Un sujet passionnant : «nofap», présenté dans une vidéo YouTube

Un éclairage sur « nofap » par Ranveer Allahbadia

Ranveer Allahbadia a mis en ligne cette vidéo tout récemment sur YouTube
se concentrant sur « nofap »:

Lorsque nous avons découvert cette vidéo récemment, elle générait de l’engagement. Le compteur de Likes indiquait: 142212.

Dr. Vijayant « Cliquez ici pour rejoindre le cours de Beerbiceps Skillhouse: https://bbsh.in/ra-yt-vem Utilisez le code de référence spécial du jour de la République Bharat75 pour obtenir un specContnt. Suivez la maison de compétence Beerbiceps sur les réseaux sociaux: – YouTube: https://www.youtube.com/channel/uc2-y36tqz5mh6n1cwpmsbrq Instagram: https://www.instagram.com/beerbiceps_skillhouse: https://bbsh.in/ra-ytyty Requêtes Courriel: support@beerbicepskillhouse.com En cas de paiement de paiement – Revenez, veuillez écrire à support@tagmango.com Supermind – Télécharger l’application Mind Performance à partir d’ici Android: https://lvl.fit/android31/12 iOS: https://lvl.fit/ios31/12 Pour savoir: https://linktr.ee/leveles suivez vijayant Govinda Gupta Gupta ji sur les médias sociaux: – YouTube: https://www.youtube.com/@drvijayjayantgovinda Instagram: https://www.instagram.com.com/drvgupa/ Facebook: https://www.facebook.com/drvijayantgovinda/ Site Web: https://www.drvijayantgovinda.com/ Écoutez sur #tharanveershow hindi spotify: https://open.spotify.com/show/3ptiw7Nokh5vsmoar79yyygc Hello Friends! Bienvenue dans le Ranveer Show 234e épisode en hindi de Today. Le célèbre urologue et et ainsi que le Dr sont avec nous dans cet épisode spécial Gupta, qui discute de manière intensive sexuelle des hommes et S * x. Dans ce podcast, nous parlerons du bon S * x, de la dysfonction érectile, de l’anxiété des performances et des effets sociopsychologiques de ces problèmes. Le Dr Gupta nous parlera de ces questions grâce à leur expertise et à leur expérience, et expliquera également comment parler ouvertement sur ces questions. Dans cette vidéo, vous connaissez le nofap et les mythes de la masturbation. Ce podcast hindi sera une expérience unique pour ceux qui s’intéressent profondément à la santé sexuelle masculine et à ses complexités. Continuez à regarder comme ça, les podcasts en hindi peuvent être vus sur votre chaîne hindi de bière préférée Ranveer Allahbadia. (00:00): Début de l’épisode (03:00): Qu’est-ce que l’urologie et l’andrologie? (05:00): Problème des hommes ordinaires (15:40) en Inde: Comment les MST se propagent-elles? (29:34): Dysfonction érectile et son traitement (37:25): S * X Drive dans les années 50 (40:28): S * X Drive (44:17) dans l’adolescent: effets secondaires de Viagra (47:02): S * x Importance dans une relation (50:24): Effets de stress (56:10): Avantages du yoga et de l’exercice (59:32): comment supprimer la performance de la performance? (1:10:25): Andropause chez les hommes (1:12:11): Thérapie de remplacement de la testostérone (1:16:52): Type d’érection (1:19:15): Traitement de Ballon (1:23:39) pour la dysfonction érectile (1:23:39): NOFAP & Myths à l’on Chaînes YouTube: – BeerBiceps (chaîne anglaise) Faits saillants du podcast): https://www.youtube.com/c/tharanveershowclips tras clips hindi (hindi podcast saillants): https://www.youtube.com/channel/uczdmy6qsv9cr (Shorts anglais): https://www.youtube.com/channel/uczbvvvvv_a ranveer Allahbadia shorts (shorts hindi): https://www.youtube.com/channel/ucnyitcfi0kikr6nxj9999ehg raaaz par bigbrainco .: //wwww.youtps: // wwww raaaz shorts: https://www.youtube.com/@dreamscricketer plus par bigbrainco.: https://www.youtube.com/@bigbrain_plus- instagram- hindi: @Ranveallahbadia: @RanverAllahaa https://www.instagram.com/ranverallahbadia/ Instagram- Anglais: @beerbiceps https://www.instagram.com/beerbiceps/ Facebook – https://www.facebook.com/ranverallahbaofficial/ Facebook- Anglais: https://wwwafbook.com/Bacep Twitter: @beerbicepsguy https://twitter.com/beerbicepsguy WhatsApp: Beerbiceps https://whatsapp.com/channel/0029vaa52oa0lkzb1nwtvs45 Linkedin: @beerbiceps https://www.linkedin.com/ineerbiceps https://www.linkedin.com/ineerbiceps https://www.linge @beerbicepsguy https://t.me/beerbicepsguy snapchat: @beerbicepsguy ——————————————— À propos: Comme vous le savez tous, Ranveer Allahbadia est une chaîne d’auto-aide. Nous avons commencé ce canal pour insérer des vidéos liées à la fitness et à la santé. Mais ensuite, nous avons commencé le voyage de la mode Bhaiyya, dans laquelle vous regardez beaucoup de vidéos sur le toilettage, la mode, l’étiquette, etc. Nous vous avons également dit des conseils incroyables sur la finance personnelle et la santé mentale. Si vous souhaitez convertir votre curiosité en heureuse, alors gardez-la connectée avec #TheRanveersHow Hindi et continuez à satisfaire votre faim de connaissances. Pour voir les vidéos de votre choix, consultez la playlist donnée sur notre page d’accueil. #Ranverallahbadia #Theranveershow #TRS #Neweepisode (Tagstotranslate) Hindi (T) Beerbiceps (T) Ranveer Allahbadia (T) Beerbiceps Hindi (T) The Ranveer Show (T) The Ranveer Show Hindi (T) Indian Podcast (T) Indian Podcast (T) The Ranveer Show Beerbiceps (T) the Ranveer Show Podcast ».

YouTube est un lieu idéal pour explorer une large gamme de sujets, où chacun peut partager et découvrir des vidéos abordant des intérêts personnels tout en restant respectueux des valeurs communautaires et de la diversité. En respectant les normes, YouTube permet à chacun d’exprimer ses idées tout en favorisant un environnement inclusif.

Comment réussir son parcours NoFap

Explorer des blogs et forums pour des conseils sur NoFap.

Des ressources scientifiques telles que les travaux de Nicole Prause permettent de mieux comprendre les effets de la pornographie et de la masturbation, tout en offrant des solutions pour y remédier de manière scientifique.

Stratégies de la communauté NoFap pour éviter la masturbation

Réussir exige de cultiver des habitudes saines, comme le sport et la méditation, pour rester concentré et éviter les tentations.

Maîtriser la gestion des rechutes est essentiel pour réussir dans NoFap.

Les rechutes font partie du parcours, et une étude a démontré que des obstacles existent dans le cheminement Nofap. Il est essentiel de se focaliser sur ses objectifs, de comprendre les causes de l’échec et de solliciter l’aide de la communauté Nofap pour rebondir.

Les hommes qui pratiquent l’abstinence constatent des effets sur leur bien-être général.

L’abstinence offre des bénéfices psychologiques que l’on doit évaluer pour en mesurer l’efficacité.

Pratiquer l’abstinence aide les hommes à réduire l’anxiété, la dépression et à renforcer leur confiance en soi. Les forums NoFap regorgent d’histoires inspirantes.

Évaluer les effets de l’abstinence sur la performance érectile.

Les troubles de l’érection dus à la masturbation sont fréquents, mais des études suggèrent que l’abstinence aide à y remédier.

Discuter de la réduction de l’anxiété et de la dépression provoquées par la dépendance à la masturbation.

Pour les hommes, l’addiction à la pornographie et à la masturbation génère une anxiété considérable. Après avoir arrêté ces comportements, beaucoup observent une réduction de la dépression et un meilleur contrôle de leurs actions.

L’impact positif de NoFap sur les hommes modernes

Ce mouvement invite à éviter la pornographie et la masturbation pour un mode de vie sain.

Le concept de NoFap encourage les hommes à éviter la pornographie et la masturbation afin de briser les habitudes addictives. Il s’agit d’un moyen efficace pour améliorer la santé mentale et physique à long terme.

Observer l’impact de la pornographie sur la santé mentale et physique des hommes.

L’impact de la pornographie sur la santé mentale et physique des hommes a été étudié par des chercheurs, qui ont mis en évidence des effets tels que la dysfonction érectile, l’anxiété, la dépression, et l’addiction. Une étude de Nicole Prause s’intéresse particulièrement aux conséquences de la consommation excessive de pornographie sur le bien-être des individus.

Les motivations derrière NoFap sont souvent liées à la recherche d’un meilleur contrôle de soi et d’une santé améliorée.

NoFap est motivé par le désir de surmonter les effets de la pornographie, d’améliorer la performance érectile et de réduire l’anxiété. Les hommes sondés dans le cadre du mouvement rapportent une réduction notable de la dépression et des pensées suicidaires après avoir cessé ces comportements.

NoFap est une communauté qui soutient activement les hommes dans leur lutte contre la dépendance.

Mettre en évidence la contribution du soutien social et émotionnel dans le processus d’abstinence.

Les forums de Nofap constituent un outil précieux pour les hommes, leur permettant de surmonter l’anxiété, la dépression, et les défis du parcours d’abstinence en partageant des conseils et des solutions pour éviter les rechutes. Faire appel à un expert est parfois nécessaire comme très peu de spécialistes dont un en europe pour le monde entier.

Étudier l’importance des forums et des groupes de soutien pour renforcer la résilience des participants.

Les forums de la communauté NoFap, soutenus par des recherches scientifiques, sont essentiels pour surmonter l’anxiété et la dépression. Ces groupes favorisent une approche solidaire pour lutter contre la dépendance à la masturbation de manière scientifique.

Les plateformes d’échange NoFap sont une ressource pour les hommes cherchant des conseils sur l’abstinence.

Les forums de la communauté NoFap permettent aux hommes de partager leurs expériences et de trouver des ressources scientifiques pour mieux comprendre leur parcours.

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#Apni #Mardangi #Bachao #Docteur #sur #nofap #problèmes #performances #testostérone #Vijayant #Tras

