Model Town, Delhi
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- Diseases & Ayurveda
- Sexual Problems
9 conditions we keep a page for
Ayurvedic treatment for sexual and reproductive health
This is the part of medicine where people buy a promise, because the alternative feels like an admission — so the nine pages below say plainly what each condition actually needs. Infections are cured by antibiotics and by treating your partner at the same time, not by herbs, and a plan here never asks you to delay that. Erections, ejaculation and fertility are usually a question of blood vessels, hormones, nerves, medicines, weight and anxiety, and the useful work is finding out which of those applies to you. What we add is the part no one else has time for: the long conversation, the metabolic ground, symptom relief alongside your treatment, and follow-up on laboratory numbers rather than on hope.
A testicle that turned painful and swollen within the last few hours, an erection lasting more than four hours, a snapping sound with sudden swelling during sex, fever with a genital ulcer, or new visual or neurological symptoms after an untreated infection — those are same-day emergencies. Go now, and tell us afterwards so the plan can be rebuilt around what happened.
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What we keep a page for under sexual health
Each of these has its own page — symptoms, the Ayurvedic reading of the condition, what treatment looks like and the questions patients ask before they book.
Erectile Dysfunction
Difficulty getting or keeping an erection sufficient for sex. Gradual onset with morning erections lost is a different problem from sudden, situational onset in a young man — an erection is a blood-vessel event, so the workup looks like a vascular one: blood pressure, sugar, lipids, weight, smoking and a morning testosterone.
Read this pageOligospermia
A low sperm count. Two samples two to three months apart are needed before the number is real, because sperm take about seventy-four days to be produced. The cause has to be named first — varicocele, hormonal, prior infection, heat, smoking, medicines, or genuinely unexplained — because each is treated differently and some of them are reversible.
Read this pageAzoospermia
No sperm detected in the ejaculate. There are three separate situations here: a blockage, a testicle that is not producing, and a missing pituitary signal. Only the third is usually corrected with medicines, prescribed by a reproductive endocrinologist; the first two need surgical retrieval with IVF or ICSI. No herbal preparation opens a blocked vas.
Read this pageLow AMH
A blood marker of how many eggs the ovary has left. It changes what a fertility specialist expects; it is not a verdict on whether you can conceive, and age and antral follicle count carry more weight. Nothing, Ayurvedic or otherwise, has been shown to raise AMH. The honest work is the treatable surroundings and a timely referral.
Read this pageChlamydia
The most common bacterial sexually transmitted infection, and the one most often silent, especially in women. Untreated it climbs: pelvic inflammatory disease, tubal damage and ectopic pregnancy in women, epididymitis in men, reactive arthritis in either. Cured by a short course of the right antibiotic and by treating every partner at the same time.
Read this pageGonorrhea
Pus-like discharge and burning urination in men; often minimal symptoms in women, which is how it reaches the fallopian tubes. Gonorrhoea is among the fastest-evolving resistant bacteria worldwide, so the injection your doctor recommends is not optional and cannot be substituted. We help with the irritation and the recovery afterwards.
Read this pageTrichomoniasis
A parasite rather than a bacterium, and it infects men and women. Frothy discharge, itching, burning, soreness after sex; most men carry it without noticing. Cleared by one course of metronidazole or tinidazole taken by both partners together — and it raises the risk of acquiring and passing on HIV, the less well-known reason to treat it properly.
Read this pageSyphilis
The infection that is missed twice: a painless ulcer that heals by itself, then a rash, then years of silence before it reaches the brain, eyes, heart or nerves. One injection of benzathine penicillin cures early syphilis. Late disease is the clearest example in medicine of a curable infection becoming an irreversible injury through delay.
Read this pageHIV AIDS
HIV is a manageable chronic infection, and the management is antiretroviral tablets for life, supplied free at government ART centres. Taken properly they bring the virus below detection, at which point it is not sexually transmissible — the single most important fact about HIV today. Our role is supportive only, alongside that and never instead of it.
Read this page
Not sure which page is yours? Browse all 160 conditions or send the report to a physician.
How a sexual-health plan is built at Aksa
Nothing here is prescribed before the history is finished, because in this field the history is most of the diagnosis — and it has to be a specific one: gradual or sudden, with one partner or every partner, morning erections present or absent, which symptom and for how long, what you have already taken, and what a laboratory actually reported. Where a specialist's treatment is required — an antibiotic, an ART regimen, an andrology or reproductive-medicine workup — that comes first and the plan is built around it.
