Erectile dysfunction, Premature ejaculation aur Hastmaithun myths- Dr Praveen Tripathi Live Session

Dr Praveen Tripathi (MBBS, MD, c-TMS, Harvard Medical Centre) is a senior sexual disorders specialist, Erectile dysfunction, Napunsakta, Premature ejaculation, Masturbation, Hastmaithun, Shigrapatan

इरेक्टाइल डिस्फंक्शन (नपुंसकता) के इलाज में पिछले कुछ वर्षों में बहुत तरक्की हुई है .नई दवाइयां एवं तकनीकों से नपुंसकता का इलाज अब सफलतापूर्वक किया जाता है

इरेक्टाइल डिस्फंक्शन को आम बोलचाल की भाषा में नपुंसकता भी कहा जाता है. यह एक बीमारी है जिसमें सेक्स के समय पुरुष को लिंग में सही तरीके से तनाव नहीं आ पाता ,जिसकी वजह से सेक्स में समस्या आती है. इस बीमारी के निम्नलिखित लक्षण हो सकते हैं-

1. सेक्स की प्रक्रिया में लिंग में बिल्कुल भी तनाव ना आना
2. शुरुआत में तनाव आना लेकिन सेक्स के दौरान तनाव का खत्म हो जाना
3. आधा अधूरा तनाव आना जो की सेक्स की प्रक्रिया को करने के लिए काफी नहीं है
4. योनि में प्रवेश करने के तुरंत बाद तनाव का खत्म हो जाना
5. किसी एक पार्टनर के साथ तनाव आ जाना लेकिन दूसरे पार्टनर के साथ तनाव ना आना

Premature ejaculation is caused primarily by two factors:

1. Penile hypersensitivity, which refers to an oversensitive penis which gets excited to climax with minimal stimulation
2. Excessive arousal during sexual interactions.

The factors that contribute to the development of penile hypersensitivity and excessive arousal are the following,

1. Low serotonin levels in the brain: Serotonin, which is a neurotransmitter (a chemical in the brain) controls various aspects of sexual functioning. Low serotonin levels have been linked to premature ejaculation, and hence drugs that can increase serotonin levels often are used in the treatment of PME
2. Anxiety: Persons who have had ejaculation in the past, get under a lot of stress and anxiety when they indulge in sex, as they desperately try to ‘perform better’. But unfortunately, the stress of performance further decreases the duration of sex.

3. New partner: Often, when sex is initiated with a new partner, there is extra arousal which contributes to premature ejaculation.

4. Low frequency of sex: If sex is infrequent, it may lead to excessive excitement during the sex, and hence the premature ejaculation
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Dr Praveen Tripathi is a renowned psychiatrist who practices in Delhi-NCR. He did his MBBS from University College of Medical Sciences (UCMS, Delhi) and MD (Psychiatry) from the prestigious Institute of Human Behavior and Allied Sciences (IHBAS, Delhi). He also underwent training at the world-renowned Mount Sinai School of Medicine, New York, USA and Kansas University Medical Centre, Kansas, USA. He is one amongst the few Indian doctors who have cleared the prestigious United States Clinical Skill examination that evaluates a doctor's clinical competency. Dr Tripathi underwent training in the use of transcranial magnetic stimulation therapy from Harvard Medical Centre, which is the topmost medical college in the USA.