Feeling Sexually Weak? Dhat Syndrome & its Treatment explained
Men’s Health Blogs Feeling Sexually Weak? Dhat Syndrome & its Treatment explained Worried about Dhat Syndrome? Dhat Syndrome is a rare clinical syndrome or condition that causes Sexual Weakness in men Vanakkam, Namaste & welcome. My name is Dr Shah, and I am a practicing andrologist in chennai. In this short post, lets quickly discuss the very infamous Dhat Syndrome, loosely referred to as sexual weakness or sexual tiredness. Now, lets move on to the good stuff… Men diagnosed with Dhat Syndrome complaint of Feeling very tired along with a constant sense of fatigue Secondly lower back pain is seen They also feel their organ is shrinking in size. Small penis syndrome is not uncommon among men with Dhat Syndrome. Thirdly, they also report having erectile dysfunction Quickly watch the video below, It wont take more than 5 minutes of your time The first question is What is Dhat Syndrome? The word Dhat is derived from the word ‘dhatus’ a term seen in both the ayurvedic/vedic texts. Dhatus means ‘the bodily fluids’ Consequently, Dhat syndrome refers to a clinical condition were men complaint of ‘feeling low. feeling weak. Feeling tired along a sense of nervousness, rest tremor in hands and generally feeling depressed’. Moreover, men with Dhat syndrome feel impotent along with a general loss of fertility too. However, the most important reason for these symptoms as stated by patients is due to ‘semen loss’. This loss of semen can happen during sleep (called nightfalls) which is not under the control of patients. Moreover, the loss of semen can be voluntary which is via masturbation. Either-way, men with Dhat syndrome, feel very tired weak and also report erectile dysfunction. Interestingly, Among all the bodily fluids, semen seems to have been considered to be the most important of body fluids as per the vedic/ayurvedic scriptures. Dr. Shah Dupesh Consultant Andrologist & Sexologist Ready to improve your Reproductive Health? Discuss your concerns in a private setting and get personalized guidance tailored to your needs. Book a Call Book a Call Furthermore, how common is Dhat Syndrome or this sexual weakness? We really do not have the exact data. One thing we know for sure is that, Dhat syndrome seems to be more predominant among, indian, pakistani, bangladesh and chinese men. So, for sure this condition is actually specific to certain cultures, making it a cultural condition. Their seems to be only about 45 to 50 published studies in this condition called Dhat Syndrome Which age is Dhat Syndrome common? Typically, the common age of Dhat syndrome is somewhere between 18 to 25 years. However, we have seen men in their late 30’s experience it. An estimated 40% of men would experience Dhat syndrome at-least once in their lifetimes. To highlight, the symptoms commonly seen are A generalized sense of tiredness and a lack of motivation Rest tremors combined with anxiety Furthermore, these men also go into full fledged clinical depression & they feel life is not worth living Lastly severe erectile dysfunction is also seen Much of these symptoms are blamed because of semen loss (the loss the bodies most vital fluid) Why does Dhat Syndrome develop in the first place? Truth be told, we really do not know. We also do not know as to why it specifically develops among specific cultures. What we do know however is that, a lack of sex education and culturally propagated orthodox belief systems can lead to the development of this condition. Another point to know is that, this sexual weakness due to Dhat syndrome has been listed as an ICD10 disease condition and also in the DSM4 manual which is prominently used by Psychiatrists. However, most medical professionals are unaware that such a condition even exists as such. Patients are at the receiving end, eventually and never get treated or evaluated rightly. Now, lets move on to the last part of the post Subscribe to our Newsletter How how to treat sexual weakness? or Dhat? Once the patient has been diagnosed with this type of sexual weakness, treatment strategies include the use of Anti-anxiety medications Anti-depressant use Next psycho-sexual counseling and/or cognitive behavioral therapy Lastly medications have to prescribed to improve overall erection and sexual performance A combination of treatments usually work wonders to improve the patients symptoms quite quickly. In the absence of treatments, patients eventually suffer unduly post marriage. Sadly, many patients do not receive the right degree of care for the condition since the general awareness of the condition in patients and among healthcare practitioners is very less So, I hope you enjoyed reading this post. Do drop in your comments below. Dr Shah, consultant chennai sexologist this side. Keep watching this space for more interesting articles References Sumathipala A, Siribaddana SH, Bhugra D. Culture-bound syndromes: the story of dhat syndrome. The British Journal of Psychiatry. 2004 Mar;184(3):200-9. Mumford DB. The ‘Dhat syndrome’: a culturally determined symptom of depression?. Acta Psychiatrica Scandinavica. 1996 Sep;94(3):163-7. Related Blogs Recent Blogs Having more doubts? Consult with our doctor Consult with Dr. Shah Leave Your Comment Cancel Reply Logged in as Dr Shah Dupesh. Log out? Δ
How much pus cells in sperm is normal? Should you treat pus cells in semen?
