Even in these modern days people still continue to face difficulty in completely overcoming their inhibition to discuss sexual health. Sexuality is one among the basic instincts in human beings. So the implication of sexual health in overall well being of a person cannot be overlooked.The biggest dilemma is on how and where to find the best sexual health expert.On this page you will find out all about sexologists in Chennai with extensive expertise in dealing with various sexual problems.
Who is a sexologist?
If you are facing sexual problems and are going through mental turmoil, we are here to help. Dr. Karthik Gunasekaran, leading Sexologist in Chennai will hear you out with utmost patience and compassion.
Why meet a sexologist ?
Sexual problems can be a cause for immense stress in people and stress itself is known to worsen sexual performance.You need to get the right advice from experts in the field of sexual health just as you would for any other health related problems. Refraining from discussing the matter and getting advice will put you under constant mental stress as you try to cope with the problem on your own.
All set to get intimate with your partner and you find yourself having difficulty achieving an erection or sustaining it for long enough? You may be having an erectile dysfunction.It may get frustrating but not to worry. Read on to know why.
It is commonly known by the term impotence. It means the inability to develop or maintain an erection during sexual intercourse.
What are the causes of erectile dysfunction or impotence?
- Erectile dysfunction may occur as a part of some medical conditions such as diabetes, kidney failure etc.
- Severe trauma to genitals may also lead to impotence
- Elderly men in their 60’s are prone to developing erection problems
- Chronic smoking can lead to vascular insufficiency of the penis resulting in erectile dysfunction.
- Most of the times psychological issues such as performance anxiety and stress are found to be the sole causes of erectile dysfunction in an otherwise normal man.
- Some drugs may have its side effect as erectile dysfunction
When men face erectile problems it is very common for them to get worried if they will be able to enjoy sexual life normally ever again.They will be relieved to know that they can surely find help. The sexologist may ask for a duplex ultrasound scan done to evaluate the blood flow to the penis.
An underlying medical condition is looked for and if present treated appropriately. Smoking cessation will help a great deal in managing erectile problems.
If any drug is identified as causing erectile dysfunction in a man, those drugs are discontinued and replaced by alternative drugs.
The blue pill commonly known by the name Viagra may be prescribed if any contraindication for the same, such as heart disease does not exist.The blue pill contains sildenafil as the active ingredient which helps in dilating the blood vessels of the penis leading to an erection.
Most men experience uncontrolled or early ejaculation atleast once during their lifetime.This uncontrolled ejaculation which happens before or shortly after sexual penetration is known as premature ejaculation.It may happen following minimal sexual stimulation.The ejaculation may happen without the wish of the man or his partner.This leads to a feeling of dissatisfied sexual experience.
What causes premature ejaculation?
- Long interval between ejaculation may lower the mans threshold for orgasm and ejaculation
- A new partner may also be a reason for premature ejaculation
- Psychological issues such as anxiety ,guilt etc may cause premature ejaculation
- Any hormonal imbalance
- Trauma to genitals
- Certain drugs,alcohol and smoking are known to cause premature ejaculation
How can a sexologist help with premature ejaculation?
Most of the times men do not require any treatment for premature ejaculation. It may resolve on its own with time. Relaxation techniques such as yoga and regular exercise will help reduce the stress levels. Quitting smoking and alcohol plays an important role and may even prove curative in some.
Using condoms will decrease the sensation of the penis and increase the threshold for orgasm, thereby delaying ejaculation.
If the above methods fail to improve the condition, the sexologist may initiate counselling sessions and behavioural therapy. The sexologist will also teach you certain techniques and exercises to delay ejaculation. Start stop technique, squeeze technique and kegels exercises are few, the correct methods of which will be explained by a sexologist.The condition will improve with time.
Dyspareunia or painful sexual intercourse in woman is cited as a reason by many couples for unsatisfactory sexual life. It instills a fear of sex in the minds of the woman leading to lowered sex drive. Over the time it may result it loss of intimacy between the partners.
The sexologist will help you get to the cause of the pain.The reasons could be:
- Too short foreplay will mean that the female partner is not aroused enough.
- Dry vagina and failing to use lubricants
- Vaginismus which is involuntary vaginal muscle spasm makes penetration painful or impossible
- Psychological stress
- Improper genital fit could be a reason in some cases where the male partners genitals are too large and the female vagina petite.If the penis hits the cervix,it may cause discomfort.
- Genital and reproductive tract infections such as candida may cause painful coitus.
- Endometriosis may be one of the reasons which may need your doctors attention
- Menopause may make the vagina extremely dry and sore leading to painful sexual intercourse
Once the cause for dyspareunia has been identified specific treatment and guidance will be given by the sexologist.
Many men are conscious about the size of their genital organs.They tend be psychological affected, so much that they get easily carried away by advertisements for products promising penile enhancement. If you are also on a constant look out for such products, you should first meet Dr.Karthik Gunasekaran,a Chennai sexologist. As a sexologist with years of experience dealing with such queries, he will be able to impart lasting confidence into you.
