पुरुषों के लिए यौनिक स्वास्थ्य / Sexuality for Men

डॉ. रईस शहा (सेक्स एवं यौन रोग तज्ञ)

सेक्स रोगो के लिये परामर्श एवं संतान प्राप्ती के लिये अवश्य संपर्क करें !
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पुरुषों के लिए यौनिक स्वास्थ्य / Sexuality for Men

यौनिक क्रियाशीलता पक्षाघात वाले पुरुषों के लिए चिंता का प्रमुख विषय होती है। पुरुष यह जानने के लिए उत्सुक होते हैं कि क्या वे अभी भी ''वैसे ही सक्षम'' हैं या फिर यौनिक आनंद अतीत की बात बनकर रह गया है। वे इस बात को लेकर चिंतित होते हैं कि अब वे बच्चों के पिता नहीं बन सकेंगे, उनके जोड़ीदार उन्हें अनाकर्षक पाएंगे, कि जीवन-साथी अपना बोरिया-बिस्तर बांधकर उनके पास से चला जाएगा। यह सच है कि बीमारी या चोट के बाद पुरुष अक्सर ही अपने रिश्तों और यौनिक गतिविधि में परिवर्तन का सामना करते हैं। बेशक, भावनात्मक परिवर्तन घटित होते हैं और ये परिवर्तन व्यक्ति की यौनिकता को प्रभावित कर सकते हैं। इस बात पर गौर करना जरूरी है कि स्वस्थ यौनिकता से महज जननांग का संपर्क ही नहीं बल्कि जोश, स्नेहशीलता और प्रेम जुड़ा होता है। फिर भी, पक्षाघात के बाद उन्नत शिश्न और कामोन्माद शीर्ष महत्व के मुद्दे होते हैं। सामान्यत: पुरुषों में दो प्रकार का स्तंभन होता है। साइकोजेनिक स्तंभन प्रुरिएंट दृश्यों या विचारों से उत्पन्न होता है और पक्षाघात के स्तर एवं हद पर निर्भर करता है। पूर्ण पक्षाघात वाले पुरुषों में प्राय: साइकोजेनिक स्तंभन नहीं होता। रिफलेक्स स्तंभन लिंग या अन्य कामोत्तेजक जोन्स (कान, चुचुक, गर्दन) के साथ सीधे संपर्क के द्वारा अनिच्छा से हो जाता है। पक्षाघात वाले अधिकतर पुरुष अनिच्छा वाले स्तंभन में समर्थ होते हैं बशर्ते कि सैक्राल रीढ़ रज्जु (एस2-एस4) क्षतिग्रस्त न हों। पक्षाघात के बाद कामोन्माद कुछ पुरुषों के लिए संभव है लेकिन यह अक्सर वैसा नहीं होता जैसा कि प्राय: परिभाषित होता है। यह कम दैहिक, जननांगों पर कम केंद्रित और मन की स्थिति अधिक बन सकता है। यह जानना जरूरी है कि उत्तेजना यौनिकता की हानि को असंभव नहीं बनाती। जहां पक्षाघात वाले अनेक पुरुष अभी भी ''स्तंभन प्राप्त'' करते हैं पर स्तंभन सहवास के लिए पर्याप्त कठोर या लंबे समय तक चलने वाला नहीं होता। शिश्न का स्तंभन रुक जाने (ईडी) का उपचार करने के लिए असंख्य उपचार (गोलियां, टैबलेट, सुई और रोपण) उपलब्ध हैं। ईडी के लिए सबसे अच्छा क्लीनिकल उपचार वियाग्रा (सिल्डेनफिल) है, यह बहुत से पैराप्लेजिक पुरुषों में स्तंभन की गुणवत्ता एवं यौनिक गतिविधि को बेहतर बनाती है। इस बात के कुछ क्लीनिकल साक्ष्य हैं कि एमएस वाले पुरुष वियाग्रा से लाभ उठाते हैं। रक्तचाप की समस्या वाले (उच्च या निम्न) या वाहिकीय बीमारी वाले पुरुषों को इस दवा से बचना चाहिए। वियाग्रा की कारगरता से भी बढ़कर होने का दावा करने वाली अन्य नयी औषधियों में सियालिस और लेवित्रा शामिल हैं। हो सकता है कि लकवाग्रस्त पुरुषों के लिए वे रामबाण हों पर कोई क्लीनिकल आंकड़े उपलब्ध नहीं हैं। स्तंभन के एक अन्य विकल्प के तहत लिंग के तने में औषधि (पैपावाराइन या एल्प्रोस्टाडिल) इंजेक्ट की जाती है। इससे कठोर स्तंभन होता है जो कि एक घंटा या अधिक समय तक बना रह सकता है। चेतावनी : ये दवाओं के फलस्वरूप प्रिपिज्म, देर तक बना रहने वाला स्तंभन, उत्पन्न हो सकता है जो कि लिंग को नुकसान पहुंचा सकता है। इसके अलावा इंजेक्शन स्तंभन खरोंच देने, डराने या संक्रमण पैदा करने का कारण भी बन सकता है और हो सकता है कि हाथ की सीमित सक्रियता वाले व्यक्ति के लिए सर्वोत्तम विकल्प न हो। मेडिकेटेड मूत्रमार्गीय सपोजिटरि एक और विकल्प होता है। ड्रग पेलेट (एलप्रोस्टैडिल वाली) मूत्रमार्ग में रखी जाती है, जिससे रक्त नलिकाएं ढीली पड़ जाती हैं और लिंग को रक्त से भर देती हैं। यह 30 से 40 प्रतिशत उन पुरुषों के लिए एक विकल्प हो सकता है जिन पर वियाग्रा असर नहीं करती। वैक्यूम पम्प स्तंभन लाने का बिना चीर-फाड़ वाला, गैर-औषधीय तरीका होता है। लिंग को प्लास्टिक सिलेंडर में रखा जाता है, जब हवा बाहर निकाली जाती है तो रक्त लिंग में प्रवेश करता है। लिंग के आधार के इर्दगिर्द एक इलास्टिक बैंड रखकर सख्तपने को बनाये रखा जाता है। यह नीलाभ सा दिखने वाला स्तंभन उत्पन्न करता है जो कि छूने पर ठंढा सा जान पड़ सकता है। त्वचा में खिंचाव से बचने के लिए 30 मिनट बाद बैंड को निकालना नहीं भूलें। मेडिकेयर और इंश्योरेंस कंपनियां