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Posted by Maya : Sir, Its with much pain im writting this letter.I need your valuable advice.Im 26 and my husband is 32.We both are working in IT industry. We got married 2 years before.But till this date we didnt have sex.We both love each other very much,but we hardly had any thoughts of sex in these 2 years.Infact 2-3 times we tried,bt it was not complete.Now we would like to have a kid.Both our parents and family members are also asking for a kid.I exactly don knw wat is our problem.I have pcod and im not taking any treatment for that also.I knw that my age is also increasing.What next step we have to take.please adviced
Reply: I can understand you agony. Two years is a pretty long period. But it is a common problem. We have seen and successfully treated so many couples married for several years without having sexual intercourse. This condition is called unconsummated marriage. The couple with longest duration I have seen is of 22 years. Non consummation of marriage can occur due to several reasons. It is due to problems related to either husband, wife or both. Male problems such as erectile dysfunction, premature ejaculation, Sexual desire disorder, dyspareunia, phimosis, peyronies disease and female problems such as absence of sexual desire, sexual arousal disorder, dyspareunia, sexual aversion disorder, vaginismus etc can cause non consummation of marriage. Other psychological problems such as adjustment problems, marital conflicts or dislike towards the partner also can lead to such conditions. How ever nothing to worry about it. With modern investigative and treatment modalities we can identify the cause and treat it successfully. You can persuade your husband for treatment. If he is not willing discuss this problems with parents. There is no point in hiding such problems. By doing that you are damaging your own life. So dont hesitate to discuss it with husbandss as well as your parents and to take their help and advice to begin treatment
Posted by saind : Sir, I got married a 1.5 months ago. Me and my wife wanted to know about Oral Contraceptive pills that can be used my wife for 7-8 months. Could you provide few safe oral contraceptive pills that have no or less side effects. Also will usage of this reduce the sex drive for my wife. Also wanted to know whether the usage of these pills cause complications in the future for getting pregnant.
Reply: No treatment can be prescribed through a question answer session. Many people think that they can get a prescription through a letter or phone call or in a TV channel interview. This is quite absurd and dangerous. No medicines should be prescribed with out proper clinical examination and appropriate investigations. Once upon a time, prior to the scientific growth & development of modern medicine a few indigenous practitioners used to do it. There is no ideal contraceptive method which is safe, suitable and acceptable to everyone. Choose a method according to the needs, acceptability and suitability of the person. It is always better to discuss with your gynecologist and take a decision.
Posted by abdussamad : Chikilsa nadathiyaal Lingathinde valippam koottan sadikkumo?
Reply: No treatment except surgery
Posted by Anonymous : Dear Dr, I am married for the last one year and we have been having protected sex regularly. Finally we decided to have a kid and try for it. After this, I did not get proper erection one day and that put me into a lot of pressure. Since then I am always in tension. Whenever the right time comes for the intercourse to try for the baby, I feel no interest in sex, sometimes with no erection and we fail. But other times we are completely ok and have intercourse. I do not know how to overcome this situation. We both want to have a baby desperately. And this puts me into a bigger pressure. Could you suggest a way to get out of ? Thanks.
Reply: It appears to be a psychogenic erectile dysfunction due to the extreme need and pressure for pregnancy. Commonly it happens with the couples who are undergoing treatment for infertility. As far as possible try to forget about the pregnancy and engage sexual contact daily or alternative dates without looking at the calendar. If you cannot overcome this problem it can be solved with treatment.
Posted by Raj : Sir, I have last two weeks pain in my abdominal, after i check with doctor and he sujest to check scan and find both kidneys have 4 - 6 mm stones, now I am taking medicine . During this situation I can do all my normal sexual activities ,Please give the replay. Regrds Sekhar
Reply: If there is no discomfort during sexual contact you can continue.
Posted by anishkumar : my semen will out very fastly ,within a 10 sec.so I am worried about make pregnancy.till now she is not satisfied with my sex.(exual apperannce).age-31,85 kg.i hope you will give the proper solution .(I am in dubai ,nxt month i will come vaccation,in marriage time i get 40 days ,2 nd vaccation 45 days, 3 rd is nxt month.45 days) regards , anishkumar
Reply: It appears that you are suffering from premature ejaculation. This may be due to various causes such as infection, inflammation, hypersensitivity, habituation or any other factors. First we have to find out the cause. Treatment may vary from medication to sex therapy or a combination of both based on the causes. To plan the treatment you need to undergo a clinical evaluation including physical examination and investigations. Based on the results it can be successfully treated. Since the leave is short it is better to consult as soon as you arrive in Kerala. So that you can get sufficient time for treatment. Nothing to worry your problem can be solved completely.
Posted by KTM Malappuram : Sir, Enikkippol 25 vayassaayi. Ente prasnam linkam vannam kooduthalaan. Udarichaal ekadesam 8-10cm neelam kaanum. Vikaaram varumbol njaan kaikon kalich kalayarund. Njaan ippol UAE yilaan ullath. Ekadesam 2 varsham koode kazinjaal naattil povum.Kalyaanam kazikkanamennund. Enthenkilum prasnam varo? Linkam valippam kuravaano? Kuravaanenkil koottaan valla maargavum undo? Nalloru prathikaranam pratheekshikkunnu
Reply: The question is not clear. Since you have lot of apprehensions it is better to consult a doctor and clarify your doubts.
Posted by Jai : Is there a way by which I can lengthen the sexual intercourse time? I do have a problem of reaching the climax too soon. Please advise.