Retranscription des paroles de la vidéo: Because a lot of boys, due to psychological problems and sometimes maybe due to physical problems, don’t get an erection. That will fall in the erectile dysfunction category. How will you expand this topic? It is said that due to the culture of dating apps, STDs are also increasing because the hookup culture is increasing. It is a carcinogenic STD and it can cause cancer in the future. Are all STDs curable? The situation of barebacking that is going on nowadays. Meaning, sex without condoms. Yes. considering sex very pleasurable without condoms, the sexual prevalence in trend, that is the root of the problem. The women, who are sexually active are unacceptable to today’s Indian males? But every Indian male wants sex before marriage. I am doing this podcast for people in their 20s and 30s. But we can cover 40s and 50s also -because they are important. -The 50s are the new 30s, you know this? People in their 20s are not as sexually active as people in their 50s. How? Today, Viagra is available over the counter. After a point, Viagra stops working. What does Viagra do biologically? Masturbation is not healthy. People are masturbating four-four times in a day. Whenever somebody tells you that masturbation is healthy, tell him, okay, show me one medical journal, which says this. So a very common one is performance anxiety. You must have heard the name. We should talk about this. This is probably, the most important topic for Indian men. Yes! As you saw or heard in the trailer, you can’t watch this podcast with your family. You can’t listen to this podcast with your family. In fact, you should listen to this podcast alone or with your brothers. Because a lot has been discussed. Whatever you can think of, everything has been discussed. And I can definitely say that Dr. Vijayant Gupta will return to TRS. Because there is a storehouse of content inside him. What kind of content? Content related to the favorite subject of all of us, friends. First, mute it, if your parents are around. And if your parents are not around, then I will say now that this is a sex-related podcast. It is a penis-related podcast. It is a men’s problems-related podcast. To female listeners, I am very sorry. But you may not be able to connect with a lot of points. I mostly try to have unisex topics in every podcast. This is the first slightly catered-to-men podcast. But if you want to know more about boys, or andrology, that is, want to know more about the biology of boys, or you want to know more about the mindset of boys, then you will know a lot in today’s episode. And my brothers, what can I say to you? Just enjoy the episode. [Music] [Music] [Music] Welcome everyone to today’s special TRS episode. Brothers are going to be helped. Because today we have, Dr. Vijayant Gupta. Thank you. Thank you. You have become famous on YouTube because you talk about such things that bros often can’t even talk about with their own bros. That’s why you have the solution to every secret bro problem. Sir, you are a urologist, an andrologist. First tell us what is urology and andrology? Thank you for having me on the show. I am a urologist. Urologists are basically surgeons. Who are kidney and sexual organ surgeons. Urology is a post-graduate surgeon who has studied kidneys, urinary tract, prostate, and sexual organs, and do surgery on them. And in that, there are subdivisions. One of the subdivisions is andrology. The main work of andrology is to study our tool, our penis and testes, and the diseases caused by them, and treat them medically or surgically. Problems like, penial erection problems, timing problems, infertility problems, sperm count problems, hormonal problems, STD problems, the ones who study the above and treat them, are called andrologists. So, I am an andrologist. So, first I am a urologist and my sub-specialty, that is my area of interest is andrology. So, urology is for that section. From your kidneys to penis, testes, -that whole section is called urology -Yes. -And then there are sub-categories in it. -There are sub-categories. So, andrology is mostly related to sexual disease. Andrology is related with men’s health. Men’s health is a large sub-section. Everything is there. For example, your testosterone levels, your penis health, your circumcision, your testicular health, inability to produce offsprings, male infertility, sperm count, whether you get erections or not, early discharge problems. So, all of this will be a part of andrology. Which is the most common andrology-related problem in India, according to you? Premature ejaculation, early discharge. So that is what I see the most commonly in my OPD. If it is gynecology, then every lady knows that if she has a problem, she has to go to a gynecologist. But such is not known to every man. Where will a man go if he has a problem? So he has to go to an andrologist. So an andrologist will fix all their men problem. So as such, the most common problem in India of andrology would be STD. Sexually Transmitted Infections. Gonorrhea infections, crab, herpes. So this is very common. So many people cover this. Your doctor will also cover it. Your dermatologist will also cover it. Andrologist will also cover it. But if you go into a specialization where you remove the STD, then next, there are these sexual problems. Erection problems, discharge problems, early ejaculation problems, male infertility, these are more common. I think in this whole podcast, we will break down every problem slightly. Because guys often feel ashamed before addressing these problems. That is why they are called, « Gupt Rog ». « Gupt Rog? » If you ever go to a station, in a train, will find stickers of « Gupt Rog ». Why « Gupt Rog »? « Gupt Rog » translates to secret. We will not discuss it. Because these are such problems that a person doesn’t even discuss with his best friend. -Yes! -Because this problem is his most intimate problem. He will keep dying, living, thinking about it, but will never address it. Where is the right place for him, he will not be able to go. So our purpose is, the purpose of my channel is, my purpose is, as an andrologist, to give that courage. If you have a problem, then there is a doctor. Go, get treated. When liver transplant can be done, then even this can be treated. So it is treatable, it is curable. But first you have to identify, what problem do I have and whom to go? And if you go, you will get treatment. Many boys live their lives with problems. Have to live. If you discuss it with friends, then friends will laugh. Okay. So they feel that they will laugh at me. Can’t discuss it with the wife. Can’t discuss it with the girlfriend. Can’t discuss it with the parents. Online information is very sketchy. It is not trustworthy. So how to find a solution? So they just keep suffering. But why can’t it be discussed with the wife or girlfriend? Sorry, I broke the flow of your podcast. But I just want to say, firstly, thank you for supporting us throughout the years. Secondly, we have started a new initiative which is called BeerBiceps SkillHouse. Its intention is that, in India’s upskilling journey, we contribute a little. We have brought a commercial editing course for you because this is the BeerBiceps team’s core skill set. Many upskilling courses are coming up. So, at least check out BeerBiceps SkillHouse. Follow our YouTube channel. Follow our Instagram page. But for now, enjoy this episode of TRS. See, I personally believe, my patients that come to me that this relationship is an ego game. In a relationship, every person has to keep his best forward. When you are weak in the intimate area, then you give the other person a handle over you, to control. And many times, the other person uses the handle wrongly. The person gets frustrated because there is no answer. What will he do? He has to quietly accept defeat. If he has to accept defeat, then frustration will keep increasing. So what will he do? Frustration is increasing. Marriage is getting spoiled. Wife does not agree. It is difficult to talk to her. Because, you as a man– See, you have earned a lot of money. You are very rich. You have a big car, house, everything. But you are naked in bed. You are naked at that time. That time you poses only one power, that thing. If you lack power at that time, then will you have sex with money? You can’t do. You have to do sex with just that. And if it is not working, then what do you have? So for every person, his source of ego, his source of power, is his sexual power. Because when the clothes come off, it is only that. Which defines you. You say that I’ll bring the moon for you. Out of love. How will you bring the moon? What will the wife do with the moon or the girlfriend with the moon? The intimacy that you have, the love that you have, you have to express it sexually. And if you are not able to express it, then it becomes your weak point. So basically, it is a power play. So for a woman, this is a God gift. They don’t have to work hard for sex. She has to just– She is a receiver of love. Who has to give? The man. So all the pressure is on him. So if you are not able to do it today, then you are somewhere losing in the relationship. And then, don’t know where to go, don’t get the cure, then the frustration level increases, and that starts showing in their career, in their performance, in everything. So I think, this is a very important aspect. Because this problem sitting in your mind will affect your confidence all day. Will definitely do. And as you said that during the fight, sometimes partners bring it up, that there is a problem in your penis too. I’m actually reminded of WWE. -You used to watch WWE? -Definitely used to watch it. There used to be low blows. Yes, absolutely. -Meaning? -Below the belt. Yes, they used to hit on the balls. Of course. And this is illegal. This kind of comment is a low blow comment. You won’t believe how common this is. Couples come to me for marriage counseling. To you, for marriage counseling? Because somewhere, in marriage, the most common part is sex. If sex is not happening between husband and wife. Look, in India, sex is a taboo topic. But it covers every aspect of life. Today, for example, a couple is unable to conceive a child. For example, there is a couple, who is unable to produce babies? So you can’t imagine the scale of a social impact it has. All the family members of the wife will say, you are unable to conceive. The husband’s friends will say, are you not able to get things done? So a child is a… As it is said a validation of marriage. Validation that this boy is potent or not. This man is potent. This woman can have a child. If unable to conceive a child after marriage. Is it not happening due to infertility, problem with the wife. Problem with the husband, sex problem, erection problem don’t know. But not able to conceive a child, becomes a very stressful situation for a couple. Been 2 years, 3 years, 4 years since marriage. And many times, that stress breaks the marriage. If the mother-in-law taunts the wife, then the wife will needle the husband at night. Needling the husband will lead to a fight. The fight will result in an incomplete sleep. If the sleep is not complete, won’t be able to work the next morning. Visualize it on a daily basis. If this goes on even for a year, the husband’s outside life is over. The wife is not happy. Everyday there is a fight at home, then what will happen? -It will lead towards divorce. -Divorce. When these couples come, even though I am not a counselor, I am a urologist. But if a patient comes, a solution has to be given. Have to be explained that they’ll be able to bear a child. What’s the problem faced? Don’t open up. See for any man, sitting in front of another man and saying this, that I’m unable to do. Need a lot of energy, power for that Even in front of the doctor? Absolutely. Are unable to open up. Any man goes to a doctor and says, I can’t get an erection, it is a lot of power. A lot of thinking. A man postpones it. He postpones until the last moment. When he sees, nothing happening after this. My house will get ruined. My wife will leave. I shall be laughed at, in the whole society. Then he comes to the doctor. Doctor, I’m unable to get an erection. After that, to accept it. Disrobing yourself in front of the doctor. Get yourself examined. I think, we need to give respect to these patients. There is a rule in my clinic. In my clinic, all the staff will not laugh even a bit. Will not laugh at anything. Because you are laughing at something else. You are laughing at today’s podcast, but the patient sitting in front of you, He will think he is being laughed at. He will go away, he will not stop. So, we have to handle these patients very lovingly, very respectfully, very responsibly. And everything can be cured. See, everything has its treatment. There is medicine today, there are latest treatments, they all get okay. But first, getting them to accept it., and then they get okay. Everything gets okay in their life. Marriage gets okay, wife is happy, there is a child, mother-in-law gets okay. So, things settle down. So, the nucleus of family structure, if you think about the core atom, what is the husband-wife relationship in the bed? It is that. If that is not okay, then everything around will get spoiled. So, that is why an andrologist is very important. You said that core atom is an andrologist. Means, male related problems are the core for many relationship problems in India. -Everywhere. -Everywhere. -In the world. -In the world. I have traveled to many countries during my training. And I have patients from many countries. Problems are the same in every country. Our language will be different. Skin color will be different. Our culture and upbringing will be different. But sex is the same. The act of sex, the act of intimacy is the same. Everywhere in the world. It is the same in every bedroom. Every couple is the same. Every relationship is the same. Because the core value of a relationship, the core value is, there is a lady and a man. The union of both is the core. If that is not happening properly, then nothing can happen other than that. Do you think that there is more lust in India? In my opinion, lust is not wrong. Lust is sexual desire. There is not much in India. It is repressed in India. The average age of having sex in West is 14-15 years. Till 16 years, they will lose virginity. They will have sex. Till marriage, normally, there will be 10-12 normal partners. They will explore sex. Their sex is not repressed. They will enjoy everything. They consider sex as a normal part of your life. In India, the guy is getting married at the age of 28. He is not having sex till the age of 28. He is just watching porn. Nowadays, Instagram is also partly porn. The way things are coming on it. So it is repressed. So it is not lust. It is not able to develop normally. For him, sex becomes so important– If you don’t get something, for example– If you get food, you don’t feel hungry. But if you don’t get food for 15 years, you have become young at 16. The testosterone levels are at its peak. You have fully grown sexually. You are getting erections and urges every day. But you are not getting sex. Marriages are happening late. At the age of 28, 30, 35 years. So what will he do? So it is there. There is not much lust in India. The sexual urge is the same in the whole world. In India, sex is late. So sexual repression is very high. I would like to ask you this. Because you said that there are many cases of sexually transmitted diseases. So in India, the culture of dating apps that has arrived. I think everyone in the cities uses dating apps. Or have at least used it once in their life. Everyone knows Tinder, Hinge, Bumble, Raya. These are all dating apps. It is said that because of the culture of dating apps. STDs are also increasing. Because the hookup culture is increasing. Have you noticed this? Or there were already this many STDs? Before dating apps too, sex was happening. And after dating apps, finding sex has become a bit easier. I will believe this. STDs have always been there. So when I was doing MBBS. It’s been 14 years. Then, there were no dating apps. It’s been 15 years. 2008-2009. 2009. At that time, we used to get postings. In villages. In community outreach. Even then, STD clinics used to be full. Even then, used to see 50-60-70-80 patients. But where do STDs come from? STDs come– STDs are a very broad term. Sexually transmitted diseases, also include HIV. Sexually transmitted diseases, also include gonorrhea. Sexually transmitted diseases, also include lice or scabs. So hygiene issues are important. Intimate hygiene issues are important. Plus, mostly, STDs will come from multiple partners. If two people between them, are absolutely, what is it called? Are absolutely committed. If don’t do sex anywhere else then obviously, where will STDs come from? But if one of the partners is with multiple partners. Then the STD chain starts from there. It spreads from there. But how do STDs start? I mean, suppose you got STDs from someone. They too must have got it from someone. -Absolutely. -So where does that start from? So basically, STDs are many times asymptomatic. For example, if a person has STDs. So 50% of the time, he won’t show symptoms. Or he will ignore the symptoms. -Like? -For example, the most common STD is urethritis. Urethritis means formation of infection in the urinary tract and oozing out of pus. So until there is no frank pus or there isn’t much irritation, till then, the person doesn’t get himself treated. He will ignore it. -Urethritis? -Urethritis. There is gonorrhea. There is non-gonococcal urethritis. These are broad terms. But by and large the thing is, infection has formed in the urinary tract and due to that, there is burning sensation on urination. Or there is white or waste discharge in the urine. But often times it comes in such a small quantity that the person ignores it. And for example, he had sex with « A » today. And he had sex with « B » after a week. And after a week, he had sex with « C ». So he got infected with « A ». And he gave to « B and C ». Before going to « D », he got treated. So now « D » is safe. But now « B and C » are two carriers. And in women, these infections get suppressed. Because in women, vagina and urethra– In men, the sexual organ is the same. The path of urine and semen is common. In women, the path of urine and sex is different. So now « B and C » ladies have that infection in them. But they don’t have the symptoms. Now suppose « B » had with the second man, it entered into the second one. So just imagine that if a multi-relation is going on, how rapidly these STDs will spread. Two friends came to me. Best friends. With the same infection. Two friends, same infections. From that we came to know that their girlfriend was with both of them. So they figured out that cheating is going on. They were sleeping with the same girl. And they did not know. And they are both best friends. They say doctor, we both have the same problem. How did this happen? Maybe our bathroom is dirty. I said the bathroom is not dirty. The girl you are sleeping with, is the same. So that is how they caught. So STDs spread very rapidly. They are highly infectious. They just catch hold of you. And symptoms take time to come. During that time, if you’re having sex with multiple partners, then it will spread. Are all STDs curable? No. So there are some STDs which are not curable. The most common example in this is HIV. HIV AIDS. So that is also STD. That is also sexually transmitted. And HIV AIDS is not curable. But yes, today, there are good medicines. So it is controllable. So HIV positive patients can live their whole life without any problem. But they will have to take medicines. There is hepatitis B, which is a liver infection. Is a viral infection. Even that is not curable. But that is also STD. So sexually transmitted liver infection? Yes. So Hepatitis B is a virus. -Have you heard of Pamela Anderson? -Yes. So Pamela Anderson got hepatitis C from her partner. Because they were sharing needles. -Drugs. -Drugs. But it could also have been transmitted sexually. So there is a hepatitis virus category that can be transmitted through sex. Which includes hepatitis B and hepatitis C. These are two viruses. Again, they can cause liver cancer. They can cause liver hepatitis. Medication has to be taken. But they are transmitted sexually. But majority of the STDs can be treated or cured with medicines. These lifelong STDs, hepatitis B and C, and AIDS. HIV. There is also HPV. HPV is also a virus that causes warts. What is HPV? Human Papilloma Virus. Human Papilloma Virus causes warts. Warts means, it forms grains. In male or female genitalia. And these can cause cancer in the future. So it is a carcinogenic STD. This is also lifelong. Even for this have to remove the warts and its proper cure is important. The solution of this whole situation is, that you should regularly do STD checkups. The solution of this is, until you’re not absolutely sure of your partner being committed to you use condoms. So the best way to prevent STDs is to wear a condom. If you are wearing condom or using protection then you won’t have STD, neither will you give it to the other person, nor will you take it from them. The situation of barebacking that is going on nowadays. -Meaning, having sex without condoms. -Yes. considering sex very pleasurable without condoms, the sexual prevalence in trend, that is the root of the problem. Sex is not wrong. Okay, you are doing consensual sex. Mutually consensual sex, do it. But till you don’t know that your partner is committed and both of you and her are committed to each other. Till then, condom use is important. Is safe for you. Is safe for your future. And it is possible that you– Nowadays there is something called as pre-marital checkup. It is very popular. So it is possible that you may have had a past history. And you are a carrier of some disease. So by doing checkup if you confirm that you don’t have the disease. Then that can also be a good option. So if there is a disease then what do people do? They don’t get married. They don’t get married. Sometimes the relationships break. If today, for a man to accept that my wife had a first relation earlier. There is a paradox in India. Every man wants sex before marriage. And every man wants a virgin. So where should those non-virgins go, is beyond understanding. Women being sexually active is not acceptable to today’s Indian males. But every Indian male wants sex before marriage. So this is the paradox of our country. I don’t know the solution, what is the solution to this. But if a man comes to know that his wife has HPV. Or his wife has some STD so they are not able to accept the fact that my wife… -Has done sex before me. -Has done sex before me. So often we have to handle it very sensitively in our OPD, in our clinics. Often, we don’t disclose it to the patient. We keep it private. So that their relation is not spoiled. Because the man’s ego gets hurt. If the ego gets hurt then the relationship gets spoiled. It may be a very good relationship, the family has chosen. Everything is matching. But at one point sometimes the whole relationship gets spoiled. So we often keep it private. Or we separately with the lady– Anyway in India discussing sexual diseases is a privacy. So I will always advise you, I want to do a premarital checkup then keep it a secret from your partner. Couple doesn’t need to sit together. Doing their checkups separately, keeping their private life separate, would be better. Have you ever sat in front of a couple and seen a very ugly fight? Have seen many. Have seen many. They keep happening, it’s a part. Because see, when you work in this area, when do it in andrology, then all kinds of people will come. All kinds of couple will come. Families accompany them. The son’s father and mother too come. The girl’s father and mother too come. And they say, doctor, you tell what to do. -A full family drama and unfolds. -Yes. Because of STDs. Because of STDs. Because of sexual problems. Sex problems. -Happens a lot. -Wow. So a fight breaks out in the OPD. Then offer everyone tea or coffee, make them sit, keep calm, at least let me talk. The lady, who is the mother-in-law of the husband, she is blasting the husband. The husband’s father, is cursing the daughter? So that fight is going on. The whole drama is being played out. Even dowry is being discussed. Even divorce is being discussed. Even police is being discussed. It is completely– And it is going on out in the OPD. 50 patients sitting, they are listening. Loud arguments are happening. So everyone wonders has the doctor given a wrong treatment as there is so much fight going on. Then explain them. No, keep calm. It will get solved. Let’s see. So I have become an unwilling counselor. Means I’ve been forced into it. What to do now? As they have come, they have to be explained. So explain, calm them, explain this one, explain that one. Then they say, you take the guarantee that they both will get well. Now, how will you do it? But when you see the kids, you feel no, this couple is suitable. But just because of this thing, their marriage is being rocked. Then, as an unwilling counselor, you say, nothing to worry, we will manage, send him to me, send her to me, let’s see. And 90% of the times, things improve, get better. You need to cool it down a little. But sometimes it doesn’t happen. So, sometimes, a court summon reaches me. They have filed a divorce, your expert opinion is needed. You have given some written paper, that the husband is okay or there are some reports of the husband. Or you have written prescriptions, so why did you write them? Because in India, non-consumption of marriage, is also a ground for divorce -or annulation of marriage. -What? In India, which has the Hindu Marriage Act, in that if the husband and wife don’t have sex, then the marriage can be annulled. Means divorce can happen. Not divorce, annulled. Means the marriage never happened. -A divorce happens… -It’s a law? It’s a law, an Indian law. So we are called for expert opinion and asked, is the man impotent? So if the marriage is new, the husband wife, if the parents– Don’t want a divorce, want an annulment of marriage, an export opinion in that, that the husband is impotent. The husband is impotent or he is unable to do sex, that can be a ground for annulment of marriage. So often times andrologists get involved in court cases. Because sometimes false accusations are leveled. It happens many times. Many times. Happens many times. What percentage of accusations are false as per your experience. They are not false, according to me– This is a complex topic. For example, in the past, there was a couple, The husband had absolute no intention of marrying. -Means? -He had a prior relationship with someone, was forced into marriage. He just doesn’t want to have sex with this lady. He does not get aroused by this lady. So he is not impotent, he can do sex, but he does not want to do sex with this lady. Because he is not attracted to her or he is angry on her. Or the family has forced, or say, for whatever reason. So how as a doctor, can you say he is impotent? He is not impotent. He can do sex. Has done it previously too. He has had a girlfriend, he has also got a child aborted before marriage. But now he has a case on him that he is impotent. So how will a doctor judge this? What will the doctor do in this? What statement will I give? I will only say, as per examination and test, this man is normal. I will have to give this to the court. But the wife is saying, no, I have been living with him for 6 months. He doesn’t tease me, doesn’t even touch me. Doesn’t even come to me. So, the wife is also right. According to the wife, he is impotent. But medically he is not impotent. So it is not my job. Let the court decide. But who comes to you with the papers? Both come. Do lawyers come or… There are multiple, often a someone comes from the police. Sometimes the wife’s family comes. But as a doctor, we have one more. As a doctor, there is something called as privacy, Hippocratic Oath. Today, for example, suppose you are my patient. So, your personal life and medical file is a secret which is only between you and me. So, I cannot discuss your case with somebody else. Open the wife’s family comes that our son-in-law, what problem does he carry? I cannot say. Even though the wife herself comes, I cannot reveal. For that is a treatment between me and my patient. Doctor-patient confidentiality. Yes. Yes. Yes. This happens to be a law -in the world of physicians. -Whether this is a law or not. Look in India some– In India, the law is very flexible. And they are my ethics. And the second is that, this confidence is very important for the patient. That my case will not go out. -Especially in your field. -Yes. Otherwise, he will not come to get treatment. If I reveal his entire history, to all his friends, sisters, brothers, son-in-laws, so what will be left of his respect? And the problem in our country is that, there are no nuclear families. There are namesake nuclear families. For namesake, there are four people living in a house. But the whole family is involved. Once a little news comes out that this man has a problem, it will reach every corner of his village. Basant had been to Delhi, this happened to him there, he is unable to do anything. The whole village knows, the locality knows, everyone knows. And such things spread like a wildfire. So as a doctor, it is my guarantee to my patients, We will not discuss your matter with anyone. Actually, I would like to know about impotence. I think boys should know. Because many boys due to psychological problems or maybe sometimes due to physical problems are unable to get an erection. That will fall in the category of erectile dysfunction. What is the difference between these two things, impotence and erectile dysfunction? And then even breakdown erectile dysfunction because this is a very common problem, very common, happens with every person, I think. But impotence doesn’t happen with every person. How would you expand this topic? First of all, the thing is, both are different things. Impotency more or less means, a man is unable to establish relationship with a woman. That is impotency. It is not a penis problem? Impotency can be due to penis problem. Can be due to other reasons also? -Like? –Like for example, there is a condition called vaginismus. Vaginismus means that the lady does not allow the penis to enter inside. Is unable to enter because the vagina is too painful for her. And the man is fully hard and he is unable to penetrate. Because the lady– He will do oral, he will do rubbing, he will do every kind of intimate foreplay. But when it comes to penetration, he will not be able to do it. So, it is not ED. But it is impotency. -How? -Because penetration is not happening, unable to do sex. The test of potency is penetration that is not able to be done. So, for a couple, impotency… -Impotency can be… -Okay. Rest, erectile dysfunction means that erection is not happening, that the penis is not getting hard. There are many grades of even erectile dysfunction. It is possible that the penis is getting hard but when it wants to do, it doesn’t stay hard at that time. Means it is hard in foreplay. But when the actual time to enter arrives, he is unable to enter. Erectile dysfunction can also be that it is not getting hard. That no matter how much he kisses, does foreplay, touch or rub as much as he wants, blood is not coming into the penis. Erectile dysfunction can also be that the penis becomes fully hard. But the position of penetration, for example, He is able to do with woman on top but unable to do man on top. -Why? It closes? -Because of the, no. Because of the unique physiology of the penis. So the penis is the only organ in the body which does two things. It is passing urine and it is also getting sexually ready. So the sexual act in the penis, which we call the male sexual response, that is a very graded physiological response. -Means? -Means, it is a complex response. When erection is happening, it is not only that the penis is getting erect. The penis is also getting erect. The bladder inside, the urine– There are two ways, one is the urinary tract and the other is the reproductive tract. There is an interplay in both. So in our human body, The physiology is such that when there is erection, the man cannot urinate. The bladder’s mouth will get closed. And the semen’s mouth will open. So it is under nervous control. There are sympathetic and parasympathetic responses which control it. So erectile dysfunction can happen due to many reasons. It can be neurogenic if the nerves get damaged. If the reflexes are not good, then there will be no response. Like it happens in spinal cord patients, diabetic patients, and in masturbators. In masturbators? Where you are spoiling your physiological response or sexual response. So even the response, for example, the erectile response, the erectogenic response, meaning the feeling of erection, comes in many ways. Comes visually You are seeing someone naked. Saw, got erect. It comes from the smell. From the smell? So smell is a very strong erectogenic response. If you are with a woman who doesn’t smell good, you are going down on her. And the smell comes from below. Your penis will go down. And on the other hand, if you are with a lady who is smelling very beautifully. She is wearing a beautiful perfume and…- Is hygienic. Hygienic. Her hair smells good. And you are up. So you see in Kamasutra, how much emphasis has been given on the smell. Steaming of the woman’s underparts. Wearing of nice perfumes. Feeding a paan. -The taste. -Wow. The taste of the woman. Now you are kissing a girl who has just smoked and come And you are getting that weird… Erections, no matter how good– She may be very beautiful, But that smell will… or that taste will… Touch. A lot of men don’t like hair. A lot of men like hair. Everybody has their own physical. Because we are not, see… Andrologist as a male health specialist, it is not my job to judge. I don’t judge anybody. It is not working. It is my job to make him it work. So we will first judge that. What is the problem faced? A lot of couples will come. The husband will come. Husband says my wife doesn’t shave. She doesn’t shave down. Wife says I won’t shave. It is my personal choice. I don’t like to shave down there. Husband says I don’t get erection by her. I get an odor. Now what should we do? Then we have to tell the wife. Madam, look, please. Find a widow ground somewhere. Don’t shave. Trim it. Use some good– Same with men also. Men come and say, no, I want oral. To get a complete erection. I directly– The wife says I won’t do oral. The man says no– The wife says I won’t do oral because he is not clean. He is not hygienic. He doesn’t shave. He doesn’t keep it clean. He doesn’t clean it. It stinks. I cannot go down on him. He is not maintaining good hygiene. I can smell urine all the time. So we have to teach this basic stuff also. So teaching basic hygiene is our job. In this country 50, I think 50% of the houses don’t have bathrooms. We sit in Mumbai or Delhi, our homes have– Every man has a separate bathroom. There is 3 BHK and every BHK has a separate bathroom. Imagine, in this country there are so many people to maintain hygiene have no bathroom. Open defecation is happening. Even they’re doing sex. They too have desires. Patient come to us for treatment, it’s not that every patient coming in, is rich. They come from every class. Come from every socio-economic status. A man who has only one room in his house, and has no bathroom, how will he maintain intimate hygiene? How will he shave, bring a razor? There is no light in the bathroom. How will he shave? How will the lady clean herself? Where will she discard the hair? What does she use for cleaning? From where should she get the shaving blade and how should she clean it. It looks very simple but when you see a patient in real life, his backward history, where is he coming from, knowing that also is very important. Now, if you tell him you have to bathe daily before having sex. At night, there is no geyser, it is winter time, there’s no bathroom at home, will bring water from the well but how will he bathe? From where will he bathe? If you tell him– We teach penile massage to the patients. To do massage, there is no privacy. 