QUESTION
DOCTOR PLZ TELL ME HOW TO PROLONG SEX AND EXPAND TIME.

THANXh

DOCTOR’S REPLY
Kindly visit the site http://mydoctortells.com and http://doctortells.blogspot.com
This site is ALL ABOUT PREMATURE EJACULATION -http://asksexdoctor.blogspot.com/

Regards,
Dr. Ashok Koparday

Psychotropic Drugs
Antidepressants, antianxiety, and antipanic medications are being used with psychotherapy in treating desire-phase problems and in treating paraphilic compulsive-obsessive behaviors (Coleman 1991). Recent anecdotal reports and some early controlled studies are finding a category of antidepressant medications useful in treating sexual disorders. SSRIs, such as Zoleft, Paxix, and Prozac, are useful in increasing the latency time for ejaculation, and thus are helping some men who present with problems of ejaculatory control (early ejaculation). Another medication, Anafranil, and antidepressants used in treating obsessive-compulsive disorders, have been demonstrated in at least one study to help in the treatment of premature ejaculation. Of course, these results occur when therapy is provided, for if medication is discontinued, there can be a resumption of symptoms. That suggests the presence of untreated anxiety, relationship problems, or a constitutional tendency towards difficulty with ejaculation control.

An unfortunate side effect of SSRIs is the frequent complaint by patients of some loss of sexual desire. This has been reported by patients on these medications for depression. In some patients, however, the lifting of their depression symptoms alone is enough to increase their libido, despite the use of medication. Wellbrutrin, a relatively recent antidepressant, is claimed to have few negative effects on sexual desire. A newly marketed antidepressant, Serzone, is also being hailed for having no negative effects on libido.

Vulvodynia, a Newly Identified Syndrome

One of the new challenges facing American sex therapists and gynecologists today is the occurrence in many women of a painful burning sensation in the vulvar and vaginal area. This condition, recently named vulvodynia, or burning vulva syndrome, is a form of vestibulitis that can have a number of causes, from microorganisms that cause dermatosis to inflammation of the vestibular glands. The presenting complaint of these women is burning and painful intercourse. Some women develop secondary vaginismus. Discomfort varies from constant pain to localized spots highly sensitive to touch. In many cases, the psychological and relationship consequences are grave. Many women become depressed as a result and frustrated by attempts at treatment.

Current treatment includes topical preparations, laser surgery to ablate affected areas, dietary restrictions, and referral to a physical therapist to realign pelvic structure and reduce pressure on the spinal nerves serving the genital area. Some affected women have sought relief with acupuncture. Therapy may be enhanced by focusing on the effects of the condition on the sexual functioning of the patient, her relationship with her partner, and self-image. Pain-reduction techniques, including self-hypnosis, have proven valuable in some cases. Low doses of an antidepressant, including some SSRIs, may reduce the pain.

There is much work to be done in the treatment of vulvodynia, including making the public aware of this condition and educating physicians in the role that sex therapists can play in supporting these women and their partners.

The Medicalization of Sex Therapy

There is an increasing medicalization in sex therapy today. Although this may at first seem to benefit many patients – and it does – there is a concern among sex therapists that many conditions will be summarily treated through medications by primary physicians, with a corresponding failure to address the dynamic and interpersonal aspects of the patient. In short, there is a danger of incomplete evaluation of the patient’s status if only the medical aspects are considered and the therapist is left out of the process. In the ideal situation, the sex therapist and physician would collaborate on the treatment plan, using medication as indicated.

JULIAN SLOWINSKI AND WILLIAM R. STAYTON

[2] PICTURE SHOWING PORTION OF FORE SKIN AROUND INTACT PENIS THAT IS REMOVED IN CIRCUMCISION

Circumcision is not necessary even if foreskin, prepuce, is not fully retractable.
Is whitish discharge seen on pulling back foreskin normal?
Why penis bleeds after sexual intercourse?

WHY SKIN COVERING PENIS IS REMARKABLE?
The skin covering the penis is thin, dark in color, hangs loosely over the deeper parts of the penis, and has no adipose tissue and no hair from the shaft to the tip.

WHAT IS FORESKIN OR PREPUCE?
At the tip this skin leaves the surface and becomes folded upon itself to form the prepuce or foreskin.

WHAT IS FRENULUM?
The connecting stiff small tissue between the glans and the inner layer of foreskin located on the underside of penis behind the urinary opening is FRENULUM. Rarely, this gets torn during vigorous sexual intercourse resulting in pain and bleeding. Pain is bearable. Bleeding sometimes does not stop quickly and the guy panics. This bleeding does not need special treatment.

HOW TO STOP BLEEDING FROM TORN FRENULUM?
Clean the area and the penis with clean water. With clean cotton cloth over it PRESS the bleeding area (tip of the penis) with hand. Do not frequently remove your hand to check from where it bleeds or whether bleeding has stopped.

