Home

Sexuality in old age

Many people want and need to have a close relationship with others as they get older. For some people, this includes the desire to continue an active and satisfying sex life. With aging, that may mean adapting sexual activity to accommodate physical, health, and other changes.

There are many different ways to have sex and achieve a feeling of intimacy, alone or with a partner.

The expression of your sexuality could include many types of intimate contact or stimulation. Some adults may choose not to engage in sexual activity, and that’s normal, too.

Here we explore some of the common issues older adults may face with sexuality.

What are the normal changes?

Normal aging brings physical changes to both men and women. These changes sometimes affect the ability to have and enjoy sexual intercourse.

A woman may notice changes in her vagina. As women age, the vagina can become shorter and narrower. The vaginal walls may become thinner and a little stiffer. Most women will have less vaginal lubrication, and it may take longer for the vagina to lubricate naturally. These changes could make certain types of sexual activity, such as vaginal penetration, painful or less desirable. If vaginal dryness is a problem, using a water-based lubricant or lubricated condoms can make penetration more comfortable. If a woman is using hormone therapy to treat hot flashes or other symptoms of menopause, you may want to have sex more often than you did before hormone therapy.

As men age, sexual impotence (also called erectile dysfunction or ED) becomes more common. ED is the loss of the ability to achieve and maintain an erection. ED can make it take a man longer to get an erection. His erection may not be as firm or as big as it used to be. Loss of erection after orgasm may occur more quickly, or it may take longer before another erection is possible. ED is not a problem if it happens once in a while, but if it happens often, talk to the best sexologist in Delhi.

Talk to your partner about these changes and how you are feeling. The sexologist doctor in Delhi may have suggestions to help make intercourse easier.

What causes sexual problems?

Some illnesses, disabilities, medications, and surgeries can affect your ability to have and enjoy sex.

Arthritis. Joint pain from arthritis can make sexual contact uncomfortable. Exercise, medication, and possibly joint replacement surgery can help alleviate this pain. Rest, warm baths, and changing the position or timing of sexual activity may help.

Chronic pain. Pain can interfere with intimacy among older people. Chronic pain does not have to be a part of aging and can often be treated. However, some pain medications can interfere with sexual function. Always talk to your doctor if you have side effects from any medication.

Dementia. Some people with dementia show increased interest in sexuality and physical closeness, but may not be able to judge what sexual behavior is appropriate. People with severe dementia may not recognize their spouse or partner, but still want sexual contact and may seek it out with another person. It can be confusing and difficult to know how to handle this situation. In this case, it may also be helpful to talk to a psychiatrist in Delhi, nurse, or social worker who is trained in caring for people with dementia.

Diabetes. This is one of the diseases that can cause erectile dysfunction in some men. In most cases, medical treatment can help. Less is known about how diabetes affects sexuality in older women. Women with diabetes are more prone to vaginal yeast infections, which can cause itching and irritation and make intercourse uncomfortable or undesirable. Fungal infections can be treated.

Heart disease. The narrowing and hardening of the arteries can change the blood vessels in such a way that blood does not flow freely. As a result, men and women can have problems with orgasms. For both men and women, it can take longer to become aroused, and for some men, it can be difficult to get or keep an erection. People who have had a heart attack, or their partners, may fear that having sex will cause another attack. Although sexual activity is generally safe, always follow your doctor’s advice. If your heart problems get worse and you have chest pain or shortness of breath even while you rest, your sexologist in Rohini may want to change your treatment plan.

Incontinence. Loss of bladder control or urine leakage is more common as people, especially women, get older. The extra pressure on the belly during sexual intercourse can cause urine to leak. Changing positions or emptying your bladder before and after intercourse can help with this situation. The good news is that incontinence can usually be treated by urologist in Rohini.

Stroke. The ability to have sex is sometimes affected by a stroke. A change in positions or some medical devices can help people with ongoing weakness or paralysis to have sexual intercourse. Some people who are paralyzed from the waist down are still able to orgasm and feel pleasure.

Depression. Lack of interest in activities you used to enjoy, such as intimacy and sexual activity, can be a symptom of depression. Sometimes it’s hard for a person to know if they are depressed. Talk to the best psychiatrist in Delhi; depression can be treated.

Surgery. Many of us worry about having any type of surgery; it can be even more problematic when it comes to the breasts or genital area. Most people go back to the kind of sex life they enjoyed before surgery.

Hysterectomy is surgery to remove a woman’s uterus for pain, bleeding, fibroids, or other reasons. Often when an older woman has a hysterectomy, her ovaries are also removed. Deciding whether to have this surgery can cause women and their partners to worry about their future sex lives. If you are concerned about any changes you may have with a hysterectomy, talk to your gynecologist or surgeon in Delhi.

Mastectomy is surgery to remove all or part of a woman’s breast due to breast cancer. This surgery can cause some women to lose interest in sex, or it can make them feel less desirable or attractive to their partners. In addition to talking with the sexologist in Pitampura, it is sometimes helpful to talk with other women who have had this surgery.

Prostatectomy is surgery that removes all or part of a man’s prostate due to cancer or an enlarged prostate. It can cause urinary incontinence or erectile dysfunction. If you need this operation, talk to your urologist in Delhi about your concerns before surgery.