अक्सर हाथ की सीमित सक्रियता वाले लोगों के लिए सर्वश्रेष्ठ बैटरी संचालित मॉडल समेत इन डिवाइसेस के लिए भुगतान करती हैं (हालांकि आपको नुस्खे की जरूरत पड़ेगी)। पेनाइल प्रोसथेसिस (एक अर्द्ध-सख्त या नमनीय रॉड या हवा वाली डिवाइस) एक अन्य विकल्प है लेकिन चूंकि यह स्थायी किस्म का और सर्जरी के जरिये लगने वाला होती है इसलिए अन्य विकल्पों के मुकाबले जटिलताओं के लिए यह ज्यादा जोखिम भरी होती है। सर्जरी की वजह से रक्तस्राव, संक्रमण या असंवेदनता के लिए एलर्जिक प्रक्रिया हो सकती है। नियमित आउटपेशेंट प्रक्रिया के फलस्वरूप रोपण को प्रयोग में लाने से पहले चार से आठ हफ्तों के स्वास्थ्य लाभ की अवधि आवश्यक होती है। डिवाइस विशेषकर ज्यादा जटिल हवा वाली यूनिटें स्वयं ही गलत ढंग से कार्य कर सकती हैं या क्षतिग्रस्त हो सकती हैं। स्खलन एवं जननक्षमता भी ऐसे प्रमुख मसले होते हैं जिनका सामना लकवाग्रस्त लोगों को करना पड़ता है। पुरुष यह जानना चाहते हैं कि क्या मैं अभी भी पिता बन सकता हूं? स्ख्लन हमेशा संभव नहीं होता पर सक्षम शुक्राणु को प्राप्त करने के तरीके हैं। घर पर या क्लीनिकल अभिविन्यास में स्खलन लाने का वाइब्रेटर एक सस्ता और काफी भरोसेमंद उपकरण होता है। वाइब्रेटरी पद्धति अगर सफल नहीं होती है तो रेक्टल प्रोब इलेक्ट्रोइजाकुलेशन एक विकल्प होता है (यद्यपि आसपास मौजूद अनेक तकनीशियनों के साथ क्लीनिक में)। पशुपालन से उधार लेकर इलेक्ट्रोइजाकुलेशन रेक्टम में एक प्रोब रख्ता है, मेजर्ड इलेक्ट्रिकल स्टीमुलेशन स्खलन उत्पन्न करता है। शुक्राणु के एक बार एकत्रित कर लिए जाने पर उनका प्रयोग परखनली प्रविधियों और माइक्रोमैनिपुलेशन समेत कृत्रिम वीर्यारोपण के विभिन्न तरीकों में इस्तेमाल किया जा सकता है। कई बार प्राप्त किये गये शुक्राणु स्वस्थ तो होते हैं लेकिन अच्छे तैराक नहीं होते और अंडे को भेदने के लिए पर्याप्त सख्त नहीं होते। अपनी घटी हुई गतिशीलता के कारण शुक्राणु को थोड़ा हाई-टेक सहायता की जरूरत होती है। इंट्रासाइटोप्लास्मिक स्पर्म इंजेक्शन (आईसीएसआई) का हालिया विकास जो कि ऊसाइट (अंडे) में अकेले परिपक्व शुक्राणु के सीधे इंजेक्शन से जुड़ा होता है, अक्सर गर्भाधान की ओर ले जा सकता है। सफलता की बहुतेरी कहानियां हैं लेकिन हाई-टेक की सहायता वाला जनन स्लैम-डंक नहीं है। यह भावनात्मक रूप से परेशान करने वाला और काफी महंगा विकल्प हो सकता है। फालिज के मसलों में अनुभवी जनन क्षमताविशेषज्ञ से तथ्य और उपचार विकल्प प्राप्त कीजिए। जनन-अक्षमता से परेशान कुछ युगलों ने महिला को गर्भवती बनाने के लिए दाता शुक्राणु (शुक्राणु बैंक से) का सफलतापूर्वक प्रयोग किया है। हो सकता है कि दंपति बच्चों को गोद लेने के उपलब्ध सराहनीय विकल्प को आजमाना चाहें। आघात के बाद सेक्स : दिल की बीमारी, आघात या सर्जरी का मतलब यह नहीं होता कि संतुष्टिदायक यौन जीवन का खात्मा हो गया है। स्वास्थ्य लाभ के प्रथम चरण के बाद लोग पाते हैं कि प्यार करने का वही रूप जिसका वे पहले आनंद लिया करते थे, अभी भी बरकरार है। यह पूरी तरह से भ्रम है कि यौन जीवन की फिर से शुरुआत अक्सर दिल के दौरे, आघात या एकाएक मौत का कारण बनती है। फिर भी, प्रदर्शन-क्षमता को लेकर भय यौन रुचि एवं क्षमता में बहुत कमी ला सकता है। स्वास्थ्य लाभ के बाद, आघात से बच निकलने वाले अवसाद का अनुभव कर सकते हैं। यह सामान्य बात है और 85 प्रतिशत मामलों में यह तीन महीनों के भीतर खत्म हो जाता है। यकीनन, कोई व्यक्ति अपाहिज बना देने वाली बीमारी या चोट के बाद जोड़ीदार के साथ रोमांटिक एवं आत्मीय रिश्तों को जारी रख सकता है या उनकी शुरुआत कर सकता है, लेकिन दैहिक मसलों एवं अनुभूतियों पर चर्चा करना और निस्संकोच होकर आत्मीयता व्यक्त करने के नये तरीकों की तलाश करना आवश्यक है। जो कुछ भी संतुष्टिदायक एवं आनंदप्रद जान पड़ता है वह ठीक है बशर्ते कि दोनों लोग रजामंद हों। जहां यह कहा जाता है कि सबसे बड़ा यौन अंग मस्तिष्क होता है वहीं अपने यौन व्यक्तित्व में बड़े समायोजन करना हमेशा आसान नहीं होता। पक्षाघात के बाद स्वस्थ रिश्ते बनाने या बनाये रखने को लेकर भय या चिंता की अनुभूतियों से पार पाने के लिए पेशेवर सलाह आवश्यक हो सकती है। सुरक्षित सेक्स : यौन संचरित बीमारी (गोनोरिया, सिफलिस, हर्पीज और एचआईवी वाइरस समेत एसटीडी) का जोखिम पहले जितना ही पक्षाघात के बाद भी बना रहता है। यौन संचरित बीमारियों को स्पर्मिसाइडल जेल वाले कंडोम के प्रयोग से रोकिये।

