PICSI- Physiological Intra Cytoplasmic Sperm Injection

PICSI- Physiological Intra Cytoplasmic Sperm Injection Fertility depends on the quality of the sperm and the egg. Qualitatively better gametes result in better fertility rates. This obviously happens in nature. A challenge in vitro however is to determine what constitutes the best quality gametes. When an ICSI procedure is planned, sperms are usually chosen based…

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Vacuum devices for Erectile Dysfunction

Vacuum devices for Erectile Dysfunction Many treatments have been proposed to cure Erectile Dysfunction with varying success rates. As early as 1874, John King, an American physician described the vacuum device. However, it was not until 1982, the U.S. Food and Drug Administration granted permission for it’s use. The major advantage of Vacuum device is…

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Anorgasmia- A rare but bothersome condition

Anorgasmia- A rare but bothersome condition What is Anorgasmia? A condition (in men) where there is complete absence of Orgasm even after sufficient sexual stimulation. Men are familiar with ejaculation of semen. However, most men associate ejaculation with orgasm. It is important to understand that ejaculation and orgasm are two different features. Ejaculation happens by…

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Sexual Dysfunction in Men – What is the partners role?

Sexual Dysfunction in Men – What is the partners role? When someone walks into the office complaining of Erectile Dysfunction or Premature Ejaculation, how often do we actually evaluate the partners role in it? The partners role is often overshadowed by looking at the individuals problems. In clinical practice, it is common to see that…

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How are Sexual Problems Triggered – The Role of Stress

How are Sexual Problems Triggered – The Role of Stress Sexual functioning which is sexuality, desire and satisfaction is often a cultural and multidimensional thing. No one universal rule or law applies. I often find however there is a single common denominator which plays a great role in affecting sexual functioning. Stress. As we know,…

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Weak Masturbatory Erections

Weak Masturbatory Erections Do they tell us anything? One out of four patients presenting to Metromale clinic have fear of masturbation. In fact, some people have stopped masturbating after reading posts on the so called harmful effects of masturbation. However, some men complain of their erections being weaker during masturbation. These are often unmarried men…

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Delayed Ejaculation-Psychological Aspects

Delayed Ejaculation – Psychological Aspects Diagnosing Delayed Ejaculation The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV-TR) defines delayed ejaculation(DE) as “a persistent delay in or absence of, orgasm in a male following a normal sexual excitement phase during sexual activity that the clinician, taking into account the person’s age , judges to…

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