Saturday, October 29, 2011

There is nothing like " Sex hemoglobin" No saline / medicine given intra-venous is approved.

" NOTICE- Few patients are coming and asking me about " S Hemoglobin" or "Sex Hemoglobin"  or any sex factor which require multiple intra-venous (I.V.) fluid with medicine  / saline / injections?- as per my opinion there is nothing like S HEMOGLOBIN or such kind of any sex related factor present in blood which can be seen on blood reports, and there is no such treatment available. Be aware of these kind of comments from few doctors.... this is just to make money.. they give multivitamin (costing 20/-) injections for treatment which they cost around 1200/- or even more per iv saline which is asked to take for several times like 10or  20, Its of no use or not even recommended by any standard textbook / treatment guidelines...  Also note that few people are sensitive to these injectables and can also lead to anaphalysix and also death". Always remember that medications should be prescribed from outside medical store, they should have drug (name and molecule) contain in it, expiry date and cost. There is no specific formula of any doctor or which is practice abroad... Your treating doctor if insisting for IV fluid,/ supplements or self dispensed medicine without name of contains -  he  is trying to make you fool!.....

 DR Deshmukh In NWES - creating awareness with leading news papers of India.

Section 377 debate: Health concerns rear head after verdict ( Times of India) 

Umesh Isalkar, TNN Dec 13, 2013, 04.06AM IST

*      PUNE: A lot can change now for lakhs of homosexuals after Wednesday's Supreme Court verdict making gay sex a crime, a setback to the 2009 Delhi high court order that had helped many come out of the closet, warned city-based psychiatrists.

*      A group of 20 doctors, mainly psychiatrists, have filed an affidavit as part of the Naz Foundation case before the Supreme Court emphasizing that homosexuality is not a disease or a psychiatric illness.

*      "The verdict may also lead to a rise in risky sexual activity or contracting sexually-transmitted diseases and abuse," said psychiatrist Dr Swapnil Deshmukh, who gets almost one patient every day seeking guidance about the issue.

*      "People who come to us want to maintain confidentiality, don't reveal their real names, do not give phone number or address and prefer to come alone. Because of lack of awareness and acceptance, these people try finding a sex partner on the net hiding their identity but it makes them more prone to physical/ sexual abuse and at a risk of getting sexually transmitted diseases like HIV," he said.

*      Deshmukh said the verdict will not have any impact on seeking help from doctors.

*      "The apex court's verdict will drive gay, lesbian, bisexual and transgender (LGBT) community into a hideout. Our experience says that when something is declared against the law, affected communities suffer with the so-called moral police using the law to their advantage," said psychiatrist.

*      Parental acceptance of their wards' sexuality is bound to be hit after the recent verdict, said psychiatrist. "The community's members may be scared to seek treatment for their own stress, depression or any other illness linked to issues with involving their sexuality”.

*      Quote

*      The Supreme Court's verdict will drive the gay, lesbian, bisexual and transgender (LGBT) community into a hideout. Our experience tells us that when something is declared against the law, the affected communities suffer with the so-called moral police using the law to their advantage.
May lead to rise in STD cases
May hinder social acceptance, which gradually started after 2009 Delhi HC verdict
Criminality quotient may lead to rise in abuse or harassment

*      May drive away people from seeking medical help


  1. - Have fun without sex
  2. - Male Infertility
  3. - Paraphimosis
  4. - Food for good sex  
  5. - Erectile dysfunction - diagnosis & treatment..
  6. - Easy ways to increase sex desire in male & Female..
  7. - Premature Ejaculation - Introduction & treatment..
  8. - Worried that you are not good at sex?..
  9. - Give up smoking for better sex…
  10. - New tablet to increase sex drive in female..
  11. - Homosexuality, Gay, Same-sex problems…
  12. - Sex Education- you should know this…
  13. - Effect of masturbation on men’s body…
  14. - Safe period for sex to avoid pregnancy…
  15. - Sex education/ treatment centre Deccan & Camp – Pune..
  16. - Dr Deshmukh MBBS, MD Sexologist...

