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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.com Website -www.wnhocare.co.in / www.sexualdoctorpuneindia.com
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    First Night Failure First night failure Introduction The 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 views Dr 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. Prevalence The 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. Aetiology The 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, etc First-night blues 1 psychological Inadequate sexual information Restrictive upbringing A. Sex is dirty B. Women who enjoy sex are disreputable Guilt Sexual myths Fear of pain, failure, not satisfying partner Fear of std/HIV/aids 2 organic Dysfunction in the partner e. G. Vaginismus Tight foreskin If 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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    Medico Legal Aspect of Sex Therapy Tip Image Medico legal aspects of sex therapy Introduction Sex and human sexuality are sensitive subject. To deal effectively with any problem of human sexuality, one has to constantly evaluate its merits and demerits from social, scientific, moral, ethical and most importantly from the legal angle. Following are some of the guidelines for therapist to keep in mind while dealing with clients with sexual problems. Consent Taking informed and expressed consent is of utmost importance while managing any patient. Examining and / or treating a patient without consent would amount to assault and battery which is punishable under criminal law irrespective of absence of negligence or successful outcome of treatment. The consent should be free willed, informed, intelligent, specific and express. Person giving consent should be competent to do so, failing which, consent should be obtained from the lawful guardian of the patient (in cases of minor and/or mentally retarded). Examinition of a female client Besides obtaining a valid consent, in case of female patient, the therapist should always have a female assistant present when examining a female patient this is important for the therapist in order to protect himself from a possible charge of indecent behaviour molestation or even sexual offence like rape ect. Being llevelled against him. Mere presence of husband or any male companion of the female patient is not enough. A sex therapist, in particular, is most vulnerable and therefore should be most careful. Use of surrogate partners Use of surrogate partners for sex therapy is questionable both ethically as well as legally. Sexual involvement of the therapist is universally accepted as unethical. There have been a number of cases where the therapists themselves, having acted as surrogates, have been punished for sexual molestion of their patients. It may also invite a criminal charge of adultery in some countries, including india. There are cases on record where the therapists have been charged with and convicted of rape. Unlike some other countries, the socio cultural set up in india is different. The laws governing sexual behaviour are neither liberal nor evolved as much as in some of the western countries. Besides, surrogacy is likened to prostitution by many. Even if one were to consider surrogate partner as a therapist, then the ethical code prevents a sexual relationship with a client. Moreover, there is every possibility of a disease being transmitted. Particularly the hiv infection, in view of sex with multiple partners by a surrogate person. Therapist should have uppermost in mind the special values of intimacy and love that our culture teaches us to nurture. Professional competency It is the ethical responsibility of every sex therapist to maintain high standards of professional competence and integrity. Competence without integrity or integrity without competence is an unsatisfactory compromise of professionalism. It is most important to protect the public and the other professionals from persons who represent themselves as sex therapists who are in fact lacking in competence and intergrity. Competence in another primary discipline such as psychology, psychiatry or counselling is not equivalent to competence in sex therapy. A sex therapist should possess adequate knowledge of the following: 1. Sexual and reproductive anatomy and physiology. 2. Developmental sexuality from a psychobiological point of view. 3. Marital, family and interpersonal relationship and socio-cultural factors in sexual values 4. Physiological and medical factors that may influence sexual functions such as pregnancy, contraception and fertility, illness, disability, medications. 5. Multimodel techniques and theory of sex therapy and psychotherapy. 6. Pharmacology of the medications used to treat sexual dysfunctions particularly with respect to their adverse effects and interactions with the drugs being consumed for other ailments. 7. Ethical issues in sex therapy and principles of evaluation and referral. 8. Laws related to sexual behaviour. Points to bear in mind all forms of sex therapy which violate the local laws should be handled with care recommending oral sex as a part of therapy is violative of section 377 of the indian penal code which deal with unnatural sexual offences. the hippocratic oath forbids the physician to take advantage of the therapeutic context in order to engage in either homosexual or heterosexual relationship. it is a universal rule that whenever dealing with reproductive functions is involved, express consent of both the spouses should be obtained. proof of competence is the ability to provide objective and responsible services to the clients. there does exist a potential liability under the laws of the land prohibiting consensual conduct such as prostitution, fornication, lewd and lascivious behaviour and adultery which might arise from therapeutic or non- therapeutic sex research activities. sex between therapist and client is always unethical. No matter how therapeutic the rationale might appear, there is no justification for a therapist having sex with a client. The purpose of sex therapy is to improve function, not to change values or beliefs of the client.
