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=~=@O [iyOk. _H~ HO K~ fH=@O "~Ok.
[iy# q+ O ~k! J~` @| Q~ O ~=# iu q ZO^= HeyO^
<# K#. =#OQ D iu ZO^= =O^O>
1. Q\xH Q`O U^< "k Oq Oz LO_e. (P q+ O q `e LO_H =K)
#\H 5060 =Ok ~^ H~}O.
2. Q@O< U" z#z# ^ LO_ LO_e. (L^: Jk =s #Q LO_@O,
=s "eH uiy LO_@O, iQ Z^QH=@O).
3. x~}O g H~<, "^g H~<, ky# OH H}x
Q~OzH ^iOK " H Q\ ^"!... WO\"" H~}=`~.
WH` XHi @| Qh = =~i ~"x x=O ^. #\H 8590
=Ok ~O_i ==Q< Q~O =z P~Q=O`# a_e H#_O [iyOk.
H#H =z P~Q=O`# a_e H#_O [iyOk. H#H x~_=^. ''~ J~`,
J J~`... J# PK# ~x=HO_. <` # "O@< Q # Hlx OkOK_O ,
q `H^ K@O =`O K =YO.
WH` WO`=~ Q~O ZO^ ~^# q+O. D [iy# ``OQO q H
HeyOz#O^= q ~# iQ xKH`#", H ~`~ "<
L#"! XHi ~~e^~ J=~=~# sHh K~OKx zH` fHO_.
O`#O `H HQ`Ok.

11

XH" ~ O_ @| _ `yOKe# i`
U~_< > @
^u (W<q\
i*+< JO_ ZOa \<~ (IVF & ET) q^#O) q Q~O HeyOK=K.
QiOz ` KHO_. `O KO_. ~O\H `_ QiOK~#O\#.

H"O> =_ =Ok
= ~ J~^~Ok. = ^Q =O@ Uq =. =YOQ
q+O! ^~}OQ = ~^iH =_ L#C_ H O\=. JC_C_
=`O \_ O\=. ZO^HO> < ~ J=~=xOK#C_ <
=_ H` <# ~+_#. Hx < ZC_< J=~"#C_ < ~ <HO
HiOk. J~` = ~^iH p Uq@O> ''<H+O #C_ _ hHO =_
`K O@<# H^. h= J LO_"q? JO@Ok < ~.
Z<.Z.P~.,
[. =#HOQ ^OQ H` (J#Q =_ H`) ~u Z O\= J<k
q !
=# ~`~ q+ L#C_ # Xu_= H"K LO_H=K.
Hx f~ ~OQO ky` Hi# "iHO> XHi H^#"~ K~Q #@O
[~Q`Ok. q~C_ uOz#@ ^. =_ q=e "`O@ ~^. q~
=_ `K H"e. H P ==~h H\\ ~ H# UHO`OQ ~x
H|~ K `O>, P # P" ze K+ K O > =_ "` O@ =O k. Hk~
uOz K_O_. ~~` P `O q_z @O_. q ` O ^x
J~"` q ~ _ Uq J#H~.
(Q=xH: ~E _\Q ~uK ^O` D K# =iOK^. "~ x =_#
|=O`OQ `z @< `O KH=@O =Ozk.)

JkH^ H~}O
< JOQO 6 JOQ. ~u `~` < ~ uH_ < JO@Ok. JOQO
iQ K (J= Jx) J~Ok. < O "O^O_. ZC_ K< <
~ U^ kQQ ~OkQ LO@Ok. ~Q LO_^.
H.Z., OK.
[. c["HH J^~}"# QQ}O LOk. JO^= Jk ^ JOQh, z#
JOQh =#OQ ~=_O@Ok. H#H q ~H ~u HQ`# <H q
JOQO _= H~}O H^. Q 6 JOQ Q@ =}" ` iOK#O`
_"#k H^.
`Q JOQx <\#C_ < HQ_xH ~`~ H~}O\~.
JO_ , Q~xH, JO_"HH O|OkOz# "^ (eH
W<" @s _* P.I.D.) ZO_"\ , Q~
O "#H "_O (retroversion) =O\q!