Saturday, October 1, 2011


Forgive and forget; the future is always brighter than you expect.
Are you sniggering while reading this? Are you thinking cuddling is fine, but does not give you the physical release you get with sex? Well, you have to work to build intimacy without sex and that takes time, effort and some fun.
A few ways to make this work are:
Touch each other
Be as physically close as you can without sex. Massages, cuddling while watching a movie and holding hands while talking or even stroking each others' hair is great ways to get intimate without sex! Getting to know each other is half the fun of intimacy!
Hold each other
Hold each other as much as possible. Try kissing each other good night or when you are leaving the house. Works great to keep you connected without sex.
Be emotionally intimate
Talk about your day, your hopes and dreams - whatever - when you're cuddling in bed. Share secrets and office gossip. This can really relax you, and keep you informed about what you both are doing.
Banish distractions
Take away the TV, ignore phones and mobiles and call for food. Just sit and talk while looking into each others eyes! That really boots the intimacy levels.
Be warned!
Intimacy and sex go hand-in-hand in the male mind. For them sex also means love. You can get close to them without sex but physical communication in every relationship is as important as emotional communication. Sex is an inherent part of every marriage and long-term relationship, but it should not be something you do because your partner wants it! Physically being in contact with your partner can be really relieving even if you do not have sex!

Dr Deshmukh MD 9923291312

The couples who were having daily or regular sex almost always looked younger than those who weren't. They were also slimmer, fitter, healthier and happier. Sexual activity, is an accurate thermometer for measuring health, its myth that its reason for weakness or other physical problems" Dr Deshmukh.
It is observed that people having regular sexual activity also report less relationship problems between them and the people who were having lots of sex in their relationships had one key factor in common: their diet. All of them were eating extremely nutritious food.
Dr explains: "Good nutrition is essential for the healthy production of hormones and chemicals which maintain the libido and allow for regular and fulfilling sexual activity." Combined with regular exercise it should ensure you not only have regular, great sex-just like you did in your youth-but look and feel younger too.
According to research, the first step to boosting your love life is to feed your brain. "The biggest sexual organ is the brain, which produces the chemicals and hormones that trigger feelings of love and attraction, arousal and orgasm via sexual areas in brain. We need to make sure we're eating the right foods to ensure the production of these chemicals and hormones."
First, it's important to have a diet that boosts the levels of the neurotransmitter dopamine in brain, released by the neurons. Dopamine is the feel-good chemical associated with the emotions of anticipation and desire. As such, it is vital to a healthy sex drive.
Having a good balance of hormones is essential to a healthy sex life, which is why the menopause - when hormone levels drop - can cause havoc with your sex life. There are three hormones responsible for arousal and sexual desire: oestrogens, which are present in both but a female harmone, testosterone, also in both but a male harmone, and DHEA (dehydroepiandrosterone), which is found in women only.
"A good balance of animal fat in meat and fish and good cholesterol, found in eggs for example, encourages the production of sex hormones, improving libido. It's vital to eat plenty of good quality protein, ideally a portion with every meal," said Dr.
For good sex, you need stamina and energy. While a generally healthy diet will help you feel strong and healthy, it's important to eat food that will increase your levels of Human Growth Hormone (HGH). This hormone increases sexual desire and provides the stamina and energy needed for a sexual marathon. To increase production, eat organic protein from beef, fish, and chicken. 

 Dr Deshmukh MD Sexologist


What is infertility?
Infertility is the inability to get pregnant after trying for at least 1 year without using birth control. About 15% of couples are infertile.
How often are male factors involved?

About one-third of cases of infertility are caused by male factors alone. A combination of male and female factors causes about one-third of cases of infertility.

What causes male infertility?
The most common cause of male infertility is a varicocele (say: "var-ih-koh-seal"). A varicocele is made up of enlarged veins in the scrotum (the skin "sack" that hangs beneath the penis) on 1 or both sides. The veins make the inside of the scrotum warmer and can reduce sperm production by the testicle on the same side.

Other causes of male infertility include:
• A blockage in a man’s reproductive system
• Certain medicines
• Low sperm count
• Sperm that are abnormally shaped or that don't move correctly
• Undescended testicle
• Infections
• An underlying medical problem
Other factors that may affect fertility include tobacco smoking, excessive alcohol consumption and abuse of other illegal drugs, emotional stress, obesity and age (fertility gradually decreases in men who are older than 35). Sometimes the cause of male infertility cannot be identified. In these cases, there may be an underlying genetic problem.