Men’s Health Blogs How much pus cells in sperm is normal? Should you treat pus cells in semen? Hey guys! In this short 2 min blog post, we will quickly understand what to do if you notice pus cells in semen. Watch the video below https://youtu.be/Nj1VmDJA4Ew Okay, so you are trying for a child desperately for the last 2 or 3 years. Sadly a pregnancy is just not happening. Moreover, your andrologist or male fertility specialist punished you with a battery of expensive tests. Among these tests is the famed ‘semen analysis test‘ or sperm test. The D-Day comes, you get your report and you are SHOCKED. You notice the ONE THING you do NOT want to see in your goddamn report…. PUS CELLS and numerous pus cells, so many damn PUS CELLS competing with your sperm for honor and space (I know the joke sounds cheesy). And you are going like MAD. Your fertility specialist says that, your pus cells in the semen are the reason your sperms motility is so low Moreover, its the pus cells in your goddamn sperm that causing infertility. What should you do? The answer is below. How much pus cells in sperm is normal? Well on average that is, if you look at the average semen analysis report, you should see anywhere between 1-2 cells per high power field. The most important thing to understand here is that, these pus cells, also called as ’round cells’ can be of 2 types. The first type of round cells is the typical ‘White blood cell’ or so called ‘pus cells’ that is seen…..if their is an infection. Secondly, the next type of round cell can be simply an immature spermatogonial cell. Either way, in a typical sperm test, both cells are considered as ’round cells’. So DO NOT hit the PANIC button, once you notice pus cells along with your sperm. To make things easy, I am going to systematically give you a treatment strategy for those damn pus cells. The strategy will be based on what should be done, depending on the number of pus cells seen per high power field. Dr. Shah Dupesh Consultant Andrologist & Sexologist Ready to improve your Reproductive Health? Discuss your concerns in a private setting and get personalized guidance tailored to your needs. Book a Call Book a Call 2-4 pus cells in sperm For both 1-2 and 2-4 pus cells seen in your semen analysis report, no active treatment is required. However, the one exception is, if their are clinical symptoms like burning sensation while passing urine and/or pain while ejaculation, treatment will be required. To summarize here is what you should do Step 1 – Repeat your semen analysis and see if you get the same 2-4 cells per high power field Step 2 – If Yes, and you also have symptoms, take antibiotics after doing a semen culture and sensitivity Lastly, Step 3- if No, and you have no symptoms, then no further treatment is required Ok, now to the next part 4-6 pus cells in semen Step 1: Once again, repeat the sperm test Step 2: You need to do a leuco-screen test. This will differentiate whether the pus cells are immature sperm cells or plain pus cells Step 3: If the round cells are immature sperm cells, no further treatment is required Step 4: Fourthly, if the round cells are pus cells and you have no symptoms, no further treatment is the recommendation Lastly, Step 5: Pus cells with symptoms, then please do a semen culture and sensitivity and follow up with antibiotics 8-10 pus cells in semen Here again, follow the steps below Step 1: Repeat semen analysis Secondly, Step 2: Next leuco-screen test Thirdly, Step 3: If report shows immature cells, no further treatment Lastly, Step 4: However, if they are pus cells and you have symptoms, semen culture followed up with a course of antibiotics is definitely required Now to the last part of the discussion. What should you do if you notice the below finding in your report? Subscribe to our Newsletter 20-25 pus cell seen in semen Step 1: Repeat your sperm test once again Secondly Step 2: Do a leuco-screen test Thirdly, Step 3: Do a trans-rectal ultrasound of your prostate and seminal vesicles to rule out infections Fourthly Step 4: Antibiotic course if semen culture shows growth of pathogenic organisms So, thats about it guys I hope you found this article of some value. Do of course visit an andrologist or sexologist near you A very important point to bear in mind is that, if you notice pus cells in semen, a treatment is only required if and when you have certain symptoms. Some of these symptoms are namely 1. Burning pain while passing urine 2. Also, the presence of burning pain while ejaculation 3. Pus discharge from the organ 4. Foul smelling semen and the presence of blood in semen (hematospermia) Unless otherwise, you dont have any of the aforementioned symptoms along with pus cells, a general rule of the thumb is that, you do NOT need any major treatment. So, thats about it! I hope you found this article useful and informative. Please share this article with all your friends and loved ones Kindly drop in your comments, I will do my best to respond to all of them. Keep watching this space for more interesting articles. References Sigman M, Lopes L. The correlation between round cells and white blood cells in the semen. The Journal of urology. 1993 May 1;149(5):1338-40. Solis EA, Gatti VN, Bouvet BR, Brufman AS, Provenzal C, Feldman R. Round cells in semen and genital infections. Archivos espanoles de urologia. 200 Related Blogs Recent Blogs Having more doubts? Consult with our doctor Consult with Dr. Shah Comment (8) Godwin says: February 11, 2024 at 10:03 pm Edit Doctor I want to ask please What are the remedies, treatments and medications for Premature ejaculation and Erectile dysfunction? Reply Dr Shah Dupesh says: February 16, 2024
Does Masturbation Cause Acne?
