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First Night FailureFirst night failureIntroductionThe first night or honeymoon night of marriage traditionally means the first sexual encounter for an Indian couple. It is the moment when society legally permits the consummation of the union of man with women. The first night is the most awaited night in one's life.Unfortunately, as sexologists, we come across a large number of clients failing on their night. The first-night failure' often results in sexual dysfunctions, social maladjustments, marital disharmony and even divorce.Why failure?The first night has been given special importance from ancient days. Our Sanskrit literature gives detailed descriptions and exotic fantasies woven around the first night. In the kumar saum bhava, Kalidasa takes liberty in describing the love dalliance of the newly wedded shiv and uma.Our cinema has glorified the first night. The entry of the bridegroom in the decorated bedroom, flower bedecked beds, the bride, veil, glass of milk, sweets and the magic moment begins! today, a large number of novels in vernacular languages are available under erotic titles glamourising the sexual raptures of the first night. So the first night become the most special night of a young couple's life i. E the golden night'. In our culture, till today in many parts of india, adolescent boys and girls are not allowed to interact with each other socially (except in some tribal societies) once the girls attains puberty. Marriages are fixing by elders. There is hardly any change of courting. The first night in reality becomes the first encounter' to know each other. Some young individuals are scared to death about their performance on the first night. Their fear is doubled by misguiding friends, yellow books, white self-advertised pamphlets by quacks and blue films. They have a feeling of sexual inadequacy, 'kamjori' or believe that they have become impotent and life has come to an end.One of the most worrying question on a man's mind whether on the first night' he will succeed in breaking the virginal seal' with bang, as this is supposed to make a successful marriage. Because of this fear, many eligible bachelors avoid marriage. Sometime they end up buying so called sex tonic advertised in lay press or even rejuvenators even prescribed by consultants. To avoid first night' failures some of them even visit prostitutes to test their potency! a women enter into the first night with anxiety, tension, fear and a variety of other emotions. The greatest worry on the mind of the bride is how she will fare in the virginity test'.Virginity is considered a virtue. It is a sign of purity. In some societies, the couple is expected to show the bed cover stained with blood after first night as proof of virginity!Thus, the bedroom, instead of being the foundation for developing tenderness, care, warmth, affection, life long love, pleasure bond, trust, intimacy and relationship, turns into a laboratory for testing potency and virginity.The west got the honeymoon problem i. E. First night failures. One dose not even find a mention of first night failure in any standard text book of sexual medicine or in diagnostic and statistical manual (dsm-iv)Western viewsDr wadell b pomeroy, co-author of the kinsey's report, describes premarital intercourse as a training ground for marriage. Lessons learnt without feeling of guilt and fear and the knowledge of good techniques, go a long way in developing relationship. Urge to have intercourse is like any other urges, e. G. Playing tennis, swimming or dancing, riding a horse or doing anything which gives pleasure. Premarital intercourse, unlike masturbation, is a means of interaction with another human being and consequently is a means of learning how to live with people. Sometime, it is learnt too late after marriage that they are not suited to each other sexually.PrevalenceThe first night' performance as still an important event in one's life. Failure can lead to disaster!It is difficult to statistically because of want of actual reporting and documentation. One can say 20% to 30% of couples who seek sex therapy have failure on their first night or at the time of first sexual contact.AetiologyThe sexual behavior in a human being is the outcome of learning and conditioning sex being considered a taboo, there is hardly any opportunity for learning. Therefore, ignorance, myths, and misconceptions about sex prevail. The most common etiology factor for first night failure in marriage is ignorance about male and female anatomy and facts of sex act. Some couples have unrealistic expectations of sex act.Other cause of first night failure is tight foreskin in male, tough hymen in female and dyspareunia, etcFirst-night blues1 