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Gonorrhea – Sexual Transmitted Disease

Gonorrhea is one of the most common sexually transmitted diseases and is caused by the bacterium Neisseria gonorrhoeae, from the gonococcal family. The chances of a woman transmitting the infection to her male partner are 20%, while if it is the man who has the infection the chances increase up to 70%. The latter is also valid for homosexual couples, especially if they are men; in fact, in the latter case, gonorrhea is especially frequent.

Symptoms of gonorrhea

In general terms, promiscuity, or in other words, risky sexual practices without the protection of a condom, constitutes the main risk factor for contracting gonorrhea.

The first symptoms of gonorrhea appear within two weeks from the moment it is infected and is specified in different clinical pictures:

  • Men: the most frequent is that the infection is revealed with the appearance before ten days of urethritis, that is, an inflammation of the urethra that manifests itself with pain or itching when urinating and the emission of a purulent discharge. If left untreated, it can become complicated and cause inflammation of the penis or epididymis.
  • Women: it may take longer to be detected since the first symptoms occur in the cervix, with the development of cervicitis. Other symptoms are an abnormal increase in vaginal discharge that takes on a purulent appearance, itching and burning when urinating, pelvic pain, and discharge of pus from the urethra. If left untreated, it can cause pelvic inflammatory disease and, consequently, the infertility of the woman.
  • Pregnant women: the symptoms are the same as in the previous case, but with the risk of spontaneous abortion or premature delivery, depending on the moment of gestation at which it is acquired, or that the infection can be transmitted to the fetus during childbirth.

Another aspect to consider is that depending on the type of sexual practices performed, the gonococcal infection can appear in locations other than the genitourinary system: in the pharynx with anal sex and in the rectum with anal intercourse. In the first case, it manifests with the symptoms of pharyngitis and in the second with itching, pain, and suppuration in the rectum.

In very few cases, just 3%, gonorrhea can spread to other parts of the body, presenting additional symptoms: fever, skin lesions, and inflammation of the joints. It can also get complicated and cause the appearance of pathologies such as hepatitis or meningitis, warns sexologist in Delhi.

Treatment of gonorrhea

Treatment of gonorrhea is always with antibiotics, in this case, those of the cephalosporin family are the most effective. The dosage may vary depending on the location of the infection, but when it comes to the genitourinary system, a single dose is used, either orally or intramuscularly.

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Dissatisfaction with Penis Size

It is not uncommon for men to be a little anxious about their penis size. They can silently compare their length and girth with their colleagues’ measurements in a community locker room, or wonder why their own penis doesn’t look like what they see in pornographic photos or videos.

For some men, this concern can conflict with everyday life. Men with small penis syndrome (sometimes called penis dysmorphic disorder ) perceive their penis as inappropriate. The doctor can say that it is a natural size and the partner can reassure them about sexual satisfaction. But the man will not believe.

Often, men with small penis syndrome avoid any situation that may involve revealing the size of the penis, from using a public toilet to swimming and sexual activities. They may feel ashamed and walk away from their friends and family.

Men concerned about penis size often consult urologist or sexologist in Delhi.

Some men resort to penis enlargement products sold online or to clinics that offer penis enlargement treatment in Delhi. However, these approaches are not always indicated and may not have results, have poor results or even harm health when there is no medical follow-up.

Treatment of men concerned with penis size should begin with a thorough biopsychosocial assessment, followed by extensive psychoeducation, counselling and psychology activities, even if surgery is being considered.

If you are concerned about your penis size or are thinking about a procedure to improve your penis, talk to a sexologist doctor in Delhi first. A therapist can also help you put your penis size in perspective and guide you through any self-esteem and body image problems. Therapy can also resolve any depression or anxiety you experience.

Complaints about penis size must be taken seriously and a full biopsychosocial and multidisciplinary assessment is required.

It is important to resolve these problems first, before undergoing a procedure.

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Enemies of the erection to watch closely

One in three men over 40 experience erectile dysfunction. Younger men are not spared the phenomenon since, in all, there are about 40 million men prone to erectile dysfunction

Certain foods and practices are to be avoided, as they are considered enemies of erection. 

