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Category: Men’s Sexual Health

Bent Penis: When do you need a treatment?

Men’s Health Blogs Bent penis: When do you need a treatment? Unraveling the Mysteries of the Bent Penis Hey guys, welcome to Dr. Shah’s Clinic! In this snappy video & post, we’re diving into what’s commonly known as the bent penis. It’s a twisty tale, but don’t worry, we’ll straighten things out! Bent penises can mess with your head Understanding Penile Angle Deviation: When to Stay Calm If you’ve ever gazed downwards and noticed your little buddy leaning a bit to the right or left, don’t hit the panic button yet. A slight deviation in the range of about 5 to 20 degrees is pretty normal. Yes, it’s true (you heard that right) – not every penis can be a bloody straight arrow! In fact, in a large proportion of men, maybe even 60 to 70 percent, some degree of penile curvature is to be expected. 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 Curvature: The Bendy Norm in Men’s World Did you know that penile curvature is as common as finding a left-handed person in a crowd? In the grand spectrum of penises across the world, many lean left, right, up, or down, making each one uniquely different. This diversity is like having different types of cars; they all get you to your destination, just with a bit of individual flair. Moreover, this curvature doesn’t signal any health issue. As a practicing sexologist doctor in chennai this is a very common problem I see (day in and day out) It’s like having a preference for a different variety of tea – different, but totally normal. Tea is still tea. When Straight Isn’t the Only Way Interestingly, penile curvature can sometimes be advantageous. For some partners, a slight curve might even enhance pleasure, navigating the intimate geography like a skilled explorer. Think of it as having a special edition of a classic model; it has its unique features that makes the ride a bit more intriguing. A typical example would be that of a penis bent ever so slightly upward. These penises definitely manage to hit the women’s G-Zone When to Worry: Spotting Signs of Peyronie’s Disease However, if your penis takes a sharp turn – we’re talking about a 40-degree detour or more – it’s time to consider a pit stop at the doctor’s (sexologists) office. A dramatic curve (>40 degree) might signal Peyronie’s disease, and that’s a road you want to navigate with professional guidance. Navigating the Sharp Curves of Peyronie’s Peyronie’s Disease is like hitting a pothole on the road of sexual health. It can cause significant bending, pain, and sometimes erectile dysfunction. Imagine your penis deciding to mimic the Leaning Tower of Pisa – impressive but not quite right. This condition arises from fibrous scar tissue formation in the organ. Furthermore, peyronies leads to curved penis of a severe degree. Subscribe to our Newsletter The ‘Oh No’ of Extreme Bent Penis Severe curvature can make sex challenging or even painful, like trying to fit a square peg into a round hole. Pain during sex is also common. Furthermore, you and your partner both may experience significant pain. Men with severe curvature also suffer from erectile dysfunction. Consequently, your sex life will become largely sexless. Seeking immediate help is the way forward. A Doppler to the Rescue: Navigating the Bend If you’re dealing with a substantial curve, a penile Doppler ultrasound is like your GPS – it helps to figure out what’s going on under the hood. This test can reveal if Peyronie’s disease is changing your course (for worse) The Magic Wand of Penile Health:  Analyzing a Bent Penis The penile Doppler ultrasound is like waving a magic wand over your manhood. It uses sound waves to create a picture of what’s happening inside. It’s a non-invasive way to peek under the bonnet without any screws loose. This test will show if your penis is just taking a casual stroll down Curvy Lane or if there’s a more serious issue of Peyronie’s disease at play. Conclusion: Steering Clear of the Curves So, if your penis is slightly askew, chances are you’re just part of the majority. But if it’s taking a hard left or right, consult your andrologist. Remember, when it comes to your health, it’s better to be safe than sorry – or, in this case, straighter rather than curvier! Hope you found this article on bent penis as enlightening as it was amusing. Stay tuned for more from Dr. Shah’s Clinic – where we tackle the hard topics with a smile! Drop in your comments below References Penile curvature – ScienceDirect 2000_Hellstrom.pdf (dupuytrens.org) 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

Masturbation after Marriage: Should you do it?