- 01
You share your details
Name, number, the concern in your own words, your age, and whether you would rather come alone or with your partner. A care coordinator calls you back, says what to bring and which physician to see, and does not discuss your reason for visiting with anyone who accompanies you.
- 02
The appointment is confirmed
At the Model Town or Burari clinic, or on a video consultation for a report you do not understand, a follow-up question, or a function concern where an examination would add nothing. For a first assessment of a discharge, an ulcer, a lump, scrotal pain or infertility, come in person.
- 03
The conversation, then the examination
Onset and pattern, morning and masturbatory erections, every medicine including gym supplements, smoking, alcohol and cannabis, weight and sleep, relationship pressure; partner symptoms and previous treatment. For women: cycles, pain, discharge, lubrication, contraception and any fertility treatment already begun. Then blood pressure, weight and waist, and where indicated a genital and scrotal examination and the swabs that go with it.
- 04
A plan, and the tests that settle it
Herbal medicines chosen for your presentation and your metabolic background, a written food, sleep, weight and activity plan, taught techniques for ejaculation and anxiety-related problems, partner-timing advice, and the specific tests still outstanding with what each one would change. If an antibiotic, an ART regimen or a surgical opinion is needed, that referral is written the same day.
- 05
Reviews on results, not on a course length
A repeat semen analysis at three months rather than a guess at improvement, a test-of-cure where guidelines ask for one, syphilis titres, viral load and CD4 where an ART centre is following them, and blood pressure, sugar and lipids where erection quality was the presenting clue. If the direction has to change, it changes — and the doctor who wrote your other treatment is told.
What the physician reads
- Onset: gradual over years, or sudden since a specific event; constant, or only with one partner; worse under pressure
- Morning and nocturnal erections, and erections during masturbation — the single most useful question in an erectile complaint
- Ejaculation: time from penetration, sense of control, whether it happens before penetration, and whose concern it has become
- Desire, and whether it fell alongside the erection problem or independently of it
- Every medicine: antidepressants, finasteride for hair, spironolactone, beta-blockers, other blood-pressure drugs, antipsychotics, opioids — and any testosterone or gym supplement
- Smoking, alcohol, cannabis and recreational drugs: how much, how often, how long
- Weight, waist, activity, sleep, snoring, shift work, and job-related heat or chemical exposure
- Diabetes, blood pressure, thyroid, prolactin, anaemia, depression and anxiety — with the most recent reports for each
- Discharge: colour, amount, time of day, blood, burning on urination; ulcers, bumps, warts and itching, with their dates
- For men: testicular size and consistency, lumps, a dilated vein, past mumps, torsion, hernia repair, undescended testis, chemotherapy or radiation, vasectomy
- For women: cycle length and regularity, pain with periods or sex, bleeding after sex, discharge, contraception, prior pregnancies and losses, and any infertility treatment already begun
- Partners: how many, whether they have symptoms, whether they have been tested or treated, condom use, and any exposure before or during a pregnancy
- Anything already taken for this problem — including over-the-counter capsules and injections, and what was on the pack if you still have it
- Previous STI tests and treatments, HIV status for you and your partner, and any transfusion, dialysis, tattoo or shared-needle history
- What you are afraid of, and who you are afraid will find out. Here that is part of the history, not a preamble to it.
Your reports, in plain language
Sexual-health reports are the easiest to misread, because a single abnormal number is normal in this field and the units are unfamiliar. Bring the printed report with its date and its reference range; if a number was only ever told to you verbally, write down what you remember before the visit.
- Semen analysis (two samples)
- Volume, count per millilitre, total and progressive motility, normal forms, plus pH, liquefaction and white cells. Read the range printed on your own report, because reference values change. One sample proves very little: two, two to three months apart, after two to five days of abstinence, are the minimum.
- FSH, LH, total testosterone and prolactin
- The three-way question behind a low count or falling erections: is the problem in the testicle (FSH and LH high), in the pituitary signal (both low), or neither. Testosterone must be a fasting morning sample and repeated; prolactin is checked because a raised value explains both desire and sperm.
- Scrotal ultrasound with Doppler
- Varicocele — the dilated vein that raises testicular temperature and is the most common correctable cause of a poor count — along with testicular volume and texture, obstruction, cysts, and the blood flow that separates torsion from infection.
- NAAT for chlamydia and gonorrhoea
- A urine sample in men, a vaginal or cervical swab in women, and throat or rectal samples where the exposure warrants them. This is the test that finds the silent infection, and it is considerably more accurate than a swab grown in the laboratory.
