EASY WAY TO INCREASE SEX DESIRE IN MALE & FEMALE

HOW TO IMPROVE YOUR SEX DESIRE - One year ago, executive Mr ABC Sharma had very little to complain about. He had a job with a reputed MNC, had just got married, and bought a house. But slowly, as his responsibilities at work increased, Sharma began to work long hours, skip meals, cut down on his sleep and find excuses to avoid going to the gym. Very soon, apart from feeling drained and tired all the time, he found that his sex drive too had vanished, forcing him to consult a doctor. According to health experts, a loss of sex drive is one of the inevitable consequences of ill health. What we eat, what time we sleep and lack of exercise all affects our sex drives. Says leading sexologist and author Dr Swapnil Deshmukh, "Sexual potency is inseparable from the total vitality of the body. Whatever is good and healthy for the body is good to maintain one's sex drive." Right diet for a good drive What one eats does affect one's sex drive. It is imperative to have a healthy, balanced diet to get the energy to have sex. Low energy results in bad sex, which in turn further diminishes desire. The food one eats has a direct connection with one's mood. "Overly fried and spicy food makes one irritable, uncomfortable and causes one to experience a turn-off. For a person to achieve desire, you need to be in a calm state of mind,". Have melons during the summer and warm food like almonds in the winter, Do helps as per expert, adding that one should avoid eating maida and fermented food too often as they are difficult to digest. Dr also points out, "If you stuff yourself at night, your body will not be comfortable and you will not get into the desired mood." It is advised that it is a good idea to "go slow on Scotch, smoking, stress and sugar. These four have a negative effect on the big 'S'(sex)," We says. e recommends foods rich in testosterone for men and estrogen for women to increase their sex drive. "Men below 40 should try and have black lentil (urad dal) once a week, while men above 40 should try and have it thrice a week. Women should try and include soya, which is rich in estrogen, in their diet. Having ghee made of cow's milk is also great. It calms the mind, reduces acidity, does away with constipation, and aids in having a healthy sex drive. Exercise for your libido Exercise is not just essential to be fit, it's also a great way to boost your sex drive. Include a half hour of exercise daily in your routine. Exercise releases feel-good hormones, and these make one feel better and in the mood for sex. Stress, as mentioned earlier, is the biggest reason why even young people complain of "not being in the mood" often. Walking is a great way to have a healthy sex drive and do away with stress: "Walking every day for 45 minutes at a reasonable speed helps one breathe better, improves the blood flow, reduces stress and results in good sleep. All these things are directly and indirectly related to one's sex drive." Yoga also works wonders to calm one's body and mind and paves the way for a good sex drive.

BEGIN WITH REWIRING YOUR NEUROCHEMISTRY Supplying the right foods to your brain to keep the chemical activity going. "The biggest sexual organ is the brain, which produces the chemicals and hormones that trigger feelings of love and attraction, arousal and orgasm," says Dr. "We need to make sure we're eating the right foods to ensure the production of these chemicals and hormones." For this, Dr advises a diet which boosts the dopamine levels. Dopamine is a feel-good chemical released by the brain. It is a neurochemical which is associated with a range of desires. It motivates people to pursue pleasure and drives you to have sex. So, next time you feel dull and lack a desire, blame the low dopamine activity in your brain. It’s not just food but any kind of body work can kick up the dopamine levels. So, get yourself out of the house and take a walk in morning to get a blast of dopamine.

Rx TO RAISE DOPAMINE LEVELS • Fill your plate with oily fish, legumes, eggs and cottage cheese. • They are high in protein and have amino acids, which help in the production of dopamine. • Good sources of amino acids are found in red meat, milk and wheatgerm. • Eat fruits like water melon, apples, bananas, blueberry and strawberry which are excellent sources of dopamine. • In veggies, go for beetroot, beans and peas. • Spices like black pepper, chilli peppers, cumin, fennel, flax seeds, mustard seeds, sesame seeds and turmeric are also useful.

REV UP YOUR ENERGY One needs to keep the energy levels super high. If you are listless and dull, sex is the last thing on your mind. So pep up your sex life by eating a healthy and balanced diet. And don’t forget to add foods that will increase your levels of Human Growth Hormone ( HGH). HGH promotes growth in humans and therefore builds up stamina and energy needed for a good performance. It is especially important in middle age as with the advancement of age, HGH production naturally declines.