6 people stay together. Where will he massage? He is saying, doctor, prescribe me medications. I cannot do all this. Give me a pill, so that I have a pill, and my issue is sorted. Because I cannot do this exercise and repetitive behavior, and massages, and intimate health and hygiene. It is not something I can do. That is why I’m saying, hygiene we should– The things that we take for granted, Toothbrush, intimacy, cleaning, hair removal. The things that we consider, this is our right or this one is our standard is not everywhere. Is not found everywhere? Okay. Fair. Back to the impotence and erectile dysfunction. I think I am doing this podcast for people in their 20s and 30s. But we can cover 40s and 50s also -because they are important. -The 50s are the new 30s, you know this? People in their 20s are not as sexually active as people in their 50s. -How? -They are 50 now. They have earned their money. They are settled. Their children have married and they have gone away. The sex drive is the same. It is too much. It becomes too much. Too much. Even for men. For both men and women. In the 50s, the women are hypersexual, demanding. I mean, you imagine, a 50-year-old female, her sex drive is so strong and her poor husband is worried in the 50s. I am telling you my experience. Yes, the same. 50% of sexual health patients are 50s. Not 20s and 30s. You mean STD? -No. Sexual. -Everything In everything. In impotency, ejaculation timing, in penis enhancement, in girth enlargement, in libido, in desire. These are the guys who are 45 to 55. This is the biggest thing. Because their wives are reawakened at this age. The 25-year-old wife who came to the house, she mothered a child at 26. The first one. The second one came at 28. She taught and educated them in 18 years. Now the children have gone and settled. Now she is young. At 45-46 her tension is over. The mother-in-law has deceased. Now she alone owns the household. Now she is the owner of her own destiny. Now she wants sex every day. Now the husband is left with no excuse. The child is sleeping in between. Have to send to school tomorrow. Will go to college day after tomorrow? There is no excuse. Sex is to happen tonight. And that too twice. Now you have to do it twice. How will that 45-year-old guy do it twice? At 46, she is speaking. She wants, she knows her body. She wants. She knows how to excite herself. She knows the position. She has no inhibitions. She wants good sex. The men at 46, 48, 50 have become middle-aged now. Now they are at CEOs, chairmen, directors, senior positions, the middle-class people, the lower class, they have built their homes. The financial responsibilities are over. Now sex has to be done. It has to be done 15 times a month. It has to be done every second day. It is unable to be done. I always believed that the sex drive of men decreases with age. There is no decrease. It is cut down in our society. Absolutely reduce it. What happens biologically? Go to Florida sometime. Florida is the retirement heaven of the US. Everybody is 70 plus. Everybody is having sex. The libido is sky high. But erection strength remains the same? Yes, now this is there. We can make it as it is. Now I am needed there. So I am there. I feel a full topic should be covered. From erectile dysfunction to erection strength building. We should do a full section on erections in this podcast. Yes. All right. Definitely, will talk about the 70s too. But maybe let’s start in 20s. 20s and 30s. Yes, okay. 20s and 30s. All right. Because in teenage, your erection strength is very high. Is very high. You are always hard. You are walking around hard. You are walking, it is hard. You are sniffing, it hardens. You saw Filmfare’s cover, got hardened. Why does all this happen in teenage, first of all, because testosterone is peaking a lot, due to that? There are testosterone surges. So basically, the man is becoming a man. The boy is becoming a man. So the nature is asking him to– So his nature– We are animals after all. We have kept ourselves in society. But we are still animals. We have to, the nature– See we became, we became civilized 100-150 years ago. Which is a very small time in evolution. 100-150 years ago, life expectancy was 30-35 years. From being a hunter. The person would die at the age of 20-25 years, from some or the other natural disaster, from famine, from flood, some epidemic came and died. So by 17-18 years, you had to have your kids. So that your tribe would live. So nature wants you to have sex at 17. -Wow. -Nature says that by age 13, you are becoming a man. At 14-15 years, the testosterone surges. Siemens has started developing. The sperm is developing. The testes have become appropriate. Penis has become hard. You are ready. Now when you are using it, the society is deciding that. At the age of 16 years, a man is ready to have children. It used to happen before. At age 16-17, completed the family. Our great-grandfathers were like that. By 18-19 years, competed the family, expired by 30-40. They had 15-16 children. Now they are making a family. So, nature-wise, we are ready. That is why you have– I think, that is why you have such hard erections. So much desire, so high libido. Because you are ready at that time. Erectile response is very good till 18-19 years. So, after 20-21 years, the erectile response goes down a bit. So, some people consider it as erectile dysfunction. So, in 19 years, you are up. The penis almost hits the stomach and it is almost like, you know. And then as you progress in age, slowly, the angle of the penis starts going down. There are multiple reasons for that. One reason is our lifestyle. Chronic sitting, lack of exercise. So, gradually erectile dysfunction develops. I would say that of the younger patients, 50% patients are psychogenic. Psychogenic means? They are not able to have sex. They are able to masturbate, are not able to have sex. So, it is a problem of the brain. Brain has no role. They cannot handle a live woman. -Psychology plays a role. -Psychologically. The woman is hot. She is alive. She is soft. She is a living being. The hands are cold, is under your control. So the hand is employed, because it’s our own thing. Do it as you wish. But unable to do with a real woman. So, it is not erectile dysfunction. They have not prepared themselves for a woman. So, train them a little. Got them to do NoFap, exercise, improved the diet. Supported them a bit with L-arginine. So, they are able to successfully do it and they become okay. How do they give support? Support in a way, that you are okay man. Everything will be fine. Nothing to worry. Nothing to die about it. Don’t have to get so depressed. It is okay. Intimacy is not only sex. You need to even do foreplay. It is okay. There are multiple reasons for intercourse to not happen. But, you support them mentally and tell them that things will be fine, then they will improve. And once or twice they are able to have sex. So, they become okay. They feel that they are okay. 20% of the young age people are such who have actual problems, they have rectal dysfunction, their blood supply is bad, or their veins are bad, or have a venogenic leak, that is a disease. -How much? 20%? -20%. And 30% are those who have spoiled themselves with medicines. Because today, Viagra is available over-the-counter. You go to the chemist and tell him that you want to have sex, he will directly give Viagra 100 mg. You will have Viagra. You will get a very good erection. You will have sex. Next time you go, you’ll again have Viagra. After one point, Viagra stops working. Because, it then becomes normal, and you keep on taking high doses of this, then gradually its effect on you will subside. The medication will have no effect. Biologically, what does Viagra do? Biologically, Viagra is a PDE5 inhibitor. So, basically, we have an artery in our penis. So, when there is an erection, there is a signal, that the penis should receive blood. Show the artery has to inflate. So there is a drug « NO ». « NO » is nitrous oxide. Nitrous basically helps in vasodilation. Even bodybuilders take it for pump. So, need to produce « NO ». So, « NO » is made from a reaction. So, the PDE5 is an enzyme that kills this NO, basically. So, Viagra goes and kills that enzyme. So, basically, if this guy is inducing an erection, and you are stopping it, then Viagra will stop you. So that erection continues. So, Viagra was developed for the heart. The US-based Pfizer company had developed it for people whose arteries are blocked in the chest and their heart is bad, had developed for them. So, the one who were old, who were having heart problems. -But actually, something else happened. -But caused a side effect. What is happening? All the old people, they are saying, the heart is not getting cured in the old, but are going on taking medications? There is something happening. They figured out that the side effect of Viagra was erections. And then they realized that, that side effect is what we want. So, then Viagra was launched as a very successful drug for erectile dysfunction. But for erectile dysfunction, Viagra is being now used in this country as a leisure, -recreational drug. -Great! Viagra is being used that no, I want to have sex 4 times. I want to do sex for 2 hours. So, Viagra is being used now by young kids. 18 years, 19 years, 20 years. They are taking it in a club. They are taking it in the bed. But it is not only in metros, even in villages, everywhere, Viagra is being sold OTC. I would like to give a quick solution. Sex is also a subject. First, learn about that subject. And the second thing, learn about how to control your ejaculation. Those are the techniques. Yes, they of course are. They of course are. So, learn the technique of sex instead of this. Look, this is never happen in our country. My family fought with me… I became an andrologist. So, my father was very disappointed. You were to be a urologist. He wanted me to do kidney transplants. I trained in that. Trained in robotic surgery. I trained in kidney transplant. Then I went to do this. So, my father was very disappointed. That why did you get into sexology? What is this sex… Because it is just sex associated. Yes, that’s all. It is taboo topic. So, you can’t do it openly. You can’t talk about it openly schools. It is literally the most important topic. Because, no matter what your preferences are, everyone does sex. If you don’t do sex, the country will end. Look at Japan. People there are not doing sex. The youngsters there are not doing sex. The fertility rate is in decline. The country will end. The government is giving money to do sex. That you please do it. Produce offsprings. We will raise the children. You just produce and give us. The future of the country is ending. For any tribe to survive, we are a tribe. Basically, we are a tribe. We have grown up. We became a big country. But we are tribes. So, if we want to have our existence, then there has to be sex. Without it, where will the child come from. We celebrate sex in the form of marriage. We invite people for a feast at the wedding. Why? What are they going to do? What will both of them do now? They will just go and have sex at night. That’s why such a big party was thrown. Will have sex, then will a child, the family will expand with that child, our lineage will continue through him. End of the day that is what I told you at the start The core of the marriage is what happens in that bed. And if what is happening in the bed is not good, then not just the entire marriage, -the entire ecosystem will struggle. -The whole family may get spoiled. Will struggle. The family dynamic will be spoiled. Everything will get spoiled. There is solidity in India. It is absolutely there. India is very strong. But some things have ruined it. So, the overuse of Viagra, masturbation, our solidity is getting ruined. We are all strong lads. We are all hard. First, let’s address erections. Then let’s address sexual techniques. For our brothers. So, erectile dysfunction, by and large we divide it into five parts. One is psychogenic. Psychogenic means that the tool below is absolutely fine. But mentally you are unable to do sex. So, it is said that sex lies between the ears, not between the legs. Wow! Wow! This is taught in our andrology. That sex is between the ears. It is the brain. Brain, eyes, nose, taste, sound. This is sex. Between the legs, it is just an organ. If you want to enjoy sex, you have to develop this part. You have to make it strong. If this is not strong, is not mentally strong, there is a person who is not successful, he is depressed his career goal is not being fulfilled, or his aim is not being fulfilled, or he is mentally weak, or for some reason he is not happy, then he will not be able to have sex. How will he enjoy? Like the feeling of not feeling hungry. If you are sick, you don’t feel hungry. If you are sick, then sex will go away. Suppose if you have cough, cold, illness, you have jaundice, your heart is not working, then first of all sex will go away. Because sex can only be done by a fit individual. And this is also a response of nature. This is also a response of nature. In evolution, nature doesn’t want weak people. So nature has decided that the person who is weak, he shouldn’t have children. So let’s spoil his organ. So that he will never be able to reproduce. It is natural selection. So only the fit person, even if you look at tigers and lions, then in loins, only the fit lion, has the right to have all the children. Because nature wants the gene pool to be only strong, only then the species will survive. So wherever you are weak, mentally weak, if you are weak anywhere, then your sex will gradually deteriorate. Nature doesn’t want you to go ahead. So it is very important to make yourself mentally strong. So psychological sex is very common today. There are many reasons. Exam pressure. Career goals are not being fulfilled. Chronic stress. What does chronic stress mean? Chronic stress means jobs today. 9 to 5 is just a– 9 to 5 is only one written statement in your job profile. But where is 9 to 5 job? It is 9 to 9. You do overtime. Plus, today in Delhi, Mumbai, means in the big cities, to reach a 9 o’clock job, you have to leave home at 7 o’clock. You are leaving home at 7 a.m. You are reaching the office at 9 o’clock. After 9 o’clock, you are continuously working till 8:00 to 8.30 p.m. Then you leave, reach home at 9:00-10.30 p.m. Chronically, you are sitting, sitting in a taxi, sitting in a bus, sitting in the office. There is no exercise in your life. You are not getting enough sleep. You don’t have food on time. Plus, you are always under chronic stress. Loan, income, finance, familial. So, what is happening is, you are chronically stressed. So, your cortisol levels are always high. And if cortisol levels stay always high, you are going to go into adrenal fatigue. Your body will not be able to make testosterone. I mean, cortisol is a stress hormone. If you are feeling stressed, if your mental health is bad, the cortisol level in your blood… Level will go up. Level will go up. And if it permanently remains high, then problems will start coming there too. -Everywhere. -Everywhere. Everywhere. So, you have to– This is called as Cushing syndrome. So, in Cushing syndrome, you gain unnecessary weight. You always– Your cortisol level is high, so you start losing hair. And your testosterone levels fall. Motivation levels decrease. Everything. Everything. So, it is very important to reduce stress. I would like to say one painful thing about sex. That actually, for people, sex starts from their bank accounts. It absolutely does. Absolutely does. If you have money, you will get sex. Otherwise, you won’t get. You won’t get sex, right? You can do it, but who will give you? The logic should be, first focus on career. There was one Morgan Freeman’s… Do you know Morgan Freeman? -Yes, of course. -He is an actor, who was in Shawshank Redemption. He has a dialogue. So, the interviewer asked him, did you ever chase girls? He is like, yeah, « until I realized the truth of life. » So, the interviewer asked, « what is the truth of life? » So, Morgan Freeman says, « don’t go out chasing the butterflies, but build such a big garden, that the butterflies come to the garden. » Absolutely true. This is the actual core of sex. Focus on yourself. Put a self-improvement mode in your mind. And generally, in the world, enhance your reputation, earn money, sex will come through the front door. By then you will be 30 years old -Yes. -By then you will have ED. -So, what will you do with it? -Fair, fair. Taking so much stress, you may even do it, but you have finished the small joys of life. Earlier, the theory was, marry early. And you– You, husband and wife, make a life together. There was no hurry for things. Now it has reversed, now there is hurry. From a 25-year-old man, you are asking for a 50-year-old man’s wealth, career and status. Where will he bring it from? How will he bring it? Some people, 1% can do. But it takes time and effort. Today, at age 18, you pass 12th. Then you go until age 22 to do any degree, etc. If you get a job, by age 25 from where will you grow a garden? You can’t grow. And do sex at the same time. That is the time for the most fulfilling sex that you can have, and everything works. Again, keeping in mind, erections, the basic logic is that, take care of your health. -Take care of your lifestyle. -Yes. Of course, of course. So that your harmonious levels -stay balanced. -Yes. That’s the basic logic of erection health. Reducing stress. Often, guys come to me and say, sir. There is no stress. I say, there is no stress but this is the stress. What you’re doing that itself is stress? What time do you sleep? 1 o’clock. What time do you get up? 8 o’clock. What time is the office? 10 o’clock. What time do you come home? 8 o’clock. What time do you have dinner? 10:30. After that, want to view Reels for 2 hours. Want to stay on the phone, use Tinder, want to hook up, want to WhatsApp, want to call, By the time you wind up, it’s 1:00. You even do gym. But today there is stress in the gym too. In the gym as well– -Comparison mentality. -Artificial, yes, absolutely, yes. He lacks height, his muscles are small, how much is his biceps? How much is his thigh? How much is his chest? For how long can you live a comparative life in everything So this happens to be a metaphysical thought. -I mean, this is not related to my work. -No, sure. That’s why we are talking today. But the thing is, the patients who come– See, I cannot give so much time to patients. So, we give 5 minutes or 10 minutes. But we tell them, fix the sleep, fix the diet, do exercise. Reduce your work stress. Find a work which is closer to your home. You are living in… Giving Delhi’s example, I have no idea about Bombay. But you are living in Noida in Delhi– It’s like you are living in South Bombay and you are working in Versova. And every day you are traveling. Up and down, up and down, up and down. So, it’s better to stay in South Bombay. Go stay in Gurgaon. At least you will save one hour traveling time. Vibration is also a very common cause of erectile dysfunction. Vibration? -Yes. For example, you are sitting in a car. For 2 hours. In a moving vehicle. The micro-vibration is happening the entire way. Also spoils your pelvic health. Pelvic health? Your blood flow to your penis, testes, lower body. Is it fair to say that imagine now, we probably can’t change that situation, -the car situation. -Yes, absolutely. I am saying this from my own experience. And from the experience of my bros. I started yoga. Because of two things in yoga, I got a lot of mental health help. Along with that, physical health also got boosted a lot. And definitely, I feel that my hormones got in place. And the sexual health has perhaps increased. The first aspect is meditation. Because the mind calmed down. Because you are sitting in one place. The cholesterol has gone down. Because of breathing exercises, your thoughts become very calm. But, if you are doing male-oriented yoga. Where the core strength is focused. And there are some asanas. I forgot the name. I think it’s called Halasana. Where you are keeping your feet up like this. Activating your core. And also keep the back up like this. It’s a mildly advanced yoga pose. You basically, form a triangle with your body. This is one asana. But there are a lot of asanas. Like if you do the full Surya Namaskar. Your core works a lot. I asked my yoga coach. Why is it said? Theoretically, these asanas are associated with sexual health. He said that firstly, from a yogic perspective. Your core is really your core. For any activity. For any physical activity including sex. In sex, you have to do thrusting. And there, your penis’ blood flow should be good. If the core gets worked. And core is everything from your legs, to your lower back, to your stomach, to even your solar plexus region. If this region becomes strong. Then obviously sex will be benefited. But the blood flow there also increases. It’s absolutely accurate. Biological perspective is correct. Do you want to add something? So yoga is very scientific. So what we call asanas in yoga or we call kundalini in yoga, which is called the core. If you study anatomy. It exactly reflects in that. So I am from that doctor’s breed who believes that our ancient practices have a very heavy scientific base. So Kegel exercises that we teach patients, Kegel’s is basically the core. Kegel’s basically involves our perineum muscle to which all the muscles are connected. Like when you go to shit. Or go to poop, what do you do? You are putting pressure there, outward. Suppose if you want to suck in something from there, then what will you do, -that movement is called Kegel. -Yes. Like you got a strong urge to pass stool and want to halt it, as there is no bathroom, so when you tighten the muscle, it is called Kegel’s muscle. So that muscle is connected to everything. That muscle is connected to the legs. So basically, Kegels is a part of PFMT. The English call yoga, PFMT. Pelvic floor muscle training. They have given names to all yoga asanas. But all of them are from our asanas. So the Kegels in yoga, that Kegels– I just forgot the name, it has just skipped my mind. It is described in our stuff. Dr. Kegels made the same thing Kegels. But if you do Kegels exercise daily, there is a wealth of benefits. It strengthens the core. There is even planking in the core. There are spinal exercises too in core. Core also includes squats. There is already plain Kegels in core. Your Anulom Vilom, Surya Namaskar, this basically conditions the entire– And it helps a lot. You just add Kegels in your life, it ends 40% of the erectile dysfunction. Without medicines. So the bottom line is, focus on health. Mind, that is mental health and cardiac health, focus on that. Everything else will fall in place. -Absolutely. -Correct? So the very common one is, performance anxiety. You must have heard the name. We should talk about this. This is probably the most important topic for Indian guys. People consider performance anxiety as impotence, sometimes. They don’t consider it importance, they get scared. They get scared very badly. What is performance anxiety, explain that too. Performance anxiety is, it is your 50th century, and you are going on the ground, the whole world is watching you. And so much pressure builds up in your mind that you fail to do anything. And you end up going out on a duck. That’s why Virat’s 50th century is a big thing. Because even after so much performance, he performed. Very few people have that mental balance and power. If everyone is watching you– So what happens in anxiety? A person has not done sex, has watched porn, has heard from people, friends have heard. Now, he is going to have sex for the first time. Now he feels, I has to perform and nothing happens there. Your friend lives your side. Your friend falls asleep. He just doesn’t wake up then. You keep thinking, what just transpired, and the girl is looking at you, as to what happened? You are totally embarrassed and then the thing happens. Because now what has happened is, your cortisol has gone off the roof. Your stress and anxiety has gone off the roof. And you don’t know what to do. You are just shaking your head and you are just trying, and nothing is happening. She just dresses up and you just leave. As soon as she leaves, you get it up again. As soon as the anxiety goes off, the performance ends, you are up. And then you are like, you come to the doctor and say, everything is happening, but when the act is to be acted there, nothing happens. Nothing happened once. Then the second time nothing happened. Third time the girlfriend says, you have to see a doctor if she is committed. If she is not committed then she says boss, I can’t keep coming and nothing is happening. And you lose confidence completely. And then, what happens with you is, now you stop dating completely. Because you think there’s a problem in you that you can’t do anything. And you don’t want to go through the same embarrassment and self-doubt again. So you stop. And then that becomes psychogenic ED. So after that it now becomes mental erectile dysfunction. Because now, you are fine. But because it didn’t happen for you once or twice, so it’s not happening now. You are very concerned. And you are not able to do. There is nothing wrong in there. They need a little guidance. Everything will be fine. And maybe the blue pill. Once or twice. Blue pill means? -The Viagra. -Okay. That you give them half tablet. So even if you have anxiety, even then, the erection will stay. Because once you do it. Once it is done after that then you know that it will be done. You know how to do it. So it’s like, everything becomes all right. So around 30 to 40% young men have this that everything is fine. Only the anxiety is more. Performance anxiety is more so are unable to do it. Maybe that anxiety is coming because of your work but you don’t know. It’s not work related that anxiety is only because, as he has never done sex, and they have a lot on their mind to do, but nothing happens. I have a few friends who are having this problem, -who had a lot of work-life stressors. -Absolutely. Maybe their cortisol levels were high and during sex, they were unable to completely think about sex. Due to that, the performance anxiety. Yes. Absolutely, absolutely, absolutely. But I mean, this one -is a psychological aspect of that. -No. So you have told these two different things. So one is that, there is a person who is absolutely fine. He is completely normal. But just because it is a new experience for him. He is doing sex for the first time. And because of that. Or, he is not doing it for the first time. He has done it before. But this girl. She is new. And she is maybe way too beautiful. Out of the league. And a scene takes place. With every person– If you ask every person, how will he rate the girl? He will always rate her out of the league. And if you ask a woman. She will always rate lower than what she can get better. The man always thinks that I got better. So it leads to a lot of anxiety in that. That I have to satisfy her. Now it happens is, our society has shaped in such a way, that the whole onus of satisfaction has fallen on the males? That you have to satisfy. So again, sex is mutual– It is two things together. So there is also a small role of woman in this. If the woman is, actually committed in love and maybe it is possible that she herself solves it. If she tells him at that point itself, it’s okay. -Yes, a partner has a very big role. -There’s a very big role. In many cases. If the partner goes on to support then things get fixed? And if the same partner, even slightly– Like for example, there are new marriages. It’s an arranged marriage, doing sex for the first time, failed to do on the honeymoon night? A lot of time these new couples, will come that sir… -Not getting erect. -Happened 3-4 times. Not getting erect. My honeymoon got wasted. We just saw the beaches of Thailand and got back. So what man? Even beaches are beautiful. But we don’t expect, we are to only see beaches on a honeymoon. Is honeymoon sex different? Absolutely, honeymoon sex is different. First sex is always different. Later it is vanilla sex. Honeymoon sex is your new period. Where you are enjoying all the new things. You are getting to know new things. You are understanding the other person. Her tastes. Her require– You cannot– You cannot know your partner in 3-4 days. But those 3-4 days, you get separated from the family hustle and bustle and people. Because when you travel, people’s personalities also.. Absolutely. Comes to the fore. You are free at that time. Your conventional– Look, a honeymoon– Maybe for you and me, it is the same thing. Socioeconomic status matters. Today, marriages into big houses, marriages into good houses, they will get a different floor, will get a different kitchen. Their own Independent– Where there is a couple, who is living in a joint family system. There if the daughter-in-law is not coming out at 8 am, Or you, see, men get harder erection in the morning. Because early morning, the testosterone level is high. So morning sex is better than night sex. For guys? For guys. Or for both? For both obviously. Now she wants to have sex at 8 a.m. but she has to go out in the kitchen. So it won’t be possible. But can do it in a honeymoon. So for those 4, 5, 6 days, you are getting a good time with your partner. So I think that is a very good time. But if you are unable to have sex at that time. So when you come back, you come back in self-doubt. Sex didn’t happen, wife also feels, if this is okay or not. Your enjoyable period got spoiled. A lot of times problem can happen. So these guys will come. But then we again, a little confidence, a little explanation. A little support. -Spicing up. -A little medication. They are back to normal. Things get okay. All the guys, in my circle, who have a performance anxiety problem, first of all, it has happened with everyone. All the friends, with everyone, it has happened at least once in their life. Yes, it does. Absolutely does. And with some people, that problem got little stretched out. Stretched out means, it took some time for the problem to go away. Not physically stretched out. But anyway. So, those who took time to heal from performance anxiety, mostly the partner helped. The girlfriend. The wife. At that point, your support system is very important. If at that time, when you are having a problem. You see, how will you discuss with someone. What happened, happened between you two? It’s an intimate moment of you and your partner. You can’t discuss it with anyone. What will you tell the friends. I wasn’t able to do. So the friend should be very close. Now if that friend, at that time, without supporting you, make it an embarrassment. Or make it a joke. Spread it among friends. So that in itself becomes one more headache. So at that point, the person googles. Did not get erection first time. Google shows, you have trauma. You need a penile implant. You will have to do a surgery. So he gets more scared, Google is saying it’s gotten worse. Then they fall into the trap of these quacks. The concept of quacks is big in India. Hakimi. Hakim Baba. Then we will go to the Hakim. Hakim will look at the pulse. Then he will say, no, you have a masculine weakness. Now you eat this medicine. Eat this shilajit, eat this. Then they go into that drive. Then there they spend a lot of time and money. And waste their effort. At that time, if they get a proper evaluation from an elder. Who has gone through this. He will guide, not, it’s normal. Release your anxiety, stress a bit. Things will be fine. Correct me if I am wrong, sir. But I feel that if your partner is supportive. If your testosterone is high. And if your mind is calm. Then this problem will not happen. -If you have ticked these three factors. -Absolutely. Absolutely right. Supportive partner. Good physical testosterone levels. And mental health should be in place. Means your mind should be calm. Absolutely. You are right. Completely right. But there is a little– Testosterone is not related to erection. But erection strength doesn’t come from testosterone? No. Erectile strength comes from blood supply. From your cardiovascular health. Penis is a blood organ. So, the more blood pressure, the more blood comes, will get erection by that. So erections– Testosterone is your libido, your desire. Testosterone works on it. Testosterone helps in how much your penis stays supple? How much blood can come in it. So testosterone is an indirect facilitator… -Supple means? -Of erections. Supple means. Sometimes the penis’ vessels start getting hardened. It’s called atherosclerosis. So that is not. It doesn’t get as much blood as it can get. So then you end up with penile shortening. -Size disturbances. -Yes! So all this happens with age. There are technical problems. But testosterone basically affects your libido desire. So in low « T » men, erections, morning erections won’t come. Erections won’t come when they want. The biggest problem they face, they don’t have libido, they don’t have the desire to do sex. They don’t feel like. It is not– It is not that, he will feel like having sex in his life. Young boys think, they will keep doing sex all their life. Sex will keep happening. It doesn’t happen that way. After an age when testosterone declines, you don’t feel like having sex. Literally there are thousands of couples. What thousand, I think millions of couples in India, where they have sex once in 3 months. Married, sex taking place once in 3 months. That too the husband has no desire of having sex. So, in those 3 months, what happens that one time? A fight breaks out in the house. Have to do it. Okay to sort out the fight. Because then the wife says, it’s been 3 months, sex hasn’t taken place. What is wrong? You are having an affair? You don’t like me anymore. I am not physically attractive? Has two kids? Now you don’t want to sleep with me? So then just to satisfy her anger and to sort the fight, there is sex. Then you get a 3-month time. After 3 months again, there is a fight. Again, sex is performed. Then, after a year, they search out an andrologist, as to what is happening? Means, I am not having an affair. My wife is attractive. My kids are happy. I want to have sex. But why is it not happening? Why am I not feeling like having sex? Then they come. And then we have to work up. We find the testosterone is low. Work-life balance is bad. Have developed mild diabetes and BP. I am talking about those in 40-45. And we correct that and then they are again back to normal. So till now we have talked about erection problems in 20s and 30s, does the same happen in the 40s that the testosterone starts reducing a little. Yes, so in the 40s– So 20s and 30s are psychogenic. 