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

Men’s Health Blogs How to increase sperm quality? without resorting to expensive fertility treatments This post is bloody damn important. Most men ponder over ‘how to improve sperm quality’. The one big hurdle men face with such treatments is time. Most treatments aimed at increasing sperm quality require lots & lots of time. However, with fertility treatments, time is our biggest enemy. Late marriage, broken marriages & remarriages all seem to account for the increased social pressure faced by couples. Moreover, fertility treatments are definitely getting expensive year on year. A single IVF cycle can cost upwards of 3.5 lakh. Consequently, its important to stress that simple treatments to improve sperm count and sperm motility is need of the hour. What determines the Sperm Quality? A simple thing to bear in mind is that, sperm quality depends on its DNA. The sperm DNA is compacted into the sperm’s head. 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 Consequently, the sperms DNA can be easily damaged. Unhealthy lifestyle factors, lack of physical activity, disturbed sleep, smoking, alcohol & poor diet are among the numerous factors that can cause sperm damage. Furthermore, DNA damage can cause an increased risk of miscarriage after a pregnancy. Moreover, increased sperm DNA damage is strongly associated with a delay in achieving a pregnancy. Subscribe to our Newsletter Not just that, hormonal factors, genetic conditions, numerous medical illnesses and surgery also impacts sperm DNA Consequently, our job is to reduce sperm DNA damage and thereby increase overall sperm quality. How to increase sperm quality? Here are 5 simple things you can do right now. Tip 1: Walk Keep walking. Target at least 10,000 steps in a single day. When you hit 10,000 steps per day, eventually your testosterone increases. Give at least 8 weeks of consistent effort to see an increase in sperm quality. Tip 2: Frequent Sex Frequent sexual intercourse for improving sperm quality works like magic. Why? Firstly, with frequent sex, newly produced sperm are not stored for long. They are frequently deposited in female vagina. Furthermore, frequent sex simply improves the chances of the sperm meeting the egg. Since pregnancy rates improve when you have sex 3 times/week continuously versus 1 or 2 times/week Secondly, stored sperm end up getting their DNA damaged. Once again since sperm quality is dependent on DNA quality, its best to engage in frequent sex. Simple and fun right? Tip 3: Drink Juices How to improve sperm quality with diet? Take juices. Simple and sweet too. Some juices that help improve sperm quality include, juices like Orange Juice Lime & Lemon Juice Pomegranate Juice Lastly Apple +Carrot + Beetroot Juice Tip 4: Letrozole In men facing abnormal semen parameters and associated hormonal deficits, we have frequently found that Letrozole works. However, a thorough evaluation of a man’s hormones is a must before starting treatment. Remember to visit an andrologist or sexologist near you for a proper evaluation! Letrozole when given in the right dose improves semen parameters. However, proper blood tests are necessary before a prescription can be made Tip 5: Lyon Bean Extract Another medication we recommend to patients is the velvet bean extract. It helps tremendously. Recommended dose is about 500 mg/day. Numerous scientific studies and publications have suggested a possible benefit of taking this molecule. Since its ayurvedic, its long term use is safe and devoid of side effects. Lyon bean extract improves sperm DNA, sperm motility, morphology by increasing FSH, LH & Testosterone. Thats about it. I hope you found this post useful. Drop in your comments & doubts below & do share this post with all your friends and loved ones. References Sperm DNA fragmentation: mechanisms of origin, impact on reproductive outcome, and analysis – ScienceDirect Circulating sex hormone levels in relation to male sperm quality | BMC Urology (springer.com) article-p231.pdf (sciendo.com) The Magic Velvet Bean of Mucuna pruriens – 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

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

Men’s Health Blogs Does Masturbation before sex ? increase sex time ? Introduction This discussion explores a common question: Can masturbation before sex increase sex time? We’re particularly interested in whether this practice can treat premature ejaculation, a relevant issue for over 40% of men. Premature Ejaculation: A Widespread Issue Premature ejaculation affects about 40% of men at some point in life. It involves ejaculating within a minute, often leading to stress and strained relationships. The Impact of Premature Ejaculation Men with this condition often endure ongoing emotional and psychological stress. It affects not just sexual health but mental well-being and relationships too. Their partners may feel dissatisfied, adding tension to relationships. This dissatisfaction can lead to avoidance of sexual activities, worsening the problem. 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 Does masturbation before sex increase sex time? This approach suggests that ejaculating beforehand might reduce arousal and penis sensitivity during sex, potentially delaying ejaculation. However, its effectiveness varies based on individual factors like psychological state and health. Considerations and Cautions Relying too much on this method might cause psychological dependence on masturbation. This can lead to excessive masturbation without a limit. Ultimately leading to masturbation addiction. Remember, it’s one of many options and doesn’t replace medical advice. Men with ongoing issues should seek professional help. Practical Application Try masturbating and ejaculating either the day before or the morning of planned intercourse. The aim is to reduce, not eliminate, desire and sensitivity. Balance is key, and discussing this method with your partner is crucial for mutual understanding and support. Subscribe to our Newsletter Can masturbation before sex treat premature ejaculation? So, we briefly answered the question ‘can masturbation before sex increase sex time’. However, can masturbation before sex treat premature ejaculation? The answer depends on the extent and severity of the disease condition. Some patients respond and notice an improvement in ejaculation time. However, some patients notice persistent early ejaculation. Its best to consult a sexologist for the right treatment advice. Conclusion Treating premature ejaculation involves a comprehensive approach. Masturbating before sex is one option, but combining it with therapy, pelvic exercises, or specialist consultations often works better. A tailored approach is always best. References Subjectively Measured Ejaculation Latency Time and Its Association with Different Sexual Activities While Controlling for Age and Relationship Length | The Journal of Sexual Medicine | Oxford Academic (oup.com) The Role of Masturbation in Marital and Sexual Satisfaction: A Comparative Study of Female Masturbators and Nonmasturbators: Journal of Sex Education and Therapy: Vol 17, No 4 (tandfonline.com) 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