Rx FOR MORE ENERGY • Eat protein from beef, fish, and chicken to increase production of HGH. Root vegetables such as carrots and parsnips can also help, as canned low- sugar fruits, such as blueberries. • Thyroid hormones help us to maintain energy. To work, the thyroid needs iodine, which is found in kelp, seaweed, oysters, clams and tuna.

WATCH THE HORMONES A fine balancing act between the hormones is essential to improve your performance.' Estrogens, androgens (also testosterone) and DHEA are the major hormones responsible for sexual arousal. Estrogen plays a big role for women in creating vaginal lubrication and maintaining the condition of vaginal lining. For many women the number one cause for losing sex drive in the middle age is the physical changes in the vagina which make intercourse painful. These physical changes are brought by the drop in estrogen levels. In men estrogen may cause erectile difficulties when the levels are too high. However, the real libido or sex hormone is testosterone which affects both genders. Large deficiencies of testosterone may cause a drop in sexual desire, and excessive testosterone may heighten sexual interest in both sexes. "Males with below normal testosterone levels have erectile problems, resulting in low libido," says medical research. While the market is full of testosterone boosting products the Dr says its best to eat well to keep the hormones in balance. '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'. Oysters are the most popular aphrodisiac due to their high zinc content. Zinc is necessary for the production of testosterone in both sexes. Other libido-boosting foods are asparagus, figs, almonds, eggs, basil, bananas and celery.

Rx TO MAINTAIN HORMONE BALANCE • Eat foods high in zinc such as beef, pork, chicken liver, pumpkin seeds, eggs, seafood and tofu. • Avoid excessive amounts of fibre which lower estrogen by stopping its absorption. Having cereal and toast for breakfast is the worst thing you can do for your hormones.

Dr Deshmukh

MD Psychiatrist & Sexologist

9923291312

Premature ejaculation: definition, assessment and management

Premature ejaculation can be a distressing condition for men and their partners. Premature, early or rapid ejaculation are all terms used to describe the event whereby men are unable to control ejaculation during sexual arousal and/or activity. The control of ejaculation is thought to be related to changes in serotonin and dopaminergic neurotransmission,1 specifically 5-hydroxytryptamine (5-HT)2C receptor hyposensitivity and/or 5-HT1A receptor hypersensitivity, but the precise mechanism controlling ejaculation has yet to be determined.
Recently, premature ejaculation (PE) has become characterised by ejaculating within few minute or before partner or self-satisfaction. The time between vaginal penetration and ejaculation is referred to as intra-vaginal ejaculatory latency time (IELT), although ejaculatory latency time (ELT) may be a more appropriate term as it acknowledges other forms of sexual activity. Normal ejaculatory latency has been cited as being six to thirteen minutes after vaginal penetration.

Definition - PE has been defined as persistent ejaculation with minimal stimulation, which is not a result of withdrawal of opiates, and that results in marked distress. This definition assumes regular sexual activity with the same person for around six months. Some definitions - inability to delay ejaculation (no self controle) on all or most vaginal penetrations; and negative consequences (eg distress, bother, guilt / depression, avoidance of intimacy).
The prevalence of PE:- Based on epidemiological data, PEis estimated to be 22.7 per cent, which is higher than the estimated prevalence of erectile dysfunction.
The causes of PE are not precisely known. This is due partly to the different types of PE and partly to a lack of consensus on definition. There are four proposed types of PE. Lifelong PE is thought to be caused by neurobiological or genetic factors, whereas acquired PE might be caused by hormonal or vitamin deficiency, poor neurological co-ordination, infection, withdrawal of opiates, performance anxiety or other psychosexual or relationship concerns. The remaining categories are not thought to have any biological causation.
Type of premature ejaculation: 1- Lifelong. 2- Acquired. 3- Natural variable. 4- Situational.
The nature of the problem needs to be established, as PE may be caused by prostatitis (more commonly subclinical prostatitis), necessitating an examination of the prostate on USG. It is also essential to know what the patient wants out of the consultation, as some men expect sexual activity to be mutually orgasmic and have unrealistic expectations of normal ejaculatory latency. If the prostate is tender on examination, treatment with 500mg ciprofloxacin twice daily for four weeks may resolve the problem. It is also important to determine whether the man has erectile dysfunction rather than PE.
No further examinations are needed, although the opportunity can be taken to look at testosterone, lipid and glucose levels.
Treatment of premature ejaculation
The most common treatment options for PE are treatment of basic cause that is leading to PE. Behavioural therapies; local anaesthetics, and selective serotonin reuptake inhibitors (SSRIs) or equivalent medication. Phospho-diesterase type 5 inhibitors (PDE5Is) have been used, but their precise mechanism of action is unclear.
A man who fears that he will lose an erection before ejaculating may well increase the speed of intercourse, thus giving himself PE. The underlying problem in these circumstances is loss of tumescence related to the narrowing of the pudendal artery, in which case a PDE5I may be a more appropriate prescription.
While SSRIs have not been found to maintain ejaculatory delay in all men after cessation of treatment, some with acquired PE have been able to sustain ejaculatory delay. Where possible, appointments should involve both partners, as the solution involves a couple rather than a solitary approach.
Sensate focus
Each couple will have their own ‘rules’ for sexual activity and intimacy, and negative feelings, eg pressure to perform, tiredness, pain, upset, guilt or worry, can affect both partners' desire for sexual activity. These feelings need to be articulated and discussed for PE to resolve. If the relationship has deteriorated to the point where no intimacy is present, or where no sexual activity is attempted, relationship counselling rather than sex therapy is needed. Behavioural therapy, Squeeze technique, Stop/start technique have their limitations. Kegal exercise helps.
New treatments
Recently, two further treatments have been investigated, with promising results:
topical eutectic mixture for PE (TEMPE)27 – an aerosol delivery of lidocaine-prilocaine;
dapoxetine – a serotonin transport inhibitor and the first SSRI licensed for treatment of PE.The potential advantages of dapoxetine are that it is a short-acting SSRI with few side-effects. It has been found to be effective on first dose, rather than after seven to ten days, as with other SSRIs.
The choice of whether to start medication or refer to a sex therapist can be difficult. A two-month course may be sufficient to help alleviate the pressure on men to perform in their sexual relationships. At the end of two months, a re-assessment of whether the man has been able to delay and control ejaculation can be undertaken. If there is no improvement, alternative pharmacological therapies and sex therapy may help.
PREMATURE EJACULATION TIPS