30 plus, 30-45s are again… Then there is low « T » very common in this. But can low « T » be prevented? Up to a limit. Men will not produce the same amount of testosterone. A man will not produce that much testosterone throughout his life. There will be a point when your testosterone production will naturally decrease. It is a myth that you can always keep testosterone high through diet and natural foods. So you will see that there are studies and there are levels. For example, at age 20-30, 700 testosterone is considered normal. In 30s it will be 500, in 40s it will be 400, in 50s it will be 300. So that’s called as andropause. Like there is menopause. In menopause, like the periods stop in ladies. That way, there is also andropause. And this will happen with every guy? Will happen with everyone. So it is called as ADAM. Androgen Deficiency in the Aging Male. As the man is aging, the level of testosterone will keep decreasing. Roughly, what is the age? The age range. Normally, between 40s and 50s, androgen decreases. Now this too has a natural reason, an evolutionary reason. Evolution does not want the elderly members of the tribe to keep having sex. Otherwise, there are not so many ladies in the tribe. They want the younger population to have. So naturally, they want that the old man, the lion or the old man, gradually his desire gets over. Testosterone gets low. Libido gets down. He gradually goes out of circulation. So low « T » is a survival mechanism. Which is there as a part of evolution. So what we said at the start of the podcast, that males from the 70s are sitting in America and having sex. They are on TRT. -TRT? -Testosterone Replacement Therapy. Wow! Which is very common there. It is very common. It is common everywhere. In India? Not in India, now, but is coming gradually. So testosterone replacement, what happens is that if you are at 40-45 and you have sexual desire or you want sexual desire, then you have to somehow manage your testosterone. Now the myth of testosterone replacement therapy is that testosterone replacement means that you have to take an injection. It is not necessary. I mean people consider it steroids. Yes, so it is not necessary. So there are many ways of testosterone replacement. So for example, your testosterone, suppose there is a level « X » and your require level is « Y ». So you have to fulfill the difference between « X » and « Y ». So to complete it, we have natural methods also. It gets fixed through exercise. You have some natural supplements. It can increase by them. Can increase by your exercise regime? And it is not necessary that it increases in everyone. Every male is genetically different. So it is possible that there is a man who just through natural exercise, has kept the testosterone level high. Maybe yours didn’t decline that much. But there may be a person who may need some pharmaceutical help. Now, for that we also have oral tablets. There are non-steroidal agents as well as and steroidal agents. So if you do TRT under supervision, then we can maintain a testosterone at a higher level. It should not be done without supervision. A lot can happen in the body. Yes, the problem without supervision is that for example, you have a requirement of only 100 mg. And you are taking 500. So you are taking 400 mg extra which is unnecessary in the body. You are adding extra chemicals. Plus, it is possible by taking extra testosterone you might have a side effect. Which if you take under monitored care, you might not have. So world over TRT is done under the supervision of doctors. But in India, because our pharmaceuticals, you won’t get it world over. Chemists won’t give you without a doctor. Because everything is available in India. So in India, OTC use is very high. Over the counter? -Over the counter use. -You can just ask the chemist, -the chemist will give. -Ask, he’ll give the injection. You are getting injected. Take it, eat testosterone. Yes, absolutely. And then, what happens if you take 500 mg testosterone and if you just need 100 mg. Aggression. Hypersexual behavior. Hypersexual behavior. I mean horny all the time. Now your wife needed it 2-3 times a month. Now you want daily, morning, evening, morning, evening. And biggest side effect is post testosterone dip. You took it. It stayed high for 15 days. You went crazy. And after 15 days, when the fall comes. Your level, which was earlier 300, now that 300 will go down, will go to 150. So suddenly, you go into this deep lethargy. And depressive. So you go into a bipolar kind of a state. For 15 days you are manic and hypersexual. And for 15 days you are completely depressive and lethargic. Even your normal motivation disappears. As motivation and testosterone are very linked. Yes, absolutely. So your cycle is completely ruined. You are going into a very high peak and a very low dip. So to stop it, we have to balance it. So that your dip doesn’t come. So you are in a chronic well-balanced state. So that can only happen with a well-tailored regimen. Then again it’s a work. Of a doctor. That a doctor does. So it may be done by an endocrinologist. Or an endocrinologists. Endocrinologists are doctors who manage hormones. So they can manage and maybe give you a better control over your T-levels. And T-level, I feel, « T » makes a man a man. His motivation, his desire, his libido, his energy, his mental… Patients with low T-levels, they develop Alzheimer’s early. So if you have low « T », you will develop early neurodegenerative problems. You will start developing memory problems. You will develop bone mass loss, muscle mass loss. So it’s very important to maintain T-levels. So world over, TRT is very common. It’s now coming in India gradually. People are understanding that by taking TRT, our heart is better. Our brain is better. Our muscle strength is better. Our bone strength is better. T-level is not only for sex. For the entire lifestyle. It has an important role in everything. What happens in 60s, 70s, 80s? In 60s, 70s, 80s, arterial problems develop. And the blood supply in it ends. So basically, till 50s, testosterone works. After 50s, there is a genuine problem in the blood supply. As the blood supply to our heart gets spoiled, gradually, the blood supply to the penis gets spoiled. -The lion has got old. -With everyone? Will happen with everyone. One is the prostate gland, it enlarges. So the blood supply that goes through the prostate, that gets restricted, due to which the blood doesn’t reach the penis. So most patients after 50s or 60s will require some support. For getting it on. Support means? Support means, they need some medicine support. Or need the support of the wife. They manage sex with half erection also. What is half erection? Means it has not fully hardened. So there is an erection quality scale. It’s called erection hardness scale. So basically, there are four things in it. You feel how hard the erection is. So one is fully hard. Fully hard feels like wood. Just like your thumb, is fully hard. Diamond cutter. Yes, it’s completely hard. That happens in 17 years. You can’t move it. It’s the root of the tree. You can’t move it. That is called fully hard. Andre Russell’s bat. Not a bat, not a wood. But like you do boxing, fully means, sand, a sandbag. There is no space in it. It’s like fully hard. Then you get the normal erection. That is in between 20-50. That can slightly be pressed. If you press it little, the penis will get pressed a little. It feels like a rubber. A full hard rubber bat. It’s completely hard. But it has a little bit of pliability. Then you come to the 40-50 erection. That if you put a little force in it, it will sit down. So for example, they may be able to have sex with a non-virgin lady. But if they want to have sex with a virgin, they will not be able to penetrate. There will be that much weakness. Because what happens in non-virgin ladies? There is a little vaginal laxity. -Looseness. -There is a little looseness in a multiparous. Or the one who has produced children versus somebody who is– So may face a little difficulty in that. Or it’s okay in masturbation because you have to wrap your hand. But are unable to penetrate the vagina. And then you come to the floppy. In floppy, a little blood has filled. The penis got a little bigger. But it didn’t stand. It is like touched a little, rubbed a little and got discharged. But usually, it is not satisfactory. There won’t be any penetration with that. When you ask these men, what do you do in sex? They will say that, sir, there is a little enjoyment. There is a little discharge. But we cannot go inside. There is a problem in putting it inside. Then where do they put in? Rubbed a little on the thighs. Rubbing is also a sex. Rub it and discharge it. Okay, like that. So can be done that way. So now these gentlemen will require treatment. So we can provide them treatment. There are a lot of treatments nowadays. There are regenerative treatments. There are hormonal treatments. There are medications. So basically, there are two ways to suck blood in the penis. One is external pump. The other is internal pump. So there is a pump. So by attaching that pump in the penis, you can just create suction. So it sucks all the blood in the penis. -But… -It becomes a balloon. Where is the handle? -Whose? -The pump’s. It is electronic. Press the button, it automatically creates a vacuum inside it. One minute, you have to explain this in detail. -Because it’s very complicated. -So basically, penis is like a… Our penis is basically a blood organ. So when there is a normal erection, what comes up? Blood comes up, gathers in the penis. They enter penis gets hard. Now your blood is not filling. So you will have to suck the blood. So for example, if there is a balloon. And you suck it. Air will get sucked into it. Similarly, if you attach this device to the penis and pump then it will suck all the blood. How do you attach it? On the penis, you just put the pump on it. And you just pump it. That’s it. That’s it. Then it will get pumped. And it becomes hard. So there is a ring inside it. So you put the ring down. So the blood cannot go back. So it basically becomes like a balloon. So you do a little penetration with that. Do sex. That is called as penile pump. Vacuum pump. It is called a vacuum erection device. So this is used in old people. But it is not very good. Because one, it is painful. You are sucking blood into the penis. Second is, penis becomes absolutely blue with the blood. It becomes blue? Yes, absolutely. Because fresh blood is red. Venous blood is blue. So the blood coming in is not natural blood. So you are basically sucking the dead blood. So it becomes blue. So it looks like a blue balloon. So even the women are not ready to have sex with that. So it is not a very good device. So nowadays, there is something called as a penile implant. In a penal implant, a balloon is inserted inside. So we do the surgery. And we put a balloon inside. And we put a pump in the patient’s scrotum. Near the balls. So it is a water pump. So when he wants to have sex, he can just pump it. It becomes fully hard. Have sex and then when he is done, he just presses the button and it goes down. So this is called a penile prosthesis. Hydraulic penis. Yes, hydraulic penis. So this is the new thing that is happening. And we do that surgery. Andrologists do that surgery. What happens in that surgery? You even open the balls and a pump… No, we don’t open the balls. We open the penis. And we put in the rod. And we put in the balloon pump inside. How do you open the penis? -With a skin incision. -Where? Right in the middle of the balls and penis. If this are the balls and this is the penis, then somewhere here. There is a small machine. There is water in the machine. There is water. And when you want, you can get it up. And when you want, you can get it down. And it is not available since today. It is available since 1963. So it has been happening for the last 50 years. -Really? -Yes. And in India, it’s been available for the last 7 years. Where is the button? The button is between the balls. So it is a prosthesis. Prosthesis means, there is a cataract. Someone is unable to see, the lens may have got damaged. So remove it and put a fresh lens. Someone’s heart got damaged, valves, so change it. The hand is broken– Similarly, if the penis doesn’t work, so replace it. You put in a fresh engine. -Fresh machine. -Wow! So then he is good to go. But only 5% of patients require it. 95% old men, TRT. Exercise. And your medications. They are able to perform with that. Wow! Does it cause pain? After surgery, no. Nothing happens. It is a natural penis. It is a normal penis. It is a part of the body. It works like a normal penis. If you look at that fully erected, it looks like a… You cannot say looking at it, that it is not natural. He knows that it is a machine. The other person doesn’t know anything. Because the outer skin color, everything is same. Only a machine is installed inside. That you don’t know about. Whoever is listening to this podcast, he is now feeling a pain in his penis. Yes, that’s it. That is what it is. This is not for young men. But this is for men who are young at heart. So it is not for young men, but for men who are young. So now there are a lot of situations in life. There is someone who is a widower. He gets married again. Somebody gets… Got into a new relation. Husband and wife too desire. So we get– I mean every type of person has a situation in life. So, sex is an essential need. It is a requirement. We have a highlight section at the end. You know what we are going to talk about. You have come on TRS. You tell us. -NoFap. -Yes. So NoFap. Brahmacharya. We will talk about them. You said that medical community is divided. Mostly people say that NoFap is not effective. But you are an andrologist, an urologist. Basically, you are a men’s doctor. What do you have to say? I think NoFap… NoFap… English people are telling us our own concept. We discovered the concept of Brahmacharya, our country. They packaged the same thing as NoFap and sent it again to us. There are many benefits of Brahmacharya. Brahmacharya was described in our ancient times. In our ancient times, early marriage was also described. Family life also used to start on time. Where we faced problem is, where dichotomy came in is, Brahmacharya is a good thing. But for how long? How can a person remain celibate for 30 years? You became sexually active at 16 years. You didn’t get married at 20 years. You are getting married at 30-35 years. Don’t masturbate. Don’t have sex. Follow celibacy. For how many years? For 10 years. That period of 10 years. That is the problematic area. That is where the problem comes. This is the question, sir, we will practice celibacy but what to do about urges? What to do? I don’t have a solution for that yet. There are benefits of celibacy. A lot of them. The erections become harder. Timing increases. The semen gets better. Patients are mentally calm. Psychologically they are better. They are able to have better sex. Celibacy has thousands of benefits. The cultural shift of late marriages and early promiscuity. How to balance it with that? We have to figure it out here. I have no answer for that right now. I would like to say two things. First thing, the erection strength scale that you talked about. I have noticed that if you adopt a NoFap phase then your erection strength increases a lot. It absolutely increases. -Correct? -Yes. Because « test » levels also go high. And this is a medical study. That, in one week of not ejaculating the testosterone levels peak a lot but don’t go beyond that. And that’s the big criticism of the anti-NoFap community. That okay for one week definitely, the testosterone levels increase. But what after that? There is no response to it from a medical perspective. I believe that mostly those who are doing practical NoFap these days, they basically don’t watch porn and don’t stroke. -But they do actual sex. Correct? -Yes. Means they have sex with their partners. There is no problem in having sex. There is problem with fapping. Masturbation is not sex. First thing is very clear. Sex is what you have with a woman. Masturbation is just the– Masturbation is just a ***** way of having sex. You are having sex with your own hand. There is no way you will get the same benefits of having sex as with masturbation. Your penis is getting— One is you are not fully stimulated. You are not fully hard. Your penis is not getting any warmth. Your penis is not getting any moisture. You are not getting any visual stimulus. You are not getting any physical stimulus. You don’t have any touching cues. There is no one in front of you. You are on a false AV medium, just an artificial, at a spinal level, having an erection and discharge. And your orgasm is also not fulfilling. Your orgasm is half orgasm. It is not a fulfilled orgasm. You are not fully discharged either. It’s a very– It’s not healthy at all. I think it is– Patients come to me. And we make every patient to stop masturbation. And the results are fantastic. They recover in 15 days. 1 month, 2 months, 3 months they are back. They say we are getting hard erections. Getting fully hard. We are feeling better. Our sexual response is better. Our urge is better. Why do I talk about No-Fap? There are two reasons. The first reason is that, I have experienced it myself. And in my own life, in my sexual life, or even in my physical health-oriented life, have seen its benefits. I think it’s very good. And the second reason is that, all the yoga schools that I have visited, all the meditation courses I have done, a very basic thing is told to you. That this is your creative energy. And its role is in your meditation, in your yoga. And if you are masturbating a lot, then you are leaving that creative energy. Now behind this statement, there is no scientific backing until now. Because maybe research has not been done in that domain. There is a lot of scientific backing. Whenever somebody tells you that masturbation is healthy, you tell them, okay, show me one medical literature, one medical journal which says this. There is no journal, there are no books, there is no research. The only research that is available which says, masturbation has negative effects. Negative cognitive effects, negative psychological effects, negative health effects. So masturbation is not healthy. In 1974, DSM, means the Psychiatry Association, removed masturbation as a disease. You know why? Not because it was healthy, because a lot of people were doing it. And they realized that if we make it a disease for every person, then our sanitarium will increase, our patients will increase. So they said, okay, masturbation is not a disease. But it is not written anywhere that masturbation is healthy. In 1994, the US Surgeon General said this much that masturbation is healthy. She had to resign. The US President had to make her resign. So masturbation is not healthy. Masturbation is an unhealthy habit. It is very unhealthy. At a limit, because of this problem of late marriages and problem of lack of sex, it’s okay. If somebody is not able to control the urge, then once in a month kind of a thing, if he is really desperate, it’s okay. But nowhere is it written in medical literature that masturbation is healthy. Every doctor, every psychiatrist, Every influencer is going on about this, that masturbation is healthy. It’s okay. Masturbation may be a release. But if you are going to tell that masturbation is healthy, then there are 16-year-old children in developing ages who will start doing it. Do you think that female masturbation and male masturbation’s experience and outcomes are different? Are absolutely different. So maybe they are again talking about female masturbation but they are printing masturbation on to male masturbation. Female masturbation is also wrong. This will become very controversial. There are a lot of studies which say that if a female is cumming with the help of vibrators, she loses the ability to cum naturally with a real human penis. A real human penis can never be a vibrator. You cannot stimulate the clitoris to a level that a vibrator can, on a vibrator, you can set a frequency and maybe go on for 30 minutes. No man can go on for 30 minutes inside the vagina. It is not possible. You are saying that vibrators may spoil sex in the long term. Can do it. No, the sexual pleasure response of a female it is possibly elevating its threshold. So, the natural orgasm that comes by it, male or female, both, somewhere that will get disturbed. You should not make it a habit. Yes, should absolutely not make it so. If masturbation becomes a habit, whether you are male or female, that will affect your sex life badly. It will definitely affect. You an andrologist -and you are saying it through experience. -As a doctor, I am saying, as a doctor who is seeing patients every day, patients who are stressed about it, distressed about it. I am looking at these guys who are coming in, who are watching porn, ones watching porn, masturbating, are worried. Are not getting complete hard erections. There is no desire. Don’t feel like having sex. Semen is not coming properly, premature ejaculation is developing, shortening of penis is developing, because they are chronically grinding themselves, stopping them and rehabilitating them, in itself is a very important component of my practice. And the difference is magical. Just magical. After 6 weeks, the person just changes. His confidence is at a different level. He is coming in with good erections again. He was not getting morning erections for the last 4 months. Because every night, he is discharging twice and sleeping. -He is getting morning erections. -Twice every night. People are masturbating 4-4 times in a day. He is healthy, he is so healthy that you should do it a lot. There are guys who say that we are discharging 4-5 times. According to me, I might be totally wrong. I think this narrative has slightly come from Instagram because people think that the content becomes the content creator but in truth the content creator becomes the content. Absolutely, absolutely. So first, and there are many medical accounts, doctor accounts, and I have nothing against them because I feel that they are giving publicity to biology which is very good. As there are benefits to see doctors on Instagram. Even you are a content creator doctor. But along with that, there is a lot of sex on Instagram. A lot. As in, if you make sexual content, you will get a lot of growth. Now a capitalistic thought, that is a growth-oriented thought is that, taking the topic of sex I will make a lot of content pieces. Now you got growth by that, now you get addicted to that growth as a content creator. And then you start assuming that excess masturbation is good. We should promote the idea of masturbation. But no one gives balanced opinions because in a 30-second Reel, 1-minute Reel, you probably can’t give a balanced opinion. No understanding either. I say there’s no understanding. These content creators, female content creators are not doctors. They are not doctors. There is some kind of a certification or they are some kind of a… non-medical background. And they are taking up information from Google. Google doesn’t create good information in itself. Google does not give you both the sides. You put masturbation is healthy, Google will only give you positives. Google will not give you a negative. So you are reinforcing positive, positive, positive. And you are making that into content. And you are posting that. So the person who is watching you, He seeing that doing masturbation is harming me. But there I’m repeatedly getting positive. So is unable to understand what is happening. The people who make such content, they are probably watching this clip and saying that we both too are trapped in a similar digital echo chamber, where we are demonizing sex and masturbation. But you probably haven’t seen the entire podcast. Where we celebrated sex and talked a lot about sex. And definitely what sir said that if you are feeling too much lust, do it once in a month. -Would you say do it once in a week? -Maybe. But see self-control will always come when you set up a deadline. You have to bring discipline in life. Without discipline– It’s not that I have not masturbated. Have done it. -We were in a medical college. -Everyone has done. And it’s not like masturbation was considered unhealthy. When I did MBBS, MS, MCH, we also used to hear the same thing. It’s healthy. It’s healthy. It’s healthy. But when I started practice, from the last 7-8 years, what I am seeing, there I realized, no have to put a full stop somewhere. You cannot keep on saying it’s healthy, it’s healthy, it’s healthy. From what point is it healthy? How can it be healthy? Because stress relief is found. For stress relief, masturbation is not an activity. It is said in Reels that research shows that stress relief and that it leads to a better mood overall. Which research? That’s it. This is the statement in Reels. Saying the same thing. You go to Wikipedia. Type masturbation on Wikipedia. And go down in the references. Not a single medical reference. All hearsay. Heard here. He said. Keep going deep. You won’t find anything, who said it. It’s like a blank end, blind end. Every alley is blind. You won’t find a single reference in medical literature where masturbation is healthy has been studied. That masturbating men are healthier. You lose all motivation to improve yourself. Because by chronic masturbation, if you masturbate every day, I am sure testosterone levels will get affected. Testosterone level, your motivation will end. There was a– See masturbation is the biggest addiction that there can be. Our brain works on pleasure. On reward. For example, the biggest addictive substance in the world is sugar. But the one substance which is even more addictive, there is a more addictive substance than sugar, that is masturbation. Quick release, immediate orgasm. So your motivation to do anything is over. Why will you work on yourself? Why will you build a physique? Why will you exercise? Why will you study? Why will you move ahead in life if all your rewards– -After masturbation, you go into asthenia. -What? After discharge, you go into sleep mode. You are like for 2 hours, 2.5 hours. Your body needs time to recover. You go into a resting phase. Then you get up, you again did masturbation. You are getting stimulated by the smallest of impulse. Saw a little dance on Instagram, you got stimulated. Went and masturbated. You just don’t have self-control. Is a man supposed to be a person who has zero self-control? You don’t have that much control that you can control or stop sexual impulse. You want to live in a hedonistic society where you can do anything whenever you want. That is not how a man is made. That is not how you are going to take care of your children or your family. Where you cannot control a simple impulse like a sexual urge. So control is also important. Masturbation, according to me, should not be done. If you want to masturbate, then once in a month is something that I tell my patients that you can do that at high impulse. But many men say that, sir, even once in a month is not needed. At the start of this whole subject, you said one thing that I don’t have a solution for this. Urges control. For urges, yes. According to yoga, there are some breathing techniques. I can’t teach the techniques here. Plus, we have talked a lot about this in the past podcasts. Please type TRS NoFap. You will get a lot of content. Basically, there are breathing techniques and some yoga poses. There are yoga poses, there is cold bath. Some people who are highly religious, some hold on to Hanuman Chalisa. We won’t do it for 40 days. We will meditate to God. Some people keep an alarm. We make a trigger for some people. When you feel the urge, then go and do 5 bench press -or do 6 squats at that time. -Wow! When you get the urge, postpone it. The urge will go away. We do that in rehabilitation. It is described. Rehabilitation of masturbation? Rehabilitation of masturbation addicts. This exists? Definitely exists. -Where? -I don’t want to do it. My place will get crowded. I can’t manage this much crowd. All my patients will be over. But there is masturbation rehabilitation. It is similar to alcohol addiction or smoking addiction. You make subgroups of 10 people. Who reinforce each other. You give them a timeline. You get their impulse trigger postponed. One is breathing techniques. One is cold bath which I told. See, you have to develop will power. You have to develop self-discipline. You have to develop that. Nobody can teach you. When you start seeing the benefits, that is positive reinforcement. You go to the gym, you build your body, make a physique, you feel my cardiac capacity is increasing. I will run 5 km this year, next I will run 10, then I will run 21, then I will run 42. Similarly, you realize that, when you stop masturbation, you are better. You are able to think clearer. Your brain fog is gone. You are able to focus on your career. The kids come back and they are like, sir, we are feeling much better. We haven’t done it for 3 months, we are okay. We won’t do it for 2 more months. We won’t do it for 3 more months. It is possible that your testosterone level don’t peak further. But it will stabilize at a good level. So then when you finally meet the woman of your dreams, when you are finally with a real person, then you can have sex with her. Which is enjoyable, which is fulfilling, which is intimacy at its best. Which is much better than just shaking off in a toilet or in a drain. And there is so much difference between masturbation and sex. In sex, you are moving your pelvis. In masturbation, you are moving the hand. In sex, you are lying down. In masturbation, you are sitting on a commode. In sex, you are with a live person who you are breathing. In masturbation, you are seeing a screen. And you are constantly changing. Why are men not able to have sex with one partner now for a long time? Earlier, you fell in love with one, were able to have sex for 20 years. Because you want new every day. Today you want MILF, or you want BBW, then you want Black, then you want ebony. So you are just scrolling. So where is your arousal? Your arousal response is fucked up. You are not getting fully aroused. How will you get arousal? You only want to see some segments. You want to see only some segments. You want that no, now I want to see anal, now I want to see vaginal, now I want to see oral. Or I just want to see this much. You are constantly browsing. Then how will you be happy with one female for the rest of your life? Does anal happen in India? Happens a lot. Happens a lot. Anal is discussed very less. I considered it a bit of an American culture-oriented subject. But… Anal is normal. In India it happens, all holes are open. Fetishes are there. Paraphilia is called fetish. So there is also a lot of fetish. I think they are healthy. There are no problems with fetishes. There are people who worship the feet. There are people who worship the thighs. There are people who worship– The part of the woman’s body is to be worshipped. By which one gets aroused, it’s up to him. Best is to worship the orgasm of the partner. Best is to get fully aroused. Fully arouse your body. Getting fully aroused is most important. Getting yourself prepared– If you go a little deeply, every sex is there for creation. Okay, we are not making that many babies. But that act, why is orgasm made so strong in evolution? Why is orgasm made such a driving force? Because you have to create. After that what will happen? A new life, a new life will come. That’s why orgasm is supposed to be the strongest. In orgasm, you forget everything else. So, orgasm is considered as reaching the place of pure bliss. But you are unable to understand pure bliss. You think masturbation is pure bliss. How can that be bliss? That is not. So, you have to get into that mode where you can enjoy and have a fulfilling sex. This is my personal perspective which I tell my patients. To which a patient agree and even gets well. Now, female influencers, have a go at me, troll me, I can’t do anything about it. Just show the degree once. Why do I have to show the degree? I don’t want to show the degree. I am telling you with experience. And I am telling people are getting better. Again, any guy who is listening this and he does this for 10 days, he will leave it on his own. On the 11th day, he will himself say, I am feeling, like I am the best part of my life. I want to sleep with a woman. Or with a partner. I don’t want to do this sham sex. I don’t want to do it. It will happen on its own. You know, it is not soap. You shouldn’t squeeze out the soap. -Absolutely. -It is made for sex. -Absolutely. -Like Vidyut Jammwal said, « you are entering the battlefield. » The exercise regimen that Vidyut Jammwal has made, I think it is an excellent exercise that he is doing. I forgot his name. He made this exercise schedule. I think it was very good. It helped many people. A lot of people who come to the clinic will say « we are doing that. » They are very pro level exercises. But if somebody does that, it enhances the core a lot. We were talking about anal. Does anal cause problems to the penis? Nothing happens. But you are putting penis in the place of shit. The vagina is also not clean. If you swab a vagina, and you swab the asshole, you will get the same bacteria E. coli. So the vagina is not clean. So there will be no different infection from anal bacteria. When does the infection happen? Either the anal area has a lot of ulcers or there is some other infection. So you get transmitted. Otherwise just by doing anal sex, there will be no such infection. You don’t get STD. But the same principles apply to anal sex that apply to vaginal sex. Monogamous partner, same partner, cleanliness, hygiene, and proper bathing after doing that. And don’t change the holes. Don’t change the holes midway. Suddenly, don’t go from anal to oral or go anal to vaginal. So you will end up infecting your partner. But why do people do anal? It is tighter. They find the vagina loose. Anus is tighter. Less lubrication, they get more fun out of it. Less lubrication, so they get more fun out of it. It’s more friction on the penis. -So? -They enjoy the friction. A lot of men enjoy that friction. Men enjoy the friction. Yes, lot of times, men enjoy the friction. -Why. -They like it to be tighter. They like it to be, plus it is there. There is an extra hole. It is nearby. They explore that, what’s the issue? So people do it. There is no problem in it. But don’t be– Be gentle with your partner. Don’t force it. Take consent. Because anal sex can be painful for the partner. Yes, that’s what. It pains during prostate exams. The anus has a muscle around it. So if you slowly relax it, it will fully relax. The anus becomes so relaxed that you can put in the entire fist inside. You can relax it without pain. Male anus too. Any anus, be it male or female. But you have to be gentle with it. You have to give it time. You have to help it relax. People who have anal sex, they know how to have anal sex. Okay, there is a technique. They have to give it time. In anus you can’t just pump it in. It will not go. You will end up injuring yourself. And anal sex is actually, in anal sex, you have to prepare the recipient more. The amount of foreplay required for anal sex -is more than vaginal sex. -Why? Because you have to relax the anus. So how through your foreplay can anus relax. If you are having sex with the partner, if she is allowing you to enter the anus, you have to fully relax it. How will it relax? If she is in tension or being forced, then nothing will happen by force. There is still lubrication in vagina you can force yourself. In anus, you can’t force yourself. You have to be gentle. You have to take time. You have to be consensual. You have to make your partner feel at ease. You have to do everything. After that anal will take place. And anal is pleasurable for the male. Maybe for the female yes, no, but most females anyways don’t, orgasm with penetration. They orgasm with the love and with the grinding and with the clitoral stimulation. They are like, they think our guy is happy, let him do. But anal sex happens. It happens a lot in India. I have read this. You tell me if it is true or not. It is said that men have two types of orgasms. The first orgasm we all know. Which we all have experienced it. Normal orgasm. Which you can do with your hand or through sex. But another orgasm is prostate-based orgasm. Prostate orgasm. Does it really happen? Tell us about its biology. Tell us about its experience. And generally, tell us all the other miscellaneous things you want to tell. So prostrate examination, prostrate is basically a male sexual organ it sits right in the middle of our bladder and urinary tract. So prostrate can be felt through the asshole. If you put the finger then you can feel the prostrate behind. So it is just this much inside. So normally, like we are urologists, if we have to examine the prostrate for prostate cancer or for infection, we do the examination and we can feel the prostrate. But there are many males who get their prostrate stimulated. Meaning you put in the finger or the penis if they are recipients, if they do anal sex and/or maybe devices, vibrators and they massage the prostrate. So when prostrate is massaged there are many nerve endings. So the prostrate, I have not personally experienced it but I have heard from my patients and also from the web and many places that it is actually more intense than the normal… Has anything happened while examining with some patient? So we have patients who enjoy it and they want us to continue doing it. But as doctors once our work is done, it’s over. But okay, but prostrate exam– So there are lot of sex toys, that are for prostrate for examination, there are massages, there are lot of wands and all -that you can put in. -Wands? And there are lot of times– I have had– What I have had, all surgeons have these complications. Somebody will put in a bottle and come, take it out. Many times, somebody– I had a case where they put a beer bottle and they were doing that. It broke inside. No, lost the humor. So then you have to do a colonoscopy and remove the fragments. **** It is common, but see again, people have their way of enjoying their sex and everybody has their own choice and fetish and it’s all okay. Everything is fine. People do it their own way. So as a doctor I can’t judge, I don’t judge anybody. Do whatever you enjoy. Except masturbation. That is forbidden. Everything else is allowed. And with that the podcast is over. Doctor, I am sure this is only our part 1. Part 2 will also be recorded and released but I think let part 1 sit on the internet for some time. Thank you for having me on the show. It was– I think you got all those things out of me, normally, which I never– The things that stay in the mind and getting them out is also a big thing. Thank you so much. Thank you, sir. I feel that we’ve just touched the surface. No pun intended. Sometimes when you touch the surface you can feel how hot it is inside. You can feel the depth. Thank you so much. Yes 100% sir. But I am sure part 2 will be deeper and even stronger. That’s all I’ll say. Thank you. Thank you, sir. Woohoo! Enjoyed? I too enjoyed. Doctor will come back. Till then subscribe to his YouTube channel. On our English channel too, we have started a lot of conversations with doctors. So go and watch all those episodes. Biology has come back on TRS. Tell me what other topics related to biology should be covered for you, for us, for the world. I am still in that zone. I am sure you are still in that zone. I am glad you enjoyed the episode. TRS will come back very soon friends. [Music] [Music] [Music] .