Reply: If any of the partners is not satisfied we can assume that there is a problem. Inability to control the ejaculation may be due to several reasons. Sometimes this may be a habit. In some other cases such problems may be due to infection, inflammation, hypersensitivity, or any other factors. First we have to find out the cause. Treatment may vary from medication to sex therapy or a combination of both based on the causes. To plan the treatment you need to undergo a clinical evaluation including physical examination and investigations. Based on the results it can be successfully treated.
Posted by naseem : Hello Dr I am Naseem from EKM , age 30 and married about a year now. I am in gud relation with my wife. My problem is I cant maintain my erection.while doing foreplay i am getting erected eventhogh it is not very hard, but if i move to wear condoms or to adjust pillows am loosing the erection. I am very much intrested in sex but because of this I feel disappointed. If Iam not in to sex for a week or so i will get enough erection. While doing sex if i took out to change the position damn its gone.So all the time wot I am doin is with out taking pennis out trying to change the position. And its been a long time the morning erection happens very rarely to me. I dont have any other physical problem like sugar , pressure etc. Please tell me a reason for this and an adoptable remedy. Thanking you Naseem.
Reply: From the description two inferences can be made. This could be either a psychogenic or a venogenic problem. Psychogenic causes include performance anxiety, unhealthy mental state, depression, anxiety, traumatic experiences, relationship problems with wife etc. Venogenic means the blood filled in the corpus cavernosa is leaking out and going back to the heart. The blood is not staying in the corpus cavernosa till the completion of sexual intercourse. In your case when you take medicine your erection is sustaining. It shows that there is a possibility for a physical problem. It can be identified through certain specific tests. Whatever may be the cause there is a definite treatment. It may be sex therapy, medicines, a combination of both or a surgery. Treatment can be decided only after identifying the exact cause. So you may consult a doctor and take an opinion. In your case it may be better to go to a hospital where all facilities are available to treat sexual problems.
Posted by R.K : I am 24 years young man.My problem is that when i am moving my foreskin of my penis its head coming bend and it is attached its under .In the stage of erection it cant be fully rollback and trying to rollback is very painfull. Future it cause eny problem for sexual relation?
Reply: From your description it appears that you may have a tight frenulum. That is why the tip of the penis is bending downward during the erection. It can cause difficulty for sexual intercourse. Vaginal penetration may become difficult and you are likely to experience pain. Sometimes there can be small injury and a little bleeding if you try to insert the penis by force. It is always better to correct before marriage. If it is a tight frenulum it can be corrected by a simple surgery called Frenuloplasty. In certain cases circumcission may be required. Without examination an opinion cannot be given.
Posted by babu.k.moni : sir.i am dibt.pationt.since 15 yers.i am 52 old.using insulin my problem now my sexeal cont.very veek so u have any solosion abt. my problem?
Reply: Chronic diabetes mellitus is one of the most common causes of erectile dysfunction. 15 years is a pretty long period. It is quite possible that some diabetogenic changes might have occurred in the corpus cavernosum inside the penis which can lead to an erectile problem. It has to be evaluated first and the treatment should be planned based upon the findings. In certain cases medicines may be effective. In such instances it can be treated with a combination of medication. In other cases where medicines are not effective surgery is the only answer and it the best as well as a life long remedy. We have done more than 100 implant surgeries during the last two years. All these patients are very happy and highly satisfied. More details are available in our website www.drpromodusinstitute.com. In your case it can be planned only after the evaluation.
Posted by noorudheen : goodmorning sir , 38 age undu udharana kurav anu problem. samyoga timil thanne lingam thashunnu. oru urolagistine kandu medicine eduthirinnu. athu kashikumbol ok anu. medicine kahsinjal pinneyum same. njan gulfil anu. athukondu thanne nattil povanaum oru madi anu. family nattil anu. ethinu permanet ayit enthekilum medicine undo ennu ariyan anu ethu chodikunad. bye sir
Reply: It means you are unable to sustain the erection. There are two possibilities. It may be due to a venogenic or psychogenic. Psychogenic means any type of mental tension or distraction of attention can lead to such problems. Venogenic means the blood filled in the corpus cavernosa is leaking out and going back to the heart. The blood is not staying in the corpus cavernosa till the completion of sexual intercourse. In your case when you take medicine your erection is sustaining. It shows that there is a possibility for a physical problem. It can be identified through certain specific tests. Whatever may be the cause there is a definite treatment. It may be sex therapy, medicines, a combination of both or a surgery. Treatment can be decided only after identifying the exact cause. So you may consult a doctor and take an opinion. In your case it may be better to go to a hospital where all facilities are available to treat such problems.
Posted by vaisakh : Doctor, eniku 23 vasasund.....eniku kazhinja kure varshangal ayi swapna skalanam undakunund....ethu maran enthanu chaiyendathu....... njan bakshanam kazhikunundenkilum sheenichu varunnu.. sheenikunnathinu karanam ente e preshnam ano.......? marupadi pretheekunu.... :) Snehapoorvam, Vaisakh
Reply: Usually night emission is not considered as a disease. When a boy reaches the adolescent age night emission begins as a sign of maturity. It indicates that he has achieved reproductive ability. The frequency is more till the age of 25 to 30 yrs, after that frequency decreases. If the person engages in regular masturbation or sexual contacts night emission may not occur very frequently. If there is any pain, burning sensation or discomfort after ejaculation there may be a chance for infection or inflammation of prostate gland or seminal vesicles. In such condition treatment is required.
Posted by sajeevu : Dear Doctor, I am 45 years old. I have two kids. I am getting sexual climax within 5 minutes with wife. i am a diabetic person also. Give me advice to delay the climax please.