psychologicalInadequate sexual informationRestrictive upbringingA. Sex is dirtyB. Women who enjoy sex are disreputableGuiltSexual mythsFear of pain, failure, not satisfying partnerFear of std/HIV/aids2 organicDysfunction in the partner e. G. VaginismusTight foreskinIf failure occurs on the first attempt, the first thing comes in mind am I impotent?' the more he tries. The more he fails. He feels something is terribly wrong with him. He feels that due to his past habit of masturbation, he has lost his vitality, vigour, and potency. He stops further sexual advances. It starts a vicious cycle of performance anxiety and spectatoring' and failure.Consequences They may avoid sexual activity. They may continue to have only foreplay. They may have good relationship in other aspects of life. Some may suffer from anxiety/depression. Impotency They may make allegations at each other leading to marital conflicts, separation or divorce
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Myths & MisconceptionsMYTHS & MISCONCEPTIONSCausesSexuality is related to obscenity or vulgarity. Therefore there is secrecy. Nobody talks about it openly though there is tremendous curiosity, especially during the adolescence and youth. Secrecy leads to ignorance. They turn to their friends for information, who are equally ignorant and may provide misinformation. Since they cannot dare to ask their parents or teachers, they try it through pornographic literature. They expect quacks to solve their problems. Myths and misconceptions gathered are propagated from generations to generations.Affects Many myths are responsible for Fear, Anxiety, depression Guilt feeling, Poor self esteemOver expectationsSexual dysfunctionsMarital disharmony, conflict, divorceSuicideVictimization by quacks Some of the common myths are mentioned below in italics, followed by their scientific explanations:PenisMen can will an erectionNo. Erection is controlled by parasympathetic part of autonomic nervous system. Like salivation and perspiration, erection is a situational reflex. Therefore sensate focus is the most important factor for getting erection.To satisfy a woman, the man needs a long, thick and straight penis.No. Like the shape of the nose, each penis is different. As a long and big nose does not improve the smell of a rose, A long and thick penis is not required for the pleasure of the self or of the woman. Penis is never straight like the railway signal. In some, it has a shape of banana. Vagina accommodates any shape of penis. Since the length of the vagina is 3.5 inches and only outer one inch is sensitive to touch, any erect penis over 1 inch in length is sufficient.Testes Both the testes should be at the same level. Using tight underwear (Langot) prevents hydrocele and hernia.No, the left testis is usually at a lower level, for some anatomical reasons. If the testes are brought near the body by using tight underwear, their temperature rises and adversely affects the formation of sperms.Semen is a precious fluid.No, semen is like any other secretion to be thrown out of body. Semen is a mixture of secretions from prostate, seminal vesicles and bulbo-urethral glands plus sperms. Semen provides nutrition, helps motility and acts as a vehicle for the transport of sperms.Losing Dhaat in sleep or passing it in urine is a disease. Passing semen Dhaat in sleep is known as wet dreams or nocturnal emission. This is a normal event and a sign of puberty, the beginning of adolescence. It also proves that the reproductive system has started functioning. When the reproductive glands are full with secretions and person gets a sensuous dream, like escape of steam from the cooker, he ejaculates in sleep. This does not cause weakness or loss of vitality.The sphincter of urinary bladder closes during ejaculation. Therefore, semen cannot be mixed with urine. If prostration secretion accumulates in the urethra at night the individual will see milky white secretion of prostate while passing urine next morning. This is physiological. Passing phosphates in the urine is sometimes mistaken for semen. Losing semen through masturbation does not cause not any harm. Masturbation is not a bad habit. It cannot be overdone, since it is controlled by autonomic nervous system. The frequency of masturbation depends upon the hormone, testosterone and the secretions of reproductive glands. Those who have never masturbated since puberty, the ejaculatory reflex do not work after the marriage and hence the man cannot father a child.Masturbation does not cause pimples, weakness, impotence or any other disease. It does not bend the penis. Masturbation or nocturnal emissions are inversely proportional to each other.Not only young people but married persons, old people and the females also masturbate.It is