Déroulement de la vidéo:

0.087 Because a lot of boys,
0.087 due to psychological problems
0.087 and sometimes maybe
0.087 due to physical problems,
0.087 don&;t get an erection.
0.087 That will fall
0.087 in the erectile dysfunction category.
0.087 How will you expand this topic?
0.087 It is said that due to the culture
0.087 of dating apps,
0.087 STDs are also increasing
0.087 because the hookup culture is increasing.
0.087 It is a carcinogenic STD
0.087 and it can cause cancer in the future.
0.087 Are all STDs curable?
0.087 The situation of barebacking
0.087 that is going on nowadays.
0.087 Meaning, sex without condoms.
0.087 Yes. considering sex
0.087 very pleasurable without condoms,
0.087 the sexual prevalence in trend,
0.087 that is the root of the problem.
0.087 The women, who are sexually active
0.087 are unacceptable to today&;s Indian males?
0.087 But every Indian male
0.087 wants sex before marriage.
0.087 I am doing this podcast
0.087 for people in their 20s and 30s.
0.087 But we can cover 40s and 50s also
0.087 -because they are important.
-The 50s are the new 30s,
0.087 you know this?
0.087 People in their 20s
0.087 are not as sexually active
0.087 as people in their 50s.
0.087 How?
0.087 Today, Viagra
0.087 is available over the counter.
0.087 After a point, Viagra stops working.
0.087 What does Viagra do biologically?
0.087 Masturbation is not healthy.
0.087 People are masturbating
0.087 four-four times in a day.
0.087 Whenever somebody tells you
0.087 that masturbation is healthy,
0.087 tell him, okay,
0.087 show me one medical journal,
0.087 which says this.
0.087 So a very common one
0.087 is performance anxiety.
0.087 You must have heard the name.
0.087 We should talk about this.
0.087 This is probably,
0.087 the most important topic for Indian men.
0.087 Yes! As you saw or heard in the trailer,
0.087 you can&;t watch this podcast
0.087 with your family.
0.087 You can&;t listen to this podcast
0.087 with your family.
0.087 In fact,
0.087 you should listen to this podcast alone
0.087 or with your brothers.
0.087 Because a lot has been discussed.
0.087 Whatever you can think of,
0.087 everything has been discussed.
0.087 And I can definitely say
0.087 that Dr. Vijayant Gupta
0.087 will return to TRS.
0.087 Because there is a storehouse of content
0.087 inside him.
0.087 What kind of content?
0.087 Content related to the favorite subject
0.087 of all of us, friends.
0.087 First, mute it,
0.087 if your parents are around.
0.087 And if your parents are not around,
0.087 then I will say now
0.087 that this is a sex-related podcast.
0.087 It is a penis-related podcast.
0.087 It is a men&;s problems-related podcast.
0.087 To female listeners, I am very sorry.
0.087 But you may not be able to connect
0.087 with a lot of points.
0.087 I mostly try
0.087 to have unisex topics in every podcast.
0.087 This is the first
0.087 slightly catered-to-men podcast.
0.087 But if you want to know more about boys,
0.087 or andrology, that is,
0.087 want to know more
0.087 about the biology of boys,
0.087 or you want to know
0.087 more about the mindset of boys,
0.087 then you will know a lot
0.087 in today&;s episode.
0.087 And my brothers, what can I say to you?
0.087 Just enjoy the episode.
0.087 [Music]
0.087 [Music]
0.087 [Music]
0.087 Welcome everyone
0.087 to today&;s special TRS episode.
0.087 Brothers are going to be helped.
0.087 Because today we have,
0.087 Dr. Vijayant Gupta.
0.087 Thank you. Thank you.
0.087 You have become famous on YouTube
0.087 because you talk about such things
0.087 that bros often
0.087 can&;t even talk about with their own bros.
0.087 That&;s why you have the solution
0.087 to every secret bro problem.
0.087 Sir, you are a urologist, an andrologist.
0.087 First tell us
0.087 what is urology and andrology?
0.087 Thank you for having me on the show.
0.087 I am a urologist.
0.087 Urologists are basically surgeons.
0.087 Who are kidney and sexual organ surgeons.
0.087 Urology is a post-graduate surgeon
0.087 who has studied kidneys, urinary tract,
0.087 prostate, and sexual organs,
0.087 and do surgery on them.
0.087 And in that, there are subdivisions.
0.087 One of the subdivisions is andrology.
0.087 The main work of andrology
0.087 is to study our tool,
0.087 our penis and testes,
0.087 and the diseases caused by them,
0.087 and treat them medically or surgically.
0.087 Problems like, penial erection problems,
0.087 timing problems, infertility problems,
0.087 sperm count problems,
0.087 hormonal problems, STD problems,
0.087 the ones who study the above
0.087 and treat them, are called andrologists.
0.087 So, I am an andrologist.
0.087 So, first I am a urologist
0.087 and my sub-specialty,
0.087 that is my area of interest is andrology.
0.087 So, urology is for that section.
0.087 From your kidneys to penis, testes,
0.087 -that whole section is called urology
-Yes.
0.087 -And then there are sub-categories in it.
-There are sub-categories.
0.087 So, andrology is mostly
0.087 related to sexual disease.
0.087 Andrology is related with men&;s health.
0.087 Men&;s health is a large sub-section.
0.087 Everything is there.
0.087 For example, your testosterone levels,
0.087 your penis health, your circumcision,
0.087 your testicular health,
0.087 inability to produce offsprings,
0.087 male infertility, sperm count,
0.087 whether you get erections or not,
0.087 early discharge problems.
0.087 So, all of this
0.087 will be a part of andrology.
0.087 Which is the most common
0.087 andrology-related problem in India,
0.087 according to you?
0.087 Premature ejaculation, early discharge.
0.087 So that is what I see
0.087 the most commonly in my OPD.
0.087 If it is gynecology,
0.087 then every lady knows
0.087 that if she has a problem,
0.087 she has to go to a gynecologist.
0.087 But such is not known to every man.
0.087 Where will a man go if he has a problem?
0.087 So he has to go to an andrologist.
0.087 So an andrologist
0.087 will fix all their men problem.
0.087 So as such, the most common problem
0.087 in India of andrology would be STD.
0.087 Sexually Transmitted Infections.
0.087 Gonorrhea infections, crab, herpes.
0.087 So this is very common.
0.087 So many people cover this.
0.087 Your doctor will also cover it.
0.087 Your dermatologist will also cover it.
0.087 Andrologist will also cover it.
0.087 But if you go into a specialization
0.087 where you remove the STD, then next,
0.087 there are these sexual problems.
0.087 Erection problems, discharge problems,
0.087 early ejaculation problems,
0.087 male infertility, these are more common.
0.087 I think in this whole podcast,
0.087 we will break down every problem slightly.
0.087 Because guys often feel ashamed
0.087 before addressing these problems.
0.087 That is why they are called, "Gupt Rog".
0.087 "Gupt Rog?"
0.087 If you ever go to a station, in a train,
0.087 will find stickers of "Gupt Rog".
0.087 Why "Gupt Rog"?
0.087 "Gupt Rog" translates to secret.
0.087 We will not discuss it.
0.087 Because these are such problems
0.087 that a person doesn&;t even discuss
with his best friend.
0.087 -Yes!
-Because this problem
0.087 is his most intimate problem.
0.087 He will keep dying, living,
0.087 thinking about it,
0.087 but will never address it.
0.087 Where is the right place for him,
0.087 he will not be able to go.
0.087 So our purpose is,
0.087 the purpose of my channel is,
0.087 my purpose is, as an andrologist,
0.087 to give that courage.
0.087 If you have a problem,
0.087 then there is a doctor.
0.087 Go, get treated.
0.087 When liver transplant can be done,
0.087 then even this can be treated.
0.087 So it is treatable, it is curable.
0.087 But first you have to identify,
0.087 what problem do I have and whom to go?
0.087 And if you go, you will get treatment.
0.087 Many boys live their lives with problems.
0.087 Have to live.
0.087 If you discuss it with friends,
0.087 then friends will laugh.
0.087 Okay. So they feel
0.087 that they will laugh at me.
0.087 Can&;t discuss it with the wife.
0.087 Can&;t discuss it with the girlfriend.
0.087 Can&;t discuss it with the parents.
0.087 Online information is very sketchy.
0.087 It is not trustworthy.
0.087 So how to find a solution?
0.087 So they just keep suffering.
0.087 But why can&;t it be discussed
with the wife or girlfriend?
0.087 Sorry, I broke the flow of your podcast.
0.087 But I just want to say,
0.087 firstly, thank you for supporting us
0.087 throughout the years.
0.087 Secondly, we have started a new initiative
0.087 which is called BeerBiceps SkillHouse.
0.087 Its intention is that,
0.087 in India&;s upskilling journey,
0.087 we contribute a little.
0.087 We have brought
0.087 a commercial editing course for you
0.087 because this is the BeerBiceps team&;s
0.087 core skill set.
0.087 Many upskilling courses are coming up.
0.087 So, at least check out
0.087 BeerBiceps SkillHouse.
0.087 Follow our YouTube channel.
0.087 Follow our Instagram page.
0.087 But for now,
0.087 enjoy this episode of TRS.
0.087 See, I personally believe,
0.087 my patients that come to me
0.087 that this relationship is an ego game.
0.087 In a relationship, every person
0.087 has to keep his best forward.
0.087 When you are weak in the intimate area,
0.087 then you give the other person
0.087 a handle over you, to control.
0.087 And many times,
0.087 the other person uses the handle wrongly.
0.087 The person gets frustrated
0.087 because there is no answer.
0.087 What will he do?
0.087 He has to quietly accept defeat.
0.087 If he has to accept defeat,
0.087 then frustration will keep increasing.
0.087 So what will he do?
0.087 Frustration is increasing.
0.087 Marriage is getting spoiled.
0.087 Wife does not agree.
0.087 It is difficult to talk to her.
0.087 Because, you as a man–
0.087 See, you have earned a lot of money.
0.087 You are very rich.
0.087 You have a big car, house, everything.
0.087 But you are naked in bed.
0.087 You are naked at that time.
0.087 That time you poses only one power,
0.087 that thing.
0.087 If you lack power at that time,
0.087 then will you have sex with money?
0.087 You can&;t do.
0.087 You have to do sex with just that.
0.087 And if it is not working,
0.087 then what do you have?
0.087 So for every person,
0.087 his source of ego, his source of power,
0.087 is his sexual power.
0.087 Because when the clothes come off,
0.087 it is only that.
0.087 Which defines you.
0.087 You say that I&;ll bring the moon for you.
0.087 Out of love.
0.087 How will you bring the moon?
0.087 What will the wife do with the moon
0.087 or the girlfriend with the moon?
0.087 The intimacy that you have,
0.087 the love that you have,
0.087 you have to express it sexually.
0.087 And if you are not able to express it,
0.087 then it becomes your weak point.
0.087 So basically, it is a power play.
0.087 So for a woman, this is a God gift.
0.087 They don&;t have to work hard for sex.
0.087 She has to just–
0.087 She is a receiver of love.
0.087 Who has to give? The man.
0.087 So all the pressure is on him.
0.087 So if you are not able to do it today,
0.087 then you are somewhere
0.087 losing in the relationship.
0.087 And then, don&;t know where to go,
0.087 don&;t get the cure,
0.087 then the frustration level increases,
0.087 and that starts showing in their career,
0.087 in their performance, in everything.
0.087 So I think,
0.087 this is a very important aspect.
0.087 Because this problem sitting in your mind
0.087 will affect your confidence all day.
0.087 Will definitely do.
0.087 And as you said that during the fight,
0.087 sometimes partners bring it up,
0.087 that there is a problem in your penis too.
0.087 I&;m actually reminded of WWE.
0.087 -You used to watch WWE?
-Definitely used to watch it.
0.087 There used to be low blows.
0.087 Yes, absolutely.
0.087 -Meaning?
-Below the belt.
0.087 Yes, they used to hit on the balls.
0.087 Of course.
0.087 And this is illegal.
0.087 This kind of comment
0.087 is a low blow comment.
0.087 You won&;t believe how common this is.
0.087 Couples come to me
for marriage counseling.
0.087 To you, for marriage counseling?
0.087 Because somewhere, in marriage,
0.087 the most common part is sex.
0.087 If sex is not happening
between husband and wife.
0.087 Look, in India, sex is a taboo topic.
0.087 But it covers every aspect of life.
0.087 Today, for example,
0.087 a couple is unable to conceive a child.
0.087 For example, there is a couple,
0.087 who is unable to produce babies?
0.087 So you can&;t imagine
the scale of a social impact it has.
0.087 All the family members
of the wife will say,
0.087 you are unable to conceive.
0.087 The husband&;s friends will say,
0.087 are you not able to get things done?
0.087 So a child is a…
0.087 As it is said a validation of marriage.
0.087 Validation that this boy is potent or not.
0.087 This man is potent.
0.087 This woman can have a child.
0.087 If unable to conceive a child
after marriage.
0.087 Is it not happening due to infertility,
0.087 problem with the wife.
0.087 Problem with the husband,
0.087 sex problem, erection problem
0.087 don&;t know.
0.087 But not able to conceive a child,
0.087 becomes a very stressful situation
for a couple.
0.087 Been 2 years,
0.087 3 years, 4 years since marriage.
0.087 And many times,
0.087 that stress breaks the marriage.
0.087 If the mother-in-law taunts the wife,
0.087 then the wife will needle
the husband at night.
0.087 Needling the husband will lead to a fight.
0.087 The fight
0.087 will result in an incomplete sleep.
0.087 If the sleep is not complete,
0.087 won&;t be able to work the next morning.
0.087 Visualize it on a daily basis.
0.087 If this goes on even for a year,
0.087 the husband&;s outside life is over.
0.087 The wife is not happy.
0.087 Everyday there is a fight at home,
0.087 then what will happen?
0.087 -It will lead towards divorce.
-Divorce.
0.087 When these couples come,
0.087 even though I am not a counselor,
0.087 I am a urologist.
0.087 But if a patient comes,
0.087 a solution has to be given.
0.087 Have to be explained
0.087 that they&;ll be able to bear a child.
0.087 What&;s the problem faced?
0.087 Don’t open up.
0.087 See for any man,
0.087 sitting in front of another man
0.087 and saying this, that I&;m unable to do.
0.087 Need a lot of energy, power for that
0.087 Even in front of the doctor?
0.087 Absolutely. Are unable to open up.
0.087 Any man goes to a doctor and says,
0.087 I can&;t get an erection,
0.087 it is a lot of power.
0.087 A lot of thinking.
0.087 A man postpones it.
0.087 He postpones until the last moment.
0.087 When he sees,
0.087 nothing happening after this.
0.087 My house will get ruined.
0.087 My wife will leave.
0.087 I shall be laughed at,
0.087 in the whole society.
0.087 Then he comes to the doctor.
0.087 Doctor, I&;m unable to get an erection.
0.087 After that, to accept it.
0.087 Disrobing yourself in front of the doctor.
0.087 Get yourself examined.
0.087 I think, we need to give respect
0.087 to these patients.
0.087 There is a rule in my clinic.
0.087 In my clinic, all the staff
0.087 will not laugh even a bit.
0.087 Will not laugh at anything.
0.087 Because you are laughing
0.087 at something else.
0.087 You are laughing at today&;s podcast,
0.087 but the patient sitting in front of you,
0.087 He will think he is being laughed at.
0.087 He will go away, he will not stop.
0.087 So, we have to handle these patients
very lovingly,
0.087 very respectfully, very responsibly.
0.087 And everything can be cured.
0.087 See, everything has its treatment.
0.087 There is medicine today,
0.087 there are latest treatments,
0.087 they all get okay.
0.087 But first, getting them to accept it.,
0.087 and then they get okay.
0.087 Everything gets okay in their life.
0.087 Marriage gets okay, wife is happy,
0.087 there is a child,
0.087 mother-in-law gets okay.
0.087 So, things settle down.
0.087 So, the nucleus of family structure,
0.087 if you think about the core atom,
0.087 what is the husband-wife relationship
0.087 in the bed?
0.087 It is that.
0.087 If that is not okay,
0.087 then everything around will get spoiled.
0.087 So, that is why an andrologist
0.087 is very important.
0.087 You said that core atom is an andrologist.
0.087 Means, male related problems are the core
0.087 for many relationship problems in India.
0.087 -Everywhere.
-Everywhere.
0.087 -In the world. -In the world.
0.087 I have traveled to many countries
0.087 during my training.
0.087 And I have patients from many countries.
0.087 Problems are the same in every country.
0.087 Our language will be different.
0.087 Skin color will be different.
0.087 Our culture and upbringing
0.087 will be different.
0.087 But sex is the same.
0.087 The act of sex,
0.087 the act of intimacy is the same.
0.087 Everywhere in the world.
0.087 It is the same in every bedroom.
0.087 Every couple is the same.
0.087 Every relationship is the same.
0.087 Because the core value of a relationship,
0.087 the core value is,
0.087 there is a lady and a man.
0.087 The union of both is the core.
0.087 If that is not happening properly,
0.087 then nothing can happen other than that.
0.087 Do you think
0.087 that there is more lust in India?
0.087 In my opinion, lust is not wrong.
0.087 Lust is sexual desire.
0.087 There is not much in India.
0.087 It is repressed in India.
0.087 The average age of having sex
0.087 in West is 14-15 years.
0.087 Till 16 years, they will lose virginity.
0.087 They will have sex.
0.087 Till marriage, normally,
0.087 there will be 10-12 normal partners.
0.087 They will explore sex.
0.087 Their sex is not repressed.
0.087 They will enjoy everything.
0.087 They consider sex
0.087 as a normal part of your life.
0.087 In India, the guy is getting married
0.087 at the age of 28.
0.087 He is not having sex till the age of 28.
0.087 He is just watching porn.
0.087 Nowadays, Instagram is also partly porn.
0.087 The way things are coming on it.
0.087 So it is repressed. So it is not lust.
0.087 It is not able to develop normally.
0.087 For him, sex becomes so important–
0.087 If you don&;t get something,
0.087 for example–
0.087 If you get food,
0.087 you don&;t feel hungry.
0.087 But if you don&;t get food for 15 years,
0.087 you have become young at 16.
0.087 The testosterone levels are at its peak.
0.087 You have fully grown sexually.
0.087 You are getting erections
0.087 and urges every day.
0.087 But you are not getting sex.
0.087 Marriages are happening late.
0.087 At the age of 28, 30, 35 years.
0.087 So what will he do?
0.087 So it is there.
0.087 There is not much lust in India.
0.087 The sexual urge
0.087 is the same in the whole world.
0.087 In India, sex is late.
0.087 So sexual repression is very high.
0.087 I would like to ask you this.
0.087 Because you said
0.087 that there are many cases
of sexually transmitted diseases.
0.087 So in India, the culture of dating apps
0.087 that has arrived.
0.087 I think everyone in the cities
0.087 uses dating apps.
0.087 Or have at least
0.087 used it once in their life.
0.087 Everyone knows Tinder,
0.087 Hinge, Bumble, Raya.
0.087 These are all dating apps.
0.087 It is said that because of the culture
of dating apps.
0.087 STDs are also increasing.
0.087 Because the hookup culture
0.087 is increasing.
0.087 Have you noticed this?
0.087 Or there were already this many STDs?
0.087 Before dating apps too,
0.087 sex was happening.
0.087 And after dating apps,
0.087 finding sex has become a bit easier.
0.087 I will believe this.
0.087 STDs have always been there.
0.087 So when I was doing MBBS.
0.087 It&;s been 14 years.
0.087 Then, there were no dating apps.
0.087 It&;s been 15 years.
0.087 2008-2009.
0.087 2009. At that time,
0.087 we used to get postings.
0.087 In villages.
0.087 In community outreach.
0.087 Even then, STD clinics used to be full.
0.087 Even then, used to see
0.087 50-60-70-80 patients.
0.087 But where do STDs come from?
0.087 STDs come–
0.087 STDs are a very broad term.
0.087 Sexually transmitted diseases,
0.087 also include HIV.
0.087 Sexually transmitted diseases,
0.087 also include gonorrhea.
0.087 Sexually transmitted diseases,
0.087 also include lice or scabs.
0.087 So hygiene issues are important.
0.087 Intimate hygiene issues are important.
0.087 Plus, mostly, STDs will come
0.087 from multiple partners.
0.087 If two people between them,
0.087 are absolutely, what is it called?
0.087 Are absolutely committed.
0.087 If don&;t do sex anywhere else
0.087 then obviously,
0.087 where will STDs come from?
0.087 But if one of the partners
0.087 is with multiple partners.
0.087 Then the STD chain starts from there.
0.087 It spreads from there.
0.087 But how do STDs start?
0.087 I mean, suppose you got STDs from someone.
0.087 They too must have got it from someone.
0.087 -Absolutely.
-So where does that start from?
0.087 So basically, STDs
0.087 are many times asymptomatic.
0.087 For example, if a person has STDs.
0.087 So 50% of the time,
0.087 he won&;t show symptoms.
0.087 Or he will ignore the symptoms.
0.087 -Like?
-For example,
0.087 the most common STD is urethritis.
0.087 Urethritis means
0.087 formation of infection
in the urinary tract
0.087 and oozing out of pus.
0.087 So until there is no frank pus
0.087 or there isn&;t much irritation, till then,
0.087 the person doesn&;t get himself treated.
0.087 He will ignore it.
0.087 -Urethritis?
-Urethritis.
0.087 There is gonorrhea.
0.087 There is non-gonococcal urethritis.
0.087 These are broad terms.
0.087 But by and large the thing is,
0.087 infection has formed in the urinary tract
0.087 and due to that,
0.087 there is burning sensation on urination.
0.087 Or there is white
0.087 or waste discharge in the urine.
0.087 But often times
0.087 it comes in such a small quantity
0.087 that the person ignores it.
0.087 And for example,
0.087 he had sex with "A" today.
0.087 And he had sex with "B" after a week.
0.087 And after a week, he had sex with "C".
0.087 So he got infected with "A".
0.087 And he gave to "B and C".
0.087 Before going to "D", he got treated.
0.087 So now "D" is safe.
0.087 But now "B and C" are two carriers.
0.087 And in women,
0.087 these infections get suppressed.
0.087 Because in women, vagina and urethra–
0.087 In men, the sexual organ is the same.
0.087 The path of urine and semen is common.
0.087 In women, the path of urine
0.087 and sex is different.
0.087 So now "B and C" ladies
0.087 have that infection in them.
0.087 But they don&;t have the symptoms.
0.087 Now suppose "B" had with the second man,
0.087 it entered into the second one.
0.087 So just imagine
0.087 that if a multi-relation is going on,
0.087 how rapidly these STDs will spread.
0.087 Two friends came to me.
0.087 Best friends.
0.087 With the same infection.
0.087 Two friends, same infections.
0.087 From that we came to know
0.087 that their girlfriend
0.087 was with both of them.
0.087 So they figured out
0.087 that cheating is going on.
0.087 They were sleeping with the same girl.
0.087 And they did not know.
0.087 And they are both best friends.
0.087 They say doctor,
0.087 we both have the same problem.
0.087 How did this happen?
0.087 Maybe our bathroom is dirty.
0.087 I said the bathroom is not dirty.
0.087 The girl you are sleeping with,
0.087 is the same.
0.087 So that is how they caught.
0.087 So STDs spread very rapidly.
0.087 They are highly infectious.
0.087 They just catch hold of you.
0.087 And symptoms take time to come.
0.087 During that time,
0.087 if you&;re having sex
with multiple partners,
0.087 then it will spread.
0.087 Are all STDs curable?
0.087 No. So there are some STDs
0.087 which are not curable.
0.087 The most common example in this is HIV.
0.087 HIV AIDS. So that is also STD.
0.087 That is also sexually transmitted.
0.087 And HIV AIDS is not curable.
0.087 But yes, today,
0.087 there are good medicines.
0.087 So it is controllable.
0.087 So HIV positive patients
0.087 can live their whole life
0.087 without any problem.
0.087 But they will have to take medicines.
0.087 There is hepatitis B,
0.087 which is a liver infection.
0.087 Is a viral infection.
0.087 Even that is not curable.
0.087 But that is also STD.
0.087 So sexually transmitted liver infection?
0.087 Yes. So Hepatitis B is a virus.
0.087 -Have you heard of Pamela Anderson?
-Yes.
0.087 So Pamela Anderson got hepatitis C
0.087 from her partner.
0.087 Because they were sharing needles.
0.087 -Drugs.
-Drugs.
0.087 But it could also have been
transmitted sexually.
0.087 So there is a hepatitis virus category
0.087 that can be transmitted through sex.
0.087 Which includes
hepatitis B and hepatitis C.
0.087 These are two viruses.
0.087 Again, they can cause liver cancer.
0.087 They can cause liver hepatitis.
0.087 Medication has to be taken.
0.087 But they are transmitted sexually.
0.087 But majority of the STDs
0.087 can be treated or cured
0.087 with medicines.
0.087 These lifelong STDs,
0.087 hepatitis B and C, and AIDS.
0.087 HIV. There is also HPV.
0.087 HPV is also a virus that causes warts.
0.087 What is HPV?
0.087 Human Papilloma Virus.
0.087 Human Papilloma Virus causes warts.
0.087 Warts means, it forms grains.
0.087 In male or female genitalia.
0.087 And these can cause cancer in the future.
0.087 So it is a carcinogenic STD.
0.087 This is also lifelong.
0.087 Even for this have to remove the warts
0.087 and its proper cure is important.
0.087 The solution of this whole situation is,
0.087 that you should regularly do STD checkups.
0.087 The solution of this is,
0.087 until you&;re not absolutely sure
0.087 of your partner being committed to you
0.087 use condoms.
0.087 So the best way to prevent STDs
0.087 is to wear a condom.
0.087 If you are wearing condom
0.087 or using protection
0.087 then you won&;t have STD,
0.087 neither will you give it
to the other person,
0.087 nor will you take it from them.
0.087 The situation of barebacking
0.087 that is going on nowadays.
0.087 -Meaning, having sex without condoms.
-Yes. considering sex
0.087 very pleasurable without condoms,
0.087 the sexual prevalence in trend,
0.087 that is the root of the problem.
0.087 Sex is not wrong.
0.087 Okay, you are doing consensual sex.
0.087 Mutually consensual sex, do it.
0.087 But till you don&;t know
0.087 that your partner is committed
0.087 and both of you and her
0.087 are committed to each other.
0.087 Till then, condom use is important.
0.087 Is safe for you.
0.087 Is safe for your future.
0.087 And it is possible that you–
0.087 Nowadays there is something
0.087 called as pre-marital checkup.
0.087 It is very popular.
0.087 So it is possible
0.087 that you may have had a past history.
0.087 And you are a carrier
0.087 of some disease.
0.087 So by doing checkup if you confirm
0.087 that you don&;t have the disease.
0.087 Then that can also be a good option.
0.087 So if there is a disease
0.087 then what do people do?
0.087 They don&;t get married.
0.087 They don&;t get married.
0.087 Sometimes the relationships break.
0.087 If today, for a man to accept that my wife
0.087 had a first relation earlier.
0.087 There is a paradox in India.
0.087 Every man wants sex before marriage.
0.087 And every man wants a virgin.
0.087 So where should those non-virgins go,
0.087 is beyond understanding.
0.087 Women being sexually active
0.087 is not acceptable to today&;s Indian males.
0.087 But every Indian male
0.087 wants sex before marriage.
0.087 So this is the paradox of our country.
0.087 I don&;t know the solution,
0.087 what is the solution to this.
0.087 But if a man comes to know
0.087 that his wife has HPV.
0.087 Or his wife has some STD
0.087 so they are not able to accept
the fact that my wife…
0.087 -Has done sex before me.
-Has done sex before me.
0.087 So often we have to handle it
very sensitively
0.087 in our OPD, in our clinics.
0.087 Often, we don&;t disclose
it to the patient.
0.087 We keep it private.
0.087 So that their relation is not spoiled.
0.087 Because the man&;s ego gets hurt.
0.087 If the ego gets hurt
0.087 then the relationship gets spoiled.
0.087 It may be a very good relationship,
0.087 the family has chosen.
0.087 Everything is matching.
0.087 But at one point
0.087 sometimes the whole relationship
0.087 gets spoiled.
0.087 So we often keep it private.
0.087 Or we separately with the lady–
0.087 Anyway in India
0.087 discussing sexual diseases is a privacy.
0.087 So I will always advise you,
0.087 I want to do a premarital checkup
0.087 then keep it a secret from your partner.
0.087 Couple doesn&;t need to sit together.
0.087 Doing their checkups separately,
0.087 keeping their private life separate,
0.087 would be better.
0.087 Have you ever sat in front of a couple
0.087 and seen a very ugly fight?
0.087 Have seen many.
0.087 Have seen many.
0.087 They keep happening, it&;s a part.
0.087 Because see, when you work in this area,
0.087 when do it in andrology,
0.087 then all kinds of people will come.
0.087 All kinds of couple will come.
0.087 Families accompany them.
0.087 The son&;s father and mother too come.
0.087 The girl&;s father and mother too come.
0.087 And they say, doctor, you tell what to do.
0.087 -A full family drama and unfolds.
-Yes.
0.087 Because of STDs.
0.087 Because of STDs.
0.087 Because of sexual problems.
0.087 Sex problems.
0.087 -Happens a lot.
-Wow.
0.087 So a fight breaks out in the OPD.
0.087 Then offer everyone tea or coffee,
0.087 make them sit, keep calm,
0.087 at least let me talk.
0.087 The lady, who is the mother-in-law
of the husband,
0.087 she is blasting the husband.
0.087 The husband&;s father,
0.087 is cursing the daughter?
0.087 So that fight is going on.
0.087 The whole drama is being played out.
0.087 Even dowry is being discussed.
0.087 Even divorce is being discussed.
0.087 Even police is being discussed.
0.087 It is completely–
0.087 And it is going on out in the OPD.
0.087 50 patients sitting, they are listening.
0.087 Loud arguments are happening.
0.087 So everyone wonders
0.087 has the doctor given a wrong treatment
0.087 as there is so much fight going on.
0.087 Then explain them.
0.087 No, keep calm.
0.087 It will get solved. Let&;s see.
0.087 So I have become an unwilling counselor.
0.087 Means I&;ve been forced into it.
0.087 What to do now?
0.087 As they have come,
0.087 they have to be explained.
0.087 So explain, calm them,
0.087 explain this one,
0.087 explain that one.
0.087 Then they say, you take the guarantee
0.087 that they both will get well.
0.087 Now, how will you do it?
0.087 But when you see the kids,
0.087 you feel no, this couple is suitable.
0.087 But just because of this thing,
0.087 their marriage is being rocked.
0.087 Then, as an unwilling counselor,
0.087 you say, nothing to worry,
0.087 we will manage, send him to me,
0.087 send her to me, let&;s see.
0.087 And 90% of the times,
0.087 things improve, get better.
0.087 You need to cool it down a little.
0.087 But sometimes it doesn&;t happen.
0.087 So, sometimes, a court summon reaches me.
0.087 They have filed a divorce,
0.087 your expert opinion is needed.
0.087 You have given some written paper,
0.087 that the husband is okay
0.087 or there are some reports of the husband.
0.087 Or you have written prescriptions,
0.087 so why did you write them?
0.087 Because in India,
0.087 non-consumption of marriage,
0.087 is also a ground for divorce
0.087 -or annulation of marriage.
-What?
0.087 In India,
0.087 which has the Hindu Marriage Act,
0.087 in that if the husband and wife
0.087 don&;t have sex,
0.087 then the marriage can be annulled.
0.087 Means divorce can happen.
0.087 Not divorce, annulled.
0.087 Means the marriage never happened.
0.087 -A divorce happens…
-It&;s a law?
0.087 It&;s a law, an Indian law.
0.087 So we are called for expert opinion
0.087 and asked, is the man impotent?
0.087 So if the marriage is new,
0.087 the husband wife, if the parents–
0.087 Don&;t want a divorce,
0.087 want an annulment of marriage,
0.087 an export opinion in that,
0.087 that the husband is impotent.
0.087 The husband is impotent
0.087 or he is unable to do sex,
0.087 that can be a ground
0.087 for annulment of marriage.
0.087 So often times andrologists
0.087 get involved in court cases.
0.087 Because sometimes
0.087 false accusations are leveled.
0.087 It happens many times.
0.087 Many times.
0.087 Happens many times.
0.087 What percentage of accusations
0.087 are false as per your experience.
0.087 They are not false,
0.087 according to me–
0.087 This is a complex topic.
0.087 For example,
0.087 in the past, there was a couple,
0.087 The husband had absolute
no intention of marrying.
0.087 -Means?
-He had a prior relationship with someone,
0.087 was forced into marriage.
0.087 He just doesn&;t want to have sex
with this lady.
0.087 He does not get aroused by this lady.
0.087 So he is not impotent, he can do sex,
0.087 but he does not want to do sex
with this lady.
0.087 Because he is not attracted to her
0.087 or he is angry on her.
0.087 Or the family has forced,
0.087 or say, for whatever reason.
0.087 So how as a doctor,
0.087 can you say he is impotent?
0.087 He is not impotent.
0.087 He can do sex. Has done it previously too.
0.087 He has had a girlfriend,
0.087 he has also got a child aborted
0.087 before marriage.
0.087 But now he has a case on him
0.087 that he is impotent.
0.087 So how will a doctor judge this?
0.087 What will the doctor do in this?
0.087 What statement will I give?
0.087 I will only say,
0.087 as per examination and test,
0.087 this man is normal.
0.087 I will have to give this to the court.
0.087 But the wife is saying, no,
0.087 I have been living with him for 6 months.
0.087 He doesn&;t tease me,
0.087 doesn&;t even touch me.
Doesn&;t even come to me.
0.087 So, the wife is also right.
0.087 According to the wife, he is impotent.
0.087 But medically he is not impotent.
0.087 So it is not my job.
