Sexology Clinic Pune

Female sexual problems. Vaginismus Relaxation therapy: Insertion of graduated sizes of dilators by the doctor, the female or the male partner is effective in reversing the conditioned spasm reaction. Note: No increase in size of the dilators should be made until the minimum size can be accommodated comfortably. The object of treatment is not dilatation but reversal of the conditioned reflex. Lax Vagina Usually follows child birth. Exercises advice are contraction of perineal muscles by holding  the urine for a few second and releasing it, 20 such contractions and relaxations 3 times a day or vaginoplasty. Posted by Dr. Ramesh Maheshwari, Wnho Clinic, 2014 sadashiv peth, Tilak road, Pune. Free to call for further information.

Sexual problems in illness and after surgery Angina after myocardial infarction: Sexual activity can be resumed as part of general programed of increasing or graded physical activity. Although the timing of resumption will depend upon the severity of damage, 3-4 weeks after an uncomplicated attack is generally considered appropriate. In the initial stages female superior position may be advisable. In any case too vigorous activity must be avoided. Sex should be avoided after heavy indulgence in alcohol or food. The room should be warm. If angina occurs with moderate physical activity or stress, prophylactic pre-sexual nitrates may be helpful.  Note: For some patients it may be necessary to have objective method of measuring cardiac parameter during the sex act.   Posted by Dr. Ramesh Maheshwari, Wnho Clinic, 2014 sadashiv peth, Tilak road, Pune. Free to call for further information.

Pain during or after sexual intercourse    Find out and treat possible cause: 1. Sensitivity of glans penis – discomfort immediately after ejaculation may be due to retained foreskin in uncircumcised men from infection beneath it. 2.Phimosis.  3. Hypersensitivity of penile glands. 4.Referred pain from urethra due to urethritis. 5. Fibrosis or induration of corpora cavernosa. 6. Penile chordee following injury to penis. 7. Pain in the testes, usually of a dull aching character develops in some men who spend a significant amount of time in sexual play or in reading pornographic literature occasional maintaining erection for long periods of time without ejaculation. 8. Women with vaginal infection, or response to chemicals. 9. Gonorrheal adhesions. 10. Prostatic infection, or sometime, benign hypertrophy of prostate. Posted by Dr. Ramesh Maheshwari, Wnho Clinic, 2014 sadashiv peth, Tilak road, Pune. Free to call for further information.

Masturbation   Self-stimulation of genital acts as a means of releasing sexual tension in absence of other outlets. A variety of disorders from acne to dark circles under the eyes and mental derangement have been wrongly attributed to masturbation. The belief that it causes to make the penis smaller and make the man impotent in later years is without foundation. The feeling of weakness the day after has no physiological basis. Masturbation may be advisable in married men during needs of sickness or separation from the partner. Treatment becomes necessary only when the compulsive masturbator prefers it in spite of opportunity for normal sexual intercourse. Posted by Dr. Ramesh Maheshwari, Wnho Clinic, 2014 sadashiv peth, Tilak road, Pune. Free to call for further information.    

Ejaculatory Incompetence   Here there is failure of ejaculation during intravaginal containment.   Instead of the squeeze technique, as in the case of premature ejaculation, the female partner is advised to manipulate the penis to force ejaculation. Moistening methods may be used to avoid penile irritation. It may take a few days to accomplish this. Later rapid intromission of the penis should be accomplished by the wife in female superior position and pelvic thrusting attempted. If the male still does not ejaculate, the wife should end the coital connection and restore to manual stimulation. As the husband, now conditioned to manipulator response, reaches the stage of ejaculatory control, he should inform his wife. She should remain in the female superior position while manipulating the penis, and from the positional advantage quietly reinsert the penis into the vagina. After 3 or 4 such attempts, confidence in intravaginal ejaculating performance will have been achieved. ...

Dyspareunia Increased foreplay – Application of 20% xylocaine gel in and around the vagina and after 15 minutes wipe the gel off or wash it.   Posted by Dr. Ramesh Maheshwari, Wnho Clinic, 2014 sadashiv peth, Tilak road, Pune. Free to call for further information.

Common Sex Problems in Females   Inhibited sexual desire   1. Sexual dissonance – a proper understanding of sexual response cycle and foreplay techniques are likely to help. Administration of male hormone may be useful. 2. Anxiety provoking demands on part of the male such as total nudity, unsuitable timing, oral sex, etc. 3. Smell of tobacco or alcohol.   Posted by Dr. Ramesh Maheshwari, Wnho Clinic, 2014 sadashiv peth, Tilak road, Pune. Free to call for further information.

Anorgasmia Inability to reach orgasm in female may be due to: 1. Premature ejaculation or dyspareunia. Graded self-stimulation techniques and proper indoctrination that sex is fun helps. 2. Natural vaginal secretions– Lubrication from secretions from vaginal wall is equivalent of male erection and penetration should be attempted only when this is present. Use of external lubricant is useful. Posted by Dr. Ramesh Maheshwari, Wnho Clinic, 2014 sadashiv peth, Tilak road, Pune. Free to call for further information.    

SEXUAL PROBLEMS Common sexual problem in the male erectile dysfunction Psychological                                                           organic Begins suddenly                                               gradual onset Occurs only in specific                                       ...