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ed treatment clinic for couples

Defining Erectile Dysfunction with the help of patient symptom

ayurvedha erectile dysfunction treatment India kerala kochi

Dr Hameed Ibrahim KHOKAR chief physician and director KHOKAR group of Clinic for SEXUAL DISORDERS & INFERTILITY, receiving token of appreciation from CPM Kerala State Secretary Sri. Kodiyeri Balakrishnan in the presence of Malayalam film superstar Padmasri Mohanlal, for his distinquished services, at a mega event organised by Deshabhimani daily, in Thrissur.

Dr Hameed Ibrahim KHOKAR chief physician and director KHOKAR group of Clinic for SEXUAL DISORDERS & INFERTILITY, receiving token of appreciation from honourable Chief Minister Sri. Pinarayi Vijayan, for his distinquished services, at a mega event organised by Deshabhimani daily, in Thrissur.

Case Scenario 1

Hello Dr, my name is Rahul, am aged 37, with body weight 82 kgs and height 179 cms, married from last 5 years, with no history of any major diseases like Diabetes, Blood pressure, high cholesterol and with no history of smoking and alcoholism.

I am facing erection problem from last 2 years, it's like when ever me and my wife are in good mood for sex and when we try for sex, i don't get a strong erection and i don't feel the confidence of a strong erection, and while i start the intercourse after foreplay i start losing my erection gradually resulting in complete looseness and unable to perform Sexual Intercourse. My wife is really upset with this issue and we both are suffering emotionally with this issue and it's creating restlessness and disharmony in our sex life. What should i do doctor?

Interpretation by Sex and Infertility Specialist: Dr. Hameed Ibrahim

This is one of the most common presenting symptoms in a patient who is suffering from Physiological Erectile Dysfunction (Phs.ED). Physiological means related to penis and lack of required blood flow to the penis during the time of sexual intercourse, Here in this case the patient is married from last 5 years and in the initial 3 years of married sex life, patient was very happy and satisfied with his sex life. Patient has very good mood level and shares a good loving relationship with his wife. But gradually over a period of 2 years, patient started developing erection problem to the extent that he is not able to perform sexual intercourse. Please note that, the patient has no major diseases like diabetes, blood pressure, high cholesterol or any other major diseases nor the patient has any habit of smoking and alcohol consumption and the patient's body weight is well within normal range to the height, with a borderline BMI but still this patient has developed Erectile Dysfunction at a young age, whose cause cannot be specifically and accurately determined.

Stress, financial tensions, sedentary life style, lack of exercise, ir- regular food habits, lack of sound and required sleep of minimum 7 hours a day, change of biological clock due to job related sleep timings, environmental and food toxins etc can be attributed to the cause in this case where in required and optimum amount of blood circulation is not achieved in the penis during proper sexual arousal, leading to weaker erections and losing of erection. This condition is called as Physiological Erectile Dysfunction (Phs.ED). In this case, life style and food habit corrections along with Herbo-Mineral Ayurvedic medicine can improve the patient and cure ED permanently.

Case scenario 2

Doctor, my name is Subramanian, aged 42, body weight 88 kgs and height 175 cms, married from last 8 years. Off lately from last 3 years am facing problems in my erection and i don't feel aroused well and i always feel tensed and worried and i don't get the required mood for sex. I have developed certain relationship issues and differences with my wife and i lead a very hectic lifestyle, at the same time i get good erection whenever i see porn videos and whenever i see other girls, am really confused and tensed as why my erections are not like before whenever i try for sex with my wife and i don't get the required arousal or mood level, please help me doctor.

Interpretation by Sex and Infertility Specialist: Dr. Hameed Ibrahim

This condition can be attributed to Psychological Erectile Dysfunction (Psy.ED), here the patient has difficulty in attaining a good mood or arousal with his wife and at the same time he gets good erection while watching porn or indulging in sex with other partners, which means that proper sexual arousal is lacking in this case whenever the patient indulges in sex with his wife. This can be due to lack of proper understanding and relationship issues which might have developed with his wife which is causing lack of sexual arousal in him. His hectic lifestyle along with lack of interest in sex with his wife and constant worries and tension has caused arousal problem or lack of sexual desire in this patient whenever he tries for sex as a compulsion with his wife.

