Monthly Archives: May 2020

partial knee replacement


During knee replacement surgery in Delhi, the damaged bone and cartilage are covered with metal and plastic components. In a unicompartmental knee replacement (also called a “partial” knee replacement), only part of the knee is covered. This procedure is an alternative to total knee replacement for patients whose disease is limited to just one area of ​​the knee.

Because partial knee replacement is done through a smaller incision, patients generally spend less time in the hospital and return to normal activities sooner than patients undergoing total knee replacement.


Several studies show that most patients who are suitable candidates for the procedure have good results with unicompartmental knee replacement in Delhi.
The advantages of partial knee replacement over total knee replacement include:

  • Faster recovery;
  • Less pain after surgery;
  • Less blood loss;


The disadvantages of partial knee replacement compared to total knee replacement include:

  • Slightly less predictable pain relief;
  • Potential need for more surgery. For example, a total knee replacement in Delhi may be necessary in the future if arthritis develops in the parts of the knee that were not replaced;


If your osteoarthritis has advanced and non-surgical treatment options are no longer relieving your symptoms, orthopaedic in Dwarka may recommend knee replacement surgery in West Delhi. In order to be a candidate for unicompartmental knee replacement, your arthritis must be limited to one compartment of your knee. In addition, if you have any of the following characteristics, you may not be eligible for the procedure:

  • Inflammatory arthritis;
  • Significant knee stiffness;
  • ligament damage;

With proper patient selection, modern unicompartmental knee replacements have demonstrated excellent mid- and long-term results in younger and older patients.


A partial knee replacement operation typically lasts between 1 and 2 hours.

Partial knee replacement. There are three basic steps in the procedure:

  • Prepare the bone. Your orthopaedic surgeon in Dwarka will use special saws to remove cartilage from the damaged compartment of your knee;
  • Position the metal implants. The removed cartilage and bone are replaced with metallic coatings that recreate the joint’s surface. These metal pieces are typically held in the bone with cement;
  • Insert a spacer. A plastic insert is placed between the two metal components to create a smooth gliding surface;


As with any surgical procedure, there are risks involved with a partial knee replacement. Your orthopaedic surgeon in West Delhi will discuss each of the risks with you and take specific steps to help prevent potential complications.

Although rare, the most common risks include:

  • Blood clots. Blood clots in the leg veins are a common complication of knee replacement surgery. Blood clots can form in the deep veins of the legs or pelvis after surgery. Blood anticoagulants such as low molecular weight heparin and aspirin can help prevent this problem. Newer medications, such as rivaroxaban (Xarelto), may also be prescribed by your orthopaedic doctor in Dwarka, depending on your needs;
  • Infection. After surgery, an infection may occur in the skin over the wound or deep into the wound. An infection can happen while you are in the hospital or after you go home. You will be given antibiotics before the start of your surgery and these will be continued for about 24 hours afterwards to prevent infection;
  • Nerve or vessel damage. Although it rarely happens, nerves or blood vessels can be injured or stretched during the procedure;
  • continued pain;
  • Risks of anesthesia;
  • Need for additional surgery;


Hospital discharge. Patients with partial knee replacement generally experience less postoperative pain, less swelling, and have easier rehabilitation than patients undergoing total knee replacement. In most cases, patients go home 1 to 3 days after the operation. Some patients go home on the day of surgery.

Weight support. You will begin putting weight on your knee immediately after surgery. You may need a walker, or crutches for the first few days or weeks until you feel comfortable enough to walk without assistance.

Rehabilitation exercise. A physiotherapist in Dwarka will give you exercises to help maintain your range of motion and restore your strength.

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Rhinoplasty hurts and other fears to banish about the nose job

Does rhinoplasty hurt? This is the greatest fear that most of the patients, men and women, who come to meet best plastic surgeon in Noida to have their nose operated on. Perhaps because of the fear of a rhinoplasty with a bone fracture.

Fears before any operation are logical, normal. That’s what we plastic surgeons are for: before saying yes to any intervention, don’t leave any doubts.

In this article we are going to explore all the fears that arise when seeking a rhinoplasty in Delhi, either for an aesthetic improvement or to solve a breathing problem.

Does rhinoplasty really hurt?

There is no single answer to this question. The operation itself is not painful, but the body and psyche of each person react in one way or another to the interventions.

Keep in mind that local anesthesia and sedatives are used to perform rhinoplasty. In fact, no intervention is started if the patient is not asleep or the area is not numb. Consequently, rhinoplasty does not hurt.

A common practice to minimize the impact of the subsequent intervention is to block the nerve endings of the nose. With this measure we ensure that after surgery, discomfort in the area is reduced.

So why is it said to be painful? This has more to do with the postoperative period than with the nose job itself.

Rhinoplasty does not cause pain as such, but it is annoying.

In the first 24 hours you are monitored by the clinic team, who also inject painkillers to avoid discomfort after the anesthesia is expelled.