Men’s Health Blogs Masturbation after marriage: Should you masturbate? or NOT? Masturbation after marriage is fairly common in men. Watch the video below for an in depth understanding of masturbating post marriage. Hey guys, in this blog post lets quickly try to understand the various headaches on sticking on to masturbation post marriage. This is an important article, do ensure you READ IT till the END. Now, Why do men continue to masturbate post marriage? Firstly, masturbation is fairly common sexual outlet behavior. Most men begin masturbating early in their teens and continue doing it till late adulthood. Moreover, since the behavior is highly rewarding, men who masturbate have to deal with 2 aspects of the behavior. Number 1: Masturbation is highly addicting & rewarding. Number 2: It’s also self-reinforcing. To further simplify things, You must understand that we tend to get hooked onto porn at a young age. Slowly most of us young boys start exploring our own genitals. Consequently, we gently start stroking or rubbing the penis and taking out semen. Eventually we engage in masturbation and the habit re-enforces over time. Some of us then learn to masturbate by rubbing the penis on the bed or pillow at a young age. This is called Prone masturbation. In parallel, other forms of masturbation like rubbing the penis over balloons (called as balloon masturbation) may also develop. Some of us also practice rubbing the organ between the thighs or on other surfaces. Eventually we tend to engage in different forms of masturbation at a tender age, without even understanding what exactly we are doing! Masturbation after marriage: A Behavior & Habit Little by little, our little teenage brain gets conditioned to masturbation. The newly formed habit of masturbation eventually sticks on till late adulthood. We enjoy and associate reward with masturbation. Moreover, the pressure that the hand gives seems more rewarding than the loose/expanding vagina of a women. Most men at this stage will use masturbation to even go to sleep and also as stress relief tool! (the miracle of masturbating over a long time regularly) Consequently, even after marriage, we spend more intimate time with our hands. Things eventually degenerate in the relationship. Since men who are on the masturbation spree will enjoy being intimate with their hand versus their partners (Who needs a vagina?  right?) 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 Masturbation & the brain The human brain can get easily conditioned to the pleasure & pressure given by the hand. Eventually, the man who masturbates, will not & cannot find his stable partner attractive. No matter how beautiful she may be… Furthermore, most of us men would have been at some point in life exposed to Western-European erotica/porn. Subscribe to our Newsletter The human brain while watching porn gets fooled into believing that ‘you are actually being selected by the women you seen naked on screen’. It’s a bad joke. The worst of them all. As the human brain (thereby the individual) keeps gets getting the feeling of being sexually validated & rewarded by masturbation, the habit keeps building. Furthermore, the individual will notice a sharp decrease in interest towards his wife/stable partner. There are 2 reasons for that. Number 1: Your stable partners as compared to what you see on screen won’t have the same waist hip ratio or sleek bodies/physical traits. Number 2: The porn fantasy & rich variety is something your partner can never give. They just cant compete with the porn stars. Your sexual fantasies will be un-realistic. But nothing can be done, since you have fed your brain a large shit load of visual stimulus. How on earth are you going to undo it? especially masturbation after marriage? Masturbation after marriage resembles eating a buffet meal everyday vs a healthy stable meal. Now, imagine yourself eating buffet meals every day. Variety upon variety of exotic food. Its rich tastes and colors. Its beauty… Porn is just that! Sexual intercourse is a form of consumption behavior. It’s basically body consumption behavior quite similar to food. Now, if I eat buffet meals every other day (i.e I fundamentally pick which porn to jack off to everyday)… Why on earth should I settle for the same booooring women (I dont have a choice at all!) Why would I be motivated to pursue intimacy with her? When I can get all the sexual variety on my screen. You cannot tell that the brain is wrong in this matter. Its just the way we are programmed. Masturbation in the long run However, in the long run, a little common sense must prevail. Eating large buffet meals everyday will ruin your health. You will end up fat with diabetes and a host of multi-organ syndromes. Having a stable partner is akin to eating a simple meal will not cause harm one bit at all. So what do you want in the end?? Is it a stable loving long term relationship? Build with intimacy over a 20/30 year time frame? Or is it a hoard of women who have only their bodies to show and sell? Think over it hard for a minute. You will get the point. This is Dr Shah, consultant sexologist in chennai. I hope you enjoyed this blog post on masturbation after marriage. Watch this space for more interesting reads. Drop in your comments below References A review of Freud’s early remarks on addiction : introduction from an ideal to masturbation (dbs.ie) Hopper_E._1995_._A_Psychoanalytical_Theory_Of_Drug_Addiction-libre.pdf (d1wqtxts1xzle7.cloudfront.net) Masturbation: Prevention& Treatment – ScienceDirect 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 Masturbation Before Sex Increase Sex Time?

A thoughtful young Indian man sitting on the edge of his bed in warm evening light, wondering whether masturbating before sex will help him last longer

