Andrologist in Chennai for Male Infertility Treatment

Does Penis Stretching Work? The Truth about ‘Jelqing’

Men’s Health Blogs Does Penis Stretching Work? The Truth about ‘Jelqing’ So, you are going to love this post. Its about ‘the penis stretching exercises’. Does penis stretching work? How effective is ‘jelqing’. Can it make your organ BIG?. Watch the video below Now, the truth is a large number of men have serious problems with the size of their organ. An estimated 45% to 55% of men believe their organ is small (teenie weenieee) in terms of size. Full thanks and salutations to the porn industry, since, men tend to compare their organ sizes with porn stars while watching them do it. Moreover, they a develop a strange complex called as the ‘small penis syndrome’. Furthermore, these men compare the size of their organ with other men, while sharing common spaces in showers and toilets. I mean it really get to the head of these guys. They lose hope, they get depressed and feel their lives are over, fundamentally based on their penis size. They develop whats called as small penis syndrome. Moreover, men with this condition strongly believe and feel that they cannot satisfy their partners in bed. They believe and eventually end up with erectile dysfunction. Consequently, they avoid intimate relationships, and resort to masturbation where the element of judgement from another partner is fundamentally absent. Dr. Shah Dupesh Consultant Andrologist & Sexologist Ready to improve your Reproductive Health? Discuss your concerns in a private setting and get personalized guidance tailored to your needs. Book a Call Book a Call But the TRUTH of the matter is, their organ sizes are actually NORMAL Now, lets discuss a bit about penis size….since this is were most men have a problem. The mean average penis size ranges from about 5 to 5.5 inches when erect. But most men do not know to measure their organ. They end up comparing their size with what they see in the pro, leading to distress, anxiety, depression and a whole host of other issues. So, say you truly have a small size, does penis stretching work? Or does penis lengthening work? We hear all this humbug on these penis lengthening exercise, penis massage blah blah. However, these exercises will not increase the size of your equipment. Sorry to disappoint you. Penis stretching or Jelqing involves rubbing the organ back and forth using lubricants. This pseudoscience claims that repeated penis massage and stretches ends up causing micro tears in the deep tissue of the penis. Moreover, after the minor injuries heal, the scar tissue formed will make the organ feel and appear thicker. But, most people forget to notice that, the penile tissues are not just made of muscles. The penile tissue is made full of ‘neurovasculature’ that is, the organ is filled with blood vessels and nerves. Furthermore, it has 3 erectile tissues inside, the corpora cavernosa and the corpora spongiosum, so, stretching this organ will cause permanent long term damage. Not just, that, their are case reports and studies that suggest that, in men who engage in jelqing or penis stretching organ damage occurs. I have personally seen patients who engage in jelqing & eventually ending up with erectile dysfunction. The last thing you want to do to yourself is self-harm by doing these things. Remember, their are about a 100 factors based on which a women will judge you. And organ size is NOT IMPORTANT. So, please do not worry about your penis size. Visit an andrologist or sexologist near you to get a correct estimate of your organ. Subscribe to our Newsletter This is because a self-estiamtion of your size, by looking at your organ from top-down will make your organ look much smaller than it actually is. In all probability, your organ size is most probably normal. As a bonus point please never use ‘penile extenders’ for stretching your organ. It will cause permanent erection problems, by either incorrect usage or by penis stretching. Penis size can be increased by other methods, like utilizing whats called as a ‘Jess extender’ OR similar devices. But, stretching techniques or stretching devices or other surgical interventions do not work. So, remember 3 things 1. Estimate your size correctly 2. Penis stretching is not required 3. Visit an andrologist for the right treatment with respect to stretching I hope you liked this short post on ‘does penis stretching work’. Pleas drop in your comments below References Veale D, Miles S, Read J, Troglia A, Wylie K, Muir G. Sexual functioning and behavior of men with body dysmorphic disorder concerning penis size compared with men anxious about penis size and with controls: A cohort study. Sexual medicine. 2015 Sep 1;3(3):147-55. Sigalos J, Eleswarapu S, Mills J. HF01-17 PENILE STRETCHING PRACTICES THROUGH TIME AND CULTURE. The Journal of Urology. 2022 May;207(Supplement 5):e217. Related Blogs Recent Blogs Having more doubts? Consult with our doctor Consult with Dr. Shah Leave Your Comment Cancel Reply Logged in as Dr Shah Dupesh. Log out? Δ