Reply: 5 minute is a reasonably good time. But if any one of the partner is not satisfied then we can assume that there is a problem. Inability to control the ejaculation may be due to several reasons. sometimes this may be a habit. In some other cases such problems may be due to infection, inflammation, hypersensitivity, or any other factors. First we have to find out the cause. Treatment may vary from medication to sex therapy or a combination of both based on the causes. To plan the treatment you need to undergo a clinical evaluation including physical examination and investigations. Based on the results it can be successfully treated.
Posted by Rahul Ramesh : is there any problem in over masturbation? How can i overcome this?
Reply: If a married man living with wife does masturbation regularly instead of having sexual contact with wife it may lead to marital discord and even divorce. For unmarried people or those who lives alone it is considered as a normal activity that will help to release sexual tension. In certain people fast regular masturbation may cause premature ejaculation by habituation. Usually masturbation doesnt cause any other health problems.
Posted by Rafi ksa : Dear sir, I am Rafi 25 yrs old, writing from Saudi. I need to know that, i have a daily habit of self (swyambhogam) for last several years , SO is any chance of health problem in my future married life, Kindly clarify me this, Thanking you Rafi KSA
Reply: If a married man living with wife does masturbation regularly instead of having sexual contact with wife it may lead to marital discord and even divorce. For unmarried people or those who lives alone it is considered as a normal activity that will help to release sexual tension. In certain people fast regular masturbation may cause premature ejaculation by habituation. Usually masturbation doesnt cause any other health problems.
Posted by Ramya : ഞാന്‍ 22 വയസ്സുള്ള വിവാഹിതയാണ്. ഒരു ദിവസത്തില്‍ ഒന്നില്‍ കൂറ്റുതല്‍ തവണ ലൈംഗികബന്ധത്തില്‍ ഏര്‍പ്പെടുന്നത് കൊണ്ട് വല്ല കുഴപ്പവും ഉണ്ടോ ? അതു പോലെത്തന്നെ എല്ലാദിവസവും ബന്ധപ്പെടുന്നത് കൊണ്ട് ആരോഗ്യപരമായോ ലൈംഗികപരമായോ വല്ല കുഴപ്പവും ഉണ്ടാകുമോ ? രമ്യ
Reply: If both the partners are happy then there is no problems. There is no medical or physical problems due to this.
Posted by ROSJOS : Dear sir i am a university student studying here in NTU, Singapore.I am boarding here in rented apartement with our fellow famale colleauges.Here i would like to ask about some personal matters. Really i am very shy to ask these with my friends or with my OB Gyne. I will tell it little straight. I reached the puberty at the age of 13.But before that itself i know little about the masturbation and all from my Aunt.Because in my school days i used to sleep with her .She is married though her husband working in UAE.During those days she used to perform these acts while at sleep.She told me to touch and hold her breast and other private parts at bed time.And she teach me to masturbate.Slowly i like to enjoy it.Since then i start to masturbate quite often. The days ahead of my periods i tempted for it more too. And now i would like to give up this .But bed time still i do it.Sometime i do it as a relaxation technique for good sleep. Becuase after i reach my climax normaly i fall sleep very fast. Dr. please suggest me how to give up this habit? My libido is more? i never use any other objects for this, always just by touch myself only. Is it unhealthy for us?
Reply: It is quiet natural to get a good sleep after masturbation. This is because your body and mind relaxes after the release of sexual tension. A good relaxation can always induce sleep. Many people use masturbation as a sleeping pill. There is no harm in doing masturbation. The only way to stop such habit is to have a strong will power. Every night while going to bed take a decision that "I will not do it tonight". You may read some books till your eyes become drowsy. If you practice like this daily you may be able to avoid masturbation. If you have any difficulties in controlling it you may take a professional help.
Posted by nisha : howmany days needed for pregnancy after the fuck .becoz my hus 1 week before came from dubai yesturday i checked my urin now im pregnent. husband is asking how this happend? i dont no he telling 45 days need for pregnant wat can i do plz give me answer.
Reply: Pregnancy test (for urine) works by detecting a hormone called HCG in your urine. This hormone appears in a pregnant womans urine, approximately 20 days after her last menstrual period. The levels then rise rapidly. Certain kits are available to test within 7 days of missed periods. Rarely the test can give false positive results. A few medicines used for treatment of infertility, including hCG shots might cause the test to be falsely positive.
Posted by Rohini Venkitesh : I am a 23yrs old married girl.. I got married in jan 28 . I was in a 6th day period that day . But still now i am not getting periods . Could you please suggest...
Reply: The question is not clear. It is better to consult the gynecologist and to take an opinion.
Posted by T.Dennis : Is there any permanent cure for Herpes
Reply: No so far no permanent cure is reported for genital herpes. Medicines can help to reduce the frequency and severity of recurrent infections. It will also help to reduce the pain as well as the number of lesions.
Posted by Sebin Thomas : my marriage was two months ago.My problem is foreskin is not moving,penetration becomes painful and suddenly ejaculates.so i couldnot insert my penis propererly in to vagina.my wife is very sad ,not becoming pregnant. give me an advice
Reply: It appears that you have a phimosis. Probably you may require a circumcission. If the foreskin is very tight it can cause severe pain, injury and bleeding. The best way to solve this problem is a circumcission. Sudden ejaculation may not be due to this. That may have some other causes which we have to explore and treat accordingly. You need a consultation.
Posted by Siddeeque : I am 28 years old. Married before one year. I have timing problom. I get maximum two minutes of pleasure. Can I use medicines like Yodha, Bloom etc.? Does this Medicines have any side effect? Can Musli Power Extra solve my problom?
Reply: I dont know about Yodha Bloom etc. Kerala Government has banned the production and distribution of Musali Power.You can read the report in The Hindu page 06 on April 03,2011 and Malayala Manorama Page 10 on April 03, 2011.