Here’s the honest answer, straight away: masturbating before sex can make a second round last a little longer, because the refractory period after one climax blunts the next. But it does not truly increase your sex time. It is a crutch, not a cure, and for many men it trades a fast finish for a softer erection. I am an andrologist in Chennai, and in my clinic, I see this every week — usually from a man who has read a dozen forum threads telling him to “just finish once beforehand.” Let me explain what’s actually happening in your body, why the trick is unreliable, and what genuinely lengthens the time you last. Quick Facts Masturbating before sex can stretch the second round slightly — the refractory period dampens the next climax — but it does nothing for the fast reflex underneath. For many men the pre-emptive climax softens the second erection, swapping a quick finish for a weaker one. It is a workaround, not a treatment: it retrains nothing, so the moment you stop, the early finish returns. Premature ejaculation is defined by a short ejaculatory latency, poor control, and distress — and the ISSM names behavioural retraining, not pre-sex masturbation, as first-line care (Serefoglu, 2014; Althof, 2014). Real, lasting control comes from reconditioning the ejaculatory reflex — stop-start, the squeeze, pelvic-floor work — not from tiring it out first (Cooper, 2015; de Oliveira, 2026). Talk to Dr Shah Does masturbating before sex actually increase sex time? Partly, and only in a narrow way. After a man ejaculates, the body enters a refractory period — a recovery window in which arousal is lower and the next climax is harder to reach. So masturbating an hour or two before sex may make the next orgasm during intercourse arrive later. On paper, that looks like “lasting longer.” But notice what has actually changed. You have gained no control over your ejaculatory reflex — you have simply spent your first, sharpest climax alone and turned the real event into a duller second round. The fast trigger is still there; you have just muffled it for one occasion. That is why I tell my patients the gain is borrowed, not earned. What really decides how long sex lasts (IELT and the ejaculatory reflex) To fix a problem you have to name it correctly. The clinical measure of “how long sex lasts” is the intravaginal ejaculatory latency time (IELT) — the time from penetration to ejaculation. How short that time runs is governed by your ejaculatory reflex, a spinal reflex with a threshold that is set largely by serotonin signalling in the brain and cord (de Jong, 2006). Think of it as a sensitivity setting: a low threshold fires early, a higher one takes longer. premature ejaculation (PE) is the formal diagnosis when three things line up: a consistently short IELT (a minute or less in lifelong PE), the feeling that you cannot delay it, and real distress about it (Serefoglu, 2014). It comes in two forms — lifelong PE, present from the first sexual experiences, and acquired PE, which arrives later and is usually driven by performance anxiety, relationship strain, or erectile difficulty (McMahon, 2016). Masturbating beforehand does not touch any of this. It does not raise the serotonin set-point, it does not calm performance anxiety, and it does not retrain the reflex. It only hides the symptom for one round. Lifelong or acquired PE, and why the trick fits neither It is worth knowing which kind of early finish you have, because the right fix differs. Lifelong PE is present from your very first sexual experiences and runs on a naturally low ejaculatory threshold. Acquired PE arrives later, usually pushed by performance anxiety, relationship strain, or a weakening erection (McMahon, 2016). A 2025 lifespan analysis of men with lifelong PE examined exactly these questions — how the pattern shifts with age, foreplay, and even masturbation (Cote-Leger, 2025). The practical takeaway is blunt: neither subtype is treated by emptying the tank beforehand. Lifelong PE needs the threshold raised; acquired PE needs the anxiety and the erection addressed. A pre-sex climax does neither. Before you decide you finish “too fast”, it helps to know how long sex normally lasts for most couples — the honest average is only a few minutes, not the marathon the internet implies. The refractory period: why the second round runs slower The whole “trick” lives or dies on the refractory period, so it is worth understanding it properly. The refractory period blunts the next climax — but it usually softens the next erection too. When you climax, arousal drops sharply and the body shifts into recovery. During this window the ejaculatory reflex is harder to trigger — exactly why a second round can run longer. In younger men the window may be twenty minutes; in older men it can stretch to hours or a full day. This is normal physiology, not a defect. There is real biology under this. When you orgasm, a surge of the hormone prolactin follows, and it is thought to act as a feedback brake that sustains the refractory period, damping desire while the next climax stays out of reach (Haake, 2002). Dopamine, the drive chemical, dips at the same time. So the “trick” is really you borrowing a hormonal recovery state — not building any skill your body gets to keep. Here is the catch I see in my consulting room. That same recovery state that delays the second climax also weakens the second erection. Lower arousal means a less reliable erection — so the man who masturbated to “last longer” often ends up struggling to stay hard. He has bought a slower finish at the price of a softer one. For most, it is a poor trade. Relying on this trick to last longer? Talk to Dr Shah today. Book a Call Does masturbating before sex help premature ejaculation? The honest answer No — not as a treatment. When I search the

