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Common Sexual Diseases
	Sexual Dysfunctions in Pakistan
	Premature Ejaculation
	Non Consumated Marrige
	Masterbation, aA Taboo
	Impotense
	Dhant or Jaryan
	Female Sexual Dysfunctio
	Contact

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SEXUAL DYSFUNCTIONS INCIDENSE AND TREATMENT IN CONSERVATIVE MUSLIM LIVING IN PROWESTERN SOCIAL SETUP LIKE PAKISTAN.

This study is to find the impact of pro western social setup on sexual dysfunction of conservative Muslim and treatment most suitable for these sexual dysfunction. 102 patients were successfully treated at Nasim Fertility Center Faisalabad.

Diagnostic work up include mainly detailed history, IC injection & basic lab tests. Out of these 290 patients, 56% had less ejaculatory time and less erection and 27% complained of white semen drop before and after urination and on looking at girls (Dhant disease locally called) the ratio of Psychogenic organic dysfunction is 94% VS 6% contrary to European study (10% vs 90%). In Psychogenics above 80% were below age, 35 years and above 60% were from lower socio economic groups. 100% success rate in treatment is achieved by affective use of Psychotherapy and drugs (mainly oral) used in different combination in different dysfunction as will be discussed.

PREMATURE EJACULATION

Premature Ejaculation is most common sexual dysfunction in conservative Muslim society living in pro western social setup like Pakistan where it is recognized as SURAT-I-ANZAL.

440 patients of early ejaculation were treated at he cause of this most common sexual dysfunction in conservative muslim society are, sexual frustration due to late marriage, sexual stimulation in pro western social setup where Islamic norms on sexual behavior are not observed, extramarital sexual activity and even masturbation is performed in great haste and worry and guilt feeling is always there due to Islamic Inhibition of such activities. This leads to sexual putting the reflexes to hasty ejaculation resulting in premature ejaculation

Behavioural sex therapy approaches were not accepted due to association of depression and anxiety to the varying extend, low education wrong education by quacks that it is a serious disease to be treated by costly medicines, quick response was desired and over half of the patients had married few days to few weeks back and there was fear of divorce from the wife. In my New Comprehensive Alternative approach after full assessment on the first visit the combined treatment option by using medicines and different ejaculation controlling techniques were used for 8 weeks. Medicines were then tapered off and patient was advised to maintain control on ejaculation By the techniques as advised.

I have used this technique on 440 patients during last one year at my Nasim Fertility Center Faisalabad Pakistan with excellent results.

CONCLUSION

THE NEW ALTERNATIVE TREATMENT IS IS MOST EFFECTIVE AND RAPID SOLUTION TO THE PREMATURE EJACULATION PROBLEM IN CONSERVATIVE MUSLIM SOCIETY LIKE PAKISTAN. THIS IS ALSO THE TREATMENT OF CHOICE FOR PRE MATURE EJACULATION

NON CONSUMATED MARRAGE

INTRODUCTION

Non-consummated marriage is very common in societies where sex and sex education is a taboo due to sociocultural factors.  Male factor was the cause in 100% of the cases and female disorder along with male disorder was present in 60% cases mostly caused by impossibility of penile vaginal penetration for a long period. with the involvement of both the partners in my new comprehensive treatment method, 100% success can be achieved.

OBJECTIVES

To introduce a new treatment model by combining sex therapy and pharmacotherapy in non-consummated marriage that is in short best accepted by patient and time saving.

MATERIAL AND METHODS

430 patients of non-consummated marriage were treated at Nasim fertility center Lahore, Islamabad & Faisalabad during 1999 and 2002. 60%, of the males complained of having less erection to penetrate vagina and ejaculated outside vagina. 24% complained of having good erection but failed on attempting vaginal penetration and 16 % of patients had no erection for penetration. Vaginismus was present in 78% females and dysparunia in 22% cases with sexual dysfunction.

In my new comprehensive treatment sexual intercourse was sure in 10 days after two sessions of sex therapy and administration of pharmacological agents to balance autonomic nervous system, necessary for normal erection and sexual activity in males. Vaginal desensitization is achieved by encouraging the male to penetrate vagina with fingers and in severe cases in clinic vaginal dilatation and hymenectomy was done. Sex education and treatment included teaching easy sexual intercourse position and encouraging the couple for sexual intercourse following erection with intracavernous injection or vacuum device. The treatment was continued for 8 weeks with weekly sessions and pharmacotherapy to remove associated anxiety and depression with the restoration of normal sexual activity and married life.

RESULTS

100% successes were achieved with restoration of normal sexual activity far longtime.  The advantage of my New Comprehensive Treatment is short span of treatment procedure leading to full reward to patients as compared to traditional sex therapies.

CONCLUSION

Non-consummated marriage is a clinical entity and for its proper treatment, my active and brief new comprehensive treatment approach is best accepted by couples as compared to traditional sex therapy techniques.

MASTURBATION, A TABOO

OBJECTIVES

This study is to find the effect of masturbation on different sexual dysfunction in conservative Muslim society where masturbation is a taboo and religiously prohibited.

INTRODUCTION

Masturbation is a taboo and prohibited by Islam. There is wrong information in society by quakes and hakims (Unani medical practitioners) that masturbation destroyed the sexual health and weakens the muscles of penis. Due to this, masturbation is the most important cause (as perceived by patients) of different sexual dysfunctions in conservative Muslim society like Pakistan.