Men’s Health Blogs Does Masturbation Cause Acne? Masturbation Cause Hey guys, in this short post, lets quickly discuss on the topic ‘does masturbation cause acne?’. Not surprising, since most of us must have had acne…also called acne vulgaris. The word acne is derived from a Greek word, acme which means a ‘spot’ or a ‘point’. The first historical reports of acne dates back to the Egyptian era!.(Guess even the pharaoh’s and their mistress’s were no exception to this disease!!) King Tutankhamun suffered from acne. Moreoever, his tomb was filled with anti-acne remedies. Interesting right?. Furthermore, acne was believed to be caused by telling lies. That apart, acne is nothing but a skin disorder that affects close to 85% of individuals worldwide. Acne typically is seen more during puberty but can occur at any age. Acne is specifically linked with a bacteria called Propionibacterium acne. The bacteria specifically infects the sebum secreting glands(this gives your face an oily appearance) in the skin. Androgens (the male sex hormones) and other inflammatory processes also lead to acne development. Now, coming to the important part of the conversation Does masturbation cause acne? A popular masturbation myth is that, excessive masturbation can result in forehead acne, combined with pale eyes and general tiredness. However, their are 2 points to be noted, their is definitely a link between excessive masturbation and the generalized feeling of sexual weakness. Specifically in Indian men, who do engage in masturbatory behavior, a syndrome called as Dhat develops. Now, Dhat syndrome affects indian men across age groups. Men diagnosed with Dhat syndrome, complaint of feeling tired, weak, report erection problems, small penis size or shrunk penis and most importantly feel low and/or depressed. Moreover, men not surprisingly, among the younger men, acne is also seen. So, its easy to probably point of the link between acne and masturbation. Young men with excessive masturbation habits are more likely to develop Dhat syndrome along with Acne. Dr. Shah Dupesh Consultant Andrologist & Sexologist Ready to improve your Reproductive Health? Discuss your concerns in a private setting and get personalized guidance tailored to your needs. Book a Call Book a Call However, this DOES NOT mean that ‘Masturbation alone caused the acne’!! To elaborate, younger men specifically the cool teenagers and young adults, tend to have the following lifestyle habits as mentioned below Excessive Diary intake: A clear link has been established between acne and diary intake. In young men who intake more than >2 glasses of whole milk per day, acne is more prone to develop. However, this association is not seen with yogurt or cheese consumption or even skim milk/skimmed milk products. Subscribe to our Newsletter Chocolate intake Chocolate promotes inflammation, chocolate thereby aggravates acne formation in young individuals. Love chocolates? Love your acne as well then!. More chocolates = More Acne Increased Glycemic load a.k.a more Carb intake Studies have clearly found that a definite link exists between acne and taking processed food. Do you love taking burgers, pizzas, chips and among other things? Get prepared for acne to erupt. On the other hand taking fish (rich in omega 3 fatty acids) along with whole vegetables definitely reduces acne significantly Low Fiber intake Interestingly, acne is seen in younger individuals with low fiber intake along with gastrointestinal symptoms like bloating. A high fiber intake is shown to significantly reduce acne. Stress Lastly, the most important factor to discuss is stress. Now excessive masturbation amplified your stress response. You may feel transiently good, but you will feel low and down (or stressed out) post masturbation. With stress, acne definitely increases, thus an indirect effect of excessive masturbation on increasing can definitely be seen. However, to what extent this may be true, needs a LOT of scientific research. Not just, masturbation, In fact, behaviours like smoking excessively also leads to ‘smokers acne’ with a dark face. The nicotine in the cigarette smoke affects stimulates acne growth. Quit smoking and also definitely quit masturbation So, To summarize, does masturbation cause acne? Directly NO, Indirectly probably YES. What should you do? Quit Masturbation and adopt the following life-style habits 1. Stop Smoking 2. Reduce Diary intake 3. Reduce Carb intake 4. Take whole vegetables and fish 5. Lastly, get your acne treated with a dermatologist I hope you enjoyed reading this post on ‘does masturbation cause acne’. Please share this post with your friends and loved ones. Keep watching this space for more interesting content This is Dr Shah, Consultant Andrologist and Sexologist in Chennai. See you again soon References Goodman G. Acne: Natural history, facts and myths. Australian family physician. 2006 Aug;35(8). Ak M. A comprehensive review of acne vulgaris. J. Clin. Pharm. 2019;1(1):17-45. Related Blogs Recent Blogs Having more doubts? Consult with our doctor Consult with Dr. Shah Leave Your Comment Cancel Reply Logged in as Dr Shah Dupesh. Log out? Δ
How to get rid of blue balls? Blue Balls Treatment explained
Men’s Health Blogs How to get rid of blue balls? Blue Balls Treatment explained Have you ever suffered from an ‘irritating pain in the balls’? A pain that comes and goes, a dull aching pain in your balls? A pain that you just cant seem to get rid off?. How to get rid of blue balls? Yup, that pain is due to something called the ‘blue ball syndrome’. Men with ‘blue ball syndrome’ constantly suffer from pain in the testis. In patients with blue ball syndrome, patients usually come to the clinic with severe or moderate to dull aching pain in their balls. As a funny saying goes – ‘A man will experience at least 1 episode of blue balls’ The pain of blue balls, can be local to one point in the testis or diffuse and spread around both testis. Moreover, in some instances the pain may radiate to penis as well. How to get rid of blue balls? Blue balls in the medical literature is termed as ‘epidydimal hypertension’. This conditions is more common in the age group of 14 to 25 year old men. More interestingly, it seems to occur to young men after sexual arousal. Why do blue calls occur? Interestingly, blue balls seem to occur to younger men and more specifically after a period of sexual arousal. Now, normally, sexual arousal should end with ejaculation. But, if the individual does not get the opportunity to engage in sexual intercourse with his partner, blue balls can result. In some men, who are single & who strictly avoid masturbation, blue balls can result. The pain of blue balls probably results from ‘neural impulses’ going back from the distended spermatic chord, epidydimis and other male reproductive tract structures (to put it simply ‘the piping tubes’ that carry sperm outside the body) Dr. Shah Dupesh Consultant Andrologist & Sexologist