not the loss of semen, masturbation or wet dreams that harm a person, but the anxiety and fear about it harm him. VAGINA.Presence of hymen is the surest test for virginity.No. There is no surest test for proving virginity. A woman may or may not bleed from her vagina at the first intercourse after marriage; even then she could be a virgin. Sports, cycling, horse riding or exercise can be responsible for the tear of the hymen. Hymen, if lax, can remain intact even after the child birth.Hymen is a vestigial structure formed at the junction of external and internal genitals during the embryonic life. It may or may not be present at birth. Character is in the mind and not in the genitals. Secondly, there is a double standard for virginity. Man takes pride in mentioning about the number of women with whom he had sex. Such man deserves no right to ask his wife about premarital sex.Vagina is a sensuous organ. Woman gets orgasm by stimulation of vagina.No. Like esophagus, vagina is developed from endoderm and therefore there is no sensation in vaginal barrel. Vaginal orgasm is a myth. Orgasm in a woman is always clitoral in origin. Clitoris is the homologous organ of penis. The area of vestibule and the outer inch of vagina is developed from ectoderm and hence it is erotically sensitive to touch; only next to clitoris.There is no homologous organ like vagina in man. If men were to have vagina the site of opening would be on the median scrotal raphe, one inch in front of the anus. Vagina is considered as the organ of honor and character. However, physiologically, vagina is a passage for the menstrual flow and baby to outside it is the side of sensuous pleasure for male, where gets maximum erection that terminates in ejaculation for fertility. MENSTRUATION Bad blood is passed out menstruation. Woman becomes impure during menstruation. Menarche (beginning of menstruation) is the first indication that girl has been promoted to become a woman, Every month the inner lining of the wall of the uterus becomes thickened and engorged with blood vessels and mucus glands, ready to nourish the fertilized egg. If the egg is not fertilized, this lining breaks down and is discharged with little blood and mucus through the vagina. This is menstruation. Neither the blood is bad, nor does the woman become impure. A woman can lead a normal and usual life during menstruation. Breasts Small breasts produce less of milk. Their size can be augmented by hormones/ massage. The size of breast has no relation to the production of milk in it.. Even a small breast can produce enough of milk breast- feeding. The size of the breast depends upon the amount of fatty tissue in it.Massage or hormones do not help in increasing the size. For aesthetic reasons, silicon gel implant or fatty tissues injection can help in augmentation of the size of breast. The simplest way is to use a padded bra.Having unequal size of the breast is a normal variation and does not need any treatment. INTERCOURSE The first wedding night is the most sensuous and the most memorable experience. Sex with a virgin woman gives maximum pleasure.No.A virgin woman being a novice may not be able to enjoy sex herself. In fact, love, caring and sharing with the partner is needed. She inhibitions, feel relaxed, establish a loving relationship with partner, engage in foreplay, and then only she will be able to enjoy herself and herself and give the pleasure of sex to him. On the first wedding night, though the expectations are high, both being ignorant about the genitals, having pressure of performance and fear of failure, the intercourse may be unsuccessful and both may disappointed.My friend says that he performs three times every night and each times he lasts for half an hour.He is exaggerating his performance. Researchers have proved that the duration of intercourse from the time of penetration to the time of ejaculation is 1 to 3 minutes. The frequency becomes less and less. However, frequency and duration varies from person to person. For fertility it should be daily or on alternate days especially during the sexual performance is controlled by autonomic nervous system. Man cannot will an erection. If he tries to imitate his friend, nature does not cooperate and he may not be able to get an erection as he desires.Simultaneous orgasm of the two is necessary for pregnancy.No, It is not possible, since every individual has /her own speed. However, women should have orgasm prior to man’s, either by manual stimulation of clitoris or by ‘woman-on-top position. Simultaneous orgasm is not necessary for the pregnancy to occur. A woman is capable of becoming pregnant even without having an orgasm.Sex during menstruation and oral-genital sex are harmful There is no medical evidence to prove that