0.087 Let the court decide.
0.087 But who comes to you with the papers?
0.087 Both come.
0.087 Do lawyers come or…
0.087 There are multiple,
0.087 often a someone comes from the police.
0.087 Sometimes the wife&;s family comes.
0.087 But as a doctor, we have one more.
0.087 As a doctor,
0.087 there is something called as privacy,
0.087 Hippocratic Oath.
0.087 Today, for example,
0.087 suppose you are my patient.
0.087 So, your personal life
0.087 and medical file is a secret
0.087 which is only between you and me.
0.087 So, I cannot discuss your case
0.087 with somebody else.
0.087 Open the wife&;s family comes
0.087 that our son-in-law,
0.087 what problem does he carry?
0.087 I cannot say.
0.087 Even though the wife herself comes,
0.087 I cannot reveal.
0.087 For that is a treatment
0.087 between me and my patient.
0.087 Doctor-patient confidentiality.
0.087 Yes. Yes. Yes.
0.087 This happens to be a law
0.087 -in the world of physicians.
-Whether this is a law or not.
0.087 Look in India some–
0.087 In India, the law is very flexible.
0.087 And they are my ethics.
0.087 And the second is that,
0.087 this confidence is very important
0.087 for the patient.
0.087 That my case will not go out.
0.087 -Especially in your field.
-Yes.
0.087 Otherwise, he will not come
to get treatment.
0.087 If I reveal his entire history,
0.087 to all his friends,
0.087 sisters, brothers, son-in-laws,
0.087 so what will be left of his respect?
0.087 And the problem in our country is that,
0.087 there are no nuclear families.
0.087 There are namesake nuclear families.
0.087 For namesake, there are four people
0.087 living in a house.
0.087 But the whole family is involved.
0.087 Once a little news comes out
0.087 that this man has a problem,
0.087 it will reach every corner of his village.
0.087 Basant had been to Delhi,
0.087 this happened to him there,
0.087 he is unable to do anything.
0.087 The whole village knows,
0.087 the locality knows, everyone knows.
0.087 And such things spread like a wildfire.
0.087 So as a doctor,
0.087 it is my guarantee to my patients,
0.087 We will not discuss
your matter with anyone.
0.087 Actually, I would like to know
about impotence.
0.087 I think boys should know.
0.087 Because many boys
0.087 due to psychological problems
0.087 or maybe sometimes
0.087 due to physical problems
0.087 are unable to get an erection.
0.087 That will fall
0.087 in the category of erectile dysfunction.
0.087 What is the difference
between these two things,
0.087 impotence and erectile dysfunction?
0.087 And then even breakdown
erectile dysfunction
0.087 because this is a very common problem,
0.087 very common, happens with every person,
0.087 I think.
0.087 But impotence doesn&;t happen
with every person.
0.087 How would you expand this topic?
0.087 First of all, the thing is,
0.087 both are different things.
0.087 Impotency more or less means,
0.087 a man is unable to establish
relationship with a woman.
0.087 That is impotency.
0.087 It is not a penis problem?
0.087 Impotency can be due to penis problem.
0.087 Can be due to other reasons also?
0.087 -Like?
–Like for example,
0.087 there is a condition called vaginismus.
0.087 Vaginismus means that the lady
0.087 does not allow the penis to enter inside.
0.087 Is unable to enter because the vagina
0.087 is too painful for her.
0.087 And the man is fully hard
0.087 and he is unable to penetrate.
0.087 Because the lady–
0.087 He will do oral, he will do rubbing,
0.087 he will do every kind
of intimate foreplay.
0.087 But when it comes to penetration,
0.087 he will not be able to do it.
0.087 So, it is not ED. But it is impotency.
0.087 -How?
-Because penetration is not happening,
0.087 unable to do sex.
0.087 The test of potency is penetration
0.087 that is not able to be done.
0.087 So, for a couple, impotency…
0.087 -Impotency can be…
-Okay.
0.087 Rest, erectile dysfunction means
0.087 that erection is not happening,
0.087 that the penis is not getting hard.
0.087 There are many grades
of even erectile dysfunction.
0.087 It is possible that the penis
0.087 is getting hard
0.087 but when it wants to do,
0.087 it doesn&;t stay hard at that time.
0.087 Means it is hard in foreplay.
0.087 But when the actual time
0.087 to enter arrives, he is unable to enter.
0.087 Erectile dysfunction can also be
0.087 that it is not getting hard.
0.087 That no matter how much he kisses,
0.087 does foreplay,
0.087 touch or rub as much as he wants,
0.087 blood is not coming into the penis.
0.087 Erectile dysfunction can also be
0.087 that the penis becomes fully hard.
0.087 But the position of penetration,
0.087 for example,
0.087 He is able to do with woman on top
0.087 but unable to do man on top.
0.087 -Why? It closes?
-Because of the, no.
0.087 Because of the unique physiology
0.087 of the penis.
0.087 So the penis is the only organ
0.087 in the body which does two things.
0.087 It is passing urine
0.087 and it is also getting sexually ready.
0.087 So the sexual act in the penis,
0.087 which we call the male sexual response,
0.087 that is a very graded
0.087 physiological response.
0.087 -Means?
-Means, it is a complex response.
0.087 When erection is happening,
0.087 it is not only that the penis
0.087 is getting erect.
0.087 The penis is also getting erect.
0.087 The bladder inside, the urine–
0.087 There are two ways,
0.087 one is the urinary tract
0.087 and the other is the reproductive tract.
0.087 There is an interplay in both.
0.087 So in our human body,
0.087 The physiology is such
0.087 that when there is erection,
0.087 the man cannot urinate.
0.087 The bladder&;s mouth will get closed.
0.087 And the semen&;s mouth will open.
0.087 So it is under nervous control.
0.087 There are sympathetic
0.087 and parasympathetic responses
0.087 which control it.
0.087 So erectile dysfunction can happen
0.087 due to many reasons.
0.087 It can be neurogenic
0.087 if the nerves get damaged.
0.087 If the reflexes are not good,
0.087 then there will be no response.
0.087 Like it happens in spinal cord patients,
0.087 diabetic patients,
0.087 and in masturbators.
0.087 In masturbators?
0.087 Where you are spoiling your
0.087 physiological response or sexual response.
0.087 So even the response, for example,
0.087 the erectile response,
0.087 the erectogenic response,
0.087 meaning the feeling of erection,
0.087 comes in many ways.
0.087 Comes visually
0.087 You are seeing someone naked.
0.087 Saw, got erect.
0.087 It comes from the smell.
0.087 From the smell?
0.087 So smell is a very strong
0.087 erectogenic response.
0.087 If you are with a woman
0.087 who doesn&;t smell good,
0.087 you are going down on her.
0.087 And the smell comes from below.
0.087 Your penis will go down.
0.087 And on the other hand,
0.087 if you are with a lady
0.087 who is smelling very beautifully.
0.087 She is wearing a beautiful perfume and…-
0.087 Is hygienic.
0.087 Hygienic. Her hair smells good.
0.087 And you are up.
0.087 So you see in Kamasutra,
0.087 how much emphasis has been given
0.087 on the smell.
0.087 Steaming of the woman&;s underparts.
0.087 Wearing of nice perfumes.
0.087 Feeding a paan.
0.087 -The taste. -Wow.
0.087 The taste of the woman.
0.087 Now you are kissing a girl
0.087 who has just smoked and come
0.087 And you are getting that weird…
0.087 Erections, no matter how good–
0.087 She may be very beautiful,
0.087 But that smell will…
0.087 or that taste will…
0.087 Touch. A lot of men don&;t like hair.
0.087 A lot of men like hair.
0.087 Everybody has their own physical.
0.087 Because we are not, see…
0.087 Andrologist as a male health specialist,
0.087 it is not my job to judge.
0.087 I don&;t judge anybody.
0.087 It is not working.
0.087 It is my job to make him it work.
0.087 So we will first judge that.
0.087 What is the problem faced?
0.087 A lot of couples will come.
0.087 The husband will come.
0.087 Husband says my wife doesn&;t shave.
0.087 She doesn&;t shave down.
0.087 Wife says I won&;t shave.
0.087 It is my personal choice.
0.087 I don&;t like to shave down there.
0.087 Husband says I don&;t get erection by her.
0.087 I get an odor.
0.087 Now what should we do?
0.087 Then we have to tell the wife.
0.087 Madam, look, please.
0.087 Find a widow ground somewhere.
0.087 Don&;t shave. Trim it.
0.087 Use some good–
0.087 Same with men also.
0.087 Men come and say, no, I want oral.
0.087 To get a complete erection.
0.087 I directly–
0.087 The wife says I won&;t do oral.
0.087 The man says no–
0.087 The wife says I won&;t do oral
0.087 because he is not clean.
0.087 He is not hygienic.
0.087 He doesn&;t shave.
0.087 He doesn&;t keep it clean.
0.087 He doesn&;t clean it.
0.087 It stinks.
0.087 I cannot go down on him.
0.087 He is not maintaining good hygiene.
0.087 I can smell urine all the time.
0.087 So we have to teach this basic stuff also.
0.087 So teaching basic hygiene is our job.
0.087 In this country 50,
0.087 I think 50% of the houses
0.087 don&;t have bathrooms.
0.087 We sit in Mumbai or Delhi,
0.087 our homes have–
0.087 Every man has a separate bathroom.
0.087 There is 3 BHK and every BHK
0.087 has a separate bathroom.
0.087 Imagine, in this country
0.087 there are so many people
0.087 to maintain hygiene
0.087 have no bathroom.
0.087 Open defecation is happening.
0.087 Even they&;re doing sex.
0.087 They too have desires.
0.087 Patient come to us for treatment,
0.087 it&;s not that every patient
coming in, is rich.
0.087 They come from every class.
0.087 Come from every socio-economic status.
0.087 A man who has only one room in his house,
0.087 and has no bathroom,
0.087 how will he maintain intimate hygiene?
0.087 How will he shave, bring a razor?
0.087 There is no light in the bathroom.
0.087 How will he shave?
0.087 How will the lady clean herself?
0.087 Where will she discard the hair?
0.087 What does she use for cleaning?
0.087 From where should she get
the shaving blade
0.087 and how should she clean it.
0.087 It looks very simple
0.087 but when you see a patient in real life,
0.087 his backward history,
0.087 where is he coming from,
0.087 knowing that also is very important.
0.087 Now, if you tell him
0.087 you have to bathe daily
0.087 before having sex.
0.087 At night, there is no geyser,
0.087 it is winter time,
0.087 there&;s no bathroom at home,
0.087 will bring water from the well
but how will he bathe?
0.087 From where will he bathe?
0.087 If you tell him–
0.087 We teach penile massage to the patients.
0.087 To do massage, there is no privacy.
0.087 6 people stay together.
0.087 Where will he massage?
0.087 He is saying, doctor,
0.087 prescribe me medications.
0.087 I cannot do all this.
0.087 Give me a pill, so that I have a pill,
0.087 and my issue is sorted.
0.087 Because I cannot do this exercise
0.087 and repetitive behavior,
0.087 and massages,
0.087 and intimate health and hygiene.
0.087 It is not something I can do.
0.087 That is why I&;m saying,
0.087 hygiene we should–
0.087 The things that we take for granted,
0.087 Toothbrush, intimacy, cleaning,
0.087 hair removal.
0.087 The things that we consider,
0.087 this is our right
0.087 or this one is our standard
0.087 is not everywhere.
0.087 Is not found everywhere?
0.087 Okay. Fair.
0.087 Back to the impotence
0.087 and erectile dysfunction.
0.087 I think I am doing this podcast
0.087 for people in their 20s and 30s.
0.087 But we can cover 40s and 50s also
0.087 -because they are important.
-The 50s are the new 30s,
0.087 you know this?
0.087 People in their 20s are not
as sexually active as people in their 50s.
0.087 -How?
-They are 50 now.
0.087 They have earned their money.
0.087 They are settled.
0.087 Their children have married
0.087 and they have gone away.
0.087 The sex drive is the same.
0.087 It is too much.
0.087 It becomes too much.
0.087 Too much.
0.087 Even for men.
0.087 For both men and women.
0.087 In the 50s, the women
0.087 are hypersexual, demanding.
0.087 I mean, you imagine,
0.087 a 50-year-old female,
0.087 her sex drive is so strong
0.087 and her poor husband
is worried in the 50s.
0.087 I am telling you my experience.
Yes, the same.
0.087 50% of sexual health patients are 50s.
0.087 Not 20s and 30s.
0.087 You mean STD?
0.087 -No. Sexual.
-Everything
0.087 In everything.
0.087 In impotency, ejaculation timing,
0.087 in penis enhancement,
0.087 in girth enlargement,
0.087 in libido, in desire.
0.087 These are the guys who are 45 to 55.
0.087 This is the biggest thing.
0.087 Because their wives
0.087 are reawakened at this age.
0.087 The 25-year-old wife
0.087 who came to the house,
0.087 she mothered a child at 26.
0.087 The first one.
0.087 The second one came at 28.
0.087 She taught and educated them in 18 years.
0.087 Now the children have gone and settled.
0.087 Now she is young.
0.087 At 45-46 her tension is over.
0.087 The mother-in-law has deceased.
0.087 Now she alone owns the household.
0.087 Now she is the owner
0.087 of her own destiny.
0.087 Now she wants sex every day.
0.087 Now the husband is left with no excuse.
0.087 The child is sleeping in between.
0.087 Have to send to school tomorrow.
0.087 Will go to college day after tomorrow?
0.087 There is no excuse.
0.087 Sex is to happen tonight.
0.087 And that too twice.
0.087 Now you have to do it twice.
0.087 How will that 45-year-old guy do it twice?
0.087 At 46, she is speaking.
0.087 She wants, she knows her body.
0.087 She wants.
0.087 She knows how to excite herself.
0.087 She knows the position.
0.087 She has no inhibitions.
0.087 She wants good sex.
0.087 The men at 46, 48, 50
0.087 have become middle-aged now.
0.087 Now they are at CEOs,
0.087 chairmen, directors, senior positions,
0.087 the middle-class people,
0.087 the lower class,
0.087 they have built their homes.
0.087 The financial responsibilities are over.
0.087 Now sex has to be done.
0.087 It has to be done 15 times a month.
0.087 It has to be done every second day.
0.087 It is unable to be done.
0.087 I always believed
0.087 that the sex drive of men
0.087 decreases with age.
0.087 There is no decrease.
0.087 It is cut down in our society.
0.087 Absolutely reduce it.
0.087 What happens biologically?
0.087 Go to Florida sometime.
0.087 Florida is the retirement heaven
0.087 of the US.
0.087 Everybody is 70 plus.
0.087 Everybody is having sex.
0.087 The libido is sky high.
0.087 But erection strength remains the same?
0.087 Yes, now this is there.
0.087 We can make it as it is.
0.087 Now I am needed there.
0.087 So I am there.
0.087 I feel a full topic should be covered.
0.087 From erectile dysfunction
0.087 to erection strength building.
0.087 We should do a full section on erections
0.087 in this podcast.
0.087 Yes. All right.
0.087 Definitely, will talk about the 70s too.
0.087 But maybe let&;s start in 20s.
0.087 20s and 30s. Yes, okay.
0.087 20s and 30s.
0.087 All right.
0.087 Because in teenage,
0.087 your erection strength is very high.
0.087 Is very high.
0.087 You are always hard.
0.087 You are walking around hard.
0.087 You are walking, it is hard.
0.087 You are sniffing, it hardens.
0.087 You saw Filmfare&;s cover,
0.087 got hardened.
0.087 Why does all this happen in teenage,
0.087 first of all, because testosterone
0.087 is peaking a lot, due to that?
0.087 There are testosterone surges.
0.087 So basically,
0.087 the man is becoming a man.
0.087 The boy is becoming a man.
0.087 So the nature is asking him to–
0.087 So his nature–
0.087 We are animals after all.
0.087 We have kept ourselves in society.
0.087 But we are still animals.
0.087 We have to, the nature–
0.087 See we became,
0.087 we became civilized 100-150 years ago.
0.087 Which is a very small time in evolution.
0.087 100-150 years ago,
0.087 life expectancy was 30-35 years.
0.087 From being a hunter.
0.087 The person would die
0.087 at the age of 20-25 years,
0.087 from some or the other natural disaster,
0.087 from famine, from flood,
0.087 some epidemic came and died.
0.087 So by 17-18 years,
0.087 you had to have your kids.
0.087 So that your tribe would live.
0.087 So nature wants you to have sex at 17.
0.087 -Wow.
-Nature says that by age 13,
0.087 you are becoming a man.
0.087 At 14-15 years, the testosterone surges.
0.087 Siemens has started developing.
0.087 The sperm is developing.
0.087 The testes have become appropriate.
0.087 Penis has become hard.
0.087 You are ready.
0.087 Now when you are using it,
0.087 the society is deciding that.
0.087 At the age of 16 years,
0.087 a man is ready to have children.
0.087 It used to happen before.
0.087 At age 16-17, completed the family.
0.087 Our great-grandfathers were like that.
0.087 By 18-19 years, competed the family,
0.087 expired by 30-40.
0.087 They had 15-16 children.
0.087 Now they are making a family.
0.087 So, nature-wise, we are ready.
0.087 That is why you have–
0.087 I think, that is why you have
0.087 such hard erections.
0.087 So much desire, so high libido.
0.087 Because you are ready at that time.
0.087 Erectile response
0.087 is very good till 18-19 years.
0.087 So, after 20-21 years,
0.087 the erectile response
0.087 goes down a bit.
0.087 So, some people
0.087 consider it as erectile dysfunction.
0.087 So, in 19 years, you are up.
0.087 The penis almost hits the stomach
0.087 and it is almost like, you know.
0.087 And then as you progress in age,
0.087 slowly, the angle of the penis
0.087 starts going down.
0.087 There are multiple reasons for that.
0.087 One reason is our lifestyle.
0.087 Chronic sitting, lack of exercise.
0.087 So, gradually
0.087 erectile dysfunction develops.
0.087 I would say that of the younger patients,
0.087 50% patients are psychogenic.
0.087 Psychogenic means?
0.087 They are not able to have sex.
0.087 They are able to masturbate,
0.087 are not able to have sex.
0.087 So, it is a problem of the brain.
0.087 Brain has no role.
0.087 They cannot handle a live woman.
0.087 -Psychology plays a role.
-Psychologically.
0.087 The woman is hot. She is alive.
0.087 She is soft. She is a living being.
0.087 The hands are cold,
0.087 is under your control.
0.087 So the hand is employed,
0.087 because it&;s our own thing.
0.087 Do it as you wish.
0.087 But unable to do with a real woman.
0.087 So, it is not erectile dysfunction.
0.087 They have not prepared themselves
0.087 for a woman.
0.087 So, train them a little.
0.087 Got them to do NoFap,
0.087 exercise, improved the diet.
0.087 Supported them a bit with L-arginine.
0.087 So, they are able to successfully do it
0.087 and they become okay.
0.087 How do they give support?
0.087 Support in a way,
0.087 that you are okay man.
0.087 Everything will be fine. Nothing to worry.
0.087 Nothing to die about it.
0.087 Don&;t have to get so depressed.
0.087 It is okay.
0.087 Intimacy is not only sex.
0.087 You need to even do foreplay.
0.087 It is okay.
0.087 There are multiple reasons
0.087 for intercourse to not happen.
0.087 But, you support them mentally
0.087 and tell them that things will be fine,
0.087 then they will improve.
0.087 And once or twice
0.087 they are able to have sex.
0.087 So, they become okay.
0.087 They feel that they are okay.
0.087 20% of the young age people are such
0.087 who have actual problems,
0.087 they have rectal dysfunction,
0.087 their blood supply is bad,
0.087 or their veins are bad,
0.087 or have a venogenic leak,
0.087 that is a disease.
0.087 -How much? 20%?
-20%.
0.087 And 30% are those
0.087 who have spoiled themselves
with medicines.
0.087 Because today, Viagra
0.087 is available over-the-counter.
0.087 You go to the chemist and tell him
0.087 that you want to have sex,
0.087 he will directly give Viagra 100 mg.
0.087 You will have Viagra.
0.087 You will get a very good erection.
0.087 You will have sex.
0.087 Next time you go,
0.087 you&;ll again have Viagra.
0.087 After one point, Viagra stops working.
0.087 Because, it then becomes normal,
0.087 and you keep on taking high doses of this,
0.087 then gradually
0.087 its effect on you will subside.
0.087 The medication will have no effect.
0.087 Biologically, what does Viagra do?
0.087 Biologically, Viagra is a PDE5 inhibitor.
0.087 So, basically,
0.087 we have an artery in our penis.
0.087 So, when there is an erection,
0.087 there is a signal,
0.087 that the penis should receive blood.
0.087 Show the artery has to inflate.
0.087 So there is a drug "NO".
0.087 "NO" is nitrous oxide.
0.087 Nitrous basically helps in vasodilation.
0.087 Even bodybuilders take it for pump.
0.087 So, need to produce "NO".
0.087 So, "NO" is made from a reaction.
0.087 So, the PDE5 is an enzyme
0.087 that kills this NO, basically.
0.087 So, Viagra goes and kills that enzyme.
0.087 So, basically, if this guy
0.087 is inducing an erection,
0.087 and you are stopping it,
0.087 then Viagra will stop you.
0.087 So that erection continues.
0.087 So, Viagra was developed for the heart.
0.087 The US-based Pfizer company
0.087 had developed it for people
0.087 whose arteries are blocked in the chest
0.087 and their heart is bad,
0.087 had developed for them.
0.087 So, the one who were old,
0.087 who were having heart problems.
0.087 -But actually, something else happened.
-But caused a side effect.
0.087 What is happening?
0.087 All the old people, they are saying,
0.087 the heart is not getting cured in the old,
0.087 but are going on taking medications?
0.087 There is something happening.
0.087 They figured out that the side effect
0.087 of Viagra was erections.
0.087 And then they realized that,
0.087 that side effect is what we want.
0.087 So, then Viagra was launched
0.087 as a very successful drug
0.087 for erectile dysfunction.
0.087 But for erectile dysfunction,
0.087 Viagra is being now used
0.087 in this country as a leisure,
0.087 -recreational drug.
-Great!
0.087 Viagra is being used that no,
0.087 I want to have sex 4 times.
0.087 I want to do sex for 2 hours.
0.087 So, Viagra is being used now
0.087 by young kids.
0.087 18 years, 19 years, 20 years.
0.087 They are taking it in a club.
0.087 They are taking it in the bed.
0.087 But it is not only in metros,
0.087 even in villages, everywhere,
0.087 Viagra is being sold OTC.
0.087 I would like to give a quick solution.
0.087 Sex is also a subject.
0.087 First, learn about that subject.
0.087 And the second thing,
0.087 learn about how to control
your ejaculation.
0.087 Those are the techniques.
0.087 Yes, they of course are.
0.087 They of course are.
0.087 So, learn the technique of sex
0.087 instead of this.
0.087 Look, this is never happen
in our country.
0.087 My family fought with me…
0.087 I became an andrologist.
0.087 So, my father was very disappointed.
0.087 You were to be a urologist.
0.087 He wanted me to do kidney transplants.
0.087 I trained in that.
0.087 Trained in robotic surgery.
0.087 I trained in kidney transplant.
0.087 Then I went to do this.
0.087 So, my father was very disappointed.
0.087 That why did you get into sexology?
0.087 What is this sex…
0.087 Because it is just sex associated.
0.087 Yes, that&;s all. It is taboo topic.
0.087 So, you can&;t do it openly.
0.087 You can&;t talk about it openly schools.
0.087 It is literally the most important topic.
0.087 Because, no matter
what your preferences are,
0.087 everyone does sex.
0.087 If you don&;t do sex,
0.087 the country will end.
0.087 Look at Japan.
0.087 People there are not doing sex.
0.087 The youngsters there are not doing sex.
0.087 The fertility rate is in decline.
0.087 The country will end.
0.087 The government
0.087 is giving money to do sex.
0.087 That you please do it.
0.087 Produce offsprings.
0.087 We will raise the children.
0.087 You just produce and give us.
0.087 The future of the country is ending.
0.087 For any tribe to survive,
0.087 we are a tribe.
0.087 Basically, we are a tribe.
0.087 We have grown up.
0.087 We became a big country.
0.087 But we are tribes.
0.087 So, if we want to have our existence,
0.087 then there has to be sex.
0.087 Without it,
where will the child come from.
0.087 We celebrate sex in the form of marriage.
0.087 We invite people for a feast
at the wedding.
0.087 Why? What are they going to do?
0.087 What will both of them do now?
0.087 They will just go and have sex at night.
0.087 That&;s why such a big party was thrown.
0.087 Will have sex, then will a child,
0.087 the family will expand with that child,
0.087 our lineage will continue through him.
0.087 End of the day
0.087 that is what I told you at the start
0.087 The core of the marriage
0.087 is what happens in that bed.
0.087 And if what is happening in the bed
0.087 is not good,
0.087 then not just the entire marriage,
0.087 -the entire ecosystem will struggle.
-The whole family may get spoiled.
0.087 Will struggle.
0.087 The family dynamic will be spoiled.
0.087 Everything will get spoiled.
0.087 There is solidity in India.
0.087 It is absolutely there.
0.087 India is very strong.
0.087 But some things have ruined it.
0.087 So, the overuse of Viagra, masturbation,
0.087 our solidity is getting ruined.
0.087 We are all strong lads.
0.087 We are all hard.
0.087 First, let&;s address erections.
0.087 Then let&;s address sexual techniques.
0.087 For our brothers.
0.087 So, erectile dysfunction,
0.087 by and large
0.087 we divide it into five parts.
0.087 One is psychogenic.
0.087 Psychogenic means that the tool
0.087 below is absolutely fine.
0.087 But mentally you are unable to do sex.
0.087 So, it is said that sex lies
0.087 between the ears,
0.087 not between the legs.
0.087 Wow! Wow!
0.087 This is taught in our andrology.
0.087 That sex is between the ears.
0.087 It is the brain.
0.087 Brain, eyes, nose, taste, sound.
0.087 This is sex.
0.087 Between the legs, it is just an organ.
0.087 If you want to enjoy sex,
0.087 you have to develop this part.
0.087 You have to make it strong.
0.087 If this is not strong,
0.087 is not mentally strong,
0.087 there is a person who is not successful,
0.087 he is depressed
0.087 his career goal is not being fulfilled,
0.087 or his aim is not being fulfilled,
0.087 or he is mentally weak,
0.087 or for some reason he is not happy,
0.087 then he will not be able to have sex.
0.087 How will he enjoy?
0.087 Like the feeling of not feeling hungry.
0.087 If you are sick, you don&;t feel hungry.
0.087 If you are sick, then sex will go away.
0.087 Suppose if you have cough,
0.087 cold, illness, you have jaundice,
0.087 your heart is not working,
0.087 then first of all sex will go away.
0.087 Because sex can only be done
0.087 by a fit individual.
0.087 And this is also a response of nature.
0.087 This is also a response of nature.
0.087 In evolution,
0.087 nature doesn&;t want weak people.
0.087 So nature has decided
0.087 that the person who is weak,
0.087 he shouldn&;t have children.
0.087 So let&;s spoil his organ.
0.087 So that he will never be able
to reproduce.
0.087 It is natural selection.
0.087 So only the fit person,
0.087 even if you look at tigers and lions,
0.087 then in loins, only the fit lion,
0.087 has the right to have all the children.
0.087 Because nature wants the gene pool
0.087 to be only strong,
0.087 only then the species will survive.
0.087 So wherever you are weak,
0.087 mentally weak, if you are weak anywhere,
0.087 then your sex will gradually deteriorate.
0.087 Nature doesn&;t want you to go ahead.
0.087 So it is very important
to make yourself mentally strong.
0.087 So psychological sex
0.087 is very common today.
0.087 There are many reasons.
0.087 Exam pressure.
0.087 Career goals are not being fulfilled.
0.087 Chronic stress.
0.087 What does chronic stress mean?
0.087 Chronic stress means jobs today.
0.087 9 to 5 is just a–
0.087 9 to 5 is only one written statement
0.087 in your job profile.
0.087 But where is 9 to 5 job?
0.087 It is 9 to 9. You do overtime.
0.087 Plus, today in Delhi, Mumbai,
0.087 means in the big cities,
0.087 to reach a 9 o&;clock job,
0.087 you have to leave home at 7 o&;clock.
0.087 You are leaving home at 7 a.m.
0.087 You are reaching the office at 9 o&;clock.
0.087 After 9 o&;clock,
0.087 you are continuously working
0.087 till 8:00 to 8.30 p.m.
0.087 Then you leave,
reach home at 9:00-10.30 p.m.
0.087 Chronically, you are sitting,
0.087 sitting in a taxi, sitting in a bus,
0.087 sitting in the office.
0.087 There is no exercise in your life.
0.087 You are not getting enough sleep.
0.087 You don&;t have food on time.
0.087 Plus, you are always
0.087 under chronic stress.
0.087 Loan, income, finance, familial.
0.087 So, what is happening is,
0.087 you are chronically stressed.
0.087 So, your cortisol levels are always high.
0.087 And if cortisol levels stay always high,
0.087 you are going to go into adrenal fatigue.
0.087 Your body will not be able
to make testosterone.
0.087 I mean, cortisol is a stress hormone.
0.087 If you are feeling stressed,
0.087 if your mental health is bad,
0.087 the cortisol level in your blood…
0.087 Level will go up.
0.087 Level will go up.
0.087 And if it permanently remains high,
0.087 then problems will start coming there too.
0.087 -Everywhere.
-Everywhere.
0.087 Everywhere. So, you have to–
0.087 This is called as Cushing syndrome.
0.087 So, in Cushing syndrome,
0.087 you gain unnecessary weight.
0.087 You always–
0.087 Your cortisol level is high,
0.087 so you start losing hair.
0.087 And your testosterone levels fall.
0.087 Motivation levels decrease.
0.087 Everything. Everything.
0.087 So, it is very important to reduce stress.
0.087 I would like to say
one painful thing about sex.
0.087 That actually, for people,
0.087 sex starts from their bank accounts.
0.087 It absolutely does.
0.087 Absolutely does.
0.087 If you have money, you will get sex.
0.087 Otherwise, you won&;t get.
0.087 You won&;t get sex, right?
0.087 You can do it, but who will give you?
0.087 The logic should be,
0.087 first focus on career.
0.087 There was one Morgan Freeman&;s…
0.087 Do you know Morgan Freeman?
0.087 -Yes, of course.
-He is an actor,
0.087 who was in Shawshank Redemption.
0.087 He has a dialogue.
0.087 So, the interviewer asked him,
0.087 did you ever chase girls?
0.087 He is like, yeah,
0.087 "until I realized the truth of life."
0.087 So, the interviewer asked,
0.087 "what is the truth of life?"
0.087 So, Morgan Freeman says,
0.087 "don&;t go out chasing the butterflies,
0.087 but build such a big garden,
0.087 that the butterflies
0.087 come to the garden."
0.087 Absolutely true.
0.087 This is the actual core of sex.
0.087 Focus on yourself.
0.087 Put a self-improvement mode in your mind.
0.087 And generally, in the world,
0.087 enhance your reputation,
0.087 earn money,
0.087 sex will come through the front door.
0.087 By then you will be 30 years old
0.087 -Yes.
-By then you will have ED.
0.087 -So, what will you do with it?
-Fair, fair.
0.087 Taking so much stress,
0.087 you may even do it,
0.087 but you have finished
the small joys of life.
0.087 Earlier, the theory was, marry early.
0.087 And you–
0.087 You, husband and wife,
0.087 make a life together.
0.087 There was no hurry for things.
0.087 Now it has reversed,
0.087 now there is hurry.
0.087 From a 25-year-old man,
0.087 you are asking for a 50-year-old man&;s
0.087 wealth, career and status.
0.087 Where will he bring it from?
0.087 How will he bring it?
0.087 Some people, 1% can do.
0.087 But it takes time and effort.
0.087 Today, at age 18, you pass 12th.
0.087 Then you go until age 22
0.087 to do any degree, etc.
0.087 If you get a job, by age 25
0.087 from where will you grow a garden?
0.087 You can&;t grow.
0.087 And do sex at the same time.
0.087 That is the time
0.087 for the most fulfilling sex
0.087 that you can have,
0.087 and everything works.
0.087 Again, keeping in mind, erections,
0.087 the basic logic is that,
0.087 take care of your health.
0.087 -Take care of your lifestyle.
-Yes. Of course, of course.
0.087 So that your harmonious levels
0.087 -stay balanced.
-Yes.
0.087 That&;s the basic logic of erection health.
0.087 Reducing stress.
0.087 Often, guys come to me and say, sir.
0.087 There is no stress.
0.087 I say, there is no stress
0.087 but this is the stress.
0.087 What you&;re doing that itself is stress?
0.087 What time do you sleep?
0.087 1 o&;clock.
0.087 What time do you get up?
0.087 8 o&;clock.
0.087 What time is the office?
0.087 10 o&;clock.
0.087 What time do you come home?
0.087 8 o&;clock.
0.087 What time do you have dinner? 10:30.
0.087 After that,
want to view Reels for 2 hours.
0.087 Want to stay on the phone,
0.087 use Tinder, want to hook up,
0.087 want to WhatsApp, want to call,
0.087 By the time you wind up, it&;s 1:00.
0.087 You even do gym.
0.087 But today there is stress in the gym too.
0.087 In the gym as well–
0.087 -Comparison mentality.
-Artificial, yes, absolutely, yes.
0.087 He lacks height,
0.087 his muscles are small,
0.087 how much is his biceps?
0.087 How much is his thigh?
0.087 How much is his chest?
0.087 For how long can you live
a comparative life in everything
0.087 So this happens to be
a metaphysical thought.
0.087 -I mean, this is not related to my work.
-No, sure.
0.087 That&;s why we are talking today.
0.087 But the thing is, the patients who come–
0.087 See, I cannot give so much time
0.087 to patients.
0.087 So, we give 5 minutes or 10 minutes.
0.087 But we tell them,
0.087 fix the sleep, fix the diet, do exercise.
0.087 Reduce your work stress.
0.087 Find a work which is closer to your home.
0.087 You are living in…
0.087 Giving Delhi&;s example,
0.087 I have no idea about Bombay.
0.087 But you are living in Noida in Delhi–
0.087 It&;s like you are living in South Bombay
0.087 and you are working in Versova.
0.087 And every day you are traveling.
0.087 Up and down, up and down,
0.087 up and down.
0.087 So, it&;s better to stay in South Bombay.
0.087 Go stay in Gurgaon.
0.087 At least you will save one hour
0.087 traveling time.
0.087 Vibration is also a very common cause
0.087 of erectile dysfunction.