Oil massage or Inject-able preparation do not help in PE. Treatment and medicines do not cost more, Vigra and other preparations are not used for PE(used for ED).. Over counter preparations should not be taken..
New advances n treatment of premature ejaculation has taken place in India. Drug which was available in USA, also approved by US FDA, is available in India now......
It is very effective , safe, and improve performance significantly. Get your sexologist opinion today.

Dr Deshmukh MD Sexologist & Psychiatrist

9923291312

Worried you’re not good at sex?

Performance anxiety is a fear we usually associate with men. But women can be equally nervous about sex. Especially since many of us have self-image issues. This can become a block to the spontaneous flow of sexual feelings and actions. Obviously, you will not be able to have fun. “In addition to this, performance anxiety can result in avoidance of sexual encounters, lowered self-esteem, relation discord and sexual dysfunction,” says sexologist. Here are five easy ways you can get rid of your concerns:
Have a drink - Alcohol lowers your inhibitions and relieves your mind of the pressure to perform in bed. Just make sure you do not drink so much that you pass out in the middle of the act. That is not going to make your partner happy.
Increase foreplay - If the two of you spend some more time getting comfortable with each other and each other’s bodies, you will be able to focus on the pleasure instead of your issues. Try showering together, give each other massages – basically, explore each other’s bodies.
Take a trip- Use a holiday to increase intimacy between you and your partner. Do things that both of you find relaxing. Once you are more comfortable with each other, you will find that getting intimate with each other becomes easier and more natural too.
Find new locations - Don’t restrict sex to the bedroom. Try other locations in or outside your house. This way, the focus is more on the place and less on you. We recommend the dining table, a swimming pool, your bathtub or even your couch. At the end of the day, all you need to do is relax.
Learn to enjoy this wonderful experience with your partner.

Dr Deshmukh

Give up smoking for better sex

Giving up smoking can dramatically improve flagging sex lives, according to a study conducted by a Hong Kong university. The University of Hong Kong study found 53.8 percent of smokers being treated for impotence said that their problems eased within six months of stubbing out their nicotine habits. That figure compared to just 28.1 percent of men treated for erectile dysfunction who continued smoking, meaning quitters have a 91.5 percent greater chance of a better sex life. Sophia Chan, a professor who helped conduct the survey, said erectile dysfunction was "very prevalent" in China and Asia and added that programmes to help smokers quit should be extended across the region. Her colleague Lam Tai-hing said: "Smokers should be aware of such adverse effects from their smoking and should quit now to prevent erectile dysfunction and other diseases caused by smoking. "In fact, erectile dysfunction patients who smoke can expect some quick benefits after quitting smoking."More than 700 men suffering from erectile dysfunction aged 30 to 50 took part in the three-year study by the university's School of Public Health and Nursing.

