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…
DetailsThe Story of Chan and Shmi- A Non Consummated marriage 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…
DetailsPremature 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.…
DetailsSexual 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…
DetailsFrenular 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…
DetailsA 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…
DetailsThe 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…
DetailsPremature Ejaculation- The long and short of it! Premature Ejaculation (PE)! 40% of patients presenting to the Metromale Clinic present with this complaint. World over with prevalence rates ranging between 15 to 25%, PE remains the most common sexual complaint in men under 60 years. What is it? Is there a definition? Simply speaking, Premature…
DetailsSex 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…
DetailsMale Sexual Dysfunction and Performance Anxiety I would like to begin by discussing a particular patient. He is a 24 year old male in a live in relationship with his girlfriend. They are to be married in a few months. They have been sexually active for the last 6 months. Everything was fine till last…
DetailsTexting is fine-but Sexting? The widespread use of technology, especially the smart phone, has made the world a smaller much safer place to live in or has it? When you send or receive sexually explicit messages/photos on the phone it is described as sexting. The Sunday Telegraph first coined the word sexting and published it…
DetailsSemen Analysis – How to collect a sample? It is important to understand that men presenting to a fertility clinic need to be given specific instructions as to how to collect a semen sample. Of primordial importance is the fact that a single semen sample is never enough, does not complete the picture, and at…
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