0.087 Vibration?
-Yes.
0.087 For example, you are sitting in a car.
0.087 For 2 hours. In a moving vehicle.
0.087 The micro-vibration
0.087 is happening the entire way.
0.087 Also spoils your pelvic health.
0.087 Pelvic health?
0.087 Your blood flow
0.087 to your penis, testes, lower body.
0.087 Is it fair to say that imagine now,
0.087 we probably can&;t change that situation,
0.087 -the car situation.
-Yes, absolutely.
0.087 I am saying this from my own experience.
0.087 And from the experience of my bros.
0.087 I started yoga.
0.087 Because of two things in yoga,
0.087 I got a lot of mental health help.
0.087 Along with that, physical health
0.087 also got boosted a lot.
0.087 And definitely, I feel
0.087 that my hormones got in place.
0.087 And the sexual health
0.087 has perhaps increased.
0.087 The first aspect is meditation.
0.087 Because the mind calmed down.
0.087 Because you are sitting in one place.
0.087 The cholesterol has gone down.
0.087 Because of breathing exercises,
0.087 your thoughts become very calm.
0.087 But, if you are doing male-oriented yoga.
0.087 Where the core strength is focused.
0.087 And there are some asanas.
0.087 I forgot the name.
0.087 I think it&;s called Halasana.
0.087 Where you are keeping
your feet up like this.
0.087 Activating your core.
0.087 And also keep the back up like this.
0.087 It&;s a mildly advanced yoga pose.
0.087 You basically,
form a triangle with your body.
0.087 This is one asana.
0.087 But there are a lot of asanas.
0.087 Like if you do the full Surya Namaskar.
0.087 Your core works a lot.
0.087 I asked my yoga coach.
0.087 Why is it said?
0.087 Theoretically, these asanas
0.087 are associated with sexual health.
0.087 He said that firstly,
0.087 from a yogic perspective.
0.087 Your core is really your core.
0.087 For any activity.
0.087 For any physical activity
0.087 including sex.
0.087 In sex, you have to do thrusting.
0.087 And there, your penis&; blood flow
0.087 should be good.
0.087 If the core gets worked.
0.087 And core is everything from your legs,
0.087 to your lower back,
0.087 to your stomach,
0.087 to even your solar plexus region.
0.087 If this region becomes strong.
0.087 Then obviously sex will be benefited.
0.087 But the blood flow there also increases.
0.087 It&;s absolutely accurate.
0.087 Biological perspective is correct.
0.087 Do you want to add something?
0.087 So yoga is very scientific.
0.087 So what we call asanas in yoga
0.087 or we call kundalini in yoga,
0.087 which is called the core.
0.087 If you study anatomy.
0.087 It exactly reflects in that.
0.087 So I am from that doctor&;s breed
0.087 who believes that our ancient practices
0.087 have a very heavy scientific base.
0.087 So Kegel exercises that we teach patients,
0.087 Kegel&;s is basically the core.
0.087 Kegel&;s basically involves
our perineum muscle
0.087 to which all the muscles are connected.
0.087 Like when you go to shit.
0.087 Or go to poop, what do you do?
0.087 You are putting pressure there, outward.
0.087 Suppose if you want to suck in something
0.087 from there, then what will you do,
0.087 -that movement is called Kegel.
-Yes.
0.087 Like you got a strong urge to pass stool
0.087 and want to halt it,
0.087 as there is no bathroom,
0.087 so when you tighten the muscle,
0.087 it is called Kegel&;s muscle.
0.087 So that muscle is connected to everything.
0.087 That muscle is connected to the legs.
0.087 So basically, Kegels is a part of PFMT.
0.087 The English call yoga, PFMT.
0.087 Pelvic floor muscle training.
0.087 They have given names to all yoga asanas.
0.087 But all of them are from our asanas.
0.087 So the Kegels in yoga, that Kegels–
0.087 I just forgot the name,
0.087 it has just skipped my mind.
0.087 It is described in our stuff.
0.087 Dr. Kegels made the same thing Kegels.
0.087 But if you do Kegels exercise daily,
0.087 there is a wealth of benefits.
0.087 It strengthens the core.
0.087 There is even planking in the core.
0.087 There are spinal exercises too in core.
0.087 Core also includes squats.
0.087 There is already plain Kegels in core.
0.087 Your Anulom Vilom, Surya Namaskar,
0.087 this basically conditions the entire–
0.087 And it helps a lot.
0.087 You just add Kegels in your life,
0.087 it ends 40% of the erectile dysfunction.
0.087 Without medicines.
0.087 So the bottom line is,
0.087 focus on health.
0.087 Mind, that is mental health
0.087 and cardiac health, focus on that.
0.087 Everything else will fall in place.
0.087 -Absolutely.
-Correct?
0.087 So the very common one is,
0.087 performance anxiety.
0.087 You must have heard the name.
0.087 We should talk about this.
0.087 This is probably
0.087 the most important topic for Indian guys.
0.087 People consider performance anxiety
0.087 as impotence, sometimes.
0.087 They don&;t consider it importance,
0.087 they get scared.
0.087 They get scared very badly.
0.087 What is performance anxiety,
0.087 explain that too.
0.087 Performance anxiety is,
0.087 it is your 50th century,
0.087 and you are going on the ground,
0.087 the whole world is watching you.
0.087 And so much pressure builds up
in your mind
0.087 that you fail to do anything.
0.087 And you end up going out on a duck.
0.087 That&;s why Virat&;s
0.087 50th century is a big thing.
0.087 Because even after so much performance,
0.087 he performed.
0.087 Very few people have
0.087 that mental balance and power.
0.087 If everyone is watching you–
0.087 So what happens in anxiety?
0.087 A person has not done sex,
0.087 has watched porn,
0.087 has heard from people,
0.087 friends have heard.
0.087 Now, he is going to have sex
for the first time.
0.087 Now he feels, I has to perform
0.087 and nothing happens there.
0.087 Your friend lives your side.
0.087 Your friend falls asleep.
0.087 He just doesn&;t wake up then.
0.087 You keep thinking,
0.087 what just transpired,
0.087 and the girl is looking at you,
0.087 as to what happened?
0.087 You are totally embarrassed
0.087 and then the thing happens.
0.087 Because now what has happened is,
0.087 your cortisol has gone off the roof.
0.087 Your stress and anxiety
0.087 has gone off the roof.
0.087 And you don&;t know what to do.
0.087 You are just shaking your head
0.087 and you are just trying,
0.087 and nothing is happening.
0.087 She just dresses up
0.087 and you just leave.
0.087 As soon as she leaves,
0.087 you get it up again.
0.087 As soon as the anxiety goes off,
0.087 the performance ends,
0.087 you are up.
0.087 And then you are like,
0.087 you come to the doctor and say,
0.087 everything is happening,
0.087 but when the act is to be acted there,
0.087 nothing happens.
0.087 Nothing happened once.
0.087 Then the second time nothing happened.
0.087 Third time the girlfriend says,
0.087 you have to see a doctor
0.087 if she is committed.
0.087 If she is not committed
0.087 then she says boss, I can&;t keep coming
0.087 and nothing is happening.
0.087 And you lose confidence completely.
0.087 And then, what happens with you is,
0.087 now you stop dating completely.
0.087 Because you think
0.087 there&;s a problem in you
0.087 that you can&;t do anything.
0.087 And you don&;t want to go through
0.087 the same embarrassment
0.087 and self-doubt again.
0.087 So you stop.
0.087 And then that becomes psychogenic ED.
0.087 So after that it now
0.087 becomes mental erectile dysfunction.
0.087 Because now, you are fine.
0.087 But because it didn&;t happen for you
once or twice,
0.087 so it&;s not happening now.
0.087 You are very concerned.
0.087 And you are not able to do.
0.087 There is nothing wrong in there.
0.087 They need a little guidance.
0.087 Everything will be fine.
0.087 And maybe the blue pill. Once or twice.
0.087 Blue pill means?
0.087 -The Viagra.
-Okay.
0.087 That you give them half tablet.
0.087 So even if you have anxiety,
0.087 even then, the erection will stay.
0.087 Because once you do it.
0.087 Once it is done after that
0.087 then you know that it will be done.
0.087 You know how to do it.
0.087 So it&;s like,
everything becomes all right.
0.087 So around 30 to 40% young men
0.087 have this that everything is fine.
0.087 Only the anxiety is more.
0.087 Performance anxiety is more
0.087 so are unable to do it.
0.087 Maybe that anxiety
0.087 is coming because of your work
0.087 but you don&;t know.
0.087 It&;s not work related
0.087 that anxiety is only because,
0.087 as he has never done sex,
0.087 and they have a lot on their mind to do,
0.087 but nothing happens.
0.087 I have a few friends
0.087 who are having this problem,
0.087 -who had a lot of work-life stressors.
-Absolutely.
0.087 Maybe their cortisol levels were high
0.087 and during sex,
0.087 they were unable
to completely think about sex.
0.087 Due to that, the performance anxiety.
0.087 Yes. Absolutely, absolutely, absolutely.
0.087 But I mean, this one
0.087 -is a psychological aspect of that.
-No.
0.087 So you have told
these two different things.
0.087 So one is that, there is a person
0.087 who is absolutely fine.
0.087 He is completely normal.
0.087 But just because
0.087 it is a new experience for him.
0.087 He is doing sex for the first time.
0.087 And because of that.
0.087 Or, he is not doing it for the first time.
0.087 He has done it before.
0.087 But this girl. She is new.
0.087 And she is maybe way too beautiful.
0.087 Out of the league.
0.087 And a scene takes place.
0.087 With every person–
0.087 If you ask every person,
0.087 how will he rate the girl?
0.087 He will always rate her out of the league.
0.087 And if you ask a woman.
0.087 She will always rate lower
0.087 than what she can get better.
0.087 The man always thinks that I got better.
0.087 So it leads to a lot of anxiety in that.
0.087 That I have to satisfy her.
0.087 Now it happens is,
0.087 our society has shaped in such a way,
0.087 that the whole onus of satisfaction
0.087 has fallen on the males?
0.087 That you have to satisfy.
0.087 So again, sex is mutual–
0.087 It is two things together.
0.087 So there is also a small role
of woman in this.
0.087 If the woman is,
0.087 actually committed in love
0.087 and maybe it is possible
0.087 that she herself solves it.
0.087 If she tells him at that point itself,
0.087 it&;s okay.
0.087 -Yes, a partner has a very big role.
-There&;s a very big role.
0.087 In many cases.
0.087 If the partner goes on to support
0.087 then things get fixed?
0.087 And if the same partner, even slightly–
0.087 Like for example,
0.087 there are new marriages.
0.087 It&;s an arranged marriage,
0.087 doing sex for the first time,
0.087 failed to do on the honeymoon night?
0.087 A lot of time these new couples,
0.087 will come that sir…
0.087 -Not getting erect.
-Happened 3-4 times.
0.087 Not getting erect.
0.087 My honeymoon got wasted.
0.087 We just saw the beaches of Thailand
and got back.
0.087 So what man?
0.087 Even beaches are beautiful.
0.087 But we don&;t expect,
0.087 we are to only see beaches on a honeymoon.
0.087 Is honeymoon sex different?
0.087 Absolutely, honeymoon sex is different.
0.087 First sex is always different.
0.087 Later it is vanilla sex.
0.087 Honeymoon sex is your new period.
0.087 Where you are enjoying all the new things.
0.087 You are getting to know new things.
0.087 You are understanding the other person.
0.087 Her tastes. Her require–
0.087 You cannot–
0.087 You cannot know your partner
0.087 in 3-4 days.
0.087 But those 3-4 days, you get separated
0.087 from the family hustle and bustle
and people.
0.087 Because when you travel,
0.087 people&;s personalities also..
0.087 Absolutely. Comes to the fore.
0.087 You are free at that time.
0.087 Your conventional–
0.087 Look, a honeymoon–
0.087 Maybe for you and me,
0.087 it is the same thing.
0.087 Socioeconomic status matters.
0.087 Today, marriages into big houses,
0.087 marriages into good houses,
0.087 they will get a different floor,
0.087 will get a different kitchen.
0.087 Their own Independent–
0.087 Where there is a couple,
0.087 who is living in a joint family system.
0.087 There if the daughter-in-law
0.087 is not coming out at 8 am,
0.087 Or you, see, men get harder erection
0.087 in the morning.
0.087 Because early morning,
0.087 the testosterone level is high.
0.087 So morning sex
0.087 is better than night sex.
0.087 For guys? For guys.
0.087 Or for both?
0.087 For both obviously.
0.087 Now she wants to have sex at 8 a.m.
0.087 but she has to go out in the kitchen.
0.087 So it won&;t be possible.
0.087 But can do it in a honeymoon.
0.087 So for those 4, 5, 6 days,
0.087 you are getting a good time
with your partner.
0.087 So I think that is a very good time.
0.087 But if you are unable to have sex
at that time.
0.087 So when you come back,
0.087 you come back in self-doubt.
0.087 Sex didn&;t happen, wife also feels,
0.087 if this is okay or not.
0.087 Your enjoyable period got spoiled.
0.087 A lot of times problem can happen.
0.087 So these guys will come.
0.087 But then we again,
0.087 a little confidence,
0.087 a little explanation.
0.087 A little support.
0.087 -Spicing up.
-A little medication.
0.087 They are back to normal.
0.087 Things get okay.
0.087 All the guys, in my circle,
0.087 who have a performance anxiety problem,
0.087 first of all,
it has happened with everyone.
0.087 All the friends, with everyone,
0.087 it has happened
at least once in their life.
0.087 Yes, it does. Absolutely does.
0.087 And with some people,
0.087 that problem got little stretched out.
0.087 Stretched out means, it took some time
0.087 for the problem to go away.
0.087 Not physically stretched out.
0.087 But anyway.
0.087 So, those who took time
0.087 to heal from performance anxiety,
0.087 mostly the partner helped.
0.087 The girlfriend. The wife.
0.087 At that point, your support system
0.087 is very important.
0.087 If at that time,
0.087 when you are having a problem.
0.087 You see, how will you discuss
0.087 with someone.
0.087 What happened, happened between you two?
0.087 It&;s an intimate moment
of you and your partner.
0.087 You can&;t discuss it with anyone.
0.087 What will you tell the friends.
0.087 I wasn&;t able to do.
0.087 So the friend should be very close.
0.087 Now if that friend, at that time,
0.087 without supporting you,
0.087 make it an embarrassment.
0.087 Or make it a joke.
0.087 Spread it among friends.
0.087 So that in itself
0.087 becomes one more headache.
0.087 So at that point, the person googles.
0.087 Did not get erection first time.
0.087 Google shows, you have trauma.
0.087 You need a penile implant.
0.087 You will have to do a surgery.
0.087 So he gets more scared,
0.087 Google is saying it&;s gotten worse.
0.087 Then they fall into the trap
0.087 of these quacks.
0.087 The concept of quacks is big in India.
0.087 Hakimi. Hakim Baba.
0.087 Then we will go to the Hakim.
0.087 Hakim will look at the pulse.
0.087 Then he will say, no,
0.087 you have a masculine weakness.
0.087 Now you eat this medicine.
0.087 Eat this shilajit, eat this.
0.087 Then they go into that drive.
0.087 Then there they spend
0.087 a lot of time and money.
0.087 And waste their effort.
0.087 At that time, if they get a proper
0.087 evaluation from an elder.
0.087 Who has gone through this.
0.087 He will guide, not, it&;s normal.
0.087 Release your anxiety, stress a bit.
0.087 Things will be fine.
0.087 Correct me if I am wrong, sir.
0.087 But I feel that if your partner
is supportive.
0.087 If your testosterone is high.
0.087 And if your mind is calm.
0.087 Then this problem will not happen.
0.087 -If you have ticked these three factors.
-Absolutely. Absolutely right.
0.087 Supportive partner.
0.087 Good physical testosterone levels.
0.087 And mental health should be in place.
0.087 Means your mind should be calm.
0.087 Absolutely. You are right.
0.087 Completely right.
0.087 But there is a little–
0.087 Testosterone is not related to erection.
0.087 But erection strength
0.087 doesn&;t come from testosterone?
0.087 No. Erectile strength
0.087 comes from blood supply.
0.087 From your cardiovascular health.
0.087 Penis is a blood organ.
0.087 So, the more blood pressure,
0.087 the more blood comes,
0.087 will get erection by that.
0.087 So erections–
0.087 Testosterone is your libido, your desire.
0.087 Testosterone works on it.
0.087 Testosterone helps in how much
0.087 your penis stays supple?
0.087 How much blood can come in it.
0.087 So testosterone
0.087 is an indirect facilitator…
0.087 -Supple means?
-Of erections.
0.087 Supple means.
0.087 Sometimes the penis&; vessels
0.087 start getting hardened.
0.087 It&;s called atherosclerosis.
0.087 So that is not.
0.087 It doesn&;t get as much blood
as it can get.
0.087 So then you end up with penile shortening.
0.087 -Size disturbances.
-Yes!
0.087 So all this happens with age.
0.087 There are technical problems.
0.087 But testosterone
0.087 basically affects your libido desire.
0.087 So in low "T" men, erections,
0.087 morning erections won&;t come.
0.087 Erections won&;t come when they want.
0.087 The biggest problem they face,
0.087 they don&;t have libido,
0.087 they don&;t have the desire to do sex.
0.087 They don&;t feel like.
0.087 It is not–
0.087 It is not that,
0.087 he will feel like having sex in his life.
0.087 Young boys think,
0.087 they will keep doing sex all their life.
0.087 Sex will keep happening.
0.087 It doesn&;t happen that way.
0.087 After an age
0.087 when testosterone declines,
0.087 you don&;t feel like having sex.
0.087 Literally there are thousands of couples.
0.087 What thousand,
0.087 I think millions of couples in India,
0.087 where they have sex once in 3 months.
0.087 Married, sex taking place
once in 3 months.
0.087 That too the husband
has no desire of having sex.
0.087 So, in those 3 months,
0.087 what happens that one time?
0.087 A fight breaks out in the house.
0.087 Have to do it.
0.087 Okay to sort out the fight.
0.087 Because then the wife says,
0.087 it&;s been 3 months,
0.087 sex hasn&;t taken place.
0.087 What is wrong?
0.087 You are having an affair?
0.087 You don&;t like me anymore.
0.087 I am not physically attractive?
0.087 Has two kids?
0.087 Now you don&;t want to sleep with me?
0.087 So then just to satisfy her anger
0.087 and to sort the fight, there is sex.
0.087 Then you get a 3-month time.
0.087 After 3 months again, there is a fight.
0.087 Again, sex is performed.
0.087 Then, after a year, they search out
0.087 an andrologist, as to what is happening?
0.087 Means, I am not having an affair.
0.087 My wife is attractive.
0.087 My kids are happy.
0.087 I want to have sex.
But why is it not happening?
0.087 Why am I not feeling like having sex?
0.087 Then they come.
0.087 And then we have to work up.
0.087 We find the testosterone is low.
0.087 Work-life balance is bad.
0.087 Have developed mild diabetes and BP.
0.087 I am talking about those in 40-45.
0.087 And we correct that
0.087 and then they are again back to normal.
0.087 So till now we have talked about
erection problems in 20s and 30s,
0.087 does the same happen in the 40s
0.087 that the testosterone
0.087 starts reducing a little.
0.087 Yes, so in the 40s–
0.087 So 20s and 30s are psychogenic.
0.087 30 plus, 30-45s are again…
0.087 Then there is low "T" very common in this.
0.087 But can low "T" be prevented?
0.087 Up to a limit.
0.087 Men will not produce
0.087 the same amount of testosterone.
0.087 A man will not produce that much
testosterone throughout his life.
0.087 There will be a point
0.087 when your testosterone production
0.087 will naturally decrease.
0.087 It is a myth
0.087 that you can always keep testosterone
0.087 high through diet and natural foods.
0.087 So you will see that there are studies
0.087 and there are levels.
0.087 For example, at age 20-30,
0.087 700 testosterone is considered normal.
0.087 In 30s it will be 500,
0.087 in 40s it will be 400,
0.087 in 50s it will be 300.
0.087 So that&;s called as andropause.
0.087 Like there is menopause.
0.087 In menopause,
0.087 like the periods stop in ladies.
0.087 That way, there is also andropause.
0.087 And this will happen with every guy?
0.087 Will happen with everyone.
0.087 So it is called as ADAM.
0.087 Androgen Deficiency in the Aging Male.
0.087 As the man is aging,
0.087 the level of testosterone
0.087 will keep decreasing.
0.087 Roughly, what is the age?
0.087 The age range.
0.087 Normally, between 40s and 50s,
0.087 androgen decreases.
0.087 Now this too has a natural reason,
0.087 an evolutionary reason.
0.087 Evolution does not want
0.087 the elderly members of the tribe
0.087 to keep having sex.
0.087 Otherwise, there are not so many ladies
in the tribe.
0.087 They want the younger population to have.
0.087 So naturally, they want that the old man,
0.087 the lion or the old man,
0.087 gradually his desire gets over.
0.087 Testosterone gets low. Libido gets down.
0.087 He gradually goes out of circulation.
0.087 So low "T" is a survival mechanism.
0.087 Which is there as a part of evolution.
0.087 So what we said
at the start of the podcast,
0.087 that males from the 70s
0.087 are sitting in America and having sex.
0.087 They are on TRT.
0.087 -TRT?
-Testosterone Replacement Therapy.
0.087 Wow! Which is very common there.
0.087 It is very common.
0.087 It is common everywhere.
0.087 In India?
0.087 Not in India, now,
0.087 but is coming gradually.
0.087 So testosterone replacement,
0.087 what happens is that if you are at 40-45
0.087 and you have sexual desire
0.087 or you want sexual desire,
0.087 then you have to somehow
0.087 manage your testosterone.
0.087 Now the myth
of testosterone replacement therapy
0.087 is that testosterone replacement
0.087 means that you have to take an injection.
0.087 It is not necessary.
0.087 I mean people consider it steroids.
0.087 Yes, so it is not necessary.
0.087 So there are many ways
0.087 of testosterone replacement.
0.087 So for example, your testosterone,
0.087 suppose there is a level "X"
0.087 and your require level is "Y".
0.087 So you have to fulfill the difference
between "X" and "Y".
0.087 So to complete it,
0.087 we have natural methods also.
0.087 It gets fixed through exercise.
0.087 You have some natural supplements.
0.087 It can increase by them.
0.087 Can increase by your exercise regime?
0.087 And it is not necessary
0.087 that it increases in everyone.
0.087 Every male is genetically different.
0.087 So it is possible that there is a man
0.087 who just through natural exercise,
0.087 has kept the testosterone level high.
0.087 Maybe yours didn&;t decline that much.
0.087 But there may be a person
0.087 who may need some pharmaceutical help.
0.087 Now, for that we also have oral tablets.
0.087 There are non-steroidal agents
0.087 as well as and steroidal agents.
0.087 So if you do TRT under supervision,
0.087 then we can maintain
0.087 a testosterone at a higher level.
0.087 It should not be done without supervision.
0.087 A lot can happen in the body.
0.087 Yes, the problem without supervision
0.087 is that for example,
0.087 you have a requirement of only 100 mg.
0.087 And you are taking 500.
0.087 So you are taking 400 mg extra
0.087 which is unnecessary in the body.
0.087 You are adding extra chemicals.
0.087 Plus, it is possible
0.087 by taking extra testosterone
0.087 you might have a side effect.
0.087 Which if you take under monitored care,
0.087 you might not have.
0.087 So world over TRT is done
0.087 under the supervision of doctors.
0.087 But in India,
0.087 because our pharmaceuticals,
0.087 you won&;t get it world over.
0.087 Chemists won&;t give you without a doctor.
0.087 Because everything is available in India.
0.087 So in India, OTC use is very high.
0.087 Over the counter?
0.087 -Over the counter use.
-You can just ask the chemist,
0.087 -the chemist will give.
-Ask, he&;ll give the injection.
0.087 You are getting injected.
0.087 Take it, eat testosterone.
0.087 Yes, absolutely.
0.087 And then, what happens
0.087 if you take 500 mg testosterone
0.087 and if you just need 100 mg.
0.087 Aggression. Hypersexual behavior.
0.087 Hypersexual behavior.
0.087 I mean horny all the time.
0.087 Now your wife needed it 2-3 times a month.
0.087 Now you want daily,
0.087 morning, evening, morning, evening.
0.087 And biggest side effect
0.087 is post testosterone dip.
0.087 You took it. It stayed high for 15 days.
0.087 You went crazy.
0.087 And after 15 days, when the fall comes.
0.087 Your level, which was earlier 300,
0.087 now that 300 will go down, will go to 150.
0.087 So suddenly,
0.087 you go into this deep lethargy.
0.087 And depressive.
0.087 So you go into a bipolar kind of a state.
0.087 For 15 days you are manic
0.087 and hypersexual.
0.087 And for 15 days you are completely
0.087 depressive and lethargic.
0.087 Even your normal motivation disappears.
0.087 As motivation and testosterone
0.087 are very linked.
0.087 Yes, absolutely.
0.087 So your cycle is completely ruined.
0.087 You are going into a very high peak
0.087 and a very low dip.
0.087 So to stop it, we have to balance it.
0.087 So that your dip doesn&;t come.
0.087 So you are in a chronic
0.087 well-balanced state.
0.087 So that can only happen
0.087 with a well-tailored regimen.
0.087 Then again it&;s a work.
0.087 Of a doctor.
0.087 That a doctor does.
0.087 So it may be done by an endocrinologist.
0.087 Or an endocrinologists.
0.087 Endocrinologists are doctors
0.087 who manage hormones.
0.087 So they can manage
0.087 and maybe give you a better control
0.087 over your T-levels.
0.087 And T-level, I feel,
0.087 "T" makes a man a man.
0.087 His motivation, his desire,
0.087 his libido, his energy, his mental…
0.087 Patients with low T-levels,
0.087 they develop Alzheimer&;s early.
0.087 So if you have low "T", you will develop
0.087 early neurodegenerative problems.
0.087 You will start developing
0.087 memory problems.
0.087 You will develop bone mass loss,
0.087 muscle mass loss.
0.087 So it&;s very important
to maintain T-levels.
0.087 So world over, TRT is very common.
0.087 It&;s now coming in India gradually.
0.087 People are understanding
0.087 that by taking TRT, our heart is better.
0.087 Our brain is better.
0.087 Our muscle strength is better.
0.087 Our bone strength is better.
0.087 T-level is not only for sex.
0.087 For the entire lifestyle.
0.087 It has an important role in everything.
0.087 What happens in 60s, 70s, 80s?
0.087 In 60s, 70s, 80s,
0.087 arterial problems develop.
0.087 And the blood supply in it ends.
0.087 So basically, till 50s,
0.087 testosterone works.
0.087 After 50s,
0.087 there is a genuine problem
0.087 in the blood supply.
0.087 As the blood supply
to our heart gets spoiled,
0.087 gradually, the blood supply
to the penis gets spoiled.
0.087 -The lion has got old. -With everyone?
0.087 Will happen with everyone.
0.087 One is the prostate gland, it enlarges.
0.087 So the blood supply
0.087 that goes through the prostate,
0.087 that gets restricted,
0.087 due to which the blood
doesn&;t reach the penis.
0.087 So most patients after 50s or 60s
0.087 will require some support.
0.087 For getting it on.
0.087 Support means?
0.087 Support means,
0.087 they need some medicine support.
0.087 Or need the support of the wife.
0.087 They manage sex with half erection also.
0.087 What is half erection?
0.087 Means it has not fully hardened.
0.087 So there is an erection quality scale.
0.087 It&;s called erection hardness scale.
0.087 So basically, there are four things in it.
0.087 You feel how hard the erection is.
0.087 So one is fully hard.
0.087 Fully hard feels like wood.
0.087 Just like your thumb, is fully hard.
0.087 Diamond cutter.
0.087 Yes, it&;s completely hard.
0.087 That happens in 17 years.
0.087 You can&;t move it.
0.087 It&;s the root of the tree.
0.087 You can&;t move it.
0.087 That is called fully hard.
0.087 Andre Russell&;s bat.
0.087 Not a bat, not a wood.
0.087 But like you do boxing,
0.087 fully means, sand, a sandbag.
0.087 There is no space in it.
0.087 It&;s like fully hard.
0.087 Then you get the normal erection.
0.087 That is in between 20-50.
0.087 That can slightly be pressed.
0.087 If you press it little,
0.087 the penis will get pressed a little.
0.087 It feels like a rubber.
0.087 A full hard rubber bat.
0.087 It&;s completely hard.
0.087 But it has a little bit of pliability.
0.087 Then you come to the 40-50 erection.
0.087 That if you put a little force in it,
0.087 it will sit down.
0.087 So for example,
0.087 they may be able to have sex
0.087 with a non-virgin lady.
0.087 But if they want to have sex
0.087 with a virgin,
0.087 they will not be able to penetrate.
0.087 There will be that much weakness.
0.087 Because what happens in non-virgin ladies?
0.087 There is a little vaginal laxity.
0.087 -Looseness.
-There is a little looseness
0.087 in a multiparous.
0.087 Or the one who has produced children
0.087 versus somebody who is–
0.087 So may face a little difficulty in that.
0.087 Or it&;s okay in masturbation
0.087 because you have to wrap your hand.
0.087 But are unable to penetrate the vagina.
0.087 And then you come to the floppy.
0.087 In floppy, a little blood has filled.
0.087 The penis got a little bigger.
0.087 But it didn&;t stand.
0.087 It is like touched a little,
0.087 rubbed a little and got discharged.
0.087 But usually, it is not satisfactory.
0.087 There won&;t be any penetration with that.
0.087 When you ask these men,
0.087 what do you do in sex?
0.087 They will say that, sir,
0.087 there is a little enjoyment.
0.087 There is a little discharge.
0.087 But we cannot go inside.
0.087 There is a problem in putting it inside.
0.087 Then where do they put in?
0.087 Rubbed a little on the thighs.
0.087 Rubbing is also a sex.
0.087 Rub it and discharge it.
0.087 Okay, like that.
0.087 So can be done that way.
0.087 So now these gentlemen
0.087 will require treatment.
0.087 So we can provide them treatment.
0.087 There are a lot of treatments nowadays.
0.087 There are regenerative treatments.
0.087 There are hormonal treatments.
0.087 There are medications.
0.087 So basically,
0.087 there are two ways to suck blood
in the penis.
0.087 One is external pump.
0.087 The other is internal pump.
0.087 So there is a pump.
0.087 So by attaching that pump in the penis,
0.087 you can just create suction.
0.087 So it sucks all the blood in the penis.
0.087 -But…
-It becomes a balloon.
0.087 Where is the handle?
0.087 -Whose?
-The pump&;s.
0.087 It is electronic.
0.087 Press the button, it automatically
0.087 creates a vacuum inside it.
0.087 One minute,
0.087 you have to explain this in detail.
0.087 -Because it&;s very complicated.
-So basically, penis is like a…
0.087 Our penis is basically a blood organ.
0.087 So when there is a normal erection,
0.087 what comes up?
0.087 Blood comes up, gathers in the penis.
0.087 They enter penis gets hard.
0.087 Now your blood is not filling.
0.087 So you will have to suck the blood.
0.087 So for example, if there is a balloon.
0.087 And you suck it.
0.087 Air will get sucked into it.
0.087 Similarly, if you attach this device
to the penis and pump
0.087 then it will suck all the blood.
0.087 How do you attach it?
0.087 On the penis,
0.087 you just put the pump on it.
0.087 And you just pump it.
0.087 That&;s it.
0.087 That&;s it. Then it will get pumped.
0.087 And it becomes hard.
0.087 So there is a ring inside it.
0.087 So you put the ring down.
0.087 So the blood cannot go back.
0.087 So it basically becomes like a balloon.
0.087 So you do a little penetration with that.
0.087 Do sex.
0.087 That is called as penile pump.
0.087 Vacuum pump.
0.087 It is called a vacuum erection device.
0.087 So this is used in old people.
0.087 But it is not very good.
0.087 Because one, it is painful.
0.087 You are sucking blood into the penis.
0.087 Second is, penis becomes absolutely blue
0.087 with the blood.
0.087 It becomes blue?
0.087 Yes, absolutely.
0.087 Because fresh blood is red.
0.087 Venous blood is blue.
0.087 So the blood coming in
0.087 is not natural blood.
0.087 So you are basically sucking
the dead blood.
0.087 So it becomes blue.
0.087 So it looks like a blue balloon.
0.087 So even the women are not ready
0.087 to have sex with that.
0.087 So it is not a very good device.
0.087 So nowadays, there is something
0.087 called as a penile implant.
0.087 In a penal implant,
0.087 a balloon is inserted inside.
0.087 So we do the surgery.
0.087 And we put a balloon inside.
0.087 And we put a pump
0.087 in the patient&;s scrotum.
0.087 Near the balls.
0.087 So it is a water pump.
0.087 So when he wants to have sex,
0.087 he can just pump it.
0.087 It becomes fully hard.
0.087 Have sex and then when he is done,
0.087 he just presses the button
0.087 and it goes down.
0.087 So this is called a penile prosthesis.
0.087 Hydraulic penis.
0.087 Yes, hydraulic penis.
0.087 So this is the new thing
0.087 that is happening.
0.087 And we do that surgery.
0.087 Andrologists do that surgery.
0.087 What happens in that surgery?
0.087 You even open the balls and a pump…
0.087 No, we don&;t open the balls.
0.087 We open the penis.
0.087 And we put in the rod.
0.087 And we put in the balloon pump inside.
0.087 How do you open the penis?
0.087 -With a skin incision.
-Where?
0.087 Right in the middle
of the balls and penis.
0.087 If this are the balls
0.087 and this is the penis,
0.087 then somewhere here.
0.087 There is a small machine.
0.087 There is water in the machine.
0.087 There is water.
0.087 And when you want, you can get it up.
0.087 And when you want, you can get it down.
0.087 And it is not available since today.
0.087 It is available since 1963.
0.087 So it has been happening
for the last 50 years.
0.087 -Really?
-Yes.
0.087 And in India,
0.087 it&;s been available for the last 7 years.
0.087 Where is the button?
0.087 The button is between the balls.
0.087 So it is a prosthesis.
0.087 Prosthesis means, there is a cataract.