  • The alcohol 

Shakespeare noted in Macbeth that alcohol “provokes desire and prevents execution”. And for good reason: if a small amount of alcohol can sometimes improve the libido of some men, even delay their ejaculation, pass three drinks, the effects on the body and sexuality become negative. Thus, drinking too much alcohol increases the risk of a breakdown as well as that of never reaching orgasm. Regular consumption of alcohol also affects libido, as shown by an American study conducted on 34,000 men, according to which consuming at least two drinks per day increased the risks of erectile dysfunction on a daily basis.

  • The tobacco

According to the same study, smoking would affect a man’s erection since a smoker would be 40% more likely than a non-smoker to face erectile dysfunctionAs pointed out by Dr. P K Gupta, best sexologist in Delhi “although sexual disorders can come from multiple causes, tobacco can and should be considered as a risk factor in itself, at least as regards the occurrence of an arousal disorder. “

  • The stress

It is common for a man to experience a breakdown at the time of penetration when everything seemed to go well during the preliminariesA frequent phenomenon, which is explained by performance anxiety, which generates stress and sometimes sexual breakdown. An experience that can quickly turn into a vicious circle, anxiety increasing with failure.  

  • Too rich a diet

Excess cholesterol increases the risk of erectile dysfunction. According to a 2016 study by the University of Marmara in Turkey, there is notably a link between sexual breakdown and liver disease, non-alcoholic fatty liver disease, due to fatty infiltration of the liver. In other words, in addition to damaging health in general, eating too much would also increase the risk of impotence.

  • The bike 

According to a survey by the University of Cologne in 2002, 13% of cases of erectile dysfunction come from cycling enthusiasts. The cause: contact with a saddle that is too narrow and rigid. To avoid any risk of breakdown, it would be better to avoid exceeding three hours of cycling per week. 

  • Diabetes
Diabetes and erectile dysfunction often go hand in hand. As proof, 30 to 50% of men victims of erectile dysfunction are diabetic. The explanation: diabetes damages the vessels and nerves of the whole body, including those of the penis.
  • Medication

Certain drugs such as antidepressants and neuroleptics act directly on the flexibility of blood vessels, and can thus affect erection. If you notice that your treatment is working on your erection, do not hesitate to talk to your sexologist in Delhi to find a suitable solution with him.

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Erectile dysfunction or impotence is one of the sexological problems that most affect men over 45 years worldwide. There are multiple therapeutic, medical and surgical treatments to solve it. Among them are penile prostheses whose indication is made in patients with severe erectile dysfunction.

However, it is also used in cases in which patients have not responded to other conservative treatments, whether they are oral therapies or the introduction of intracavernous, intraurethral vasoactive drugs, shock wave therapies, vacuum devices, etc.

What are penile prostheses?

A synthetic prosthesis is considered to be a synthetic material that is inserted inside the penis with the aim of solving erectile dysfunction or impotence. This prosthetic surgery has undergone many advances in recent years, which has achieved a high degree of satisfaction among patients who undergo it. In fact, not only has the quality of the materials and surgical treatments improved but also the results since 90% of men improve their sex lives.

However, it is important to note that penile prostheses are aimed at improving the patient’s sexual performance but do not affect or influence sexual desire, orgasm or male ejaculation. The patient must previously know this and be informed by his urologist appropriately. Therefore, a medical evaluation by sexologist in Delhi prior to the placement of a penile prosthesis is essential.

Types of penile prostheses and their use

The prosthetic penile surgery is performed through an incision in the root of the penis binding with the scrotum. By means of this incision, dilators are introduced with which the interior of the cavernous bodies of the penis is emptied and cylinders are placed inside the penis instead.

There are usually two types of penile prostheses: malleable or semi-rigid penile prostheses and hydraulic two or three-component penile prostheses.

Malleable or semi-rigid penile prostheses

The prosthetic penis Malleable is the most classic prosthesis. Although today they are not used very often, there are cases in which their use is recommended. This occurs, for example, in patients with high surgical risk or in cases in which the patient’s anatomy prevents a prosthesis of this size. There is also an economic factor that can lead a patient to prefer this type of prosthesis over the hydraulic prosthesis because the malleable prosthesis is more economical.  

