Oophorectomy (the surgical removal of ovaries) and hysterectomy (surgical removal of uterus) can cause all the symptoms of menopause. Estrogen and progesterone levels will fall drastically as these hormones are mainly produced by the ovaries. Testosterone production will also be affected. These hormonal imbalances my have serious consequences such as cardiovascular problems, mental tension, impairment of mental functions, irritability, decline in sexual function etc. Loss of sexual desire, loss of ability for sexual arousal and vaginal dryness are most common symptoms. Due to this the woman may have severe pain during the sexual intercourse. This is one of the reasons for avoiding sexual contact. Oophorectomy can cause both physical and psychological disturbances. Treatment includes hormone replacement therapy and psychological support. Your wife needs the help of a Gynecologist and Clinical Psychologist. This problem can be solved. You can consult a team of doctors including gynecologist and clinical psychologist with expertise in dealing with such conditions. Combined treatment will be most effective in this case.

It may be sign of some infection. Most probably a bacterial infection. It is better to consult a gynecologist and to take treatment. I went through your case file. You have bilateral varicocele and asthenospermia which can reduce the chances for pregnancy. You need to undergo treatment for varicocele.

Pain after ejaculation may be due to infection or inflammation of your prostate. It can be treated with medication. Problem in passing urine may be due to a stricture urethra. Stricuture is a  narrowing of urethra due to some reasons. You must consult an andrologist and get your problem treated at the earliest. Otherwiseit is likely to get worsened. If you treat your problems and recover from it your sexual satisfaction will improve.

Please refer the answer given to previous question

There is no medicine to increase the size of penis. Only method is operation and it is done rarely only when it is indicated. It is only your thinking that your wife may not be satisfied. Why don t you ask her that whether she is satisfied. Many people think certain foolish ideas without sufficient reason or evidence and worry about it for life long. In fact their conviction or belief may not be true and spoiling the whole life keeps on worrying about it. First you discuss your problem with wife. If she says that there is a problem then you think of treatment. Premature ejacualtion can be treated. Control your sugar levels with appropriate medicines. Diabetes can affect your erectile ability. So it is important to take proper treatment, diet control and excersise for Diabetes mellitus.

No medicines can be presribed based on a letter or phone call. PE can be treated and cured as I have mentioned in the previous answers. You can consult a doctor in DUbai for the time being and take treatment.

Treatment of PE needs 1 to 6 months time. In certain cases it may go up to one year to achieve a permanent solution. It is a curable disease provided you undergo a very systematic scientific treatment using modern medicine(Allopathy) and sex therapy. Please consult an andrologist or a sex therapist at your place, it can be cured.

There is no piils available to develop interst. You need a full evaluation to find out the cause. Most probably it may be a psychological problem. But only after the investigations it can be identified. A treatment package has to be made based on the results and the findings from clinical evaluation. You consult a doctor. You must take your wife also when you go for consultation. You may need the treatment of a team of doctors depending on the etiology of the problem.

Form your letter I understand that you need a consultation. Without examining your body an opinion cannot be given. Please consult an andrologist in your place.

You can call to 0484 2555301 or 2555304 between 9.00AM & 6.00Pm