- Syphilis serology (RPR or VDRL plus a treponemal test)
- Two tests answering different questions: the treponemal test says whether you have ever been infected, and the RPR titre says how active it is and is the number used to prove treatment worked. Both can be negative in the first weeks, so a recent exposure is retested.
- HIV testing (fourth-generation antigen/antibody), with hepatitis B and C
- One blood test, offered to anyone with an STI, because these infections travel together. A reactive screen is confirmed by a second algorithm before anything is concluded. Government testing is free and confidential, and a result is not passed to your family.
- HIV viral load and CD4 count
- Once HIV is diagnosed these two numbers decide and monitor treatment. Viral load is the number that matters for your health and for transmission — suppressed means not sexually transmissible — and CD4 records how much immune recovery has occurred. Herbal medicines change neither, which is precisely why nothing may replace ART.
- AMH, antral follicle count, day-2 FSH, estradiol and thyroid
- Ovarian reserve, read as a set and against your age. AMH alone is not a fertility verdict and cannot be raised by any medicine; age and the follicle count carry more weight in deciding what a specialist does next.
- Blood pressure, fasting glucose or HbA1c, and a lipid profile
- Not a formality in erectile complaints. Small arteries fail before large ones do, so new erectile difficulty is a reason to look at sugar, pressure and lipids — it is often the first visible sign of vascular disease, and the earliest warning a man usually ignores.
- Urine routine and culture, and urethral or cervical smear
- Burning and discharge have a long list of causes, several of them not infections at all. Culture with sensitivity matters more than it used to: gonorrhoea resistance is rising, and the wrong antibiotic is a delay rather than a treatment.
- Karyotype, Y-chromosome microdeletion and CFTR testing
- Ordered in men with no sperm at all, before any attempt at surgical retrieval. They decide whether retrieval is likely to succeed and what would be passed to a child — the reason an azoospermia workup belongs with a reproductive-medicine unit rather than with a prescription.
- Partner testing and test-of-cure
- The report that ends the loop. In chlamydia, gonorrhoea and trichomoniasis, treating one person and not the other returns the infection within weeks, and repeat testing at three months is standard rather than cautious. In pregnancy, untreated infection costs the baby, not only the mother.
None of this is ordered as a package. A test is asked for when the answer would change the plan — and much of it is free: government STI and ART centres supply testing and treatment at no cost, and a NACO centre does not need a prescription from us. We will tell you which reports you already have that are still valid instead of making you pay for them twice.
What Ayurveda can do here — and what it cannot
Two things cause most of the harm in this field: antibiotics delayed in favour of herbs, and an infertility or HIV result treated as a sentence rather than a finding. Both are avoidable with plain information. What follows is what a plan at Aksa changes and what it does not, written so you can judge any clinic against it — including ours.
What a plan here is for
- Erectile difficulty with a strong anxiety and performance-pressure component, and the situational, gradual, younger presentations where the cause is not primarily vascular
- The metabolic and lifestyle ground underneath function and fertility — weight, waist, sleep, alcohol, smoking, activity, sugar and lipid control — which genuinely moves both erection quality and semen parameters
- Ejaculation problems, taught properly: start-and-stop and squeeze technique, sensate-focus work with a partner, pelvic-floor exercise, and the failure-anxiety cycle broken rather than medicated
- Symptom relief alongside the antimicrobials that do the curing — discharge, burning, irritation, pelvic discomfort, and the inflammation that lingers after the organism is gone
- Fertility groundwork alongside an andrology or reproductive-medicine unit: heat and occupational exposure, timing, weight, thyroid and insulin, vitamin D, and the emotional load of cycles and waiting
- Support alongside lifelong HIV treatment — appetite, weight, energy, oral and skin problems, neuropathic symptoms, sleep, the liver, and the daily discipline of taking tablets — with the regimen itself untouched
- The conversation nobody has time for: shame, avoidance, relationship strain, disclosure, and the fear of being recognised at a clinic door
- Recurrence — the untreated partner, the reinfection loop, condom and hygiene advice that is actually usable, and the reason a second infection is worse than the first
- Clear referral timing: to a urologist or andrologist, a gynaecologist in reproductive medicine, a dermatologist-venereologist, an ART centre, or an emergency department, with what to say when you arrive
What it is not
- Chlamydia, gonorrhoea, syphilis and trichomoniasis are cured by guideline antibiotics given to you and to every partner at the same time. No herbal preparation reliably clears them, and the price of trying is not the infection — it is the fallopian tube, the epididymis, the baby, the brain