Ready to improve your Reproductive Health? Discuss your concerns in a private setting and get personalized guidance tailored to your needs. Book a Call Book a Call 2 Quick treatments to get rid of Blue Ball Syndrome So here is a typical scenario…. You are young and horny as hell, you looked at the porn and want to jerk off. (Pss….visit a sexologist) But you end up with pain and moreover your girlfriend is not in town. What should you do relieve the pain? How to do you get rid of blue balls? Guys, the simplest treatment you can do, is apply ice packs or ice gel packs to your balls. Ice causes ‘cold stress’ which trigger’s vasoconstriction. The flow from that region gets diverted and pain reduces (akin to applying ice after injury) I have personally seen excellent success with treating blue balls just using ice. The 2nd treatment approach to get rid of blue balls is…. By adopting the ‘Vasalva Maneuver’ the pain of blue ball can be brought down. So how do we do it? Firstly, Step 1 : Pinch your nostrils Next, Step 2: Mouth tight shut Lastly, Step 3: Blow or forcibly exhale through your nose. You should feel your ear pop. Its as simple as that. Do this about 5 to 10 times. However, if you have severe pain, you must visit your andrologist near you. Since, one must rule out testicular torsion at all costs. I hope you liked reading this short blog post. Will catch up with you with lots of more interesting content. For now, ciao References Rockney, Randy, and Anthony J. Alario. “Blue balls.” Pediatrics 108.5 (2001): 1233-1234. Subscribe to our Newsletter Related Blogs Recent Blogs Having more doubts? Consult with our doctor Consult with Dr. Shah
What to do if you cant ejaculate? Delayed ejaculation & its treatment explained
Men’s Health Blogs What to do if you cant ejaculate? Delayed ejaculation & its treatment explained In this post, we are going to go through quickly about ‘what to do if you cant ejaculate’. More specifically, we will briefly look at delayed ejaculation and delayed ejaculation treatment. You can also watch the video below In this post, we are going to go through quickly about ‘what to do if you cant ejaculate’. More specifically, we will briefly look at delayed ejaculation and delayed ejaculation treatment. You can also watch the video below The last thing any man or (his better half) wants to experience in their sex lives, is ‘the inability to cum’. Its frustating, unfulfilling and bloody irritating. So, what to do if you cant ejaculate? Lets first science the shit out of the topic. Now, delayed ejaculation (DE) is also called inhibited ejaculation. In this condition, men are unable to ejaculate after penetration of the vagina, in partnered sex. The important point to note here is the ‘average ejaculatory latency time’ which is about 4 to 10 mins. Interestingly this 4 to 10 minute time is also the ‘average duration of sex’ in most couples. So, technically, how long should sex last? about 4 to 10 mins post penetration. However, in delayed ejaculation, the sex lasts really long. Men who fail to ejaculate, keep thrusting their partners from anywhere between 30 to 60 minutes, but do not ejaculate. Thus these men in principle do not achieve their orgasm. This causes tremendous sexual frustration, depression and distress to the male. But, when it comes to the female partner, the distress and stress results from the consequent infertility issues. Since men with delayed ejaculation suffer due to the inability to deposit sperm in the vagina, infertility results, thereby affecting the relationships. Not just that, female partners of men who cant ejaculate also suffer from poor self esteem issues, disturbed body image problems and a range of other psychological problems. They think that, they are probably not ‘attractive’ and thereby their unable to make their partner come. Dr. Shah Dupesh Consultant Andrologist & Sexologist Ready to improve your Reproductive Health? Discuss your concerns in a private setting and get personalized guidance tailored to your needs. Book a Call Book a Call So what should you do if you cannot ejaculate? Keep Reading! The problem of delayed ejaculation is seen in about 4 to 8% of men presenting to male fertility clinic with sexual health issues. Now, here comes the icing on the cake. A large proportion of men with DE, seem to suffer from DE due masturbatory behavior. Men who engage in masturbation are frequently ‘auto-sexual’ or more specifically auto-sexually oriented. Can masturbation cause delayed ejaculation? Hell yeah it can. For these men, unfortunately, are compelled to take their hand and stimulate their organ. The thrusting force generated from their hand actually offers much greater gratification than the ‘vagina’s’ (of their partners) Moreover, men with delayed ejaculation also suffer from an idiosyncratic masturbation style called as ‘prone masturbation‘. Individual’s who engage in prone masturbatory practice frequently orgasm or achieve ejaculation by rubbing their organ on the bed or on the floor. The rubbing of course helps the individual get a tremendous high triggering an ejaculatory response. Other yet equally important causes of DE include 1. Major pelvic and abdominal surgeries 2. High Prolactin 3. Low Testosterone 4. Genito-urinary tract infections (from stds like chlamydia and gonorrhea et cetera)* 5. Mullerian cysts and prostatic utricles *Whats interesting to note here is that, specifically with STD’s the patient will have burning sensation while ejaculation. Thus, the pain will eventually inhibit the ejaculation completely Subscribe to our Newsletter What can you do immediately if you cant ejaculate? The best thing you can do for yourself is to visit a sexologist near you A thorough psychological and psycho-sexual evaluation is a definite must. Most importantly, a point of interest would be to get the individual evaluated on their sexual orientation. Many men suffer from conflicts regarding their sexual orientations. In men with DE, the said patient may be in a heterosexual relationship but would rather prefer to be homosexual. This conflict in the psyche can in itself cause and inhibition of the ejaculation (or ejaculatory response). Next, a thorough evaluation of the male sex hormones is also definitely required. Ultimately, treatment depends on the cause. If the issues are psychological. Treatment options include 1. Cognitive behavioral therapy or 2. REBT therapy combined with psychosexual therapy If the issues are organic (a bodily physiological problem) Hormonal therapy can be done. For example for men with elevated prolactin, medications to reduce prolactin can be given. Similarly for men with hypogonadotrophic hypogonadism (where no sperm in the semen is seen) hormonal injections with testosterone replacement therapy is recommended. Fundamentally the END-GOAL is to help the patient achieve a normal antegrade ejaculation. Some medications which we have used in our practice include medications like 1. Tab Cabergoline 0.5 mg twice a week for 8 weeks 2. Midrodine Hydrochloride and Ephredine. So, that about summates the post on ‘what to do if you cant ejaculate’. I hope you found this post interesting and useful. Do drop in your comments below. I will see you in this space with more interesting content to read Cheers! References Abdel-Hamid IA, Ali OI. Delayed ejaculation: pathophysiology, diagnosis, and treatment. The World Journal of Men’s Health. 2018 Jan 1;36(1):22-40. Althof SE. Psychological interventions for delayed ejaculation/orgasm. International journal of impotence research. 2012 Jul;24(4):131-6. Related Blogs Recent Blogs Having more doubts? Consult with our doctor Consult with Dr. Shah Leave Your Comment Cancel Reply Logged in as Dr Shah Dupesh. Log out? Δ