As for placement, the same procedure is performed but in a less complex way since it involves inserting two semi-rigid cylinders without any adjacent mechanism. In the case of malleable prostheses, it is necessary for the patient to handle his prosthesis when he is going to have sexual intercourse. This means that in his daily life the patient keeps the prosthesis folded and at the moment in which he wants to have sexual relations he unfolds said prosthesis.

Three-component hydraulic penile prosthesis

Hydraulic penile prostheses are the most commonly used today due to their good results. It is the same surgical procedure but with some variations since it includes a mechanism inside. In these prostheses, a liquid is introduced into the cylinders, which are usually made of surgical silicone, and a pump is used to remove the liquid.

There are two or three-component hydraulic penile prostheses although three-component ones are the most widely used at present. As for the operation of these prostheses, it is a prosthesis where a liquid is placed in a reservoir of the mechanism that is placed behind the pubis and connected to a pump inside the scrotal bag. This device, through a series of pulsations, carries the liquid from the reservoir to the cylinders at the time of erection to maintain sexual intercourse.

Once sexual intercourse has ended, the liquid returns to the reservoir, leaving the cylinders empty again. These cylinders are never perceived by the patient who can maintain their sexual and daily life with total normality.

At sexologist clinic in Delhi, we have the latest advances in erectile dysfunction treatment in Delhi. Our medical team can advise you to recover your sexual life normally. If you need it, do not hesitate to contact us here.

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Does penis size matter?

What is the perfect penis size? This question bothers many men, but unfortunately, the answer is not as easy as you might expect. Research on this subject has been ongoing for years, but it still brings different results. It is known for certain that the size of a penis is genetic and is related to belonging to a given race.

The longest penis in the world, exceeding an average of 17 cm, can be proud of the inhabitants of the Democratic Republic of Congo, Ecuador and Ghana. Among Europeans, the most generous nature has bestowed Hungarians (on average 16.1 cm), and the smallest penis have Asians (Koreans 9.66 cm, Japanese 10.92 cm, Thai people 10.16 cm). Poles are not bad against this background, because the average penis size during erection is 14.29 cm. This summary was created on the basis of surveys carried out by the Australian National Agency for Health and Welfare. Does it reflect reality? It is hard to say, Australian researchers themselves admit that they took the respondents’ words.

More reliable, though highly averaged, are the latest research by English scientists from the South London and Maudsley NHS Foundation Trust. They took into account measurements made by doctors in 15.5 thousand men around the world. And it turned out that at rest the average penis is 9.16 cm long and 9.31 cm in circumference. When erection occurs, the penis grows on average to 13.12 cm, and its circumference increases to 11.66 cm. The authors of the study add that 17-18 cm long penis occurred in 2 men out of 100. One percent of the subjects had a 20 cm long penis. 

Still another study was performed on a group of 50,000 residents of European Union countries. 66 percent of them have a medium-sized penis, 22 percent, a large penis, and 12% – small penis. Over half of the respondents were satisfied with the size of their birth. 

How to measure your penis size?

The discrepancy in dimensions is often the result of this, men make many mistakes when measuring themselves. The penis should always be measured from the pubic bone to the tip of the glans, not including the foreskin. The circumference must be measured either at the base of the penis or half its length, always in erection. Penis measured at rest does not give a full picture, because during erection it can be extended by up to 100 percent. Measurement is also disturbed by: strong hair, belly fat and measuring from above. It turns out that most men who report to a doctor with a small penis complex simply cannot measure it accurately. 

Does size matter to a woman?

The size of the penis is not accidental, it is evolutionary, because we remember that the main task that nature provided for the penis is to leave the semen in the vagina and thus extend the species. Therefore, its size is associated with the size of the female genital organs. The average length of a white female vagina reaches 10 and 11cm. Considering the issues of satisfying women’s sexual sensations, the length of the penis is not that important either. Its volume is more important because most receptors are located in the lateral walls of the vagina. In addition, the most innervated part of a woman’s intimate places is the clitoris and vulva, and the first 10 centimeters of the vagina. That’s why over 60 percent of women admit that penis length matters less to them than thickness.