The splint also does not make it a comfortable situation. In most cases, it is left for a week, so during this time, in addition to the supervision of plastic surgeon in Noida, you have to be patient with the discomfort. It is normal that painkillers such as paracetamol or ibuprofen are prescribed if the discomfort cannot be tolerated. But rhinoplasty does not hurt.

Another element that favors this feeling of discomfort is inflammation that can appear in the area of ​​​​the nose, cheekbones and even the area above the upper lip. The body reacts and does so by showing its complaint. It is normal: we are taking it out of its own nature.

All these discomforts are not painful. That is why when we are asked if rhinoplasty hurts, the answer is no, although it is annoying.

How to reduce these discomforts?

Best plastic surgeon in Delhi has been doing nose operations for years using the ultrasonic rhinoplasty technique.

Among its great advantages, the affectation to the area is less, so the inconvenience of the days, weeks and months after, until the cartilage, muscles and bones fully recover, are less.

Bruising and swelling are noticeably reduced with this technique, and the result is just as professional.

Situations in which rhinoplasty hurts

Although rhinoplasty does not hurt, there are events that can lead to the patient feeling pain. When we approach the explanation of the process, we insist that during the recovery it is important to avoid any blow or impact on the area, not only on the nose.

Whether due to carelessness or misfortune, this event can occur. If at that moment you notice pain in the nose, we insist, go to the best plastic surgeon in Chandigarh to evaluate if there is a risk that the operated thing has moved and how to act from then on.

It is possible that the solution is a second intervention, or that this should be proposed due to the evolution of the recovery without the need for contact or blow in it. Cosmetic surgery depends on the nature of the organism to confirm 100% its best results.

To minimize these events, a minimum period of rest and a period of care that lasts several months is recommended by plastic surgeon in Delhi. It is better to limit certain activities such as running or contact sports than to expose yourself to a sore nose after rhinoplasty, something moving and having to intervene again.

In any case, communication with your plastic surgeon in Delhi is vital to continue your recovery and face any doubts or fears that may arise on a day-to-day basis. But remember, rhinoplasty does not hurt, although it can be uncomfortable.

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sexual blocks

7 keys to overcome sexual blocks

Are you suffering from sexual blocks? These can greatly affect your quality of life. Today we show you 7 things you can do to overcome them.

Having sex is a great mediator that determines the satisfaction of the couple. In turn, it is one of the actions that contribute to personal satisfaction. Various reasons can cause the experience to be repressed or inhibited, which will undoubtedly result in low interest in it. Today we show you some tips to overcome sexual blocks.

We understand by sexual blocks those experiences that prevent starting, maintaining or finishing the sexual act. Contrary to popular belief, the reasons are more psychological than organic. They are also very common experiences, so you should not be ashamed in any way. With the steps explained by the best sexologist in Delhi to overcome sexual blocks you can recover your sexual life.

Tips to overcome sexual blocks

Sexual blocks can be both masculine and feminine, and they are a great obstacle when it comes to achieving satisfaction in a relationship. They are frustrating experiences that lead us to avoid all encounters, since we think that no matter what we do, they will end badly.

This can manifest itself in many ways. For example, through the inability to reach orgasm, the psychological discomfort of doing the act itself, sexual impotence (in the case of men), and other ways. According to the sexologist in Delhi, sexual satisfaction is related to life satisfaction in general.

Therefore, do not think that the problems under the sheets do not have repercussions in different aspects of your life. If you are going through episodes of this type, let’s see what you can do to break sexual blocks.

  1. Put prejudices aside

The first thing you should do is put aside sexual prejudices. In fact, having sex is a direct contradiction of all prejudices. You will never be able to enjoy any encounter if you maintain prejudices of some kind regarding them.

These are regulated by society. For example, you may have them because of your religious upbringing, your early childhood education, growing up in a conservative country, or the influence of movies and advertising. You can think that sex is something amoral, or on the contrary have high expectations about what it is (excessive romanticism, for example).

If you really want to overcome sexual blocks, you will have to leave behind all these beliefs. Sex is not a bad thing, nor is it linked to very romantic components as it is sold in the cinema. Sexologists in Delhi agree that sex is beneficial for both your physical and mental health. Turning your back on him will only cause frustration and dissatisfaction.

  1. Recognize what is the cause of the problem

Once you have freed yourself from the bonds of prejudice, the next step is to recognize what is causing the problem. It is very likely that it was the previous one, but you should still do an internal reflection exercise to discover what is behind it and how you can solve it.

Help from a sexologist doctor in Delhi can often be of great benefit, but it’s something you can also try on your own. Start to tie up the loose ends and try to understand why you are having such blockages. The answer will always be in you, and you will never be able to complete the process if you do not dare to ask yourself or leave the question unfinished.

  1. Practice communication with your partner

We are not talking about communication in the relationship in general (which is also, of course), but during the meetings. Many couples choose to minimize communication during sex, there are even those who do not mediate a word in between.

Top sexologist in Delhi points out that both verbal and non-verbal communication have repercussions when it comes to rating sex as satisfying. When we eliminate this variable, you can get frustrated thinking that your partner is not enjoying it, that you are not good enough, that they want the act to end and other frustrations that lead to sexual blocks.