Men’s Health Blogs Does Masturbation Reduce Testosterone? So, does masturbation actually reduce testosterone? Now in this blog post, we’re going to answer this question, does masturbation reduce your testosterone? You can also watch the video below This is a very important topic. So stay sharp and focused on the what i am going to reveal. I know most of you have this doubt. You want to know the actual answer to this question with scientific validation. Now remember, when you look at visual erotica,that is you look at appealing women on a screen, you look at models on the screen, you look at anything that’s even remotely sexual on the screen, what’s going to happen first is in your bloodstream is that testosterone is going to go up. It’s going to spike. So studies have found that if you take a group of men and show them visual erotica, that is you show them sex videos or you show them single women who are engaging in self-stimulatory sexual behavior, single women masturbating basically or you look at couples having sex on the screen and before even you actually start masturbating, testosterone and your sex steroids basically go up by about 36%. 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 What happens to you during masturbation? So what basically happens here is when we look at sexual material on the screen, you’re going to feel a sense of desire, you’re going to feel aroused, physiologically aroused and you will want to engage in sexual out put behavior. To elaborate, either you will masturbate or you will go and try having sex with your partner. Some of you may engage in casual sex due to your native motivation from your desire or have sex with your stable partner. You are going to vent out or purge your system of your desire You’re going to do it, as simple as that, right? Or you’re going to be the kind of guy who believes in a no fap technique, you’re not going to do it. So whatever your sexual outlet behavior may be, depending on you as an individual, that’s going to happen. Subscribe to our Newsletter Now how does masturbation reduce testosterone? Now the answer is quite simple because what studies have found is that just before masturbation, testosterone rises (especially while looking at porn on the screen) and during the actual masturbatory behavior, again testosterone rises moreover post masturbation also testosterone rises. Does masturbation reduce testosterone? No, it doesn’t directly reduce testosterone. The most important point to understand here is that after masturbation once semen is thrown out, not only testosterone rises, insulin, cortisol, adrenaline, which are basically stress hormones rises, Specifically adrenaline rises and so does cortisol, which are both stress hormones. Furthermore, serotonin and prolactin, which are sedating by nature, which will help you feel a sense of satisfaction also rises in the brain. And that’s why after masturbation, many men notice that they feel a bit tired, they feel a bit low, they are satisfied and they do not want to engage into another bout of sexual intercourse, be it solo or with a partner. So men go into what’s called as a refractory period. So what happens here is that when you do excessive masturbation? When you masturbate daily and if masturbation is uncontrolled, you’re always going to be in the refractory period. Why? Because in your brain, serotonin and prolactin is going to be high and even though testosterone increases even after masturbation, after ejaculation, your insulin, cortisol and other stress hormones go up, so you’re going to feel stressed, you’re going to feel tired, you’re not going to feel fresh and energetic or you’re not going to technically feel that good. And what’s very interesting here is that many men have what’s called as semen loss anxiety syndrome, also called as DHAT syndrome. Especially, this is a culture bound condition where excessive masturbation, especially seen in Indian men, feel that once the semen is lost from their body, they feel very tired, they feel weak, they feel depressed, they feel a shrinkage in the organ size, they have erectile dysfunction with their stable partners. So all this is there. So should masturbation be technically encouraged? No. Even though it increases your testosterone and doesn’t reduce your testosterone, don’t do it. Why? Logically again, let me reinforce what I’m telling. It increases cortisol, it increases adrenaline, it increases the stress hormone levels in your blood and there arestudies for this. And I hope you enjoyed this video. So I hope you got something of valueto take back. So just avoid masturbation. Stop looking at pornographic content. Avoid the habit of masturbation. It’s just not going to work. Hope you liked the video. Put in your comments below. Ask all your questions down below in the comments. I’ll try my best to answer each and every comment. I’ll see you soon with another video. This is Dr. Shah, andrologist & sexologist in chennai signing off for now. References https://www.frontiersin.org/ articles/10.3389/fendo.2013. 00159/full 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

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

Men’s Health Blogs Penis Size to get Pregnant? Does the size of the penis matter? In this video and post we are going to discuss on the penis size to get pregnant. So what’s very important to understand here is that many men associate the size of their organ with their masculinity as well as a sense of power. https://www.youtube.com/watch?v=68eZDWdi4M8 Penis size to get pregnant. How important is your penis size? So, men with larger penis size are more comfortable overall with their self perceived body image. Moreover, they are more confident and in general their sexual satisfaction for these men as perceived by men themselves is usually higher. Over 55% of men find their penis size and overall size of their organ to be very very small and satisfaction from a sexual health view point is also low. Furthermore some of these men become so paranoid and traumatized that they completely even avoid sexual intercourse with their intimate partners (wives or girlfriends). In still worser scenaros, these men get so depressed that eventually clinical depression along with  erectile  dysfunction develops! This has resulted in a large number of men actually seeking penis size enhancing surgeries which in recent times has come under criticism from the American Urological Association stating that the penis size increase in surgeries are largely risky by nature itself. 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 is the mean average penis size? Now, Initial studies from the Kinsey Institute of Sexual Health estimated penis size. These studies, conducted around 1984, involved 2,000 to 3,000 men who self-reported their measurements. On average, they reported an erect penis length of approximately 16.77 cm But in more recent times with more data that’s more widely available we now know that the mean average penis size is anywhere from about 5 inches to 5.5 inches. Now if you have a penis size that is anywhere more than 4 inches or anywhere more than 3.5 inches in terms of erect length then that is more than adequate for pregnancy. There are two particular clinical conditions where the penis size may be insufficient with respect to pregnancy. The first is Subscribe to our Newsletter Buried Penis In some cases, the penis is buried, resulting in a size of less than 3 cm or 4 cm. This occurs in men who are morbidly obese, those with Klinefelter’s syndrome, and patients with hypogonadotropic hypogonadism So here getting pregnant is going to be hard for these men. I mean helping their partner achieve pregnancy is going to be hard. We also encounter an issue with penis size in a condition known as micropenis, which involves an exceptionally small penis To elaborate in these men they are born with a small organ, often less than 3 cm or 2.5 cm in length, due to a developmental issue. To understand this better, we perform a detailed physical examination to rule out genetic conditions Furthermore in both small penis and buried penis and/or micropenis are all issues where achieving a pregnancy can be a challenge. For a large number of men however, 55-60% of men whose penis size is usually normal, they themselves perceive that their size is problematic. This is called as small penis syndrome. Here the penis is NOT truly small. So in these instances, visiting an andrologist near you or a sexologist near you, getting a proper estimate of your penis size may be very very helpful in alleviating those doubts. And That’s about it!. I hope you enjoyed this video on penis size, what is the penis size required to get pregnant. I’ll be coming up with many more videos. Please like, comment and subscribe and do share this video with all your friends and loved ones. This is Dr. Shah. Welcome and namaste. Thank you. References Jamison PL, Gebhard PH. Penis size increase between flaccid and erect states: An analysis of the Kinsey data. Journal of sex research. 1988 Jan 1;24(1):177-83. Dillon BE, Chama NB, Honig SC. Penile size and penile enlargement surgery: a review. International journal of impotence research. 2008 Nov;20(6):519-29. Wiygul J, Palmer LS. Micropenis. The Scientific World Journal. 2011 Jul 28;11:1462-9. Related Blogs Recent Blogs Having more doubts? Consult with our doctor Consult with Dr. Shah Comment (2) 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 hpf pus cells present in semen and liquification time is >90 min and viscosity has increased. Overall results says NORMOZOOSPERMIA WITH GENITAL TRACT INFECTION WITH INCREASED VISCOSITY. Do i require treatment? Reply Dr Shah Dupesh says: January 24, 2024 at 3:52 pm Edit Please call me on 9790783856 Reply Will says: September 12, 2023 at 7:34 am Edit Hi, for the past few weeks there has been semen or prostate fluid in my urine almost every night. This is not from retrograde, neither from medication. This is really draining my energy. How can I

