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Dhat

There are many patients in whom whitish or yellow semen like or water like secretions are discharged in urine during defecation, urination or other time. This type complaint has been found in many boys or men. The various causes of such problems are:
1) Dhat secretion in urine
1.) Spermatorrhoea
2.) Retrograde Ejaculation: In this semen goes in bladder in place of, coming out through penile opening. The cause of retrograde ejaculation can be due to diabetics, some psychiatric drugs & pelvic surgeries. Thus for treatment the cause should be tried to find out by detail history, investigation. Once diagnosis is made treatment can be possible.
3.) Pyuria
4.) Crystalluria
5.) Leucocytouria
6.) Cowper's gland over activity / or infections
7.) Prostatitis
8.) Significant proteinuria
9.) Chylliuria
10.) Nephrotic syndrome
11.) Candidal balanitis
12.) Non gonococcal urethritis
13.) Idiopathic 
14.) Venereophobia

DIAGNOSIS OF CAUSE OF DHAT PROBLEM: 
First step in proper treatment of Dhat like secretions is accurate diagnosis of cause of his problem. So we first try to find out cause. We take detailed history, thorough sex counseling and physical examination. After that depending on likelihood of particular, cause relevant tests are done at our centre. Thus you may consult us at our centre & at same time you may get all test done also. The time taken in getting all the reports ready is 24 hours. So if you are from out of Delhi, you may come here for two days for proper diagnosis of your problem. 

DETAILED HISTORY:
Onset: Sudden/gradual, Response to previous therapy, Libido, Stress (physical or mental), H/O precipitation by some infection or unprotected sexual intercourse, Sec. Sexual Characters, Other symptoms suggestive of any infections. 

EXAMINATION OF GENITALS:
We examine whether Sexual Development is adequate or subnormal. For this testis size is measured by orchidometer (if patient is outstation then by ultrasound of testis). Then other systems are examined. Signs of urinary tract infection, any sexually transmitted diseases are examined.

INVESTIGATIONS i.e. DIAGNOSTIC TESTS:
At our centre we have all the facility for complete investigation of cause of Dhat problem . So we perform following tests, step by step depending on their need based on history & examination. 
The various diagnostic tests needed/performed are as follows: - 
Biochemistry tests, phosphorus, Usg., C/S, & other relevant tests.

TREATMENT: 
After diagnosing the cause of Dhat like secretions we prescribe medicines that patient has to purchase himself from any medical store The success of various drugs we use in Dhat like secretions depends on accurate diagnosis of cause. If empirical treatment is prescribed as most doctors do, it often does not achieves permanent cure. These sex tonics & ayurvedic medicines can improve you Dhat like secretions temporarily but they cannot give permanent cure. Thus please get yourself fully investigated before starting treatment. 
Response of Treatment: As we have fully dedicated team of highly qualified, experienced, doctors, who are expert in field of sexology. After finding the cause of Dhat like secretions by above tests it is cured in most patients by two months treatment.

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