Dr Rais Shah (Best Sexologist Aurvedic & Herbal Treatment Specialist in India )

12 Things Most Doctors Don't Tell You About Sexual Health

Dr Rais Shah 

(Best  Sexologist  Aurvedic & Herbal Treatment Specialist in India )

+91 7875011197

-Every year, millions of women give up or drastically compromise their expectations of having enjoyable, fun, satisfying sex ever again.

Even if these women are among the majority who actually dare to discuss sexual issues with their doctors, they are often left without productive answers about their lack of libido, lack of orgasms, and lack of pleasure.

The truth is, even otherwise fabulous doctors are not experts on the physical, hormonal and medical aspects of maintaining peak sexual health ... and pleasure! All women who are experiencing physical and/or hormonal issues related to sexual function — menopause, incontinence, chronic lack of sleep — as well as those with medical conditions including heart disease, diabetes, cancer, and more, still can elevate their sexual awareness and health.

And, the good news is you don’t even need to don those attractive paper gowns or put your heels into stirrups.

Here are 12 examples of important facts about sexual health that your doctor has probably not mentioned:

1. A headache during an orgasm may indicate a serious problem.

You probably mentioned your bad headache to your doc. But did you neglect to mention that, oh, by the way, that headache happened simultaneous with an orgasm? If so, that’s something you want to check out sooner rather than later. Patients with a sub-arachnoid hemorrhage report that a severe headache at the time of climax was their first indication of a serious problem.

2. Diabetes may affect your ability to have an orgasm.

Your doctor asked about numbness in your feet, but not in your clitoris. According to a recent study, there is a likely correlation between diabetes and sexual dysfunction in women; this might have to do with decreased sensation in the clitoris from common vascular or neurologic changes.

3. Your birth control pills can cause vaginal dryness.

Menopause may be years away, but lately, even when you’re totally in the mood, your vagina is more like the Sahara desert than the waterfall it used to be. While not typically the case, some women experience this distressing side effect from hormonal contraception.

4. Your vibrator won’t mess with your pacemaker:

No way do you want to tell your cardiologist that you are terrified that sex with your regular partner, “Bob” (AKA your “Battery Operated Boyfriend”) will cause a pacemaker malfunction. Rest assured, vulvar or vaginal vibration will not “unpace” your pacemaker.

