Hello Anurag ji,

Aapne स्तंभन दोष (Erectile Dysfunction) aur वेरीकोसल (Varicocele) ke baare mein poocha hai — dono hi conditions treatable hain, lekin dono ke liye alag-alag diagnosis aur treatment approach hoti hai.

1. स्तंभन दोष (Erectile Dysfunction - ED):

Yeh condition tab hoti hai jab penis mein erection sahi tarike se nahi hota ya sustain nahi hota.

मुमकिन कारण:

• मानसिक तनाव, anxiety, depression

• कम testosterone levels

• ब्लड फ्लो में कमी (जैसे diabetes, BP ke patients mein)

• धूम्रपान, शराब, poor lifestyle

इलाज:

• तनाव कम करना, lifestyle sudharna

• डॉक्टर द्वारा बताई गई दवाएं लेना (जैसे sildenafil) – बिना डॉक्टर सलाह नहीं लें

• Hormone tests aur Doppler test ki zarurat ho sakti hai

2. वेरीकोसल (Varicocele):

Yeh testicles ke aas-paas ki naso ka फूल जाना hota hai — aksar left side mein hota hai.

लक्षण:

• अंडकोष में भारीपन ya dull pain

• सूजन या नसें उभरी हुई लगती हैं

• कुछ पुरुषों में fertility par bhi asar padta hai

इलाज:

• Agar symptoms mild hain toh observation

• Agar dard zyada hai ya fertility issue hai to Varicocelectomy surgery ki ja sakti hai

HexaHealth Aapki Madad Kar Sakta Hai:

• Urologist ya andrologist ke paas consultation fix karne mein

• Diagnostic tests arrange karne mein (hormone test, ultrasound)

• Ayushman ya insurance ke under treatment karwane mein

• Surgery options aur EMI facility bhi available hai

Swasth aur sashakt jeevan ke liye shubhkamnayein, Anurag ji!

Hello Prabhat ji,

Thank you for sharing your concern — it takes strength to speak up, and you are not alone. Many men face issues like erectile dysfunction (ED), premature ejaculation, low sexual desire, and fatigue, and these problems are often treatable with the right guidance.

Possible Causes of Erectile Dysfunction

The symptoms you're facing may be due to:

• Stress, anxiety, or relationship worries

• Hormonal imbalance, especially low testosterone

• Poor sleep, diabetes, or high blood pressure

• Lack of exercise or poor diet

• Side effects of medication or smoking/alcohol

What You Should Do?

1. Consult a qualified andrologist or urologist for proper evaluation.

   • They may advise a few tests: blood sugar, hormone levels (like testosterone), or an ultrasound.

2. Lifestyle Changes that may help:

   • Get 7–8 hours of sleep

   • Exercise regularly (brisk walking, yoga)

   • Avoid alcohol, smoking, and junk food

   • Reduce stress with breathing techniques or meditation

3. Medications or therapy may be prescribed based on your condition — please take them only under medical supervision.

Wishing you good health always!

Hello Dhananjay ji,

Thank you for sharing your concern. Based on your symptoms — tight foreskin, swelling, redness, and itching for 2 years — it sounds like you may be experiencing a condition called phimosis, possibly combined with balanitis (inflammation or infection of the foreskin and glans).

Why Tight Foreskin Issues Needs Attention?

• Tight foreskin that doesn’t retract can trap moisture and lead to chronic infections.

• Swelling and itching may indicate fungal or bacterial issues.

• Leaving it untreated may cause complications in urination, hygiene, and sexual function.

What You Should Do?

1. Consult a urologist at the earliest. They will evaluate and suggest the best treatment.

2. Initial treatment may include:

   • Topical steroid or antifungal creams

   • Oral medications for infection

   • Improved hygiene practices

3. If the foreskin doesn't respond to medication, circumcision or preputioplasty may be required.

Benefits of Circumcision (Especially with Modern Techniques)

If recommended, laser or stapler circumcision offers several advantages:

• Quick procedure (10-15 minutes)

• Minimal bleeding and less pain

• Faster healing

• Lower risk of future infections

• Better personal hygiene and reduced chances of UTIs

• May improve sexual comfort and confidence

These advanced methods are safer, more precise, and help you return to normal life much quicker than traditional surgery.