Early morning sex? When is the best time for sex? Morning or evening? – 3 tips to follow
Men’s Health Blogs Early morning sex? When is the best time for sex? Morning or evening? – 3 tips to follow Ever wondered when is the best time to ‘have fun in the bed’? More specifically, when is the best time for sex? Is early morning sex better? Or is later in the night. In this short post, I am going to share with you everything under the sun about early morning sex and few tips. You can watch the video below, although I would encourage to the read the entire post. On to the good stuff then…. Firstly, Why should you have early morning sex? Well technically speaking, it strictly depends on both your interests. Some couples prefer having sex in the morning while some prefer it in the evening. And interestingly, among older couples, afternoon sex is not However, specifically when speaking about early morning sex, their are definitely some advantages. Firstly, your anxiety systems are shut down. This is definitely possible with a good sleep wake cycle. If you manage to get 6 to 8 hours of peace restful and dream full sleep, you are going to get up very very fresh in the morning (and ready for sex) When you feel less anxious, overall erectile function improves and sex happens just the way you want with your partner.More specifically, you have better erectile, you last longer and you perceive your orgasm much better. So, early in the morning, your limbic system (the part of the brain we share with lizards and a lot other animals) is highly active, while our cortex (which represents your thinking brain) is less active (technically it fires less). Dr. Shah Dupesh Consultant Andrologist & Sexologist Ready to improve your Reproductive Health? Discuss your concerns in a private setting and get personalized guidance tailored to your needs. Book a Call Book a Call Most importantly, you are probably not going to be flooded with a stream of thoughts in the morning. But, what about sex in the evening? Well, with sexual intercourse in the evening, you are probably damn tired post a full day of work. Furthermore, for most people later in the evening, the brain is flustered with a lot of thoughts. Not just that, if you partner works as well, she will have the same issues. Her mind most probably will be an equal clutter of thoughts. Thus, evening sexual intercourse after a long day of work may not be everyone’s cup of tea. Secondly, with morning intercourse, you should take the advantage of the early morning surge of testosterone. Interestingly, this morning surge of testosterone happens somewhere between 9: 00 to 11: 00 am. Subscribe to our Newsletter So, early morning sex is the best… since the morning surge of the male sex hormones helps increase your overall desire. Couple with a mind that is free, and you can definitely have your fill (of sex) Thirdly, an important point to bear in mind w.r.t to morning sexual intercourse is… Never to eat a heavy meal in the night. Specifically, remember to avoid eating anything heavy in the night, if you are planning for intercourse early in the morning. The reason is simple, when you stuff yourself with bucket load of food your body is going to be flooded with insulin & cortisol. Since both insulin & cortisol are both stress hormones, their is nothing much you can do. You will end up feeling tired, depressed and will suffer from low sex interest combined with erectile dysfunction. Moreover, repeated failures in the bed, with eventually lead to avoidance of sex and ultimately result in a ‘sexless marriage‘ Lastly, most men understand and know, that their early morning erections reflects their overall health. Since the morning erection tells us that overall organ flow is intact. So, having an early morning erection with your partner beside you actually helps increase the chances of having sex frequently quite effectively. So summarize, Eat your last meal before 7 Ensure you get 6 to 8 hours of sleep Last BONUS tip watch something erotic before you go to bed Basically, when you watch something erotic before going to bed, your desire systems are aligned with your intent. Thus the chances of you having sex with automatically increase in the morning. I hope you enjoyed reading the article on morning sexual intercourse, do share this article with all your friends and loved ones References Larson JH, Crane DR, Smith CW. Morning and night couples: the effect of wake and sleep patterns on marital adjustment. Journal of Marital and Family Therapy. 1991 Jan;17(1):53-65. Pawlow LA, O’neil PM, Malcolm RJ. Night eating syndrome: effects of brief relaxation training on stress, mood, hunger, and eating patterns. International journal of obesity. 2003 Aug;27(8):970-8. Related Blogs Recent Blogs Having more doubts? Consult with our doctor Consult with Dr. Shah Leave Your Comment Cancel Reply Logged in as Dr Shah Dupesh. Log out? Δ
Does Penis Stretching Work? The Truth about ‘Jelqing’
Men’s Health Blogs Does Penis Stretching Work? The Truth about ‘Jelqing’ So, you are going to love this post. Its about ‘the penis stretching exercises’. Does penis stretching work? How effective is ‘jelqing’. Can it make your organ BIG?. Watch the video below Now, the truth is a large number of men have serious problems with the size of their organ. An estimated 45% to 55% of men believe their organ is small (teenie weenieee) in terms of size. Full thanks and salutations to the porn industry, since, men tend to compare their organ sizes with porn stars while watching them do it. Moreover, they a develop a strange complex called as the ‘small penis syndrome’. Furthermore, these men compare the size of their organ with other men, while sharing common spaces in showers and toilets. I mean it really get to the head of these guys. They lose hope, they get depressed and feel their lives are over, fundamentally based on their penis size. They develop whats called as small penis syndrome. Moreover, men with this condition strongly believe and feel that they cannot satisfy their partners in bed. They believe and eventually end up with erectile dysfunction. Consequently, they avoid intimate relationships, and resort to masturbation where