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Sexologist in Surat
Confidential, medically sound treatment for sexual problems in men, women and couples – with Dr. Kalpesh Suryavanshi, MBBS, MD (Psychiatry). Karma Clinic, Adajan and Ekkyam Clinic, Majura Gate.
Sexual problems are common, they are medical, and they are treatable. What makes them difficult in India is not the condition itself but the silence around it, and the fact that so many people seeking help end up with someone who is not a qualified doctor at all.
Dr. Kalpesh Suryavanshi is an MBBS, MD (Psychiatry) trained at the Centre of Excellence in Mental Health, PGIMER and Dr. RML Hospital, New Delhi. Sexual medicine sits naturally alongside psychiatry because the two overlap constantly: anxiety, depression, relationship stress and the side effects of psychiatric medication are among the commonest causes of sexual difficulty, and diabetes, blood pressure and hormonal problems account for much of the rest.
Consultations are private, unhurried, and free of judgement. Nothing is discussed with anyone else without your permission.
What Is Treated
In men
- Erectile dysfunction (difficulty getting or keeping an erection)
- Premature ejaculation
- Delayed ejaculation or inability to ejaculate
- Low sexual desire
- Performance anxiety
In women
- Low desire and arousal difficulty
- Pain during intercourse (dyspareunia)
- Vaginismus
- Difficulty reaching orgasm
- Sexual difficulty after childbirth or menopause
For couples
- Mismatched desire between partners
- Loss of intimacy after years of marriage
- Difficulty conceiving linked to sexual problems
- Sexual difficulty after an affair or conflict
- Questions before marriage
Related concerns
- Compulsive pornography use
- Sexual side effects of antidepressants
- Sexual problems in diabetes or after heart disease
- Anxiety about sexual orientation or identity
- Worry caused by myths and misinformation
Sexual difficulty is also one of the most under-reported symptoms in psychiatry. Depression reduces desire, anxiety drives performance problems, and several commonly prescribed medicines affect sexual function. Where that is the cause, changing the treatment often resolves the problem without anything else being needed.
Why Sexual Problems Happen
The single most useful thing a qualified doctor does is work out which of these applies to you, because the treatments are completely different.
Physical causes
- Diabetes – one of the commonest causes of erectile dysfunction, and often the first sign that blood sugar is uncontrolled.
- High blood pressure and heart disease, and some of the medicines used to treat them.
- Hormonal problems – low testosterone, thyroid disorders, raised prolactin.
- Smoking, alcohol and cannabis, all of which directly impair sexual function.
- Obesity, poor sleep and sleep apnoea.
- Nerve or spinal problems, and the effects of some surgeries.
Psychological causes
- Performance anxiety – the fear of failing, which then causes the failure. This is the single most common cause in younger men.
- Depression and anxiety disorders.
- Relationship conflict, resentment or lack of communication.
- Guilt and misinformation, often from things read online or heard from friends.
- Past trauma or a painful first experience.
Erectile dysfunction can be an early warning sign of heart disease.
The arteries involved are smaller and are affected sooner. For men over 40, or anyone with diabetes, blood pressure problems or a family history of heart disease, a proper medical assessment matters – this is a symptom worth investigating, not just treating with a tablet.
Before You Consult Anyone: A Warning
Sexual health is the most exploited area of medicine in India. Hoardings, newspaper advertisements, roadside clinics and online sellers target exactly the embarrassment that stops people asking a proper doctor. A great deal of what patients arrive here having already tried is useless at best and dangerous at worst.
- Check the qualification, not the signboard. "Sexologist" is not a protected title in India. Ask what medical degree the person holds and whether they are registered with a State Medical Council. Any qualified doctor will tell you without hesitation.
- Be wary of guaranteed cures and fixed-price packages. No honest doctor can guarantee a result before examining you and knowing the cause.
- Avoid unlabelled powders, oils and "ayurvedic" capsules bought online. Several marketed products have been found to contain undeclared prescription drugs, steroids or heavy metals.
- Never buy prescription tablets without a consultation. Medicines for erectile dysfunction are genuinely effective, but they are dangerous in people taking nitrates for heart problems and can be unsafe in uncontrolled heart disease.
- Ignore anyone who blames masturbation, "loss of dhat" or nightfall for your symptoms. These are cultural myths, not medical causes, and a doctor who reinforces them is not treating you.
A real consultation involves history, examination where appropriate, blood tests where indicated, and an explanation of what is actually going on. If none of that happens, you are not seeing a doctor.
What the Consultation Involves
- A private conversation. You describe the problem in your own words, in Gujarati, Hindi, English or Marathi. You will be asked clear clinical questions – when it started, whether it happens every time, whether it happens alone as well as with a partner. These answers separate physical from psychological causes quickly.
