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The importance of discussing the marital and sexual relationship

 The first step is to make a self-questioning about the expectations placed on the other person and then dialogue to see if the expectations are corresponding and, if not, seek understanding of the possible paths”

A lot of people shy away from discussing the relationship. Arguing is bad enough, and if the relationship needs debate, something is wrong… at least for one of the two of the couple.

Talking about expectations and exposing points that need to be improved is fundamental to a good relationship. If there is no argument between the couple, it may be a sign that one of the two is canceling each other out and putting their heads down too much. This will never be useful for the future of the relationship.

Talking openly serves to create and strengthen bonds, expose likes, dislikes, and thus create the connections that are the great foundation of a relationship for two. But that’s not always how it happens. Many people marry or enter into relationships without talking about the needs of those involved. Our culture does not encourage this exchange of information and exposure to feelings in a healthy and constructive way.

If a couple is not taught to talk about everyday life, about the couple’s plans, will they talk about sex?

Sex, sexual activities, sexual behaviors are the last to be discussed between the couple. The problem stems from the idea that sex is natural and doesn’t need to be learned. But the fact is that it needs to be learned and when we talk about sex we are not referring to “natural” sex, which would be reproduction, having children. At this point, the couple talks, plans, and even seeks to overcome sexual problems by seeking help from sexologist in Noida to have children under assisted fertilization so that they don’t even need to have sex. So, the sexual problem continues.

What many couples need to understand is that this omission does not change feelings and upsets, on the contrary.

Sex will be more complicated with the lack of talking about wants and needs. Exposing sexual fantasies is extremely important for couples who consider sex to be important.

Of course, many couples exist with other bases and not sexual relationships. Sex can be something that is out of the couple’s relationship agreement… living socially can be more important.

The great key point for communication with the other to be healthy is to recognize that each one knows what is expected of him in the conversation to put to the other. The first step is to make a self-questioning about the expectations placed on the other person and then dialogue to see if the expectations are corresponding and, if not, seek understanding of the possible paths.

Talking about sex, in adults, cannot contain infantilized ways to refer to genitals and sexual activities. Adult sex is sex! To talk about sex, you have to use the words that mean sex! If you think these are dirty words, the problem is individual and deserves some time in psychotherapy to be able to address sex in a healthy and useful way for you, and then for the couple.

Talking about sex does not correspond to the stereotype of asking after sex: “Was it good for you too?” In fact, it implies first stating how satisfied you were with what you have just done. It is the role of the other to respond at the same time!

The biggest problem for couples is that they are not in the habit of dialogue. Thus, they will have great difficulties in producing a healthy and useful conversation for the improvement and future of the couple.

The couple’s communication, discussing the relationship need to be guided by a project for the couple’s future. This project needs to include sexual activities, understand that they are developed in this couple, built, planned, and tested to know what they want, what they can, and what they can do about sex.

Why do women have nausea after sex?

Why do women have nausea after sex?

Many women often experience nausea after having sex with their partner. If it is a recurring theme, it is not uncommon for problems to occur. Given this, there is an opinion for all wishes, from those who think it may be a sign of anxiety, to others who believe it is normal.

Then we explain some of the reasons why a woman can have a heart attack at the end of sex.

Nausea after sex

Feeling nauseated after having sex with someone else has nothing to worry about. There are women who have such feelings as well as another set of symptoms such as dizziness. This may be due to a series of factors which we will describe below.


If you have nausea after having sex, it may be due to a lower level of anxiety. It is an emotional response to the body that triggers the urge to vomit or be very dizzy. If this happens frequently it is best to go to a sexologist in Delhi who knows how to treat such anxiety.

Lack of fluid

During sexual activity, it is enough for the body to sweat more than usual. If a person is not given enough water, he or she will usually have a heart attack. This is why it is advisable to drink water before and after sex.

Pain in the pelvis

It is possible that during sexual intercourse a woman feels some pain in the hip area. These pains can cause nausea at the end of the sexual act. If this happens, it is best to go to a specialist because this pain can be a sign that the woman has a disease on the beach.

Why do women have nausea after sex?


Many women are unaware of a disease such as endometriosis. This condition often causes severe pain in the uterus, making it difficult to enjoy sex. One of the symptoms of endometriosis is nausea when you complete a sexual act. However, it is important to see a doctor so that endometriosis can be treated.


Fibroids are malignant tumors that can cause the woman in question to experience some pain during sexual intercourse and nausea at the end of her life. Fibroids or myomas should be treated in this way to avoid symptoms such as nausea.

What to do if you feel vomiting after having sex

If nausea becomes habitual and frequent, it is important to see a specialist. It is necessary to find out the cause of the woman’s desire for vomiting and from there, make a proper diagnosis.

If, in addition to aforementioned nausea, another series of symptoms such as experienced respiratory distress, it is possible that everything is due to a high level of anxiety. In these cases, mental health care is key when it comes to avoiding such nausea. If a woman has nausea and vomiting mentioned above, you do not need to worry and continue to have normal sex.


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.