Brief Answer:
Kegel exercises strengthen pelvic floor

Detailed Answer:
Hi
Thanks for the query and i can understand your concern
Loose Vagina is due to loss of Elasticity of Vagina -
Many women have experienced the exact same concerns, particularly after having several children and in old age
Kegel exercises strengthen pelvic floor muscles, the muscles that stretch during childbirth. They help improve sexual pleasure (more intense orgasms) by making the muscles stronger and more elastic, and they can improve bladder tone so that you don't leak urine. They won't, however, actually make your vagina smaller, but they can make the opening tighter.

Here's how to do Kegel exercises:

When you're peeing, clench (without your hands) your muscles to stop the flow of urine for about four seconds. Then release those same muscles to let the urine flow again. These are your pelvic floor muscles; these are the muscles you'll be exercising when you do Kegels.

If you want to check and make sure that you're using the right muscles, put a finger or two into your vagina. Tighten the muscles. If you can feel your fingers being squeezed (even just a little), then you've located the right muscles.
About five to ten times a day, repeat the Kegels ten times per session.

It can take up to 8 to 10 weeks to notice improvement, and there will most certainly be improvement. Like any kind of weight lifting or muscle building exercises, Kegels take time to make a difference! (Adding a vaginal barbell to your regular Kegel exercise routine can help. They are available at specialty stores that carry sex toys or sexual enhancement items.)

If you have severe problems due to vaginal stretching, some health care providers will recommend surgery - vaginoplasty this is usually a last option.

Take care
Regards
Dr Priyanka

---

Brief Answer:
Erectile dysfunction

Detailed Answer:
Hi
Thanks again
If you are physically fit and without any disease, sex counseling,couple therapy Technique can help in erectile dysfunction. For this you need to involve your partner/wife in therapy.Psychiatrist or qualified sexologist is the doctor to be consulted in this case.

There are some natural lifestyle measures which help to improve blood flow to penis and overall sexual performance.

- The most important factor is healthy heart. Blood is pumped in to body by heart.So regular exercise and avoidance of fatty fast food are important measures to prevent heart disease. Regular walking, swimming or running overall improves blood flow to whole body circulation including penis and keep the mind fresh.

- Good healthy food is also an important aspect. Bananas, Garlic, dry fruits(they contains vitamins), eggs, cow milk, cow butter are good food which may help in erectile dysfunction.

- Avoid smoking and alcohol. Low amount of alcohol can help in increasing blood flow but more amount can cause opposite effects. So better to avoid the same.


Another medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate is very helpful in patients..You should take it after meal twice a day. If you feel some improvement in 20 days you should continue for at least 2 months. You may get this medicine over the counter as it is vitamin product.You may need to consult doctor before taking any tablets.

When someone has erectile dysfunction due to any reason and penis does not get erect sufficiently then medicines are needed.

5- PDE inhibitor group of medicines like sildenafil or tadalafil are used. One of them should be used 2 hours prior to sex. They causes headache,stuffy nose nausea and gastric discomfort like common side effects. Proper physical check up of cardiac system should be done by a doctor before starting the same.These are prescription medicines and you need to consult doctor/psychiatrist/sexologist for the prescription.

Take care
Regards
Dr Priyanka

---