12

q ~ Q~xH "~Oz LO> J^H H~}O H=K.


H#H q~ q ~# QxHlH KOz, "=@ _O_ P" q
~ =# q=i, "~ `Q sH K Uk H~}" `~, zH` K~.
DQ q~ ~uq^#O =~ K HO_. L~u #O_. `^~ ZO``
=~ q JOQx "t OKx=K q ~ x~~ OKO\~. ~u H^e H K eOk
P" H#H < ~O_ *Q`" Pq_ fO\~. H"@Q XHiH^~Q
XH~ _x K ~u _ =Oz^! "H _< q^#O<` ~^ HO^,
`_ HO^ He kO_ (`Q_) "O_. D =_O\ U^ XH ^u = P" ^
f~`Ok.
J~` ~u q^< =~H= _O` i>
=^. _Hi O kOKe. P"#
== U^ Jk `y=@O q ~^i ~u MxH HH, Pq_ P~QxH _
=YO.

xOQ
JO_O q_^ K#n xn xOQ sH^~ `H=KO\~ H^? P
xOQ sH ~q\? U ~A K~OKe? JO_O q_^ QiOz Yz`OQ
`O^? XH " JO_O q_^ HH` ZO^= H^ _ DsH ^~
`H=K?
l.., qY.
[. P xOQ sHx JO_ xOQ JO\O. JO> | `~OQ O`
K sH J#=@. J O_ sH~O Hh ^x `~OQx L`u KOk. P
|O =#Hq q#_^ . J~Ku Wq_ z# ^< x =# s~Oq^ Px J@~@
H^`, D | `~OQx s~OH O`~. D `~OQ s~Ox e qq^
\ # `H "#H =o D iH~O H K~ `~. J=h ZHxH Q Q =~KOk
HO@~ < (\.q.O\ `~) q^ K z`OQ U~_`~.
J~` D K z`x =#O Q~ @O. P<Q x} =`"
Q~@ QQ`~.
D O Q` 20 OII K Ja=$k KOkOk. ZH~ s~xH xK#@ ^x
`~OQ x K=. Q _="O@ LO_^. _~Q H` ZO`<
K_K. H#H s~Oe J=" J=iH, ^# ^, Hx ~H "^
"^Q "\x QiOK_xH <Q Q LQ_`Ok. JO_O q_^, O_O
~Q^, = Hx ~H O_ ^ _ `~.
JO_O (eH) A, ~Q^, Jk ye JO_O q_^ H=_O "II q+
JO_ xOQ ^~ `H=K.
J~` JO_O q_^ HH=_xH 'H~} =`O Hx `H O^~ `
JO_ = `e=.

13

JO_O q_^ Hk~A =O^ #Op JO_O (eH) ~Q^x xOQ


^~ Q=x~. |`KHx |\ P" JO_O q_^ KHx JOK< "
JO` 4, 5 ~A =O^#Op eH ~Q^x Q=x~. ~A q_z ~AHx,
J=~" `
~E Hx xOQ K~ . `^~ D eH iy ^^ , Q @O `O k.
eH ye#^O> JO_O q_^O^x J~O. JO_O H H#|_^. << H~Q
|+ H JO_O 10, 11, 12 ~A O`O "^ _`~.
K# : xOQH "@C_ H_xO_ =Ozh `y, =`O qiOKO_
"e. =`O` =` O xO_ LO>< xOQ Jx q=~ `eQ Q~ @
@
O
g=`Ok. J~` Wk @ #Oz K xOQH =iOk. W\= K~OH
=z# =~ ^u \< "*# (TV)/ <Q! n< JO_ iH~x xH KOz
< K~. D ^u xOQ K =`O x KH=# J=~O LO_^. U
^`# _ <, ^, JH~O LO_=.

