelings in order to conform to society’s image of “good” behavior. Later, as a woman, she resists the experience of orgasmic response. Anxiety and guilt feeling due to religious orthodoxy can cause this dysfunction . The idea that it is woman’s duty to satisfy her husbands makes her inhibit her own sexual response. Woman may have orgasm with masturbation by stimulating her clitoris, with partner’s manipulation or with oral-genital stimulation, but not during intercourse. Similarly, a woman may be orgasmic during intercourse, but n...

DYSPAREUNIA (PAINFUL COITUS) DYSPAREUNIA (PAINFUL COITUS) Recurrent or persistent genital pain associated with sexual intercourse in either male or a female. In females, the pain may be superficial during penetration or deep during penile thrusting. The intensity of pain may range from mild discomfort to sharp pain. On examination, no genital abnormalities are seen. Repeated genital pain during coitus may result in the avoidance of sexual activity, disrupting existing sexual relationships. Females : Dyspareunia can be of psychogenic or organic in origin. Pain in vaginal outlet and clitoris : If the hymen is intact, this is a source of irritation. Episiotomy scar can cause pain. Smegma accumulated under the foreskin of clitoris Irritates the area and causes intense burning. Pain in the vagina : One of the common causes is failure to lubricate. This happens when the women has no affection, respect or understanding for her husband. Because of various fears like fear of pregnancy or of...

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SEX FACTORS HELPFUL IN TREATING INFERTILITY 1. If the couple involves in foreplay including the stimulation of nipple and clitoris of the female, and she goes into the plateau phase of sexual response, there is ballooning of inner end of vagina that acts like a receptacle for holding the semen os of the uterus widens and the cervix of the uterus dips down in the pool of semen.  2.In Man-on-top position of intercourse, if woman keeps a pillow under her buttocks, separates and flexes her things on her abdomen deeper penetration and ejaculation near the os is possible. If she remains in this position after the intercourse it discourages semen from escaping out of vagina. 3. In knee-elbow position of the female during the intercourse, the cervix of the uterus gains easier access to the seminal pool, especially if the uterus is retroverted. 4. Intercourses during the ‘Fertility Period’ (around the ovulation period),the chances of fertilization are more 5. During the fertility period th...