Monthly Archives: May 2020

Hip Joint Wear

10 Common Signs and Symptoms of Hip Wear

Hip wear (hip arthrosis) is a very frequent and limiting problem. It is the aging of articular cartilage that is responsible for free joint movement and pain-free. When the cartilage is worn out, the hip joint can no longer move freely and bear load, causing pain and movement restriction.

About 10% of the population over 45 years has hip wear with painful symptoms and almost 30% of the population has changes in hip wear on imaging tests such as radiography or MRI, says the orthopaedic in Delhi.

Common Symptoms

If you have a suspected hip wear, these are 10 most common Signs and Symptoms, which may indicate an evaluation with the hip surgery specialist.

1. Pain in the groin area.

Pain in the groin region, or anterior region of the hip is perhaps the most common feature of the hip that is worn. This occurs by the characteristic of innervation of the joint that occurs by the same nerve roots that inners the groin region and anterior face of the thigh.

Pain in the groin area can occur because of other diseases, but it is very characteristic of the hip that has its cartilage worn out, states the orthopaedic in Delhi.

2. Stiffness of the hip joint. Loss of mobility.

One of the signs that a joint is worn is the loss of its function, which is precisely the ability to move the joint without pain.

When a joint is worn out, it ignites, and movement begins to cause pain. The result of this is that the patient himself begins to move the joint less as a way to protect himself from pain.

Thus, soft tissue structures such as capsule, muscles and tendons are retracted further reducing joint mobility, explains the orthopaedic doctor in Delhi.

3. Pain for lifting from low chairs or toilet.

Another striking feature of patients with hip arthrosis is the difficulty of getting up from low chairs and from the toilet.

This occurs because at the time of elevation, there is a sudden increase in load and pressure in the hip joint, which if worn out, will lead to a worsening of the pain, says the orthopaedic doctor in Delhi.

4. Claud gait, or “limp” gait.

The perfect functioning of the hip joint is essential for a balanced and pain-safe gait. When the hip is worn out, movement and change of loads on damaged cartilage can cause pain.

An immediate reflex is the decrease in the range of motion of the joint during gait and shortening of the pitch during the gait step on the worn hip.

All this gait movement in order to reduce the pain, ends up causing the “limp gait” or clauaudicante gait, explains the orthopaedic in Dwarka.

5. Pain to crouch and put on the shoes.

As much as it sounds like a simple activity, putting on simple shoes gets harder and harder for those who have hip arthrosis.

This occurs because the movement of putting on the shoes implies a large flexion of the hip and increased load on the joint, even if the patient is still.

A good alternative for patients who have hip arthrosis and pain to put on shoes, is to replace shoes with shoelaces with sneakers or shoes of the type “moccasin” that do not need to be tied, suggests the orthopaedic in Dwarka.

6. Pain to go up and down stairs and to get in and out of the car.

This complaint is very common in patients with advanced hip arthrosis. With the progression of wear, pain is worse in activities with hip flexion with load and rotational movements, says the orthopaedic doctor in Dwarka.

Everyday activities such as going up and down stairs and getting in and out of the car get more difficult, requiring the support of the hands and the other member to be executed.

7. Feeling of locking, clicking, or crackling of the hip.

In many cases of hip wear, there may be detachments of cartilage fragments and inflammatory process in the joint (synovite).

These factors cause noises called clicking, or the famous “crek crek”, explains the orthopaedic doctor in Dwarka.

8. Decreased ability to walk and use supports

The hip is fundamental for a correct efficient and pain-free gait movement. Hip wear in a load area prevents perfect joint slippage and causes pain at the time of limb support.

This leads to a decrease in the patient’s ability to walk who needs to stop after a few steps for pain relief or the need to use supports such as crutches or walking, explains the orthopaedic in west Delhi.

9. Decrease in sexual activity.

Hip wear can reach many patients with active sex life. This can be a big problem because pain and limitation of movements can decrease the willingness to have sex (libido) or impair the sexual act due to the accentuated symptoms, says the orthopaedic in west Delhi.

10. Discouragement to carry out daily activities.

Hip wear is a progressive and limiting problem. It is very difficult to assimilate the loss of function and quality of life that it causes.

The constant pain and limitation for small daily activities greatly affects the psychological of patients. It’s very difficult to live with that.

When the pain is strong and the discouragement is very strong, it is good to remember that there is always the solution of the surgery. Look for a reliable specialist orthopaedic doctor in west Delhi!

How many of these symptoms do I need to have to have surgery?

There is no specific number of symptoms that define the exact time of performing hip prosthesis surgery.

The higher the number of symptoms and the higher the intensity of them, the greater the chance of a hip replacement surgery in Delhi by a synthetic prosthesis.