HiH` P# J@` Pq_


< ~ 15 OII. ~# H` ZH_ _` JH_ ~#~O qq^
Oy= ~u [~< "O. J~` ~\= < ~ ~O@ `yOk.
~uH XH \# XCH=@O ^. '15 OII Q_z =^~ O_H==`< WOH
ze K+, ~`#O =@O ^. ZH_=H_ kQ*iH D K+q\ Jx
H~O@ HyOK O@, <~ JO@ JO`~ K`Ok. "H,
H"@ ^` ` =~ ^uH WC_ XCH^. ZO` |u=_` ZC_
XHi Hx XCH^. ~# H` ~Ax *HO K 'U g} g\` UO O?
ZH_ K~ " UO O? < s~ +=" ^. ZO^H }H? JO@
J_ K|`Ok. ''P = ^, P P#O^O "~ JO@Ok. k~A< ~u =@
Z`^. <# _ O`xH < H^x T~O> Zx ~A< Q_z `~ Hx `#O`
`# ~u H~^.
< LOk. =K # KO> < WO\x @ =s =s H#|_
=# _ `Ok. ~u YO HO Z=i<< P~^= Jx =# L|@ _ `Ok.
PK#` `<, =#H ^ HQ`~. < `~}O Uq\?
ZO.., =#yi.
[. g ~ @ PH `y=_xH U ~`~ H~}< g L`~x
|\ x~~OK_O H+O. Hx ^#OQ D" _ ~"*H O|OkOz# =
LOk. `# JO^O, += O, PH~}
H `y x, KHQ x J#q Oz, P#OkOK
= ^\ ~O^h D `~ <y\" eOQ P" |OQ L<~.
JH O|OkOz# <y\" eOQ LO> ~OQ K~= LO_^. Z^\ =H K~=x
HiOz, P#OkOK #` LO_^ . ~ O_O\ = =OQ =i`Ok.
'~ L<#, J L<#, Jq _e~<, Wq *i~< J< PK# Oz
P"# g~ HO` = _ =oOKH"e. ~, OHO ^`, ~O\