Medicines. Some medicines can cause sexual problems. These include some blood pressure medicines, antihistamines, antidepressants, tranquilizers, medicines for Parkinson’s disease or cancer, appetite suppressants, medicines for mental problems, and medicines for ulcers. Some can lead to erectile dysfunction or make it difficult for men to ejaculate. Some medicines can reduce sexual desire in women or cause vaginal dryness or difficulty in achieving arousal and orgasm. Check with your sexologist in Patel Nagar to find out if there is a different medication that does not have this side effect.

Alcohol. Drinking too much alcohol can cause erection problems in men and delay orgasm in women.

Am I too old to worry about safe sex?

Age does not protect you from sexually transmitted diseases. Older people who are sexually active may be at risk for diseases such as syphilis, gonorrhea, chlamydia infection, genital herpes, hepatitis B, genital warts, and trichomoniasis.

Almost anyone who is sexually active is also at risk of contracting HIV, the virus that causes AIDS. The number of older people with HIV/AIDS is increasing. You are at risk for HIV/AIDS if you or your partner have more than one sexual partner, if you are having unprotected sex, or if you or your partner share needles or syringes. To protect yourself, always use a condom during sex that includes vaginal or anal penetration.

Men need to have a full erection before putting on a condom.

Talk to your sexologist in Rajendra Nagar about ways to protect yourself from all sexually transmitted diseases and infections. Get regular checkups and tests. Talk to your partner. A person is never too old to be in a risky situation.

Can emotions play a role?

Often sexuality is a delicate balance of emotional and physical issues. The way a person feels can affect what they can do and what they want to do. Many older couples find greater satisfaction in their sex life than they did when they were younger. In many cases, they have fewer distractions, more time and privacy, don’t worry about causing a pregnancy, and enjoy greater intimacy with a person who has been their life partner.

As we age, our bodies change, including our weight, skin, and muscle tone, and some older adults are not very comfortable with their aging bodies. Older adults, both men and women, may worry that their partners no longer find them attractive. Aging-related sexual problems like the ones mentioned above can cause stress and worry. This concern can make it difficult for a person to enjoy a fulfilling sex life.

Older couples face the same daily stresses that affect people of any age. They can also bring additional concerns of illness, retirement, and lifestyle changes, all of which can lead to sexual difficulties. Talk openly with your partner and try not to blame yourself or your partner. It may also help to talk to a sex therapist, either alone or with your partner. Some therapists have special training to help with sexual problems. If you feel changes in your partner’s attitude toward sex, don’t assume it’s because they’re no longer interested in you or an active sex life. Talk to your partner about the situation. Many of the things that cause sexual problems in older adults can be remedied.

What I can do?

There are things you can do for yourself to have an active and enjoyable sex life. If you have a partner you’ve been with for a long time, take time to enjoy each other and understand the changes you’re both facing.

Don’t be afraid to talk to your doctor if you have a problem that affects your sex life. The sexologist in Delhi can suggest a treatment. For example, the most common sexual difficulty in older women is painful intercourse caused by vaginal dryness. Your sexologist in Uttam Nagar may suggest that you use over-the-counter vaginal lubricants or moisturizers. Water-based lubricants come in handy when needed to make sex more comfortable. Moisturizers are used regularly, every 2-3 days. Or, the doctor might suggest a type of vaginal estrogen.

If the problem is erectile dysfunction, it can often be managed and perhaps even reversed with medication or other treatments. There are pills that can help, but they should not be used by men taking medications that contain nitrates, such as nitroglycerin. The pills have possible side effects. Be wary of dietary or herbal supplements that promise to treat erectile dysfunction. Always talk to your sexologist in Delhi before taking any herb or supplement.

Physical problems can change your sex life as you get older. If you’re single, going out and meeting new people may be easier later in life when you’re more sure of yourself and what you want. If you’re in a relationship, you and your partner may discover new ways to be together as you get older. Talk to your partner or partners about your needs. You may find that displays of affection, such as hugging, kissing, touching, and spending time together, may be just what you need, or they may be a pathway to greater intimacy and sexual relationships.

SEXUALITY AND CHRONIC KIDNEY DISEASE

Kidney disease, like other chronic diseases, can cause physical changes that often imply an effort to adapt and accept it on the part of the patient. The psychological and emotional stability of the patient and the support of the partner/family is essential for this adaptation to occur harmoniously in all spheres of the sick person’s life. Sexuality is a fundamental part of this balance. Feeling loved, cherished, desired and supported, brings a sense of “normality” to the patient, contributes to their well-being, and helps to overcome the adversities they face.

Kidney disease and sexuality

Kidney failure can cause physical and hormonal changes that affect a person’s life in all its aspects. These alterations often have an impact on personal life, more specifically on sexuality (the way the patient sees his own body). Patients with chronic kidney disease tend to feel less sexually attractive, as their self-esteem is usually low and, in many cases, patients with kidney disease are depressed and have a distorted view of reality. With all these changes and adaptations to this new phase of life, having sex, or simply thinking about it, may be the last thing on the patient’s mind.

If there was a good relationship and communication with the partner before the illness, it is possible to overcome and understand these changes more easily. If this is not the case, the support of nephrologist in Delhi is essential for the patient and his partner to discover a new way of relating while living with kidney disease.