When should I see a doctor?
Usually, a couple should wait to see a doctor until after they've tried to get pregnant for a year. However, it's okay to see a doctor sooner, especially if the woman's age may be a factor.

Should men be checked for infertility?
Yes. It's important to identify and treat any correctable problems. In some men, a doctor's exam may find an underlying medical problem that is causing the infertility.

How is infertility evaluated?
Your doctor will talk to you about your medical history, examine you and test your semen. Your doctor may want to test your semen more than once. A semen analysis can tell your doctor about your sperm count and sperm quality. These are important parts of fertility. Your doctor may recommend other tests depending on the results of this first evaluation.

Is male infertility treatable?
More than one-half of cases of male infertility can be corrected. Treatment may help a couple get pregnant through normal sexual intercourse. Even if you can't get pregnant in this way, you may not need expensive or invasive treatments to get pregnant. If the man needs surgery to correct the problem that is causing his infertility, it can often be done as an outpatient procedure. This means he doesn't have to stay in the hospital overnight.


What is paraphimosis?
Paraphimosis is a serious condition that can happen only in men and boys who haven't been circumcised. Paraphimosis means the foreskin is stuck behind the head of the penis and can't be pulled back down into a normal position.
What causes paraphimosis?
Uncircumcised men ( circumcision commonly done in Muslims for religious reason) sometimes pull the foreskin back during sex, masturbation, when they go to the bathroom or when they clean their penises. Doctors and nurses might pull the foreskin back when they examine the penis or put in a catheter.

Sometimes you, a doctor or a nurse might forget to pull the foreskin back down. If the foreskin is left behind the head of the penis too long, your penis might swell so much that the foreskin is trapped behind it.
What can I do to avoid getting paraphimosis?
• After having sex, going to the bathroom or cleaning yourself, be sure to pull the foreskin back down to its natural position.
• Never leave the foreskin behind the head of your penis for any longer than you need to as it  can lead to gangrene, which is a medical emergency.
• If a catheter is put into your bladder, check afterward to be sure that the foreskin is covering the head of your penis.

What happens if I get paraphimosis?
Paraphimosis usually causes pain in your penis, but not always. You might get an infection in your penis. You might not be able to go to the bathroom at all. If you can't pull your foreskin over the head of your penis, you need to call your doctor right away.

The first thing your doctor will do is treat the swelling. This can be done by pressing your penis with a hand or by wrapping your penis in a tight bandage. After the swelling has gone away, your doctor should be able to pull the foreskin back down. If the foreskin remains stuck, your doctor might need to make a small cut in the trapped foreskin to loosen it. Steroidal creams, zink & anti-oxidents helps in increasing elasticity of skin can be used as treatment of phymosis. In recurrent paraphymosis circumcision is require for permanent cure in few cases, if medical management fails.
Dr Deshmukh


They say sex is a great stressbuster. They are right because love-making has been found to relive the pressure of the burdens of life, ease stress, soothe chronic aches and pains, spur creativity and rev up the energy levels.
Experts say that anything that makes you feel good, alive and physically excited will make you feel as if you've shed years. And all these things are associated with sex.
You are probably aware of the basics of terrific sex, but let us suggest you a few aphrodisiacs which can add zing to your sex life.
Figs have been found to be brimming with minerals like magnesium, manganese and zinc and also Vitamin E. All of them can do wonders to spice up your sex life.
The flashy-red watermelons contain a substance called citrulline, which sends the body the signals to release arginine, which relaxes blood vessels. This produces an effect similar to Viagra.
You've tried whiskly, you've tried wine but didn't feel the buzz. Pick a bottle of champagne and feel the difference. It enters the bloodstream faster than the wine does, so make sure you don't drink too much of it. Many champagnes have been found to have the same amount of antioxidants as red wine.
The Red Hot Chilli Peppers can bring out the hotness in you. They help recreate the symptoms of arousal: flushed cheeks, a quiver on your tongue, and more kissable lips. They also up the heat in the body.
Cheese releases 10 times more endorphins than the great ol' aphrodisiac - Chocolate. It will help you set the right mood.
Chocolate has been your trusted friend when it comes to having a great sex. You just need to maintain the bond. Its aphrodisiac property has been ascribed to two chemicals. One, tryptophan, which is the building block of serotonin, a brain chemical involved in sexual arousal. And two, phenyethylamine, a stimulant.
So the kind of food we gorge upon can do wonders with our sex life. Right food can make you positively sexual.
Dr Deshmukh 9923291312