Dr Deshmukh

NEW TABLET FOR INCREASE SEX DESIRE IN FEMALES

hypoactive sexual desire disorder treatment for females-

Washington, May 24 (ANI): Good news for women who want to perk up the action in their bedroom-the Food and Drug Administration committee is thinking of endorsing the first pill designed to do for women what Viagra does for men-boost their sex lives. A German pharmaceutical giant wants to sell a drug with the decidedly unsexy name "flibanserin," which has shown prowess for sparking a woman's sexual desire by fiddling with her brain chemicals.
The FDA's Reproductive Health Drugs Advisory Committee will meet on June 18 to consider the request. But the prospect of the drug's approval has already triggered debate over whether the medication, like others in the pipeline, represents a long-sought step toward equity for women's health or the latest example of the pharmaceutical industry fabricating a questionable disorder to sell unnecessary and potentially dangerous drugs. "Achieving a happy and healthy sex life can be a real and important problem for some women. But we have lots of questions about the 'pink Viagra,'" the Washington Post quoted Amy Allina of the National Women's Health Network, a Washington-based advocacy group, as saying. Viagra's catapult to blockbuster status after its 1998 approval set off a flurry of interest in me-too medications for women. However, drugmaker Pfizer's hopes that its "little blue pill" would also ignite female libido fizzled, making it clear that a woman's sexuality is more complicated than a man's. But, Germany's Boehringer Ingelheim is optimistic that flibanserin is on the verge of becoming the first prescription medication to tap what some have estimated could be a 2 billion dollar market in the United States alone. "We believe women deserve options and we're hoping flibanserin may represent a safe and effective option for many women," said Michael Sand, who heads the company's clinical research on flibanserin. Scientists found that flibanserin, developed as an antidepressant, was ineffective for treatment of depression. But the drug appeared to produce an unexpected side effect: boosting women's libido. This prompted the company to study it for hypoactive sexual desire disorder, or HSDD, an otherwise unexplained loss of sexual thoughts, fantasies and desire that can cause significant emotional distress. Some research suggests 10 percent of women may suffer from HSDD.

HOMOSEXUALITY, GAY, SAME SEX PROBLEM

TREATMENT OF HOMOSEXUALITY, GAY, SAME SEX PROBLEM IN PUNESexual Identity: - Pattern of persons biological sexual character like chromosomes, External & internal genitalia, hormonal compositions, gonads & secondary sexual characteristics.
Gender Identity: - Individuals sense of maleness or femaleness. Like, I am boy / girl.
Sexual Orientation :- Object of a person’s sexual impulses. Ex Homosexual, Heterosexual, Bisexual.
Homosexuality is considered normal in many developed countries. In some countries it is legalize also. Same sex relationship (GAY/ LESBIAN) was involved in International Classification of Diseases (ICD) but it was removed from both ICD-10 & DSM-IV.
Causes of homosexuality are many – it may be normal , it may be part of bisexual relationship, it may be due to psychological problems, it may be due to some life events mainly related to childhood, it may be due to hormonal problems, it may be due to psychiatric disorders, and other so many etiological theories (proved / unproved) …
In India due to social restrains, parental expectations, stigma related to homosexuality, legal problems client having this problem do not get diagnosed adequately or do no communicate. Clients in India are afraid about same so do not take proper advice regarding sex education, treatment, HIV risk involved, Depression and so many problems related to homosexuality. In these risks of abuse, HIV (AIDS) and other sexually transmitted disease, loss of job or relationship problems, Depression, suicide, stress, social withdrawal, Alcohol and other are common. They need counselor or doctor who will understand them, support them, help them to come out of their problems, treatment when required, and educate them regarding risk involved. It also required to introduce them with groups having same problems to support them (Group therapy).
Out-come of treatment / prognosis of change in sexual orientation:- Good if age is less than 35 years, some heterosexual arousal, high motivation for reorientation.
IN PUNE WE ARE WORKING WITH PROBLEMS OF PEOPLE REPORTING HOMOSEXUALITY, WE DO SUPPORT THEM, TREAT THEM, EXPLAIN THEM / EDUCATE THEM REGARDING SEX EDUCATION / HIV AND OTHER RISK INVOLVED. WE HAVE COUNSELLOR AND DOCTOR TO DIAGNOSE AND TREAT THEM.
DR  DESHMUKH IS MBBS, MD SEXOLOGIST - PSYCHIATRIST.

SEX EDUCATION - YOU SHOULD KNOW THIS....

