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Question # 18


म विदेश आएको २ वर्षभयो । ६ महिनाअगाडिदेखि काम गर्न मन लाग्दैन, न्रि्रा पनि लाग्दैन, कामबाट बाहिर निस्किए पनि कानमा मेसिन चलेको आवाज आइरहन्छ । यी समस्या निराकरण गरी पहिलेकै जस्तो स्फर्ूर्ति कसरी प्राप्त गर्न सकिएला ?

तपाईंलाई त्यहाँको काम, परिवेश मन परेन वा घरको सम्झनाले सतायो वा तपाईंले चाहेको गर्न पाउनुभएन या नचाहेको गर्न बाध्य हुनुभयो । हामी चिकित्सकले यसलाई ँहिस्टेरिया’ भन्छौं वा त्यसको अलि फरक समस्याको रुप ँड्रि्रेसन’ भन्छौं । यीमध्ये कुनै हुन सक्छ । हरेक मानव संवेदना वा मनोविज्ञानको समस्याको समाधान गर्न आत्मबल बलियो पार्नु, आफ्नो लक्ष्य निक्र्योल गर्नु, आशावादी हुनु र सधैँ सत्प्रयाश गर्नुपर्छ । तपाईं त्यहाँ भएकोले आफैंले आफैंलाई उपचार गर्न जरुरी छ । त्यसैले बिहान-बेलुका २०-३० मिनेट ध्यान गर्ने, आफूले त्यहाँ आउनुको कारण तथा पछि घर फर्केपछिको हल्कापूर्ण जीवनको भागको कल्पना, विश्वास गर्ने र सधैँ भविष्य आशावादीरुपमा उज्यालो देख्ने प्रयास गर्नुस् । नकारात्मक विचार आएमा आफूलाई तुरुन्त अर्कै परिवेशमा लैजाने, आफ्नो क्रियाकलाप फर्ेर्ने र नराम्रा कुरा मस्तिष्कबाट ँबाहिर जा’ वा बिर्सिजा’ जस्ता आत्मबलयुक्त विचारसहित ध्यान गर्ने गर्नुस् । सकारात्मक सोचका सहयोगी वा बहादुरीका किताब पढ्ने गर्नुहोस् । यति गर्दा पनि नभए चिकित्सक भेट्नुहोस् ।

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May 22, 2009 Posted by | Sex Query | Leave a comment

Question # 17


सीमित मात्राको मदिरा सेवनले रक्तसञ्चालनमा सकारात्मक प्रभाव पार्छ भन्ने सुनिन्छ । के यो सत्य हो – सत्य हो भने दैनिक कति मात्रा सेवन गर्दा हुन्छ ?

अल्कोहलको धेरै खराब प्रभावको साथमा एउटा मात्र राम्रो प्रभाव केही अध्ययनले देखाएको सत्य हो, त्यो पनि असल कोलेस्ट्रोल केही मात्रामा बढाउँछ तर निश्चित मात्रामा अर्थात् अति कम मात्रामा पिउनाले । त्यसैले केही सानो फाइदाको व्याख्या गरेर धेरै बेफाइदा निम्त्याउने  सल्लाह दिन सकिंदैन । तर कोही नियमित प्रशस्त रक्सी पिउनेवाला छन् भने हामी त्यस्ता व्यक्तिलाई फाइदा देखाएर मात्रा घटाउने प्रयास गरिन्छ । मदिराबाट होइन कि फलफूल एवम् सागसब्जीको सेवनबाट रक्तसञ्चालनमा सकारात्मक प्रभाव पर्छ । त्यसैले सन्तुलित भोजन, सागसब्जी र फलफूलको सेवनमा ध्यान दिनुहोस् ।

May 22, 2009 Posted by | Sex Query | Leave a comment

Question # 13


मलाई पिसाब पोल्ने समस्या भएको एक वर्षभयो । दैनिक कम्तीमा ६ लिटर पानी पिउने गरेको छु । यहाँ डाक्टरलाई देखाएर Uricol रि Diclofenac नामको औषधि खाइरहेको छु । साथै Urispas, Microflox ५०० न, Omeprazo २० mन नेपालबाट मगाएर सेवन गरेको छु । तैपनि कहिलेकाहीँ अत्यधिक पिसाब पोल्छ । सल्लाह चाहन्छु ।