Male Fertility Tips To Get Pregnant Fast – 5 Quick Actionable strategies to implement

Men’s Health Blogs Male Fertility Tips To Get Pregnant Fast 5 Quick Actionable strategies to implement Hey guys! you are going to find this post both fun to read & easy as a pie to follow. Let get to the crux of the topic without wasting time. So, we are going to quickly discuss on male fertility tips to get pregnant fast (I mean super fast from a biological perspective). Watch the short below. It wont take a more than a minute of your time. Okay, you must be a newly wed or you are in a long term relationship with your girlfriend or whatever. You are ready to take that next big step to have a baby? [most people do not understand that they are screwing themselves over when they decide on having a child :-)]. However, since you are dead serious on this goal, you must be married for a year or two. Since social pressure from your relatives (specifically the damn in-laws) builds up rampantly. During this time, sexual intercourse which was once heavenly becomes a chore. In principal, sex happens just to have a child. You start tracking your partners ovulation days, her fertile window and plan intercourse. But still a pregnancy simply just does not seem to happen. Am I right? (I know I am). Both you and your partner are damn frustrated. It gets frustrating, trust me!. So, then what are the male fertility tips to get pregnant fast? The answer lies below in 5 quick actionable strategies to get your partner pregnant. FAST Dr. Shah Dupesh Consultant Andrologist & Sexologist Ready to improve your Reproductive Health? Discuss your concerns in a private setting and get personalized guidance tailored to your needs. Book a Call Book a Call Male fertility tips to get pregnant fast – 5 actionable strategies you should implement right now Tip 1 : Having frequent sex Regular sex can help. But do not at any cost make it mechanical. If sexual intercourse happens with all the planning around your partners fertile window, you are not going to get her pregnant. How much sex to get pregnant then? Remember its roughly 3 times per week. Studies suggest that when sexual intercourse happens at the rate of 3 times per week, their is roughly a 60 to 70 percent chances of getting your partner pregnant in the next 8 months. Yup that is roughly 8 months. When the frequency of intercourse falls to less than 3 per week, consequently the chances of pregnancy also drop. On average, the chance of getting your partner pregnant is roughly varies from 4% to 6% per month, when you have sex 3 times per week. So have fun, while you are at it. Making babies, no big deal as such. Tip 2 : Take the famed ABC Juice ABC juice (Expanded as Apple, carrot and beetroot juice) is an excellent natural anti-oxidant. Remember to take lots of it. Take the ABC juice everyday. Regular intake of ABC juice helps improve sperm motility fast,  increase sperm concentration and also boosts overall male fertility. One of the best home remedies to improve male fertility is taking a combination of ABC juice, lemon juice and orange juice. I would recommend taking each of these juices on an alternative day to boost male fertility. This is probably on of the best male fertility tips to get pregnant fast. Tip 3: Improve your erection Now, you are going to find this tip interesting. The tip is a double treat, both for you and your partner. Remember having a good erection, is paramount to satisfactory sexual intercourse. You cant argue with that right? However, the better and harder your penis. The larger the amount of semen deposited in the vagina. Now to put in simple words. More semen = more sperm (i.e the total number of sperm deposited per ejaculate is higher). So you definitely need to treat erectile dysfunction if you have it and also improve your existing hardness of your organ. Trust me, its worth it.  A simple way to improve erection is by going for a walk and hitting 10,000 steps per day. Try to use a pedometer and keep track of your steps. Or hit a daily target of 6 km/day while walking. Subscribe to our Newsletter Tip 4: Restful sleep and avoid night-shift jobs Its not worth working nights. Simple as that. We are not biologically designed to function with full potential in the nights. Quit your night shift work. In my experience as an andrologist and sexologist, I have seen a large number of patients suffer from numerous fertility & sex related problems due to night work only. Patients working in nights frequently suffer from low sperm concentration, low sperm motility and also decreased erectile dysfunction. They also have low sex interest and feel fatigued all the time. So please quit working at nights and ensure you get 6 to 8 hours of restful sleep. Trust me, it will make all the difference. Tip 5: Quit Smoking & Alcohol Lastly, definitely quit smoking and alcohol. Its just not going to help you, since it kills your sperm and it also kills your erectile functions. To conclude, in order to improve your overall male fertility, following simple lifestyle changes is all that is required. Take it easy and relax. Do not worry. Keep trying and you will achieve your goals of fatherhood. I will see you soon with another blog post References Begot I, Peixoto TC, Gonzaga LR, Bolzan DW, Papa V, Carvalho AC, Arena R, Gomes WJ, Guizilini S. A home-based walking program improves erectile dysfunction in men with an acute myocardial infarction. The American Journal of Cardiology. 2015 Mar 1;115(5):571-5. Pasqualotto FF, Lucon AM, Sobreiro BP, Pasqualotto EB, Arap S. Effects of medical therapy, alcohol, smoking, and endocrine disruptors on male infertility. Revista do Hospital das Clínicas. 2004;59:375-82. Deng N, Kohn TP, Lipshultz LI, Pastuszak AW. The relationship between shift work and men’s health. Sexual medicine reviews. 2018 Jul 1;6(3):446-56. Related Blogs Recent Blogs Having