STUDY BY SEXOLOGIST DOCTOR ON SIZE OF / SMALL SIZE PENIS IN PUNEStudy conducted by Dr S Deshmukh MBBS, MD Sexologist practicing in Deccan area of Pune in 2007 -2008 in his clinic for treatment of sexual disorder and sex problems. There were so many questions so start this study as -1) What is normal size of Indian male penis? 2) What are the factors or causes responsible for small size? 3) What can be done? Is there any practicable treatment options available? 4) What are methods used in India & Abroad? 5) What is ideal age to start treatment? 6) What are side effects? 7) How much improvement can be achieved? 8) Dose size matters for females?
Results of this study

NORMAL SIZE OF PENIS :- As per International norms average size of normal penis is around 4 inches ( 7 – 11 cm) when flaccid ( non erect) and 6 inches ( 14 – 18 cm) when erect. Flaccid penis dimension bears little relation with erect dimension that means small flaccid penis can increase significantly in length when erect but long looking flaccid penis may not increase in that proportion. As per studies most of normal size males also wrongly perceive their size smaller and feel inferior. SIZE DOSENT MATTER WHAT MATTER IS METHOD AND PERFORMANCE. Treatment for small size penis is complicated with less promising results.

CIRCUMCISION :- Is a procedure in which prepuce ( fore skin) over glance is surgically removed. It is commonly practiced as religious procedure but also indicated in conditions like Phymosis / para-phymosis which may cause pain while intercourse. Circumcision dose not have any effect on normal sexual life if performed correctly. Its myth/wrong that it reduces ejaculatory time or can lead to hyper sensitivity or irritation, in fact it helps in reducing chances of infection / cancer.

EJACULATION:- Forceful propulsion of semen and seminal fluid during orgasm. Ones prostate contract ejaculation is inevitable. Normal volume of ejaculation is 2.5ml, which contains around 120 millions sperms. Only one healthy sperm is required for pregnancy. It is said that larger the ejaculatory volume more is the orgasmic pleasure.

Brain normal response which controls normal sexual activity:-

Sexual excitement:- Brain areas required to function normally:- Orbito- frontal cortex of brain related to emotions, Left anterior Cingulate cortex of brain related to hormonal balance, Caudate nucleus, limbic system, brain stem plays important role in sexual behaviour and excitement and orgasm. Excitement of Nucleus Paragigantocellularis in brain stem stimulate pelvic Lumbosacral spinalcord with release of Serotonin, which can inhibit ejaculation. So hyper activity of same pathway is responsible for patient of delayed ejaculation and hypo activity leads to Premature- ejaculation. Neurotransmitters responsible for sexual activities are - Dopamine (Desire / libido), Serotonin ( Inhibit orgasm & reduce desire), Oxytocin ( released with orgasm). Drugs related to these neurotransmitters can improve or deteriorate sexual function.

Sexual Identity: - Pattern of persons biological sexual character like chromosomes, External & internal genitalia, hormonal compositions, gonads & secondary sexual characteristics.
Gender Identity: - Individuals sense of maleness or femaleness. Like, I am boy / girl.

Sexual Orientation :- Object of a person’s sexual impulses. Ex Homosexual, Heterosexual, Bisexual.
Out-come of treatment / prognosis of change in sexual orientation:- Good if age is less than 35 years, some heterosexual arousal, high motivation for reorientation.

Research by Kinsey – nearly all men and three fourth of women masturbate sometime during their lives.
Both man or women who, as children had been sexually abused by an adult are more likely, as adult to have had more number sexual partner, decrease desire in sex, homo/ bi-sexual identification, unhappy, depressed.
Resolution of orgasm can give feeling of well-being and relaxation. If orgasm remains incomplete specially in female can lead to – irritability, discomfort, frustration, relation problem with husband, headache, depression, pain/ iching in sexual organ, fatigue.

Hypoactive sexual desire disorder:- Due to other sexual dysfunction like premature ejaculation / erectile dysfunction, unattractive partner, decrease testosterone, decrease dopamine, fear about sex, stress, anxiety, depression. Relation problems between couple and abstinence from sex for long period can also decrease desire for sexual activity.
Sexual aversion disorder: - can be due to rape, abuse, pain / trauma, shame or guilt related to sexual activity. Sexual arousal disorder can be due to hormonal problem or other medicinal use.

Delayed ejaculation:- can be due to drugs like anti-hypertensive, anti-depressant, Methyl-Dopa, hyperglycemia, alcohol, relation problems, phobia/ unable to focus.