Posted by Raju : Sir, I have a problem of itching for 2 years, between my thighs in the gonads area. I have heard about fungal disease... is this a fungal infection? Now I feel the problem of erection also... what can I do? please advice
Reply: 1. Itching may be due to fungal infection. You can consult a Dermatologist and take treatment. 2. Erection problem doesnt have any relation with the fungal infection. It is a different problem and need to be investigated and treated independently
Posted by t v sreeraj : i have 28 years for play kashigl 3 no 4lo srock lo viram varunu
Reply: Cannot understand the meaning of this question
Posted by Shafi : Dear sir, Ente peru shafi.ente vivaham kazhinjitt verum 2 divasame aayulloo. njangal ithuvare bandhapettittilla. athinulla karanam avalkk vedhana undakumennulla bhayaman.enikkum ariyilla etramatram vedhana undakumeenu.anganeyanenkil bhantha pedumpol vedhana undavathirikkan enne kondu enthan cheyyan kazhiyuka.Thankal enne sahayikkumennu karuthunnu Best Regards Shafi
Reply: Your wife needs a gynecological examination. Pain may be due to several reasons such as vaginal infections, urinary infection, vaginismus etc. Fear of pain during the sexual contact is another commonly seen problem. First one has to identify the cause and treat it. Any way it is a treatable condition.
Posted by Preethi : Dear Sir, I am 21,married ,I am having PCOS & on treatment,we are doing oral sex, Dr does this affect my husbands health as am suffering from PCOS, can we continue this. I hope you will give me an advise on the matter, Thanks & regards.
Reply: There is no relation between PCOD and oral sex. One should not engage in oral sex if the partner got any infection or contagious disease.
Posted by asheem : if the husband infected with HEP-B,then any contraindication in relationship?i mean iercourse..wife or upcoming kids could have any chance of getting infected with HEP .b or kids have any chance to be affecte with congenital defects??plz reply
Reply: If a husband with Hepatitis B positive engages in unprotected sex with wife she can get infected. If the mother is positive for Hepatitis B during pregnancy the offspring can be affected. 10-20% of women seropositive for HBsAg transmit the virus to their neonates in the absence of immunoprophylaxis. In patients with acute hepatitis B mother to child transmission occurs in up to 10% of neonates when infection occurs in the first trimester and in 80 -90% of neonates when acute infection occurs in the third trimester. Vaccination can help to prevent transmission to the child. Congenital anomaly of the new born is also reported.
Posted by Prakash : Sir, Enikku 49 vayassu banadhathinu valiya thalparyamanu pakshe kurachuneram mathrame lingam uyarnnirikku pinne thazhnnu pokum enthanu prathivithi
Reply: It appears that you got a erectile dysfunction. There are multiple causes for erectile dysfunction such as hormone imbalances, problems with the blood supply to the penis, performance anxiety, unhealthy mental state, depression, anxiety, traumatic experiences, relationship problems etc. From the letter it appears that you have a difficulty to sustain the erection. This indicates two possibilities. Either it is due to a psychogenic cause or a VOD. What ever may be the cause there is a definite treatment. Treatment can be decided only after identifying the exact cause. So you may consult a doctor and take an opinion.
Posted by Rbin : i would like to know about safe periode?
Reply: The normal menstrual cycle is 28 days, usually varies from 26 to 31 days with several days at the beginning that are infertile (safe), a period of fertility (fertile or ovulation period), and several days just before the next menstruation that are infertile (Safe). The first day of bleeding is considered as day one of the menstrual cycle. Days 1 to 7 and day 21 to rest of the cycle is calculated as "Safe Period" for individuals with regular 26-30 days cycles. But please remember that the so called safe period need not be safe always. It can go wrong when ever the periods become irregular.
Posted by nithin m.s : i cannot put my penis to vagina y t is
Reply: Both of you have to undergo a medical & Psychological evaluation. Sometimes investigations may be required. It is a common problem. We have seen and successfully treated so many couples married for several years without having sexual intercourse. This condition is called unconsummated marriage. The couple with longest duration I have seen is of 22 years. Non consummation of marriage can occur due to several reasons. It is either due to problems of husband or wife. Sometimes both partners may have problems. Male problems such as erectile dysfunction, premature ejaculation, Sexual desire disorder, dyspareunia, phimosis, peyronies disease and female problems such as absence of sexual desire, sexual arousal disorder, dyspareunia, sexual aversion disorder, vaginismus etc can cause non consummation of marriage. Other psychological problems such as adjustment problems, marital conflicts or dislike towards the partner also can lead to such conditions. How ever nothing to worry about it. With modern investigative and treatment modalities we can identify the cause and treat it successfully.
Posted by saji : I am 45 still suffering from premature ejaculation. Please suggestme remedies.
Reply: Premature ejaculation may be due to various causes such as infection, inflammation, hypersensitivity, habituation or any other factors. First we have to find out the cause. Treatment may vary from medication to sex therapy or a combination of both based on the causes. To plan the treatment you need to undergo a clinical evaluation including physical examination and investigations. Based on the results it can be successfully treated
Posted by hareesh : how will be the normal semen? my semen look like gelly pieces.. is this normal?
Reply: Semen is transparent, translucent with white, grey or even yellowish tint. Immediately after ejaculation, semen coagulates forming globules. Usually after a period of 15 30 minutes it liquefies. Normal semen contains many small gel like clots. From the description it appears that your semen is normal. How ever a semen analysis will help to solve your confusion. If there is any problem you may consult an andrologist.
Posted by SELVARAJ : iam 31 year old man. iam working in uae. my problem is seekraskalanam so icant enjoy sex,icant put inside my lingam before happening skalanam plz help me
Reply: various causes such as infection, inflammation, hypersensitivity, habituation or any other factors. First we have to find out the cause. Treatment may vary from medication to sex therapy or a combination of both based on the causes. To plan the treatment you need to undergo a clinical evaluation including physical examination and investigations. Based on the results it can be successfully treated. No treatment is possible through letters, email or phone.