Men’s Health Blogs Why is there blood in my sperm ? Hematospermia explained Why is there blood in my sperm? In this informative video and post, we aim to address a commonly asked question: Why do some individuals notice blood in their semen? Why is there blood in my sperm? https://www.youtube.com/watch?v=4KJp4dCaoyw Join me as we explore the details of this phenomenon, its causes, and when to seek medical attention. Unveiling Hematospermia: Definition and Diagnosis Hematospermia, also known as blood in semen, is a clinical condition that prompts concern among patients. It refers to the presence of blood in semen or blood mingling with sperm upon ejaculation. Various underlying conditions warrant testing and evaluation to accurately diagnose hematospermia. To understand why there is blood in my sperm, an accurate knowledge of the conditions is necessary. Underlying Conditions and Differential Diagnosis When diagnosing hematospermia, we must rule out several conditions, including sexually transmitted infections such as chlamydia and gonorrhea. Additionally, we must assess you for prostatic abscess, prostatic cysts, renal and liver abnormalities, as well as bleeding disorders. As a sexologist, sti testing is particularly more important. These evaluations are essential, as these conditions often correlate with hematospermia (blood in semen). Why is there blood in my sperm? (Hematospermia: the Impact of Age) Is the presence of blood in semen a cause for alarm? For any normal human being, it is! It’s traumatizing to see blood mixed with sperm. Why is there blood in my sperm However, the scientific answer is different. The answer varies with age. For individuals under 40 years old, observing blood in semen on one or two occasions is usually considered benign. While comprehensive testing and ultrasounds are advisable, there’s typically no need for major investigations. This transient occurrence is likely to resolve on its own. Blood in semen frequently goes away on its own over a median period of 6 months to 8 months in young men under 40. 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 I am over 40, should I be worried when I see blood in my semen? However, for those over 40 years old, with a family history of prostate cancer, the presence of blood in semen demands more attention. In such cases, prostate malignancy must be definitively ruled out. Why is there blood in my sperm Endorectal MRI emerges as the gold standard for identifying the source of bleeding within the male reproductive tract. It’s a crucial step in assessing potential prostate cancer. To conclude if you are over 40, never ever ignore blood in semen and definitely get a check-up done with your andrologist. Subscribe to our Newsletter Key Takeaways: Understanding Hematospermia In summary, the significance of blood in semen varies with age and frequency. Individuals under 40 experiencing isolated incidents need not overly worry, as it commonly resolves. Yet, those above 40, especially with prostate cancer risk factors, should pursue thorough investigations to exclude malignancy. Conclusion: Empowering Informed Choices I hope this video has provided insights into hematospermia, assuaging any alarm you might feel upon observing blood in your semen. Remember, you’re welcome to seek clarification or share your doubts in the comments below. Feel free to like, subscribe, and share this video with those seeking clarity on this topic ‘why is there blood in my sperm’. This is Dr. Shah, signing off with best wishes and healthful regards. References Stefanovic KB, Gregg PC, Soung M. Evaluation and treatment of hematospermia. American family physician. 2009 Dec 15;80(12):1421-7. Leocádio DE, Stein BS. Hematospermia: etiological and management considerations. International urology and nephrology. 2009 Mar;41:77-83. 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