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sexual dysfunction

Factors involved in sexual dysfunction

The diversity and richness that characterize sexuality make it one of the areas of the person where more variety is appreciated. Within the field of sexuality, one of the main problems that can appear is sexual dysfunction. They are understood as a group of heterogeneous disorders characterized by a clinically significant alteration in the ability to respond sexually or to experience sexual pleasure.

According to the best sexologist in Delhi, the most prevalent sexual dysfunctions in women are anorgasmia and inhibited sexual desire; while, in men, erection disorder and premature ejaculation predominate. But in addition to these dysfunctions, there are many others such as delayed ejaculation, hypoactive sexual desire in men, genitopelvic pain disorder, sexual dysfunction due to substance use, etc.

What causes sexual dysfunction?

The data indicate that psychosocial factors explain the majority of sexual dysfunctions (90-95%), and that, in general, there are several causes underlying these problems. Therefore, reducing sexuality to the sphere of the biological would be making a big mistake.

It is true that the sexual response has a series of basic biological requirements, but this behavior develops within a context in which biological, psychological and sociocultural factors interact. People are social beings, and this characteristic means that sexuality is shaped by a large number of factors that cannot be reduced to mere biological instinct.

There are numerous ways to classify the factors that affect this type of problem related to sexuality, in this article sexologist in Delhi classifies them into 4 main areas: personal, sexual, couple and sociocultural.

Personal area

When we are faced with a sexual dysfunction, attending to personal factors is going to be essential to be able to frame the problem. At this point, there are a series of aspects that predispose to the appearance of this type of problem, such as: a very restrictive sexual education, the existence of early sexual experiences of an aversive nature, the presence of insecurity in the psychosexual role in the early years etc.

On the other hand, there are factors that precipitate the appearance of the problem, such as the age of the subject, experiencing a sporadic failure, the presence of other mental disorders (depression, anxiety, addictions), the reaction to some organic disease, etc.

Also, there are aspects that encourage the maintenance of the problem, such as: a deteriorated self-image, maladaptive cognitions related to feelings of guilt, anticipation of failure, fear of intimacy, negative attitudes regarding sexual behavior, etc.

If any of these factors occur, at first it will be important for the person to learn to understand the problem in rational, functional and non-negative terms, providing an adequate explanation of its causes. It will also be necessary to encourage responsibility and a positive attitude of the person to promote change. It will also be important to work on creating constructive lifestyles that facilitate the person’s general functioning, suggests sexologist doctor in Delhi.

The sexual area

When we are faced with a sexual dysfunction, exploring this area will become the main focus. Here it is important to take into account both the sexual information that the person has and their behavioral repertoire, since some of the factors that most often appear are: having inadequate sexual information and education, the presence of sexual myths that move away from the reality, possessing with an inadequate repertoire of interaction, devoting insufficient time to sexual foreplay, etc.

Educational work on the sphere of sexuality is going to be fundamental at this point, says sex specialist in Delhi. Giving the person access to appropriate sexual material and information will help promote a change in their inappropriate attitudes and behaviors to more functional ones. In those cases in which there is anxiety related to sexuality, you can work on exposing the person to this type of situation, here it may be important to have the collaboration of your partner, if you have one, to act as a co-therapist. Depending on the characteristics of each particular case, the problem will be addressed with different indications and specific sexual techniques will be used.

The couple area

The field of sexuality is also influenced by interpersonal aspects, and therefore, attending to the area of ​​the couple can give us a lot of information. It has been shown that there are a number of interpersonal factors that can interfere with sexual response, such as: poor communication in the couple, the way they express affection, the presence of general problems that may be affecting the relationship, the degree of stability of the couple, a lack of attraction towards the couple, the presence of sexual dysfunction in the couple, the way in which each of the members perceives the problem, etc.

Here, it will be important to focus the work on improving communication and the relationship between the members of the couple, both on a personal and sexual level. It will also be essential to have the collaboration and joint work of both members, also working on aspects related to sexual education, says top sexologist in Delhi.

Sociocultural factors

The sociocultural context is of great importance in the sexuality of the person. On numerous occasions, one of the factors related to sexual problems are those that have to do with inadequate sexual education full of “sexual myths” and popular beliefs, the vast majority of which are erroneous, as well as exposure to unrealistic role models that make these problems appear, etc.

Here the work is going to be of a more social type, promoting sex education campaigns in schools, workshops for parents, taking care of information from the media, etc. These are variables that can help society to have role models and more realistic information about sexuality, says sexologist in Delhi.


Sexuality is one of the most complex dimensions of the person and where there is more variety since it is influenced by numerous factors. Therefore, reducing sexual problems to a single cause would be a mistake.

Taking into account the different areas of the person and knowing how they may be causing sexual dysfunction will help us work on each of them. Despite the existence of common factors, each person is unique and when working we must avoid generalities and make a global and individual approach to each case, explains sexologist in Noida.

