• When to go to the sexologist?

    Before going to the sexologist in Delhi, many people have spent time asking questions such as: What professional can help me with this sexual problem? Is it time to go to a sexologist? What problems does a sexologist treat? Why do people go to a sexologist?

    A sexologist is a professional who has completed MBBS, MD, and who develops tasks related to sex education, sexual information or orientation, sexual dysfunctions, and sexological counseling and/or sex and couples therapy.

    Therefore, one of the tasks that sexologists frequently perform is caring for people with sexual and/or relationship difficulties or problems.

    What problems does a sexologist treat?

    At Dr P K Gupta Sexologist Clinic in Delhi, people with difficulties or problems in their sexuality are cared for, as well as people with doubts or concerns about sexuality, couples or affective relationships.

    Therefore, it is common for people to attend the sexology consultation:

    • Worried because they feel that their erotic desire is too high or too low.
    • Difficulty enjoying or having pleasure in sexual intercourse.
    • With relationship or relationship problems (to understand or communicate, or to establish affective relationships and manage them…).
    • With pain during intercourse or penetration.
    • With doubts or concerns about their identity (how do I define myself: female, male, non-binary person…) or their sexual orientation (who do I like? which people attract me and to what degree?), as well as the management of these aspects in a society that does not quite accept diversity as the richness that it is.
    • With concerns about the management of what society considers “masculine” and “feminine”, their assigned roles and roles, and to what extent the person feels they fit (or not) into all of this.
    • Concerned that their penis does not become erect, or the erection is lost during sexual encounters (erectile dysfunction, erection problems, “impotence”…)
    • Worried that they ejaculate before or after what they want, or what they consider appropriate (sometimes called “premature ejaculation” or “delayed ejaculation”…)
    • Difficulty reaching orgasm or enjoying it.
    • Concerned because they do not achieve penetration (vaginismus).
    • With difficulty managing non-monogamous or non-conventional relationships (polyamory, open relationships, liberal personalities, swinger couples…).
    • With difficulty managing monogamous couple relationships (infidelity, jealousy, affective dilemmas, couple crisis…).
    • In need of support after a love break or disappointment (love duels, breach of trust in the couple…)
    • In need of support to facilitate sexual education in the family (mothers and/or fathers who want to offer their children adequate sexual education and do not know how to do it, mothers and/or fathers of LGTBIQA+ children who want to provide them with the best support, such as mothers or fathers of trans minors…)
    • In need of support to manage non-normative erotic desires (“parafilas”, erotic peculiarities…) or non-conventional relationships (liberal people, kink…)
    • Worried about feeling sexual, erotic or relational dissatisfaction.
    • In need of support in personal and affective crises.
    • With couple difficulties (problems with routine, loss of attraction…)
    • And with other worries, problems or difficulties (abuse, shyness, difficulty establishing relationships or maintaining them, problems with body image and acceptance, fears…).

    As we can see, a wide variety of difficulties (or problems, or concerns) are dealt with in the sexology consultation. Occasionally, and as we have mentioned on other occasions, there is the collaboration of other professionals (urology, gynecology, pelvic floor physiotherapy…).

    But it’s not all “sexual problems”

    Although it is less frequent, in our work as sexologists we also find that there are people who come to a consultation simply to ask about a matter that they are unaware of, related to sexuality, or to clarify a doubt, or to enrich and improve a sexual life that already exists. 

    And, of course, and linking to the above, people who are dedicated to sexology also carry out sexual education at all ages, adapted to the people or group in question.

    Is it time to go to a sexologist?

    In our work as sexologists we have seen that people have traditionally found it difficult to go to a sexologist doctor in Delhi, often thinking about it for a long time before going, or going when the problem was already serious or they had been suffering from it for several years.

    But for some time now, we have seen that the situation is changing, people are valuing mental and sexual health more and the taboo that existed in this regard (if a person went to a psychologist or a sexologist, it was very difficult for them to discuss it with their friends or relatives) is disappearing.

    Possibly the fact that many people with mental health problems are sharing it on networks (or with their friends) has contributed to the partial disappearance of this taboo. We also see that there is a greater social debate about the mental and psychological health needs of the population, which have also influenced the vision of sexuality problems and the need to receive attention to them.

    Hopefully every day it will be easier to go to the sexology consultation, because happiness and sexual health are valued as part of the well-being of the person, because the taboo related to talking about sexuality is eliminated and going to a sex specialist doctor in Delhi if it is normalized you need. Just as some part of our body hurts and we go to the doctor, or our back bothers us and we go to a physiotherapist in Delhi, and we have no problem commenting on it, or we don’t wait until it’s very bad to seek help.