5. Using vaseline as lubricant can cause recurrent vaginal infections.

Vaseline makes your chapped lips feel so much better, so it stands to reason that it would be the perfect product to keep your other lips moist as well. But unfortunately, petroleum jelly has been shown to double the chance of bacterial vaginosis, the most common cause of odor and irritating vaginal discharge. Instead reach for a silicone lubricant like Replens Silky Smooth when the time comes.

6. Infertility treatments don’t have to ruin your sex life.

You are not imagining it. Sex with a purpose, takes the sexy out. A 2012 studyout of the Indiana University School of Public Health confirmed what most couples have already figured out — assisted reproductive techniques, especially IVF, cause problems with sexual desire, interest, and satisfaction. As expected, “mood-type symptoms” that could be attributed to the stress of going through fertility treatments, like sadness and anxiety, were huge, but the study also found that women had physical issues such as vaginal pain and dryness.

7. Taking estrogen is not equivalent to taking poison.

According to a recent global survey, estrogen could be your ticket back to a slippery, slidey sex life. But, for those who can’t or prefer not to take estrogen, plenty of alternatives are readily available at the local drugstore, so menopause can actually be the start of a better-than-ever sex life.

8. A clitoral vibrator might be the prescription your doctor should've given you at your last visit.

If the only thing you own that vibrates is your cell phone, it’s time to go shopping. Many older women (and younger women, too, for that matter) require additional intensity to achieve an orgasm. This is particularly the case if there is compromised blood flow from a medical condition, or just from normal changes that accompany aging. Not sure what to buy? Just ask me.

9. The female condom is underrated.

The female condom (FC2) not only prevents pregnancy and STDs, but also actually makes for sex better. The ring on the outside provides clitoral stimulation and the lubrication coats the vaginal walls.

10. Women with incontinence may also have painful sex or the inability to have an orgasm.

Not to mention the fear of peeing accidentally during sex.The culprit is weak, and/or sometimes painful pelvic floor muscles. And, yes, there are solutions that don’t involve surgery or diapers. (Kegels are a great place to start, for instance.)

11. Cancer survivors may need help salvaging their sex lives.

It’s the exceptional oncologist who gives you real solutions to deal with the physical AND emotional aftermath of chemotherapy, radiation, and early menopause. Self-esteem may be shaky, and reclaiming one's body after trauma is a simultaneously emotional and physical journey.

On a physiological level, I'll start by saying that it is safe to use vaginal estrogen even if you’ve had cancer; that said, some are uncomfortable using hormonal solutions for these changes in sex drive. In this case, there are equally good non-hormonal solutions available, so ask your doctor.

12. That funky smell coming from your vagina may just be a pH balance.

A number of triggers, including menstruation, intercourse or medications, can upset the vaginal ecosystem and elevate pH, causing an odor, an increase or change in vaginal discharge, or a bacterial infection. An effective remedy to these triggers is an over-the-counter vaginal pH-balancing gel which can help you maintain a healthy vaginal pH for three days and can eliminate feminine odor.

Of course, there are toys, lubes, and devices that can take things to a whole new level, but it isn’t just about making sex pleasurable, it’s about how to make it possible. Every woman, regardless of age, should be able to enjoy fulfilling, exciting sex and overcome pain, lack of desire and lack of lubrication as a result her body's unique challenges.

Dr Rais Shah

Sexual weakness

Sexual function is a complex blend of anatomic, neurological, metabolic, endocrine and psychic factors an important human activity. Sex is just not a physical activity but also a mental relaxation and up liftman. If any one of the partners remain dissatisfied, the family life is disturbed. The male partner always worries of his ability to satisfy his female counterpart. If there is an erection, retention and early ejaculation problem then the male subject is designated as sexual dysfunction.

A person who is unable to perform and maintain erection sufficient for mutually satisfying intercourse is known as klaibya or dhajabhanga. All the classical and compilation work of Ayurveda deals with fertility, sexuality, its problems and solution as well as positive health in a separate chapter known as vajikarana tantra. Description about vajikarana and klaibya are available in the entire span ranging from Vedas to the present day text.Aim & objective of vajikarana tantra of Ayurveda is very clear and comprehensive i.e., procreative and recreative. This includes treating the mind as well as body.Next to the need of  food, water and sleep, the sexual urge is the most powerful biological drive. The importance of this aspect  of human life is duely recognised by Ayurvedic authority in a separate section known is vajikarana  tantra. The inability to perform normal sexual desire and a willing partner is not able to have coitus with her due to lack of rigidity of the penis . Even if he manages to have erection, his anxiety will cause attacks of dyspnoea and profuse sweating and his attempts to have sex will result in a failure.Maharshi Vatsayan “Kamsutra” the famous  book of sexology is mainly related to reecreative  & charak samhita  described both procreative and recreative.