the element of judgement from another partner is fundamentally absent. Dr. Shah Dupesh Consultant Andrologist & Sexologist Ready to improve your Reproductive Health? Discuss your concerns in a private setting and get personalized guidance tailored to your needs. Book a Call Book a Call But the TRUTH of the matter is, their organ sizes are actually NORMAL Now, lets discuss a bit about penis size….since this is were most men have a problem. The mean average penis size ranges from about 5 to 5.5 inches when erect. But most men do not know to measure their organ. They end up comparing their size with what they see in the pro, leading to distress, anxiety, depression and a whole host of other issues. So, say you truly have a small size, does penis stretching work? Or does penis lengthening work? We hear all this humbug on these penis lengthening exercise, penis massage blah blah. However, these exercises will not increase the size of your equipment. Sorry to disappoint you. Penis stretching or Jelqing involves rubbing the organ back and forth using lubricants. This pseudoscience claims that repeated penis massage and stretches ends up causing micro tears in the deep tissue of the penis. Moreover, after the minor injuries heal, the scar tissue formed will make the organ feel and appear thicker. But, most people forget to notice that, the penile tissues are not just made of muscles. The penile tissue is made full of ‘neurovasculature’ that is, the organ is filled with blood vessels and nerves. Furthermore, it has 3 erectile tissues inside, the corpora cavernosa and the corpora spongiosum, so, stretching this organ will cause permanent long term damage. Not just, that, their are case reports and studies that suggest that, in men who engage in jelqing or penis stretching organ damage occurs. I have personally seen patients who engage in jelqing & eventually ending up with erectile dysfunction. The last thing you want to do to yourself is self-harm by doing these things. Remember, their are about a 100 factors based on which a women will judge you. And organ size is NOT IMPORTANT. So, please do not worry about your penis size. Visit an andrologist or sexologist near you to get a correct estimate of your organ. Subscribe to our Newsletter This is because a self-estiamtion of your size, by looking at your organ from top-down will make your organ look much smaller than it actually is. In all probability, your organ size is most probably normal. As a bonus point please never use ‘penile extenders’ for stretching your organ. It will cause permanent erection problems, by either incorrect usage or by penis stretching. Penis size can be increased by other methods, like utilizing whats called as a ‘Jess extender’ OR similar devices. But, stretching techniques or stretching devices or other surgical interventions do not work. So, remember 3 things 1. Estimate your size correctly 2. Penis stretching is not required 3. Visit an andrologist for the right treatment with respect to stretching I hope you liked this short post on ‘does penis stretching work’. Pleas drop in your comments below References Veale D, Miles S, Read J, Troglia A, Wylie K, Muir G. Sexual functioning and behavior of men with body dysmorphic disorder concerning penis size compared with men anxious about penis size and with controls: A cohort study. Sexual medicine. 2015 Sep 1;3(3):147-55. Sigalos J, Eleswarapu S, Mills J. HF01-17 PENILE STRETCHING PRACTICES THROUGH TIME AND CULTURE. The Journal of Urology. 2022 May;207(Supplement 5):e217. Related Blogs Recent Blogs Having more doubts? Consult with our doctor Consult with Dr. Shah Leave Your Comment Cancel Reply Logged in as Dr Shah Dupesh. Log out? Δ
Male Fertility Tips To Get Pregnant Fast – 5 Quick Actionable strategies to implement
Men’s Health Blogs Male Fertility Tips To Get Pregnant Fast 5 Quick Actionable strategies to implement Hey guys! you are going to find this post both fun to read & easy as a pie to follow. Let get to the crux of the topic without wasting time. So, we are going to quickly discuss on male fertility tips to get pregnant fast (I mean super fast from a biological perspective). Watch the short below. It wont take a more than a minute of your time. Okay, you must be a newly wed or you are in a long term relationship with your girlfriend or whatever. You are ready to take that next big step to have a baby? [most people do not understand that they are screwing themselves over when they decide on having a child :-)]. However, since you are dead serious on this goal, you must be married for a year or two. Since social pressure from your relatives (specifically the damn in-laws) builds up rampantly. During this time, sexual intercourse which was once heavenly becomes a chore. In principal, sex happens just to have a child. You start tracking your partners ovulation days, her fertile window and plan intercourse. But still a pregnancy simply just does not seem to happen. Am I right? (I know I am). Both you and your partner are damn frustrated. It gets frustrating, trust me!. So, then what are the male fertility tips to get pregnant fast? The answer lies below in 5 quick actionable strategies to get your partner pregnant. FAST Dr. Shah Dupesh Consultant Andrologist & Sexologist Ready to improve your Reproductive Health? Discuss your concerns in a private setting and get personalized guidance tailored to your needs. Book a Call Book a Call Male fertility tips to get pregnant fast – 5 actionable strategies you should implement right now Tip 1 : Having frequent sex Regular sex can help. But do not at any cost make it mechanical. If sexual intercourse happens with all the planning around your partners fertile window, you are not going to get her pregnant. How much sex to get pregnant then? Remember its roughly 3 times per week. Studies suggest that when sexual intercourse happens at the rate of 3 times per week, their is roughly a 60 to 70 percent chances of getting your partner pregnant in the next 8 months. Yup that is roughly 8 months. When the frequency of intercourse falls to less than 3 per week, consequently the chances of pregnancy also drop. On average, the chance of getting your partner pregnant is roughly varies from 4% to 6% per month, when you have sex 3 times per week. So have fun, while you are at it. Making babies, no big deal as such. Tip 2 : Take the famed ABC Juice ABC juice (Expanded as Apple, carrot and beetroot juice) is an excellent natural anti-oxidant. Remember to take lots of it. Take the ABC juice everyday. Regular intake of ABC juice helps improve sperm motility fast, increase sperm concentration and also boosts overall male fertility. One of the best home remedies to improve male fertility is taking a combination of ABC juice, lemon juice and orange juice. I would recommend taking each of these juices on an alternative day to boost male fertility. This is probably on of the best male fertility tips to get pregnant fast. Tip 