    And of course, hopefully the day will come when the population pressures public administrations to allocate more resources to the much-needed sexual education, which would avoid so many problems and disappointments.

    Meanwhile, and returning to the question with which we began this section (“Is it time to go to a sexologist?”), one could answer that if the person feels bad about some aspect related to their sexuality, or does not have erotic satisfaction, or you feel bad about a matter related to your affectivity or relationships, or you have concerns or doubts, or you simply want support to enrich your sexuality and your relationships, indeed, a sexologist in Delhi can be very helpful.

  • What happens when in a couple one has more desire than the other?

    Internet dating search apps tend to match up like-minded people. Or at least have some common interests. That they like to exercise, watch the same type of series, travel or are animal lovers. Even with everything, the reality is that, with the passage of time, as you get to know that person more, you realize that you are not as similar as you thought. Differences arise, which in some cases spark the relationship and in others are irreconcilable. Something like that happens with sexual desire. At the beginning of the relationship it seems that just with a look you turn on the desire at the same time. But as time goes by, for some reason, the desire is no longer so synchronized.

    Do all couples have differences in their desire?

    When we perceive that one does not have the same desire as the other, we think that something is failing. It does not have to be this way. “I would say that it is rare that two people have exactly the same level of desire. Although, of course, we speak from the consolidation of the couple, after that first phase characterized by passion has elapsed”, clarifies the sexologist in Delhi Dr P K Gupta as a first point. Even, according to the expert, the end of the stage of falling in love may be the first moment in which the conflict arrives. “It is difficult for both members of the couple to ‘get out’ of that first phase of passion at the same time, which can also give rise to conflicts or problems in the relationship.”

    That is another question. It may be that our desire was synchronized at one time and that, due to various circumstances, namely stress, different work schedules, etc., we are no longer in tune. Here, Dr P K Gupta, the best sexologist in Delhi, points out that “changing desires” are also common. “There are moments when everything aligns and both people have a similar desire, but the moment a factor comes into play that can influence one of the two, or both, the desire changes radically.”

    Despite the fact that this is the reality of the vast majority of couples, the feeling we have is that the rest are much more involved than we are. Much of the blame lies with the pre-established idea of ​​some statistics or surveys on the sexual frequency of Indians. In them, they usually talk about figures and averages that it seems that everyone follows. Thus, we feel strange if we are above, especially if we are below. “Socially it is established that, if you have a partner, it seems that you have to do it two or three times a week,” Dr Gupta insists. “What nobody talks about is how many of those two or three meetings are satisfactory. And this is where we have to focus.”

    The myth that men have more desire than women

    Another of the socially established facts is that they always feel like it and they always have a headache. As if desire were a matter of gender rather than people and circumstances. “It is a myth that derives from a whole series of clichés associated with gender roles,” adds sex specialist in Delhi. A myth that does not agree with the increase in cases of men who come to his office due to low desire despite the insistence of their partners.

    “Desire is much more complex than it seems, and for this very reason it becomes one of the great couple problems. It influences everything that worries us, makes us uncomfortable, distracts us, fatigues us or pressures us. Children, work, family, or mental problems. Of course, communication, sexual satisfaction or quality time as a couple”.

    It is true that these factors, or rather, the emotional burden and stress of them, have traditionally had a greater impact on women than on men. However, Dr P K Gupta points out that the main problem is not a lack of desire, but a coitocentric model of sexual relations that led to unsatisfactory sex. And nobody usually wants to repeat a dish that is eaten with disgust.

    Based on the fact that in a matter of sex everything is generalization, currently women seem to have opened up to experiment and communicate more about sexuality. On the other hand, men seem to be subjected to a new pressure that has had an impact on their desire. “All that attention that has been given to man’s satisfaction is now a problem for him. The fact of always having to give the grade, having to always feel like it, having an erection and perfect ejaculation, holding on generates a lot of pressure… For men there are also factors that, if they are not taken care of and optimized, directly influence their desire sexual”, insists the sex doctor in Delhi.

    How do we coordinate?

    Bearing in mind that the difference in sexual desire seems inescapable, at least at some point in the relationship, perhaps the problem is that we lack tools to manage it. “Desire is not controlled at will,” insists Dr P K Gupta. For this reason “it may be important to emphasize that there is no intention to harm, it is important not to take it personally that our partner no longer wishes us in the same way as before.”

