Common Sexual Problems

About four decades ago masturbation was considered as harbinger of sexual debility, premature ejaculation & impotence. But after Kinsey Report in 1953 the whole concept seems to have changed & it is not considered as such. Nowadays there are 2 Schools of thought. One the Old one is much against masturbation. And the new school which considers masturbation as a biological necessity & sees no harm even if, practiced daily. Old School: For time immemorial masturbation has been considered as a very filthy habit & all sorts of ill effects have been attributed to it. The hard friction of hand makes the nerves of the glans very sensitive & its Hypersensitivity causes premature ejaculation so much so the boy gets discharged even after 2 or 3 strokes. If masturbation is practiced for longer period the boys after marriage cannot penetration & gets discharged outside the vaginal introitus. When the boy realizes the ill effect of masturbation he tries to stop this filthy habit but as the whole system is hypersensitive he starts having very frequent night dreams. If they occur once or twice a month they should be considered as mainly a phenomenon of male adolescence. But those boys who masturbated excessively get wet dreams once or twice a week and sometimes on alternate days. Some unfortunate victims get them daily. Excessive indulgence in masturbation next causes premature ejaculation. The boy discharges in 4 or 5 strokes, afterwards Impotence ushers in. The boy gets very weak erections or they fail to develop. At this stage the boy is completely a sexual wreck & impotent. New School: In more recent years the pioneer contributions of Kinsey and Masters and Johnson have helped considerably in demolishing old beliefs about the so-called harmful effects of masturbation. According to this School Masturbation is self- Stimulation of the genital organs. It is perfectly normal sexual outlet during adolescence, before intercourse with woman is possible and has no physical, mental, or emotional ill effects. Dr.Rikh’s View: Even if we take it for granted that masturbation is harmless we should not consider it so all times because if one indulges in it excessively one is bound to suffer heavily. You know the maxim— “Excess of every thing is bad.” Main problem with masturbation is that it is habit forming and if once started, one becomes helpless & goes into excesses till he becomes a sexual wreck. Therefore every young man is advised not to indulge in it even for a short period otherwise one would be jeopardizing his sexual life forever.
These are also called night emissions or wet dreams. This disorder may be defined as involuntary discharge of semen during sleep. Night dreams in fact are evidence how deeply our sexuality is wired into us: even while fast asleep, young boys often become so aroused that they are ejaculate in their sheets. The late Dr. Alfred Kinsey found that 83% of men have nocturnal emission at some time in their lives, with the highest incidence occurring during the late teens. About the quarter of 14 yrs old boys & almost two third of 17 yrs old wake up with sticky sheets about once every month or two during this period of turbulent sexual awakening. Nocturnal emissions are, in fact, mainly a phenomenon of male adolescence. These rarely occur more often than a fortnight. But if they do occur 2 or 3 times a week they must be considered as pathological. Thus night emissions are of two types. One are those, which occur on account of young age. These types of night dreams are harmless & the boy needs not to worry. These harmless night dreams are accompanied by long amorous dream; the semen is ample in quantity & produces a stiff mark on the undergarment. These type of night emissions should be considered as natural & a sign of unspoiled youth. Such type of night dreams occurs once in a month or a fortnight. The second types of night emissions, which are harmful, occur at very short intervals & mostly occur when the habit of masturbation is abandoned. These type of night dreams are mostly without dreams & the semen is very little & thin & do not make undergarment stiff. They are likely to occur once or twice a week & sometimes occur daily. Such type of night emissions should not be neglected & treated promptly otherwise after sometime they cause premature ejaculation or impotence because damage caused by such emissions is similar to excessive masturbation.
