A penile fracture is a rare albeit troublesome sexual urologic emergency. I say ‘sexual’ as that is the most common cause is aggressive sexual intercourse. Usually a history of woman on top riding position is emphasized, though often times, the history is very vague due to the covert nature of the sexual activity which may involve an extramarital affair. Masturbation may very rarely be responsible
Psychosexual therapy for Sexual problems in couples Psychosexual therapy though employing many aspects used in mental health differs from it by incorporating specific techniques aimed at targeting men and women with sexual dysfunctions. As Leiblum eloquently quotes “sex therapy is not a cookbook exercise” and hence involved multiple variables which control patient care. Events that…
When I was going through the blues brooding over India’s exit at the world cup in my office, my phone rang. It was Nalini, my effervescent secretary/nurse informing me about the arrival of Chan and Shmi, the couple who had been undergoing sex therapy at the clinic over the past 6 weeks. I could see them in the waiting hall through my CCTV. They were not their usual glum selves. Here they were with a basket of fruits and beaming from ear to ear. I needed that adrenaline shot to pep up my foul mood. I COULDN’T WAIT.
Premature Ejaculation- What’s the story from the other side? Premature ejaculation or lack of Ejaculatory control is the second most common reason men come to see me in my clinic. “It is over before it starts doctor”, they say. A feeling of anguish and the guilt of not being able to satisfy their partners lingers.…
Sexual concerns in young men – PDE5’s are not the answer! LEO ( libido, erection, orgasm ) is what men crave for. For most men, it happens automatically. For others it is a Himalayan task if you are on this side of the world. have a deep concern. A 24 year old walks into my…
Frenular Tears – Scary but common! A frantic phone call. A plea for help. A male in distress. This calls for the Metromale SWAT team to get into action pronto. A newly-wed couple arrives at the clinic with a lot of trepidation. The couple walk into my office and the man says that he is…
A Certification in Sexual Medicine (FECSM) – Need of the Hour The most abused field in medicine in India is Sexual Medicine. Why do I say this? Sexual medicine does not exist as a separate entity. Neither does it belong to a specialty like Gynecology or Urology. There is neither a Department of Sexual medicine…
The Vainglorious Varicocele – Can of Worms? A man walks into my office. He has been married for two years. Attempts at conception have proved futile. He hands me a Doppler report which states that he has a Bilateral Varicocele, Grade 2. His diagnosis is a clinical varicocele. My observations confirm this. His semen parameters…
Simply speaking, Premature Ejaculation refers to ejaculation occurring before the man and his partner wishes it to occur. However, the definition itself may be too premature as the time to ejaculation and thereby satisfaction is very subjective. Men with ejaculations within a minute may not complain where as some men with ejaculation times lasting more than 10 minutes complain.
Sex pills, Hormones and Internet – Feat or Counterfeit? I have a medical problem. What do I do? Whom do I ask? If it’s a sexual problem, and if I am the shy type, rest assured, I can’t talk about it. Can I lump it? Or do I have a secret friend who I can…