Lump on Testicle: Causes, Self-Exam & When to Worry

A worried but reassured Indian man in a softly lit bathroom after a shower, having found a lump on his testicle that is most likely harmless

Most lumps on the testicle are harmless. A soft, movable, pea-sized lump that sits separate from the testicle is almost always a benign epididymal cyst. The one to act on is a hard, painless lump felt on the testicle itself. As a practising andrologist in Chennai, I meet this fear almost every day: a man finds a “lump in my balls” in the shower and is convinced, by the time he reaches me, that it is cancer. I understand the panic. So let me settle it plainly — in roughly 8 out of 10 of the men I examine for a scrotal lump, the cause is completely benign: an epididymal cyst, a varicocele, a hydrocele, or a harmless skin cyst. There is one lump I never brush aside, and I will show you exactly how to recognise it. Book a Consultation Most lumps on the testicle are harmless – this guide shows you how to tell which kind you have. Quick Facts Most testicular lumps are benign — spermatoceles, hydroceles, varicoceles and simple cysts are well-recognised non-cancerous causes of a scrotal lump (Rubenstein, 2004). Position is everything — a scrotal ultrasound reliably tells a lump on the testicle (worrying) from one beside it (almost always benign), and cystic fluid from a solid mass (Akin, 2004). The cancer lump is hard and painless — testicular cancer most often shows up as a painless mass on the testicle itself (Singla, 2025; Chong, 2023). Even cancer is highly curable — testicular cancer is the most common solid malignancy in men aged 15–40 (~10,000 US cases a year, mean age 33), and 90–95% are germ cell tumours with excellent survival (Singla, 2025). Sudden, severe pain is the real emergency — testicular torsion needs surgery within about six hours, when the salvage rate is around 90% (Langan, 2022). Where is the lump? Position decides the diagnosis If you remember one thing from this page, make it this: position, position, position. Where the lump sits on your scrotum tells me, before any scan, what it most likely is. I run through three questions with every man who sits across from me. Is it on the skin, beside the testicle, or on the testicle itself? Pinch the lump gently. If it is in the skin of the scrotum — like a small pellet you can roll under your fingertips — it is usually a harmless sebaceous cyst. If it is a soft, distinct pea sitting above or behind the testicle but clearly separate from it, that is the classic epididymal cyst or spermatocele. The lump that earns a same-week scan is the one that feels part of the testicle itself — a firm nodule you cannot separate from the underlying egg-shaped organ. This is exactly why imaging matters. A scrotal Doppler ultrasound differentiates a testicular mass from an extratesticular one, and tells whether it is cystic, solid or complex — the single test that converts “I don’t know what this is” into a clear answer (Akin, 2004). How many lumps, and one side or both? A soft, worm-like fullness on the left side that you feel more when standing is almost always a varicocele. Generalised swelling of one whole side that lets light shine through points to a hydrocele. A single, hard, fixed nodule on one testicle is the pattern I take seriously. If you also notice a general fullness