Spermatorrhoea may be defined as the involuntary discharge of semen. Through this definition only night discharges fall in this category. But some unscrupulous & greedy Hakims & Vaids to scare the young boys & to extract money out of the pockets of young patients designate each & every penile discharge to be semen & call it “Dhatu Rog” or “Jiryan”, while the scientific fact is that Fluid, which the greedy sexologist designate as semen either cowper gland’s sticky & colorless secretion or the precipitated phosphate due to change of pH of the urine due to indigestion & not semen as designated by greedy sexologist or quack. I would like to warn the young innocent boys & adolescents not to be misled by the false propaganda of the quacks & consult some honest & qualified sexologist for correct diagnosis. .A word of caution: As has been mentioned above Cowper gland’s secretion. (The sticky fluid oozing out at the height of passion) from urinary passage is a natural phenomenon. The quantity of it is so little that its presence can be felt only by touching the tip of the penis. But in some it is copious & starts dribbling from the orifice. The erection also starts loosing strength & sometimes the penis become limp & the erection is completely lost. It is of course a sign of impending disaster & if left unattended causes such grave disorders as premature ejaculation & impotence. Similarly Dhat syndrome should be rectified immediately. In masturbatory tendency, night dreams, and excessive Cowper gland’s secretion sedative drugs are dispensed. These drugs remove the internal & external congestions & sedate the entire system & the patient before long regains vigor & vitality. Similarly Dhat syndrome should be rectified by systematic alkalizers & by making suitable changes in the food habits of the patient.
Premature ejaculation is the most common disturbance of male potency & one of the greatest causes of unhappiness in marriage. If it persists untreated over a long period of time it leads to impotence. One man out of every eight perhaps suffers from this dreaded & frustrating disease. Although the condition is most prevalent among men in their late teens & 20’s it also occurs in older men. There are two forms of this condition. One is the ejaculation of semen immediately upon the introduction of the penis into the Vagina or soon afterward that the female has no opportunity to reach orgasm. This is known as ejaculatio post portas .The second is more serious & is known as Ejaculatio ante portas in which ejaculation occurs before the penis is introduced in the vagina. There may be an ejaculation even without any erection, when kissing the partner, perhaps, or merely from being close to her. The semen may flow like urine from a relaxed organ. Or it may be expelled while the penis is in a semi-erect state. A prolonged period of premature ejaculation is a serious matter. The condition is often accompanied be periods of temporary impotence. Untreated it may lead to complete and real impotence. The man, who ejaculates quickly and is unable to satisfy his wife, soon begins to feel inadequate. Each failure leads to the expectation of another failure. This creates a state or tension, which makes successful intercourse unlikely. Because the male is so sensitive about his potency, many men do not seek medical help for premature ejaculation. Often a sexually frustrated wife complaining of vague “nervous” ailment brings the situation to the attention of the family physician or an unhappy woman seeking to save her marriage- or to dissolve it – blurts out her distress to a marriage counselor or an attorney. The definition of premature ejaculation varies, depending very much on who is doing the defining. For example, a wife may feel that her husband ejaculates too quickly, if he climaxes before she has reached orgasm-regardless of the actual amount of time spent in intercourse. By this definition a man who engages in sexual thrusting for 15 minutes might still be called “premature” by a woman who needs 30 minutes to reach orgasm. But, practically if a man ejaculates before 80 or 90 active coital movements or thrusts should consider oneself suffering from premature ejaculation. The real cause of premature ejaculation is still not known but majority of sexologists believe that premature ejaculation is caused by hypersensitivity of the male sexual mechanism. The hypersensitivity may be local one- of the glans penis or it may be internal or of various internal sex centers located in the brain or elsewhere. Treatment: Treatment of Pre-mature Ejaculation (P.E.) now termed as early orgasmic response (EOR) is quite difficult and tests the real caliber of a Sexologist. But, fortunately by using the ancient formulations, anti-depressants, local anesthetics, and desensitizing techniques, this, --- the much dreaded monster called P.E./ E.O.R. Could be over-powered and the young guys get a new lease of life and an impending catastrophe could be averted.
