Impotence often comes without warning and can strike even the most virile stud like a bolt of lightning. How much of a risk do you face ? CHECK IT OUT HERE

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Sex is Not a Four-Letter Word

Publisher: Rupa & Co., India

A sex edutainment book by Dr. Sudhakar Krishnamurti...More

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A G A S S I 'Ageing, Gender, Andrology, & Sexual (Sciences), Society of India' Click here for more details

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Before the advent of andrology, it was both thought and taught that impotence was psychological in origin. Epoch-making andrologic research in the past decade has shattered this myth and today it is known that in 80-90% of such cases, there is a physical (organic) cause rather than a purely psychological (functional) one. from THE SCIENCE OF ANDROLOGY

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People with alternative sexuality are often a very disturbed lot who have a tough time being understood and accepted even by family and friends. This Help Line for transsexuals allows you to anonymously share your views with others, and have all your doubts and fears clarified by our medical specialists. Read about others with similar difficulties and about how so many have overcome their problems with timely treatment. You can send an email - either for advice from Dr.Sudhakar Krishnamurti, Andrologist and Microsurgeon, or to share your views with others on this page. In strict confidence. Because if your message is published here it will be under a false name, and under no circumstances will we divulge e-mail addresses of people who write in. Send an Email now

SOME QUESTIONS ON FEMALE TO MALE - Barbara (for now), USA I am 16 years old and I have always felt like a boy. Right now I am having a relationship with a girl who has no idea that I'm really a girl too. I feel I am suppossed to be a boy because I interact much better with people as one. I am seriously considering a sex change and I wondered what kind of information there is on it. Some questions I have are: Can a FTM have a fully functioning penis? Can scars be hidden well? How does your record change for the government? People can't find out easily that you used to be a girl can they? Dr. Sudhakar Krishnamurti replies... Your feelings are not uncommon, nor is the relationship you are in. That you interact better as a boy could indicate true transsexualism. However, you will require a full psychosexual and medical evaluation to determine that. For information on FTM sex change, there are lots of websites and support groups. Try searching in one of the major Search Engines. Details are outside the scope of this column. Now, the questions you asked... A fully functioning penis is possible if an inflatable prosthesis is inserted into the neophallus. This is a tricky operation, and one that must be performed only by experienced experts. Generally, scars in the genital region get hidden pretty well. But sometimes the donor areas, particularly if there's a radial artery free forearm flap taken, scar quite badly. Other determinants of scarring are surgical technique, surgical complications e.g. infections or fistulae, skin color etc.. Dark-skinned patients usually scar more than light-skinned ones. Government record changes depend on the law of the country. It varies. A few countries like the Netherlands and Sweden have very liberal policies for transsexuals. By contrast, a conservative theocracy can make a transsexual’s life miserable. Can people find out if you used to be a girl? Well, it depends on how well the reassignment job's been done, how motivated you are, and who's judging you. But if all three factors are favorable, it's sometimes nearly impossible to tell. Some conversions are truly unbelievable. FRUSTRATING SERIES OF SURGERIES - Henry, USA I am extremely interested in any new advances in phallaplasty. I am a 42 yr old FtoM transsexual although I despise the term. I have undergone 50 surgeries at the hand of a money hungry surgeon that has left me with 1 testicle implant properly positioned and one that is lost somewhere and a penis that is 1 and a half inches long, the only good thing is that the urinary hook-up worked. If you are looking for a willing patient I am your man. Dr. Sudhakar Krishnamurti replies... Could you please send details of what's been done thus far, as well as a detailed case history from Day 1? HORMONE PRODUCTS - S.H.,Europe I am a Transvestite. I've had a friend, who is a doctor of gynaecology. Two years I got hormones. But then he has to take a job in a foreign country so that I can't get other hormone-products. I don't want to go to another doctor. Is it possible to buy hormone products for breast development? Please can you help? If not, please inform me about a net-adress where I can buy the same. Dr. Sudhakar Krishnamurti replies... What country are you in and what drug were you taking earlier? If I have this information, I might be able to suggest something, but it's not a good idea to take these drugs without medical supervision. INTERSEX DISORDER - P.S.M, Bombay, India I am 17 years old and have been brought up as a girl. Indeed, I think I am one and feel like one. Over the last few years however, I have developed a beard, my voice has turned gruff and I have hypertrophy of the clitoris. There is no breast development and I have not started menstruating like my other friends. I am devastated. My family and friends treat me like I am some kind of curse. What is my problem? Is it curable? Dr. Sudhakar Krishnamurti replies... You seem to be having an intersex disorder. This is a complex group of conditions where gender differentiation and delineation are abnormal leading to the development after puberty of girls becoming masculine and boys becoming effeminate. In developing countries these conditions are often detected quite late. You will need a detailed physical examination and some laboratory tests before a final diagnosis can be made and treatment is suggested.

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