How HexaHealth Can Help You?

• Book a trusted urologist consultation in Thane or online

• Assist with cost-effective laser or stapler circumcision

• Support with insurance, Ayushman Bharat, or EMI options

You're taking the right step toward better health, Dhananjay ji. Let us know if you’d like help scheduling a consultation.
Wishing you a smooth and speedy recovery!

Hello Aatish Namdev Jadhav Ji,

We understand that you're looking for post-operative support after your stapler circumcision procedure. Our HexaHealth care specialist has arranged a follow-up call to assist you further.

In the meantime, please feel free to share your specific concern here, so we can help you better and ensure your recovery is smooth and worry-free.

Wishing you a quick and healthy recovery! 

Hello Vijay Gupta Ji,

Great question! The simple answer is — No, masturbation does not cause muscle loss.

Here's What You Should Know:

• Masturbation does not affect testosterone levels in a way that would impact your ability to build or retain muscle.

• Your muscle strength and growth come from regular exercise, proper nutrition, and sufficient rest.

• Unless done in excess to the point it affects your sleep, diet, or physical activity, it has no negative effect on your muscles or fitness goals.

Healthy Lifestyle Tips:

• Focus on strength training and protein-rich meals

• Get 7–8 hours of quality sleep

• Stay hydrated and avoid stress

So rest assured, Vijay Ji, masturbation is a normal and safe activity and doesn’t interfere with your muscle development.

Wishing you strength, confidence, and great health! Let me know if you need help with a fitness or diet plan.

Hello Rajat Ji,

Thank you for sharing your concern. If your circumcision feels too tight and painful, especially during certain activities like urination or sexual activity, it could be due to a few reasons, and it’s important to get it evaluated by a specialist.

Possible Causes of Discomfort During Circumcision

1. Residual tightness or scarring:

   • After circumcision, some men may experience tightness if the skin wasn't removed adequately or if healing caused excessive scarring.

2. Phimosis-like symptoms:

   • In rare cases, some tight foreskin or leftover ring may remain, causing discomfort.

3. Dryness or irritation:

   • Lack of lubrication or dryness can make the skin feel tight and sore.

4. Infection or inflammation:

   • Redness, pain, or swelling may indicate local infection (balanitis or post-op complication).

What should you do?

• Apply a mild antiseptic ointment or doctor-recommended moisturiser to ease dryness (but only temporarily)

• Avoid friction or sexual activity until you’re more comfortable

• Wear loose cotton undergarments

• Do not forcefully pull or stretch the skin, as that may worsen pain

Most Importantly

Please consult a urologist to examine the area. The doctor will check:

• If the healing is complete

• If there's skin tightening, infection, or the need for a minor corrective procedure

Wishing you quick relief and comfort, Rajat Ji. Let us know if you’d like help finding a trusted urologist near Faridabad or booking a consultation.

Dear Susant ji,

Thank you for your question.

In general, Viagra (sildenafil) 50 mg taken occasionally, such as twice a month, is considered safe for most healthy men, provided there are no underlying medical conditions and it is not taken with certain medications (especially nitrates or heart medicines).

However, it’s very important to keep in mind:

• A doctor should always evaluate your overall health, heart condition, and any existing medications before confirming it's safe for you

• Even if taken occasionally, side effects can include headache, flushing, dizziness, nasal congestion, or visual changes

• Taking Viagra without medical guidance can be risky if there are heart or blood pressure-related issues

We strongly recommend a quick consultation with a urologist or physician. They can advise whether it’s suitable for you personally and discuss safer alternatives if needed.

