High quality circumcision clinic? The plateau stage is the period before orgasm. In this stage, the changes you feel in the excitement phase intensify. Your breathing may quicken, and you may start moaning or vocalizing involuntarily. Your vagina might tighten and produce more lubrication. The orgasm stage is often considered the end goal of sex, but it doesn’t have to be! It’s totally possible to have pleasurable sex without reaching orgasm. Orgasms can include muscular convulsions, especially in the lower back and pelvic area. At this stage, your vagina might tighten and it might become more lubricated. It’s associated with a sense of euphoria and pleasure.

Premature ejaculation or lack of Ejaculatory control is the second most common reason men come to see me in my clinic. “It is over before it starts doctor”, they say. A feeling of anguish and the guilt of not being able to satisfy their partners lingers. Though a scientific definition of Premature Ejaculation may be ejaculating within one minute, partners of men who ejaculate slightly after one minute are not necessarily happy. So, what’s the story? What are they thinking?

In simple terms, a device called ‘Stapler’ is used by the doctor / surgeon to perform Circumcision (in babies or men), such a process is called ‘Stapler Circumcision’. This stapler device (that you can see in the above picture) has been developed by medical specialists in China. It includes two parts – inner bell & outer bell. The inner bell is designed to protect the inner glans and the outer bell consists of a blade to cut the foreskin and staples to close the wound for simultaneous hemostasis. As the very first step in Stapler Circumcision, the size of the penis just below the glans is measured by the urologist. Penis is then surgically disinfected with iodine or other equivalent disinfecting liquids before performing the circumcision procedure. Find additional info on https://www.metromaleclinic.com/stapler-circumcision/.

Erectile Dysfunction (also called Impotence or Problem having an erection) is the inability to develop or maintain erection of the penis during sexual activity. It can have psychological consequences. It is a common male disorder usually affecting older men that significantly impacts quality of life and well being. Erectile Dysfunction affects 50% of men older than 60 years of age. Younger men typically report a great degree of bother than older men which leads them to seek treatment at the earliest. Risk factors and co-morbid conditions for cardiac diseases like hypertension, diabetes, hyper-cholesterolemia, work related stress, depression and metabolic syndrome contribute to ED. Lifestyle factors including smoking, obesity and lack of exercise are also significant predictors of ED.

Adequate time with patients is key and our sexologists believes that men need to be given time to come out with their problems. Why Metromale Clinic & Fertility Center? Metromale Clinic & Fertility Center, Chennai specializes in men and women’s reproductive and sexual health and is the first of its kind in India in terms of its novel health care concepts. Dr. Karthik Gunasekaran has had extensive training in Laproscopic Surgery, Reproductive Microsurgery, Andrology, Embryology and Sexual Medicine which makes him a holistic physician Sexual Health of men and women. He has trained in the United States with Dr.Paul Turek in Reproductive Medicine/Microsurgery and with Dr.Irwin Goldstein in Sexual Medicine for men and women thereby making him an outstanding sexual health specialist.This advanced training helps him practice scientific evidence based medicine with cutting edge technology.

A thorough gentle physical examination of the genito urinary system is done. It is important to remember that ED and heart disease share certain comorbidities and hence a thorough evaluation of the heart lungs and abdomen is done. The penis is examined for plaques, curvatures, and the position of the meatal opening. Presence and size of both testis is determined. Features suggestive of hypogonadism(testis size, body hair, voice) are looked for. Read even more info at https://metromaleclinic.com/.