Sex is not a compulsion nor a periodic time table affair, for a healthy sex life proper mood level, arousal, love, interest, proper understanding with the partner is very important. Proper sexual arousal and good mood, and proper sexual understanding with the partners is equally important to get a strong erection, therefore in this case proper counseling is required for both the partners and reasons for differences among both of them should be hunted for and counseling given to solve the issues. Once they develop intimacy and proper sexual understanding between each other, their problem can be rectified and the patient will develop proper mood and sexual arousal which in turn will give good erections as and whenever required,

Thus Psychological ED has to be diagnosed correctly because in case of psychological ED, medicines alone cannot give the desired results and the treatment can go wrong. In certain cases proper cognitive counseling to both the partners and Herbo-Mineral Ayurvedic Medicines to improve the desire and mood level and increase penile blood circulation gives satisfactory results, because certain cases of Psychological ED, over a period of few years, tends to develop blood circulation issues as well. Thus Psychological ED can also turn to Physiological ED in certain percentage of cases. Therefore the right diagnosis can only be done by an expert sex specialist by analyzing complete sex life and history of the patient.

Thus in short there are two types of Erectile Dysfunction's, Physiological and Psychological and Physiological can turn into psychological and psychological can in turn give rise to Physiological ED, thus the right diagnosis is the key to treat ED effectively with the right combinations of Herbo- Mineral medicines.

Patient Education:

Unfortunately in today's modern world, people have very less time to indulge in healthy food habits and give time for exercise and take care of their body. People are busy running behind profession and money and forget that without a healthy body and mind you cannot perform well professionally, which in turn affects your family life as well, Thus following a healthy life style and giving importance to take care ones own body is very important. Here is where Ayurveda Prescribes strategies for healthy food habits and various rejuvenation therapies like periodic body massages, Rasayana Medicines and Vajeekarana medicines to improve physical and mental health which works as anti ageing treatment and improves fertility and Sexual health.

Statistics shows that majority of the people in the world today have some degree of Obesity and majority of people lead sedentary lifestyle, because of which diseases like Diabetes, Blood Pressure, High Cholesterol, Cardiac diseases, stroke are very common even in younger age group of people. Therefore in today's world 30 is the new 40 which means that an individual of 30 years have the tendency to develop diseases which are common in 40 + age group of people and medical screening and testing has to be started at a very young age of 30. Various Researches shows that if a person in the age group of 35 to 45 develops Erectile Dysfunction, then there are high chances that the same person can develop Coronary Artery Disease which is responsible for heart attacks OR heart failure and also develop blockages in the arteries of brain which can cause stroke/ paralysis. Thus ED is a Prodromal sign for Heart attacks, Coronary Artery Diseases, and Stroke/Paralysis.

Most important factors to prevent ED as well as other lifestyle disorders including Diabetes, Blood Pressure, Cholesterol, Cardiac Disorders, and Stroke are as follows:

1. Leading a healthy life style which includes healthy and balanced diet
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A balanced diet is important because our body's different organs and tissues need proper nutrition to work effectively. Without good nutrition, our body is more prone to diseases, reduced immunity, infection, fatigue, and poor performance. Healthy diet means you should obtain the majority of your daily calories from fresh fruits and vegetables, whole grains, and lean proteins. Balanced diet is foods that are high in vitamins, minerals, and other nutrients and low in unnecessary fats and sugars.

The following are essential parts of a balanced diet.

  • Fruits

    Besides being a great source of nutrition, fruits make up for tasty snacks. Choose fruits according to the season which are fresh and Organic.

  • Vegetables

    Vegetables are major sources of essential vitamins and minerals. Dark, leafy, green vegetables generally contain the most nutrition and should be consumed regularly.

  • Grains

    Generally refined grains are consumed more today, than any other grain. During the refining process, the hull of the grain'the outer shell'is removed. Unfortunately, the hull is where the majority of the grain's nutrition lies. Whole grains, which are prepared using the entire grain, including the hull, provide much more nutrition. Try switching from white to whole-grain breads and pastas.

  • Proteins

    Meats and beans are primary sources of protein, which is essential for proper muscle and brain development. Lean, low-fat meats such as chicken, fish, and certain cuts of Mutton and beef are the best option. Removing the skin and trimming off any visible fat are easy ways to reduce the amount of fat and cholesterol in meats. Nuts and beans, such as lentils, peas, almonds, sunflower seeds, and walnuts, are also good sources of protein.

  • Dairy

    Dairy products provide calcium, vitamin D, and other essential nutrients. However, they are also major sources of fat, so it is best to choose reduced-fat or fat-free cheeses, milk, and yogurt.

2.Maintaining a regular exercise routine

It's highly recommended to do cardio vascular exercise like brisk walking, jogging, cycling, swimming, gardening etc on a regular basis at least 3 to 4 times a week. Getting physical exercise of any sort can result in great enhancement in your partner and your enjoyment and pleasure. Such physical activities must involve such physical stressing which might increase your heart beat rate, and may include swimming, cycling, taking a brisk walk. Such exercises increase blood flow throughout the body, including the genital area. Following this, you may expect much better erection and your partner can have an exciting arousal.