Viagra (sildenafil) taken occasionally, such as 1–2 times a month, is generally considered safe for most healthy men, if prescribed by a doctor and not mixed with certain medications (like nitrates or heart medicines).

✅ Safe use depends on:

• Your overall heart and blood pressure health

• Any current medications or medical conditions

• Proper dosage (usually 25–100 mg as per doctor’s advice)

🚫 Do NOT take it without a doctor's consultation, especially if you have heart disease, low blood pressure, or are on medications for chest pain or other heart issues.

If you’re unsure, it’s best to speak with a urologist or general physician before using it.

Dear Abhijeet,

Based on your concerns, consulting a urologist is the best option. A urologist specializes in both premature ejaculation (PE) and frequent urination and can provide the right diagnosis and treatment plan. Additionally, for drug addiction, a psychiatrist can help you with de-addiction therapy and mental health support.

Treatment for Premature Ejaculation (PE)

• Behavioral Therapy: Techniques like the start-stop method and squeeze technique can help delay ejaculation.
• Counseling & Therapy: Cognitive Behavioral Therapy (CBT) can help manage anxiety and stress related to sexual performance.
• Medical Treatment: After proper evaluation, a urologist may prescribe topical creams, selective serotonin reuptake inhibitors (SSRIs), or other medications. Do not take any medication without a doctor’s advice.
• Surgical Options: In rare cases, dorsal nerve desensitization surgery may be recommended for persistent PE that does not respond to other treatments.

Lifestyle Tips for Better Sexual Health

• Maintain a Healthy Diet: Include zinc- and magnesium-rich foods like nuts, spinach, and seafood to improve sexual health.
• Regular Exercise: Pelvic floor exercises (Kegels) can strengthen muscles and improve ejaculatory control.
• Stress Management: Practice meditation, yoga, and deep breathing techniques to reduce anxiety.
• Avoid Smoking & Alcohol: These can negatively impact sexual performance.
• Quality Sleep: Ensure 7-8 hours of restful sleep to maintain hormonal balance.

Hello Saifullah Khan Ji,

Thank you for reaching out.

Before proceeding further, could you please let me know if you have had any investigations done, such as a PSA test, ultrasound, or DRE (Digital Rectal Exam), to confirm whether you have an enlarged prostate?

For sexual problems, these can sometimes be linked to prostate issues, medications, or other factors like hormone levels, stress, or lifestyle. I recommend:

1. Consulting a urologist to assess both your prostate health and sexual function.

2. A hormonal evaluation to check for testosterone levels.

3. Exploring medications or therapies for erectile dysfunction if necessary.

4. Lifestyle modifications such as regular exercise, a healthy diet, and stress management.

Additionally, please do not take any medication without consulting your doctor, as certain medications may have side effects or interactions that need to be carefully managed.

Feel free to reach out for further assistance.

Wishing you good health!

Hello Ajaj Ji,

As per your sperm analysis report:

• Sperm Count: 10 million/mL (Oligospermia) → Lower than normal (≥ 15 million/mL).
• Motility: 15% (Asthenozoospermia) → Reduced from normal (≥ 32%).

This may impact natural conception.

Before suggesting treatment, I need to know:
✔️ Any history of testicular injury, infections, or surgeries?
✔️ Any chronic conditions like diabetes, thyroid issues, or varicocele?
✔️ Current medications or use of steroids, tobacco, or alcohol?
✔️ Any recent history of fever, stress, or excessive heat exposure?

Recommendations:

1. Lifestyle Modifications:

✅ Eat a high-antioxidant diet (nuts, berries, leafy greens).
✅ Avoid smoking, alcohol, junk food, and excessive caffeine.
✅ Exercise regularly but avoid overtraining.
✅ Reduce stress with meditation/yoga.
✅ Maintain a healthy BMI.