Why the penis suddenly decreased

Penis size is not only genetically determined, but it is also affected by lifestyle and sexual activity. Gentlemen with a small penis complex often avoid sexual contact, without realizing that the lack of active erotic life causes the disappearance of cavernous trabecula and disrupts testosterone in the male body. The penile size is also badly affected by erectile dysfunction, during which blood circulation in the cavernous bodies of the penis is worse. This can lead to muscle wasting. Therefore, instead of cultivating complexes in solitude, it is worth breaking the shame and reaching for the help of a sexologist in Delhi

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Back pain: the best sexual positions

How do you make love when your back hurts? A very serious study has taken up the challenge and determined the Kama-Sutra for low back pain patients, clearly the sexual positions to adopt or avoid.

Make love without hurting when you suffer from the back, it is possible … provided you choose the right position. For the first time, elements of response have been scientifically validated. The study was published in the journal Spine.

The researchers analyzed the movements of the spine according to five sexual positions tested by ten couples who did not suffer from low back pain.

Important clarification: the conclusions relate to low back pain men. 

Recommended positions for men according to the type of low back pain

  • Your pain starts when you lean forward: avoid the position of the teaspoons and favour the position of the greyhound.
  • Your pain starts when you lean your chest back: avoid the position of the greyhound and favour that of the small spoons.

The missionary position is also suitable for low back pain men. To be nuanced, however, depending on the position of the woman’s legs, elongated or bent.

Sexologist in Delhi advises avoiding the tilting of the pelvis from front to back, which stresses the spine too much.

Information certainly useful to the millions of people suffering from back pain but who must also confront the practice. And there, only one advice which is worth: first choose the position which is the least painful for you.

Tips To Control Premature Ejaculation

Premature ejaculation is one of the most frequent male problems, affecting at some time in his life 1 of every 3 men. Let us know its causes and some tips to control this sexual dysfunction.

Premature ejaculation is considered as the lack of control over the ejaculatory reflex, with the intercourse being less than 2 minutes. This little spoken disorder, although it affects between 25% and 40% of men, has a solution.

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There are two types of premature ejaculation:

  1. Primary. It is caused by a congenital motive and is characterized by ejaculation in less than a minute after penetration.
  2. High school. Caused by physical disorder or psychological factors. Ejaculation occurs between 2 and 3 minutes after penetration.

Causes of premature ejaculation

This loss of control during intercourse may be caused by:

  • Biological causes.
  • Stress.
  • Infections in the urinary tract.
  • Prostate problems
  • Depression or anxiety
  • Consumption in large quantities of alcohol.
  • Lack of self-esteem.
  • Dissatisfaction with sex life.
  • Not often when having sex.
  • Extreme sensitivity.

How to control premature ejaculation

There are several ways to address premature ejaculation, from muscle exercises, breathing, stimulation techniques, to changing life habits.

  1. Masturbation. Self-knowledge is essential as a first step to control premature ejaculation. There is an exercise known as “start-stop” that consists of stopping when you are going to ejaculate and let the moment of maximum excitement pass.
  2. Pelvic floor exercises. Weakness in the muscles of this area can affect ejaculation. Therefore, it is important to strengthen them by means of what are known as “Kegel exercises”. One of them consists in tensing the pelvic floor area (simulates as if interrupting urination to locate the area), maintaining the contraction for 5 seconds and then relaxing for another 3 seconds. Repeat 3 times per day, in a series of 10 repetitions.
  3. Decrease sensitivity The use of condoms that offer “retarding function” can help delay ejaculation because they contain anesthetic agents and are made of thicker latex.
  4. Adequate breathing Breathing can also help control premature ejaculation. At the time of intercourse, relaxation can be favored by deeply inspiring air through the nose and exhaling rhythmically through the mouth.
  5. Remove negative thoughts. To think that nothing has to go wrong.
  6. Increase the frequency of sexual intercourse. This will prevent the accumulation of excitation.
  7. Avoid excessive alcohol and other substances.
  8. Changes in food. Caring for food also plays an essential role. Avoiding saturated fats and increasing the consumption of products rich in citrulline (vasodilator) such as watermelon, are some of the changes that can be made.
  9. Pharmacotherapy. If the cause of premature ejaculation is a disease, age or hormonal change, the solution consists of a pharmacological treatment, prescribed and supervised by a specialist.

