Sexual Health & Disorders Online Doctors Consultation — page 6

Hi Gaurav, Nightfall at 18 is normal and not a disease. It happens due to hormonal changes, sexual thoughts, and semen buildup, especially if you're not ejaculating regularly. To reduce nightfall: - Avoid watching adult content. - Stay engaged in studies, hobbies, or exercise. - Don’t sleep on your stomach. - Plan scheduled masturbation to reduce semen pressure. - Practice relaxation before sleep. It usually settles with time and doesn’t harm your health. If you have more questions about nightfall or masturbation, you can consult me online or in person. – Dr. Aman Shaba MD (Psychiatry) Consultant Psychiatrist 7992489808

Get ur testosterone levels done and see if they are normal or not ,most of your issues is due to the same

Improving sexual stamina and performance is a multifaceted issue influenced by various factors. Here’s a detailed look at aspects that can contribute to stamina and how you can address them: 1. Mental and Emotional Factors: Stress and anxiety can negatively affect libido and endurance. Embracing relaxation techniques, such as deep breathing, meditation, or yoga, can help manage these feelings. Studies show that reducing stress may enhance sexual performance by promoting a calm state of mind. 2. Lifestyle Habits: Regular exercise is beneficial for overall health and can enhance sexual stamina. Cardiovascular workouts, like running or swimming, improve blood flow and endurance, while strength training can enhance muscle function, including pelvic floor muscles. A balanced diet rich in fruits, vegetables, whole grains, and lean proteins fosters overall well-being. Foods like watermelon, which contains citrulline, and dark chocolate can support healthy blood flow. 3. Supplements and Herbal Remedies: Some supplements such as ginseng, ashwagandha, and L-arginine have been studied for their potential benefits in improving sexual function. For example, L-arginine may increase nitric oxide levels, enhancing blood flow. However, their effectiveness can vary among individuals, and it’s crucial to consult with a healthcare professional before starting any supplementation to assess safety and efficacy based on your individual health. 4. Pelvic Floor Exercises: Strengthening pelvic floor muscles through Kegel exercises can help with erectile function and may aid in managing premature ejaculation. The focus is on increasing muscle control and improving pelvic stability. 5. Mental Focus Techniques: Techniques such as the start-stop method and distraction exercises can help manage arousal levels and improve endurance. These strategies are designed to enhance control and reduce anxiety during sexual activity, which could improve performance over time. 6. Persistent Issues: If you continue to experience difficulties with endurance despite making lifestyle changes, it may be prudent to consult a healthcare provider. They can rule out underlying conditions, assess hormone levels, and discuss potential medications or therapeutic options tailored to your needs. 7. Safe Practices: Before considering any medication or supplement, ensure you have an open dialogue with your healthcare professional to discuss safe usage and possible interactions with any existing health conditions or medications you may be taking. Overall, enhancing sexual stamina effectively requires an integrative approach focusing on physical health, emotional well-being, and practical techniques. By addressing these areas, you can improve your overall sexual health naturally and safely.

Erectile dysfunction (ED) despite using Tadalafil 10 mg suggests an underlying issue that needs a personalized approach. ED can be caused by medical factors (vascular issues, diabetes, low testosterone, nerve damage) or psychological factors (performance anxiety, stress, excessive porn use). Lifestyle habits like poor sleep, smoking, or lack of exercise can also contribute. Since medication alone isn’t fully effective, a detailed medical evaluation is necessary. This includes blood tests, penile Doppler ultrasound, and hormonal assessment to identify the root cause if required. Treatment may involve adjusting medication, lifestyle changes, pelvic floor exercises, or psychological interventions. For the best outcome, I strongly recommend an in-person consultation to develop a tailored treatment plan based on your specific condition. Dr Aman Shaba Consultant Psychiatrist 7992489808

The hymen is a thin piece of tissue at the vaginal opening, but it varies from person to person. Some women have a more elastic hymen, while others have a firmer one. For some, the hymen may stretch or tear without pain or noticeable bleeding, while for others, it might cause some discomfort or light bleeding. This can happen not only during sex but also from activities like exercise, tampon use, or medical exams. If the hymen breaks in a non-sexual way, it doesn’t typically heal back in its original form but doesn’t usually cause any long-term issues. It’s also important to note that you can’t always tell if the hymen has been broken just by looking at it. In some cases, it may not even be noticeable. Pain during the breaking of the hymen is not always due to the hymen itself—it can be caused by factors like vaginal tightness or lack of lubrication. To reduce discomfort, using water-based lubricant and ensuring relaxation can help during sexual activity. If you're concerned about your first experience, take things slow and communicate openly with your partner to ensure comfort. If you're still unsure or have concerns about pain, it's always a good idea to consult with your healthcare provider.

Dear Divyaj, Thank you for reaching out. Facing both erectile dysfunction (ED) and premature ejaculation (PE) can be distressing, but you're not alone—and both are treatable. The first step is a proper diagnosis to find out whether the cause is psychological (like anxiety, stress, or depression), physical (such as hormonal issues, diabetes, or lifestyle factors), or a combination of both. Once we identify the cause, treatment can include: - Short-term medication if needed - Psychological support or stress management - Techniques and lifestyle changes With the right approach, things can improve significantly. Warm regards, Dr. Aman Shaba Consultant Psychiatrist 7992489808

Don't force it ... just go with flow without much of thinking about u can do and do with someone with whom u r comfortable and medically there are plenty of Gels and cream or type of protection that delays your time ...for size there nothing u can do except kegel excercise