Common Causes :
Excessive masturbation.
Complete loss of desire (even in young man)
Excessive indulging in sex.
Local Injury
Syphilis.
Enlargement of prostate gland.
Impotency with diabetes mellitus
Mumps, obesity, excessive alcohol intake, smoking & drugs intake.

Few male Sexual disorders:  

• Inability to have coitus due to lack of erection.
• Premature ejaculation.
• Loss of sexual desire.

Premature Ejaculation: 

Premature ejaculation is persistent or re-current ejaculation with minimal sexual stimulation before, upon or shortly after penetration and before the person wishes it and is associated with marked distress or interpersonal difficulty. Premature ejaculation is a problem experienced mainly by younger men who  masturbation when timing and control were unimportant . It may also occur after a prolonged period without sexual intercourse.

Types  of premature Ejaculation: 

Neurological system premature ejaculation - often responds well to detailed psychosexual skills training to compensate for thee physiological pre-dispositional pharmacological agent

Physical Illness pre mature ejaculation -- can be caused by a number of acute diseases is acquired and occurs in all sexual situations. The most common cause is Prostatitis, other possible cause are Diabetes, Sexually Transmitted Diseases, virtually any urological pathology such as prostatic hypertropy, epilepsy, endocrine irregularities, athreoscleresis, cardio-vascular disease, generalise neurological disease, localised sensory impairement spurious polycythemia, cerebral tumours and poly neuritis

Physical Injury premature ejaculation-- it may caused by spinal cord injury, head injury, trauma to the sympathetic nervous system ,pelvic fractures and other torso trauma or localise sensory impairment.

Psychological system pre mature ejaculation—is caused by a personality characteristic that speeds ejaculation due to psychological disorder such as bipolar mood disorder, generalised anxiety disorder, obsessive compulsive disorder or one of the personality disorders.

Erectile dysfunction :

Erectile Dysfunction sometimes called impotence is the repeated in-ability to get or keep an erection  firm enough for sexual intercourse. In older men, erectile dysfunction has a physical cause such as diseases, injury or side effect of allopathic drugs any disorder that causes injury to the nerves or impairs blood flow in the penis has the potential to cause  erectile dysfunction.
Cause : Erectile Dysfunction can occurs 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 cavarnosa. Diseases such as diabetes, kidney diseases multiple schlerosis, athroschlerosis, vascular diseases and neurological diseases caused erectile dysfunction. Surgery, (specially radical prostate surgery for cancer) can also injures nerves and arteries near the penis, injury to the penis, spinal chord, prostate, bladder and pelvis can lead to erectile dysfunction, smooth muscles, arteries and fibrouse tissues of the corpora cavarnossa. Many common allopathic medicine like anti-hypertensive, anti-histamine, anti-depressant, tranquilizer, appetite suppressant and ulcer healing drugs can produce erectile dysfunction. Psychological factors such as stress, anxiety, guilt, depression, low self  esteem, and fear of sexual failure cause erectile dysfunction. Patient suffering from infection , gastric disturbances, who have undergone surgery recently, trauma, and during convalsence are likely to suffer from transient dysfunction. Other possible causes are smoking, and chronic alcoholism.

Loss of sexual desire or Libido:

Loss of libido can be result  from endocrinal dis-balance and psychological factor such as stress, anxiety, depression. There are some disease and medicines which are directly affect the sexual desire and libido.

Few female Sexual disorders: 

Some diseases cause sexual dysfunction in women.

Menopause: 

There are some common changes in the physiology of sexual function after  menopause. This is primary a result of a decrease  in estrogens and testosterone levels. As women age they also experience decreased blood flow to their genitals. Common complains include a loss of desire, diminished responsiveness and low sexual arousal. Vaginal atropy, which involves thinning, drying and irritation of thee vaginal lining, causes significant distress for thee menopausal woman. Since there are some specific sexual changes during and after menopause and often impairment of physical health, continuity of sexual function and enjoyment require flexibility and adaptability on the part of the woman and her sexual partner. Again intimate relationship , relatively free of conflict , will support and enhance the sexual relationship.

Dysfunctional Uterine Bleeding: 

It is the condition where women have  profuse bleeding per vagina  or heavy irregular menstruation bleeding  without any caused mostly happen in women who are older than 45 and sometimes in young girls. This may cause a sexual debility in female.,

Loss of Libido: 

Loss of libido is a common problem that women face from time to time. Generally  female hormones are directly responsible for female sex drive and libido. In addition to this fatigue, stress, depression, and medication are just a few of the other possible factors that may interfere with sexual desire. Again libido can result in difficulty becoming aroused and ultimately achieving climax or orgasm.

Dyspareunia :

This is an abnormal pain during sexual intercourse. It may result from abnormal conditions of the genitalia, dysfunctional psychophysiology reaction to sexual union, forcible coition, or incomplete sexual arousal.