2. Medical Tests Recommended:

🩸 Hormonal Profile: FSH, LH, Testosterone, Prolactin
🩺 Scrotal Doppler Ultrasound: To check for varicocele
🦠 Semen Culture: To rule out infections

3. Treatment Plan (Based on Test Results):

💊 Antioxidants
💉 Hormonal therapy (if required)
⚕️ If varicocele is present → Surgery may be advised
🔬 Assisted Reproductive Techniques (IUI, IVF, ICSI) for severe cases and to help in conception

📅 Follow-up: After 3 months of lifestyle modifications, repeat semen analysis. Consult an Andrologist or Fertility Specialist for further evaluation.

Would you like assistance in scheduling a consultation?

Hello Ajaj Ji,

As per your sperm analysis report:

• Sperm Count: 10 million/mL (Oligospermia) → Lower than normal (≥ 15 million/mL).
• Motility: 15% (Asthenozoospermia) → Reduced from normal (≥ 32%).

This may impact natural conception.

Before suggesting treatment, I need to know:
✔️ Any history of testicular injury, infections, or surgeries?
✔️ Any chronic conditions like diabetes, thyroid issues, or varicocele?
✔️ Current medications or use of steroids, tobacco, or alcohol?
✔️ Any recent history of fever, stress, or excessive heat exposure?

Recommendations:

1. Lifestyle Modifications:

✅ Eat a high-antioxidant diet (nuts, berries, leafy greens).
✅ Avoid smoking, alcohol, junk food, and excessive caffeine.
✅ Exercise regularly but avoid overtraining.
✅ Reduce stress with meditation/yoga.
✅ Maintain a healthy BMI.

2. Medical Tests Recommended:

🩸 Hormonal Profile: FSH, LH, Testosterone, Prolactin
🩺 Scrotal Doppler Ultrasound: To check for varicocele
🦠 Semen Culture: To rule out infections

3. Treatment Plan (Based on Test Results):

💊 Antioxidants
💉 Hormonal therapy (if required)
⚕️ If varicocele is present → Surgery may be advised
🔬 Assisted Reproductive Techniques (IUI, IVF, ICSI) for severe cases and to help in conception

📅 Follow-up: After 3 months of lifestyle modifications, repeat semen analysis. Consult an Andrologist or Fertility Specialist for further evaluation.

Would you like assistance in scheduling a consultation?

Hello,

Yes, frenectomy can be performed after circumcision and/or frenuloplasty of the penis. Frenulectomy (removal of the frenulum) is generally a safe procedure when done by an experienced surgeon. The safety and appropriateness of a frenectomy depend on factors such as healing from prior surgeries, the specific condition being treated, and any complications. It’s always recommended to consult with your urologist or surgeon to discuss your specific situation and receive personalized advice.

Dear Umesh,

Your symptoms suggest a condition called phimosis (tight foreskin), which can cause pain, discomfort, and bleeding during intercourse. To understand your condition better, please share:

• Since when are you experiencing this problem?
• Can you retract your foreskin fully while flaccid or erect?
• Any history of infections, swelling, or white patches on the foreskin?
• Have you tried any treatment or ointments before?

Possible Treatment Options:

✔ Gentle Foreskin Stretching Exercises – Should be done carefully to avoid further injury.
✔ Oral Medications – If there is associated inflammation or infection.
✔ Circumcision – If phimosis is severe and causing pain and recurrent bleeding, minimally invasive surgical options like stapler or laser circumcision may be needed for permanent relief.

Since you are experiencing pain and bleeding, we strongly recommend consulting a urologist at the earliest for proper evaluation and treatment.

Avoid forcing the foreskin back, as it may worsen the issue. Let us know if you need assistance in finding the right doctor.

Take care! 