3: Improve your erection Now, you are going to find this tip interesting. The tip is a double treat, both for you and your partner. Remember having a good erection, is paramount to satisfactory sexual intercourse. You cant argue with that right? However, the better and harder your penis. The larger the amount of semen deposited in the vagina. Now to put in simple words. More semen = more sperm (i.e the total number of sperm deposited per ejaculate is higher). So you definitely need to treat erectile dysfunction if you have it and also improve your existing hardness of your organ. Trust me, its worth it. A simple way to improve erection is by going for a walk and hitting 10,000 steps per day. Try to use a pedometer and keep track of your steps. Or hit a daily target of 6 km/day while walking. Subscribe to our Newsletter Tip 4: Restful sleep and avoid night-shift jobs Its not worth working nights. Simple as that. We are not biologically designed to function with full potential in the nights. Quit your night shift work. In my experience as an andrologist and sexologist, I have seen a large number of patients suffer from numerous fertility & sex related problems due to night work only. Patients working in nights frequently suffer from low sperm concentration, low sperm motility and also decreased erectile dysfunction. They also have low sex interest and feel fatigued all the time. So please quit working at nights and ensure you get 6 to 8 hours of restful sleep. Trust me, it will make all the difference. Tip 5: Quit Smoking & Alcohol Lastly, definitely quit smoking and alcohol. Its just not going to help you, since it kills your sperm and it also kills your erectile functions. To conclude, in order to improve your overall male fertility, following simple lifestyle changes is all that is required. Take it easy and relax. Do not worry. Keep trying and you will achieve your goals of fatherhood. I will see you soon with another blog post References Begot I, Peixoto TC, Gonzaga LR, Bolzan DW, Papa V, Carvalho AC, Arena R, Gomes WJ, Guizilini S. A home-based walking program improves erectile dysfunction in men with an acute myocardial infarction. The American Journal of Cardiology. 2015 Mar 1;115(5):571-5. Pasqualotto FF, Lucon AM, Sobreiro BP, Pasqualotto EB, Arap S. Effects of medical therapy, alcohol, smoking, and endocrine disruptors on male infertility. Revista do Hospital das Clínicas. 2004;59:375-82. Deng N, Kohn TP, Lipshultz LI, Pastuszak AW. The relationship between shift work and men’s health. Sexual medicine reviews. 2018 Jul 1;6(3):446-56. 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No sperm when i ejaculate? Whats wrong? No sperm comes out? – What to do? Quick solution
Men’s Health Blogs No sperm when i ejaculate? Whats wrong? No sperm comes out? What to do? Quick solution No sperm when i ejaculate? No sperm when i ejaculate? It’s probably a shocking thing for you to see. Oh god!, my sperms are not coming out. I am done, I can never have a child anymore (you will get a range of thoughts when you find…..no semen on ejaculation). Oh No…. Rightly so. You ought to be panicked. However, never worry too much, because in this short post I am going to give you a quick solution. On to the good stuff then. You can watch the video below as well Now, Lets analyze the issue together. The most common cause of no sperm coming out or no semen coming out during sex is fundamentally ‘erectile dysfunction‘. As a practicing andrologist and sexologist, I have seen in my practice that this is probably the most common reason for patients suffering from no sperm coming out (also called as an-ejaculation). Please do understand that erectile dysfunction is treatable. One must assess the cause of erection problems and then give the relevant treatment. Secondly, the next most common cause of ‘no sperm when i ejaculate’ is due to ‘Ejaculatory dysfunction’. Now, what causes ‘ejaculatory dysfunction?’. Well, its a condition called ‘Retrograde ejaculation’ In patients with retrograde ejaculation, semen goes backward into the urinary bladder, instead of coming out forward through the urethra. Technically, the patient with retrograde ejaculation can satisfy his partner. That means, he is able to penetrate, sustain his erection, and achieve orgasm. But, the semen alone wont come out. It will go back into the urinary bladder thereby mixing with urine. This is depicted in the image below Dr. Shah Dupesh Consultant Andrologist & Sexologist Ready to improve your Reproductive Health? Discuss your concerns in a private setting and get personalized guidance tailored to your needs. Book a Call Book a Call Unraveling the Mysteries of the Bent Penis Secondly, the next most common cause of ‘no sperm when i ejaculate’ is due to ‘Ejaculatory dysfunction’. Now, what causes ‘ejaculatory dysfunction?’. Well, its a condition called ‘Retrograde ejaculation’ In patients with retrograde ejaculation, semen goes backward into the urinary bladder, instead of coming out forward through the urethra. Technically, the patient with retrograde ejaculation can satisfy his partner. That means, he is able to penetrate, sustain his erection, and achieve orgasm. But, the semen alone wont come out. It will go back into the urinary bladder thereby mixing with urine. This is depicted in the image below This happens since, for such patients, the internal sphincter does not close. Imagine a non-functioning valve, that does not close properly. What do you think happens to the flow? (Think….) Yup their will be leakages or back-flow. The same thing happens in patients with retrograde ejaculation. So, why does the valve or sphincter not close? The first clinical condition to rule out in such patients is ‘diabetes mellitus’. Next, one must rule out intake of ‘antidepressant medications’. In an estimated 60% of patients who take these medications, their will be either erectile dysfunction or ejaculatory dysfunction. Other causes include conditions like prostate injury, spinal cord injury, prostrate surgeries, large abdominal procedures can all ultimately result in no sperm coming out on ejaculation. Subscribe to our Newsletter So what is the treatment? Firstly, we do semen analysis test. We specifically do a ‘post orgasm’ urine sample examination. This is to see if sperms are mixing and coming out with urine. We also do a hormone analysis in parallel. Next we stop the antidepressant medications and also treat diabetes if presently. Consequently, we give the patient, sympathomimetic drugs (e.g midrodrine hydrochloride, imipramine and Chlorpheniramine maleate). These molecules are given for 3 to 6 month, and the treatment success rates is about 65 to 70 percent. That is if 100 individuals present to the clinic with the condition ‘no sperm comes out when i ejaculate’ 65 of 100 will respond very well to the medications. Eventually, these patients will be able to see their ‘sperms or semen coming out’. Lastly, another important point to bear in mind is that, men with ‘retrograde ejaculation’ or erectile dysfunction definitely suffer from infertility. This is because semen does not get deposited in the vagina. So, if and when should you suffer from this condition, remember to visit an andrologist near you Get a proper evaluation and a right treatment. I hope you found this blog post informative. Keep watching this space for more! Cheers and I will see you soon with more interesting content. References Jefferys A, Siassakos D, Wardle P. The management of retrograde ejaculation: a systematic review and update. Fertility and sterility. 