Therefore, you must maintain permanent communication with your partner. Do it before, during and after each meeting, so that you can plan what satisfies the other and mediate to achieve greater mutual pleasure. Communication will also allow the experience to be transferred to the earthly environment, so that it is not thought of as a sacred activity in which you must remain silent.

  1. Move away from very high expectations

Another way to overcome sexual blocks is by setting very high expectations. Movies, television, advertising, and of course adult movies continually set expectations about what sex is.

They do it in several ways. The physical attributes, the duration of the encounters, the amount of pleasure that is obtained through it, the degree of romanticism that precedes and precedes, the passion and many variables. You can come to assimilate this so much that you idealize what a sexual encounter is, so that none of them meets your expectations.

Sex doctor in Delhi suggests that if you do the opposite, you will avoid the frustration and disappointment that accompanies the above. Each sexual encounter is different: some will be shorter, others longer; In some there will be a lot of pleasure, in others this will be very fair. No matter what the case, by having more earthly expectations you will be able to enjoy all of them.

  1. Forget that you will be judged or rejected

Along the same lines as above, many people maintain very high expectations regarding their physique and their performance during sex that they fear being judged or permanently rejected. For example, they fear that if they do not meet certain expectations their partners will reject them, or in any case they will not enjoy the intimate encounter.

This just adds a lot more pressure, one that can translate into sexual blocks. Sex should be a pleasurable experience, not something that causes you trauma. Sex should be something that makes you enjoy, not cause fear and dread. Think about this and you will see how quickly you can overcome sexual blocks.

  1. Work on your self-esteem

Sex specialist in Delhi that self-esteem is a major conditioning factor when achieving sexual satisfaction. It is not the only way it manifests itself, of course, but self-esteem in relation to physical appearance is the most common of all.

It occurs in both men and women and is regulated by the variables that have already been mentioned (cinema, advertising and others). Believing that you are not attractive enough or that you do not have enough to arouse pleasure in your sexual partner is undoubtedly an obstacle to fully enjoying the encounter.

You must then work on strengthening your self-esteem, on your self-esteem if you will, so that you can overcome sexual blockages. Remember that we have already suggested you reflect on the causes, keep this in mind in case you think you have solid self-esteem. The problem may lie in this.

  1. Be open to trying new things

Finally, another thing you can do to overcome sexual blocks is to keep an open mind to try different things. Monotony in sex is a bucket of cold water for the flame of passion, so you should avoid it at all costs. In addition, it can motivate you not to want encounters or to avoid them.

Trying new sex positions, trying role-play, having sex in different places, trying sex toys, and so on can keep you from feeling aversion to sex. Finding something that gives you greater pleasure favors the fact of recovering the illusion regarding intimate encounters.

The only way you will ever get past sexual blocks is by working on them. Put all of the above into practice, and remember that most of the blocking is in your mind. Do not hesitate to consult a sexologist doctor in Delhi in case you think you cannot control it on your own.

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Othopaedic in Delhi

Patellar Instability or Patellar Dislocation

What is Patellar Instability or Patellar Dislocation?

The patella, formerly known as the kneecap, is the front bone of the knee, responsible for transmitting the strength of the thigh muscles. In some situations, this bone can move out of its normal location, called patellar instability or patellar dislocation, explains the orthopaedic in Delhi.

If the patellar dislocation occurred for the first time, it is called a primal patellar dislocation. From the second episode, it is called recurrent patellar dislocation.

What are the symptoms of patellar instability?

When a patellar dislocation occurs, there is severe pain and an inability to mobilize the knee. It is possible to see and feel that the patella has moved out of place.

Most of the time, the patella comes back into place on its own almost immediately. Rarely, a doctor needs to put it in place with a knee extension maneuver.

After a patellar dislocation, there may be a feeling of insecurity with the knee, even without the patella clearly moving out of place. This sensation is called a patellar seizure. It is a very uncomfortable symptom, which can interfere with normal activities, says the orthopaedic in Dwarka.

How and why does patella dislocation occur?

Patellar dislocation can occur from trauma, such as a blow or twist to the knee, or without trauma, in a common movement of the joint.

Some people have knee features that favor patellar dislocation. Among the main ones are:

  • High patella
    • The patellar tendon is longer, which makes the patella rest on the knee in a higher position, decreasing the bony socket at the beginning of knee flexion.
  • Increased patellar tilt
  • Femoral trochlea dysplasia
    • The groove on the femur where the patella fits can be shallower than normal, completely flat, or even convex.
  • Increase of the “Q” angle
    • “Q” angle is formed by the direction of traction of the thigh musculature and the direction of traction of the patellar tendon.
  • Patients with valgus knees (knees in, or in “X”)
  • Ligament laxity is also more predisposed.

What is the medial patellofemoral ligament?

The medial patellofemoral ligament is the structure that prevents dislocation of the patella. When the patella is displaced, it is injured or loosened.