    Having this clear, what is possible is to “promote situations that activate desire.” And it is that sometimes the desire does not come alone, you have to look for it. Just as we understand that other aspects of the couple have to be worked on over time, we think that when it comes to passion, everything has to be magical. Sometimes it is as simple as, in the maelstrom of the routine, taking time to have intimate moments with your partner and reconnect. Obviously it’s easier for something to come up if we’re cuddling on the sofa, than if everyone is in a corner with their mobile. It can also be easier to look for moments as a couple in which we are more relaxed than to leave it for the end of the day when we are more tired. All this always trying not to push too much. If that day we have met,

    Although before all that, for sexologist doctor in Delhi, also, the first step in any sexual difficulty as a couple, involves first analyzing our own sexuality. Something that seems obvious and necessary before being able to share and communicate about it. “We have to work on being aware of all those factors that influence our sexual desire, and work on them so that they favor our libido,” concludes the best sexologist in Delhi. In the end, we must bear in mind that sexuality is something individual and as a couple we only share a part of it, and it is something that we must also keep in mind to reach agreements regarding the needs or points of view of each one.

  • Sexual Dysfunctions - What We Can Do

    Sexual dysfunction refers to difficulties that a person may experience during any stage of the sexual response cycle, which includes desire, arousal, orgasm, and resolution. Sexual dysfunction can affect people of all genders and can have physical, emotional, and relationship-related causes. It is a common issue that can be addressed through various treatment options.

    Desire disorders, also known as low libido or low sex drive, involve a lack of desire or interest in sexual activity. This can be caused by physical factors such as hormonal imbalances or medications, or psychological factors such as stress, anxiety, or depression.

    Arousal disorders involve difficulty becoming or remaining sexually aroused. This can be physical, such as difficulty achieving or maintaining an erection (erectile dysfunction) or becoming lubricated (vaginal dryness). It can also be psychological, such as feeling anxious or stressed during sexual activity.

    Orgasm disorders involve difficulty reaching orgasm, or taking an excessively long time to do so. This can be caused by physical factors, such as hormonal imbalances or certain medications, or psychological factors, such as stress or past trauma.

    Resolution disorders involve difficulty returning to a state of normal arousal after sexual activity. This can lead to problems such as premature ejaculation (ejaculating too quickly) or difficulty achieving another erection after ejaculating.

    Sexual dysfunction can have a significant impact on a person’s quality of life and relationships. It is important to seek treatment from sexologist in Delhi if you are experiencing sexual dysfunction, as it is a common and treatable issue. Treatment options may include medication, therapy, lifestyle changes, or a combination of these approaches.

    It is also important to address any underlying physical or emotional issues that may be contributing to sexual dysfunction. For example, if a person is experiencing low libido due to hormonal imbalances, treating the hormonal imbalance may help to improve their sex drive. If a person is experiencing anxiety or stress that is impacting their arousal, addressing these issues through therapy or other means may be helpful.

    In addition to seeking sex treatment in Delhi, there are also steps that people can take to improve their sexual function on their own. These may include:

    • Communicating with your partner about your desires and concerns
    • Trying new sexual activities or techniques to find what works for you
    • Exercising regularly and eating a healthy diet to improve physical and mental health
    • Managing stress and practicing relaxation techniques
    • Avoiding alcohol and drugs, as they can interfere with sexual function

    Overall, sexual dysfunction is a common issue that can be addressed through treatment and self-care. If you are experiencing sexual dysfunction, it is important to seek help from the best sexologist in Delhi and not to feel ashamed or embarrassed. There are resources available to support you in addressing this issue and improving your sexual function and overall quality of life.

  • Sexuality in old age

    Many people want and need to have a close relationship with others as they get older. For some people, this includes the desire to continue an active and satisfying sex life. With aging, that may mean adapting sexual activity to accommodate physical, health, and other changes.

    There are many different ways to have sex and achieve a feeling of intimacy, alone or with a partner. 

    The expression of your sexuality could include many types of intimate contact or stimulation. Some adults may choose not to engage in sexual activity, and that’s normal, too.

    Here we explore some of the common issues older adults may face with sexuality.

    What are the normal changes?

    Normal aging brings physical changes to both men and women. These changes sometimes affect the ability to have and enjoy sexual intercourse.

    A woman may notice changes in her vagina. As women age, the vagina can become shorter and narrower. The vaginal walls may become thinner and a little stiffer. Most women will have less vaginal lubrication, and it may take longer for the vagina to lubricate naturally. These changes could make certain types of sexual activity, such as vaginal penetration, painful or less desirable. If vaginal dryness is a problem, using a water-based lubricant or lubricated condoms can make penetration more comfortable. If a woman is using hormone therapy to treat hot flashes or other symptoms of menopause, you may want to have sex more often than you did before hormone therapy.

    As men age, sexual impotence (also called erectile dysfunction or ED) becomes more common. ED is the loss of the ability to achieve and maintain an erection. ED can make it take a man longer to get an erection. His erection may not be as firm or as big as it used to be. Loss of erection after orgasm may occur more quickly, or it may take longer before another erection is possible. ED is not a problem if it happens once in a while, but if it happens often, talk to the best sexologist in Delhi.