Below are listed physical alterations that can alter the sexuality of patients with chronic kidney disease:

1. Body odor and bad breath – high levels of urea can cause a characteristic smell that varies from person to person;
2. Ecchymoses (purple or black spots, bruises) – some medications can alter blood clotting, making it easy for ecchymosis to appear that lasts for a long time;
3. Decreased energy levels (tiredness) – weight gain, lack of exercise and easy tiredness (resulting from anemia) can lower energy levels to carry out daily activities;
4. Excess fluids – edema (swelling in the legs, face (face) and other parts of the body due to excess fluid intake between hemodialysis sessions and abdominal distension caused by fluid (in the case of patients on peritoneal dialysis);
5. Hair loss or the appearance of excess hair – resulting from treatment with steroid medications;
6. Decreased ability to reach orgasm – chemical changes affect the function of the nerves, decreasing their sensitivity;
7. Skin changes – you may experience itching (“itching”), dry skin and changes in skin color (pale, yellow skin).

Sex act

With the appearance of a chronic disease, many doubts and fears can arise, leading people to avoid sexual activity unnecessarily. It is important to ask your kidney specialist in Delhi when you can resume sexual activity.

Like any physical activity, it must be done with some care. With regard to renal failure on hemodialysis, you should consider a position where you don’t exert too much pressure on the fistula. In patients undergoing peritoneal dialysis, consider a position that does not exert too much pressure on the abdomen. In the case of the transplanted patient, wait until the scar is completely healed.

If your kidney doctor in Delhi informs you that the sexual act is not possible or even if the couple feels that sex is no longer as important as it used to be, there are other ways to feel the affection and love desired by everyone, such as caresses, hugs, kisses.

It is important to remember the importance of protecting yourself, using condoms, against sexually transmitted diseases such as AIDS (AIDS), syphilis, gonorrhea, hepatitis B, genital herpes and candidiasis.

Impotence and Fertility

With the onset of symptoms inherent to kidney disease, it is possible for men to experience difficulties in obtaining and/or maintaining an erection. This occurs due to physical and emotional changes such as: changes in hormone levels; blood circulation problems; fatigue secondary to anemia; nerve damage; medication side effects; low self-esteem; changes in body image; depression; anxiety; stress, among others. With the transplant, these problems tend to attenuate.

The emergence of sildenafil opened new perspectives for the Erectile Dysfunction Treatment in Delhi in patients with CRI. It must be taken 1 hour before sexual activity and it needs sexual stimulation to obtain the effect, which can be felt for approximately 4 hours.

Impotence is not synonymous with infertility. A man on dialysis or transplanted can have a child. If the couple has not achieved a pregnancy after some time, they should seek the help of a sexologist in Delhi. The man should have a fertility test.

The Importance of Seeking Help

Asking the best sexologist in Delhi for help can help you understand whether sexual problems have a physical or psychological cause. This requires a medical, psychological and sexual history of the person. Medications should be reviewed for their potential effects on sexual function. Blood tests should include hormone studies. If there is no physical problem, the origin of the problem should be considered as emotional or psychological.

When the problem is physical

There are several options available for men who are unable to achieve an erection. There are inflatable or semi-rigid penile implants. In some cases, surgery can improve blood flow to the penis. If the man does not want any type of surgery, he can try hormone medication and improve his function.

Women generally have less vaginal lubrication, and may experience pain during intercourse. Using vaginal lubricants can reduce or eliminate pain. Women, on the other hand, may be unable or take longer to reach orgasm because of hormonal changes, changes in energy level or medication for stress. A change in your medication or supply of hormonal medications may be necessary.

Feeling anxious, upset and depressed is normal when faced with a chronic illness. These emotions lead to loss of energy and reduced interest in many activities, including sex. If a sexual problem occurs, embarrassment and feelings of guilt may ensue. The fear that the problem will happen again, leads the person to move away from situations that potentially involve sex. Relaxation exercises can help control these fears. Regular exercise and work can keep your mind busy and improve your physical condition and body image. If sexual problems continue despite all measures, the person may still benefit from sex therapy.

Sex Therapy

Sex therapy deals with the sexual problems of couples and individuals. The first step in sex therapy can be sex education for the person or couple. The sex specialist in Delhi can advise activities to be carried out at home. These include communication exercises, stress-reducing activities, practicing ways to improve the ability to give and receive caresses, among others. Sex therapy can help those with problems related to low sexual interest, difficulties reaching orgasm or reaching it early, pain during sexual activity and difficulties with erection.

The patient

Patients with renal failure and their partners must play an active role in seeking to improve their quality of life.To do so, they must learn all they can about kidney disease and its treatment. It is essential to seek this knowledge from best nephrologist in Delhi, as they are better prepared to answer such questions. Having greater control over your situation and your treatment will help you feel better. Kidney failure is easier to accept with a positive attitude, which will make you more attractive to yourself and others.

Communication in the couple is important to maintain a healthy affective relationship. The appearance of a chronic disease within a family can generate fear about the future, anxiety about the present and burden on the caregiver, often leading to the couple’s estrangement. The expression of these feelings, which are often hidden, can facilitate the process of getting closer to a couple.

Although this disease causes significant changes in the life of the person and his family, it does not mean, however, that one should give up the fight for happiness and abandon the will to feel loved and desired, as well as to desire the other and to give him/her love.

Having kidney failure does not mean being “insufficient” in everything, but only in kidney function.

And in the list of symptoms associated with this disease nowhere in the world is it described: “chronic renal failure = unhappiness”. Your most intimate doubts can be clarified.