Low Testosterone Symptoms : 4 symptoms of low testosterone you must know

Men’s Health Blogs Low Testosterone Symptoms : 4 symptoms of low testosterone you must know Understanding the Signs: Common Symptoms of Low Testosterone In this quick blog post we are going to discuss on 4 to 5 common symptoms of low testosterone. Now remember testosterone is the male sex hormone and it has a variety of functions. Watch the video below Now when your testosterone goes low, men frequently notice a couple of symptoms. Watch the video below Demystifying Low Testosterone Symptoms As a full time practicing andrologist, & sexology doctor I’m here to provide you with an in-depth understanding of these signs and their implications. Testosterone, the primary male sex hormone, plays a pivotal role in several physiological functions. When its levels dip, men often experience specific symptoms that signal this hormonal imbalance. Let’s now delve into these symptoms to gain a comprehensive understanding. Symptom 1: Decreased Libido – Unveiling the Impact The first and foremost symptom of low testosterone is a notable decrease in libido (which is nothing but your sex drive or the damn urges you feel to mate with your better half). It’s crucial to understand how this affects individuals. Men with low testosterone may find themselves less inclined to initiate sex/sexual intercourse. Their overall desire for intimacy diminishes, leading to a decline in sexual thoughts and fewer intimate encounters. That is in general you may not approach your intimate partner for sexual intercourse. You probably will avoid intercourse and you will also not have a recurrent frequency of sexual thoughts running in your head and you will also notice that your overall desire This reduced libido can have a significant impact on both personal relationships and overall quality of your sexual life. So that’s one of the cardinal symptoms of low testosterone, sexual dis-interest. Symptom 2: Decreased Facial Hair Growth – Hair as a Hormonal Indicator Another potential symptom of low testosterone is an overall decrease in facial hair growth It’s not merely about aesthetics; the thickness and growth of facial hair are indirect indicators of your overall male sex hormone levels. Slow beard growth and a less substantial mustache are often seen clinically in men complaining of low libido & erectile dysfunction. Understanding this symptom can help individuals recognize potential hormonal imbalances and seek appropriate medical guidance, where relevant. The thickness of your hair is more important. Thick hair, thick facial hair, underarm hair, the hair in the chest region, hair in the pubic region are all markers of a man’s fertility because it indicates that the testosterone in the system is probably optimally functioning. So, that’s the second symptom of low testosterone 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 Symptom 3: Decrease in Organ Size – A Sensitive Issue Testosterone significantly influences penile tissue, making it a vital factor in organ size. More importantly, the penile tissue is sensitive to your testosterone levels. So if you notice that your penis size is very small, you may have low testosterone. Secondly another concerning symptom of low testosterone is a very small organ in relation to an individual’s age (you can have the organ size of a 10 year old when you are 20 years of age?! right?). This can lead to serious concerns about sexual function and your overall self-esteem. Another point to consider is the size of the testicle. A reduction in testicular size may indicate not only low testosterone but also the possibility of hypogonadotropic hypogonadism, a condition that merits further investigation. In these men, the testis is also very small and shrunk, it may indicate that your testosterone is not functioning. Put in other words, it just means that all your reproductive systems are probably shut down and they are not producing FSH and/or LH as well as testosterone, genetic causes have to be ruled out. A combination of = Small Penis size + Small Testis Size + Decreased hair growth = Definite diagnosis of Low testosterone Subscribe to our Newsletter Symptom 4: Erectile Function – A Key Indicator Erectile function is another vital aspect of men’s sexual health influenced by testosterone. Men with low testosterone may experience difficulties in achieving and sustaining erections (so these men frequently have erectile dysfunction) This can have profound implications for sexual satisfaction and overall perceived well being. Recognizing changes in erectile function is crucial for addressing potential hormonal issues and seeking timely intervention as and when required. Conclusion: Empowering Knowledge In conclusion, recognizing these symptoms of low testosterone is the first step toward addressing potential hormonal imbalances. If you or someone you know experiences any of these signs, seeking medical guidance for a comprehensive evaluation is advisable. Understanding these bodily signals and/or empowers individuals to take charge of their health and well-being. Closing Remarks: Join the Dialogue We trust that this extended exploration of the symptoms of low testosterone has provided you with valuable insights. Feel free to engage with us by liking, commenting, and subscribing to our blog. If you have questions or require further information, please don’t hesitate to leave your comments below. For personalized guidance, you can also reach out to us directly through our clinic’s contact number. Your health and well-being remain our top priority. Thank you for your attention, and we look forward to addressing your valuable comments and questions in future discussions. This is Dr. Shah, signing off for now. Welcome. References Antonio L, Wu FC, O’Neill TW, Pye SR, Ahern TB, Laurent MR, Huhtaniemi IT, Lean ME, Keevil BG, Rastrelli G, Forti G. Low free testosterone is associated with hypogonadal signs and symptoms in men with normal total testosterone. The Journal of Clinical Endocrinology & Metabolism. 2016 Jul 1;101(7):2647-57. Rastrelli G, Corona G, Maggi M. Both comorbidity burden and low testosterone can explain symptoms and signs of testosterone deficiency in men consulting for sexual dysfunction. Asian journal of andrology. 2020 May;22(3):265. Related Blogs Recent Blogs