3.Avoiding stress:

Doing meditation and Yoga with pranayama to fight stress and maintain a healthy mind. Unfortunately for people who have no time for meditation, Yoga etc supplementing the same with Ayurveda Rasayana Medhya chikitsa which means Herbs and Minerals targeted to improve blood circulation to the brain and improve the brain cognitive functions which in turn reduces free radicals and stress level, giving you a healthy mind with correct and accurate cognitive functions of the brain.

4.Maintaining a good and healthy relationship with your wife/partner.

Maintaining a good, healthy relationship with your wife/ partner is very important for the psychological sexual arousal and to develop proper intimacy. Love and women is the most powerful aphrodisiacs, therefore mutual respect, Love for each other, caring and trust plays a very important role in sex life. Sexual Understanding among partners, proper and open communication among partners, knowledge regarding genuine safe sex and sex education plays a very important role to lead a happy, healthy, relationship with your wife/ partner.

Our Approach for Erectile Dysfunction

Our team of expert physicians will inquire about your complete life style, sex life, your daily routine, your food habits, relationship with your spouse, job profile, knowledge of sex etc and will effectively diagnose your condition first, then will recommended life style change and counselling, and will prescribe you the right combination of Herbo- Mineral Ayurvedic medicine depending upon your body constitution.

How OUR TREATMENT WORKS, Multi Specialty approach through Ayurveda system of medicine based on the following treatment modalities:

  • Rasa Shastra Chikitsa:

    Indian Medical Vedic Alchemy is a Sophisticated and Specialized branch of Ayurveda that deals with purified Minerals and Metals for specific therapeutic usage. Herbal compounds are effective, but in cases of chronic diseases, Ayurveda conveys solution to this problem which is called as Rasa Shastra, an alchemical fusion between rigorously purified minerals, Metals, active Herbs and organic compounds. These medicines are found to be 10 to 20 times more potent that plain Herbal medicines and can replace surgeries in certain diseases. The science of Rasa Shastra contradicts the common notion' Ayurveda Medicine acts slowly' as medicine acts very fast and is most potent. Therefore Ayurveda Herbo Mineral Medicines are in par with modern allopathic system.

  • Rasayana Chikitsa:

    This is a way of providing nourishment and rejuvenation to each and every cell, tissue and organ of the body, such that the entire system gets to the most powerful and purest condition. By the term Rasayana, the purification of every part starting from Rasa, i.e. blood to Shukra, i.e. the sperm is meant. Blood is our body fluid that is responsible for carrying all vital substances to every tissue. Its purification is absolutely important for our body to function properly. So are the sex hormones - both male and female, on which the proper functioning of the sex organs and the generation of the best quality sperm and ova depend. Rasayana Chikitsa has a very positive effect on our metabolic process, which results in the better functioning of all our bodily systems. The Biotransformations are of the finest grade, which also leads to the production of the finest bodily tissues and organs including Sex Organs, and eradicates Senility and other diseases of Old age. It also has marked effect on reproductive organs and help in making most potent and healthy sperm and Ovum. The anabolism and catabolism going on in our body is properly balanced by Rasayana Chikitsa, thus making the whole body stronger and the brain sharper. It can also provide toughness and sharpness to our intellect, mind, body and the different senses. Thus Rasayana is nothing but a total revamping of the tissues. This also helps in controlling the aging process. Hence, in a nutshell, Rasayana chikitsa can be totally useful to us by augmenting the life span and intellect and providing us with maximum physical and mental strength.

  • Vajeekarana Chikitsa: Means Reproductive Medicine in Ayurveda.

    Vaajikaran rasayan is the special category of rasayana chikitsa, which improve the reproductive system and enhance sexual functions. It acts on higher centre of the brain, i.e., the hypothalamus limbic system and neuro-endocrino-immune system. Vajikarana Chikitsa is an important treatment modality as per Ayurveda and proposed benefits are manifold including increased sexual capacity, healthy future progeny as well as in treatment of many common Male- Female Sexual Disorders and Infertility. A boon to infertile couples and an effective, result oriented, scientifically documented alternative to today's modern Infertility treatments like IVF, ICSI etc. Various studies have showed that administration of vajikarana rasayana chikitsa corrects the level of various important hormones like FSH, LH, testosterone, prolactin, Progesterone, estrogens, which plays a very important role in normal functioning and production of healthy Sperm and Ovum which in turn is a boon to Infertile couples.