When the patellar dislocation is treated without surgery, what is expected is that this ligament will heal. In the surgical treatment of patellar dislocation, reconstruction of the medial patellofemoral ligament is performed in most cases, explains the orthopaedic surgeon in Delhi.

Learn more about patellar dislocation treatments below.

How is patellar instability diagnosed?

The diagnosis of patellar instability is made through a careful assessment of the patient’s clinical history and physical examination, complemented with imaging tests.

The main test to be evaluated is magnetic resonance imaging, which shows indirect signs of dislocation, injury to the medial patellofemoral ligament, and the anatomical changes that favor instability. In addition, MRI is essential to look for cartilage lesions. Other tests, such as radiographs in special positions and computed tomography, are useful for evaluating the shape of the knee and predisposing factors, states the orthopaedic in west Delhi.

How is patellar instability treated without surgery? In what situation is he indicated?

In the case of a patient with an episode of patellar dislocation, both non-surgical and surgical treatment are possible. The decision for one or the other must be individualized, after a detailed discussion between the patient and the orthopaedic surgeon in Dwarka.

Non-surgical treatment involves immobilization for a period, followed by rehabilitation focused on exercises to strengthen and control the thigh and hip muscles. The goal of successful non-surgical treatment is the absence of new episodes of dislocation and patellar apprehension, the feeling of discomfort or buckling caused by instability, explains the orthopaedic surgeon in Dwarka.

In which cases is surgery indicated?

Situations that indicate treatment with patellar dislocation surgery are:

  • Recurrent episodes of dislocation (recurrent patellar dislocation)
  • Association with cartilage injuries
  • Symptoms of apprehension getting in the way of normal activities

Patients with a single episode of dislocation, although they can be treated without surgery, can also opt for surgical treatment. Surgery has the advantage of a lower chance of re-displacement or seizure symptoms for activities, says the orthopaedic surgeon in west Delhi.

What are patellar instability surgeries like?

According to the orthopaedic surgeon in Delhi, there are several procedures available for patellar instability, which are chosen according to the characteristics of each patient, and there may be a combination of procedures. This concept of individualized treatment is known as à la carte treatment, influenced by the French school.

These are the most common procedures performed for patellar dislocation.

  • Reconstruction of the medial patellofemoral ligament
    This ligament is the main restrictor of patellar dislocation, and its reconstruction is indicated in almost all cases. It is a graft from the patient’s own tendon to remake the ligament.
  • Lateral release (or release)
    Release of structures that hold the patella on the side or outside, when there is excess tension. Can be done openly or arthroscopically (video surgery)
  • Tibial tuberosity osteotomy
    A cut is made in the tibial bone to reposition the point where the patellar tendon attaches. This transfer allows for patellar realignment or patellar height correction.
  • Trochleoplasty
    Correction of the shape of the femoral trochlea, the groove where the patella rests on the femur.
  • Treatment of cartilage injuries
    When cartilage injuries also exist, these may also need specific treatment.

How is the postoperative period and rehabilitation?

Postoperative care depends on the technique used. They usually involve a period of support with crutches and a knee brace. However, from the beginning, it is already allowed to put the foot on the floor and remove the immobilizer to move the knee in most situations. Rehabilitation includes restoring knee mobility and restoring strength and control of the musculature of the thigh, hip, and trunk.

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allergy to semen

Can you have an allergy to semen?

There are no exact data about the prevalence of allergy to semen. This is because it is a little-known pathology and similar to other conditions. It is important to inform yourself about it, since this condition can become very serious.

Semen allergy is a rare health problem, but it is very likely to be underdiagnosed. For one thing, not everyone thinks they should see a sexologist in Delhi about this. On the other hand, it is often confused with other pathologies such as vaginitis.

Semen allergy is also known as “plasma human seminal hypersensitivity.” It refers to a disproportionate reaction of the immune system to a protein present in semen: PSA. It affects men and women, and requires medical assistance.

A person can become allergic to any substance at any time in life. Semen allergy is no exception. In all cases, the reaction can range from bothersome symptoms to life-threatening anaphylaxis, warns the best sexologist in Delhi.

Related symptoms

The usual thing is that the manifestations of allergy to semen appear immediately or within a few minutes of having had contact with this substance. In the latter case, usually within 5 to 15 minutes. The symptoms change if the allergy is localized or generalized. Let’s see.

Localized semen allergy

When semen allergy is localized, the main symptom is itching in the vagina or penis. Let’s emphasize the fact that there are men allergic to their own semen. In addition to this, there is usually redness in the area and it is common for blisters to appear about 30 minutes after the first symptoms. There is also burning and a feeling of discomfort, says top sexologist in Delhi.

Generalized allergy to semen

It occurs when the immune response is systemic. Hives then appear all over the body, with a strong itching sensation. There may also be nausea and vomiting.

In the most severe cases, the throat and pharynx become inflamed, the airways become obstructed, and blood pressure drops significantly. Those cases require immediate emergency care, as it is anaphylactic shock, says sexologist doctor in Delhi.