CAUTION ABOUT USE OF CREAMS AND LIQUIDS ON PENIS SKIN
It is prudent to AVOID ANY OINTMENTS, LIQUIDS, unless prescribed for the condition by a doctor who has examined it. Antiseptics like Dettol© or alcohol containing antiseptics available as hand wash being strong can damage the penis skin. If at all, Dettol© a common antiseptic liquid, diluted two times more than the proportion (1:20) mentioned on the bottle may be used. Avoid antiseptic, anti microbial, anti fungal, steroid creams that are usually kept in the first aid box or available at the chemist over the counter [OTC].
If you are too scared about the bleeding consult family doctor. Intervention by a specialist is hardly ever required.

WHAT ARE THE MINUTE SMALL DOTS ON GLANS?
Glans is devoid of hair. Scattered all over the glans are many small papillae. The scattered glands are called preputial glands. They contribute to the formation of spegma. These small dots on the glans appear and disappear and are visble to those who (unnecessarily) focus and concentrate. These dots are normal feature and not indicative of infection or pathology.

WHAT IS SPEGMA?
WHITISH COLORED DISCHARGE THAT IS SEEN ON PULLING THE FORE SKIN BACK IS SPEGMA. SPEGMA is normal secretion and needs to be cleaned regularly.

Secretions from scattered glands on the corona, neck, glans and inner layer of the prepuce, the preputial glands, make SPEGMA. This sebaceous material has very peculiar odor, (probably due to casein), and it readily undergoes decomposition when mixed with discarded epithelial cells. To prevent infection pull the foreskin behind and clean regularly with water. If you clean it after a lot of spegma is accumulated it may cause some pain and tenderness in the area.

BENEFITS OF NOT DOING CIRCUMCISION
Some of the many benefits of intact skin

RIDGED BAND
The foreskin’s inner surface is mucous membrane similar to the inner surface of the mouth. It is rich in nerves and blood vessels. Between the inner and outer layers of the foreskin is a unique structure “ridged band” that contains “specialized nerve endings.” The researchers conclude that the foreskin has several kinds of nerves and “should be considered a structural and functional unit made up of more or less specialized parts.[A]

GLIDING MECHANISM
During intercourse the loose skin of the intact penis slides up and down the shaft of the penis, stimulating the glans and the sensitive erogenous receptors of the foreskin itself. On the out stroke the glans is partially or completely engulfed by the foreskin. This is known as the `gliding mechanism.’ The intact foreskin is supposed to enhance sexual pleasure.

Intact (uncircumcised) foreskin is the way a man is born hence it is normal.
A whole web site is dedicated to the principle of keeping foreskin intact.
http://www.circumcision.org/foreskin.htm
Here is another website that favors intact foreskin.
http://www.cirp.org/pages/anat/

At the very most 7 boys in 10,000 may need surgery for preputial stenosis.

ALTERNATIVE TO CIRCUMCISION
[1] 85–95% will respond to topical steroids.
[2] Of those who fail this, at least 75% will respond to stretching under local anesthesia, either manually or with a balloon.
[3] SIMPLE practical method that works for most people is to repeatedly practice moving the foreskin as far back as possible manually despite pain. Use soap (while bathing) or oil for lubrication, if necessary.

WHAT IS NORMAL?
MOST people whose prepuce is not fully retractable have normal sexual functions.
All male babies are born with foreskin that is not completely retractable.

Ex. Teaching Faculty
Seth G. S. Medical College and K. E. M. Hospital and
Grant Medical College and Sir J. J. Group of Hospitals
University of Mumbai, India

ASK ON MOBILE

To ASK SEX DOCTOR click on “COMMENTS” link BELOW

Specially Contributed by Sangita.
How ONE sentence makes a difference.

Martin wakes up at home with a huge hangover. He forces himself to open his eyes, and the first thing he sees is a couple of aspirins and a glass of water on the side table. He sits down and sees his clothing in front of him, all clean and pressed. Martin looks around the room and sees that it is in perfect order, spotless, clean. So is the rest of the house.

He takes the aspirins and notices a note on the table.

‘Honey, breakfast is on the stove, I left early to go shopping. Love You!’

So he goes to the kitchen and sure enough there is a hot
breakfast and the morning newspaper. His teenage son is also at the table, eating. Martin asks,

‘Son, what happened last night?’ His son says,

‘Well, you came home around 3 AM, drunk and delirious. Broke some furniture, puked in the hallway, and gave yourself a black eye when you stumbled into the door.’

Confused, Martin asks,

‘So, why is everything in order and so clean, and breakfast is on the table waiting for me?’ His son replies,

‘Oh, that! Apparently Mom dragged you to the bedroom, and when she tried to take your pants off, you said,

Get your hands off me, bitch! I’m married!’

Moral of the Story
Self-induced hangover — $100.00
Broken furniture — $2,000.00
Breakfast — $10.00
Saying The Right Thing to your wife when you are Drunk- PRICELESS!
The happiest business in all the world is that of making friends and no investment on the street pays larger dividends

Source:
Sent by Sangita

Dr. Ashok Koparday
_{MBBS, FC SEPI}
Medical Director
Samadhan India
Center for Therapy, Education, Research in
Sex, Marriage, Relationships

Ex. Teaching Faculty
Seth G. S. Medical College and K. E. M. Hospital and
Grant Medical College and Sir J. J. Group of Hospitals
University of Mumbai, India

ASK ON MOBILE

TO ASK SEX DOCTOR CLICK “COMMENTS” BELOW