14

|~=... W=h "#O^= D = H =#H =u_, s~H J@ Z=


LO\~. H#H P"H g~ k#K~ O, P~, =#H T`O _ JOkOKe.
P" P~QOQ LO_ P~O q+O ^ fH"e. P"H P#O^O HeyOK
# K LO_e ( H=# ~A =`" HO_ x~O`~ ukH g^).
g P" PH~}"# JO U=< "\x "KH=_xH O^OKHO_.
g~ g @ _ ^ =Oz ZC _ \" Q, h\Q, O^Q LO_@O J=~K HO_.
QiOz, WO\ QiOz ^ =OKO_. _ ^`~_# ~x K
Ja=x~. g = H"} f~`Ok.
Wq HH g~ =iHx "" _ QiOKe.
~# H` ~~ HiH, L`= =#OQ L#@Q `~"`
LO_=. H` u XH~ `= Qq J=~g^, Ja~K q^ =#
xe "ix O`+ @_xH, `$ ~K_xH Z= u~. H#H W^i
J=~ XH L#@ `~. =#O =O = HO`, #`<#=O =,
^ ` ^~ |On #O^= HO` J\ = Hq \ Z=Q< LO@Ok.
PH~}OQ LO_# `O LO@Ok. J=h ~# ~# `y`~.
`e ~A O~OO, H` ^#O, k, `y H=^O K~@O "^ iH
~~ e^i H J=~# [OQ L# `_ |@ _`
~. P J=~
Hx Z= ` = |@ i`
= (L^: H#, OHO , L^Q ^ `,
PiH, =#H =, J<~Q, ~~ =^K_# O|O^, =Q~, =Q~)
_ U~_`#HO_. "`xH ^O` XHiH Z= ~ H= LO_@O,
~O_ "H ^x J=~O `" LO_@O ~=#OQ [~Q`Ok.
H=O K~x "_H P PHe ^ XH\, Jk K~^< =#H "^# XH\ ~O_
He ^# Z= K~. ''~ ## \OKH^. D"H HiH =...
H"x `OKO@Ok... U_OKx KOk. Z< =k, J< J<
LO_`Ok Jx g JxOz#> 'D# ZC_ Q_". Jk ` ~OH
^ LO_^ Jx P" J#O@Ok. e `OQ g~ J_Q Hn P" =_K `Ok.
H==~ `_ L# ^O` =^ =#OQ LO_ =, ~k!
JO@C_ ^O`e^~ q`OQ KiOKx, XHi J=~ J#Q}OQ
XH~ ~@ KH"e. g~ HO` `QO Ke. P" =iHO` =O^Hz
g J=~ f~e. XHi ~#, J~# XHiH `e ~ K< K ~^i H
LO_e. "\x ~O_="~ D_OKHO_ qx J~O KH"e. P Ja#
Q~qOz "\H J#Q}OQ ~H"e. '<H" WO@ ^ Jx P" JO> 'hHC_
~O@ LOk H#H, #"C_ WO`! Jx g~ D_OK~#HO_ P" JO
^| uO@Ok. =# Q_`Ok. 'ZO` K< D<C_ Ug K^<
~k_. ~O\ =x+x ZO`Hx O`$ ~K#? Jx J#x "^O@Ok.
`#O` `# K~= fH=_xH ~+_^. H#H P" =# HiH _`... 'O
Dx O`+_^O! O\ # ^~} Hey` P x x[OQ K KOK_xH

15

_ g =@ J_ ~_^.
Z#_ x _=O_ KHO_. H~O_. u~i, P" =_ J#OQ ^x
QOz T~HO_ ` kOKHO_.
g Kx W^~ OQ Ok g N=u QiOz, = QiOz
L# Hx J Q\, g ~^i XHi @ XH~ # "Yi HeQ
K`=.

<~ q`O^?
1. ~u K #_ Q~ O z <~ qC`O^O\~ x["<? <# ~u K@C_
< ~ `$ O^H< <# g~O q_^ K<#. W K g~O Q~OzH
`O^? |@ LO_`O^? < ~ 6 OII. WOH ~. g~O
Q~ O zH `O^ ^ Jx J#=#O. < g~O H} 95% L<x _H~ Q~
K~. < ~ _ O ^<~.
2. g~O < ~ L^HOQ L#_ q_^ K H `$ O^H q_^
K? Z q_^ K Q~OzH `Ok?
=~OQ
[. g g~O H} 95% L<x g~ "#k JO~OQ LOk. H}
OY, H^e H Q LO> i^. =#O QiOKQe y#g, xg =i Hx O_=K.
JQ g ~ q+O _ H 'Jh Q< L#@ H#|_< P" _
WO`=~ QiOKx ^+" / " LO_K. U = Z=i# O_ 6 U
@O_ LO_~ H^! g~ ^ W<ie\ O@~ sHh K~OKHO_.
2. g ~ `$ _H g~ g~O q_^ K@" =Oz ^u! ^x= g ~
_ ~uYO ^`Ok. Q~ HO~O _ HkQ `~KO@Ok. J~`
g~H} eH =_xH Q# P" ~u `$ HQe# x ^. g~ H}
XH^xHH\ J`HO_ K~Q =O^H D^O@ Qey#" LO_ P# g
~ c["H "`=~}=, Q~
HO~ " "\H =u~HOQ xHO g~
q_^ K# g~ ^=Ox H} KHQ Q~OH D^O@ `~. P"H
`$ HeQH g~ g~O q_^ K~, =O^ K~ J#k ^#O H^.
~u =O c["H q_^ K# g~O Q~OH "^. g~ H}
=`" eH "_`~. ^=O |@ Hi`Ok.
H#H g~ ~uH O|OkOz#O` =~ D kQ= K# \OKO_.
1. P" |+ H=OQ < < J=`# HO P" |+~# 10= ~A #Oz
20= ~A =~ ~A q_z ~A XHiH qOKO_ ~u #O_.
2. ~ "H ~O_ g~ #Oz ~u [i ^u< \OKO_.
3. ~u J#O`~O P" "O@< z=@O, H_QH=@O =Ozk H^.