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premature ejaculation

Premature ejaculation?… Less therapy and more pills

Summer is a good time to improve the ‘annual average’ of sexual relations. You always have more time, less stress and there is usually more opportunity.

There are millions of people in our country who suffer from problems in controlling their ejaculation. Many men and their partners suffer ‘in silence’, and there are still few who are encouraged to seek medical help.

Exact figures are hard to pin down, but a sizeable proportion of men have premature ejaculation, as prevalence estimates have ranged from 3% to 20%, depending on the definition used. According to best sexologist in Delhi less than a minute time from penetration to ejaculation – results in a prevalence of 2% to 5%. But it is no less true that many men complain not only about the weather but, above all, about the lack of control; that is, not being able to decide when to ejaculate.

Classically, we had always considered that the so-called combined therapy, based on psychological (behavioral) treatment plus drugs, showed the best results.

Recently, the ‘guru’ of good medical practice, the ‘ Cochrane Library ‘ has published a review study in which it analyzes the value of psychological treatment with negative results regarding its efficacy.

According to the top sexologist in Delhi, behavioral therapy for premature ejaculation has little evidence to support its continued use. A few published studies showed “weak and inconsistent evidence” that psychological treatments improve any important endpoints related to premature ejaculation.

It is noteworthy that the results do not resemble the 97.8% success rate for psychological intervention published by Masters and Johnson, pioneer sex researchers in this field.

“We have to do more to show that it works,” said Dr. P K Gupta, sexologist in Delhi, in a statement. The review included four studies with a total of 253 patients.

The causes of premature ejaculation remain poorly understood and possible explanations range from psychosomatic manifestations of anxiety to dysfunctional neurotransmitter signaling in the brain.

The neurotransmitter theory is the basis of pill treatment, using selective serotonin reuptake inhibitors (SSRIs), which modulate the 5-HT signal.

Masters and Johnson defended the ‘squeeze technique’ (which requires the man’s sexual partner to squeeze the base of the penis several times to delay ejaculation), possibly leading to increased latency. People who completed a two-week program with this technique solved the problem almost 100% (Human sexual inadequacy, Little Brown, 1970), according to data from these researchers.

In summary, the authors of this study concluded: “The vast majority of published results did not reach statistical significance, thus the clinical efficacy of the few included studies is questionable.”

In any case, although we do not doubt the analytical accuracy of Evidence-Based Medicine reviews, good medical judgment, based on theoretical knowledge and experience, should always prevail. Undoubtedly, in this problem the old medical aphorism is more evident than ever, “there are no diseases but sick people” and both psychological and pills premature ejaculation treatment in Delhi have their place and must be applied in each specific case, suggests best sexologist in India.

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Signs of tendonitis and how to cure it

Repetitive strain or motion is often the cause of tendonitis. We explain how this injury alerts you to be taken seriously because it could become chronic.

Muscles are attached to bones by long, fibrous structures called tendons, which are responsible for transmitting the necessary force from the muscle to the bone to generate movement.

When a tendon becomes inflamed, we speak of tendinitis. However, although it is painful, it is usually not given too much importance and we do not “take care” of the injury as we should. An error because it can be repeated and cause a degeneration of the tendon or tendinosis (chronic tendinitis) or even its rupture, explains the orthopaedic in Delhi.


The symptoms that warn us that we suffer an injury of this type are the following:

  • Pain is the main symptom, either near the joint or along the course of the tendon.
  • The discomfort worsens with movement and is more intense at night.
  • Palpation or rubbing also hurts.
  • Sometimes the area is red, hot, and swollen.

When we go to the orthopaedic doctor in Delhi after suffering an injury of this type, in principle, it is enough for the specialist to carry out a physical examination to detect it. If there are doubts, then you can send complementary tests. An imaging test (X-ray, ultrasound, MRI or CT) is usually performed to make the diagnosis.

The pain is close to the joint and increases with movement

Tendinitis must be differentiated from a sprain, which would be an injury to the ligaments that support the joint. Of course, a badly healed sprain can end up in tendinitis, explains the orthopaedic in Dwarka.


Any tendon in the body can become inflamed, but the most common tendinitis affects the heel, shoulder, wrist, and elbow.

  • The most common that originates in athletes and young people due to repetitive efforts on an area of ​​the body, especially when exercising, or due to overload due to repeated use of a tendon, for example if the computer mouse is used for hours with a position wrong hand, says the orthopaedic in Dwarka.
  • An overly sedentary lifestyle also favors tendonitis: the muscles are not in shape and can suffer at the slightest effort.
  • It can also appear in older adults, due to aging and natural wear of the tissues.