It is not a disease, but rather a symptom of an underlying physical or psychological disorder. The pain, which can be mild or severe, may appear in the genitals, the pelvic region, or the lower back. The condition is much more common among women.
Cause: Chronic pelvic inflammatory disease
Endometriosis, Vaginal agenesis
Vaginal duplication
Vaginal septation / dryness,
Chronic constipation
Hemorrhoids
Inflammatory bowel disease
Past Surgery
Depression
Interstitial cystitis
Ovarian mass

Herbs & Minerals which are useful :

Safed Musli (Chlorophytum Borivilianum):

The dried roots of Safed Musli (also known as asparagus) are used in Ayurveda as an aphrodisiac. 

Primarily used as a tonic and rejuvenative for the reproductive system. The regular use of this herb is valuable in impotency , premature ejaculation & low sperm count in men.

It is also useful during pregnancy as a nutritive tonic for mother and fetus. Post-partum it replenishes lost fluids, prana, ojas and improves the quantity and flow of breast milk. Used in chronic leucorrhoea.

Ashwagandha (Withania somnifera) :  

The herb helps to cure female sterility. Powder of the roots in 6gram doses can be taken with milk for 5 to 6 successive nights after menstruation.

Two to four grams of root with milk or ghee can be taken as an aphrodisiac to enhance libido. It is also beneficial for the treatment of spermatorrhoea or involuntary ejaculations. Two to four gram of powdered root can also be taken daily with sugar, honey, long pepper and ghee in the treatment of these conditions.

Shilajeet (Asphaltum) :

It is well known that Shilajeet would return the libido of people to a level of teenagers. Shilajeet increases the core energy responsible for sexual and spiritual power.  The use of Shilajeet for renewing vitality.



Garlic:

Garlic is one of the most remarkable home remedies in the treatment of sexual disorder. It is a natural and harmless aphrodisiac. Garlic has a pronounced aphrodisiac effect. It is a tonic for loss of sexual power .

Drumstick:

A soup made with about 15 gms of drumstick flowers boiled in 250ml milk is very useful as a sexual tonic in the treatment of sexual disorder. It is also useful in the functional sterility in both males and females. The powder of the dry bark is also valuable in impotency, premature ejaculation and thinness of semen. About 120 gms of powder of the dry bark should be boiled in half a liter of water of about half an hour. Thirty grams of powder, mixed with tablespoon of honey, should be taken thrice daily

Ginger:

The juice extracted from ginger is a valuable aphrodisiac and beneficial in the treatment of sexual weakness. For better results, half a teaspoon of ginger juice should be taken with a half boiled egg and honey, once daily at night for a month. It is said to relieve impotency, premature ejaculation and spermatorrhoea.

Diet: 

Diet is an important factors, to begin with the patient should adopt an exclusive fresh fruit diet. Take fresh fruits and fresh  fruit juice twice daily. Concentrate on foods like nut, cereals , some green vegetables, fruits, milk, honey etc. Avoid smoking, alcohol, tea, coffee all processed canned refined and denatured foods especially white sugar and white flour and products made from them.

Life style: 

A vigorous massage with Vita-ex Massage oil is highly beneficial in the treatment of debility as it helps to revive muscular vigor which is essential for nervous energy. The nerves of the genital organs are controlled by the pelvic region. Hence cold hip bath for ten minutes in the morning or evening is very effective.

SEXUAL & GENERAL WEAKNESS

Dr Rais Shah

Sexual  & GENERAL WEAKNESS

Sexuality is a secret and most sensitive aspect of every individual’s personality. Every person undergoes various phases of his life i.e. childhood, adolescence, youth, elderly and old age. During these phases he/she may suffer from some sexual problem, which in turn can create low self-esteem & low self-respect.These persons suffering from sexual problems are always in search of a doctor who can treat their problem. In reproductive health, we have many specialities like Obstetrics & Gynaecology, Psychiatry, Endocrinology, Urology, Andrology etc. Yet Sexual Health is often ignored in Medical fraternity. Sexual Medicine is emerging as a separate specialty to cater the needs of those who have sexual problems. The most important advantage of Sexual Medicine as a discipline is that it can offer Comprehensive Care to those suffering from some sexual difficulties. Also it can prevent individuals to fall prey to many quacks proclaiming as a Sex-Specialist.
          Arogyam Sexual treatment based on the assessment of patients and identifying organic, psychogenic or functional cause of Sexual dysfunction. Treating patient(s) according to the cause of his/her/their problem is the essence of our Treatment. Each patient is dealt in a Confidential and Comfortable atmosphere.
          We believe everyone deserves to have a great sex life.
          Are You Suffering from ?

Virginity Concerns Painful Intercourse. Erectile Dysfunction. Retarded Ejaculation. Premature Ejaculation. Afraid of Intercourse. Tight or Loose Vagina. Male Sexual Problems. Non Co-operative partner. Female Sexual Problems. Night Emission / Wet dreams. Anxious of your own Sexuality.

Concerns about Sexual Health. Small Breasts and Big Breasts. Small Penis Size and Big Penis. Anejaculation – Inability to ejaculate. Sexual Weakness, Low Sperm Count. Orgasmic disorders (Both Male & Female). Masturbation Concerns (Both Male & Female). Worried of getting married – Anxious about future sexual life. Loss of Libido / Lack of Desire for Sex (Both Male & Female). Non Consummation of Marriage ( No Successful Sexual Intercourse between Partners.

