Azoospermia is a condition with complete absence of sperm in the semen.  It can be due to various reasons. One of the common causes is an obstructive azoospermia which means an obstruction in the reproductive tract or passage of sperms. Matured sperms are collected in the epididymis and carried through the vas deference to the ejaculatory duct. Any obstruction in this path can cause azoospermia. In a few men vas deference is absent by birth. This is another cause of obstructive azoospermia. Absence of spermatogenesis (Spermatogenesis is the process that creates sperm from initially undifferentiated germ cells) or maturation arrest is another cause.  Maturation arrest is the cessation of the development of spermatogonia to sperm cell.

You have to undergo complete evaluation to find out the cause. Evaluation includes physical examination, semen analysis and sonological evaluation. Only after detecting the actual cause, an opinion about treatment can be given. We have all the facilities to evaluate such conditions.

There are different causes for premature ejaculation. This may be due to infection, inflammation, hypersensitivity, habituation or any other factors. First the etiology should be identified. Treatment may vary from medication to sex therapy or a combination of both based on the etiological factors. To decide the treatment you need to undergo a clinical evaluation including physical examination and investigations. With out that it cannot be treated. Definitely there is a cure for this problem.

Erectile dysfunction is treatable. Treatment varies from sex therapy, medicines or surgery. It can be planned only after appropriate investigations and physical examination. Without  this we are unable to give an opinion.

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.

Treatment is indicated only if the person has any discomfort or problem due to his own homosexual tendency or behaviour. The desire to change the orientation should not be due to others (family, friends, religion etc) pressure. Treatment will be successful only if the person has a very genuine and consistent motivation to change his behavior. There is no medicine to change the sexual orientation. Treatment is psychological using techniques of sex therapy based on cognitive behavioural principles. Usually we don take any homosexuals for treatment. But we have treated a few men with genuine motivation and they recovered.

There are different causes for premature ejaculation. This may be due to infection, inflammation, hypersensitivity, habituation or any other factors. First the etiology should be identified. Treatment may vary from medication to sex therapy or a combination of both based on the etiological factors. To decide the treatment you need to undergo a clinical evaluation including physical examination and investigations. With out that it cannot be treated. Definitely there is a cure for this problem.

Erectile dysfunction is treatable. Treatment varies from sex therapy, medicines or surgery. It can be planned only after appropriate investigations and physical examination. Without  this we are unable to give an opinion.

For further details you may contact to 0484 - 2555301 or 0484 - 2555304 between 9.30am and 5.00pm from Monday to Saturday.

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.

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.

There are different causes for premature ejaculation. This may be due to infection, inflammation, hypersensitivity, habituation or any other factors. First the etiology should be identified. Treatment may vary from medication to sex therapy or a combination of both based on the etiological factors. To decide the treatment you need to undergo a clinical evaluation including physical examination and investigations. With out that it cannot be treated. Definitely there is a cure for this problem. So please consult a doctor practicing modern medicine.

Yours is a case of sexual desire disorder. With modern investigative and treatment modalities we can identify the cause and treat it successfully.You can contact our reception at 0484 2555301 or 2555304 between 9.00am and 5.00pm

There is nothing unusal about discussing sex with wife.

We have seen and successfully treated so many couples married for several years without having sexual intercourse. This condition is called unconsummated marriage. The couple with longest duration I have seen is of 22 years.  Non consummation of marriage can occur due to several reasons. It is due to problems related to either husband, wife or both. Male problems such as erectile dysfunction, premature ejaculation, Sexual desire disorder, dyspareunia, phimosis, peyronies disease and female problems such as absence of sexual desire, sexual arousal disorder, dyspareunia, sexual aversion disorder, vaginismus etc can cause non consummation of marriage. Other psychological problems such as adjustment problems, marital conflicts or dislike towards the partner also can lead to such conditions. How ever nothing to worry about it. With modern investigative and treatment modalities  we can identify the cause and treat it successfully.