A repetitive stress or overload on the tendon causes it

  • Shoes that squeeze and materials that are not suitable for the foot or misuse of these (for example, running without sports shoes), can aggravate or cause Achilles tendinitis to appear.
  • On the other hand, certain systemic diseases, such as diabetes or rheumatoid arthritis, are capable of causing its appearance. It’s not common, but cholesterol drugs like statins can also cause it, says the orthopaedic in west Delhi.


Depending on the tendon that is injured, tendinitis adopts one name or another:

  1. Achilles tendonitis occurs when the Achilles tendon is injured.
  2. “Tennis elbow” or lateral epicondylitis appears due to inflammation of the tendons that are inserted into the lateral aspect of the elbow.
  3. Golfer’s elbow or medial epicondylitis occurs when the tendons of the elbow inserted on the inside of the elbow are irritated.
  4. Rotator cuff tendinitis is caused by inflammation of the tendons in the shoulder.
  5. Lastly, “De Quervain’s tendinitis” is caused by inflammation of the tendons of the thumb.


In reality, it is quite easy to prevent it: it is enough to avoid repetitive movements and joint overloads, maintaining adequate muscle tone and warming up before starting to exercise or work if we are going to carry out tasks that involve physical effort of any muscle group, suggests the orthopaedic doctor in West Delhi.

How is such an injury treated?

  • During the acute condition: rest, combined with anti-inflammatories and analgesics, is the main treatment, which is why the area is usually immobilized with plaster splints or prostheses.
  • Combining cold and heat also relieves. Thus, ice helps reduce inflammation in the first 48 hours after the onset of pain. Apply it to the area 3 or 4 times a day for 15 minutes. After that time, you will notice relief if you follow the same routine but applying heat.
  • In the most “stubborn” cases that are not resolved with rest and anti-inflammatories, it is advisable to do rehabilitation in a center or with the help of a physiotherapist.
  • And if the pain persists, it may be necessary to apply other techniques (such as local infiltration of corticosteroids) or even operate.

Muscles and joint flexibility should be exercised

There may be a greater predisposition to re-suffer tendinitis if the injury has not been properly healed, as the ligament is distended, making it more unstable. To prevent relapses, it is important to maintain and train joint mobility and flexibility, and strengthen the muscles that support the joint, says the orthopaedic doctor in Dwarka.

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Abdominoplasty step by step

Abdominoplasty is one of the most common procedures of Plastic Surgery in Delhi to correct the waistline. Abdominoplasty is an abdominal plastic surgery to remove excess skin in the region. It can be performed on men and women who want to correct different conditions, such as:
  • sagging: people with excess flaccidity in the abdomen and who cannot eliminate it with methods such as diets, physical exercises or other aesthetic procedures;
  • stretch marks: excess stretch marks in the abdomen region can also be eliminated with the procedure if it is associated with sagging;
  • Diastasis: consists of the separation between the rectus abdominis muscles
  • Muscle weakness: Patients with muscle weakness in the abdominal region may also undergo surgery to promote stabilization of the abdominal wall.

Although not the only cases, these situations are common in post-pregnancy, patients who underwent bariatric surgery or who lost a lot of weight in a short time.

Genetic factors are also related to a greater predisposition to skin accumulation and sagging in the abdominal region, explains the Cosmetic Surgeon in Delhi.

Abdominoplasty Steps

Abdominoplasty in Delhi is performed with epidural or spinal anesthesia with intravenous sedation for the patient to sleep, or with general anesthesia when associated with other surgeries, such as liposuction. Therefore, this surgery is always performed in the hospital.

After asepsis of the skin, the surgeon makes the incision lines: in general, the first is made in the pubis, from one hip to the other, and the second from the first in a vertical direction, passing around the navel. Then the tissue is lifted to expose the abdominal muscles, explains the Plastic Surgeon in Delhi.

In this way, the surgeon can sew the muscles that are strained. Afterwards, the skin that was lifted to expose the muscles is repositioned, passing over the navel, which will be hidden (as it is attached to the internal abdominal wall).

To expose the belly button again, the surgeon makes a hole in the tissue around it. Then, the excess skin and fat are removed from the original incision, in order to solve the problem of sagging.

The next step is to insert the drains to prevent fluid build-up and suture the incisions. Finally, dressings are made and the patient is dressed in the compression garment. The surgery takes 2 to 3 hours, explains the Plastic Surgeon in Pitampura.

Types of Abdominoplasty

Above, we have described the classic tummy tuck step-by-step, but there are other variations of this procedure. Learn more about them:

  • Classic abdominoplasty : this is the most traditional method, which aims to remove excess skin and correct muscle sagging. It is recommended for patients with large excess skin and significant spread of abdominal muscles;
  • Extensive abdominoplasty : in addition to removing excess skin and correcting abdominal sagging, this surgery also removes excess located on the sides, hips and lumbar, so the incision is larger. It is a highly sought-after surgery after pregnancy;
  • Miniabdominoplasty : is a minor surgery compared to the classic method, indicated for patients who want or need to eliminate only excess fat skin below the navel, in the region called “belly foot”. Your recovery is faster;
  • Lipoabdominoplasty : associates abdominoplasty with liposuction, indicated for patients who have a thicker layer of fat in the abdomen. It removes excess fat from the belly, waist and back, reshaping the outline.