Research Article

Please read about the scientific and well documented research of the efficacy of one such Herbal Preparation called as Ficus relegiosa Linn. in Ayurveda which has effectively cured Erectile Dysfunction in Diabetics and as well as Non Diabetic Patient. This research work was approved and published in INTERNATIONAL JOURNAL OF RESEARCH IN AYURVEDA.

The motive to give example of one such kind of research, is to say that Ayurveda has the tremendous scope and scientific backing to prove that chronic and long term diseases can be effectively cured in Ayurveda.

In this article one of the Herbal preparations called as Ficus relegiosa Linn is used, therefore if Ayurveda is applied scientifically related to Rasa Shastra, Rasayana and Vajeekarana treatment which includes many rare and efficacious Herbs and Minerals, results can be astonishing and permanent. Therefore our motive to present this research work is just to convey the meaning that AYURVEDA HAS THE POTENTIAL and it's scientifically proved and documented thus we follow authentic AYUR-VEDA.

Therefore with our Multi Specialty Approach of Ayurveda Treatment in accordance to RASA SHASTRA, RASAYANA AND VAJEEKARANA, permanent cure for ED is 100 % possible.

At Khokar Specialty Clinic,

The right combination, dosage, potency, purity, processing, procuring of various Herbs and Minerals is done and depending upon each individual, age, life style, immunity, diet and the severity of the disease, individualised treatment is offered by our expert physicians. For diagnosing and treating ED we have the facility of ONLINE CONSULTATION, PHONE CONSULTATION, OR CONSULTATION THROUGH VIDEO CHAT ETC, we provide expert consultation and treatment to patients from all over the world. Thus patients from any part of the world can get in touch with us, and after the final diagnosis, we can dispense our medication to them.

Way to a Spicier Sex Life

Turn up the heat with these sensuously sweet and delicious aphrodisiacs. You will be amazed to know that there are certain food items, including fruits and vegetables, that have a positive quality of bringing about the ultimate desire of lovemaking in you. They increase the flow of blood to your genital areas, thus promising a much more pleasurable session of sex. These food items are so packed with nutrients that eating them are sure to improve your general health, as well as giving you the maximum sexual ability.

Fruits and Vegetables Good for Great Sex
  • The fruits like avocados, pomegranates and figs are known for their sex suggestive properties. Pomegranates have been called “love apples” in the ancient scriptures. Avocados are also wonder fruits, and as they always occur in pairs on the plants, they are rightly called the “testicle trees”. Figs are also prized in this respect and are eaten to enhance power.
  • These fruits and vegetables are a great source of vitamins and minerals, and the ancient civilizations had the prudence and intellect to find them out, so that by eating them, they could enhance their sexual prowess and have a session full of pleasurable enjoyment.
  • Ayurveda is a treasure box of various such delicious aphrodisiacs.
  • Honey

    Honey has the quality of enhancing sexual desire and strength. In the olden days, young couples took honey to have a more enjoyable sexual experience. That is, perhaps, the source of the term “honeymoon”. Honey is also a rich source of antioxidants and many vital nutrients.

  • Chocolate

    Ever wondered why you feel so happy and invigorated after taking a bar of chocolate. Sex is also much better after you have had some chocolates. This is most probably because of the presence of phenylethamine in chocolates. This compound helps in the release of endorphins, which are directly related to pleasure and sexual satisfaction.

    Chocolates, especially the darker varieties are so full of antioxidants, that they are highly beneficial for reducing the bad cholesterol level in blood, increasing the blood flow in all the tissues and leads to a great reduction in the inflammation of the blood vessels.

  • Oysters

    Oysters are filled with a compound called dopamine that induces sexual craving and satisfaction. Oysters also contain the mineral zinc that in itself can help in testosterone production. It is a hormone that enhances carnal pleasure in both the sexes.

  • Salmon

    Salmon is a natural enhancement agent of good mood, which is absolutely essential to have great and pleasurable sex. This is mainly due to the presence of omega 3 in huge quantities in salmon.

    Salmon also contains a great deal of vitamin D that enhances the secretion of serotonin, which is a neurotransmitter that helps you to remain calm and does away with the mood swings

  • Garlic

    This is also a great enhancer of sexual longing and increases blood flow in different organs. It is also a good source of antioxidants and helps us get protection from cell damage.

Good Health Is the Ultimate Aphrodisiac

Another important consideration to take care of before going for fun - filled sexual experience is having a strong and fit physique without being too overweight. Being overweight has its other disadvantages too, apart from lowering your sexual desire considerably. It may result in increasing the blood glucose that may cause excessive damage to the nerves and blood vessels that may, in its turn, dampen sexual libido. Being overweight also increases the chance of having obstructed blood vessels, thus preventing blood to flow freely to the places where sexual arousal is enhanced.