Posted by sudheesh : when can do sex after d and c?
Reply: It depends on the nature and purpose of D&C. Sexual contact is usually advised after the next periods. It is better to ask the doctor who performed the procedure.
Posted by roji : sthanthinu vallarch illa ethinu enthankilum pradiviyhi undo
Reply: There are no medicines to increase the size of breasts. Size of breast is not going to affect your sexual pleasure. It is one of the organs of the body just like any other organs. The only way to increase the size of breast is to do a breast implant surgery.
Posted by George : Sir,I heard about spray using for the long period of sexual activities, especially in foreign countries. Is it true or not. If true then, it have any side effect or bad for health. Kindly reply
Reply: Some people are using anesthetic spray to increase the time. It will help to reduce the sensitivity of the penis and there by delaying the ejaculation. It can produce irritation burning sensation on the skin. Several other allergic symptoms can also occur.Long term use of such medicine is not advisable.
Posted by ramesh : Sir, My penis size is 5 inch, but thereis no thickness. could you please advise me for better solution.
Reply: There is no medicine to increase the girth of the penis. Only available solution is a surgical correction.
Posted by shameer : iam 22 year old , i have dout i ask many peoples then also i dndt get a complete answer, my question is that using condom is 100% safe ?
Reply: No it is not 100% safe. Sometimes breakage leak or slipping can occur.
Posted by abc : sir, im writing this for my friend..v all r studing in college..the problem s, she s nt having enough breast.so others are making fun f her..nw she s 21.so she s very sad.. sir, i want to kno,s ter any problem for girls in sex life if thy dnt hav enough breast.nd i heard tat witot breast,the boys didnt get complete satisfactn..s t necessry to consult a doctr for this..! expectng ur reply soon..
Reply: Breast Size Size of breast is not going to affect your sexual pleasure. It is one of the organs of the body just like any other organs. Male partners preferences for a small or large breast vary from person to person. If you feel so ashamed you can use certain particular dresses that will help to correct the appearance. The only way to modify the size or shape of breast is breast implant surgery. If you are so particular to increase the size breast we are doing breast implant operation in our hospital.
Posted by suj : Dear Dr, I am a male 28 married just one month back but still i didnt have sex with my wife. I loose errection when i tried for intercourse,can u suggest me whether this is phsyclic prob or physic ?
Reply: One month is not a long period. It is a common problem. We have seen and successfully treated so many couples married for several years without having sexual intercourse. This condition is called unconsummated marriage. The couple with longest duration I have seen is of 22 years. Non consummation of marriage can occur due to several reasons. It is due to problems related to either husband, wife or both. Male problems such as erectile dysfunction, premature ejaculation, Sexual desire disorder, dyspareunia, phimosis, peyronies disease and female problems such as absence of sexual desire, sexual arousal disorder, dyspareunia, sexual aversion disorder, vaginismus etc can cause non consummation of marriage. Other psychological problems such as adjustment problems, marital conflicts or dislike towards the partner also can lead to such conditions. How ever nothing to worry about it. With modern investigative and treatment modalities we can identify the cause and treat it successfully.
Posted by prajith.v.p : Sir, im totally dissappointed...my wife no interested in me...what do satisfy her...?
Reply: With out talking to both of you I cannot give an opinion. This may be due to either an inter personal or a sexual problem. If there is any quarrel or adjustment problems between the couple it can lead to sexual problems also. You can always ask your wife in a friendly manner about it.If she is not cooperating you can consult a Marital Therapist first to evaluate the problems and to find a solution.
Posted by sham : hai dr, i have some problam with my pennis,no more wedt and length,verey small,iam wating rewplay,age is 28,where is ur hospital ican come there, iam coming nexr month
Reply: I think you may be worrying unnecessarily about the size of the penis. Because from our experience of treating thousands of patients with sexual problems from Kerala and outside it is found that 99% of men complaints of small penis got apprehension and doubt about the size of their sexual organ. It is only a concern, and not a fact. The size of flaccid penis is immaterial and it will keep on changing based on the atmospheric and body temperature. Most men worry about the size of the flaccid penis. The only published research study conducted in India on penile size is from Dr. Promodus Institute of Sexual & Marital Health which is published in the International Journal of Impotence Research (2007, 19,558-563). The summary of this study is available at the Institutes website (www.drpromodusinstitute.in) Before making any comment about your problem you must undergo an andrological evaluation. Our hospital is at Pathadippalam, Edappally, Kochi. Ph- 0484 2555301 or 2555304. You can get details from the web site.
Posted by vinod : dear doctor, enikku circumcision kazhinjittu 2 week ayi. age 27. ippol nalla itching anu. STILBOESTROL tablets and SILVEREX cream doctor use cheyyan paranju. ippol erection avunnilla.
Reply: One possibility is that there may be a little itching while the wound is healing which is called the itch of healing wound. This because of the growth of new skin cells under the old scab. When they form a new layer of skin, the scab becomes more tightly stretched. This can make it feel itchy. It is best to avoid itching of the wound. If it becomes too much of a problem, talk to the treating doctor.
Posted by vimal : iam 30years old from my 12year on wards iam editto self sex i got marri but still i cant stop it i feel very bad in a day may be 2 4 items i am doing i wat to stop this please help me
Reply: After marriage when living with wife, you must stop it and engage in sexual relations with wife. If you are unable to control by yourself it has to considered as an abnormal behaviour. Consult a Clinical Psychologist who can help or guide you to come out of it.
