All sexual problems are treatable. Problems may be due to various reasons and has to be identified before planning the treatment.  Treatment may vary from sex therapy, medicines or surgery. It can be planned only after appropriate investigations and physical examination. 

Homosexuality is of two types. The first is ego syntonic in which the individual enjoy and it doesn cause any mental stress to the person. Second type is ego dystonic in which the individual feels mental agony and distress about his own homosexual behaviour and hence wants to change it. No treatment is indicated for the first group. Ego dystonic homosexuality can be treated if the individual has a genuine motivation to change his behaviour.

From our experience of treating thousands of patients with sexual problems from Kerala and outside it is found that 99% of men complaints of small penis got apprehension and doubt about the size of their sexual organ. It is only a concern, and not a fact. The size of flaccid penis is immaterial and it will keep on changing based on the atmospheric and body temperature. Most men worry about the size of the flaccid penis. The only published research study conducted in India on penile size is from Dr. Promodus Institute of Sexual & Marital Health which is published in the International Journal of Impotence Research (2007, 19,558-563). The mean erected length is found to be 13.01 cm with a SD of 1.62 cm.  The summary of this study is available at the Institute’s website (www.drpromodusinstitute.in) and the full paper is available in the internet at the journal’s site.

You need not worry about the penile size. You may consult a doctor who can examine your body and alleviate your apprehensions.

From your description it appears that you may have a tight frenulum. It can cause difficulty for sexual intercourse. Vaginal penetration may become difficult and you are likely to experience pain. Sometimes there can be small injury and a little bleeding if you try to insert the penis by force. It is always better to correct before marriage. If it is a tight frenulum it can be corrected by a simple surgery called Frenuloplasty. In certain cases circumcission may be required. Without examination an opinion cannot be given.

For further details you may contact to 0484 - 2555301 or 0484 - 2555304 between 9.00am and 5.00pm from Monday to Saturday.

All sexual problems are treatable. Problems may be due to various reasons and has to be identified before planning the treatment.  Treatment may vary from sex therapy, medicines or surgery. It can be planned only after appropriate investigations and physical examination.  For further details you may contact to 0484 - 2555301 or 0484 - 2555304 between 9.00am and 5.00pm from Monday to Saturday.

All sexual problems are treatable. Problems may be due to various reasons and has to be identified before planning the treatment.  Treatment may vary from sex therapy, medicines or surgery. It can be planned only after appropriate investigations and physical examination.  For further details you may contact to 0484 - 2555301 or 0484 - 2555304 between 9.00am and 5.00pm from Monday to Saturday.

Usually night emission is not considered as a disease. When a boy reaches the adolescent age night emission begins as a sign of maturity.  It indicates that he has achieved reproductive ability. The frequency is more till the age of 25 to 30 yrs, after that frequency decreases. If the person engages in regular masturbation or sexual contacts night emission may not occur very frequently. If there is any pain, burning sensation or discomfort after ejaculation there may be a chance for infection or inflammation of prostate gland or seminal vesicles. In such condition treatment is required.

Before planning the surgery you need to undergo the full evaluation. Surgery need to be done only if there is genuine indication. Cost varies depending upon several factors. So an estimation of the cost can be worked out only after your assessment. No of days of hospitalization may vary from 7 -10 days.

You may contact 0484 2555301 or 2555304 between 9.30am and 5.00pm from Monday to Saturday for further details.

It appears that you may have varicocele. Varicocele causes progressive and duration dependent damage to the testis. As a result sperm motility will be reduced first followed by count. Over the years testis becomes atrophied and the production of male hormone (testosterone) will reduce. It will cause loss of sexual desire and erection. In other words you may develop an early andropause.

If there is a varicocele in an infertile man or in an unmarried man or a person who doesn’t have children, one must do microsurgical varicocelectomy. This is the latest scientific view and standard teaching on this matter. How ever in most of the places varicocele is usually operated using laparoscopic surgery or conventional surgery.

The most common complications of conventional varicocele operations are hydrocele, varicocele recurrence, and injury to testicular artery, spermatic cords etc. A person having varicocele should undergo microsurgical varicocelectomy before going for IUI, IVF or ICSI to improve the sperm quality. It will reduce or nullify the adverse effect of ROS (reactive oxygen species) on the sperms. Presence of varicocele will reduce the percentage of success when going for artificial reproduction techniques.

In microsurgery the use of the operating microscope allows for reliable identification of spermatic cord, lymphatics, internal spermatic veins and venous collaterals, and the testicular artery or other arteries. So that chances for these complications are almost reduced to less than 1 percent. Repair of varicocele results in greater improvement in sperm motility and count.

Microsurgical varicocelectomy provides a safe and effective approach to varicocele repair with preservation of testicular function, improvements in semen quality, and improvements in pregnancy rates.

Yes, this problem can be overcome by a short course of sex therapy which we are doing regularly in our hospital.