Sunday, April 3, 2011


Erectile dysfunction, sometimes called "impotence," is the repeated inability to get or keep an erection firm enough for sexual intercourse. Erectile dysfunction, or ED, can be a total inability to achieve erection, an inconsistent or situational ability to do so, or a tendency to sustain only brief or partial erections. In older men, ED usually has a physical cause, such as disease, injury, or side effects of drugs. Any disorder that causes injury to the nerves or impairs blood flow in the penis has the potential to cause ED. Incidence increases with age: About 5 percent of 40-year-old men and between 15 and 25 percent of 65-year-old men experience ED. But it is not an inevitable part of aging and mostly people remain sexually active till 80 to 85 yr age. ED is treatable at any age, and awareness of this fact has been growing. More men have been seeking help and returning to normal sexual activity because of improved, successful and safer treatments for ED. Psychiatrist & Urologists with specialization in sexology have traditionally treat ED; however mostly people take non-approved over-counter medications or treatment from fake so-called doctors with-out proper diagnosis or knowing basic cause for the problem. Mostly drugs or doctor working on advertise are not effective or fake/ unproved. They take advantage of stigma attached with these problems.

How does an erection occur?

The penis contains two chambers called the corpora cavernosa, which run the length of the organ and spongy tissue fills the chambers. The corpora cavernosa are surrounded by a membrane, called the tunica albuginea. The spongy tissue contains smooth muscles, fibrous tissues, spaces, veins, and arteries. The urethra, which is the channel for urine and ejaculate, runs along the underside of the corpora cavernosa and is surrounded by the corpus spongiosum. Erection begins with sensory or mental stimulation, or both in sexual area of brain. Impulses from the brain and local nerves cause the muscles of the corpora cavernosa to relax, allowing blood to flow in and fill the spaces. The blood creates pressure in the corpora cavernosa, making the penis expand. The tunica albuginea helps trap the blood in the corpora cavernosa, thereby sustaining erection. When muscles in the penis contract to stop the inflow of blood and open outflow channels, erection is reversed.

What causes erectile dysfunction (ED)?

Since an erection requires a precise sequence of events, ED can occur when any of the events is disrupted. The sequence includes nerve impulses in the brain, spinal column, and area around the penis, and response in muscles, fibrous tissues, veins, and arteries in and near the corpora cavernosa. Damage to nerves, arteries, smooth muscles, and fibrous tissues, often as a result of disease, is the most common cause of ED. Kidney and liver disease, Lifestyle choices that contribute to heart disease and vascular problems also raise the risk of erectile dysfunction. Smoking, being overweight, and avoiding exercise are possible causes of ED. Also, surgery can injure nerves and arteries near the penis, causing ED. Injury to the penis, spinal cord, prostate, bladder, and pelvis can lead to ED by harming nerves, smooth muscles, arteries, and fibrous tissues of the corpora cavernosa.

Primary couses of ED

• Vascular disease

• Psychological problems

• Diabetes

• Drugs, alcohol or tobacco consumption

• Hormone imbalances

Neurologic conditions

• Pelvic trauma, surgery, radiation therapy

Peyronie's disease

• Venous leak

Vascular Disease Arteriosclerosis, the hardening and narrowing of the arteries, causes a reduction in blood flow throughout the body and can lead to impotence. It is associated with age and accounts for 50% to 60% of impotence in men over 60. Risk factors for arteriosclerosis include: • Diabetes mellitus • High blood pressure • High cholesterol Smoking, which can lead to any of the above risk factors, is perhaps the most significant risk factor for impotence related to arteriosclerosis.