sex during menstruation or oral genitals sex is harmful, provided:1. The mouth and the genitals are cleaned before the act He/she has no dislike or objection to it.Intercourse causes weakness or objection to it.Intercourse causes weakness. Sex tonic improves the performance During the intercourse, the tension in the muscles rises. This is followed by fatigue which recovers in a day. There is nothing like ‘sex tonic’. Masters and Johnson used to say “Sound health, interested and interesting partner is the best sex tonic.Hysterectomy/ menopause is the end of sex life.No. individuals can indulge in sex till the end of life. ‘Use it, or lose it’ is the rule applicable to it. Those who have regular sexual outlet do not find any discomfort or pain during sex.HomosexualityHomosexuality is abnormal. A Homosexual can be identified.A homosexual is normal in every respect except that his sexual orientation is different. There are 4% of male and 2 to 3% of female homosexuals in any society. No definite cause has been found. A homosexual cannot be identified by his look or behavior.Infertility Woman is always responsible for infertility in the couple.In 40 to 50 percent of the couples, man is responsible for infertility.The female is responsible for giving birth to male or female child Male is responsible. It depends on the sex chromosome that fertilizes the egg, If the sperm containing Y sex chromosome fertilize the egg, it will be a boy, and if X sex chromosome fertilizes. It will be a girl.However, this too is not under his control, Whatever the outcome is one has to accept and love the child.Family Planning Pill causes cancer, Coper T leads to profuse menstruation, Papaya causes abortion, and vasectomy leads to impotence.All these are myths. Pill contains minimum amount of hormones. Numerous studies done on the usage of pill show that it does not causes cancer. Copper T may cause little excessive menstrual flow in some cases that too initially only. Papaya or any other food stuff or hormone injection does not cause abortion. Manual vacuum aspiration is the only way (up to 6 weeks) for the termination of pregnancy. Vasectomy does not interfere with person sexual desire, erection or sexual performance. The quantity of semen also remains as before only that it does not contain sperms.STI/ HIV/ AIDSA Person using public toilet, using cloths of the patient or touching him, is liable to get STI or HIV infection NO. These diseases are transmitted through sexual contact. The germs of these diseases do not thrive in open. Using the public toilet, using the clothes or utensils used by the patient cannot transmit these diseases.Miscellaneous female has ten times the sex desire than that in the maleNo. the hormone responsible for the sex desire testosterone is more abundant in the male than in the female. She is interest in love, caring and sharing than in intercourse. For that reason there are no male sex workers to service the females. Hysteria is the female is due to sex starvation. Marriage is the solution Hysteria is a psychological disorder sex starvation does not cause any disease. Marriage in such a mental state complicates the problem.Blood group of both should be matched before marriage.Blood groups need not be matched, but the compatibility of Rh factor in blood of both should be examined. If the female is Rh negative and male is Rh negative, then the second child of this couple may get jaundice and may not survive. To avoid this Rh negative female is given Anti D immunoglobulin injection immediately after first delivery (or after abortion).Posted by Dr. Ramesh Maheshwari, Wnho Clinic, 2014 sadashiv peth, Tilak road, Pune. Free to call for further information.
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Peeling is the application of chemical agent to bring about exfoliation of the epidermis with remodeling of the collagen and elastic fibers in the dermis .A peel removes several layers of sun damaged skin cells, leaving fresh skin, which has a more even surface and colour.It may stimulate new collagen to be formed improving texture.The result of the first peel may be disappointing, but after repeated peels, significant improvements is usually evident.Principles of chemical peels⦁ Exfoliation of superficial dead layer of skin (Stratum Corneum)⦁ Promotes collagen production⦁ Stimulates new cell growth ⦁ Cleansing of clogged pores⦁ Reduces production of the sebum by the oil glands⦁ Regulation of moisture levelChemical Agents used for peeling⦁ AHA----Alpha Hydroxy Acids- i.e Glycolic Acid , Lactic Acid, Mandelic acid⦁ BHA----Beta Hydroxy Acids- i.e Salicylic Acid⦁ PHA----poly Hydroxy Acids – combination peel⦁ TCA----Trichloroacetic Acid⦁ Phenols----Carbolic AcidTypes of peels⦁ Very Superficial ----Glycolic acid⦁ Superficial ----Lactic acid⦁ Medium ----PHA, Salicylic acid, TCA⦁ Deep ----PhenolsOf these peels the Alpha Hydroxy Acids are the most commonly used.Introduction –Benefits of AHA’s were first discovered by Dr. Eugene van scott in 1970.AHA- Alpha hydroxyl acids----They are also called as fruit acids as they occur naturally in certain fruits. Different AHA’s with their sources-----⦁ Glycolic Acid – Sugarcane⦁ Lactic acid – Fermented milk⦁ Mandelic Acid –Bitter Almonds⦁ Malic acid – Apples⦁ Tartaric acid- GrapesOf these the Glycolic acid & Lactic acids are used generously.Glycolic acid has the smallest molecular weight and is easily able to penetrate the skin. It is a weak acid. It has a keratolytic action .with higher pH it acts as a moisturizer . since it is a weak acid it does not a self neutralizing action by coagulation of proteins hence it has neutralized with water or weak buffer.Glycolic acid result in superficial skin injury and are well tolerated-the ‘lunchtime’ peel. They remove thin lesion on the skin surface, reducing pigment and surface dryness.There are newer glycolic peels which are most potent and still do not irritate. These peels contain Strontium Nitrate. One such brand widely used is Refinity(70% glycolic acid+strontium nitrate) and Cosmoderm(50%glycolic acid+strontium nitrate)INDICATION OF GLYCOLIC ACID1) Acne2) Hyperpigmentation3) Freckles4) Fine lines and wrinkles5) Sun spot6)Open pores7) Clogged pores8) Under eye dark circlesCONTRAINDICATIONS:1)Active infection2) Open cuts3) Photosensitivity4) Past reaction to peel5) Facial surgery in three monthsQUALITIES OF GLYCLIC ACID:Full face or spotsVery superficialExpensiveLong lifeAvailable as liquidDifficult to preparePRMING:Preparing the skin before the peelPriming is done for period of 10 days daily with a lower concentration of glycolic acid (6%) applied only at night. Stop application on day 11, 12, 13th and the pel is done on the 14th day.BENEFITS OF PRIMING :1) More uniform penetration of the peel2) Reduces the risk of hyper pigmentation3) Reduces wound healing timePEEL SENSITIVITY TEST:It is done on the side of the neck to detect sensitivity to the peeling agent .During this first apply 20% GA and watch for 3 mins. Patient will feel slight burning or itching sensation. If this sensation is mild with no redness on the area for 3 mins that means the patient can tolerate the peel on face. So wash the peel with cold water and proceed for the face.On the hand if after application you notice redness with 1-2 mins then immediately neutralize the part . Dilute the peel with 2 drops of rose water , repeat the test patch on other side of neck. If patients tolerates this then do the diluted peel on the face.On the day of peel:Materials Required for peel----⦁ Required peel⦁ Neutraliser⦁ Measuring cups x2⦁ Brush x 2⦁ Cleanser⦁ Vaseline⦁ Ear bud⦁ Head band⦁ Cotton⦁ Rose water⦁ Eye pads⦁ Mask⦁ Sun screenPROCEDURE:1)Elevate the client's head by 45 degrees.2) Tie Head band3) Cleanse of the face with pre- peel cleanser ( to be used according to the skin texture , I. e. oily, normal , dry etc)4)Apply Vaseline to sensitive areas like outer and inner canthi of eyes , angle of month and nose with ear bud.5) If client is about to undergo peeling for the first time, then a Peel Sensitivity Test should be performed.6) Apply 1 ml 20 % Glycolic acid in stroke with peel brush . As you touch the peel brush on face start the timer. Strokes should be outward to inward , single stroke application approximately time of application should be 45 secs, and peel to be kept for 3 mins only. This 3 mins includes your time of application also.7) Mild itching and burning sensation is experienced, which is normal.8) After 3 mins, dab the under eye and upper eye with cold water 1st then neutralize the rest of the face with 2ml of neutralizer.9) Neutralization of peel can be done 2-3 times in same manner During neutralization patient feels warm sensation. This is due to acid base reaction.10) Then clean the face with cold water and give cold compress the face when patient complaining of any of any burning .11) Apply face mask for 20 mins.12) Remove the mask and apply sunscreen according to the skin type .Precautions: While doing peel if there is unbearable burning , stinging , frosting immediately neutralize the peel with cold compress.POST PEELING CARE –1) Can wash with plain water after 2 hours. Soap can be applied after 12 hours.2) There will be mild redness for 1-2 hours.3) Avoid direct sunlight . Apply sunscreen 20 min before sun exposure.4) Avoid swimming and sweating for 2-3 days.5) No facial bleach , treading , waxing , plucking for 7 day before and after peel.6) Avoid make up for 12 hours.7) Do not use medicated cream 2days before and after peel.8) Do not pick, Picking delays