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    Dr Ramesh Maheshwari WNHO 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 pleasure 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.com Website -www.wnhocare.co.in / www.sexualdoctorpuneindia.com/ www.wnhohealthcare.com ………………………………………………………………………… 
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    New Expanded Clinical Sexology Program Indian Society of Sex Medicine This certificate prepares professionals to answer sexual questions and provide relevant sex education to their respective clientele. The required 150 hours of credit will focus on sex education videos, the history of sexology, and developmental sexology throughout the life span. It will include courses on textbooks and a comprehensive workbook of monographs, t for a Better Sex Life, personal exercises, and self-testing forms. All materials will be retained by the student for future use. Clinical Sexology Diploma Certificate This certificate is given upon completion of the Associate in Sex Education and 150 additional hours of study in the following program areas: socio-cultural implications of sexology; sexual anatomy and physiology; health perspectives; sexual dysfunctions; legal/ethical issues; and erotology. Attendance at a one-week course (or two weekend courses) at the Institute is a requirement. All texts will be retained by the student for future use. ATTENTION: FOR ALL THE ABOVE COURSES, STUDENTS RECEIVE ALL PRINTED MATERIALS AT THE TIME OF ENROLLMENT, THEREFORE, THERE WILL BE NO REFUNDS ISSUED. Take these advanced Diploma in Sexual Medicine Certificates For to enhance your professional skills and clinical practice. Megalis dose- 1st month- 1 tab twice a week. 2nd month- 1 tab once in a week. 3rd month- ½ tab once a week. Then stop medicine. Chyawanprash dose- 1 tsp with a glass of milk for 3 months PE- you can do Kegel's exercises ( start and stop flow method while urinating )if problem persists You need male sexual function analysis, consult a sexologist. Masturbation - Masturbation is normal does not cause any harm. Paraphimosis - consult a surgeon, you may need circumcision. It may be Phimosis, consult a local doctor for diagnosis. you may need circumcision. ED- you need a male sexual function analysis, consult a sexologist, and do not indulge in self medication PE- If you have problem of premature ejaculation you can do Kegel's exercises ( start and stop flow method while urinating) if problem persists You need male sexual function analysis, consult a sexologist. Viagra- Viagra has side effects and is not recommended regularly, as it stops working if you take it regularly. please do not indulge in self medication . Nightfall- Sperms are formed regularly in testes and therefore ejected out from time to time, don't worry its normal. Sperms are formed regularly in testes and therefore ejected when you have erotic dreams, don't worry its normal. Size- No medicine can increase penile size. you can try vacuum erection device exercises, consult a sexologist. Size- Its due to anxiety, Size does not matter for satisfying a female, as outer 1/4 of vagina is only sensitive and No medicine can increase penile size. size does not decrease because of it. You need male sexual function analysis to rule out cause of loss of libido, consult a sexologist. You need male sexual function analysis, consult sexologist. Viagra- If you are getting erection, why you want to take viagra. Viagra has side effects and cannot be taken for longer duration, as it stops working if taken regularly. Consult a sexologist and do not indulge in self medication. Paraphimosis - yes it should go back smoothly. apply lox 2% gel and try to retract skin daily, it will get solved, otherwise consult a surgeon you may need circumcision. Oligospermia- If you have oligospermia, consult a sexologist you will need medication. Frequency of sex - There is no such criteria for doing sex you can do as many as time you and your partner want. orchitis -it can be orchitis, need antibiotics, consult a sexologist who can rule out if its orchitis. Fungal- you have fungal infection, it takes time to heal completely, keep the area dry. and consult a doctor as you will need anti fungal tablets too along with cream. Curvature- unless you have problem while inserting during sex, curvature is normal, do not worry. Infection - may be infection consult a local doctor for examination. you need examination for diagnosis consult a local doctor.
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