          Would You Like To?

• Have more pleasure and fun?
• Overcome sexual problems?
• Rekindle your desire, re ignite your libido?
• Diminish feelings of shame and trauma?
• Feel respected and supported in your authentic gender expression?

If so, We offer the following services:
          Herbal Treatment for Better Reproductive & Sexual Health. Our herbal treatments are proved to be greatly beneficial in sexual weakness in men as well as loss of libido in women. The herbal revitalizes acts on nerves as well as muscle to give horse-power strength to manhood. Our general revitalizes are proved to be beneficial in daily life litharginess and work stress. There is no known side-effect of these natural herbs.
The Sexual Problems We Manage are :

Men Sexual Health : Premature Ejaculation. Increase Sperm Count. Loss Of Libido Penis Enlargement Curve Penis / Bent Penis Over Masturbation Impotence Night Fall Erectile Dysfunction Immunity Booster / Sexual Weakness

Women Sexual Health Amenorrhoea Breast Care Dysmenorrhoea Female Libido Leucorrhea Menopause Mastrubation Urinary Track Infection (UTI ) Premenstrual Syndrome Vaginal Discharge Vaginal Thrush Irregular Menstruation Cure Pcos/Pcod Loose Vagina

"Do NOT allow sexual problems to ruin your life and your marital life. Most of the time men hesitate to talk to anybody regarding this problem but it goes on increasing with the time. It is the best if person share his weakness with a specialist doctor and get it cured safely and without side-effects - See more at: http://www.ayurvedahimachal.com/index.php?page=herbal_treatment#sthash.aFzBeMu0.dpuf

12 effective tips for sex power increase

Dr Rais Shah

12 effective tips for sex power increase

Decreased sexual interest and sex power haunts everybody at one or the other point of time. So, it is very important to use techniques to keep your sexual life, pleasurable and enjoyable. Here are 12 tips for sex power increase. Hope they are useful to you.

1. Don’t have it everyday. maintain a gap of one or two days. Sex, as a part and parcel of daily routine may make you feel bored and eventually might lead to decreased sexual interest. Many times sex in a day , very rarely is fine.
2. Always have an element of surprise in your moves, or your general behaviour, or the gifts that you choose. Surprise makes the moment exciting.

3. Different sex postures – You may start feeling bored by same postures. So, different intercourse postures will not only helps to have improved sexual health, but also helps you to keep fit by burning a few more calories. Sex postures that do not allow complete insertion make the act fun and exciting.

4. Try out some SAFE sex fantasies. Sexual fantasies are the imaginary scenes that you plan and enact with your spouse.

5. Do not undress all of a sudden. Slow and steady… always wins the race.

6. Wear a condom, it delays the pinnacle giving more time to enjoy. In some men, rolling back the foreskin of the penis helps delay excitation.  The tip of the penis (the end bulged part)  in men is the point of excitation. making delay in its excitation helps delay ejaculation and gives ample time for foreplay.

7. Exercise – Sex and exercise are connected to each other.

8. Black gram – Black gram has been hailed as one of the effective diet for sex power increase. so, eating Dosa, or other food dishes made of black gram for 2-3 times a week will help in good sex health. Urad daal

9. Get rid of diseases – Maximum sexual bliss can be had only if you keep yourself healthy and hygienic. So, get proper treatment for your diseases and do not allow them to grow to chronicity. Diabetes and hypertension may be causes for decreased libido, which has to be given proper treatment.

10. Take care of your partner. Love is such an important element to ensure mutual enjoyment. Please know the feeling of the partner. Ladies usually will be in a slightly different mood nearing to their periods. Working women will be usually encountering higher stress levels. So, please take care.

11. Ayurveda explains that food with sweet, salt and sour taste enhance sexual power and bitter, hot, too much spicy food articles lead to decreased sexual interest. asparagus, Ashwagandha, grapes, dates, meat, egg, chocolates,buffalo milk, buffalo curds, Aloe vera juice, Sweet pomegranate fruit are a few food items for sex power increase.

12. Sexual herbal supplements – You might need herbal supplements if you have following conditions.

– If you have diabetes or hypertension, due to which you are suffering from decreased libido / erection difficulties.

– If you are suffering from / recovering from a chronic disease,  which is leading to decreased libido for a prolonged period of time.

– None of the above tips are working, even after trying consistently over a period of time.

How to Improve Sex Stamina

Dr Rais Shah

How to Improve Sexual Stamina

Three Methods:In the BedroomIn Your LifeIn Your Head

Everyone wants to be a better lover. For many, especially men, inability to offer one's partner a lasting sexual experience is a source of concern and even stress. However avoiding premature ejaculation in men and lack of sexual stamina in either partner can be easy with the right set of bedroom techniques and lifestyle changes. Here are some steps to help boost your bedroom game and ensure satisfaction for both you and your partner.

Method 1 of 3: In the Bedroom

1. 
   1
   Take it slow. Sex doesn't have to be fast and furious. Keep your movements slow and steady and let stimulation build gradually. Instead of being forceful, tease and titillate your partner by holding back and varying the angle, speed and deepness of penetration. When both partners are ready you can speed up together for an explosive finish.
   