healing causes scarring.9) Moisturize- use moisturizers after peel.OTHER PEELS-1 ) BETA HYROXY ACID – SALICYLIC ACID –Salicylic acid is derived from sweet birch , willow bark and wintergreen leaves. It is lipophilic and act as a kerotolytic agent by dissolving the intercellular lipids, surrounding the keratinized epithelial cells. Due to its lipophilic nature it acts on the sebaceous follicle, has excellent comedolytic activity and hence is very useful for acne. It has anti inflammatory and antimicrobial properties. INDICATIONS:# Active pustular acne# Open poresPROCEDURE—Salicylic acid is used only as spot peel.DO NOT USE ON FULL FACE.Used inA combination with glycolic peel.2) POLY-HYDROXY ACID PEEL-Also called as body peel .To be used only on body.INDICATION:Fine lines and wrinklesRehydration of skinDark back , elbow , forearmsPigmented feet , handsPROCEDURE-Same as glycolic acid. Only in this case test patch not required as we are doing on body. Cleaning, application, timer , neutralization remains the same. Post Peel Instructions remains same for all peel procedures.SKIN WHITENING PEEL—(PEEL BOOSTER)---INDICATIONS*Tanned skin*Pigmented skin*Melasma*Dark underarms , hands, feet…PROCEDURE: *Elevate the clients head by 45 degrees*Tie hand –band*Cleanse of the face with pre-peel cleanser( to be used according to the skin texture .i.e.oily , normal dry etc.)* Apply Vaseline to sensitive areas like outer and inner canthi of eyes, angle of mouth and nose with ear bud.*Take 1 ml of peel booster in a measuring cup and with the brush apply it in same direction on the entire face. NO TIMER is required .After application let it dry completely.* After drying now over the booster apply 1ml of glycolic acid 20% ( here timer is necessary)* Time for 3 mins if patient is comfortable then neutralize after 3 min.2)LACTIC ACID PEEL:-INDICATIONS:-Sensitive skin-Dehydrated dull skin-Under eye dark circles4) DARK CIRCLE PEEL:-INDICATIONS:--⦁ Under eye dark circles.⦁ Periorbital melanosis⦁ Fine lines, wrinkles⦁ Open pores.5)ANTIACNE PEEL:-INDICATIONS:-*Acne*Boils , Pustules.*FolliculitisDIFFERENCE BETWEEN AHA and BHA AHA BHA1) They are water soluble 1)They are lipid soluble2) Has keratolytic action. 2) Anti-inflammatory, anti-microbial, comedolytic3) Requires neutralization 3) No neutralizer required4) No frosting occurs 4) Pseudofrost occurs5) Glycolic 5)Salicylic6)For pigmentation 6) For acne7) Prepared from sugarcane 7) Prepared from Sweet birch, willow bark, Wintergreen leaves.Combination Peels – Multiple peeling agents in combinations are used to compliment their synergistic activity and inhance their efficacy and depth.E.g. Salicylic acid with a Mandelic acid targets the Seborrhea, residual acne, post acne pigmented early grade 1 scars as well as textural improvement. Mandelic acid has antibacterial properties and is safer for dark skin types.Sequential Peels – One peel is printed and terminated and followed sequentially by another peel in the same sitting which can be termined or left on slow release peel.E.g. Salicylic acid followed by Mandelic acid, Glycolic acid or Retinol peel. Salicylic acid peel followed by a TCA obtains moderate depth effects.Switch Peels – Includes usage of different peeling agents in rotation in subsequent sittings. E.g. Salicylic acid or a Retinol peel in comedogenic or Inflammatory acne switched over after clearance to Glycolic , Mandelic or phytic in subsequent sessions to improve scars and texture.Slow Release Peels – Some peels works on controlled (gradual)release of the product progressively and ensures complete penetration and full action of all components in the solution. Easy phytic peel composed of three hydroxyl acids with phytic acid, 3 AHA are glycolic acid, lactic acid and mandelic acid.
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Best Sexologist in Pune, Maharashtra, India.Welcome to sexual health doctor (sex expert) - Dr. Ramesh Maheshwari clinic for sex counseling & therapy. He is the Best Sexologist in Pune & Mumbai, India for advice/treatment on all sex problems like Erectile Dysfunction (ED), Premature Ejaculation (PE), painful sex (dyspareunia), penis size (small) shape angle issues, difficult first time sex (non-consummation), lack of sexual desire, absent/lack of orgasm pleasure, website- http://www.wnhohealthcare.co.in homosexuality, gender identity, sexual abuse, masturbation and circumcision questions and worries, phimosis, Paraphimosis and addressing this problem without circumcision surgery.Sex is a biological need and one of the most intimate and pleasurable of all human experiences. However, it can become a major concern for some persons who face recurrent sexual problems. Almost every person faces sexual or relationship problems at some time or other during