प्रिय डेविड जी,

आपकी चिंता को समझते हुए, पैनिक इरेक्शन (अचानक और अनियंत्रित उत्तेजना) का समाधान संभव है। यह समस्या शारीरिक, मानसिक या दोनों कारणों से हो सकती है।

संभावित उपचार:

1. मनोवैज्ञानिक परामर्श:

   • कॉग्निटिव बिहेवियरल थेरेपी (CBT): यह थेरेपी नकारात्मक विचारों और व्यवहारों को पहचानकर उन्हें सकारात्मक रूप में बदलने में मदद करती है।
   • तनाव प्रबंधन: ध्यान, योग और श्वास व्यायाम से तनाव कम करके इरेक्शन समस्याओं में सुधार हो सकता है।

2. चिकित्सकीय उपचार:

   • दवाएँ रक्त प्रवाह बढ़ाकर इरेक्शन में सहायता करती हैं। इनका उपयोग डॉक्टर की सलाह से ही करें।
   • हार्मोन थेरेपी: यदि टेस्टोस्टेरोन का स्तर कम है, तो हार्मोन रिप्लेसमेंट थेरेपी पर विचार किया जा सकता है।
   • वैक्यूम इरेक्शन डिवाइस (VED): यह एक उपकरण है जो नकारात्मक दबाव का उपयोग करके लिंग में रक्त प्रवाह बढ़ाता है, जिससे इरेक्शन प्राप्त होता है।
     
     

3. जीवनशैली में परिवर्तन:

   • नियमित व्यायाम: शारीरिक गतिविधि रक्त संचार में सुधार करती है।
   • संतुलित आहार: पोषक तत्वों से भरपूर आहार समग्र स्वास्थ्य को बढ़ावा देता है।
   • धूम्रपान और शराब से परहेज: ये इरेक्शन समस्याओं को बढ़ा सकते हैं।

अगले कदम:

• चिकित्सक से परामर्श करें: सटीक कारण जानने और उचित उपचार योजना बनाने के लिए अपने डॉक्टर से मिलें।
• खुली बातचीत करें: यदि आप रिश्ते में हैं, तो अपने साथी से अपनी चिंताओं के बारे में बात करें; यह मानसिक दबाव को कम कर सकता है।

Hello Sagar ji,

कधी कधी, झसर (circumcision) झाल्यानंतर तात्पुरती सूज येऊ शकते, विशेषतः जर लसीकेच्या ग्रंथी (lymph nodes) प्रतिक्रिया देत असतील.

परंतु, जर सूज वेदनादायक, लालसर, उष्ण वाटत असेल, पू भरलेली असेल, किंवा वाढत असेल किंवा बराच काळ टिकत असेल, तर तो संक्रमण किंवा इतर गुंतागुंतीचा संकेत असू शकतो.

तुम्ही काय करू शकता?

✅ गरम पाण्याचा शेक द्या – यामुळे सूज कमी होण्यास मदत होऊ शकते.
✅ स्वच्छता राखा जेणेकरून संसर्ग होणार नाही.
✅ डॉक्टरांचा सल्ला घेतल्याशिवाय कोणतेही मलम किंवा औषध वापरू नका.
✅ जर तुम्हाला तीव्र वेदना, ताप, किंवा सूज वाढताना जाणवली, तर त्वरित डॉक्टरांचा सल्ला घ्या.

लवकर बरे व्हा! 🙏

ZSR सर्जरी के बाद, अधिकांश मरीज 10 से 14 दिनों के भीतर पूरी तरह से स्वस्थ हो जाते हैं। इस अवधि में, लिंग पर लगी सिलिकॉन रिंग या नॉन-बायोएब्ज़ॉर्बेबल स्टेपल अपने आप गिर जाते हैं। आमतौर पर, आप सर्जरी के एक सप्ताह के भीतर अपने दैनिक कार्यों पर लौट सकते हैं, लेकिन कम से कम एक महीने तक सभी यौन गतिविधियों से परहेज करना चाहिए।

अपने उपचाररत डॉक्टर की सलाह के अनुसार सावधानियाँ अपनाएँ ताकि आपकी स्वस्थ्यावस्था पूर्ण और शीघ्र हो सके।

Dear Nelson,

Itching and pain in the penis can result from various conditions, and feeling sleepy afterwards may or may not be directly related. To provide accurate guidance, it's essential to consider several potential causes:

Possible causes include inflammatory conditions such as Balanitis, fungal infection, etc.