Look for your Nephrologist in Delhi. Don’t be shy about asking and expressing what causes the most distress and upset in your relationship and your family. You don’t have to be unhappy.

Impact of Impotence in a Relationship

The problem of erectile dysfunction interferes with the sex lives of millions of people and, although there are several treatments, it is still a case of health that greatly disturbs men. In reality, the man keeps the idea of ​​sexual potency intertwined with masculinity and, therefore, does not feel like a real man when he suffers such a situation in bed.

In this way, he is ashamed, thinking that he will no longer be able to adequately serve his partner or partner and is still afraid that the relationship will end because his partner prefers a powerful man in bed. Even worse is the feeling that others might have knowledge about this problem, says sexologist in Delhi.

See in this article the major problems that impotence causes in a relationship.

Why do problems arise in partnership?

The main psychological problem caused by impotence is the self-confidence that results in anxiety, which negatively affects the man with this dysfunction. Many men suffer from impotence and avoid talking to their partners, feeling that they are solely responsible for the situation and looking for ways to solve the problem without help.

In this way, partnership problems are directly affected, especially when it is known that at least 20% of men with impotence do not seek help from medical experts like sexologist doctor in Delhi.

Why are there problems in a relationship?

The relationship between people where the man has erectile dysfunction (impotence) can present problems when the subject is not faced as it should, with assumptions about what is happening, causing the man to torture himself with questions, looking for the causes in themselves same.

The man may wonder, for example, if he will no longer be able to maintain an erection, being affected by the fear of ending the relationship, while the woman begins to think that she is no longer attractive to her partner or even that he is looking for another woman. .

The problem of sexual dysfunction not faced head on can generate even more conflicts when its solution is quite simple. It is important that there are no secrets in the partnership, talking openly about the needs to find an effective solution, rather than keeping silent.

Impotence can generate conflicts that affect the emotional security of other family members as well, especially among children, and the great irony is that the biggest barrier is precisely the man’s resistance to accepting his condition and seeking adequate erectile dysfunction treatment in Delhi.

Delay in seeking treatment

There are men who even accept the presence of cancer with more serenity than sexual impotence. The fear of seeking help can lead to accommodation with the situation, making possible treatment increasingly difficult, says the best sexologist in Delhi.

The average time it takes men with impotence to seek medical help is around four years. This is the common period in patient reports, after looking from popular aphrodisiacs to medicinal herbs and plants, until they reach the famous Chinese ointments or testosterone-based drugs, without finding the definitive solution.

When they don’t find a viable solution, they finally seek medical help from sex specialist in Delhi, without thinking that this should be the first thing to do: face the problem head on and investigate its causes.

The most common reaction in men with impotence is to avoid situations that could lead to sexual intercourse, leaving the partner suspecting that something is wrong, including the idea that an extramarital affair is taking place.

During this average waiting time, it is quite common for women to also lose sexual desire, both due to lack of stimulation and lack of interest in their partner. Thus, there is a loss of self-esteem, emotional frustration and embarrassment between the partners, leading to quite unpredictable situations, such as alcoholism and suicidal tendencies, warns the best sex doctor in Delhi.

Looking for other women to prove impotence

A very common situation is for a man to look for other partners to check if the problem is with him or with his partner. And this leads to an even greater picture of disappointment, with increased insecurity and greater conflicts in the relationship.

Sexual function and the condition of desire among people should be seen as physiological needs, ensuring a better quality of life, regardless of age.

Harmony and the marital relationship play a role as important as sexual health, ensuring the success of a lasting and healthy sexual relationship.

Statistics of Couples Facing Impotence

Sexual impotence is a taboo subject even in our time, although it affects, to some degree, at least 25% of men over 18 years of age. In the range of 40 years, the problem can reach 30% of men who cannot maintain a satisfactory erection.

The percentage increases in men over 60 years old, reaching 71% of them admitting to having gone through episodes of impotence.

How should partners start a conversation?

An important factor in solving the problem of impotence is to have a frank conversation between the partners, firmly believing that they can find a solution. Between both, there must be openness to talk about causes and treatments and show seriousness in the search for a solution.

Many men end up losing their sexual desire with age and, however, it is necessary to understand that sexual activity is the best way to offer and receive warmth and security, especially in old age, understanding that sexual life does not end with the arrival of age. .

The conversation between the couple should take place at times when they can be free from any commitment, within a very relaxed atmosphere. Even the search for a neutral place can be favorable, on a walk or in a quiet place, where they can talk without any interruption.

It is necessary to avoid misunderstandings and create openness, without forcing any response, showing the partner how she, as a woman, feels, avoiding generalizing. The man should not try to minimize the issue, offering to participate in treatments and seeking to face the situation with seriousness and commitment.

When men suffer recurrently from impotence, the situation can often be a sign of a more serious problem, which should be investigated by a sexologist in Delhi. This situation must be seen as a joint problem, which must be solved in partnership, in the same way as everything before was solved between them.

Consequences that can bring to the relationship by not dealing with the situation

One of the most serious consequences that can lead to a relationship when not working properly with erectile dysfunction problems is the loss of trust between partners, which can even lead to separation.

The best way to deal with the problem is to face it head on, talking about it, exposing the problems, both the man to the woman and the opposite, making it clear that both remain together and that the problem of erectile dysfunction, like so many others that arose during your life together, must also be resolved in partnership, says sexologist in Noida.