Diabetes Mellitus Chronic high levels of blood sugar associated with diabetes mellitus often damage small blood vessels and nerves throughout the body, which can impair nerve impulses and blood flow necessary for erection. About 60% of men with diabetes experience impotence.

Drugs Over 200 commonly prescribed drugs are known to cause or contribute to impotence, including drugs for high blood pressure, heart medications, antidepressantsand psychiatric drugs, tranquilizers, and sedatives, antihistamines, appetite suppressants, and cimetidine (an ulcer drug)—can produce ED as a side effect. A number of over-the-counter medications also can lead to impotence. Long-term use of alcohol and illicit drugs may affect the vascular and nervous systems and are associated with erectile dysfunction. Using certain un ethically given prescription, over counter or illegal drugs without advise of doctor, also addictive drugs can suggest a chemical cause, since drug effects account for 25 percent of ED cases.

Hormone Imbalances Hormone disorders account for fewer than 5% of cases of impotence. Testosterone deficiency, which occurs rarely, can result in a loss of libido (sexual desire) and loss of erection. Among other conditions, an excess of the hormone prolactin, caused by pituitary gland tumor, reduces levels of testosterone. Hormone imbalances can also result from kidney or liver disease.

Neurologic Conditions Spinal cord and brain injuries (e.g., paraplegia, stroke) can cause impotence when they interrupt the transfer of nerve impulses from the brain to the penis. Other nerve disorders, such as multiple sclerosis (MS), Parkinson's disease, and Alzheimer's disease, may also result in impotence.

Pelvic Trauma, Surgery, Radiation Therapy Trauma to the pelvic region or spinal cord can damage veins and nerves needed for erection. Surgery of the colon, prostate, bladder, or rectum may damage the nerves and blood vessels involved in erection. Prostate and bladder cancer surgery often require removing tissue and nerves surrounding a tumor, which increases the risk for impotence. New nerve-sparing techniques aimed at lowering the incidence of impotence to 40% to 60% are now being developed and used in these surgeries. Temporary impotence is also associated with these procedures, even those in which nerve-sparing techniques were used. It can take as long as 6 to 18 months for full erections to return. Radical cystectomy (for bladder cancer) and prostatectomy (for prostate cancer) require cutting or removing nerves that control penile blood flow. These nerves do not control sensation in the penis and are not responsible for orgasms; only erection is affected by these procedures. Radiation therapy for prostate or bladder cancer also can permanently damage these nerves.

Peyronie's Disease Peyronie's disease is a rare inflammatory condition that causes scarring of erectile tissue. Scarring produces curvature of the penis that can interfere with sexual function and cause painful erections.

Venous Leak If the veins in the penis cannot prevent blood from leaving the penis during erection, erection cannot be maintained. Venous leak can be a result of injury, disease, massaging of penis with oil or damage to the veins in the penis.

Psychological Conditions Experts believe that psychological factors such as stress, worry, anxiety, guilt, depression, schizophrenia, personality disorder, low self-esteem, and fear of sexual failure cause 10 to 20 percent of ED cases and also loss of libido. Men with a physical cause for ED frequently experience the same sort of psychological reactions (stress, anxiety, guilt, depression). If a man experiences loss of erection, he may worry that it will happen again. This can produce anxiety associated with performance and may lead to chronic problems during sex. If the cycle is inescapable, it can result in impotence. Psychological factors in impotence are often secondary to physical causes, and they magnify their significance. Problems in your relationship with your sexual partner can also cause erectile dysfunction. Improving your relationship may help your sex life. If you decide to seek therapy, it will probably be most effective if your sex partner is included. Couples can learn new ways to please one another and to show affection. This can reduce anxiety about having erections. Feelings that can lead to erectile dysfunction • Feeling nervous about sex, perhaps because of a bad experience or because of a previous episode of impotence • Feeling stressed, including stress from work or family situations • Being troubled by problems in your relationship with your sex partner • Feeling depressed • Feeling so self-conscious that you can't enjoy sex • Thinking that your partner is reacting negatively to you

How is ED diagnosed?