   • One variation of this is called the "7 and 9" technique: keep yourself (and potentially your partner) stimulated without going over the edge of climax by alternating between seven fast strokes and nine slow strokes.
2. 
   2
   Change it up. One of the best ways to keep your energy up, prevent cramps and avoid premature ejaculation is to change positions, speeds and acts more frequently. When you feel yourself approaching orgasm, switch to a new position or stop to give your partner some manual or oral pleasure. Along with helping you last longer, this will give you a more interesting and varied sexual experience.
3. 
   3
   Take breaks. If you feel yourself getting too close to climax, or just running out of steam, just stop for a few minutes. You can use this time to enjoy foreplay, talk dirty, or switch to stimulating your partner manually or orally. When you've had a chance to cool down, dive back in for another round of intercourse.
4. 
   4
   Focus on foreplay. Penetrative intercourse isn't the be-all and end-all of sex. You can give your partner a longer experience by taking the time to have great foreplay. Kissing, touching, pillow talk, and the use of toys or restraints can all make for awesome, memorable sex. Give your partner a lot oral and manual stimulation to get them ahead of you—or even get them to climax one or more times before penetration. If you make the most of several or all of the activities in your sexual toolbox, a few minutes of intercourse may be all either partner needs—or wants—to be satisfied.
5. 
   

   
   

   
   
   5
   Use thicker protection. While some argue that there is little noticeable difference between different condoms, many men and women swear using thicker condoms can reduce sensitivity and let them hold off orgasm longer. Using lube in conjunction with a condom has also been shown to help men last longer.^[1]
6. 
   6
   Try a desensitizing cream. Many sex stores and sexual health retailers sell creams that can be applied to the penis to numb sensations during sex, thus allowing men to hold off their climax longer. Of course stopping to put on a chemical cream isn't the sexiest thing you can do in bed, so this method may be best saved for comfortable and committed sexual relationships.^[2]
   

   • Look for a cream that absorbs into your skin to prevent numbing your partner as well.

Method 2 of 3: In Your Life

1. 
   1
   Eat right. Lack of sexual stamina, for both men and women, can be a symptom of larger problems with your health and diet. To have a great sex life, eat healthy foods and maintain a healthy weight.
   

   • Avoid foods that are high in saturated fats and cholesterol, as these can clog your arteries and reduce blood flow. Good blood flow is vital to having the best sexual experience.^[3]
2. 
   2
   Exercise. Good sex can be hard, tiring work! Like any physical activity, your stamina in bed can be improved by staying fit. Shoot for 30 minutes of aerobic exercise at least five days a week, plus strength training twice a week. Regular exercise, especially aerobic exercise, will keep you healthy, promote good blood flow and give you the energy to have great sex. Plus exercise can improve your body image and make you a more confident lover.
3. 
   3
   Stay stress free. Stress can make it hard to stay focused, aroused and happy during sex—and it can constrict the blood flow necessary for healthy sex. To improve stamina and enjoyment, both men and women should reduce stress in their life—or at least learn to leave it outside the bedroom.
4. 
   4
   Practice. As with any activity, practice makes perfect. Have more sex with your partner using the techniques above and soon enough your stamina and control over your orgasm will improve and come more naturally.
   

   • Masturbation is also a good way to train yourself to control your climax. Practice getting close to orgasm but stopping right before. Repeat several times before you finish. This will help you learn to notice when you are at the edge of climax, and control yourself when you get there. You don't have to do this every time you masturbate, but occasionally challenging yourself to see how long you can last can be fun and helpful.
   • Masturbating too often in the same way, however, can train your body to only respond to certain kinds of stimulation—which can be troublesome when youwant to reach your climax during intercourse. Be sure to vary your routine: switching hands, using lube, trying sex toys, and exploring different kinds of mental and visual stimulation.

Method 3 of 3: In Your Head

1. 
   1
   Don't worry. One of the most common causes of premature ejaculation in men is nervousness and anxiety over the quality one's performance.^[4] The best thing to do is relax and focus on enjoying the closeness with your partner. Remember that sex is about intimacy as much as pleasure, and great sex comes from chemistry much more than stamina or skill. If you find yourself getting stressed or "in your head," take a deep breath and spend a moment reconnecting with your partner.
2. 
   2
   Think about something else. The classic way that men, and some women, use to control the timing of their orgasm is to concentrate on some mundane topic while having sex. Put the pleasure you are receiving to the back of your mind, and try doing a few basic math problems in your head until you are finally ready to climax.
   

   • Avoid thinking about topics or images that stress you out or turn you off. These can cause you to lose your arousal during sex, instead of simply letting you extend it. Instead try to think about something more abstract, such as visualizing geometric shapes or recalling the lyrics to a favorite song.
   • Don't extend your stamina at the expense of being present with your partner. Long sex can be dull for both of you if you spend the whole time with your head in the clouds. Use this technique sparingly and instead focus on engaging and being active with your partner.