The 5 most frequently asked questions to the sexologist

Talking about sex is still a taboo subject for many and the reality is that we still do not have sex education in schools or even in health care. We grow up and know what sexuality is according to popular beliefs and we are not taught that sexuality speaks more about us than we think, our emotions, our desires, our desire to relate to others and above all about accept us as we are.

Dr P K Gupta, our sexologist in Delhi, has analyzed more than 10,000 consultations that have been made in the last quarter of this year and has extracted the main doubts that the users of the application have, which he will tell us about and give us answers to all of them.

What are our users most concerned about? The top sexologist in Delhi answers:

“I don’t feel anything in my relationships”

The famous phrase of I do not feel anything in my sexual relations! It is par excellence one of the most read by our expert. Why is this happening? «Mainly it occurs due to the lack of knowledge about the body, pleasure and sexual practices. The couple usually gets to the point, and does not stop to think about her desire or what skills he can demonstrate with her partner so that they both enjoy it. This may be the main cause of not feeling desire in sexual relations, in addition to conflicts between the couple and stress, “says sexologist doctor in Delhi.

«Pleasure is achieved by having a good connection and communication, – and even with oneself -, in addition to the erotic games that must be carried out beforehand to excite both the body and the mind. One of the most important things will be the practice of self-stimulation to connect with one’s own body and one’s own pleasure.” Dr P K Gupta asks us the following question, « how do you want to enjoy yourself with another person if you don’t know what turns you on? «.

“I can’t stand the time I want in bed”

It is one of the consultations most performed by men. A correct time for the encounters has not been established. You tend to think that the longer you hold on, the better the sexual relationship will be, and it is not so. « Sexuality is more than penetration and intercourse. It is seduction, play, sensuality, erotica and fun”, points out sex specialist doctor in Delhi. In this section, the importance of quality over time and quantity should not be forgotten. Enduring more in bed requires control over your own arousal, combining different sexual practices, not focusing exclusively on penetration, making stops, changing rhythms… For this reason, you should know that it is not a race, enjoy the moment, relax and power the rapport between you and your partner.

“I can’t reach orgasm”

Generally, this consultation is carried out by women. Dr P K Gupta always asks this question after reading that, « Do you have anorgasmia from not reaching orgasm? The answer is probably no. This occurs when there is a lack of sexual knowledge, of the body, of sensations and of not knowing how to adequately stimulate the body and at the same time the mind. To reach orgasm, first of all you have to be relaxed, attentive to your body and its sensations. Another factor that affects are sexual beliefs about sexuality, “explains the best sexologist in Delhi.

“I ejaculate too fast, how can I fix it?”

Star question among the male sex. Each case is different since there are a wide variety of possible causes, from organic problems, drug or medication intake, emotional problems, body hypersensitivity… In this case, sexologist in Delhi advises to carry out a complete study to carry out a correct treatment. It is common to propose relaxation exercises, behavioral techniques to control arousal, exercises to strengthen the pelvic floor, change sexual habits and, of course, improve daily eating and resting habits.

“I don’t feel desires towards my partner”

Desire is negatively affected by certain causes such as thyroid problems, stress, lack of time, conflicts, the intake of antidepressants or hormonal contraceptives and even by the comfort zone, – do the same and same way-. To work on this lack of desire, its causes must be located in order to later be able to propose practices to enhance it. Among which are included, the corporal explorations, the improvement of communication, the use of sexual fantasies, the reading of erotic novels, mindfulsex, among others.

Sexologists Advise: 6 things everyone should know

Communication is central to virtually every aspect of our lives. But these days, it can seem like we’re more interested in social media than connecting with the people closest to us. In the British Sex Survey conducted in 2014, it turned out that a surprisingly large number of respondents – even 61 percent. – stated that it is possible to have a happy relationship or marriage without sex.

Believe it or not, but a new study has come out that proves that sex is important for a healthy relationship. According to Lindsey L. Hicks, who led the study, a fulfilling sex life is associated with a happier marriage, despite what people say in surveys. “We found that the frequency of sexual intercourse does not affect people’s sense of whether they are happy in their marriage, but the more often a couple makes love, the more spontaneous, instinctive, intuitive their mutual feelings are.”

We spoke to sexologist in Delhi Dr P K Gupta to ask him what role sex plays in relationships and how we should value intimacy. He singled out six things he thinks everyone should know:

1. Talking about sex is good!

Many clients still feel that talking about their sex life is taboo and that thoughts about sex should be kept hidden as extremely personal.

But the bottom line is that sexuality is a very important part of human reality—it plays a fundamental role in defining our identity and in choosing and forming relationships with our partners. Therefore, it is necessary to talk about sex, there is nothing shameful or humiliating about it.

Even if your thoughts about sex don’t seem to affect certain other areas of your life, sometimes sharing these inner desires can reveal some other things that on the surface seem completely unrelated.

2. …but you don’t have to talk ONLY about sex

Sex is often a symptom, not a cause. Many people come to counselling to solve a problem of a sexual nature, and it is often tempting to focus only on that problem and not talk about anything else.

When you start looking at the problem, it turns out that problems in the bedroom are often related to other thoughts and feelings. Even seemingly innocent and innocuous things like moving house or changing jobs can have an unexpected effect on sex drive, as attention and energy are focused on things other than sex. Therefore, it is very important to see the whole picture of the couple’s life and understand what is happening in it.