or heaviness rather than a discrete lump, read my guide on what swelling in the testicles actually indicates. The harmless lumps on the testicle (and most lumps are harmless) Let me reassure you with the actual list. The overwhelming majority of intrascrotal lumps are benign — spermatoceles, hydroceles, varicoceles, epidermoid and simple cysts (Rubenstein, 2004). Here is how each one feels in my hands. Epididymal cyst and spermatocele — the movable pea-sized lump This is the lump I diagnose most. The epididymis is the soft, coiled tube that sits behind and above each testicle, storing and carrying sperm. A small fluid-filled sac there is an epididymal cyst; when it contains sperm it is called a spermatocele. Both feel like a smooth, movable pea, sit separate from the testicle, and are painless. Hydroceles and spermatoceles are common benign adult scrotal swellings (Rioja, 2011). Epididymal cysts most often turn up in men aged 20 to 40 and tend to sit there quietly without causing harm; small, symptomless ones are simply watched, and removal is reserved for cysts large enough to bother you (Zhao, 2023). If it is not growing or hurting, I usually leave it alone. An epididymal cyst – a soft, movable, pea-sized lump that sits separate from the testicle and is harmless. Varicocele — the “bag of worms” A varicocele is a tangle of enlarged veins above the testicle, classically described as feeling like a “bag of worms,” more obvious on the left and when you stand. It is genuinely common — found in roughly 12% of men with normal semen, and far more often (around 40%) in men investigated for infertility (Chiba, 2016). A clinic-based study of men over the age of 40 reported a much higher 48% — but that is a selection-biased figure from men already attending a urology clinic for assessment, not the prevalence in the general male population, so I would not read it as “half of all men” (Besiroglu, 2019). Most cause no trouble at all. The reason I check for them is fertility: varicoceles are the commonest correctable cause of low sperm production, so if you are also trying to conceive, see my explainer on whether varicoceles cause infertility and consider a semen analysis. A varicocele – a soft tangle of enlarged veins above the testicle that feels like a ‘bag of worms’. Hydrocele — a soft fluid swelling A hydrocele is a painless collection of fluid around the testicle. It feels soft and smooth, can grow to a surprising size, and characteristically lets light pass through when a torch is held against it (transillumination). It is benign and

Can i use saliva as lube? 2 Facts on using saliva as lube

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

Does Masturbation Cause Erection Problems?

A worried young man in a reassuring consultation with a calm male andrologist about erection concerns

A Chennai andrologist explains how porn-driven and compulsive masturbation cause psychogenic erectile dysfunction with a partner, why the ‘weakness’ is Dhat syndrome, and how it is treated.

Does Masturbation Cause Infertility?

A young couple discussing fertility with a calm male andrologist in a Chennai clinic

A Chennai andrologist on whether masturbation causes infertility — the truth about sperm count, abstinence timing, what really lowers sperm count, and how to conceive.

How Long Should You Lie Down After Sex to Get Pregnant?