Patient History Medical and sexual histories help define the degree and nature of ED. A medical history can disclose diseases that lead to ED, while a simple recounting of sexual activity might distinguish among problems with sexual desire, erection, ejaculation, or orgasm also psychological or organic problem.

Physical Examination A physical examination can give clues to systemic problems. For example, if the penis is not sensitive to touching, a problem in the nervous system may be the cause. Abnormal secondary sex characteristics, such as hair pattern or breast enlargement, can point to hormonal problems, which would mean that the endocrine system is involved. The examiner might discover a circulatory problem by observing decreased pulses in the wrist or ankles. And unusual characteristics of the penis itself could suggest the source of the problem—for example, a penis that bends or curves when erect could be the result of Peyronie's disease.

Laboratory Tests Blood Tests and Urinalysis to Diagnose ED Blood tests can indicate conditions that may interfere with normal erectile function. These tests measure hormone levels, cholesterol, blood sugar, liver and kidney function, and thyroid function. Excess prolactin (hyperprolactinemea) can lower testosterone levels, which can diminish libido. Both of these levels are measured, as well as levels of other sex hormones. If they are persistently low, an endocrinologist (hormone specialist) should be consulted. CBC–Complete blood count (CBC) of red cells and white cells is used to evaluate the presence of anemia. A low level of red cells limits the body's utilization of oxygen and can lead to fatigue and general malaise. The level of blood lipids (fats) such as cholesterol and triglycerides may indicate arteriosclerosis, which can reduce blood flow to the penis. Liver and kidney function tests–Liver and kidney disease can create horomonal imbalances. Blood tests for liver function involves analysis of enzyme and serum creatinine levels, which are indicators of kidney efficiency. Thyroid function tests–Thyroid hormones regulate metabolism and the production of sex hormones; a deficiency may contribute to impotence. Urinalysis–Urine is analyzed for protein (albumin), sugar (glucose), and hormone (testosterone) levels that may indicate diabetes mellitus, kidney dysfunction, and testosterone deficiency. Erectile Function Tests to Diagnose ED Tests that assess erectile function examine the blood vessels, nerves, muscles, and other tissues of the penis and pelvic region. Duplex ultrasound–Duplex ultrasound is used to evaluate blood flow, venous leak, signs of artherosclerosis, and scarring or calcification of erectile tissue. Erection is induced by injecting prostaglandin, a hormone-like stimulator produced in the body. Ultrasound is then used to see vascular dilation and measure penile blood pressure (which may also be measured with a special cuff). Measurements are compared to those taken when the penis is flaccid. Prostate examination–An enlarged prostate, which can be detected with a digital rectal examination or with sonography(USG) can interfere with blood flow and nerve impulses in the penis. Penile nerve function–Tests such as the bulbocavernosus reflex test are used to determine if there is sufficient nerve sensation in the penis. The physician squeezes the glans (head) of the penis, which immediately causes the anus to contract if nerve function is normal. A physician measures the latency between squeeze and contraction by observing the anal sphincter or by feeling it with a gloved finger inserted past the anus. Specific nerve tests are used in patients with suspected nerve damage as a result of diabetes or nerve disease Nerve Conduction tests (NCT) with the help of machine. Nocturnal penile tumescence (NPT) or electro penile graph–It is normal for a man to have five to six erections during sleep, especially during rapid eye movement (REM). These erections occur about every 90 minutes and last for about 30 minutes. Their absence may indicate a problem with nerve function or blood supply in the penis. There are two methods for measuring changes in penile rigidity and circumference during nocturnal erection: snap gauge and strain gauge. Snap gauge involves wrapping three plastic bands of varying strength around the penis. Erectile function is assessed according to which bands break. Strain gauge involves placing special elastic bands at the base and tip of the penis. These bands stretch during erection and register changes in circumference. Penile biothesiometry–This test uses electromagnetic vibration to evaluate sensitivity and nerve function in the glands and shaft of the penis. A decreased perception of vibration may indicate nerve damage in the pelvic area, which can lead to impotence. Vasoactive injection–When injected into the penis, certain solutions cause erection by dilating blood vessels in erectile tissue. Normally, these injections produce an erection lasting about 20 minutes. During this procedure, penile pressure is measured and x-rays may be taken of the penile blood vessels using a special dye (contrast agent). Magnetic resonance angiography (MRA) This is similar to magnetic resonance imaging. Magnetic resonance angiography uses magnetic fields and radio waves to provide detailed images of the blood vessels. Doctors may inject a "contrast agent" into the patient's bloodstream that causes vascular tissues to stand out against other tissues. The contrast agent provides for enhanced information regarding blood supply and vascular anomalies.