Men’s Health Blogs When you ejaculate how much sperm comes out? In this video and post, the question we are going to answer is, when you ejaculate, how many sperms are actually released? More specifically when you ejaculate how much sperm come out? Now many people have a common doubt that when ejaculation happens, are the sperms being properly deposited in the vagina? Understanding the intricacies of this process is crucial, especially for those curious about sperm deposit and conception probabilities. So, let’s delve into the science behind ejaculation and its implications for fertility. How many sperms are going to be deposited in the vagina? To understand this, you must understand the physiology of ejaculation. So when ejaculation happens, the important point to know here is that the first few drops of semen contains the sperm rich fraction. That means the first one or two drops of the semen contain most of the spermatozoa, representing a significant proportion. So that means ejaculation should happen in the vagina strictly and you cannot partially ejaculate outside and then have a partial ejaculation inside. Furthermore, following penetration of your partner or loved one, it’s essential to ensure that you withdraw the organ only after complete ejaculation has occurred Why?? Because during the process of ejaculation, when you have an orgasm, the first one or two drops of the semen contains the sperm rich fraction, SRF. Termed SRF, the sperm-rich fraction essentially indicates that those drops contain the highest number of spermatozoa. And it’s very interesting because when patients collect a sample in a sperm testing laboratory, normally when we see a report, if we notice low semen volume, if we notice a low count,we ask the patient, did the patient spill the first 2-3 drops of the semen on the floor at the time of collecting the sample? As a result, if the answer to the question is yes, we conclude that the report indicates a low semen volume. Given that a significant portion of motile sperm is lost in the spilled drops of semen, the low sperm count report could be inaccurate.. Thus, what’s important to understand here is that the first couple of drops of the semen contains the highest fraction of motile spermatozoa. 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 Some patients also have the question that after I withdraw the organ, I see the semen back flowing. So, when you ejaculate how much sperm comes out? That’s completely fine.  Remember when you ejaculate intra-vaginally, as early as 2-3 minutes after ejaculation, the spermatozoa are going to rapidly swim up and reach the Fallopian tube. What happens after about 10 minutes of ejaculation is that basically the semen is going to liquefy. The liquefaction time is where the coagulated thick semen becomes watery and it becomes thin and watery. So because it becomes liquefied, that is because it loses its viscosity or it becomes liquefied by nature, what’s going to happen? It will flow back down the vaginal canal, and this back flow of semen is termed “effluem-seminis.” That is a physiological process, 99-100% of couples will note that after ejaculation, in 5-7 minutes, semen back flows. The Crucial Initial Phase (Where semen = Gold). When you ejaculate how much sperm comes out? However, the pivotal factor remains the initial phase of ejaculation—specifically, during orgasm. Proper deposition of the first portion of ejaculate into the vagina significantly heightens the chances of pregnancy. The rapid expulsion of the initial 2-3 drops during a man’s orgasm holds particular importance. The depositing these drops in the vagina significantly increases the likelihood of pregnancy. Subscribe to our Newsletter This is more so if the woman is close to her ovulation period or the ovulation window. So I hope you found this video useful and informative and please like, comment and subscribe. Here is  one more bonus point here for you is that when you ejaculate, how many sperms actually comes out? That’s not the right question because in fundamental you need to know what is your sperm concentration per ml. The normal sperm concentration per ml can range anywhere from 13 million per ml to 16 million per ml. I hope this answers the question with some clarity. Please like, comment and subscribe and share this video with all your friends. This is Dr. Shah, consultant andrologist and sexology doctor in chennai I’ll see you back with another video. Bye for now. I hope you enjoyed reading this article on ‘when you ejaculate how much sperm comes out’ References King R, Dempsey M, Valentine KA. Measuring sperm backflow following female orgasm: a new method. Socioaffective Neuroscience & Psychology. 2016 Jan 1;6(1):31927. Doyle JB. The Cervical Spoon: A New Method of Semen Sampling and Assaying Spermigration; a Preliminary Report. The Journal of Urology. 1948 Dec;60(6):986-9. 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

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

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

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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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

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

Men’s Health Blogs Can i use saliva as lube? 2 Facts on using saliva as lube Welcome to Dr Shahs Clinic, in this quick video we are going to answer the question ‘Can i use saliva as lube?’. We will explore the magic of combining sex with saliva (we will see how magical it is!). Jokes apart let move on to the more serious stuff. Doc, can i use saliva as lube?, this is probably the single most common question I get. Its not surprising. An estimated 40% of couples use lubricants (saliva, KY jelly) or otherwise some ridiculous flower scented concoctions. Don’t get me wrong though. Using lubes definitely adds to pleasure for most couples. I mean people use saliva while masturbating, partnered sex, mutual masturbation and what not? Lubes of various varieties are also put into the mix. Moreover, saliva as lube is utilized in men with erectile dysfunction and in women with vaginal dryness However, there are some instances where you probably do not want to use saliva as lube. The best instance being ‘when trying for a child’. Saliva can basically give your sperms a knock-out punch. Studies done as early as the 1980’s have shown that saliva reduces sperm motility by 50% within just 5 mins of exposure. Not just that, by 15 mins of coming in contact with saliva, the sperm motility basically drops to zero. This is because saliva contains numerous substances that can technically ‘kamikaze’ your sperm. So, unless you are planning to use saliva as contraception method (not the best of course) you are probably better off not using saliva a lube when trying to conceive. Moreover, their are few more studies with some interesting observations. 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 Can saliva kill sperm? Oh yeah. Saliva is a sperm terminator In a few other studies, under the light microscope, scientist’s tried placing drops of sperm and drops of saliva beside one another. What did they find? Here again, sperm motility fell withing 5 mins of exposure and in about 15 mins the total sperm motility dropped to ‘0’. Interestingly, the sperms exhibited a kind of ‘shaking movement’ when exposed to saliva (sperms can get scared as well, have some mercy) Moreover, from the context of sexual hygiene, things get a bit more serious. Say….you are single and in a ‘not so committed’ relationship (in other words you do not know if you are going to marry the person), in these specific scenarios, you better watch out for STD’s And boy oh boy, saliva does transmit STI (sexually transmitted infections). In fact saliva can transmit a variety of sexually transmitted infections. Some common infections that can spread to your partner via saliva include 1. Herpes Simplex Virus leading to genital warts 2. Gonorrhea (by kissing and oro-genital sex) 3. Chlamydia (again by oral-penile sex) Subscribe to our Newsletter A beautiful study conducted in Australia called the HIM study has shown clearly that both Gonorrhea and Chlamydia can transmit through saliva. On an average, upon stimulation, via kissing and during oro-genital sex, saliva production in a man can reach 4-5 ml per minute (similar to that of eating food or chewing) thus aiding transmission of std’s. So should you use saliva as lube during sex? Well be careful and be damn cautious. The last thing you want is to end up with a damn STD. Trust me, it takes you out. Most importantly, I am sure you do not want your partner to end up with genital ulcers or lesions post sex. is a bit unfair right? So, exercise caution and avoid using saliva as lube. Should you definitely need to use a lube, use K-Y jelly or coconut oil as lube (more so when fertility is not a goal). I hope you found this blog post on ‘can i use saliva as lube’ informative. Please do ask your questions below. This is Dr Shah, Consultant Andrologist and Sexologist. I will see you soon with another interesting post References Chow EP, Fairley CK. The role of saliva in gonorrhoea and chlamydia transmission to extragenital sites among men who have sex with men: new insights into transmission. Journal of the International AIDS Society. 2019 Aug;22:e25354. Templeton DJ, Jin F, McNally LP, Imrie JC, Prestage GP, Donovan B, Cunningham PH, Kaldor JM, Kippax S, Grulich AE. Prevalence, incidence and risk factors for pharyngeal gonorrhoea in a community-based HIV-negative cohort of homosexual men in Sydney, Australia. Sexually transmitted infections. 2010 Apr 1;86(2):90-6. Tulandi T, Plouffe Jr L, McInnes RA. Effect of saliva on sperm motility and activity. Fertility and sterility. 1982 Dec 1;38(6):721-3. 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