तपाईंले खाएका औषधि निदानमा आधारित वा गुणात्मकरुपमा विज्ञद्वारा चलाइएको जस्तो लाग्दैन । ती औषधिहरुमध्ये Diclofenac र Microflox खाइरहने औषधि होइनन्, जसमा पहिलो दर्दनाशक हो भने दोस्रो पिसाबमा भएको  संक्रमण रोक्ने वा उपचार गर्ने औषधि हो । तपाईंको पिसाब पोल्ने समस्या यदि संक्रमण हो भने दोस्रो औषधिले नछुने खालको जीवाणुद्वारा गराइएको संक्रमण हो, होइन भने तपाईंको प्रोस्टेट ग्रन्थिको जलन हुन सक्छ । अथवा पिसाबमा पत्थर हुँदा सुरुको  अवस्थामा बालुवाको कणजस्तो पिसाबबाट बग्दा गराउने पीडा, ज्वलनले महसुस भएको पिसाब पोलाइ हो । त्यसैले त्यहीँको एक जना युरोलोजिस्ट भेटेर देखाउनुहोस् र उहाँकै सल्लाहमा औषधि उपचार अपनाउनुहोस्, होइन भने नेपाल आएर नै सम्पूर्ण परीक्षण गराउनेतिर लाग्नुहोस् । धेरै पानी पिउँदैमा ठीक नहुने हुनाले र पानी अधिक भएर अरु समस्या आउन सक्ने हुनाले प्रशस्त पानी त उपयोग गरौं तर अत्यधिक भने होइन ।

May 22, 2009 Posted by | Sex Query | Leave a comment

Question # 14


Does Manokamna Arogya have facility for the laboratory analyzing of testerone hermoan and its treatment in your Clinic in Nepal? Please let us know the cost.

Answer:
We are sorry to explain Mata Matamanakamana Arogya Kendra does not have hormone laboratory at present but hormones test are possible in Nepal. If ypour problem is related with sex hormone and if you want sex hormone therapy in that case Dhanwantary Ayurveda Hospital and Research Center(P) Ltd. Which stay in Dumbarahi Chowk, on way to Mandikhatar(Ph. 4371771,4379096) can provide such soft facility in association with Quadra Pathology Lab. Dr. Subodh Kumar Pokharel, the first and the fore most sexopsychologist and sexotherapist can advise all the details of hormone test and treatment with or without hormone test.

May 22, 2009 Posted by | Sex Query | Leave a comment

Question # 12


I am male, 55 years old married with 2 children, suffering from hypertension and DM2. I am taking tablet Metformin 500mg 2 times per day. Self is under morning Yoga and exercise. No sufficient penile erection while attempting to have sex with wife. Please suggest what should I have to do? Shall I have to change medicines, if so what are the drugs and dosage. Please suggest for possible restoration of vitality Medicine etc.

Answer:
Your problem seems quite serious so you have to meet in person and consult doctor as soon as possible. Its better to contact Dhanawantari Ayurved Hospita & Research Center Pvt. Ltd.

May 22, 2009 Posted by | Sex Query | Leave a comment

Question # 12


I am 46 M, married for last 23 years. We have been having a good sex life since long time but in these days I got the only problem while I am having a sex is that premature ejaculation. One more thing is that I got the hypertension and using a blood pressure medicine since 10 years. I find myself mentally and physically strong ………so I would like to get your genuine advise for prolong my ejaculation during the time.

Answer:
Problems of premature ejaculation are very common these days due to increased level of people’s consciousness about their sexual marital & family life . “Premature ejaculation is not only controllable but curable problem”. This is the latest declaration of international sexotherapist’s assembly at Montréal Canada in 2004 A.D. But the desired effect can be achieved by combination of three major components of Therapeutic procedures:
(i) regular counseling with your therapist or doctor
(ii) Some dietary regulations
(iii) Medications with herbal ( Ayurvedic ) medicines & physiotherapy or preferably yoga to increase muscular tone of the perianal & peripubic area . As you have explained about your hypertension & regular medication but, not the medicine whosever ,it is important for me to know effects & side effects of these medicines to treat your health in a single package .

May 22, 2009 Posted by | Sex Query | Leave a comment

Question # 11


I am 49 years old man with mild high BP and diabetes but under full control. Can I use Viagra? Is so where it can be obtained and what is the minimum cost? What is the dose and how can it be taken? Please suggest. Do it is available in your clinic?