Men with a small penis are able to have an essentially normal sexual life. Many a times people associate the size of the penis to sexual satisfaction. It is a very popular misconception that large sized male genitals give more sexual pleasure to the female partner. Infact an mismatched genital fit or size may even cause discomfort to the female partner.
Sometimes congenitally short penis is as a result of hormonal deficiency during fetal life.This can be treated with testosterone supplements if the problem is significant and detected in early infancy or puberty.
Despite psychological counselling if the man continues to feel self conscious and doubts his sexual potential due to a small penis ,surgical options for penile lengthening and girth enhancement may be offered. Penile lengthening surgery involves using skin flaps or suspensory ligament dissection. Penile girth enhancement may be done by injection of fat tissue harvested from ones own body.
Many products in the market claiming penile enhancement potential may look tempting.But unfortunately there are no natural or medical products with proven penile enhancement benefits, in the market till date.
Though the LGBT community is slowly gaining acceptance all around the world, people still hesistate to speak openly or seek help regarding gender identity issues and sexual orientation problems.
In the minds of persons with gender identity problems there is a conflict between their perception of self and how they look to the outside world. The gender assigned at birth may not be acceptable to them. Such conflicting ideas may encroach their minds at various points during their life.They may start showing behavioural changes in childhood or later on during adulthood.They face emotional stress due to the mental conflicts ,which worsens as a result of social rejection and harassment.
They will greatly benefit from a consultation with a sexual health expert.A sexologist will plan out a strategy to manage the problems faced by the person with gender identity issues.The goal of treatment is to support the individuals preferred gender and build confidence in them to lead a normal and respectable life.
Treatment modalities for people with gender identity problems are:
- Psychotherapy to relieve them of mental conflicts and stress
- Sex reassignment surgery
- Breast implantation or reduction surgery
- Hormone therapy
Psychosexual orientation is a persons preference with regards to the gender to which they are sexually attracted. A normal sexual orientation is considered to be an attraction towards the opposite sex. Some people have a psychological deviation from normal and tend to be attracted towards the people of the same sex and are called homosexuals.
Despite legalizing homosexuality in many parts of the world ,it still continues to be a taboo.Homosexuals refrain from revealing their sexual orientation fearing social isolation and mockery.They tend to get pushed into marriage with the opposite sex leading to marital discordance and sexual dissatisfaction.
Many homosexuals are constantly fighting a feeling of guilt within their minds.They are unsure if it is alright to feel sexually attracted to people of their same sex.
A sexologist will be able to provide adequate counselling regarding various aspects pertaining to psychosexual health and satisfaction to persons facing sexual orientation problems.
Apart from social acceptance issues, homosexuals may face various sexual dysfunctions just like any other heterosexual couple.
The visual appeal is considered as important as the physical experience for an extremely satisfying sexual life. Sexual aesthetics targets reconstruction of genitals for increased visual appeal.
SEXUAL AESTHETIC SURGERY:
It may be employed so as to repair disfigured genitals or even to improve the appearance of genitalia in men or women.
Testicular implants may be used if in case either of the testicles have been removed surgically in the past.
Disfigured genitalia due to some disease or surgeries in the past, may be reconstructed for the sake of improved aesthetics.
It is common for couples with sexual dysfunction to face infertility issues. So the most important thing is to manage the sexual dysfunction even before evaluating infertility or initiating infertility treatment.
Erectile dysfunction may lead to unsuccessful sexual penetration ,thereby resulting in inability to deposit sperm within the female genital tract.
Premature ejaculation may lead to ejaculating outside the female genital tract.
Infrequent sex reduces the chance of getting pregnant during a cycle. Infrequent sexual intercourse between a couple may be as a result of sexual health problems such as vaginismus, anxiety, lowered sex drive etc. With prompt counselling ,sexual intimacy and frequency of a couple can be increased.
All the above reasons for infertility need to be looked into first. Relaxation techniques and exercise to reduce stress have to be initiated.
Preventing sexually transmitted infections and prompt evaluation and treatment on having acquired them are an important part of sexual health.
A sexologist plays an important role in educating individuals and couples regarding sexually transmitted infections. The sexologist also helps in preventing spread of sexually transmitted infections in the community by identifying early signs of infection, treating it promptly,contact tracing and advising on preventive strategies such as use of condoms.
Men who have sex with men are more prone to acquiring and transmitting dangerous infections such as HIV.
Inability to consummate marriage has been shown to be a major cause for marital discordance. Non consummation of marriage may be due to various psychosexual factors such as performance anxiety, vaginismus, lack of bonding etc. Such problems can be effectively tackled through counselling by a team comprising of a psychotherapist and sexologist.
A detailed knowledge pertaining to sexual health including male and female reproductive anatomy will help a new couple experience a blissful sexual life. Premarital counselling sessions will help allay fears and anxiety and help improve the bonding between the couple.
If your concern about meeting a sexologist is regarding your privacy and confidentiality ,you can rest assured that it is our top priority.You can feel at ease while talking to our expert ,be it the most intimate and sensitive matters.