- HIV is treated with antiretroviral tablets for life, supplied free at government ART centres. Nothing here lowers viral load, and an unsuppressed virus is still passed on. Post-exposure prophylaxis must begin within seventy-two hours: that is a same-day visit to an ART centre or emergency department, not a consultation with us
- Syphilis that has reached the eyes, nerves or heart needs intravenous penicillin and specialist care. The damage of late disease is not reversed by anything, and the delay that caused it is the one part that was avoidable
- Low AMH cannot be raised by any medicine. A clinic that promises to improve your ovarian reserve is selling you a number that does not move; the honest work is the treatable surroundings and a referral made early enough to matter
- Azoospermia from a blockage or from testicular failure is not corrected by oral medicine — it needs surgical retrieval with IVF or ICSI, and a genetic workup first. Hormonal, pituitary azoospermia is the reversible one, and its treatment is gonadotropins prescribed by an endocrinologist
- If you inject testosterone or take anabolic steroids, stop and say so: they shut down sperm production and are a common, entirely missed cause of a zero count. A testosterone booster will make this worse, not better
- Erectile medicines are not a dependence to escape. Sildenafil-type tablets are first-line and safe for most men, and refusing them is not a virtue. One hard rule: never with nitrates such as nitroglycerin or isosorbide, or with amyl nitrite poppers — the combination drops blood pressure to a fatal level
- Much of what is sold online as herbal sex power or stamina is not herbal: undeclared sildenafil and tadalafil analogues are repeatedly found in these products, sometimes at several times a normal dose, which is how men with heart disease end up in an emergency department. Bring the pack; do not take it quietly
- Some problems are measured in hours, not weeks: an erection lasting more than four hours, a sudden snap and swelling during sex, a testicle that became painful and swollen this morning, fever with a genital ulcer. Those are emergency care first, always
- Nobody at Aksa will ask you to stop, delay or replace a prescribed antibiotic, an antiretroviral regimen, fertility treatment or a surgical opinion. If your condition is one where we can only support, you will hear that at the first sitting, along with who to see and how soon
- The oil-pouring, medicated-massage and purifying procedures advertised across this field are not offered at Aksa, and no plan here promises a cure within a fixed number of days
Infertility, a sexually transmitted infection and a sexual-function problem are three different medical conversations, and the honest answer differs in each. What they share is delay: the infection treated quietly for a year, the count reassessed by hope instead of a laboratory, the erection problem solved by an unlabelled capsule. A plan here earns its place by shortening that delay, not by promising you a different diagnosis.
Who you actually sit with
B.A.M.S physicians at the two Delhi clinics. Consultation is with one of them, not with a counsellor.
Where you can be seen
Two clinics in Delhi, or a video consultation from anywhere in India.
Burari, Delhi
2nd Floor, PVT. 449, KH. No. 137/5/11, Block B, Sant Nagar, Burari, Delhi – 110084
Open all days
Timings and directionsVideo consultation
Speak to the physician from home, with your reports on screen. Prescribed medicines are delivered across India.
How a video consultation runsFrequently asked questions
Sometimes it improves it, and sometimes it is the wrong tool — which one depends on what kind you have. Sudden onset, present with one partner and not another, morning erections intact: that is performance anxiety, and it responds well to behavioural and psychological work, plus sleep, alcohol and weight. Gradual onset over years, morning erections gone, and you carry a waist, a sugar or a blood-pressure problem: that is arteries, and no herb restores flow. In that second case what we do is reduce the risk factors, treat whatever else is fixable — testosterone, thyroid, depression, a medicine that is causing it — and keep the tablet your doctor prescribed. One thing I would insist on regardless: new erectile difficulty is a vascular warning sign. Get your blood pressure, sugar and lipids checked whatever you decide to take.
Other treatment categories
The same structure on every category: real pages, written by the physicians who treat them.
Medical disclaimer: this page is educational and is not a substitute for professional medical advice, diagnosis or treatment. Sexually transmitted infections are cured by guideline antimicrobials given to you and to your partners; HIV is treated with lifelong antiretroviral therapy supplied free through government ART centres; fertility problems are worked up by an andrology or reproductive-medicine unit. Do not stop, delay or replace prescribed antibiotics, antiretrovirals or fertility treatment. Seek emergency care for an erection lasting more than four hours, sudden penile injury during sex, severe testicular pain and swelling within hours, fever with a genital ulcer, or neurological or visual symptoms after untreated syphilis.
Bring your reports. Say the thing you have not said to anyone.
A consultation with a B.A.M.S physician, a plain reading of your semen analysis, STI panel or AMH report, an honest answer on what a plan can change in your condition and what must stay with a urologist, venereologist, reproductive-medicine specialist or ART centre — and nothing said to your family.