MATERIAL & METHODS

240 Patients of sexual dysfunction were treated at Nasim Fertility Center Faisalabad, Pakistan from 01/10/1999 - 20/04/2000. Diagnostic work up included detail history and investigations. The patients suffering from early ejaculation, impotence and Dhant or Jaryan were 52%, 33% and 10% respectively. 54% of patients of early ejaculation attributed the dysfunction to excessive masturbation, 58% of the impotence patients describe cause the dysfunction of excessive masturbation and 84% of Dhant or Jaryan patients were also the victims of excessive masturbation.

CONCLUSION

Guilt feeling of masturbation due to Islamic restrictions and wrong information that masturbation destroys the sexual health and muscles of penis, leads to sexual neurosis and is underlying major cause of most common sexual dysfunction (Early ejaculation, Impotence, Dhant or Jaryan) in conservative Muslim society like Pakistan .

IMPOTENCE

IMPOTENCE INCIDENCE AND TREATMENT IN SEXUAL DYSFUNCTION PATIENTS IN CONSERVATIVE MUSLIM LIVING IN PRO WESTERN SOCIAL SETUP LIKE PAKISTAN

Objective

To find the incidence of impotence in sexual dysfunction patients and treatment most suitable in conservative Muslim society like Pakistan.

Material & Methods

195 patients of sexual dysfunction were treated at Nasim Fertility Center, Faisalabad & Lahore, Pakistan from 01/10/1999 - 20/04/2000. Diagnostic work up included detailed history, blood & urine complete examination, blood sugar, and I/C tests to differentiate psychogenic from organic impotence. 33% of total patients complained of impotence and 52% complained of early ejaculation. Among impotence, 58% had psychogenic impotence and 48% had organic impotence. Age of psychogenic impotence patients ranged from 25-35 years and those of organic impotence from 30-60 years. High incidence of psychogenic impotence is due to neurosis developed as result of sexual stimulation in prowestern social setup while religious inhibition of sex in a cultural setup where Islamic norms on sexual behavior are not observed. Any sexual activity, even masturbation led to guilt feeling . Effective psychotherapy and drugs used in different combinations achieved 100% success in psychogenic patients. In organic impotence, spontaneous erection is restored in 40% of patients while 20% of patients' left the treatment and others were advised I/C injection, vacuum therapy.

Conclusion

1. High incidence of psychogenic impotence among impotent patients is the effect of interaction of two opposite social setups.

2. 58% psychogenic patients were 100% cured by effective psychotherapy and drugs used in different combinations.

3. 40% organic impotence patients were cured to spontaneous erection.

4. The rest of organic patients were satisfied by assistance erection techniques.

DHANT OR JARYAN

Dhant or Jaryan is the name given to a sexual dysfunction in which young male gets white semen drop before or after urination or on visual sexual stimulation, excessive erection and white sticky material (semen) from penis, and more night ejaculation. This sexual dysfunction is thought to be a serious sexual defect locally In Pakistan. This dysfunction results from the Islamic restrictions of Pre-marriage sexual activity and sexual stimulation of younger in Un-Islamic Culture that leads to guilt feeling. 290 patients were treated at NASIM FERTILITY CENTRE, FAISALABAD, (PAKISTAN) during last one-year period for sexual dysfunction. 27% complained of Dhant or Jaryan. Age was between 22-30 years.

90 % were unmarried. Diagnostic work up included detailed history and basic lab tests. 90% patients attributed the dysfunction to excessive masturbation and premarriage sexual activities. 100% success in treatment was achieved by effective psychotherapy and drugs for 8 weeks.

FEMALE SEXUAL DYSFUNCTION

Pakistanies are conservative Muslims where Sex Education is not common. Marriage is arranged by parents. Most of time females do not disclose any sexual dysfunction & attend the doctor for psychio & sumatic complaints. 47 patient of female sexual dysfunction were treated at Nasim Fertility Center, Pirmahal, Faisalabad (Pakistan) form 6/96 to 5/98. 31% complaints of vaginisumes, 9% complaint of very early orgism during sexual intercourse. 11% did not have experience orgism and had no idea about orgism. Effective Psychosexual counseling and Anxiolytics along with antidepressant were used in treating these patients.

RESULTS:

· All the female sexual dysfunctions are the result of inadequate sex education and low educational standard of population.

· All the dysfunction was effectively treated with 100% cure.

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CONTRIBUTOR

Dr. Farooq Nasim Bhatti
M.B.B.S(PK)

F.A.A.C.S(USA)

Diplomat: The American Board of Sexology (USA)
CST(Hong Kong)
C.RM.(Beijing)
C.ART.(Malaysia) 
Clinical Sexologist

NASIM FERTILITY CENTER LHR 4-H Johar Town , Canal Road , Near Sparco Briddge, Lahore ( On Tuesday, Thursday, Friday and Saturday. Morning & Evening Ph.No. 0092-42-35300124, Mob. 0300-4577606	AKRAM MEDICAL COMPLEX LHR 2-B MAIN GULBERG, LAHORE PAKISTAN (The Clinic has been shifted to 4 H Johar Town, Canal Road, Near Hanjerwal Bridge) Ph.No. 042-35300124
MARGALA CLINIC ISD 64-East Masco Plaza, Blue Area, Islamabad . (On Wednesday Only) Morning & Evening Ph.No. 051-2273808,	NASIM FERTILITY CENTER FSD 23-Z Commercial Center, Madina Town, Fasialabad On Monday only. Morning & Evening Ph.No. 041-8540418

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©Copyright 2000: Dr. Farooq Nasim Bhatti