Erectile dysfunction

Dear Anis ji,

Premature ejaculation is a common concern where ejaculation happens sooner than desired, often leading to frustration and stress. The pain you're feeling below the penis (near the testicle or groin area) during arousal may indicate a physical issue that needs timely attention.

Possible Reasons for Premature Ejaculation

• Psychological factors like anxiety, stress, or performance pressure

• Hormonal imbalance or nerve sensitivity

• Weak pelvic floor muscles

• Underlying physical conditions affecting sexual function

Treatment Options for Premature Ejaculation

• Non-surgical: Behavioural therapy, pelvic floor exercises (like Kegels), and stress management

• Medical: Urologist-guided treatment, including medication or topical therapies

• Surgical: In select cases, procedures like dorsal nerve desensitisation or penile implants may be considered

Pain Below the Penis – Possible Reasons

• Tight foreskin (phimosis): A non-retracting foreskin can cause pulling and strain during erection, leading to pain that feels like it’s radiating to the base or groin

• Epididymitis or infection near the testicles

• Inguinal hernia or varicocele

• Nerve compression or pelvic tension due to arousal

Suggested Treatment for Pain

• Physical examination and imaging (like ultrasound) to diagnose the cause

• If phimosis is confirmed, circumcision may be advised as a lasting solution

• Physiotherapy or surgical correction for other structural causes

How HexaHealth Can Help

• Connect you with experienced urologists in Ahmedabad

• Assist with diagnostic tests and personalised treatment plans

• Help check eligibility for Ayushman Bharat or insurance-based treatment

• Guide you from consultation to recovery with complete privacy and care

Timely evaluation and the right treatment can give you long-lasting relief. HexaHealth is here to support you at every step of your journey.

Dear Raushan Kumar ji,

Aapka sawal bilkul samajhne layak hai. Vasectomy ek permanent birth control surgery hoti hai, jisme semen ke through sperm ka aana band ho jaata hai. Lekin agar aap poochhna chah rahe hain ki koi aisi surgery hai kya jisse semen ka physically bahar aana hi band ho jaye (ejaculation control) — to iska jawab thoda alag hai.

Semen ko completely bahar aane se rokne ke liye koi routine surgery nahi hoti, kyunki ejaculation ek natural process hai jo sexual health aur prostate function se जुड़ा होता है.

Lekin kuch special cases mein yeh ho sakta hai:

• Retrograde Ejaculation Surgery ya bladder neck reconstruction: jisme semen bahar nahi aata, balki bladder ke andar चला जाता है

• Neurological Control Surgeries: spinal cord injury ya neurological disorder mein kuch patients mein ejaculation control affect ho jaata hai

• Penile Implants (for erectile dysfunction): yeh semen release ko directly control nahi karta, but erection ko manage karta hai

Important Note: Is tarah ka intervention tabhi kiya jaata hai jab medical need ho—yeh contraceptive ya sexual choice ke roop mein normally suggest nahi kiya jaata.

HexaHealth aapki madad kaise karega:

• Confidential consultation with senior urologist arrange karega

• Aapke concern ke hisaab se proper diagnosis aur medical advice milega

• Surgical or non-surgical options ki clarity aur guidance di jayegi

Aap chaahein toh HexaHealth ke madhyam se discreet aur personalised medical help le sakte hain.

Hello Ram Raut ji,

Thank you for sharing your concern — these issues are more common than many people think, and the good news is that they can be treated. Let’s break it down and guide you step by step:

What You’re Experiencing:

• Erectile Dysfunction (ED): Difficulty maintaining or achieving an erection

• Premature Ejaculation: Ejaculation occurs too quickly during intercourse

• Low Sexual Desire (Libido): No interest or excitement in sexual activity

• Tiredness/Fatigue: Constant low energy, which may affect mood and performance

Common Causes:

• Stress, anxiety, or relationship issues

• Lack of sleep, overwork, or mental exhaustion

• Medical conditions like diabetes, high blood pressure, or low testosterone

• Lifestyle factors: smoking, alcohol, poor diet, or lack of physical activity

• Hormonal imbalances or side effects of some medications

What You Should Do:

1. Consult a sexologist or urologist – They can assess your overall health, hormone levels, and psychological well-being

2. Get tests done: May include blood sugar, testosterone levels, thyroid function, and vitamin D

3. Make lifestyle changes:

   • Eat balanced meals, exercise daily, and reduce alcohol/smoking

   • Improve sleep quality (7–8 hours/night)

   • Practice stress-reducing techniques like meditation or yoga

4. Avoid self-medication — some over-the-counter pills can be harmful

This issue is completely treatable. You’re not alone — and you can feel better, regain confidence, and restore intimacy. Let us know if you'd like help arranging a consultation.

Wishing you good health and happiness in your relationship.