2012 Feb 1;97(2):306-12. Ohl DA, Quallich SA, Sønksen J, Brackett NL, Lynne CM. Anejaculation and retrograde ejaculation. Urologic Clinics of North America. 2008 May 1;35(2):211-20. Related Blogs Recent Blogs Having more doubts? Consult with our doctor Consult with Dr. Shah Comment (7) Godwin says: February 11, 2024 at 10:03 pm Edit Doctor I want to ask please What are the remedies, treatments and medications for Premature ejaculation and Erectile dysfunction? Reply Dr Shah Dupesh says: February 16, 2024 at 9:59 am Edit Please do call me on 9790783856 Reply Raheel says: October 12, 2023 at 12:37 am Edit Hii dr. Shah, i hope you are fine and this comment will reach out to you. I am facing this prone masturbation issue since 3 to 4 years now. When i fall asleep during midnight prone masturbation is happening and as a result ejaculation is taking place. Please i request you to tell me how to abstain or avoid prone masturabtion & to which counsellor should i meet to tackle this. I am unable to stop prone masturbation, i am depressed. Please help me Reply Dr Shah Dupesh says: October 13, 2023 at 3:59 pm Edit Please drop me a call on 9790783856 Reply Chethan says: September 24, 2023 at 9:12 am Edit Hello sir my semen analysis shows 8-10
Lump in my balls? Quick Pointer’s on lump in testicles
Men’s Health Blogs Lump in my balls? Quick Pointer’s on lump in testicles Have you ever wondered with the question ‘lump in my balls’? Could it be some freaking cancer. Am i done for? What should I do about these lumps in testicles? In short blog post we will go through some very concise facts on ‘testicular lumps’. You can watch the whiteboard video below (if you feel lazy to read) On to the good stuff then!. So when you notice a ‘lump in the testicle’ what matters most is the position of the lump. Position, position and position. It matters that much. The fist question to ask is ‘Where is the lump in my balls located?’ Is it on the skin? Is it deep inside my balls (in the tissue that is). Exactly where? The next question to ask is…. ‘How many lumps in my balls are their?’ Is their a single lump? Are their multiple lumps? Is it on 1 testicle or is it on both testicles? So a preliminary diagnosis can definitely be done, by answering these questions. If you notice lumps in the skin as depicted in the image below, please remember that these lumps are nothing but ‘Sebaceous cysts’. Check out the image below The good news is that, these sebaceous cysts do not require any ‘medical intervention’. You heard that right. You dont have to worry about it at all! However, should these cysts become big, they may give your private parts an ungainly appearance and just may be your partner may notice it. In these instances, a surgical excision (removal of the cyst) can be done. The second most common type of lump, men have is called ‘The worm lump’ or more specifically, these lumps have a ‘bag of worms’ like feel. These lumps are called ‘Varicoceles’. Check the image below. Here again, the varicocele is nothing but a dilatation of the blood vessels specifically the veins (that run over the spermatic cord). These varicoceles do not require any treatment. However, a large number of andrologists argue on this topic, and routinely suggest varicocele surgery for patients in order to improve sperm count, sperm motility and sperm shape. But, in case the varicocele is associated with pain, a treatment will definitely be required. Dr. Shah Dupesh Consultant Andrologist & Sexologist Ready to improve your Reproductive Health? Discuss your concerns in a private setting and get personalized guidance tailored to your needs. Book a Call Book a Call Coming to the next type of testicular lump… Its called the Epidydimis. The Epidydimis, serves as for sperm storage. Its a small structure present above the testis. The interesting thing here is that, lumps in the epidydimis can be either 1. A spermatocele 2. A block (due to sexually transmitted infections) or 3. Due to an Epydidimal infection The image below depicts a lump in the Epydidimis. All big size epydidimal lumps with pain definitely need an ultrasound imaging. A semen analysis test is recommended in case the lump is present on both sides. However, small lumps such as epidydimal cysts less than <1 cm do not need any treatment (more so, if they are located on just 1 side) Lastly, lets talk on cancer lumps in testis the final type of testicular lump is caused by testicular cancer. Only an estimated 1% of patients with male infertility suffer from carcinoma. The lumps of cancer are usually located much deeper in the testis. Check out the image below The most common type of these cancers in the testis are called ‘seminoma’s’ (not samosa’s:-)). That was a cheesy joke. I know As one would expect, the testicular lumps definitely need intervention (no running away) When a patient presents to the clinic, with a testicular lump inside the sac, we recommend a scan. Subscribe to our Newsletter The most common type of these cancers in the testis are called ‘seminoma’s’ (not samosa’s:-)). That was a cheesy joke. I know As one would expect, the testicular lumps definitely need intervention (no running away) When a patient presents to the clinic, with a testicular lump inside the sac, we recommend a scan. Moreover, if its a testicular tumor (usually a seminoma) either the testis should be removed or chemotherapy is initiated. Consequently, the good news is testis cancers have excellent 5 year survival rates. The US preventive task force in fact does not even recommend routine screening for such cancers. All said and done, keep your mind cool and get the right treatment. You will do well. No worries. Period. Lastly, to conclude. If you do have a lump. Remember to definitely visit an andrologist and/or sexologist near you for a proper evaluation. Hope you found the info useful Keep watching this space for more. Cheers! References Lin K, Sharangpani R. Screening for testicular cancer: an evidence review for the US Preventive Services Task Force. Annals of Internal Medicine. 2010 Sep 21;153(6):396-9. Stonier T, Simson N, Challacombe B. Diagnosing testicular lumps in primary care. The Practitioner. 2017 Apr 1;261(1803):13-7. Related Blogs Recent Blogs Having more doubts? Consult with our doctor Consult with Dr. Shah Leave Your Comment Cancel Reply Logged in as Dr Shah Dupesh. Log out? Δ