Posted by Anish thomas : Sir, I often feel a feeble pain in my penis when I masturbate after ejaculation. Why is it so? . The same pain occurs sometimes after ejaculation in wet dream also. Whether I have to consult a doctor for the same.
Reply: Most probably it is due to prostatitis. You need to undergo a few laboratory investigations and physical examination to identify the cause. It can be treated and cured.
Posted by jose : what is the remedy for speedy ejaculation??
Reply: It is known as premature ejaculation. There are different causes for premature ejaculation. This may be due to infection, inflammation, hypersensitivity, habituation or any other factors. First the etiology should be identified. Treatment may vary from medication to sex therapy or a combination of both based on the etiological factors. To decide the treatment you need to undergo a clinical evaluation including physical examination and investigations. With out that it cannot be treated. Definitely there is a cure for this problem.
Posted by shihab : sir oru minut kondu pokunnu kuduthal time kittan enthu cheyannam
Reply: It appears that you are suffering from premature ejaculation. This may be due to various causes such as infection, inflammation, hypersensitivity, habituation or any other factors. First we have to find out the cause. Treatment may vary from medication to sex therapy or a combination of both based on the causes. To plan the treatment you need to undergo a clinical evaluation including physical examination and investigations. Based on the results it can be successfully treated.
Posted by Deepu : Sir, Entae Name Deepak. Njan work cheyuunathu Gulfil aanu, Entae Kalyanam kazhinjittu 9 months kazhinju, one months njanum wife um kodae undayirunnu, one day 3,4 times sex Contact undayirunnu, aa timil entae lingam valarae athikam pain thonnikkunnundayirunnu, eppol njan veendum nattil one months veccation pokunnundu, veendum pain thonnukayanengil njan enthanu cheyyendathu?
Reply: From this question details are not clear whether you have pain on the glans penis, Penile shaft, foreskin or inside the penis? Depending on the site of pain we may have to think of different causes and arrive at the diagnosis and treat accordingly. With out a physical examination it is not possible. If you experience pain again You may consult an andrologist.
Posted by saju : I usually masturbated 2 times every day.My marriage is fixed.Is it any harm in my sexual intecourse
Reply: If a married man living with wife does masturbation regularly instead of having sexual contact with wife it may lead to marital discord and even divorce. For unmarried people or those who lives alone it is considered as a normal activity that will help to release sexual tension. In certain people fast regular masturbation may cause premature ejaculation by habituation. Usually masturbation doesnt cause any other health problems
Posted by Sania : i need the solution for "shreegaskalanam"
Reply: There are different causes for premature ejaculation. This may be due to infection, inflammation, hypersensitivity, habituation or any other factors. First the etiology should be identified. Treatment may vary from medication to sex therapy or a combination of both based on the etiological factors. To decide the treatment you need to undergo a clinical evaluation including physical examination and investigations. With out that it cannot be treated. Definitely there is a cure for this problem.
Posted by spappa : hai
Reply: I dont understand what do you mean
Posted by Arun.k : njan naalu kollamaayi gulfil jolicheyunnu.age 28, kalyanam fix cheythittundu, entte lingathil randu holes kaanunnu, kalyanam kazhikan pokunna penkuttiyumaayi phonil samsarikkumbol lingathilninnu kooduthal liquid purathuvarunnu. ethu entte sexcual lifine baathikkumo ?
Reply: With out examining your penis it is difficult to give an opinion. You wrote about the two holes in the penis, if it is a hypospadias it can be corrected with the help of surgery. The liquid may be pre ejaculatory fluid. When there is sexual excitement one can secrete pre ejaculatory fluid. It is not considered as a disease. Consult an Andrologist and take an opinion.
Posted by Balakrishnan : Im 37yrs old. My prob is I cant keep the erection to the last. Proper starting is there but... My wife is a wonderful person and so she didnt coplain anything. But I can understand her frustration.
Reply: From the letter it appears that you have a difficulty to sustain the erection which you get initially. This indicates two possibilities. Either it is due to a psychogenic cause or a VOD. To plan the treatment we have to identify the cause first and to treat accordingly. What ever may be the cause there is treatment. It may be sex therapy, medicines, a combination of both or a surgery. Treatment can be decided only after identifying the exact cause. So you may consult a doctor and take an opinion.
Posted by babu : Sir, enikk sexually valiya thalparyamanu. pakshe orazhchayil onno rando pravashyam mathrame bandappedan sadikkunnulloo. manassil thalparyam undenkilum lainkikavayavam vendathra paryapthamalla. gulfil thanichayirunnappol nhan ella divasavum masterbate cheidirunnu. wifumayi bandappedumbol mathram enikk ee kazhiv nashtappedunnathenthanu . enikk udan oru marupadi nalkan apekshikkunnu
Reply: There are multiple causes for erectile dysfunction. It can be broadly classified into organic and psychogenic causes. Organic causes include the presence of any systemic illness, side effects of medicines, hormone imbalances, problems with the blood supply to the penis etc. Psychogenic causes include performance anxiety, unhealthy mental state, depression, anxiety, traumatic experiences, relationship problems with wife etc. From the letter it appears that you have a difficulty to sustain the erection which you get initially. This indicates two possibilities. Either it is due to a psychogenic cause or a VOD. What ever may be the cause there is a definite treatment. It may be sex therapy, medicines, a combination of both or a surgery. Treatment can be decided only after identifying the exact cause. So you may consult a doctor and take an opinion. In your case it may be better to go to a hospital where all facilities are available.
Posted by joseph : i take once in a month viagra tabs 10 gm anyside effects dr for the last 3 years?any present or future consequences? pls reply.myself i did not see any side effects so far.male 55 years in uae.