Men’s Health Blogs Does Masturbation Cause Erection Problems? A very common question I keep getting from my patients as a sexologist is ‘does masturbation cause erection problems?’ Doctor, does masturbation cause sexual disorders?. I mean, doc, how many times can we masturbate in day? Is their a male masturbation limit?. Fortunate are those who seek the truth in everything one hears and speaks. While this is NOT my saying, Its something, you must remember when you are actively googling about masturbation. Today their is a shit load of inaccurate, non-scientific and invalidated information on masturbation. So very sad indeed. Today many professionals and self-proclaimed sexperts are claiming masturbation to be a very normal part of human development. These andrologist and sexologists are in-fact recommending to do masturbation DAILY. Even 5 times/day is these days being sanctified as normal. Some experts go so far to say to state that regular masturbation even reduces prostate cancer. Crap! Crap and double crap. So does masturbation cause more harm than good? Is it really recommended to masturbate regularly? What is the truth?. Today a range of studies have explored and are exploring the link between masturbatory practices and erectile dysfunction 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 Does masturbation cause sexual disorders? Does masturbation cause erection problems? The answer is YES, it does. Masturbation has been linked with a range of sexual disorders. They are 1. Erectile Dysfunction 2. Premature Ejaculation 3. And Retarded Ejaculation In a study by Lipsith et al, a beautiful publication that I would encourage you to read, the authors have given a proposed framework on exactly how masturbation leads to the development of erectile dysfunction. A normal adult goes to 3 important phases of sexual development. During the 1st phase or years near to puberty, young adults explore their genitals, masturbate and watch erotica (porn). In the stage 2, as the young adult gets older, he gets involved with women and eventually explores partnered sex. But, the catch is that, masturbation is still very much a part of his sexual outlets. Consequently, in stage 2 their is both masturbation + heterosexual sexual exposure. Lastly, in stage of sexual development, should things go normally for men, their is the establishment of stable sexual relationship with partners. Masturbatory behavior slowly reduces in frequency. However, in a small proportion of men ‘masturbation fixation’ occurs.  Once the masturbation fixation establishes itself, the man will get so addicted to porn and sexual content, so much so that, he will not be able to get any arousal with his stable partner or married partner….ever. Eventually, these men develop erectile dysfunction of a psychogenic nature. They can never let go of the ‘habit of masturbation’. So, does masturbation cause erectile dysfunction? it does. Men who can let go of the masturbatory practices at an appropriate age, end up developing erectile disorder and other sexual disorders with their stable partners. Subscribe to our Newsletter Interestingly, these men will maintain good erectile function in isolation with porn. Why? This is because their no female partner to judge these men while they silently jerk-off to a ‘harem of women’ on screen. The visual erotica that porn provides is damn bloody exciting. It also discreet and you get variety. I mean who seriously wants f#$k the same women over and over again? When you get so many women naked on screen, that is exactly what your inner-brain (reptilian part of it) craves for. The saddest thing, these men can never have sexual intercourse with their partners. They eventually suffer in silence for years and also end up with multiple broken relationships. To conclude, masturbation is like a walking stick You must know when to give it up or at-least reduce the frequency of it. I hope you enjoyed reading this short post on ‘does masturbation cause erection problems’?. Keep watching this space for more. This is Dr Shah consultant andrologist and sexologist in chennai. See you soon on the next post References Lipsith J, McCann D, Goldmeier D. Male psychogenic sexual dysfunction: The role of masturbation. Sexual and Relationship Therapy. 2003 Nov 1;18(4):447-71. 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

