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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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HOW DO PENILE PROSTHESIS WORK AND IN WHAT CASES ARE THEY USED?

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.