Answer:
Viagra is a trade mark name for a chemical compound whose chemical name is sildenafil citrate . Legally it is not importable in Nepal . Some Indian companies too manufacture & market sildenafil citrate of various strength under various trade names in cheaper prices to the price varies from brand to brand. But that the foremost important aspect of your question is silent in itself.

  • Why you want to use Viagra?
  • What type of your problem you think will be corrected by using Viagra?
  • What type of sexual problem you are facing with?

As you have already explained in your question you are a mild hypertension & diabetic too which itself might be a major contraindication for the use of sildenafil citrate , I advise you to contact with a herbal (Ayurvedic) doctor or a sexotherapist of your of your own choice with whom you feel comfortable before using Viagra or its substitute .

May 22, 2009 Posted by | Sex Query | Leave a comment

Question # 10


Many sex related books says about the female orgasm but I never reached in this climax even though I use to have prolong sexual act with my partner. Please suggest what are the ways or causes for not attaining such.

Answer:
Male & female orgasm are both realities but the very nature & index of obtaining & experiencing them are different. Your relationship & free discussion with your sex partner might lead you to obtaining such experience. If any one of you are confused an appointments with a sexotherapist or a herbal (Ayurvedic ) doctor may help both of you to help each other to experience proper sexual behavior .

May 22, 2009 Posted by | Sex Query | Leave a comment

Question # 9


One of my testis seems abnormal. It is little bit larger and not in good shape mainly on the top of testis. Doctor says it is nothing to worry. Sometimes it pains. The nerve attached to testis is also thick compare to other. I am 25, Male.

Answer:
It is not necessary for both testis to be of equal size. Rather it is very usual to have one of the testis to be of slightly larger size than the other. Usually unto 60: 40 ratio of the relative size of testis is considered normal. But the increased size of the bigger testis should not be temporary due to any inflammation, infection, cold or trauma (injury). So, it is quite natural for your doctor if he says it should not be the only reason to worry.

Second part of your problem is unusual in which you have stated that it (the testis) pains. Pain is usually associated with inflammation, infection or trauma.

In the last part you have mentioned that the nerve attached to one of your testis ( right or left) is thick compared to the other. Usually the nerve take structure at the upper end of the testis is epididymis. It subsequently ends in the vas which is a part of spermatic cord which carries sperms formed in the testis to the seminal vesicle. The epididymis is mostly vulnerable to infection & subsequent inflammation a state known as epididymitis. Occasionally both epididymis & testis may be infected, & inflamed, a condition which is known as epididymoorchitis which may be acute or chromic which may manifest in increased thickness, occasional or continuous pain, rise in body temperature etc.

May 22, 2009 Posted by | Sex Query | Leave a comment

Question # 8


I am middle aged man with full sexual urge and energy. My wife is very insensitive. We are married and had grown up children but my wife never attained orgasm. My wife is 38 and I am 46 what are the sensitive parts to arouse sexually active and attain for female partner. Please suggest me so that we may both have equal pleasure of sex. Please give detail and if we do not success then we both will attend your clinic.

Answer:
It seems that there is a lack of free & informal communication regarding sexual relationship between you & your wife. You have already explained about your readiness & eagerness to have a fully involved & enjoyable sexual relationship with your sex partner (wife). The most welcome part of your eagerness is that you want your wife to the active to share the pleasure equally. Both male & female do & should attain orgasm for such complete & equally enjoyable sexual performance. But the very nature of male & female orgasm is different. Males experience orgasm during or just before ejaculation. Females do not ejaculate but feel pelvic muscular contractions or a widespread increase in muscular tone all over the body followed by a sense of complete relaxation during attainment of orgasm. Some females experience flow of watery substance (but not urination) from the bartholin glands which are situated on either side of the vagina.

The must excitable physical part of the female in relation to the sexual act is the clitoris (a slightly elevated pea sized or bigger structure above the upper end of the vaginal orifice & inside the soft lips (labia minora) of the vagina). Initially slight massage not very irritating. Preferably with the male organ itself or by fingers wet with lubricating substances may lead to a stage of total involvement of your female partner. Besides that as most of the literatures & here says explain gentle touching or gentle caressing of the tip of nipples. The female ear tips may lead her to a stage of arousal. But above all, a sense of sharing everything & giving fun rather than taking is the only way to be the best beloved sex partner. Sex is an artistic way of involvement & fusion of two into one & not a mechanical way of fixing a nail in a prefixed inlet.

May 22, 2009 Posted by | Sex Query | Leave a comment