Care before surgery

Ten days before the Abdominoplasty in Delhi, it is necessary to stop the use of drugs to lose weight and other substances as recommended by the Plastic Surgeon in Delhi. The day before, you should avoid consuming alcoholic beverages and heavy meals.

On the day of surgery, the patient must attend the hospital for admission at the previously agreed time to fast for 8 hours, including water. In case of flu or other ailments, the patient must notify the team up to 2 days before surgery.

A very important detail before having a tummy tuck in Delhi is to have everything properly organized so that you can take a two-week home rest after the procedure, allowing your recovery, says the Plastic Surgeon in Pitampura.

Abdominoplasty recovery

The patient may experience pain and discomfort for the first three days, which are usually relieved with simple painkillers prescribed by the doctor. It will not be possible to get fully erect right away, but it is recommended to take short walks.

The dressings must be removed within 24 hours, and the patient can take a full bath. Drains are usually removed in two to three weeks. The diet can be normal, just avoiding foods that favor the accumulation of gases.

It is essential that the patient uses the compression belt for at least 30 days. It helps keep tissues in their new locations and facilitates healing, as well as providing patient safety.

The patient should avoid straining and lifting weights for 30 days, gradually resuming physical activities as authorized by the Plastic Surgeon in Delhi. Lymphatic drainage sessions are recommended from the fourth day onwards.

Abdominoplasty risks

As with any surgery, there are risks of infection, hemorrhage, necrosis and thromboembolism. But if the patient takes proper care, recovery will occur in a healthy and positive way, explains the Plastic Surgeon in Shalimar Bagh.

Tummy tuck scars

The scar is located horizontally, just above the pubic hairline, and is normally covered by underwear and bathing suits. The size of the scar depends on the volume to be corrected in the Tummy tuck in Delhi.

In the first 30 days, the scar will be quite discreet, perhaps with some reactions to the stitches and dressings. From the second month onwards, there is a natural thickening and a change in color, in which the scar changes from red to brown, becoming darker.

Between 12 to 18 months after surgery, the scar gradually starts to get lighter and less consistent, reaching its final appearance only after that period, says the Plastic Surgeon in Shalimar Bagh.

Tummy tuck and liposuction: what are the differences

While abdominoplasty in Delhi aims to correct sagging and reposition muscles, liposuction promotes the removal of localized fat. Liposuction in Delhi is performed by inserting cannulas that suck out excess adipose tissue.

These two procedures can be combined to promote an even more complete surgery, providing better results to patients when needed.

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laser surgery for kidney stone

Laser Surgery for Kidney Stones: Discover What It Consists of

Kidney stones are a fairly common condition that consists of the formation of solid pieces in said organs due to the accumulation of substances present in the urine. They vary in dimension from the size of a grain of sand to that of a pearl. Although, according to the best urologist in Noida, most kidney stones pass from the body without medical help, they can get stuck in the urinary tract or block the flow of urine resulting in a lot of pain.

Kidney stones are solid pieces of material that form in the kidney due to substances in the urine. It can be as small as a grain of sand or as large as a pearl.

Urine contains many dissolved minerals and salts. When urine has high levels of minerals and salts, hard stones can form that, although they start out small, can get larger and larger.

Some stones remain in the kidney and do not cause major problems, others can travel down the ureter (the tube through which urine passes from the kidney to the bladder). When this happens, the stone is expelled with the urine, however, it can also get stuck in the ureter and block the flow, causing a lot of pain.

There are several possible indicators of kidney stones, including:

  • Extreme pain in the back or side. Said pain won’t go away
  • Blood in the urine
  • Fever and chills
  • vomiting
  • Foul-smelling or cloudy-looking urine
  • Burning sensation when urinating

The causes of kidney stones are not very well defined. A big risk factor is having a low urine volume, something that can be caused by dehydration. Dehydration can result from fluid loss from exercising hard, spending time in very hot places, or not drinking enough fluids. When the urine volume is low, the urine becomes concentrated and cloudy in color causing less fluid to keep the salts dissolved.

Kidney stones can also be caused by a person’s diet, for example a high protein diet can raise acid levels in the body and urine causing calcium oxalate to be high enough to form stones. It is recommended to reduce or avoid the consumption of foods rich in oxalate.

Certain intestinal conditions can also cause the formation of kidney stones, for example diseases that cause diarrhea or some surgeries. Diarrhea in particular can lead to dehydration and reduced urine volumes.