Some people develop Post-Orgasmic Illness Syndrome, or POIS. This occurs only in men and the symptoms are similar to the flu: fever, fatigue and sometimes diarrhea and blisters. Science is still unclear if this is an allergic reaction or not.

Possible complications

The main complication of semen allergy is systemic reaction. As noted earlier, in such cases there is a generalized urticaria, even on areas of the skin that did not come in contact with the semen. There may also be shortness of breath and shock.

This type of allergy can make it more difficult to conceive by traditional means. However, sex specialist in Delhi says that there is no evidence that semen allergy is associated with infertility or miscarriage.

What causes semen allergy?

The causes of allergy to semen are endless. As noted above, a person can become allergic to any substance at any time in life. These types of reactions are more frequent in people with a history of asthma, allergic rhinoconjunctivitis or atopic dermatitis.

Everything indicates that the allergen, or factor that triggers the allergy, is a protein present in semen, whose name is PSA. On some occasions, men with a vasectomy have changes in their seminal fluid and it becomes more allergenic, says sex doctor in Delhi.

On the other hand, intrauterine devices or gynecological surgeries may alter local immunity and make some women more prone to semen allergy. This condition is more common in women between the ages of 30 and 40. Menopause reduces the possibility of having this type of allergy, since over the years the immune system becomes less active.

Diagnosis and treatments

Diagnosis of semen allergy can begin with a simple test for women. It consists of using a condom during sexual intercourse. If symptoms do not arise, it can be presumed that this type of allergy is present.

However, it is best to corroborate it with a clinical diagnosis. This is done based on a thorough questioning. Skin tests and blood tests are then carried out to determine if there is an allergy.

There are women with a history of allergies to certain foods or drugs and only have symptoms on some occasions. In those cases, it is possible that your partner has ingested some of these substances and it is present in the semen.

According to sexologist in Delhi, treatment to control semen allergy includes one or more of the following measures:

  • Avoid contact with semen. It is achieved by using condoms in all sexual relations.
  • Desensitization to semen. This treatment is carried out by an allergist and consists of gradually exposing a woman to semen. Then you should have sex on a regular basis to consolidate the treatment.
  • Antihistamines. Taking an oral antihistamine before having sex can reduce symptoms. However, it is not advisable for a woman who wants to conceive.
  • epinephrine autoinjector. It is a device that is used when there is a severe allergic reaction. The sexologist in Noida might advise the patient to have one of them on hand.

Allergies, more present every day

Available data indicates that the PSA protein, which causes semen allergy, is very similar to a protein in male dogs called Can F5. Therefore, many times those who are allergic to semen are also allergic to male dogs.

Experts indicate that allergies are the epidemic of the 21st century. It is estimated that in the year 2025 it is predictable that up to 50% of the world population will suffer from an allergy. It should be noted that an allergy rarely goes away on its own.

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premature orgasm in women

Premature orgasm also occurs in women, look at these data

Orgasm is considered “early” when it occurs earlier than anticipated, cannot be controlled, and causes discomfort. Although not well known, it also occurs in women.

Premature orgasm also occurs in women, although it is not very common or studied, unlike what happens in men, called premature ejaculation, which is common and widely studied.

According to the best sexologist in Delhi, orgasm is the most intense part of sexual arousal. At that time, sexual tension is at its highest point and release of pressure from the body and genitals is achieved through orgasm. It is there, with that release, that an intense sensation of pleasure is produced that runs through the entire body.

When the premature orgasm occurs, in women and men, it generates frustration, discomfort and usually ends with the sexual encounter earlier than expected because the orgasm is reached earlier than desired.

According to sexologist in Delhi, Premature ejaculation is the most common sexual dysfunction in men and it is estimated that up to 30% of the male population suffers from it. However, it has not yet been possible to accurately estimate the prevalence of early orgasm in women.

When is considered an early orgasm?

There is no set time parameter to have an orgasm or ejaculate. Therefore, the term early orgasm refers to experiencing orgasm in advance (earlier than desired). In other words, there is a lack of control over it that generates dissatisfaction, anguish or complications.

Many women lose desire and interest in sexual intercourse after reaching orgasm, and must wait a while to regain it. This time is the so-called “refractory period”; that is, the time that elapses from the orgasm to the availability of having another.

During the refractory period, the genitalia do not respond to stimulation due to increased blood flow to the genital area. In women, the refractory period usually lasts between 5 to 10 minutes.

However, early orgasm in women is not always something negative. There are women who have the ability to experience multiple orgasms in the same sexual encounter, while others are associated with anguish and loss of interest that is usually accompanied by frustration at not being able to reciprocate with their partner, says top sexologist in Delhi.

Some facts about early orgasm in women

In a study led by psychiatrist and sexologist Serafirm Carvalho and published by the journal Sexologies in 2011, it was investigated how common early orgasm is in women between the ages of 18 and 45.

Through the use of questionnaires, it was found that 42% of the women had no problem with early orgasms, 40% had it from time to time; 14% frequently; and 3%, all the time.