3. You can’t say anything that will surprise your sexologist

People turn to sexologists in Delhi for a variety of reasons and sexual problems. These may be questions about their own sexual orientation, sexual fetishes, or erectile dysfunction that they believe is preventing them from enjoying a fulfilling sex life.

No matter how uncomfortable you may feel about bringing up a particular sex-related issue, know that the professional will never judge you for it, and will remain calm and impartial as you work through this issue together. It’s very common for people to turn to specialists specifically for sexual problems, so it’s very likely that your sex specialist in Delhi has already heard this many times. No matter how embarrassing or dirty you think your secret is, there is a good chance that someone has already told you something similar.

4. The most important sexual organ is the brain

People focus so much on the genitals that they forget about the brain. Sex is a deeply psychological and therefore an individual process – what turns one person on can turn another off. This is because we are excited by different sensory stimuli, we all have different positive and negative associations with different situations and events, often related to previous experiences.

The body can provide a lot of pleasure, but really good sex requires turning on the brain. After all, during an orgasm, a magical cocktail of chemicals – dopamine, serotonin, oxytocin and endorphins – is released into the brain, which causes a state similar to a trance. There is no one-size-fits-all definition of a good sex life.

5. Sex means different things to different people at different times

There is no single universal definition of what constitutes a good sex life. Sexuality is unstable, each of our needs and desires can vary greatly, even our own, depending on time and circumstances.

For example, at the beginning of a relationship, sex is usually about passion and pleasure, but as time goes on it becomes more about intimacy and connection, and then, if a couple thinks about having children, sex suddenly becomes purposeful. Sometimes people have trouble coming to terms with these changes and stages, or they may find that their needs no longer match those of their partner. This is why talking about sex is so important in a relationship.

6. Solve problems without delay

If you have a sexual problem or concern, it’s best to talk about it as soon as possible. If you are uncomfortable discussing this issue with a family member, friend, or partner, get a good sexologist in Delhi to help you work through this issue.

The longer you delay, the more likely it is that things will stay in your head or become more complicated. It is always better to boldly raise issues than to let them fester or be ignored. These days, more than ever, people are more open about their sexual orientation and desires, so there’s no need to shut down about your anxieties or problems. Everyone deserves to live the sex life they desire. You also.

Treatments for men's sexual problems

Erectile dysfunction, loss of desire, premature ejaculation: treatments for men’s sexual problems

Erectile dysfunction, loss of sexual desire and premature ejaculation: these are the main sexual problems faced by men. But do they have a solution? Yup. The best sexologist in Delhi explained the best solutions according to the root of the problems.

Erectile dysfunction

Until recently, commercials sold the solution to “impotence.” Doctors warn that the word is no longer used because it is considered pejorative.

Erectile dysfunction is the main sexual problem experienced by men. Dr P K Gupta, sexologist in Delhi, explains what the disease is:

“The definition of erectile dysfunction is the persistent inability to produce or maintain an erection sufficient for satisfactory sexual intercourse for at least six months.”

But what can lead to the problem? According to Dr Gupta, “the penis works like a blood vessel.”

“What is bad for a blood vessel will also be bad for the health of the penis. Increased cholesterol, sedentary lifestyle, smoking, diabetes, obesity, are some of the risk factors for erectile dysfunction.”

Sexologists in Delhi separate causes into two types: organic and psychological. Dr P K Gupta, an expert in the field, says that the root of the dysfunction is emotional.

“Insecurity in relation to erection is the problem that most affects men”, he evaluated.

The psychological factors are varied, such as fear of pregnancy and depression. There is also situational erectile dysfunction, when the patient has a normal erection with his wife but not with his lover, and vice versa. Job loss and widowhood can also cause it.

In these cases, the most recommended treatment is specialized psychotherapy. According to sexologist in Noida, it is possible to solve the problem momentarily with the use of medicines, but only the recovery of security is what brings the definitive cure.

“The ideal is to be able to treat the emotional cause and take medicine. If the first part is not done [going to a psychologist], the patient will need to take the medicine forever. Psychotherapy is the only treatment that really cures”, he explains.

There are also organic causes: it is very common for men to undergo pelvic surgery. Urologist in Noida says that 1 in 7 men will have prostate cancer, one of the treatments being surgery. This can damage one of the nerves that make an erection impossible.

Viagra and Variations

The best sexologist in Noida says that the great evolution in erectile dysfunction treatment in Delhi occurred with the discovery of drugs that guarantee erection, such as Viagra, 20 years ago. They work in the following way: the man produces a substance inside the penis called cyclic GMP (cyclic guanosine monophosphate) and it is this that starts the erection mechanism. There is also an enzyme that destroys cyclic GMP.

“Let’s assume that the man has ’10 pellets’ of cyclic GMP. The enzyme goes there and destroys eight. The drug reduces this action to facilitate erection”, explains Dr Gupta.

Treatment with drugs and psychotherapy is called first-line, according to Dr Gupta. He points out that there are other ways out for the 30% or so who don’t respond to pills like Viagra.

The second line consists of injections into the corpus cavernosum of the penis. “We teach the patient how to do a penile injection and he will be able to have sexual intercourse normally,” he said.

Dr P K Gupta says that while the injection is done to not cause too much pain, many patients can’t get used to it. A small portion does not have the expected result.