his/her lifetime and is really bothersome if it is continual in nature. Some couples require many weeks or a few months and sometimes even 1-2 years or more to sexually adjust with each other. A few couples never become sexually compatible and unfortunately if they never seek professional help, the problem is never resolved.Often, as men and women approach their mid-life, they face sexual problems. Like any other major health problem like cancer, diabetes and heart disease, it is beneficial to seek early treatment for sexual problems. Brushing these issues under the carpet may be harmful as it can undo a good relationship and could bring about discord and resentment in the couple. Often, in our culture, mediation and help is sought from friends and relatives. However, seeking professional help is always better as it is unbiased, scientifically correct and based on objective consideration of the overall problem.Sometimes, relationship problems such as poor communication, continuous conflict and avoidance of sex for any reason can wreck in the life of a couple. Dr Maheshwari offers personal counseling to individuals or couples facing sexual problems that include low sexual desire, premature ejaculation, inability to orgasm, erectile difficulty, vaginismus (involuntary tightening of vaginal muscles causing pain and preventing entry of penis) and delayed ejaculation. Dr. Ramesh Maheshwari believes in using Medication as well as Specific Exercises and Diet along with Behavioral and Cognitive Therapy and Psychotherapy in treating sexual problems. His experience is that this combination is much more effective than using just one single approach.Dr. Ramesh Maheshwari also offers workshops/seminars to groups of individuals or corporate clients on different aspects of Human Relationships and Sexuality to learn more about sexuality and thereby enhance sexual pleasure. For those who are interested in Tantra Sex, Dr. Maheshwari has special counseling sessions. This aims in helping men to overcome premature ejaculation and get stronger long lasting erections. For women, understanding tantra helps them to overcome sexual nervousness and enjoy true full body orgasms.Dr. Ramesh Maheshwari is a highly trained and experienced Physician, Sex Counselor and Clinical Sexologist. He offers personal individual and couple counseling, sex therapy, marriage help, marriage counseling, sex advice, sex coaching group workshops and other educational events. You can also consult top and finest sexologist Dr Ramesh Maheshwari by phone from anywhere in India be it Pune, Mumbai or any other city in Maharashtra or other states - for sex education of teens, students, pre-marriage and post-marriage counseling for men, women and couples on contraception, pregnancy, infertility and HIV/AIDS counseling and therapy. This website is meant to inform people about Dr.Ramesh Maheshwari approach towards sex counseling and therapy so that they can choose to come and resolve their personal problems on sex and other related issues.Address- Dr Ramesh Maheshwari Wnho Health Care Pvt Ltd, 2014 Tilak Road, Near SP College Grahak Peth, Opposite ICICI bank. Email drrameshm2@gmail.comWebsite -www.wnhocare.co.in / www.sexualdoctorpuneindia.com
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WNHO Sexology Cosmetology Package90 Days validity • Medicines includedPrice: ₹6000 ₹3000Buy Now Send EnquiryWhat is this package about?It is important to look flawless because good looks result in greater self confidence and Love Making Which is most Ideal for Sex enhancement. When your unblemished skin attract the attention of the onlookers, you feel beautiful. Acne, pimple, breakouts and other skin problem are the reason so many people don't feel satisfied with their looks. Pimples occur due to several internal and external causes. Often leave a unpleasant marks behind it's important to identify and uproot these causes to completely cure these skin conditions.Avail this pimple care to clear you skin impurities, internally.This package includes the following:- A thorough examination of the patient's medical history- Diagnosis of skin problem affecting you- Recommendation change in the dietDerma Roller: Derma Roller are made of many high-grade micro needles which roll over and penetrate the skin upper surface painlessly. These revolutionary devices provide two major benefits.- Firstly, they stimulate collagen growth which significantly improves the appearance of scars, fine lines, wrinkles, stretch mark, acne scars.- Secondly, they allow the transdermal application of creams, gels and oil, to be absorbed far more effectively-boosting their effectiveness massively. - Natural Peeling Spray- Use after Derma Roller.