Other possible causes of kidney stones are some types of medication, family history, and some rare hereditary disorders.

In the event of any sign or suspicion of having kidney stones, a urologist in Noida should be consulted for proper assessment. Because many early symptoms of kidney stones are similar to those of other conditions, it is necessary to obtain a diagnosis from a urologist in Greater Noida and follow the proper treatment, something that can only be established in consultation but that can range from medications to surgery.

Treatment Options

There are many options for kidney stone treatment in Noida that can be used when a patient presents stones in the kidneys or any other part of the urinary tract, from the classic open surgery to a new minimally invasive method, specifically laser surgery for stones.

The procedure consists of the application of anesthesia and later, by means of a filament as thin as an optic fiber (known as a ureteroscope), a camera is inserted through the urethra until the stone is found and the stone can be observed on the screen. fires a continuous stream of lasers across its surface until it breaks into smaller pieces. After this procedure is complete, the ureteroscope is removed. The remaining pieces of the stone pass through the urethra naturally when the patient urinates.

Laser surgery for kidney stones makes open surgery virtually obsolete.

The main benefits of laser stone surgery are the following:

  • It allows in most cases to visualize the stone directly and therefore to introduce special instruments such as the holmium laser to break it.
  • It passes through the body’s natural channels and therefore it is not necessary to make incisions in the skin.
  • In many cases it allows to eliminate the calculations in a single session.

Remember that the only person who can assess whether you can undergo minimally invasive surgery is a properly certified specialist urologist in Ghaziabad. Come to our clinic today and schedule a consultation to receive timely and tailored treatment. Get the benefits of efficient, quality and cutting-edge medical services. Dr Shailendra Goel, the best urologist in Ghaziabad, provides each of his patients with personalized attention and treatment, based on international clinical practice guidelines to always guarantee an optimal experience.

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penis enlargement

Thickening and lengthening of the penis. What does it consist of?

Penis enlargement treatment in Delhi consists of the application of traction mechanisms to increase the size of the penis in a flaccid state. The penis, like any other organ, can have variations in terms of its morphology (length and diameter). According to statistics, in flaccidity its length is between 6 and 10 cm; when erect, between 12 and 18 cm. Despite the fact that a micropenis is only considered to be one that has a length equal to or less than 8 cm when erect, above which it does not give rise to problems during sexual intercourse, many men become obsessed with size to the point of turning it into a psychological problem.

What is it that makes a normal penis? 

When measuring it, it is important to distinguish the difference in size that it presents in erection and at rest. The size of the flaccid penis varies considerably, from 5cm to 10cm, and has nothing to do with the erect size, which on average tends to measure 12cm.

Although many question the importance of penis size, it is a fact that most men want to have it bigger. Fortunately for many there are various penis enlargement treatment in Delhi, procedures that vary from manual stretching exercises to devices and surgical procedures.

It is important to mention that, in order to choose the indicated penis enlargement treatment in Delhi, it is necessary to go to a consultation with a sexologist in Delhi who is the one who can assess each patient and advises on the main characteristics of the treatments.

In general, surgery to increase the size of the penis is recommended when the patient has a resting length of less than 4 cm or less than 7 cm when erect. Once the best sexologist in Delhi gives the go-ahead for the operation, you can proceed with the surgery.

Penis enlargement surgery is generally recommended for:

  • Men who feel that their penis is too small in relation to their body
  • People who want to gain trust.
  • Men diagnosed with micropenis, or what is the same a penis of less than 6 centimeters in an erect state; or Peyronie’s disease which causes painful erections.

The most important thing is that the patient who undergoes a penis enlargement and thickening treatment does so to improve the harmony of his body and feel better about himself.

Penis lengthening, through surgical intervention, is achieved by cutting a suspensory ligament that is responsible for fixing the penis with the pubic bone, this action is what increases the length of the member. The intervention can be carried out under local anesthesia, leaving a practically imperceptible scar. The average recovery is one month, time in which the patient will not be able to have sexual relations. It is recommended to be very strict with the hygiene of the area to avoid any infection.

Local anesthesia and monitored sedation are normally used. Penis enlargement can be complemented with penis thickening, so you can choose to practice both methods simultaneously.

After the operation, it is necessary to follow the recommendations of best sexologist in Delhi to avoid complications or side effects. The assessment and opinion of the top sexologist in Delhi is always necessary. Patients with psychological or psychiatric problems should refrain from surgery; the same happens with those who suffer from cardiovascular problems.

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sexual health

How to keep your sexual health up to date

Sexuality is a healthy practice with relevance legitimized by the World Health Organization (WHO), which recognizes sexual health as one of the pillars of quality of life.

Characterized by sexual intercourse, eroticism, pleasure and orientation, sexuality is manifested through thoughts, fantasies, desires and behaviors and is influenced by several factors.