Psychosocial Examination A psychosocial examination, using an interview and a questionnaire, reveals psychological factors. A man's sexual partner may also be interviewed to determine expectations and perceptions during sexual intercourse.

How is ED treated?

Most physicians suggest that treatments proceed from least to most invasive. For some men, making a few healthy lifestyle changes may solve the problem. Quitting smoking, losing excess weight, and increasing physical activity may help some men regain sexual function. Cutting back on any drugs with harmful side effects is considered next. For example, drugs for high blood pressure work in different ways. If you think a particular drug is causing problems with erection, tell your doctor and ask whether you can try a different class of blood pressure medicine. Psychotherapy and behavior modifications in selected patients are considered next if indicated, medicatipons like L-Arzenin, pramirol, Zink, Vitamines, Yohimbin, suldenafil, Tadalafil, Diatery suppliments, treatment of basic couse with indicated yoga or exsersice then followed by oral or locally injected drugs, vacuum devices, and surgically implanted devices. In rare cases, surgery involving veins or arteries may be considered.

Psychotherapy – sex therapy

Experts often treat psychologically based ED using techniques that decrease the anxiety associated with intercourse. The patient's partner can help with the techniques, which include gradual development of intimacy and stimulation. Such techniques also can help relieve anxiety when ED from physical causes is being treated. Research on drugs for treating ED is expanding rapidly. Patients should ask their doctor about the latest advances.

Vacuum Devices Mechanical vacuum devices cause erection by creating a partial vacuum, which draws blood into the penis, engorging and expanding it. The devices have three components: a plastic cylinder, into which the penis is placed; a pump, which draws air out of the cylinder; and an elastic band, which is placed around the base of the penis to maintain the erection after the cylinder is removed and during intercourse by preventing blood from flowing back into the body . One variation of the vacuum device involves a semirigid rubber sheath that is placed on the penis and remains there after erection is attained and during intercourse.

Surgery Implanted devices, known as prostheses, can restore erection in many men with ED. Possible problems with implants include mechanical breakdown and infection, although mechanical problems have diminished in recent years because of technological advances. Surgery to repair arteries can reduce ED caused by obstructions that block the flow of blood. The best candidates for such surgery are young men with discrete blockage of an artery because of an injury to the crotch or fracture of the pelvis. The procedure is almost never successful in older men with widespread blockage. Surgery to veins that allow blood to leave the penis usually involves an opposite procedure intentional blockage. Blocking off veins (ligation) can reduce the leakage of blood that diminishes the rigidity of the penis during erection. However, experts have raised questions about the long-term effectiveness of this procedure, and it is rarely done.

Hope through Research Advances in suppositories, oral and injectable medications, implants, and vacuum devices have expanded the options for men seeking treatment for ED. These advances have also helped increase the number of men seeking treatment. Gene therapy for ED is now being tested in several centers and may offer a long-lasting therapeutic approach for ED.

Points to Remember

• Erectile dysfunction (ED) is common but treatable condition, but couse for dysfunction should be known( with proper investigations). Patient should always ask for diagnosis and basic couse and why and for what medications are priscribed to treating doctors.

• ED increases with age, in young population diagnosis is easy and also treatment.

• ED usually has a physical cause , psychological couse can be primary or secondary to basic couse.

• ED is treatable at all ages.

. Oil, powder, non-labled medications given by doctor should not be taken. Patient should ask name of medicine, price if purchased from outside, expiry date and other questions.... Mostly ED increases due to unethical problems or fear produce by doctor in patients mind to make money. Keep options open, take second opinion from other MBBS,MD doctor, sexologist or medicine.

• Treatments include psychotherapy, drug therapy, vacuum devices, and surgery, DO NOT USE OILS .

DR DESHMUKH9923291312