Reply: Viagra 10 mg tablets are not available in Indian Market. Long term use of viagra can cause some permanent damage to the smooth muscles in the penis which helps in erection. There by leading to severe erectile dysfunction that will not respond to medication. This is in addition to the several other side effects.
Posted by shabeer : nan kalyanam kazhiyath oru uvavu anhu.but nan pala women mayi bandhapettu ente thettu.ente mariage fix ayirikunnu.ente happy jeevithathil enik valla vezhchakalum undavumoo? dr.
Reply: To give an appropriate answer I have to know more about you. People who have engaged sexual contact with several ladies may have a chance to develop suspicion about wife which can lead to marital discord. So please avoid suspecting or questioning your wife without adequate reason.
Posted by Pradeep : Each time ,when intercourse happening-ejaculate very fastly. is there any remody for it?
Reply: It appears that you are suffering from premature ejaculation. This may be due to various causes such as infection, inflammation, hypersensitivity, habituation or any other factors. First we have to find out the cause. Treatment may vary from medication to sex therapy or a combination of both based on the causes. To plan the treatment you need to undergo a clinical evaluation including physical examination and investigations. Based on the results it can be successfully treated.
Posted by Shiju : Doctor, i am 29 years old batchiler.i have sugar problem.now am using Ayurvedic medicen,sugar is normal now.After 6 months i am going to marraige. any problem will affect in future ?due to sugar?
Reply: You have to check the blood sugar level and keep it under control. Diabetes Mellitus can lead to erectile dysfunction in the long run. Always prevention is better than cure. You can control it by diet regulation and regular exercise. You have to take medicines if there is any indication. Please consult a diabetologist and to take an opinion.
Posted by sonu : sir.. i am 24 old..i am daily doing masturbation..is this affect my sexual ability...??
Reply: If a married man living with wife does masturbation regularly instead of having sexual contact with wife it may lead to marital discord and even divorce. For unmarried people or those who lives alone it is considered as a normal activity that will help to release sexual tension. In certain people fast regular masturbation may cause premature ejaculation by habituation. Usually masturbation doesnt cause any other health problems.Those who masturbates fast are likely to develop premature ejaculation due to habituation.
Posted by BIJU : ente marage kayijhit 1 manthe ayi jhanghalk 1 varshathine kutikalonnum vendanne theerumanichirikukayanu.pregnent akathirikanulla gulikakale kurichu ketitunde aa gulikakal nallathano kayikunnathe enkil ethu gulikayane nallathe
Reply: No medicine or treatment can be prescribed through a question answer session. Almost all medication has its own side effects. You should not take any medicines with out the consultation and advice of a doctor. There is no ideal contraceptive method which is safe, suitable and acceptable to everyone. Choose a method according to the needs, acceptability and suitability of the person.
Posted by SREERAJ : i have 29 years marriage kayige 4years ayi 1 papa. 2,3, stoke avubolekum viryam pokunu
Reply: Question is not clear. If you mean premature ejaculation it may be due to various causes such as infection, inflammation, hypersensitivity, habituation or any other factors. First we have to find out the cause. Treatment may vary from medication to sex therapy or a combination of both based on the causes. To plan the treatment you need to undergo a clinical evaluation including physical examination and investigations. Based on the results it can be successfully treated.
Posted by Shine : doctor, im 28 year old unmarried male residing in trivandrum... awared that penis size doesnt matter to satisfy a lady..I have a 4.5 " in length and 3" girth penis on erection .. eventhough i knw its enough for satisfaction, im still worried abt that...coz almost my friends has the thing with around 6"..Sir is it possible to have a hormone treatment to make any improvement..and where i can do that treatment in trivandrum??? pls ..im tottally worried abt that...
Reply: There is no medicines or hormone treatment available to increase the size of penis. Only surgical procedures are available which we do if there is a genuine indication. From our experience of treating thousands of patients with sexual problems from Kerala and outside it is found that 99% of men complaints of small penis got apprehension and doubt about the size of their sexual organ. It is only a concern, and not a fact. The size of flaccid penis is immaterial and it will keep on changing based on the atmospheric and body temperature. Most men worry about the size of the flaccid penis. The only published research study conducted in India on penile size is from Dr. Promodus Institute of Sexual & Marital Health which is published in the International Journal. You may consult an andrologist in Trivandrum undergo a clinical evaluation and take an advice.It appears that you are too much preoccupied with the penile size. This is a sign of excessive anxiety. You may require the help of a cognitive therapist also.
Posted by babu.s.k : what is Folicles?my wife count is ok.but the size of folicles is very less?how can improve this size?what medicine should be used?please adivise us.
Reply: In simple terms an ovarian follicle is a small spherical fluid filled sac in the ovary containing an immature egg. Each female child is born with nearly a million ovarian follicles. During ovulation a mature egg is released from the follicle and reaches the uterus through the fallopian tube. Each egg has the ability for fertilization. Poor growth of the follicle may be due to the hormonal problems or some other disease conditions. The cause should be identified and treated accordingly. You must consult a gynecologist and take treatment. Do not take any medicines without the supervision of a doctor as it can be harmful.
Posted by Suresh : My Name is Suresh; I am 40 years old also married. My problem, when I watching sex movie or Sex book reading my penis lately leaking, normally weekly two time I am doing self sex. I am in Qatar my family in India. Dr. please let me know this any problem me for future.
Reply: It is natural to secrete pre ejaculatory fluid during sexual stimulation. If you have any pain, burning sensations or discomfort after ejaculation there is a likelihood of an inflammation or an infection. In such conditions you need to consult an andrologist.