16

~u #O H=@O ^
< "~* J~ 4 OII J~< =Q Ug O`$ ^. JOQ= Q<
OaOk. x eH "o< _ Ug ZO*"O@ LO_@O ^. < ~
_ 'Ug Q^ fO_ JO@Ok. W^iH `$ LO_@O ^. ZO` K<
g~ #O H=@O ^ . < QO J"@Ok. `$ _O> <# QO
K O\#. "O@< #==`Ok. ~u ZO` [i< #O H^. ^K <
= KO_.
l.., zHi@.
[. g~ "# =K~O K^.
1. g ~ Ki` QiOz = Hx q+ `ee.
2. g ~ ~ =^ Ja=<, Ja ^ , ^# Ok# O|O^ Z L<,
XHi @ XHi "Yi Uq\ W^ih J_y `H"e.
3. ~u J<, P_"<, `HOz g ~ J< gH"< J~+O, J<H L<?
4. "~O Zx~ ~u [~`<~? U ^u? U =O [~`<~?
q+x\ g ~~e^i =^ JOwH~O ^~`O^? ~u =O,
"`=~}O J#OQ L<? H , KC, WO\ " = O^_,
g i UHO`O H=@O O\q L<?
"^Q J<H ["| `eO_ g K =. ~ ~ e ^~
He OQ OkOKO_.
~ Q=xH: ZO` ~u [i< eOKH=_x * #O (RE=Retarded
Ejaculation) JO\O. RE ~O_ ~H 1. rq`O Z#_ = O^H=@O Wk
=s. 2. Hx O^~ =`" = O^H =@O. Wk HO_s. D ~O_
~HO _ =~<~. a) N l.. QO K O> `eQ # ==`Ok.
~=^ = aOK^. b) HO^iH HO`=Ok ` ~u `eQ =
HQ`Ok, HO`=Ok` ZO` H+_< = HQ^. QO KO>
= HQ=K, HQH=K. "`xH =, #= Hx O^~<
HQ`~. Hx O^~ HQ=.
= O^H =_xH ~ ^~}OQ s~H ^O_=. N l.. q+ O
sH ^ H~}O H^x x~~}Q K=K. ZO^HO> P# QO
KO> = HQ`Ok H#H, ~` ~u K#C_ =`" #O H^
H#H!
J~` J H~}"q@#k ~ ~x WO@~ K=~ KO! ~#
H >HH \OKH=@O #Kx Oy=, q^< \OK_O ~~ J=Q#,
=a=< OK@O, OuH"# , ^+O, " = eOQ,
=O^=i< qOK_O, |=O` o, uOQ L# _HQk "`=~}O,

17

Qq PH~}
OK@O, P" ~+ _ x ~, Q}, H}
O_@O..., `e~u
K^ J#" Z^~=@O, `~Q #"`
J==# _`
=< x~O`~
O, Q~ ^ ~}
O x` rq`O ~ _q<+#, ~ g~=O> JO LO^x `e_O
O\"" LO\~. "\x q+ O z `^# Q}OQ H k~ Q"x ~OkOKx
zH` K=.
0

Dr. DVR Poosha,Ph.d


Editor :Abhisarika
Consultant : Psychosexual Medicine
40 Indl. Estate
SAMALKOT A.P. - 533 440
India
Ph: +91-884-2327454
Fax: 2327965
email: question@sexualcounselling.com

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