“Then we go to a third line of treatment, the penile prosthesis. It is the implantation of silicone rods inside the cavernous body. This keeps the penis erect, with a malleable and semi-rigid prosthesis”, he explains.

Reduction of sexual desire

Doctors are clear: a lack of sexual desire among men is increasingly common.

Libido is linked to the levels of testosterone, a male hormone, also found in women, which peaks in adolescence. It is natural for rates to drop after age 50 and there is a reduction in attraction.

“It’s not just hormonal. Men can also have libido problems for psychological reasons. In the so-called hypoactive male sexual desire, he has all the normal tests, but for some unknown reason he has no sexual desire. It’s no use giving Viagra, it’s no use giving hormone”, explains sexologist in Delhi.

Dr Gupta points out that psychological causes are also linked to depression, pressure at work and stress.

“Today I think that lack of desire is the second biggest cause of male sexual health problems. Hormone replacement is for those who need hormones. Often the root is emotional. This story of giving testosterone to everyone is wrong”, he recalled. .

In these cases, when there is no hormone dysregulation, the solution is specialized psychotherapy. The available remedies do not resolve the issue, since the erection is only “activated” with the man’s arousal.

Premature ejaculation

There is disagreement regarding the definition of premature ejaculation. Some medical institutions define it as the inability to maintain an erection for more than two minutes inside the partner’s vagina. Others ejaculate in a minute.

“I believe it’s ‘when a man doesn’t have voluntary control of ejaculation, such that he ejaculates before he wants to,” sexologist in Delhi said. He just thinks he has it.”

“It involves three concepts: a quick ejaculation, a feeling of lack of control and a nuisance in the couple”, evaluates best sexologist in Delhi.

According to the sexologist doctor in Delhi, a survey that lasted 10 years showed that the normal median time for men is five minutes.

In this disease, the causes are psychological. There are some cases in which suspicions arise for organic reasons, such as a hypersensitivity of the glans (the “head” of the penis), but not with considerable frequency.

“It is very prevalent because it affects men of any age, although there is a greater predominance in young people under 25 years old. It causes major problems in terms of quality of life”, says Dr Gupta.

Anxiety to satisfy the partner and insecurity are the most recurrent causes. In these cases, treatment is also done with specialized psychotherapy.

The drugs used to prolong erection in India are antidepressants. Top sexologist in Delhi says that one of the effects is to slow down the process and, with smaller doses, you can lessen the side effects.

“The antidepressant drug will increase serotonin in the Central Nervous System and that delays the trigger of ejaculation.”

Erectile Dysfunction: 7 things you need to know

Although it is a sensitive subject for the vast majority of men, erectile dysfunction (ED) is a common problem that can be successfully treated or controlled. To give you an idea, the best sexologist in Delhi reveals that about 50% of Indian men over 40 years old complain about their erections.

Next, check out 7 important things you need to know about the topic and clarify your doubts!

1. What is erectile dysfunction?

Erectile dysfunction (or “sexual impotence”) is the inability to initiate or maintain an erection sufficient for sexual intercourse. To characterize the picture, however, the problem must be permanent and occur in most sexual attempts. It is not, therefore, an “occasional failure”.

2. What are the risk factors?

Certain genetic or lifestyle issues can influence the development of erectile dysfunction. Are they:

• Psychological disorders;
• Hormonal disorders, including the effects of diabetes and a drop in testosterone;
• smoking;
• Alcohol consumption;
• Vascular diseases and their risk factors (such as obesity, physical inactivity and high blood pressure);
• Neurological diseases;
• Medication intake;
• Use of anabolic steroids.

3. What are the causes of erectile dysfunction?

After all, what causes erectile dysfunction and all the feelings of frustration and anguish that it can cause? In general, the causes of the problem are classified by sexologist in Delhi into three groups, which are also types of ED: organic, psychogenic and mixed.

Organic

Here, the causes of ED are physical (and so this type is more common after age 40). Metabolism dysfunctions, cardiovascular problems, hormonal issues or the use of certain drugs/substances are among the most frequent motivators. Worth investigating!

Psychogenic

In this case, the roots of erection problems are psychological. When there is no apparent reason for the problem (especially when it comes to young, healthy men), the most common cause tends to be the fear of “failing in bed”, the fear of frustrating the partner and the anxiety.

Mixed

The causes are a mixture of physical and psychological factors.

4. How does the erection mechanism work?

After erotic and sexual stimuli, the brain sends signals to the penile region, generating a large flow of blood there. As the cavernous bodies of the organ fill, the penis expands and elongates.

With a system similar to a valve, the blood remains “trapped” in the region, which maintains the erection until ejaculation.

5. Why is the psychological factor so decisive in erectile dysfunction?

As we have seen, the mechanism of erection starts in the brain. It is not by chance that the psychological plays a definitive influence on the issue of dysfunction and specific failures.

According to sexologist in Delhi, a bad day, financial complications, fears, trauma: all of these can trigger and feed the problem. Often, there is the “snowball” effect: by not being able to continue with sex once, the man continually replicates the situation due to anxiety.

It is worth remembering: in these situations, adrenaline spikes contract penile regions that should be relaxed for erection, causing the problem.

6. What are the symptoms?

In addition to the inability to obtain and maintain an erection itself, other symptoms of ED include reduced penis size and rigidity, loss of body hair, atrophy of the testes, and neuropathies.