The health benefits of sexual practice are not linked to the number of times a person has sex in a week or month. According to sexologist in Delhi, sexual health has much more to do with pleasure and the quality of the relationship.

The benefits of sexual health

relieves the pain

During sexual intercourse, various hormones and neurotransmitters are produced by the brain. One of them is endorphin, one of the neurohormones responsible for the feeling of pleasure and well-being. Endorphins minimize the effects of chronic and acute pain. The best sexologist in Delhi also speculates that orgasm (the point where this hormone is released in greater amounts) can prolong the natural anesthetic effects for days.

Protects the cardiovascular system

The sexual act raises the heart rate to a level similar to that of moderate physical activity. Regular sexual practice combined with physical exercise helps to reduce the incidence of heart attacks and stroke. Practicing sexual activities also helps to control blood pressure.

improves sleep

After the sexual act, especially after orgasm, both the male and female organism emit a very high amount of neurotransmitters that promote physical and mental relaxation. Caused especially by prolactin, feelings of well-being and drowsiness can occur immediately and promote a more relaxing and restful sleep period.

Combats anxiety and stress

One more benefit of the hormones that are released by the brain during sexual intercourse is the fight against stress and other precursors to mental disorders. In addition, self-esteem also thanks you! Sexologist in Delhi explains that both self-esteem plays a key role in sexual performance, and the opposite is also true. Having sex with a healthy frequency helps to improve self-esteem and promotes a sense of personal well-being.

Strengthens the immune system

Healthy sexual practice also increases immunoglobulin A levels in the blood by up to 30%, stimulating the immune system and helping to fight infections.

Tips for a healthy sex life

To take advantage of all these sexual health benefits, which go far beyond pleasure, practices and relationships must also be healthy. Health and relationship problems have a direct impact on relationships and end up harming not only sex but also the physical and mental health of both partners.

Talk to partner

Don’t be afraid to talk to your partner about your relationship. Dialogue and good communication are the key to success for any type of relationship. Don’t be afraid to expose your ideas, make it clear what you think, what you would like to test and discover and, above all, listen to what the other has to say. Sometimes, you end up discovering that you both have many curiosities in common, and nothing is more delicious and healthier than sharing these similarities and discovering new possibilities within the relationship.

Eat well

Food plays a key role in sexual intercourse. Not only giving you energy to play your role well under the sheets, but also with foods that can sharpen your and your partner’s sexual stimuli.

Foods rich in good fats such as avocado, oilseeds and fish, for example, improve blood circulation and provide a longer lasting erection. Protein-rich foods improve testosterone production, increasing libido in both men and women and stimulating sexual appetite.

Practice physical exercises

Physical activity is one of the essential practices of good health. With regard to sex, in addition to enhancing your performance, regular exercise stimulates the production of pheromones and sex hormones. This usually makes you more attractive to your partner. At the same time, the tendency is for you to feel more pleasure in relationships.

Consult an expert

For everything in life, especially health, talking to an expert on the subject makes all the difference. Consulting with a sex doctor in Delhi helps you to better understand your body and receive important tips about your sexual health. If you have any type of health problem, such as erectile dysfunction, premature ejaculation or difficulty reaching orgasm, consultations with sex specialist in Delhi will improve your sex life.

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knee replacement surgery

Everything About Knee Replacement


Joints are the areas where bones meet, and movement occurs. The knee joint is made up of the femur above and the tibia below. The two bones are separated by cartilage that acts as a cushion and allows movement.


The reasons for total knee replacement surgery in Delhi are: severe pain, loss of mobility, or deformity of the knee. Symptoms may be due to osteoarthritis, rheumatoid arthritis, or trauma among others.

Osteoarthritis, commonly called “wear and tear,” is the most common cause for a total knee replacement.


The knee joint is made up of the ends of the thigh bone (femur) and the shin bone (tibia). These bones normally slide over each other with ease because they are covered by soft cartilage. If an injury damages the cartilage or is worn away by arthritis, for example, it can make the joint ache or stiff.

Generally, a new knee joint improves mobility and decreases pain, although your new knee will not be able to bend as much as a normal knee joint.

Depending on the condition of your knee joint, they will replace part or all of your knee joint. A total knee replacement is more common.

Artificial knee pieces can be made of metal and / or plastic, and a knee replacement can last up to 20 years.


Knee replacement surgery in Delhi is generally recommended only if nonsurgical treatments, such as physical therapy and exercise, taking medication, or using physical support devices such as a cane, no longer help decrease pain or improve mobility.

Alternative surgical procedures include arthroscopy in Delhi (if the arthritis is not very severe) or osteotomy (in which the leg bones are cut and put back). You may have already had these procedures before your knee replacement.

The surgeon will explain your options.