- Medical history and examination. Diabetes, blood pressure, current medicines, smoking, alcohol, sleep and stress are all reviewed. Examination is carried out only where it is clinically necessary, and it is always explained first.
- Blood tests where indicated. Blood sugar and HbA1c, testosterone, thyroid function, prolactin, lipids. These are ordinary tests done at any laboratory.
- An explanation. What is causing the problem, how common it is, and what the options are – including how long treatment usually takes and what it is likely to cost.
- Treatment agreed with you. Nothing is prescribed before you understand it.
- Follow-up. Most conditions need review after a few weeks to adjust the plan.
How Sexual Problems Are Treated
Treating the underlying cause
Where diabetes, thyroid disease, low testosterone or a medication side effect is responsible, that is dealt with first. A surprising number of problems settle at this stage alone, particularly when an antidepressant can be switched to one with fewer sexual side effects.
Medication
Well-established prescription treatments exist for erectile dysfunction and for premature ejaculation, and they work well for most people when used correctly and safely. They are prescribed only after checking your heart history and current medicines, with the expected effect, the timing and the side effects explained beforehand.
Psychosexual therapy and counselling
For performance anxiety, low desire and difficulties rooted in the relationship, structured therapy works better than any tablet. This includes cognitive techniques for the anxiety cycle, graded exercises done privately at home, and correcting the misinformation that keeps the problem alive. Where a partner is willing to attend, progress is usually faster.
Treating associated depression or anxiety
Where a mood or anxiety disorder is part of the picture, treating it is part of treating the sexual problem. This is where being seen by a psychiatrist rather than a standalone practitioner genuinely helps – both sides are managed by the same doctor.
Lifestyle
Stopping smoking, reducing alcohol, treating sleep problems, exercise and weight loss all measurably improve sexual function. This is not filler advice: in younger men with mild erectile difficulty it is often the most effective single change.
Privacy
Consultations are one-to-one and strictly confidential, protected by medical ethics and by the Mental Healthcare Act, 2017 where it applies. Records are private. Nothing is disclosed to family, employers or anyone else without your written consent.
If attending in person is difficult, an initial online consultation by video is available, and many patients prefer to start that way.
Frequently Asked Questions
Is the consultation really confidential?
Yes, completely. You are seen alone, records are private, and nothing is shared with family or anyone else without your written consent. This is a routine part of medical practice and is protected by professional ethics and by law.
Do I need to bring my partner?
Not for the first visit. Many patients come alone and are treated successfully. For difficulties involving desire, pain during intercourse or long-standing relationship strain, involving your partner at some stage usually makes treatment faster and more durable, but that decision is yours.
Are erectile dysfunction and premature ejaculation curable?
Both respond well to treatment in the large majority of cases. Premature ejaculation in particular has effective medical and behavioural treatments. What matters is identifying the cause first: when the cause is diabetes or a medication side effect, treating that is the actual cure, whereas performance anxiety needs a different approach entirely.
Will I have to take medicine for life?
Usually not. Medication for erectile dysfunction is often used for a limited period while the underlying cause is treated and confidence returns, and many patients stop it afterwards. Where a permanent physical cause exists, long-term treatment may be appropriate, and that is discussed openly with you.
Are the capsules and oils advertised online safe?
Many are not. Products marketed for sexual problems have repeatedly been found to contain undeclared prescription drugs, steroids or heavy metals, and they are not subject to meaningful quality control. Prescription medicines for these conditions are genuinely effective, inexpensive as generics, and safe when prescribed after a proper check of your heart history and current medicines.
Do you treat women and couples as well?
Yes. Low desire, pain during intercourse, vaginismus, difficulty with orgasm and sexual difficulty after childbirth or around menopause are all treated. Couples are seen together where that is helpful, and this often overlaps with marriage counselling.
What is the difference between a psychiatrist treating this and a sexologist?
"Sexologist" is not a protected title in India, so anyone can use it. Dr. Kalpesh is a registered medical doctor with an MBBS and an MD in Psychiatry. That matters here because a large share of sexual problems are caused by anxiety, depression or psychiatric medication, and the remainder need a doctor who can recognise diabetes, hormonal disease or heart risk and investigate properly.
Consult a Qualified Doctor in Surat
Most sexual problems are treatable, and most people who delay treatment do so out of embarrassment rather than because nothing can be done. One confidential consultation will tell you what is actually causing it.
Consultations are private, unhurried and free of judgement.
Ekkyam Clinic – Majura GateC-9, Swaminarayan Complex, Majura Gate, Surat 395002Karma Sex & Psychiatric Clinic – Adajan401, Suhas Building, above Mahalaxmi Juice Center, Adajan, Surat
Dr. Kalpesh Suryavanshi consults at both clinics. Book an appointment on WhatsApp, or call 84602 48445.
Book Appointment 84602 48445