- Training to Use Derma Roller will be given in Video Consulting - Prescribing medication required- Homoeopathic Medicines for 3 months.- Derma roller with natural peeling spray.Type of skin problem - Pimples- Rashes- BoilsWhat does the Acne package treat?- Acne- Skin blemishes- Dry skinWhat are the advantages of the package?The acne package comes with a lot of advantages. It will result in fairer skin and stronger hair among women. It will help women in enhancing their beauty and therefore help them feel more self-esteemed.The process of treatment used in the package:1. Conducting an analysis of your medical history2. Diagnosis your problem3. Finding out the duration of your problem4. Providing medicines suited to your case5. Creating a diet chart to prevent the recurrenceConsultations offeredText Chat (90 days validity)1 No.Audio Call (10 mins validity)3 Nos.Video Call (10 mins validity)2 Nos.
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Dr Ramesh MaheshwariWNHO HEALTH CARE PVT.LTD, Pune.Mobile 9822006427.Welcome to sexual health doctor (sex expert) - Dr. Ramesh Maheshwari clinic for sex counseling & therapy. He is the Best Sexologist in Pune, India for advice/treatment on all sex problems like Erectile Dysfunction (ED), Premature Ejaculation (PE), painful sex (dyspareunia), penis size (small) shape angle issues, difficult first time sex (non-consummation), lack of sexual desire, absent/lack of orgasm pleasure, homosexuality, gender identity, sexual abuse, masturbation and circumcision questions and worries, phimosis, Paraphimosis and addressing this problem without circumcision surgery.Sex is a biological need and one of the most intimate and pleasurable of all human experiences. However, it can become a major concern for some persons who face recurrent sexual problems. Almost every person faces sexual or relationship problems at some time or other during his/her lifetime and is really bothersome if it is continual in nature. Some couples require many weeks or a few months and sometimes even 1-2 years or more to sexually adjust with each other. A few couples never become sexually compatible and unfortunately if they never seek professional help, the problem is never resolved. Like any other major health problem like cancer and heart disease, it is beneficial to seek early treatment for sexual problems. Brushing these issues under the carpet may be harmful as it can undo a good relationship and could bring about discord and resentment in the couple. Often, in our culture, mediation and help is sought from friends and relatives. However, seeking professional help is always better as it is unbiased, scientifically correct and based on objective consideration of the overall problem.Sometimes, relationship problems such as poor communication, continuous conflict and avoidance of sex for any reason can wreck in the life of a couple. Dr Maheshwari offers personal counseling to individuals or couples facing sexual problems that include low sexual desire, premature ejaculation, inability to orgasm, erectile difficulty, vaginismus (involuntarily tightening of vaginal muscles causing pain and preventing entry of penis) and delayed ejaculation. Dr. Ramesh Maheshwari believes in using Medication as well as Specific Exercises and Diet along with Behavioral and Cognitive Therapy and Psychotherapy in treating sexual problems. His experience is that this combination is much more effective than using just one single approach.Dr. Ramesh Maheshwari also offers workshops/seminars to groups of individuals or corporate clients on different aspects of Human Relationships and Sexuality to learn more about sexuality and thereby enhance sexual pleasureDr. Ramesh Maheshwari is a highly trained and experienced Physician, Sex Counselor and Clinical Sexologist. He offers personal individual and couple counseling, sex therapy, marriage help, marriage counseling, sex advice, sex coaching group workshops and other educational events. You can also consult top and finest sexologist Dr Ramesh Maheshwari by phone from anywhere in India be it Pune, Mumbai or any other city in Maharashtra or other states - for sex education of teens, students, pre-marriage and post-marriage counseling for men, women and couples on contraception, pregnancy, infertility and HIV/AIDS counseling and therapy. This website is meant to inform people about Dr. Ramesh Maheshwari approach towards sex counseling and therapy so that they can choose to come and resolve their personal problems on sex and other related issues.Address- Dr Ramesh Maheshwari Wnho Health Care Pvt Ltd, 2014 Tilak Road, Near SP College Grahak Peth, Opposite ICICI bank. Email drrameshm2@gmail.comWebsite -www.wnhocare.co.in / www.sexualdoctorpuneindia.com/ www.wnhohealthcare.com…………………………………………………………………………
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