Finally, it is important to remember that talking about the situation and seeing a sexologist in Noida is essential for the solution and premature ejaculation treatment in Delhi. If you need help, we put at your disposal our best sexologist in Noida. Contact us without obligation.

Disorders of Sexual Desire

It is also known as hypoactive sexual desire is the one that occurs most frequently and is defined as the persistent or recurrent deficiency or absence of sexual thoughts or fantasies and/or desire or receptivity for sexual activity, being the cause of personal distress (distress, frustration, anxiety). The most severe form is given by persistent or recurring phobic aversion to sexual contact.

Image of young psychiatrist comforting her sad patient

It is the most frequent sexual dysfunction in women, reaching an incidence of 33% between 18 and 59 years and up to 45% in menopause.

Sexual desire is rooted in the rhinencephalon and in the limbic region of the brain, highly dependent on hormones (androgens, estrogens) and modulated by different mental states such as mood and depression. Motivational, affective and cognitive factors are fundamental for an adequate direction of sexual desire.

Alterations of sexual desire have different origins, both biological and affective-motivational (couple relationship) and cognitive.

The following are the most frequent biological causes


  • Hypoestrogenism
  • Hypoandrogenism
  • Hyperprolactinemia
  • Hypothyroidism

Affective disorders

  • Depression
  • Anxiety and/or phobia

Neurovegetative disorders

  • Hot flashes
  • Insomnia

Drugs and toxic

  • Alcohol and drugs
  • Antidepressants
  • Antiandrogens
  • Levosulpiride

The diagnosis is based on a detailed medical history and physical examination.

According to the best sexologist in Noida, Delhi, a hormonal (total and free testosterone, DHEAS, estradiol, SHBG, FSH, TSH) and psychological evaluation can be performed.

Due to a large number of factors involved in sexual desire, the treatment presents many difficulties. When hormonal alterations exist, a substitute treatment with testosterone or estrogen, or with hypoprolectants and thyroxine in cases of hyperprolactinemia and hypothyroidism may be indicated. If there are toxic factors or drugs, they should be suppressed or, if possible, substituted.

Psychotherapy and sex education will be advisable in most cases.

If sexual desire disorders are the consequence of other sexual disorders (excitability, orgasm, coital pain), these should be timely assessed and treated.

Female Sexual Dysfunction

Women’s sexual dysfunction is often referred to as a condition in which there are equal biological, psychological and interpersonal factors that sometimes play a complex combination.

The American National Institute of Health released data indicating that up to three-quarters of all women suffer from varying degrees of severe sexual dysfunction.


– 33% of women noted a reduction in sexual desire, – 25% of women noted the lack of orgasm in absolute terms, – 20% of women said difficulty in the germinated genital tract, – 20% of women said that sex does not satisfy them.

Factors that provoke sexual dysfunction may be:

  • vasogenic;
  • neurogenic;
  • hormonal;
  • psychogenic;
  • Musculoskeletal

Sexual disorders in women can be manifested in such forms as:

  • libido disorder and anxiety
  • orgasm disorder
  • lubrication violation
  • pleasure disorder
  • pain disorder

Female sexual dysfunctions are a serious and very common problem of modern urogynecology, which has a great influence on the normal life of women. At the same time, only a small number of women go for help to specialist sexologist in Noida. Of course, the question is quite delicate and not every woman decides to tell about their intimate problems to an outsider, even a doctor. In addition, this issue is poorly covered even in the special medical literature. But in checking the problem was much more serious than it was before, and therefore requires a thorough and detailed study.

low sex desire in women

Disorders in the female sexual sphere can have a significant impact on the quality of life, as they lead to a violation of the relationship between a man and a woman, affect moral issues, contribute to the appearance of certain prejudices. Female sexual disorder violates mental balance and causes disorder in interpersonal intra-familial relationships.

Dysfunctions can accompany many diseases, but most often they are burdened with primary sexual disorders of a specific nature. Prevention and treatment of female sexual dysfunction are important not only from a medical point of view but also from a social point of view.

