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Weakness after sex or masturbation. (Post ejaculatory asthenia)



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Many people feel weak, tired fatigued, tense, lack of memory after sex. This may occur in young boys after masturbation or after marriage after coitus. This disturbs the family life of couple.

The various causes of such problems are as follows:
1) Hormones disorders
are one of the common causes of weakness after intercourse or masturbation. There are many male hormones in the body as serum testosterones, free testosterones, DHEAS, Androstenidiones, thyroids & other tests. So we have to test hormones to finds out hormones disorders. Once the diagnosis is made they are easily treatable in approximately two months time. Causes of hormone disorder may be Hypogonadisms (Testosterone deficiency), Hyperprolactinemias, Hypothyroidisms or Hyperthyroidisms, Cushing syndrome, Endocrines dysfunction Secondary to drugs/toxin & systemic diseases, Hypothalamic - pituitary deficiency: Idiopathic GnRH deficiency, Kallman syndrome, Prader-Willi syndrome, Laurence-Moon-Biedl syndrome, Hypothalamic deficiency,drug-induced hyperprolactinemias, Untreated endocrinopathies , Diabetics , Glucorticoid excess, Hypopituitarisms, Addison disease. Isolated gonadotropin deficiency, Idiopathic hypopituitarism, 

(A) Other Systemic diseases (liver disorder, renal disorder, cardiac disorder or other system disorder, hypocalcemia, osteomalacia, anemia, asthenia etc.)
(B) Drugs & Toxins various drugs cause weakness. So detailed drug history taking is must. 
Antiandrogens (Spironolactone & Ketoconazole) 
Antidepressants (Tricyclic antidepressants, Major Tranquillizers & Antipsychotics & Addictions of (Alcohol, Smoking, Heroine, methadone, Cannabis, opiates & marijuana)
2) Excess asthenia i.e. chronic asthenia is a also a significant cause of weakness after sex.
3) Sickle cell disease, chronic cardiac disease, chronic renal disorder, chronic pulmonary dysfunction, chronic hepatic disease, Infections mono-nucleosis, hepatitis, chronic balanitis, chronic prostatitis, and chronic urethritis.
4) Addiction as chronic alcoholism, chronic smoker, heroin or cannabis use.
5) Drugs: Sedative: Narcotics, tranquillizers, amphetamine, cocaine, many antidepressant, and anti-psychotics, anti -hypertensives, many other drugs.
6) Psychiatric disorder as depression, neurosis, & many other psychiatric disorders.
7) Disorders of sex centre: In the brain there is a particular center in the hippocampus part of fore brain, which regulates the feeling of freshness after sex . Sex center has some well-defined portion, which control different component of normal sexuality. These are as follows as one part of sex center controls sexual desire other parts controls erection, time taken in orgasm, enjoyment of sexual act including enjoyment of orgasm & feeling of freshness energetic feeling after intercourse. So any disorder of sex center due to various causes can lead to weakness after sex. This occurs due to feeling of energetiveness after sex controlling portions of sex center does not work properly so that inspite of \not having any physical or mental disorders the patient feels weak after sex. Beside low & tired feeling after sex patient may be sexually otherwise fit.
(c) Psychogenic: Many psychiatric disorders as obsessive-compulsive disorder, Neurosis, schizophrenia, depression can cause weakness after sex
Treatment : after proper investigation & making diagnosis, it can be cured in two months time.
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Patients come to us with various queries, we diagnose their problems and give appropriate solutions. Some of their queries are as follows:
-is it harmful if we masturbate daily
-i want to know the advantages and disadvantages of masturbation.
-i have been masturbating since childhood and now i feel so much weak sex in me. wt i do?
-How much masturbation is normal in men
-Is it ok to make myself masturbate ? or its a natural phenomena .............and should not be done voluntarily?
-will there be any nerve problem if mastrubation is more? what are the natural food to be taken to remain sexually and mentally healthy
-Is masturbation a natural phenomenon? Are there any side effects from masturbation?
-Can a lot of masturbating before marriage affect ur after marriage sex life or ur sex capability.
-Does musterbation affect health?


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