Men’s Health Blogs Does Masturbation cause Infertility? Masturbation, masturbation and masturbation. Seems like everyone is hooked on it. This is Dr Shah, consultant andrologist in chennai, and in this short blog post lets answer the question if ‘does masturbation cause infertility?’ Many young men, engage in masturbatory behavior. Not just that, these days, across the media and even the scientific community, the habit of masturbation is being now accepted as a normal part of adult sexual development. Moreover, it is extremely saddening to see, many professionals in the filed encourage the practice of masturbation among young adults. How on earth do you think it’s okay to masturbate 2 or 3 times per day?. Sadly today, these are things that are encouraged Furthermore, lets not forget the advent of pornography that basically made us men ‘ejaculate on computers or mobile screens’ Yuk, yuk, yuk However, the biggest issue we tend to miss is that, once the man gets addicted to porn and nude women on screens, he is in ‘wonderland’. And wonderland is a fun place to be in. Thing about it? Sounds motivating, right?. Secondly wonderland is a place no man wants to leave ever. Thus the vicious cycle of porn addiction begins, he starts ignoring his stable married partner and engages with ‘sex on screen’. Hell yeah. Eventually, the man will not get desire or even any mood from his partner and will avoid intercourse. Consequently, the avoidance of intercourse with his stable partner leads to infertility. 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 Thus, does masturbation cause infertility? Of course it does, but not in the manner most men think so. From a neurological perspective, the visual erotica and visual inputs that porn gives to the man is something, his boring wife can never ever give. This is what maintains the cycle of addiction. With masturbation, the biggest advantage is that, you have no one (I meant no partner) to judge you in anyway. You get an ‘awesome harem of women to fuck with all in myriad ways’ right on your screen. Think for a moment, what tastes better? Is it dosa or idli? Or is it a full fat buffet breakfast with muffins, french fries combined with sausages. The answer is obvious, its the buffet. We tend to pick that which grabs our attention (anytime and all the time). That is what masturbation ultimately does to men. It makes them dependent and addicted to a fantasy land. Subscribe to our Newsletter Masturbation addiction is a genuine pesky problem that ultimately leads to infertility. Another area where masturbation can cause infertility is by a special style of masturbation called ‘prone masturbation‘. Men who engage in this practice are called “Prone Masturbators” (like terminators). Dumb-ass jokes apart, this habit develops in individuals close to the time of puberty, where the child starts exploring his genitals (fiddling with them) and eventually rubbing them on the bed, pillows and achieving their orgasm with of course ejaculation. Furthermore, the practice of rubbing the organ, in the toilet seat, sink and bathroom floor gives the ‘prone masturbator’ the necessary friction and pleasure to achieve an orgasm. Consequently, men who eventually get addicted to the habit of prone masturbation, develop erectile dysfunction when they are trying sex with their partners. The net result? Infertility again! To conclude, I hope you enjoyed this short blog post on ‘does masturbation cause infertility’. Keep watching this space and stop watching PORN and avoid masturbation at all costs. In the end, its not worth it (and definitely not worth losing your marriage over masturbation addiction). This is Dr Shah, consultant sexologist in chennai. Catch up with you soon References Pottinger AM, Carroll K, Mason G. Male attitude towards masturbating: an impediment to infertility evaluation and sperm parameters. Andrologia. 2016 Sep;48(7):774-8. 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

Men’s Health Blogs Prone Masturbation – Why it’s the ONE thing you must avoid? Its ill effects and why you should abstain from it? Vanakkam, Namaste and welcome to Dr Shahs Clinic, in this short post we are going to briefly discuss on prone masturbation and why you should avoid doing prone masturbation. As a practicing andrologist in chennai, I see on an average at-least 1 person/day who is addicted to prone masturbation. Its saddening to see that this specific behavior being wide spread, since it wrecks havoc on both the mind and body. You can also watch the video below, if you feel a bit down. Watch it till the end of course Now, an important point to bear here in your mind is how this process of prone masturbation develops and why do individuals basically rub their organ in the bed or rub their penis on the floor? and why do they get desire out of it?. Why does it happen & how?, that’s what we’re going to see in this blog and why should you avoid doing it at all costs?, is something we’re going to address here as well. So, prone masturbation actually develops when the man or boy or the guy is very young, like somewhere around 13 to 15 years of age when the individual enters puberty. Basically, the individual has wet dreams or sexual dreams and is exposed to sexual materials in peer groups or other sexual content. Consequently, what happens is in the night is that when he is sleeping or when he is half drowsy or half sleepy, the individual basically rubs their organ on the pillow or on the bed sheet or on the mattress and usually they have/achieve their 1st ejaculation. So, eventually with the ejaculation, there is a trigger of desire that happens in the brain and, neurologically, the brain registers it and it becomes a habit or a practice. A certain reward gets associated with the behavior. amplifying the habit. Consequently, for a couple of few nights afterwards, the boy or individual continues it and then they start experimenting and exploring their own bodies. They then go on the floor and rub their organ. Sometimes they will go lie down on the bathroom floor and rub their organ. And in some other times some individuals will even rub their organ against the sink. To better explain the the hard fiction of rubbing stimulates  what’s called the root of the penis The root of the penis is where the organ is attached to the body. The hard rubbing action eventually makes the root of the penis more sensitive compared to the body of the organ. This makes rubbing the root or penis base more desirable for the individual. Thus forming a vicious cycle and eventually a regular habit. 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 Prone masturbation is not something normal and should NOT be encouraged. In conventional masturbation or conventional sexual intercourse, it is not the root of the penis that is stimulated. Instead, it is the tip and the mid third of the organ that is usually stimulated, so there is a big difference in the way the organ is stimulated and what happens with prone masturbation as compared to normal intercourse. What’s going to happen here eventually is that the tip and the mid shaft of the organ are not going to be as sensitive as the root. To better understand These regions become hypo-sensitive while the root becomes hypersensitive because of this. What’s going to happen is during penetrative sex, when these individuals become adults. When they have sexual intercourse with their partners, they suffer from delayed ejaculation or an-ejaculation, which means the semen is not at all going to come out unless or until they lie down on the floor and RUB their organ or they use their hand to severely and forcibly bring out the semen. Furthermore, because of this ejaculation issues, the relationship with their partner frequently breakdown because the individuals are addicted to prone masturbation behavior. They know there’s something wrong with them. They have not adjusted over many years and they cannot tell this to their partners and their relationships are going to break up and their partners’ delayed ejaculation is going to result in erectile dysfunction. In the long run, prone masturbation leads to three things. 1. Delayed ejaculation, 2. Erectile dysfunction and 3. The development of prone-masturbatory behavior can also lead to a form of addiction. Subscribe to our Newsletter So, the individuals who engage in prone masturbation become addicted to it and they engage only in that kind of sexual behavior. They avoid all forms of sexual intercourse with their partners. Some individuals will engage in prone masturbation and they will try sexual intercourse, but they will not be able to satisfy their partners. If they are able to satisfy their partners, they will not be able to satisfy themselves because they won’t get an ejaculation during penetrative sex because of the difference in the sensitivity between the root and the midshaft and the tip of the organ. So should you do prone masturbation? In one word NO, you have to avoid being prone masturbation. If you’re doing prone masturbation today, stop right now and you seek professional help to come out of this particular prone masturbation habit. Basically, behavioral therapy, psycho-sexual therapy with medications and counseling can help you come out of prone masturbation behavior. I hope you enjoyed reading this short blog post. If you looking for a sexologist to help you, please feel free to reach out to me. References Gündüz S, Uşak E, Yüksel ÇN, Eren A. Early childhood masturbation. Medical Journal of Islamic World Academy of Sciences. 2015;23(2):59-62. Davis M, Rubin R. 007 Prepubertal Masturbation Techniques Inflicting Penile Trauma and Erectile Dysfunction in Healthy Adult Males: A