Next Steps:

1. Consult a Healthcare Provider:

   • An in-person evaluation by a healthcare professional is crucial to diagnose the underlying cause accurately.
   • They may perform a physical examination and recommend tests, such as swabs or urine analyses, to identify infections or other issues.
     
     

2. Maintain Proper Hygiene:

   • Gently clean the genital area with warm water and avoid harsh soaps or chemicals.
   • Ensure the area is dry before dressing to prevent fungal growth.
     
     

3. Avoid Potential Irritants:

   • Use hypoallergenic products for personal care.
   • If you suspect a latex allergy, consider using latex-free condoms.
     
     

4. Monitor for Additional Symptoms:

   • Take note of any other signs, such as discharge, sores, or systemic symptoms like fever, and inform your healthcare provider.

Addressing these symptoms promptly with professional medical advice is essential to prevent potential complications and ensure appropriate treatment.

Hello Raj,

Thank you for your inquiry regarding total penectomy and potential complications such as urethral stricture. Total penectomy is a significant surgical procedure typically performed for specific medical indications, such as penile cancer.

Potential Complications:

• Urethral Stricture: After total penectomy, there is a risk of developing a urethral stricture, which is a narrowing of the urethra that can impede urine flow. This may require further medical intervention to manage.

• Other Considerations: The procedure can also lead to changes in urinary function, sexual function, and psychological impacts. It's crucial to discuss these aspects thoroughly with your healthcare provider.

Additional Information Needed:

To provide more personalized advice, it would be helpful to understand:

• Medical Indication: What is the underlying reason for considering total penectomy? Is there a diagnosis of penile cancer or another medical condition necessitating this procedure?

• Specialist Consultation: Have you consulted with a urologist or oncologist regarding this condition? If so, what recommendations have been made?

Next Steps:

We strongly recommend scheduling an in-person consultation with a urologist to discuss your specific situation, understand the indications for the procedure, and explore all available options. A comprehensive evaluation, including medical history, physical examination, and necessary investigations, will help determine the most appropriate action. Additionally, consider seeking support from counselling services to address any psychological concerns related to the procedure.

Take care,

Hello Mohit Ji,

Premature ejaculation (PE) is a common issue that can often be managed effectively. Since you are 19, it is important to evaluate if this is a persistent problem or just occasional. Here’s what you can do:

Step-by-Step Approach

1. Self-Assessment:

   • Has this been a consistent issue since you became sexually active?
   • Do you experience PE during solo activity as well?
     
     

2. Possible Causes:

   • Anxiety, stress, or overthinking during intimacy
   • Over-sensitivity of penile nerves
   • Hormonal imbalance or low serotonin levels
   • Lack of experience and excitement-related response
     
     

3. Treatment & Management:

   • Behavioral Techniques: Try the start-stop method or squeeze technique to improve control.
   • Distracted Thinking: Instead of focusing entirely on performance, shifting your thoughts to non-sexual topics can help delay ejaculation.
   • Pelvic Floor Exercises: Kegel exercises can strengthen muscles that help delay ejaculation.
   • Lifestyle Changes: Reduce stress, avoid smoking, alcohol, or excessive masturbation.
   • Medications & Topical Solutions: If needed, certain prescription medications or topical numbing creams can help reduce sensitivity and delay ejaculation.
   • Counseling & Therapy: If anxiety or psychological factors are involved, speaking to a sex therapist or counselor can provide long-term benefits.
     
     

4. Specialist Consultation: If the problem persists, consulting a urologist or sexologist is advisable to rule out medical causes and receive personalized treatment.

At HexaHealth, we can connect you with experienced specialists for expert guidance and treatment. Feel free to reach out for further assistance.