Impotence, also known as erectile dysfunction, describes a continuing in ability to achieve and/or maintain an erection adequate for sexual intercourse. Impotence, in fact is not a disease, but a secondary condition, brought on by other, primary cause or causes. It is a side effect, a symptom of something else. Thirty years age, when men went to their doctors asking for help for erectils problems, they were told that there was no treatment because it was caused by aging, to it was all in their heads (psychological). A generation of research has been conducted in the intervening years. With more knowledge now, doctors divide this very common disorder into 3 main causes: Psychological 10% Physical 85% Unknown Origin 05% Total 100% Psychological: slightly more than 10% cases of impotence are due to psychological or “ all in your head” causes. This type of impotence is found, when physical causes are almost absent. Pure psychological impotence usually comes on suddenly. It can be caused by job stress, a troubled marriage, or financial worries. Any nagging everyday situation, which occupies conscious and subconscious thoughts, can cause impotence. Depression or concern over sexual performance can also cause it. It should be noted that every man experiences temporarily periods of psychological impotence at one time or another during his life. That’s entirely normal and you don’t need any treatment unless the problem is persistent. Physical Impotence: About 85% of cases of impotence are due to physical causes or organic causes. This type of impotence also includes a mixture of physical impotence and psychological involvement. Once a man fails to get an erection a few times, he places more stress on himself to have an erection by sheer will power, when this too fails, he often begins to have psychological problem mixed with physical disability. Pure physical impotence develops gradually. The important thing to remember is that most cases of this type are beyond one’s control. The table below represents an accurate distribution of the various causes of physical impotence. I Diseases of the blood vessels 33% II Diabetes Mellitus 25% III Radical Pelvic Surgery 10% IV Trauma to spinal cord or pelvic 08% Nerves or neurological diseases 08% V Endocrine problems 06% VI Prescription drugs 08% VII Substance Abuse 10% Total 100% I) Diseases of the blood vessels or vascular diseases are the leading causes of impotence. Vascular disorders include arteriosclerosis (hardening of the arteries), hypertension, high cholesterol and other conditions, which interfere with blood flow into the penis. If poor blood supply occurs in the heart or coronary vessels, it causes heart attack, when it occurs in brain it causes stroke or paralysis and when it occur in penis, it cause Impotence. Venous leakage is another vascular problem which occurs when the penis Veins are unable to constrict properly during an erection. Constriction of the veins holds the blood in the penis maintain the erection. When the veins leak, the blood escapes too quickly back into the body and the erection fails. II) Diabetes Mellitus this is very common cause of impotence. This disease damages both blood vessels and nerves. When nerves are affected, the brain cannot properly transmit the sexual stimulus that creates an erection. About 50% of all diabetic men experience impotence after the age of 55. III) Radical pelvic surgery This type of surgery may also result in impotence. Surgical procedures involving the prostate gland, the bladder or colon may sever the nerves involved in erectile response. Radiation treatment in the area can also affect the erectile process. IV) Trauma to spinal cord or pelvic nerves or neurological disease Accidents May injure the nerves related with sexual apparatus and can cause erectile dysfunctions. Similarly some neurological diseases as multiple sclerosis, Parkinson’s disease and paralysis may bring about loss of erection. V) Endocrine problems Malfunctioning of the endocrine glands is another source of erectile dysfunction. For example low level of testosterone or thyroid hormone often causes poor quality erection. Excessive production of prolactin by the pituitary gland may also contribute to a low testosterone level and lack of sexual desire. VI) Prescription Drugs These often cause impotence as a side effect. More than 200 medications fall in this category. VII) Substance abuse affects erectile function as well. Illegal drugs and the excess use of alcohol or cigarettes can seriously damage the blood vessels and nerves involved in a normal erection. Treatment: Like P.E. the erectile dysfunction too, puts a sexologist to a severe test. But, luckily our ages old formulations with modern researches and drugs make erectile problem a thing of the past and the guy starts leading a Happier Married Life thereafter.