Men’s Health Blogs The Withdrawal Method of Contraception The Withdrawal Method of Contraception – quick facts Vanakkam and welcome to Dr. Shah’s clinic. Have you ever heard of the withdrawal method of contraception? alias pull out technique?. Wish you a very happy new year and it’s been quite some time since I post my last video. In this short blog post, we are going to discuss the withdrawal method of contraception also called the withdrawal method of birth control. Watch the video below if you do not have the patience to read through the full article. I promise you, it will be worth it. Now the withdrawal method of contraception is also called as a pull-out method. So in the withdrawal method what usually men do is that just before the point of ejaculation or just before they hit their orgasm they pull out the organ from the vagina so that intra-vaginal ejaculation does not happen and thereby an unwanted pregnancy can be avoided. Now what’s very interesting here is that withdrawal or the pull-out method of contraception is probably the oldest contraception method that has been used since time memorial. It’s a biblical method it’s been around for so very long. Now, it’s important to understand here that the withdrawal method of contraception gives a contraception protection rate of almost 95% and there is a 5% failure rate even in this method. Now what this means is that the withdrawal method of contraception is as good as a condom, so basically if you are averse to using a condom that is if you wear a condom and you feel you lose your erection you are not able to connect with your partner, bond with your partner because you are wearing a bloody condom try the withdrawal method of contraception, it usually works. It’s amazing as a method, because you have a good connection with your partner from a psychological perspective but the only problem here is that you are not going to get an intravaginal ejaculation. It’s more of a male method of contraception what happens here is that your partner’s satisfaction is not going to be impacted. So basically you have to last long enough so that you can give your partner the orgasm and then pull out and then you have to ejaculate outside the vagina. 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, you don’t want to give your partner an unwanted pregnancy and that’s why the withdrawal method or the pull-out method is so good. Many men pride themselves in using the withdrawal method or pull-out method of contraception since to some extent it shows that the man has tremendous control over his ejaculation. The next important point is the partner will also respect you because you care for her you don’t want her to have an unwanted or an unintended pregnancy. So the withdrawal method or the pull-out method has a 95% protection rate which is  almost as good as a condom but a 4% to 5% failure rate because sometimes the pre-lubricating fluid can have a small number of sperms and there are about 6 to 7 studies on the topic. Some studies say that the pre-lubricating fluid has no sperm at all. Subscribe to our Newsletter All said and done the best way to optimize the success of the method to pass urine after sexual intercourse. This will help wash off any residual sperm present in the male reproductive tract. If you masturbate in the previous day or you had sexual intercourse the previous day what you should do is you should urinate flush your urinary system off any residues and then have sexual intercourse and then adopt the withdrawal method during the particular session. So this will lower diminish or completely remove the chances of unwanted pregnancy so even if a small amount of pre-lubricating fluid deposits in the vagina the chance of pregnancy is going to be very less. I hope you found this video quite informative and useful on this withdrawal method of contraception also the pull-out method of contraception. This is Dr Shah consultant sexologist in chennai, keep watching this space for more interesting articles References https://www.sciencedirect.com/ science/article/abs/pii/ S001078241400208X   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

Men’s Health Blogs Why is my semen green? Why do I see greenish appearing semen? Is this something to be worried about? As a practicing Sexologist in Chennai I have seen many patients suffer from this issue. Read the article below Watch the video below to understand everything under the sun about greenish appearing semen. Hello and welcome to Dr. Shah’s clinic. In this short blog post, we’re going to answer the question why semen is green? Or why do I have greenish-colored semen? Or what does the greenish color of semen signify? Now what’s important to understand is that the normal color of the semen is usually whitish grey to grayish white and you know it has an egg-like consistency. 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, when you notice ‘green-colored’ semen, it can suggest that either you’re taking some medication or some supplements. To further elaborate when these supplements or medications breakdown, sometimes the color of those metabolites can be reflected in the semen.That is one reason for greenish color semen. The other reason for semen being green is that you may have a prostrate infection, so if you notice a green color in the semen and this is usually very rare, you may have a prostate infection that has not been diagnosed. If you have greenish color of semen with a burning sensation while passing urine and there is probably a prostate infection and that’s why the semen is green in color. The next reason for green semen is explained below For instance, you can probably notice a green color in the seminal fluid when bilirubin, which is basically a liver metabolite, mixes with the semen. This can happen if you have liver damage from some underlying liver pathology. Subscribe to our Newsletter To conclude, these are the three conditions where you know you may notice the semen color being green and it’s nothing to get alarmed about. If you notice the green color of semen, don’t just stress out and panic, try to take it easy. A simple solution would be to repeat the semen analysis or do a semen culture and sensitivity test  and check for infections. Following this administration of relevant antibiotics, can help you resolve the green color of semen. Repeat your semen test again . If you don’t notice the green color of semen coming back again, completely ignore it please. Take it easy. I hope you enjoyed the article on green appearing semen. Please share this video with all your friends and loved ones. This is Dr. Shah consultant andrologist in chennai, I will see you back soon with another article. Thank you. References https://onlinelibrary.wiley.com/ doi/abs/10.1111/and.12078 Related Blogs Recent Blogs Having more doubts? Consult with our doctor Consult with Dr. Shah Comment (2) 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 hpf pus cells present in semen and liquification time is >90 min and viscosity has increased. Overall results says NORMOZOOSPERMIA WITH GENITAL TRACT INFECTION WITH INCREASED VISCOSITY. Do i require treatment? Reply Dr Shah Dupesh says: January 24, 2024 at 3:52 pm Edit Please call me on 9790783856 Reply Will says: September 12, 2023 at 7:34 am Edit Hi, for the past few weeks there has been semen or prostate fluid in my urine almost every night. This is not from retrograde, neither from medication. This is really draining my energy. How can I stop this please help. Reply Dr Shah Dupesh says: September 14, 2023 at 6:01 pm Edit Hi will, I can help. Please drop me a call on +919790783856 Reply Chloe says: September 10, 2023 at 2:43 am Edit I had a depo injection on January or I think it’s February as I remembered and I’ve not took it since I only took once in my life. Can I still get pregnant right now on September 9 can I still make a baby I do have periods but can I still have a baby this time of the month because I have not read the projection ages. Last time I took it was on January was either February as I remembered how long does it take to get a depot out of my system mental maths I don’t know? Reply Dr Shah Dupesh says: September 14, 2023 at 6:01 pm Edit You can Chloe, dont worry Reply Anye ivo says: September 6, 2023 at 7:15 pm Edit Thanks very much for this information you have given to me am very grateful it will help me I will go street to the hospital and due as you people have tell me to due and I will share your video thank very much love you I which I will have my own babes Reply Dr Shah Dupesh says: September 14, 2023 at 6:02 pm Edit Glad you like the content. Please share! Reply Adeyemi Adewoye

