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Some sexual difficulties exist just because people believe in them.
One such difficulty is dhat syndrome, a phenomenon that leads a significant number of Indian as well as Asian men to think that they are experiencing weakness, fatigue and weight loss due to the loss of semen through urine.
There is no medical or scientific basis to this anxiety. Urine and semen can never mix, because unless the urinary door closes, the semen will not come out.
I get a lot of patients expressing anxiety over dhat syndrome from South Asia and Central Asia, but never from America or Europe. My own theory is that dhat syndrome occurs because of our toilet habits. We sit in a squatting manner and due to the position we assume, are tempted to look down. The problem with that is we can confuse the sticky fluid coming out of the urethral opening as semen, leading to unnecessary anxiety.
Their anxiety is heightened further by quacks who take out advertisements promising cure for dhat syndrome. What the eyes do not see, the mind does not perceive. Jo dekha who bhasgaya, jo nahi dekha wo bachgaya (those who see will fall in the trap, those who do not see are safe).
A doctor should bring clarity to a patient by explaining this, without that just prescribing medicine is going to be of no use.
Sexual medicine needs to be a specialised branch. Only then a doctor will get the necessary training and gain clarity over the fundamentals. Without that treating a patient won’t be of much help. Can you play a piano by just reading a book or looking at the musical notes? It’s the same. You need to have practical knowledge to be a successful doctor.
(Continues)
(In conversation with Sangeeth Sebastian, writer and founder, Vvox, a sextech platform. The biography is a part of an AKADialog initiative to capture the lives of newsmakers.)