Such diseases are generally defined as those transmitted principally by sexual intercourse. The original five Classic STDs are Syphilis, Gonorrhea, Chancroid, Lymphogranuloma veneram (L.G.V.) and Granuloma Inguinale. In recent years this list of sexually transmitted diseases has expanded appreciably as a result of extensive research. Now a days chlamydial, Trichomonal, Candidal and several viral infections have joined this list. A few days ago the five original classical STDs were called ‘Venereal diseases”. But now W.H.O. have given them a new nomenclature and all those diseases which are transferred from one person to another by sexual contact are known as STDs. STDs are among the most common afflictions in all societies. In addition to the “new” STDs such as Chlamydial infection, genital herpes, and human papillomavirus infection, the traditional ones, especially syphilis and gonorrhea, continue to pose serious health problems; the classic STDs are causing tremendous havoc in most developing countries such as India. Finally there is AIDS – a disease that spreads with special efficiency in the presence of other STDs is likely to create havoc in India, if suitable steps are not taken promptly. Sexually transmitted diseases broadly speaking are classified into three classes: Bacterial sexually diseases Viral sexually diseases Cutaneous Infestations Bacterial STDs include Chlamydial infection (including variant L.G.V.), Gonorrhea, syphilis Chancroid and Granuloma Inguinale (Donovanosis) Viral sexually transmitted diseases are more virulent and very difficult to treat. This group includes Genital Herpes, Human Papilloma virus infection, Genital warts, Molluscum Contagiosum, Viral Hepatitis, Cytomegalovirus Infection and above all that deadly disease known as AIDS. Some minor cutaneous infestations as pediculosis pubis, scabies are also termed as STDs. The acquired immunodeficiency syndrome (AIDS) has become one of the worlds major public health problems and by far the most important and dreaded STDs of all the time. The AIDS virus types 1 and type 2, the cause of AIDS, are transmitted by intimate exposure to blood as well as to sexual and other body secretions, and sex is the most common route of transmission worldwide. Epidemilogic and laboratory studies have shown that STDs enhance the efficiency of HIV transmission. Apart from vaginal or anal intercourse HIV may be transmitted by injections using same syringe and needle as by drug users, breast milk and in utero. Sometimes it may be transmitted by oro-genital exposure (as in oral sex). Blood transfusion is another mode of transmission. Transmission by kissing however is rare. In short the majority of HIV transmission worldwide today is hetrosexual. AIDS at present is incurable and hence every precaution should be taken to avoid its infection and one should not indulge in unprotective sex. Treatment: The management of STDs need highest caliber, therefore one should consult immediately some qualified sexologist or Urologist. Such diseases are generally defined as those transmitted principally by sexual intercourse. The original five Classic STDs are Syphilis, Gonorrhea, Chancroid, Lymphogranuloma veneram (L.G.V.) and Granuloma Inguinale. In recent years this list of sexually transmitted diseases has expanded appreciably as a result of extensive research. Now a days chlamydial, Trichomonal, Candidal and several viral infections have joined this list. A few days ago the five original classical STDs were called ‘Venereal diseases”. But now W.H.O. have given them a new nomenclature and all those diseases which are transferred from one person to another by sexual contact are known as STDs. STDs are among the most common afflictions in all societies. In addition to the “new” STDs such as Chlamydial infection, genital herpes, and human papillomavirus infection, the traditional ones, especially syphilis and gonorrhea, continue to pose serious health problems; the classic STDs are causing tremendous havoc in most developing countries such as India. Finally there is AIDS – a disease that spreads with special efficiency in the presence of other STDs is likely to create havoc in India, if suitable steps are not taken promptly. Sexually transmitted diseases broadly speaking are classified into three classes: Bacterial sexually diseases Viral sexually diseases Cutaneous Infestations Bacterial STDs include Chlamydial infection (including variant L.G.V.), Gonorrhea, syphilis Chancroid and Granuloma Inguinale (Donovanosis) Viral sexually transmitted diseases are more virulent and very difficult to treat. This group includes Genital Herpes, Human Papilloma virus infection, Genital warts, Molluscum Contagiosum, Viral Hepatitis, Cytomegalovirus Infection and above all that deadly disease known as AIDS. Some minor cutaneous infestations as pediculosis pubis, scabies are also termed as STDs. The acquired immunodeficiency syndrome (AIDS) has become one of the worlds major public health problems and by far the most important and dreaded STDs of all the time. The AIDS virus types 1 and type 2, the cause of AIDS, are transmitted by intimate exposure to blood as well as to sexual and other body secretions, and sex is the most common route of transmission worldwide. Epidemilogic and laboratory studies have shown that STDs enhance the efficiency of HIV transmission. Apart from vaginal or anal intercourse HIV may be transmitted by injections using same syringe and needle as by drug users, breast milk and in utero. Sometimes it may be transmitted by oro-genital exposure (as in oral sex). Blood transfusion is another mode of transmission. Transmission by kissing however is rare. In short the majority of HIV transmission worldwide today is hetrosexual. AIDS at present is incurable and hence every precaution should be taken to avoid its infection and one should not indulge in unprotective sex. Treatment: The management of STDs need highest caliber, therefore one should consult immediately some qualified sexologist or Urologist.