0.087 Someone is unable to see,
0.087 the lens may have got damaged.
0.087 So remove it and put a fresh lens.
0.087 Someone&;s heart got damaged,
0.087 valves, so change it.
0.087 The hand is broken–
0.087 Similarly, if the penis doesn&;t work,
0.087 so replace it.
0.087 You put in a fresh engine.
0.087 -Fresh machine.
-Wow!
0.087 So then he is good to go.
0.087 But only 5% of patients require it.
0.087 95% old men, TRT. Exercise.
0.087 And your medications.
0.087 They are able to perform with that.
0.087 Wow! Does it cause pain?
0.087 After surgery, no. Nothing happens.
0.087 It is a natural penis.
0.087 It is a normal penis.
0.087 It is a part of the body.
0.087 It works like a normal penis.
0.087 If you look at that fully erected,
0.087 it looks like a…
0.087 You cannot say looking at it,
0.087 that it is not natural.
0.087 He knows that it is a machine.
0.087 The other person doesn&;t know anything.
0.087 Because the outer skin color,
0.087 everything is same.
0.087 Only a machine is installed inside.
0.087 That you don&;t know about.
0.087 Whoever is listening to this podcast,
0.087 he is now feeling a pain in his penis.
0.087 Yes, that&;s it. That is what it is.
0.087 This is not for young men.
0.087 But this is for men
0.087 who are young at heart.
0.087 So it is not for young men,
0.087 but for men who are young.
0.087 So now there are a lot
0.087 of situations in life.
0.087 There is someone who is a widower.
0.087 He gets married again. Somebody gets…
0.087 Got into a new relation.
0.087 Husband and wife too desire.
0.087 So we get–
0.087 I mean every type of person
0.087 has a situation in life.
0.087 So, sex is an essential need.
0.087 It is a requirement.
0.087 We have a highlight section at the end.
0.087 You know what we are going to talk about.
0.087 You have come on TRS. You tell us.
0.087 -NoFap.
-Yes.
0.087 So NoFap. Brahmacharya.
0.087 We will talk about them.
0.087 You said that medical community
0.087 is divided.
0.087 Mostly people say that NoFap
0.087 is not effective.
0.087 But you are an andrologist,
0.087 an urologist.
0.087 Basically, you are a men&;s doctor.
0.087 What do you have to say?
0.087 I think NoFap… NoFap…
0.087 English people are telling us
0.087 our own concept.
0.087 We discovered the concept
0.087 of Brahmacharya, our country.
0.087 They packaged the same thing as NoFap
0.087 and sent it again to us.
0.087 There are many benefits of Brahmacharya.
0.087 Brahmacharya was described
0.087 in our ancient times.
0.087 In our ancient times,
0.087 early marriage was also described.
0.087 Family life also used to start on time.
0.087 Where we faced problem is,
0.087 where dichotomy came in is,
0.087 Brahmacharya is a good thing.
0.087 But for how long?
0.087 How can a person
remain celibate for 30 years?
0.087 You became sexually active at 16 years.
0.087 You didn&;t get married at 20 years.
0.087 You are getting married at 30-35 years.
0.087 Don&;t masturbate. Don&;t have sex.
0.087 Follow celibacy.
0.087 For how many years? For 10 years.
0.087 That period of 10 years.
0.087 That is the problematic area.
0.087 That is where the problem comes.
0.087 This is the question,
0.087 sir, we will practice celibacy
0.087 but what to do about urges?
0.087 What to do?
0.087 I don&;t have a solution for that yet.
0.087 There are benefits of celibacy.
0.087 A lot of them.
0.087 The erections become harder.
0.087 Timing increases.
0.087 The semen gets better.
0.087 Patients are mentally calm.
0.087 Psychologically they are better.
0.087 They are able to have better sex.
0.087 Celibacy has thousands of benefits.
0.087 The cultural shift of late marriages
0.087 and early promiscuity.
0.087 How to balance it with that?
0.087 We have to figure it out here.
0.087 I have no answer for that right now.
0.087 I would like to say two things.
0.087 First thing, the erection strength scale
0.087 that you talked about.
0.087 I have noticed
0.087 that if you adopt a NoFap phase
0.087 then your erection strength
increases a lot.
0.087 It absolutely increases.
0.087 -Correct?
-Yes.
0.087 Because "test" levels also go high.
0.087 And this is a medical study.
0.087 That, in one week of not ejaculating
0.087 the testosterone levels peak a lot
0.087 but don&;t go beyond that.
0.087 And that&;s the big criticism
0.087 of the anti-NoFap community.
0.087 That okay for one week definitely,
0.087 the testosterone levels increase.
0.087 But what after that?
0.087 There is no response to it
0.087 from a medical perspective.
0.087 I believe that mostly those
0.087 who are doing practical NoFap these days,
0.087 they basically don&;t watch porn
0.087 and don&;t stroke.
0.087 -But they do actual sex. Correct?
-Yes.
0.087 Means they have sex with their partners.
0.087 There is no problem in having sex.
0.087 There is problem with fapping.
0.087 Masturbation is not sex.
0.087 First thing is very clear.
0.087 Sex is what you have with a woman.
0.087 Masturbation is just the–
0.087 Masturbation is just a ***** way
0.087 of having sex.
0.087 You are having sex with your own hand.
0.087 There is no way you will get
0.087 the same benefits of having sex
0.087 as with masturbation.
0.087 Your penis is getting—
0.087 One is you are not fully stimulated.
0.087 You are not fully hard.
0.087 Your penis is not getting any warmth.
0.087 Your penis is not getting any moisture.
0.087 You are not getting any visual stimulus.
0.087 You are not getting any physical stimulus.
0.087 You don&;t have any touching cues.
0.087 There is no one in front of you.
0.087 You are on a false AV medium,
0.087 just an artificial, at a spinal level,
0.087 having an erection and discharge.
0.087 And your orgasm is also not fulfilling.
0.087 Your orgasm is half orgasm.
0.087 It is not a fulfilled orgasm.
0.087 You are not fully discharged either.
0.087 It&;s a very–
0.087 It&;s not healthy at all.
0.087 I think it is–
0.087 Patients come to me.
0.087 And we make every patient
to stop masturbation.
0.087 And the results are fantastic.
0.087 They recover in 15 days.
0.087 1 month, 2 months,
0.087 3 months they are back.
0.087 They say we are getting hard erections.
0.087 Getting fully hard.
0.087 We are feeling better.
0.087 Our sexual response is better.
0.087 Our urge is better.
0.087 Why do I talk about No-Fap?
0.087 There are two reasons.
0.087 The first reason is that,
0.087 I have experienced it myself.
0.087 And in my own life, in my sexual life,
0.087 or even in my physical
health-oriented life,
0.087 have seen its benefits.
0.087 I think it&;s very good.
0.087 And the second reason is that,
0.087 all the yoga schools that I have visited,
0.087 all the meditation courses I have done,
0.087 a very basic thing is told to you.
0.087 That this is your creative energy.
0.087 And its role is in your meditation,
0.087 in your yoga.
0.087 And if you are masturbating a lot,
0.087 then you are leaving that creative energy.
0.087 Now behind this statement,
0.087 there is no scientific backing until now.
0.087 Because maybe research
0.087 has not been done in that domain.
0.087 There is a lot of scientific backing.
0.087 Whenever somebody tells you
0.087 that masturbation is healthy,
0.087 you tell them, okay,
0.087 show me one medical literature,
0.087 one medical journal which says this.
0.087 There is no journal, there are no books,
0.087 there is no research.
0.087 The only research that is available
0.087 which says,
0.087 masturbation has negative effects.
0.087 Negative cognitive effects,
0.087 negative psychological effects,
0.087 negative health effects.
0.087 So masturbation is not healthy.
0.087 In 1974, DSM,
0.087 means the Psychiatry Association,
0.087 removed masturbation as a disease.
0.087 You know why?
0.087 Not because it was healthy,
0.087 because a lot of people were doing it.
0.087 And they realized
0.087 that if we make it a disease
for every person,
0.087 then our sanitarium will increase,
0.087 our patients will increase.
0.087 So they said, okay,
0.087 masturbation is not a disease.
0.087 But it is not written anywhere
0.087 that masturbation is healthy.
0.087 In 1994, the US Surgeon General
0.087 said this much
0.087 that masturbation is healthy.
0.087 She had to resign.
0.087 The US President had to make her resign.
0.087 So masturbation is not healthy.
0.087 Masturbation is an unhealthy habit.
0.087 It is very unhealthy.
0.087 At a limit,
0.087 because of this problem of late marriages
0.087 and problem of lack of sex, it&;s okay.
0.087 If somebody is not able
0.087 to control the urge,
0.087 then once in a month kind of a thing,
0.087 if he is really desperate, it&;s okay.
0.087 But nowhere is it written
0.087 in medical literature
0.087 that masturbation is healthy.
0.087 Every doctor, every psychiatrist,
0.087 Every influencer
0.087 is going on about this,
0.087 that masturbation is healthy.
0.087 It&;s okay. Masturbation may be a release.
0.087 But if you are going to tell
0.087 that masturbation is healthy,
0.087 then there are 16-year-old children
0.087 in developing ages
0.087 who will start doing it.
0.087 Do you think that female masturbation
0.087 and male masturbation&;s experience
0.087 and outcomes are different?
0.087 Are absolutely different.
0.087 So maybe they are again
0.087 talking about female masturbation
0.087 but they are printing masturbation
0.087 on to male masturbation.
0.087 Female masturbation is also wrong.
0.087 This will become very controversial.
0.087 There are a lot of studies
0.087 which say that if a female
0.087 is cumming with the help of vibrators,
0.087 she loses the ability to cum naturally
0.087 with a real human penis.
0.087 A real human penis
0.087 can never be a vibrator.
0.087 You cannot stimulate the clitoris
0.087 to a level that a vibrator can,
0.087 on a vibrator, you can set a frequency
0.087 and maybe go on for 30 minutes.
0.087 No man can go on for 30 minutes
0.087 inside the vagina.
0.087 It is not possible.
0.087 You are saying that vibrators
0.087 may spoil sex in the long term.
0.087 Can do it.
0.087 No, the sexual pleasure response
of a female
0.087 it is possibly elevating its threshold.
0.087 So, the natural orgasm that comes by it,
0.087 male or female, both,
0.087 somewhere that will get disturbed.
0.087 You should not make it a habit.
0.087 Yes, should absolutely not make it so.
0.087 If masturbation becomes a habit,
0.087 whether you are male or female,
0.087 that will affect your sex life badly.
0.087 It will definitely affect.
0.087 You an andrologist
0.087 -and you are saying it through experience.
-As a doctor, I am saying,
0.087 as a doctor
0.087 who is seeing patients every day,
0.087 patients who are stressed about it,
0.087 distressed about it.
0.087 I am looking at these guys
0.087 who are coming in,
0.087 who are watching porn,
0.087 ones watching porn,
0.087 masturbating, are worried.
0.087 Are not getting complete hard erections.
0.087 There is no desire.
0.087 Don&;t feel like having sex.
0.087 Semen is not coming properly,
0.087 premature ejaculation is developing,
0.087 shortening of penis is developing,
0.087 because they are chronically
grinding themselves,
0.087 stopping them and rehabilitating them,
0.087 in itself is a very important component
0.087 of my practice.
0.087 And the difference is magical.
0.087 Just magical.
0.087 After 6 weeks, the person just changes.
0.087 His confidence is at a different level.
0.087 He is coming in
0.087 with good erections again.
0.087 He was not getting morning erections
0.087 for the last 4 months.
0.087 Because every night,
0.087 he is discharging twice and sleeping.
0.087 -He is getting morning erections.
-Twice every night.
0.087 People are masturbating
0.087 4-4 times in a day.
0.087 He is healthy, he is so healthy
0.087 that you should do it a lot.
0.087 There are guys who say
0.087 that we are discharging 4-5 times.
0.087 According to me, I might be totally wrong.
0.087 I think this narrative
0.087 has slightly come from Instagram
0.087 because people think that the content
0.087 becomes the content creator
0.087 but in truth the content creator
0.087 becomes the content.
0.087 Absolutely, absolutely.
0.087 So first,
0.087 and there are many medical accounts,
0.087 doctor accounts,
0.087 and I have nothing against them
0.087 because I feel
0.087 that they are giving publicity to biology
0.087 which is very good.
0.087 As there are benefits
0.087 to see doctors on Instagram.
0.087 Even you are a content creator doctor.
0.087 But along with that,
0.087 there is a lot of sex on Instagram.
0.087 A lot.
0.087 As in, if you make sexual content,
0.087 you will get a lot of growth.
0.087 Now a capitalistic thought,
0.087 that is a growth-oriented thought
0.087 is that, taking the topic of sex
0.087 I will make a lot of content pieces.
0.087 Now you got growth by that,
0.087 now you get addicted to that growth
0.087 as a content creator.
0.087 And then you start assuming
0.087 that excess masturbation is good.
0.087 We should promote the idea
0.087 of masturbation.
0.087 But no one gives balanced opinions
0.087 because in a 30-second Reel,
0.087 1-minute Reel,
0.087 you probably can&;t give
a balanced opinion.
0.087 No understanding either.
0.087 I say there&;s no understanding.
0.087 These content creators,
0.087 female content creators are not doctors.
0.087 They are not doctors.
0.087 There is some kind of a certification
0.087 or they are some kind of a…
0.087 non-medical background.
0.087 And they are taking up information
0.087 from Google.
0.087 Google doesn&;t create
good information in itself.
0.087 Google does not give you both the sides.
0.087 You put masturbation is healthy,
0.087 Google will only give you positives.
0.087 Google will not give you a negative.
0.087 So you are reinforcing
positive, positive, positive.
0.087 And you are making that into content.
0.087 And you are posting that.
0.087 So the person who is watching you,
0.087 He seeing that doing masturbation
is harming me.
0.087 But there I&;m repeatedly getting positive.
0.087 So is unable to understand
0.087 what is happening.
0.087 The people who make such content,
0.087 they are probably watching this clip
0.087 and saying that we both too
0.087 are trapped in a similar
digital echo chamber,
0.087 where we are demonizing sex
0.087 and masturbation.
0.087 But you probably
0.087 haven&;t seen the entire podcast.
0.087 Where we celebrated sex
0.087 and talked a lot about sex.
0.087 And definitely what sir said
0.087 that if you are feeling too much lust,
0.087 do it once in a month.
0.087 -Would you say do it once in a week?
-Maybe.
0.087 But see self-control will always come
0.087 when you set up a deadline.
0.087 You have to bring discipline in life.
0.087 Without discipline–
0.087 It&;s not that I have not masturbated.
0.087 Have done it.
0.087 -We were in a medical college.
-Everyone has done.
0.087 And it&;s not like masturbation
0.087 was considered unhealthy.
0.087 When I did MBBS, MS, MCH,
0.087 we also used to hear the same thing.
0.087 It&;s healthy. It&;s healthy. It&;s healthy.
0.087 But when I started practice,
0.087 from the last 7-8 years,
0.087 what I am seeing, there I realized,
0.087 no have to put a full stop somewhere.
0.087 You cannot keep on saying
0.087 it&;s healthy, it&;s healthy, it&;s healthy.
0.087 From what point is it healthy?
0.087 How can it be healthy?
0.087 Because stress relief is found.
0.087 For stress relief,
0.087 masturbation is not an activity.
0.087 It is said in Reels that research
0.087 shows that stress relief
0.087 and that it leads
0.087 to a better mood overall.
0.087 Which research?
0.087 That&;s it. This is the statement in Reels.
0.087 Saying the same thing.
0.087 You go to Wikipedia.
0.087 Type masturbation on Wikipedia.
0.087 And go down in the references.
0.087 Not a single medical reference.
0.087 All hearsay. Heard here. He said.
0.087 Keep going deep.
0.087 You won&;t find anything, who said it.
0.087 It&;s like a blank end, blind end.
0.087 Every alley is blind.
0.087 You won&;t find a single reference
0.087 in medical literature
0.087 where masturbation is healthy
0.087 has been studied.
0.087 That masturbating men are healthier.
0.087 You lose all motivation
0.087 to improve yourself.
0.087 Because by chronic masturbation,
0.087 if you masturbate every day,
0.087 I am sure testosterone levels
0.087 will get affected.
0.087 Testosterone level,
0.087 your motivation will end.
0.087 There was a–
0.087 See masturbation is the biggest addiction
0.087 that there can be.
0.087 Our brain works on pleasure.
0.087 On reward.
0.087 For example,
0.087 the biggest addictive substance
0.087 in the world is sugar.
0.087 But the one substance
0.087 which is even more addictive,
0.087 there is a more addictive
substance than sugar,
0.087 that is masturbation.
0.087 Quick release, immediate orgasm.
0.087 So your motivation
0.087 to do anything is over.
0.087 Why will you work on yourself?
0.087 Why will you build a physique?
0.087 Why will you exercise?
0.087 Why will you study?
0.087 Why will you move ahead in life
0.087 if all your rewards–
0.087 -After masturbation, you go into asthenia.
-What?
0.087 After discharge, you go into sleep mode.
0.087 You are like for 2 hours, 2.5 hours.
0.087 Your body needs time to recover.
0.087 You go into a resting phase.
0.087 Then you get up,
0.087 you again did masturbation.
0.087 You are getting stimulated
0.087 by the smallest of impulse.
0.087 Saw a little dance on Instagram,
0.087 you got stimulated.
0.087 Went and masturbated.
0.087 You just don&;t have self-control.
0.087 Is a man supposed to be a person
0.087 who has zero self-control?
0.087 You don&;t have that much control
0.087 that you can control or stop
sexual impulse.
0.087 You want to live in a hedonistic society
0.087 where you can do anything
whenever you want.
0.087 That is not how a man is made.
0.087 That is not how you are going to take care
0.087 of your children or your family.
0.087 Where you cannot control
0.087 a simple impulse like a sexual urge.
0.087 So control is also important.
0.087 Masturbation, according to me,
0.087 should not be done.
0.087 If you want to masturbate,
0.087 then once in a month is something
0.087 that I tell my patients
0.087 that you can do that at high impulse.
0.087 But many men say that, sir,
0.087 even once in a month is not needed.
0.087 At the start of this whole subject,
0.087 you said one thing
0.087 that I don&;t have a solution for this.
0.087 Urges control.
0.087 For urges, yes.
0.087 According to yoga,
0.087 there are some breathing techniques.
0.087 I can&;t teach the techniques here.
0.087 Plus, we have talked a lot about this
0.087 in the past podcasts.
0.087 Please type TRS NoFap.
0.087 You will get a lot of content.
0.087 Basically, there are breathing techniques
0.087 and some yoga poses.
0.087 There are yoga poses, there is cold bath.
0.087 Some people who are highly religious,
0.087 some hold on to Hanuman Chalisa.
0.087 We won&;t do it for 40 days.
0.087 We will meditate to God.
0.087 Some people keep an alarm.
0.087 We make a trigger for some people.
0.087 When you feel the urge,
0.087 then go and do 5 bench press
0.087 -or do 6 squats at that time.
-Wow!
0.087 When you get the urge, postpone it.
0.087 The urge will go away.
0.087 We do that in rehabilitation.
0.087 It is described.
0.087 Rehabilitation of masturbation?
0.087 Rehabilitation of masturbation addicts.
0.087 This exists?
0.087 Definitely exists.
0.087 -Where?
-I don&;t want to do it.
0.087 My place will get crowded.
0.087 I can&;t manage this much crowd.
0.087 All my patients will be over.
0.087 But there is masturbation rehabilitation.
0.087 It is similar to alcohol addiction
0.087 or smoking addiction.
0.087 You make subgroups of 10 people.
0.087 Who reinforce each other.
0.087 You give them a timeline.
0.087 You get their impulse trigger postponed.
0.087 One is breathing techniques.
0.087 One is cold bath which I told.
0.087 See, you have to develop will power.
0.087 You have to develop self-discipline.
0.087 You have to develop that.
0.087 Nobody can teach you.
0.087 When you start seeing the benefits,
0.087 that is positive reinforcement.
0.087 You go to the gym, you build your body,
0.087 make a physique,
0.087 you feel my cardiac capacity
is increasing.
0.087 I will run 5 km this year,
0.087 next I will run 10,
0.087 then I will run 21, then I will run 42.
0.087 Similarly, you realize that,
0.087 when you stop masturbation,
0.087 you are better.
0.087 You are able to think clearer.
0.087 Your brain fog is gone.
0.087 You are able to focus on your career.
0.087 The kids come back
0.087 and they are like, sir,
0.087 we are feeling much better.
0.087 We haven&;t done it for 3 months,
0.087 we are okay.
0.087 We won&;t do it for 2 more months.
0.087 We won&;t do it for 3 more months.
0.087 It is possible
0.087 that your testosterone level
0.087 don&;t peak further.
0.087 But it will stabilize at a good level.
0.087 So then when you finally meet
0.087 the woman of your dreams,
0.087 when you are finally with a real person,
0.087 then you can have sex with her.
0.087 Which is enjoyable, which is fulfilling,
0.087 which is intimacy at its best.
0.087 Which is much better
0.087 than just shaking off
0.087 in a toilet or in a drain.
0.087 And there is so much difference
0.087 between masturbation and sex.
0.087 In sex, you are moving your pelvis.
0.087 In masturbation,
0.087 you are moving the hand.
0.087 In sex, you are lying down.
0.087 In masturbation,
0.087 you are sitting on a commode.
0.087 In sex, you are with a live person
0.087 who you are breathing.
0.087 In masturbation, you are seeing a screen.
0.087 And you are constantly changing.
0.087 Why are men not able to have sex
0.087 with one partner now for a long time?
0.087 Earlier, you fell in love with one,
0.087 were able to have sex for 20 years.
0.087 Because you want new every day.
0.087 Today you want MILF,
0.087 or you want BBW,
0.087 then you want Black,
0.087 then you want ebony.
0.087 So you are just scrolling.
0.087 So where is your arousal?
0.087 Your arousal response is fucked up.
0.087 You are not getting fully aroused.
0.087 How will you get arousal?
0.087 You only want to see some segments.
0.087 You want to see only some segments.
0.087 You want that no,
0.087 now I want to see anal,
0.087 now I want to see vaginal,
0.087 now I want to see oral.
0.087 Or I just want to see this much.
0.087 You are constantly browsing.
0.087 Then how will you be happy
0.087 with one female
0.087 for the rest of your life?
0.087 Does anal happen in India?
0.087 Happens a lot.
0.087 Happens a lot.
0.087 Anal is discussed very less.
0.087 I considered it a bit
0.087 of an American culture-oriented subject.
0.087 But…
0.087 Anal is normal.
0.087 In India it happens,
0.087 all holes are open.
0.087 Fetishes are there.
0.087 Paraphilia is called fetish.
0.087 So there is also a lot of fetish.
0.087 I think they are healthy.
0.087 There are no problems with fetishes.
0.087 There are people who worship the feet.
0.087 There are people who worship the thighs.
0.087 There are people who worship–
0.087 The part of the woman&;s body
0.087 is to be worshipped.
0.087 By which one gets aroused,
0.087 it&;s up to him.
0.087 Best is to worship the orgasm
0.087 of the partner.
0.087 Best is to get fully aroused.
0.087 Fully arouse your body.
0.087 Getting fully aroused is most important.
0.087 Getting yourself prepared–
0.087 If you go a little deeply,
0.087 every sex is there for creation.
0.087 Okay, we are not making that many babies.
0.087 But that act, why is orgasm
0.087 made so strong in evolution?
0.087 Why is orgasm made such a driving force?
0.087 Because you have to create.
0.087 After that what will happen?
0.087 A new life, a new life will come.
0.087 That&;s why orgasm
0.087 is supposed to be the strongest.
0.087 In orgasm, you forget everything else.
0.087 So, orgasm is considered
0.087 as reaching the place of pure bliss.
0.087 But you are unable
to understand pure bliss.
0.087 You think masturbation is pure bliss.
0.087 How can that be bliss? That is not.
0.087 So, you have to get into that mode
0.087 where you can enjoy
0.087 and have a fulfilling sex.
0.087 This is my personal perspective
0.087 which I tell my patients.
0.087 To which a patient agree
0.087 and even gets well.
0.087 Now, female influencers,
0.087 have a go at me, troll me,
0.087 I can&;t do anything about it.
0.087 Just show the degree once.
0.087 Why do I have to show the degree?
0.087 I don&;t want to show the degree.
0.087 I am telling you with experience.
0.087 And I am telling
0.087 people are getting better.
0.087 Again, any guy who is listening this
0.087 and he does this for 10 days,
0.087 he will leave it on his own.
0.087 On the 11th day, he will himself say,
0.087 I am feeling,
0.087 like I am the best part of my life.
0.087 I want to sleep with a woman.
0.087 Or with a partner.
0.087 I don&;t want to do this sham sex.
0.087 I don&;t want to do it.
0.087 It will happen on its own.
0.087 You know, it is not soap.
0.087 You shouldn&;t squeeze out the soap.
0.087 -Absolutely.
-It is made for sex.
0.087 -Absolutely.
-Like Vidyut Jammwal said,
0.087 "you are entering the battlefield."
0.087 The exercise regimen
that Vidyut Jammwal has made,
0.087 I think it is an excellent exercise
0.087 that he is doing.
0.087 I forgot his name.
0.087 He made this exercise schedule.
0.087 I think it was very good.
0.087 It helped many people.
0.087 A lot of people
0.087 who come to the clinic will say
0.087 "we are doing that."
0.087 They are very pro level exercises.
0.087 But if somebody does that,
0.087 it enhances the core a lot.
0.087 We were talking about anal.
0.087 Does anal cause problems
0.087 to the penis?
0.087 Nothing happens.
0.087 But you are putting penis
in the place of shit.
0.087 The vagina is also not clean.
0.087 If you swab a vagina,
0.087 and you swab the asshole,
0.087 you will get the same bacteria E. coli.
0.087 So the vagina is not clean.
0.087 So there will be no different infection
from anal bacteria.
0.087 When does the infection happen?
0.087 Either the anal area has a lot of ulcers
0.087 or there is some other infection.
0.087 So you get transmitted.
0.087 Otherwise just by doing anal sex,
0.087 there will be no such infection.
0.087 You don&;t get STD.
0.087 But the same principles apply to anal sex
0.087 that apply to vaginal sex.
0.087 Monogamous partner, same partner,
0.087 cleanliness, hygiene,
0.087 and proper bathing after doing that.
0.087 And don&;t change the holes.
0.087 Don&;t change the holes midway.
0.087 Suddenly, don&;t go from anal to oral
0.087 or go anal to vaginal.
0.087 So you will end up infecting your partner.
0.087 But why do people do anal?
0.087 It is tighter.
0.087 They find the vagina loose.
0.087 Anus is tighter.
0.087 Less lubrication,
0.087 they get more fun out of it.
0.087 Less lubrication,
0.087 so they get more fun out of it.
0.087 It&;s more friction on the penis.
0.087 -So?
-They enjoy the friction.
0.087 A lot of men enjoy that friction.
0.087 Men enjoy the friction.
0.087 Yes, lot of times, men enjoy the friction.
0.087 -Why.
-They like it to be tighter.
0.087 They like it to be, plus it is there.
0.087 There is an extra hole. It is nearby.
0.087 They explore that, what&;s the issue?
0.087 So people do it.
0.087 There is no problem in it.
0.087 But don&;t be–
0.087 Be gentle with your partner.
0.087 Don&;t force it. Take consent.
0.087 Because anal sex
0.087 can be painful for the partner.
0.087 Yes, that&;s what.
0.087 It pains during prostate exams.
0.087 The anus has a muscle around it.
0.087 So if you slowly relax it,
0.087 it will fully relax.
0.087 The anus becomes so relaxed
0.087 that you can put in
0.087 the entire fist inside.
0.087 You can relax it without pain.
0.087 Male anus too.
0.087 Any anus, be it male or female.
0.087 But you have to be gentle with it.
0.087 You have to give it time.
0.087 You have to help it relax.
0.087 People who have anal sex,
0.087 they know how to have anal sex.
0.087 Okay, there is a technique.
0.087 They have to give it time.
0.087 In anus you can&;t just pump it in.
0.087 It will not go.
0.087 You will end up injuring yourself.
0.087 And anal sex is actually,
0.087 in anal sex,
0.087 you have to prepare the recipient more.
0.087 The amount of foreplay
0.087 required for anal sex
0.087 -is more than vaginal sex.
-Why?
0.087 Because you have to relax the anus.
0.087 So how through your foreplay
0.087 can anus relax.
0.087 If you are having sex with the partner,
0.087 if she is allowing you to enter the anus,
0.087 you have to fully relax it.
0.087 How will it relax?
0.087 If she is in tension or being forced,
0.087 then nothing will happen by force.
0.087 There is still lubrication in vagina
0.087 you can force yourself.
0.087 In anus, you can&;t force yourself.
0.087 You have to be gentle.
0.087 You have to take time.
0.087 You have to be consensual.
0.087 You have to make your partner
0.087 feel at ease.
0.087 You have to do everything.
0.087 After that anal will take place.
0.087 And anal is pleasurable for the male.
0.087 Maybe for the female yes, no,
0.087 but most females anyways don&;t,
0.087 orgasm with penetration.
0.087 They orgasm with the love
0.087 and with the grinding
0.087 and with the clitoral stimulation.
0.087 They are like,
0.087 they think our guy is happy, let him do.
0.087 But anal sex happens.
0.087 It happens a lot in India.
0.087 I have read this.
0.087 You tell me if it is true or not.
0.087 It is said that men
0.087 have two types of orgasms.
0.087 The first orgasm we all know.
0.087 Which we all have experienced it.
0.087 Normal orgasm.
0.087 Which you can do with your hand
0.087 or through sex.
0.087 But another orgasm
0.087 is prostate-based orgasm.
0.087 Prostate orgasm.
0.087 Does it really happen?
0.087 Tell us about its biology.
0.087 Tell us about its experience.
0.087 And generally,
0.087 tell us all the other miscellaneous things
you want to tell.
0.087 So prostrate examination,
0.087 prostrate is basically a male sexual organ
0.087 it sits right in the middle
of our bladder and urinary tract.
0.087 So prostrate can be felt
0.087 through the asshole.
0.087 If you put the finger
0.087 then you can feel the prostrate behind.
0.087 So it is just this much inside.
0.087 So normally, like we are urologists,
0.087 if we have to examine the prostrate
0.087 for prostate cancer or for infection,
0.087 we do the examination
0.087 and we can feel the prostrate.
0.087 But there are many males
0.087 who get their prostrate stimulated.
0.087 Meaning you put in the finger
0.087 or the penis if they are recipients,
0.087 if they do anal sex and/or maybe devices,
0.087 vibrators and they massage the prostrate.
0.087 So when prostrate is massaged
0.087 there are many nerve endings.
0.087 So the prostrate,
0.087 I have not personally experienced it
0.087 but I have heard from my patients
0.087 and also from the web and many places
0.087 that it is actually more intense
0.087 than the normal…
0.087 Has anything happened while examining
0.087 with some patient?
0.087 So we have patients who enjoy it
0.087 and they want us to continue doing it.
0.087 But as doctors once our work is done,
0.087 it&;s over.
0.087 But okay, but prostrate exam–
0.087 So there are lot of sex toys,
0.087 that are for prostrate for examination,
0.087 there are massages,
0.087 there are lot of wands and all
0.087 -that you can put in.
-Wands?
0.087 And there are lot of times–
0.087 I have had–
0.087 What I have had,
0.087 all surgeons have these complications.
0.087 Somebody will put in a bottle and come,
0.087 take it out.
0.087 Many times, somebody–
0.087 I had a case where they put a beer bottle
0.087 and they were doing that.
0.087 It broke inside.
0.087 No, lost the humor.
0.087 So then you have to do a colonoscopy
0.087 and remove the fragments.
0.087 ****
0.087 It is common, but see again,
0.087 people have their way
0.087 of enjoying their sex
0.087 and everybody has
0.087 their own choice and fetish
0.087 and it&;s all okay.
0.087 Everything is fine.
0.087 People do it their own way.
0.087 So as a doctor I can&;t judge,
0.087 I don&;t judge anybody.
0.087 Do whatever you enjoy.
0.087 Except masturbation.
0.087 That is forbidden.
0.087 Everything else is allowed.
0.087 And with that the podcast is over.
0.087 Doctor, I am sure this is only our part 1.
0.087 Part 2 will also be recorded and released
0.087 but I think let part 1
0.087 sit on the internet for some time.
0.087 Thank you for having me on the show.
0.087 It was–
0.087 I think you got
all those things out of me,
0.087 normally, which I never–
0.087 The things that stay in the mind
0.087 and getting them out is also a big thing.
0.087 Thank you so much.
0.087 Thank you, sir.
0.087 I feel that we&;ve just touched
the surface.
0.087 No pun intended.
0.087 Sometimes when you touch the surface
0.087 you can feel how hot it is inside.
0.087 You can feel the depth.
0.087 Thank you so much.
0.087 Yes 100% sir.
0.087 But I am sure part 2 will be deeper
0.087 and even stronger.
0.087 That&;s all I&;ll say. Thank you.
0.087 Thank you, sir.
0.087 Woohoo! Enjoyed?
0.087 I too enjoyed.
0.087 Doctor will come back.
0.087 Till then subscribe
to his YouTube channel.
0.087 On our English channel too,
0.087 we have started
a lot of conversations with doctors.
0.087 So go and watch all those episodes.
0.087 Biology has come back on TRS.
0.087 Tell me what other topics
related to biology
0.087 should be covered for you,
0.087 for us, for the world.
0.087 I am still in that zone.
0.087 I am sure you are still in that zone.
0.087 I am glad you enjoyed the episode.
0.087 TRS will come back very soon friends.
0.087 [Music]
0.087 [Music]
0.087 [Music]
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