7. How to treat erectile dysfunction?

The first step is to look for the sexologist in Delhi, who will investigate the cause of the ED (discarding or not organic problems). From the diagnosis, the best erectile dysfunction treatment in Delhi is recommended for each patient, such as:

• Psychotherapy, to work on psychological blocks;
• Intracavernous injections;
• Penile prosthesis;
• Oral medications.

Finally, it is worth noting that a healthy lifestyle, with regular exercise, good nutrition and control of risk factors makes all the difference to maintain a full sex life at all ages.

Why do we have sex? According to science it is not for reproduction or pleasure

Oddly enough, science indicates that sexual contact is sought for reasons other than reproduction and pleasure. Which are?

Humans enjoy having sex, talking about sex and even fantasizing about it, but beyond how good it feels to be intimate with someone else and reach orgasm, a sexologist in Delhi suggests that we are looking for something more in these moments full of passion.

In addition to pleasure, sex fulfills the biological function of reproduction and conservation of the human species, but this is not the reason that leads us to think and have sex, otherwise there would be no contraceptives.

The best sexologist in Delhi Dr P K Gupta says that it is the rituals of interaction that make sexual intercourse so attractive. The exchange of glances, the words said in a low voice, the skin-to-skin contact and the kisses create an environment conducive to enjoying each other on a much more intimate and exclusive level.

Further Dr P K Gupta explains that sex is part of a social construction in which intense bonds are created with one or more people.

People are not made to live alone, we depend on other beings to survive and build, so sex represents an important union in which affection, interest, attraction and respect for the other is shown.

Dr P K Gupta, top sexologist in Delhi lays out four reasons why people can’t live without sex, and it’s not about reproduction or pleasure.

1. Satisfy our need to be part of something.

This means that by being sexually intimate with someone else you are creating a small group in which you fit perfectly, feel comfortable and desired.

2. You become a center of attention.

There is no better time to feel fulfilled and let go than during a sexual relationship. The liberating sensation that sex provides is incomparable.

3. Provides emotional and sexual stimulation.

In addition to feeling great, it’s a perfect way to boost your self-esteem and spirits. Emotions such as love, attraction, passion and protection are also mixed, regardless of whether the encounter is casual or with a stable partner.

4. It is an exclusive and private moment.

This feeling of intimacy, of being able to enjoy without taboos and of absolute freedom cannot be had under any other circumstances.

According to the best sexologist in Delhi, sex is a social connection that can provide general well-being for people, also impacting society.

“Social connections like these not only bring us pleasure, they also affect our long-term health in ways as powerful as adequate sleep, a good diet and not smoking. Dozens of studies have shown that people who have satisfying relationships with their family, friends, and community are happier, have fewer health problems, and live longer.”

Sexual Dissatisfaction: When to See a Sexologist?

Did you know that 51% of Indians are not satisfied with their sex life? Recent research shows that 22% of women do not reach orgasm when they have sex, while 62% of men have difficulty maintaining an erection.

Sexuality is very important, so much so that its relevance is legitimized by the WHO, the World Health Organization (WHO), which states that sex is one of the pillars of quality of life. This means that dissatisfaction in this area can negatively impact the general well-being of adult individuals.

It is worth noting that sexual problems can be related to multiple factors, such as hormonal changes, self-esteem problems, stress, anxiety, depression, past traumas, organic issues, etc.

Regardless of what the cause of sexual difficulties is, it is essential to seek help to solve the problem. The sexologist in Delhi can be a great ally in this task! Check below when this professional should be sought.

When sexual dissatisfaction is persistent

It is natural that from time to time the person does not feel fulfilled in bed. Sex after a stressful day at work, an occasional difficulty getting an erection, or an isolated episode of premature ejaculation is nothing to worry about. However, if the problem is lasting, turn on the alert signal and find out what is happening. In some cases, treatment should be multidisciplinary, with the participation of a sexologist in Delhi, urologist in Noida, gynecologist, physiotherapist in Dwarka, etc.

When emotional blocks prevent your sex life from being full

If taboos and emotional or cultural blocks get in the way of fullness in sex, it is recommended to see a sexologist in Delhi as soon as possible. Contrary to what many think, sexuality is not just a matter of the body. It involves the mind too! In most cases, sexual dissatisfaction is closely related to problems such as past trauma and mental limitations, such as low self-esteem, depression, low self-confidence and insecurity with one’s own image.

When you want to learn how to deal with sex life

Look for the best sexologist in Delhi to vent and learn to deal with your own sexuality in the most natural way possible. This professional will receive you with discretion and without judgment, as he is prepared to hear and deal with complaints such as shyness, fear and embarrassment during sex. In addition, the psychiatrist lives daily with complaints about sexual monotony, infrequency, lack of foreplay, low libido, lack of attunement, etc.

When you need to treat a specific sexual disorder

Sex life may be unsatisfactory because one or both partners have a sex-related disorder. Sexual dysfunctions are characterized by psychophysiological changes that hinder performance and satisfaction in sex. They are disturbances capable of generating difficulties in the relationship, in addition to accentuated suffering. Major disorders include sexual aversion, hypoactive sexual desire, dyspareunia, orgasmic disorder, premature ejaculation, sadism, vaginismus, exhibitionism, fetishism, masochism, and erectile dysfunction.