Men’s Health Blogs Can a sterile man get a woman pregnant ? In today’s awesome male infertility article we are going to discuss whether and if… “Can a sterile man get a woman pregnant?” Hi and welcome to Dr Shahs Clinic My name is Dr. Shah and I am a consultant sexologist doctor in Chennai and I primarily specialize in Male Infertility & Sexual Health. In today’s awesome post we are going to answer the question on  – “Can a sterile man get a woman pregnant?” Not let us move on to the good stuff…. Okay now here is the thing… Male Infertility and Male Sterility are two completely different things!! Bear this fact well in mind, let me try to elaborate on why male infertility and male sterility should not be confused with one another… Now, a man is said to be infertile or suffer from infertility if he is unable to father a child within the 1st year of marriage in the absence of any specific problem affecting his partner.  Some common causes of male infertility include – Low sperm count Low sperm motility Abnormal sperm shape Hormonal deficiencies Genetic causes Obesity and Poor Lifestyle habits Sexual Problems like erectile dysfunction and/or ejaculatory dysfunction But the most important fact to bear in mind is that a man diagnosed with male infertility can have sperm production! Most interestingly,  in over 40% of the time men suffering from male fertility issues have absolutely NORMAL SPERM PRODUCTION!! Now, I am sure you understand one thing very well….male sterility is completely different from male infertility… As a result, you need to really know whether or if you can get pregnant with a sterile man?.  The truth, however, can be a bit hard to understand. First of all, what are the causes of male sterility? Broadly speaking, a man is said to be completely sterile if his semen analysis report shows AZOOSPERMIA.  Azoospermia means no sperm in the ejaculate! and it is a genuinely upsetting and terribly scary diagnosis for most men. Vasectomy is also a common cause of male sterility. We will briefly look at both Azoospermia and Vasectomy. Most probably, you would have heard about contraceptive procedures for men, this is called Vasectomy and it is also a method of family planning. In Vasectomy what is ultimately done is that the vas (the tube that carries sperm from the testis to the penis) is closed.  However, vasectomy although highly effective in preventing a pregnancy has poor reversal success rates. This is exactly why we recommend vasectomy as a method of family planning, only after a man has completed his family!,  Moreover, you would be surprised to learn that the success rate of a vasectomy reversal is seldom beyond 40%. Now let’s discuss whether an Azoospermic man can father a child ? or better yet let’s try to answer the following question .. 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 Can a sterile man become fertile? You most probably now understand that Azoospermic men are sterile, but… did you know that Azoospermic men can also father their child? This is possible because we have a medical technique by the name Testicular sperm extraction also called TESE. The image below explains TESE Consequently, sperms retrieved from the testis are used in fertility treatments. Sperm preservation is done for later use. So, let me ask you the question… Can a sterile man get a woman pregnant? The Answer is Hell YEAH!. Both Male Infertility and Male Sterility are definitely treatable. However, bear in mind that the success rates for treating men with problems like low sperm count, low sperm motility and other unexplained causes of male infertility are definitely better as compared to male sterility based issues. The best suggestions I can give is as follows Do not worry too much about male infertility, remember it is treatable Male sterility is a different issue altogether compared to male infertility If someone asks me can a sterile man get a woman pregnant ?, I would tell him that he needs a proper evaluation and that fertility is definitely possible with today’s technology Low sperm count and low sperm motility are not causes of male sterility. On the other hand, they are causes of male subfertility. Can a sterile man become fertile?…the answer is a definite YES. But male sterility needs the right evaluation. Subscribe to our Newsletter What does it mean to be sterile for a man? A diagnosis of male infertility can frequently break a man’s heart. Imagine, telling him he will never father a child through the natural route!. No man in the world can bear to hear a statement that he is sterile and he will never be able to father a child without a treatment. A diagnosis of a male sterility breaks men both physically and mentally. Men may not be able to sustain a normal sexual life after a diagnosis of male sterility. This scenario frequently occurs in a fertility center or fertility clinic when the male partner is diagnosed with Azoospermia. This happens simply because most fertility centers in India do not employ a full time qualified Andrologist to deal with the agony men face!. A sad story right? When Vasectomy reversal fails, men break down. Normally, a vasectomy reversal is done for those men who completed their family. However, in some instances, they may want to try for a child especially when unforeseeable circumstances cause the death of a sibling. Most married men fill the void left by the death of a previous child by trying for a baby, some other couples though may just dissolve their marriage to avoid the pain of seeing each other… So, to finally conclude… I hope you enjoyed reading this article on “Can a sterile man get a woman pregnant?”. Now that you know the truly scientific answer to this question, the next time someone blames a loved one for fertility issues YOU know you