Side effects of Viagra and similar medicines used in Allopathic System of Medicine:

Viagra is the trade name for a drug called Sildenafil citrate. Viagra comes under a class of drugs known as PDE-5 and helps in treating erectile dysfunction in men. Other drugs in this class are Cialis (Tadalafil) and Levitra (Vardenafil). Viagra is only effective when you are sexually aroused and this medicine will not work in Psychological ED and in ED related to relationship conflicts with your partner. Viagra is usually taken 30 minutes to 1 hour before sexual activity and should be avoided taking more than once per day. Always follow your doctor's instructions for the medication.

During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, consult your doctor immediately as it may be a serious side effect of Viagra.

The following are the side effects of Viagra
  • Do not take Viagra (Sildenafil Citrate) if you are also using a nitrate drug for chest pain or heart problems. Taking Viagra along with a nitrate medicine cause a sudden and serious decrease in blood pressure. People on medicine post heart attack should consult doctor before taking Viagra.
  • After taking Viagra, if your erection is painful or lasts longer than 4 hours, immediately consult doctor as a prolonged erection (priapism) can cause permanent damage of the penis.
  • Viagra can cause allergic reaction like hives, difficulty in breathing, swelling of your face, lips, throat or tongue.
  • Viagra can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a large number of people taking Viagra, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old. Stop using this medicine and get emergency medical help if you have the symptoms mentioned above.
Other common side effects of Viagra include:
  • Impaired hearing or total loss of the sense of hearing
  • Heavy loaded feeling on the chest resulting in chest pain that may develop towards the shoulder blades and arms; a nauseated feeling
  • Irregularity in the heartbeat rate
  • Inflammation in hands, feet and ankles
  • Difficulty in breathing
  • Dizziness, like you might pass out.
  • Warmth or redness in your face, neck, or chest;
  • Headache;
  • Upset stomach; or
  • Diarrhoea
  • Aches or pains in the muscles
  • Bloody nose
  • Diarrhoea
  • Difficult or laboured breathing
  • Flushing
  • Pain or tenderness around the eyes and cheekbones
  • Redness of the skin
  • Sneezing
  • Stomach discomfort following meals
  • Stuffy or runny nose
  • Trouble sleeping
  • Unusually warm skin
Dr. Hameed Ibrahim's View on Viagra

Viagra or Sildenafil Citrate and the other similar class of drugs like Cialis (Tadalafil) and Levitra (Vardenafil) are the drugs coming under Allopathic System of Medicine. Viagra was actually invented as a drug to improve blood circulation in the coronary arteries of heart intended to be given for Heart attacks patients, but it was accidentally discovered that this drug increased the blood circulation inside the penis as well when a man is sexually aroused. Thus came the discovery of Viagra and this medicine was licensed and marketed as a drug of choice for patients suffering from Erectile Dysfunction.This sounds good but years later after its discovery when it was used and prescribed for ED, many patients were benefitted BUT at a cost of serious and dangerous side effects, thus majority of the Urologist and General Physician worldwide started to prescribe this medicine with a great word of caution and strictly advised patients not to take this medicine on a regular basis.

One should note that, when the Specialist doctors like Urologist and General Physicians prescribe this medicine with great word of caution and strictly advised patients not to take this medicine on a regular basis, one gets a feeling that, is sex not a regular basis affair? Is sex only done once in a fortnight or once in a month? What about if am newly married, what about if my wife has good libido, what about if i have good mood for sex often. What about if i want a regular sex life? What about the permanent solution? Is it that every time i have sex i should take Viagra 1 hour before intercourse and later suffer from serious side effects? Is it that i should plan my sexual intercourse always a way in advance and take this medicine accordingly? Is sex a periodic routine affair? Am i a machine which needs to be ON whenever it has to be used?

Sex life is not like that which i guess each and everyone knows which does not need any more explanation. Sex is not a periodic routine affair; it is done whenever you are in the mood for sex. Sex is not pre planned always. Sex is not done calculating the 1 hour time period. Sex is something which needs to be enjoyed with peace of mind; it's an unexplained act of intimacy and pleasure. A happy, healthy, satisfied sex life is a key for social, mental, emotional, spiritual, psychological well been of a person which is a proved fact today according to WHO, and not just a theory. Therefore to have this key for social, mental, emotional, spiritual, psychological well been you need to have a satisfied sex life. Here is where we give the patient a complete and scientifically well documented treatment working on the principles of 5000 years old science called as Ayur-Veda, which gives permanent cure within a short duration of time ranging from 4 to 6 months.

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