Posted by shiyas : hai sir iam shiyas,i am leveing in uae.now my problem is my veaction time i feel to much tide and sex time i am not geting strong, some time with out discharging my dick very week. iam using venela XR150 medcine for my dipression
Reply: It appears that you are suffering from an erectile dysfunction. This could be due to various reasons as explained earlier in other replies. Depression is one of the causes. As a part of the depression you can develop an ED. Certain psychiatric medications can also cause ED. You can discuss your sexual problem with the treating Psychiatrist. If it is not due to the depression or side effects of medication further investigations are required to find out the actual cause and it can be treated accordingly.
Posted by J kottayam : sir, i am going to marry on next month. i would like to know about the safest period for sex without any precautions. how many days will be safest in a month?. pls reply me.
Reply: The normal menstrual cycle is 28 days, usually varies from 26 to 31 days with several days at the beginning that are infertile (safe), a period of fertility (fertile or ovulation period), and several days just before the next menstruation that are infertile (Safe). The first day of bleeding is considered as day one of the menstrual cycle. Days 1 to 7 and day 21 to rest of the cycle is calculated as "Safe Period" for individuals with regular 26-30 days cycles. But please remember that the so called safe period need not be safe always. It can go wrong when ever the periods become irregular.
Posted by siddeeque : hi good morning doctor. im siddeeque abudhabi my problem.sir.3 varsham munbe jaan oru puddiya sheddi vaangi addinty alarjiyaano yennariyilla aaddyam okky cheruddaayi choringirunnu jaan munbe doctare kaanichittilla (pandrem)yenna oilment upayogichirunnu .ippol maattam undenkilum choodu samayathe allenkil viyarkunna samayathe smelladikkunnu oru pooppal pole neela kalar aayittu kaanum doctor iddu maaraan yenddenkilum oru oilmento capsul undo paranju thannaaal nannaayirunnu doctor
Reply: When you write Malayalam language using English script it is very difficult to understand. It appears that you may have either an allergic reaction or a skin disease. Please consult a dermatologist and take treatment.
Posted by sindhu : sir,enikku oru kutty undu.age..6..oru boy kutty venam, entha cheyyuka..
Reply: So far there is no scientifically proven method to give birth to a male child. It is common practice in our society to blame women for giving birth to female child. It is not true. The sex of the child will be decided by type of sex chromosome acquired from the father. Chromosomes are responsible for sex determination. Individuals possessing two X chromosomes (XX) are female and those having one X and one Y chromosome (XY) are male. If the sperm has Y chromosome, child will be a male. Theoretically genetic engineering is helpful to identify the embryo with the right chromosome to produce the child of your chosen sex. Using the current scientific knowledge if a person wants to have a child of the sex of their choice, they have to go for in vitro fertilization (IVF) with genetic manipulation. Though a lot has been said about designer babies it is not very practical. Other traditional methods or claims do not have any scientific evidence.
Posted by Mohammed Shafeeq : milage yenikke kamiyane ade kudan yenthane chaqyyendade chila samayath pettenne tanna kazhiyum ade bayaam manasil undayitano? ado bayam manasilundayal laikikamayi badikumo?
Reply: It appears that you are suffering from premature ejaculation. There may be various causes for it First we have to find out the cause. Treatment may vary from medication to sex therapy or a combination of both based on the causes. To plan the treatment you need to undergo a clinical evaluation including physical examination and investigations. Based on the results it can be successfully treated.
Posted by Joshy : Iam 30year old got married last year. My problem is " Seekra skhalanam" hence i am incapable of stisfying my partner
Reply: There are different causes for premature ejaculation. This may be due to infection, inflammation, hypersensitivity, habituation or any other factors. First the etiology should be identified. Treatment may vary from medication to sex therapy or a combination of both based on the etiological factors. To decide the treatment you need to undergo a clinical evaluation including physical examination and investigations. With out that it cannot be treated. Definitely there is a cure for this problem and your PE can be treated successfully.
Posted by mkshihabudeen : enikku 40yers sex notcombleet bicas we have asuddenly semen going&noindrest ?
Reply: It appears that you are suffering from premature ejaculation. This may be due to various causes such as infection, inflammation, hypersensitivity, habituation or any other factors. First we have to find out the cause. Treatment may vary from medication to sex therapy or a combination of both based on the causes. To plan the treatment you need to undergo a clinical evaluation including physical examination and investigations. Based on the results it can be successfully treated.
Posted by suni : helo sir njan 30 vayasulla oru yuvavanu enikku sexnodu thalprym undu pakshe ente linkam enikkuvan oru budhi mutt enthukondanu enikku vivaham kazhikkan pattumo enthukondanu ethu? plz enikku ethinu oru marupadi thranam
Reply: It appears that you got an erectile dysfunction. This could be due to various reasons as explained earlier in other replies. This may be due to physical or psychological problems such as anxiety or any other tensions. Without finding out the cause no treatment is advisable. You may need consultation with a team of doctors who can identify the correct problem and treat. If your problem persists please consult a doctor.
Posted by Krishna Kumar : wifre says, she is having stomach pain after the ""programe"" Pls suggest what to do??
Reply: Your wife may have a vaginitis or any other pelvic inflammatory disease which can cause abdominal pain during or after sexual contact. Please consult a gynecologist.
Posted by Taju : Dear Doctor My Partner more happy with Foreplay and she got the satisfication in that. Especially when I am doing sucking her clitoris, she will be satisfied. But when I fuck with her vagina by using penis, she could not get any satisfication even in long timing. Please advice me. Your quick reply will be appreciatable. Thank you so much Doctor.
Reply: All women may not achieve an orgasm during coitus. Most women get an orgasm due the indirect stimulation of the clitoris during the penile movement. But they achieve an orgasm by direct clitoral stimulation. There is no abnormality in it.
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