However, its prevalence has not been studied much more. The Journal of Adolescent Health reported in 2016 that 3.9% of women ages 16 to 21 experienced at least one early orgasm in the past year.

What are the causes of this premature orgasm?

There are several reasons why premature orgasm occurs in women. Some of them are the following:

  • Few sexual encounters or low frequency of masturbation: Prolonged sexual abstinence can lead to anxiety and a lower arousal threshold.
  • Too much excitement: the woman considers the relationship or relationship “very exciting” or some sexual practice in particular (such as oral sex).
  • The form of stimulation: especially if there is an overstimulation of the clitoris, which is the one that most influences the orgasm. The clitoris is a very sensitive area due to its thousands of nerve endings. For this reason, if from the beginning of sexual activity it is stimulated directly, it is possible that orgasm occurs very quickly.

How can you avoid climaxing “early”?

The main suggestion is to perform sexual stimulation slowly to maintain tension. It is recommended by sex specialist in Delhi to first explore the body with caresses and leave clitoral stimulation for last. The erogenous zones are multiple in both women and men and their exploration can allow the climax to be reached in a more intense way.

Women are also more sensitive to erogenous zones that go from the shoulders to the inner thighs and hips. In fact, among the most preferred areas by women are the lips, the neck, the breasts and the inner part of the thighs.

On the other hand, when sexual tension increases, you can pause and change positions or movements to learn how to delay orgasm if you wish.

Although the sensitivity of the clitoris does not vary from woman to woman, all vulvas are different and some have it more exposed or larger, so they are more available and can feel faster. Thus, in some cases there are women who can be excited by the touch of the pants, while others require direct contact.

Also, masturbation can be used to become more familiar with personal patterns of arousal and the moments leading up to orgasm. One technique involves masturbating to the point of near climax and stopping for as long as possible, suggests sexologist doctor in Delhi.

When none of these methods are successful, sexologist in Delhi recommends sex therapy and, in some cases, the use of antidepressants (particularly serotonin reuptake inhibitors ) that can prevent early orgasm.

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lower blepharoplasty


Are the eyelids with excess skin? Do you know the plastic surgery that solves this problem? Blepharoplasty in Delhi is the surgery that consists of removing excess skin from the eyelids, in addition to collaborating for the correct positioning of the eyelids, thus removing wrinkles that can lead to a tired and even aged appearance.

Furthermore, blepharoplasty is divided into two types, the lower and the upper. In this content, we are going to talk about lower blepharoplasty.


This type of surgical procedure is indicated for patients with excess skin or fat on the eyelids, such as the inner, middle and side pouches.

It is always important to remember for anyone who is looking for more information about lower blepharoplasty, that it is extremely important to consult a plastic surgeon in Noida before making the decision about performing the procedure.

However, men and women can opt for surgery and the best plastic surgeon in Noida will evaluate all conditions, but some topics can help clarify who is best suited for this type of procedure:

  • people who are healthy and free from diseases that, by chance, may impair healing or increase the risk of surgery;
  • People who do not have serious eye conditions;
  • If the patient is a smoker, the plastic surgeon in Delhi will make a more accurate assessment of the case and alert the patient about more care to be taken.


After the incision, the best plastic surgeon in Delhi separates the skin from the underlying muscle and fat and, finally, removes excess fat from the eyelid bags, then removes the areas of muscle and skin that are flaccid.

The surgery can be performed through the transconjunctival route, without scars, one of the most frequent doubts among patients who need to perform this type of procedure.

However, there are external scars when excess skin is removed and they are located close to the eyelashes.


The performance of lower blepharoplasty in East Delhi lasts, on average, one hour and can be performed with common anesthesia, which is local and with sedation. General anesthesia can also be used, but everything will depend on the professional’s assessment of the patient’s specific case.


The specialist in lower blepharoplasty surgery will recommend to the patient all the care that should be taken after the procedure. But, it will be necessary to maintain rest, always keeping the head elevated and avoid, as much as possible, physical efforts for a few weeks.

In addition, care with the sun must be taken in the right measure with hats and sunglasses, especially in the first days after the surgery.


After performing lower blepharoplasty, it is possible to observe the effects a few weeks after the day of performance. The permanent scar line is almost imperceptible in the contours and this will not be uncomfortable for the patient later on.

Even so, it is always indicated that all doubts about the procedure are removed with the surgeon during consultations before the lower blepharoplasty is performed.


If you want to understand better about lower blepharoplasty and want to find a specialized plastic surgeon in Chandigarh, don’t waste time. By calling at +919873748259 you can speak with a professional.

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mole removal

When should you remove moles?

Smooth skin mole.

There are several cases where it becomes necessary or desirable to remove moles. Moles can be cosmetically unsightly and also carcinogenic. Stains are removed in two ways: excision and excision with cauterization. Regardless of the reason for removing the mole, the process will be the same. Spots that appear to be cancerous will be sent to a lab for testing after removal.