A reassured young Indian couple resting close together at home after intimacy

How long to lie down after sex to get pregnant — a reassured Indian couple resting together after intimacy The short answer: How long you lie down after sex to get pregnant makes no difference — there is no set time, and no medical need to stay flat at all. Staying supine has no scientific foundation; sperm reach the cervical canal within seconds and the fallopian tubes within minutes, regardless of your position (ASRM, 2022). Let me answer this the way I answer it in my clinic almost every week — how long should I lie down after sex to get pregnant? Couples phrase it a dozen ways — how long should you stay lying down after sex, do you need a pillow, should you wait before getting up. It is one of the most loaded little questions couples bring me, usually whispered, usually with a lot of anxiety behind it. And here is the honest, reassuring truth: you have been worrying about the wrong thing. So let me give you the evidence-based version, gently correct a piece of advice I myself used to give, and then tell you what actually matters. Quick facts Remaining supine (lying flat) after sex to “help” sperm travel has no scientific foundation — this is the explicit position of the ASRM (ASRM, 2022). Sperm can be found in the cervical canal within seconds of ejaculation, regardless of coital position (ASRM, 2022). Sperm reach the fallopian tubes within minutes — labelled particles placed at the vagina were found in the tubes in as little as 2 minutes during the follicular phase (ASRM, 2022). The one study showing a benefit from lying still — 27% vs 18% pregnancy — was after IUI (intrauterine insemination), not natural intercourse, so it does not transfer to sex at home (Custers et al., BMJ 2009). What actually raises your odds is timing sex to the fertile window, not posture (Wilcox et al., 1995; ACOG). Now, here is something I want to clear up straight away. For years the standard advice — including, I will admit, the older version of this very article — was “lie down for 5 to 10 minutes after sex.” Based on the current evidence from the ASRM, that advice is unnecessary. It does no harm, but it does no measurable good either, and worrying about it only adds pressure. Let me explain what we actually know about how sperm travel. After sex, what actually matters: no need to lie down, sperm reach the cervix in seconds, timing beats posture, relax and don’t stress Does lying down after sex help you conceive? No — and I say that as someone who studies sperm transport for a living. The belief feels intuitive: deposit semen, lie flat, let gravity keep it in. But sperm do not wait around for gravity. They swim. The ASRM, in its 2022 committee opinion Optimizing Natural Fertility, could not be clearer. It states that the idea that remaining supine after intercourse facilitates sperm transport “has no scientific foundation.” Sperm deposited at the cervix at midcycle are found in the fallopian tubes within about 15 minutes. In studies where labelled particles were placed at the back of the vagina, those particles travelled up into the fallopian tubes in as little as 2 minutes during the follicular phase — propelled by uterine contractions, not by you lying still. Most tellingly, sperm can be found in the cervical canal within seconds of ejaculation, regardless of coital position (ASRM, 2022). So by the time you have settled a pillow under your hips, the fastest, healthiest sperm are already well past the cervix and on their way. The “lie still” ritual is doing nothing for them. After sex — does it change your chance of getting pregnant? What the evidence says Lying down / staying flat for a set time No effect — sperm reach the cervix within seconds (ASRM, 2022) Pillow under the hips or legs in the air No effect — sperm swim; they do not rely on gravity (ASRM, 2022) Sex position No effect on conception (ASRM, 2022) Semen leaking out afterwards Normal — the sperm that count are already past the cervix Peeing after sex No effect — urine exits through a separate opening Timing sex to the fertile window The one thing that actually raises your odds (Wilcox et al., 1995) Talk to a fertility specialist Where the “lie down after sex to get pregnant” belief comes from (and the one real study) If posture does not matter, why does every aunty, forum and half the internet insist on it? Two reasons, and it is worth understanding both so you can stop second-guessing. First, there is an old idea sometimes called the “poleaxe” theory — the notion that female orgasm makes a woman want to lie down and rest, and that this rest evolved to reduce semen loss. It is a tidy story, but it is a hypothesis, not evidence. Second — and this is the genuinely important one — there is a real, well-conducted study where lying still helped. In 2009, Custers and colleagues published a randomised trial in the BMJ: 391 couples, half asked to lie still for 15 minutes, half allowed to get up immediately. The group that stayed flat had a higher ongoing pregnancy rate — 27% versus 18% (Custers et al., 2009). Here is the crucial catch that almost every blog gets wrong: that study was about IUI — intrauterine insemination — not ordinary sex. In IUI, a thin catheter places washed sperm high inside the uterus, and the small fluid volume can theoretically trickle back. That is a different physical situation from intercourse, where sperm are deposited at the cervix and swim through cervical mucus on their own. Later trials even questioned the 2009 finding for IUI itself. So if you are doing an IUI cycle and your clinic asks you to rest for 10–15 minutes afterwards, that is reasonable. But for couples conceiving the natural way