The orthopaedic surgeon in Delhi will explain how to prepare for the operation. For example, if you smoke, they will ask you to stop smoking, as this increases your risk of chest and wound infection, which can delay your recovery.

Typically, you must stay in the hospital for about five days, and the surgery is performed under general anesthesia. This means that you will be asleep during the operation. Otherwise, if you prefer, the surgery can be performed under epidural or spinal anesthesia. This type of anesthesia completely numbs from the waist down, and you will remain awake during the operation.

If you are going to have general anesthesia, you will be asked to fast. This means that you should not eat or drink, normally, for about six hours before general anesthesia. However, it is important to follow the instructions of your anesthetist.

In the hospital, the nurse can check your heart rate and blood pressure and do a urine test.
Your surgeon will explain to you what will happen before, during, and after the procedure, and any pain you may have. This is your opportunity to understand what will happen, and it may be helpful to prepare questions about the risks, benefits, and other alternatives to the procedure. This will help you stay informed so that you can give your consent if you are asked to sign a consent form to carry out the procedure.

You may be asked to wear compression stockings on your unaffected leg to prevent blood clots from forming in your veins (deep vein thrombosis, DVT). You may need an injection of a blood-thinning medicine called heparin in addition to, or instead of wearing, compression stockings.


Generally, a knee replacement in Delhi takes about two hours.

The orthopaedic in Delhi will make a single cut (10 to 30 cm long) in the front of your knee. You will push the kneecap to the side to reach the knee joint. The surgeon will remove the worn or damaged surfaces from the end of the femur and the top of the tibia. Typically, he will remove the anterior cruciate ligament and may remove the posterior cruciate ligament. For support, the best orthopaedic in Dwarka will not remove the collateral ligaments. It will shape the surfaces of the femur and tibia to fit the artificial knee joint and then fit the new joint over both bones.

Sometimes the back of the kneecap is replaced with a piece of plastic. This is known as patella lining.
After placing the new joint, the surgeon will close the wound with stitches or clips and cover it with a bandage. The surgeon will place a tight bandage on your knee to help minimize swelling.


You will need to rest until the anesthesia wears off. After epidural anesthesia, you may not be able to feel or move your legs for several hours.

You may need pain relievers to ease any discomfort when the anesthesia wears off.

You may have an intermittent compression pump attached to special pads on your lower legs for the first day or so. By inflating the cushions, the pump encourages healthy blood circulation and helps prevent a DVT. You can also have a compression stocking on your unaffected leg. This helps maintain circulation.

physiotherapist in Dwarka (a movement and mobility specialist) will visit you daily to guide you through exercises that will help you recover.

You will stay in the hospital until you can walk safely with the help of a cane or crutch. When you can go home, you will need to ask someone to drive you.

Before you go home, the nurse will give you recommendations for caring for your knee and a date for your follow-up appointment.

How long it takes for the sutures to disappear will depend on the type used in the surgery. However, for this procedure they usually go away in about six weeks. Nonabsorbable sutures and clips are removed 10-14 days after surgery.


If necessary, you can take an over-the-counter pain reliever, for example acetaminophen or ibuprofen. Follow the instructions in the patient information leaflet that comes with your medicine, and if you have questions, ask your pharmacist.

Physical therapy exercises are an indispensable part of your recovery, so it is essential that you continue to do them for at least two months.

You will be able to move around your house and go up and down stairs. For a few weeks, some everyday activities, such as shopping, will be difficult for you to do. You may need to use a cane or crutches for about six weeks.

You may be asked to wear compression stockings at home for several weeks.

When resting, raise your leg and support your knee to help prevent leg and ankle swelling.

Depending on the type of work you do, you may be able to go back to work after six to 12 weeks.

Follow your surgeon’s recommendations for driving. You should not drive until you are sure that you can brake in an emergency without discomfort.


Knee replacement surgery in West Delhi is a common and generally safe procedure. However, in order to make an informed decision and consent, you must be aware of the possible side effects and risk of complications associated with this procedure.

Side effects

These are the unwanted, though mostly temporary, effects of successful treatment; for example, feeling dizzy as a result of general anesthesia.

Your knee will hurt and be swollen for up to six months.

You will have a scar on the front of your knee. You may not have sensation in the skin around the scar. This may be permanent, but it should get better in two years.


Complications are problems that occur during or after the operation. Most of the people are not affected. Possible complications from any operation include unexpected reactions to anesthesia, excessive bleeding, or clot formation, usually in a vein in the leg (DVT).

Complications specific to knee replacement are rare, but include:

  • Wound or joint infection Antibiotics are given during and after surgery to prevent this complication.
  • Unstable joint. The knee joint may loosen and may require surgery to correct it.
  • Damage to blood vessels or nerves. It is usually mild and temporary.
  • Scar tissue. Scar tissue formation can limit movement. You will likely need another surgery to correct it.

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