A raised mole.

Cosmetic issues are commonly seen as reasons to remove blemishes. Some patients are embarrassed by the spots, whether large or small. The spots sometimes grow long, of course, dark hair, which can also cause embarrassment. Patients considering cosmetic mole removal in Pitampura should consider the possibility of scarring. Large blemishes can leave large scars, which can be more or less unsightly than the blemish being removed.

Woman with a wart above her upper lip.

Discomfort is another possible reason to remove blemishes. While not painful, large stains can be irritated by clothing. Even if the suspected cause is irritation, any pain or bleeding from the patches should be reported to a plastic surgeon in Pitampura. The mole will be evaluated for signs of skin cancer and sent to a lab for confirmation once removed.

Most moles are completely harmless, but some can become cancerous. If a wart is asymmetrical, irregular, very large, or if it hurts or bleeds, it could be cancerous or precancerous. All new or suspicious spots should be reported to a healthcare professional. The plastic surgeon in Ashok Vihar will determine whether removal is necessary or whether regular observation is better.

Plastic Surgeons are often called upon to remove blemishes.

General surgeons are trained to remove blemishes, but many patients prefer it to be done by a plastic surgeon in Shalimar Bagh. Whichever provider you choose, make sure he or she has mole removal experience. Complications of mole removal in Shalimar Bagh include reaction to the anesthetic, nerve damage, and scarring. Other potential side effects depend on the location of the mole.

Electric scalpels are used in electrocautery.

To remove blemishes, the plastic surgeon in Punjabi Bagh will first clean the area. A local anesthetic, usually lidocaine, will be used to numb the immediate area. The provider performing the removal will cut the wart on or under the skin. Stitches may be necessary, but not always necessary, especially with cauterization. The removed tissue will be sent to a laboratory for analysis if cancer is suspected.

A large or bumpy mole could be cancerous.

Infection can occur in the surgical wound. If there are symptoms of discharge, severe pain, or fever, a plastic surgeon in Delhi should be consulted. Applying an over-the-counter antibiotic ointment or cream and keeping the wound covered reduces the chances of infection.

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urologist in Delhi

Can Enlarged Prostate Cause Erectile Dysfunction (Sexual Impotence)?

The relationship between an enlarged prostate (called Benign Prostate Hyperplasia – BPH) and erectile dysfunction (sexual impotence) is one of the topics that raises more questions and uncertainties.

After all, one thing is certain: both problems affect the quality of life of patients, so their combination results in even greater concern.

However, over time, several myths emerged about this relationship that it is important to clarify.

What is Benign Prostate Hyperplasia?

This is a pathology that is characterized by an increase in the number of prostate cells, resulting in an increase in its volume and size. This change occurs especially in a region called the transition zone, around the urethra.

In general, the incidence of this problem tends to increase with age: it is estimated that it affects around 20% of men over 40 years of age and one in three over 65 years of age.

Among the main risk factors that seem to increase the probability of developing a benign prostate growth is testosterone, which is responsible for cell proliferation in this organ that causes the pathology, explains the best urologist in Pitampura.

Main Symptoms of BPH

As the increase in volume develops mainly around the urethra, causing its compression, it is common for some urinary complaints to appear, known as LUTS (Lower Urinary Tract Symptoms, which means Lower Urinary Tract Symptoms).

Some of the most common symptoms are:

  • Decreased urinary stream;
  • Inability to urinate;
  • uncomfortable or painful urination;
  • Frequent feeling of a full bladder;
  • Urinary incontinence (inability to retain urine).

What is Erectile Dysfunction (Sexual Impotence)?

Erectile dysfunction is often known as impotence, which is characterized by the inability to initiate or maintain an erection strong enough for satisfactory sexual intercourse, explains the sexologist in Rohini.

As there is often a lot of shame in admitting this problem, the truth is that this problem is much more common than you think.

Having difficulty getting an erection is natural at some point in life, for both younger and older men – so it doesn’t necessarily mean there is a problem.

However, when it occurs frequently it is important to understand the reason so that the condition can be resolved.

Despite being a non-life-threatening disorder, in most cases it has undesirable consequences for many men: it affects not only their personal and sexual life, but also their self-image and self-esteem, negatively influencing interpersonal relationships, states the sexologist in Pitampura.

What is the relationship between BPH and Erectile Dysfunction?

There are several myths that associate the prostate and its function with the ability to erection – and they are not true.

In fact, they represent different mechanisms: the prostate plays a fundamental role in the ejaculation process but not in the erection process.

Male sexual function depends on the normal interaction between the following systems:

  • hormonal;
  • Neurological;
  • Vascular (arterial and venous);
  • Psychological.

So, a change in any one of them can cause some sort of dysfunction, resulting in impotence.

Although some prostate diseases can interfere with sexuality, they usually do not represent direct causes.

An enlarged prostate by itself does not cause impotence, unless there is compression of the nerves responsible for an erection. Some of the treatments for diseases of this organ, however, can cause impotence, explains the Best Urologist in Delhi.