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Discover How To Enjoy The Couple Through Sex

Discover how to enjoy the couple through sex and get out of the monotony

Getting an orgasm will depend on the person, their ability to feel pleasure and induce pleasure as well. For men, it is easier to reach orgasm than women. Many couples and especially many men, seek self-satisfaction and do not take into account the possibility that the woman gets an orgasm and do not consider how to reach an orgasm.

It is easier for a woman to have an orgasm by being alone than by having a partner and having sex. Whether through sexual positions, erotic games, stimulation of the G-spot and other erogenous zones, it is possible that both men and women have an orgasm as a couple.

Do not let the passion and desire to have sex decay is a challenge for many couples. Every person likes that their partner feels satisfied and that they feel an orgasm every time they can. Now imagine that both during the sexual act reach orgasm at the same time, the feeling in them will be immense and that will bring them closer.

For this reason, in this article, sexologist in Noida presents some tips and advice that will really help you to achieve a mutual orgasm with your partner. You just have to put it into practice and adapt these keys and tips to your sex life.

Recommendations to follow to enjoy sex as a couple 

  • Create an emotional bond with your partner either through glances during the sexual act or by telling him how good you feel and how lucky or lucky you are together.
  • Keep in mind that the female orgasm is more inclined towards the emotional part. Has a woman ever faked an orgasm while being with you? It may be because your body and mind are not connected while having sex, causing them to fake orgasms so that the man feels “satisfied” with his sexual performance.
  • Their problems, worries, and tasks are a factor that will directly influence women when they have an orgasm. Therefore, as a man or as a couple, be sure to induce as much sexual pleasure as possible, make her feel comfortable with you and what you do and try to do. Do not forget to connect with her emotionally! Be romantic and prepare an erotic environment that provides tranquility and well-being.
  • The speed with which men carry the sexual act is too fast, which is a blunder. The woman has to be worked, so to speak, to explore which areas are more susceptible. Before moving to highly sensitive areas, first begins with the basics, the neck, mouth, thighs, breasts, nipples, etc. The same goes for man, only, in this case, it is easier to stimulate and induce pleasure.
  • The trust during the sexual act is essential, that such a feeling exists between both imply that the physical and emotional delivery is a mutual act.
  • Be precise as to capture the moment or moments in which your partner is having the best pleasure until then. This will let you know how to stimulate the other person
  • Self-knowledge is another of those keys that favor sex as a couple and obtain an orgasm. The more knowledge you have about the erogenous parts, how to stimulate them and what their limits are, the better. Since having a notion of it, the couple can take advantage of it and know where to play and how to play.
  • Maintain a connection between your brain and your body, therefore, you have to make your partner do the same. While the mind is distracted, the difficulty with which an orgasm will be achieved will increase significantly.

Tips to stoke sexual desire and enjoy the relationship

Your relationship may have reached a stalemate where you do not know what to do to maintain that desire and desire that you once had when you initiated the emotional and sexual connection.

In this way, know these simple but practical tips that will help you improve your sex life.

  • The vagina is not the only erogenous part that can induce a woman to have an orgasm. It is more part of the body is not so sensitive compared to the clitoris.
  • A basic position but that really helps to achieve an orgasm is that of “puppy”. It consists of placing your hands or elbows (depending on how arched your back is and how raised your back is) and knees in the bed, this way you can receive three types of stimulation at the same time: vaginal penetration, anal stimulation with your finger of your partner and masturbation or stimulation of the clitoris.
  • If you want to induce an orgasm in men, know that showing your physical attributes, sexual and provocative positions, erotic dances, and others can help enormously to achieve this goal, as long as you do it by restricting him to touch you, this in order to create a sexual fantasy in his head and increase the morbid in the moment.
  • Oral sex in both men and women is almost an indispensable requirement. The detail is that when it is practiced, it is not done correctly, either because of ignorance of how to do it or because of not knowing what it is like that your partner receives oral sex. The key is communication and technique.
  • If you are masturbating to the man, either manually or orally and notes that he is about to reach orgasm, you simply have a slight pressure at the base of the big one, this will prevent him from ejaculating and thus cutting the ejaculatory reflex.

Many men and women seek information on the Internet about how to fan the flames of passion more often than you imagine, do not limit yourself to enjoy a full and happy sexual life.