What Treatments Can Cause Erectile Dysfunction?

BPH is a pathology for which, nowadays, there is a wide variety of therapies that, although they resolve the condition, may have some sexual side effects, namely in terms of the ability to erection.

Furthermore, they can also affect libido (sexual desire) as well as the ejaculation mechanism.

Medical therapy is one of the treatments with the most side effects of this type, especially 5 alpha-reductase inhibitors (finasteride and dutasteride).

  • Finasteride was associated with erectile dysfunction in a high percentage of treated men, so they are not first-line drugs for BPH.
  • Alpha-blockers can decrease the volume of ejaculated sperm.

As for prostate surgery in Pitampura, whether open or endoscopic, they present very rare risks of erectile dysfunction, although they carry risks in terms of ejaculation.

Early Diagnosis and Expert Counselling

Prostate treatment in Pitampura for an enlarged prostate can increase the risk of impotence.

Even so, it is sometimes possible to avoid these consequences thanks to an early diagnosis.

When it is discovered at an early stage, it may not even be necessary to resort to medical or surgical therapies, but to actively monitor the evolution of the disease.

This is an attempt to reduce the risk of developing sexual consequences from the treatments carried out.

But the first step is up to you.

Look for a specialist urologist in Delhi to have complete and personalized advice, which will show you the most favorable path to follow.

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causes of erectile dysfunction

Do You Know What Are The Main Causes Of Erectile Dysfunction?

Erectile dysfunction is a taboo problem that affects millions of men around the world. Whether psychic or physical, erectile dysfunction has a solution and can be prevented.

Any alteration of the mechanisms involved in erection (sexual desire, stimulation, neurological problems, vascular problems) can produce the alteration of the normal process of erection, this is what is known as erectile dysfunction. The causes of erectile dysfunction can be both organic and psychological and will require one or another treatment depending on their nature.

Various health problems, both physical, psychological or emotional, can be behind this type of sexual problem; even the side effects of finished medications.

We share the following causes recognized as a trigger for erectile dysfunction:

Hypertension and cardiovascular disease, one of the most frequent diseases in men, affects 1 in 4 men. Hypertension deteriorates the arteries, causes a malfunction and obstruction of the blood vessels and that also includes the penile arteries: blood does not enter the penis enough and there is no normal erection.

High cholesterol, a condition that causes damage to our arteries, causing them not to function properly and their diameter to become progressively obstructed. Similar to what was said in hypertension.

Diabetes, a disease that alters the normal erection process by three mechanisms: arterial injury, neurological injury and hormonal alteration. Diabetes has associated complications that are also related to erectile dysfunction, such as hypertension or cholesterol, so it is very common for erectile dysfunction secondary to diabetes to appear.

Hormonal disorders, because an alteration in the generation of testosterone, the hormone responsible for increasing the libido of the man and allowing him to have a sexual desire, can make the man impotent. Also, high levels of the hormone prolactin, cortisol or thyroid hormones (hyperthyroidism) can also cause a decrease in testosterone and sexual desire. It is advisable to obtain medical advice for the administration of the necessary hormones.

Obesity, the result of the imbalance between calories ingested and those expended. Increased fat in the body predisposes hypertension, diabetes and others that affect the arteries. obese men are more likely than the normal population to have problems leading to erectile dysfunction

Neurological diseases, such as multiple sclerosis, epilepsy, spinal cord injury from surgery or trauma, Alzheimer’s and Parkinson’s. These diseases alter the nerve pathways that conduct signals from the brain or marrow to the penis; if the brain does not receive the existence of that stimulation or receives it in the form of weak signals, it cannot respond to those signals with an erection order or sensation of pleasure. There are several solutions that can be suggested by a sexologist in Delhi, such as minimally invasive surgeries for implant placement.

Consumption of drugs that belong to the group that as a secondary reaction produce erectile dysfunction, among them are several of the antihypertensives, opioid analgesics, steroid hormones and antineoplastic drugs.

Psychological factors such as depression and anxiety. The first inhibits a person’s ability to enjoy the pleasures of life, which includes sexual pleasure; Anxiety disorders lead the body to a permanent state of alertness that does not allow it to focus on sexual intercourse and the activation of the mechanisms necessary to achieve an erection. It is necessary to go to a sex specialist in Delhi to start a process of full recovery.

The above are just a few causes of erectile dysfunction. For all it is possible to find the right solution and it is recommended at all times to go to a trusted sexologist doctor in Delhi.

In our sexologist clinic in Delhi we are specialists in the treatment of erectile dysfunction.

We are widely discreet and efficient in diagnosing the multiple causes of erectile dysfunction and providing appropriate erectile dysfunction treatment in Delhi. efficient, quality and cutting-edge medical services. We provide each of our patients with personalized care and treatments, based on international clinical practice guidelines to always guarantee an optimal experience.

Come with the best sexologist in Delhi! We are interested in hearing from you. Ask about our treatments for erectile dysfunction and recover your sex life today with all the security and discretion that only we know how to provide you.