    Talk to your partner about these changes and how you are feeling. The sexologist doctor in Delhi may have suggestions to help make intercourse easier.

    What causes sexual problems?

    Some illnesses, disabilities, medications, and surgeries can affect your ability to have and enjoy sex.

    Arthritis. Joint pain from arthritis can make sexual contact uncomfortable. Exercise, medication, and possibly joint replacement surgery can help alleviate this pain. Rest, warm baths, and changing the position or timing of sexual activity may help.

    Chronic pain. Pain can interfere with intimacy among older people. Chronic pain does not have to be a part of aging and can often be treated. However, some pain medications can interfere with sexual function. Always talk to your doctor if you have side effects from any medication.

    Dementia. Some people with dementia show increased interest in sexuality and physical closeness, but may not be able to judge what sexual behavior is appropriate. People with severe dementia may not recognize their spouse or partner, but still want sexual contact and may seek it out with another person. It can be confusing and difficult to know how to handle this situation. In this case, it may also be helpful to talk to a psychiatrist in Delhi, nurse, or social worker who is trained in caring for people with dementia.

    Diabetes. This is one of the diseases that can cause erectile dysfunction in some men. In most cases, medical treatment can help. Less is known about how diabetes affects sexuality in older women. Women with diabetes are more prone to vaginal yeast infections, which can cause itching and irritation and make intercourse uncomfortable or undesirable. Fungal infections can be treated.

    Heart disease. The narrowing and hardening of the arteries can change the blood vessels in such a way that blood does not flow freely. As a result, men and women can have problems with orgasms. For both men and women, it can take longer to become aroused, and for some men, it can be difficult to get or keep an erection. People who have had a heart attack, or their partners, may fear that having sex will cause another attack. Although sexual activity is generally safe, always follow your doctor’s advice. If your heart problems get worse and you have chest pain or shortness of breath even while you rest, your sexologist in Rohini may want to change your treatment plan.

    Incontinence. Loss of bladder control or urine leakage is more common as people, especially women, get older. The extra pressure on the belly during sexual intercourse can cause urine to leak. Changing positions or emptying your bladder before and after intercourse can help with this situation. The good news is that incontinence can usually be treated by urologist in Rohini.

    Stroke. The ability to have sex is sometimes affected by a stroke. A change in positions or some medical devices can help people with ongoing weakness or paralysis to have sexual intercourse. Some people who are paralyzed from the waist down are still able to orgasm and feel pleasure.

    Depression. Lack of interest in activities you used to enjoy, such as intimacy and sexual activity, can be a symptom of depression. Sometimes it’s hard for a person to know if they are depressed. Talk to the best psychiatrist in Delhi; depression can be treated.

    Surgery. Many of us worry about having any type of surgery; it can be even more problematic when it comes to the breasts or genital area. Most people go back to the kind of sex life they enjoyed before surgery.

    Hysterectomy is surgery to remove a woman’s uterus for pain, bleeding, fibroids, or other reasons. Often when an older woman has a hysterectomy, her ovaries are also removed. Deciding whether to have this surgery can cause women and their partners to worry about their future sex lives. If you are concerned about any changes you may have with a hysterectomy, talk to your gynecologist or surgeon in Delhi.

    Mastectomy is surgery to remove all or part of a woman’s breast due to breast cancer. This surgery can cause some women to lose interest in sex, or it can make them feel less desirable or attractive to their partners. In addition to talking with the sexologist in Pitampura, it is sometimes helpful to talk with other women who have had this surgery. 

    Prostatectomy is surgery that removes all or part of a man’s prostate due to cancer or an enlarged prostate. It can cause urinary incontinence or erectile dysfunction. If you need this operation, talk to your urologist in Delhi about your concerns before surgery.

    Medicines. Some medicines can cause sexual problems. These include some blood pressure medicines, antihistamines, antidepressants, tranquilizers, medicines for Parkinson’s disease or cancer, appetite suppressants, medicines for mental problems, and medicines for ulcers. Some can lead to erectile dysfunction or make it difficult for men to ejaculate. Some medicines can reduce sexual desire in women or cause vaginal dryness or difficulty in achieving arousal and orgasm. Check with your sexologist in Patel Nagar to find out if there is a different medication that does not have this side effect.

    Alcohol. Drinking too much alcohol can cause erection problems in men and delay orgasm in women.

    Am I too old to worry about safe sex?

    Age does not protect you from sexually transmitted diseases. Older people who are sexually active may be at risk for diseases such as syphilis, gonorrhea, chlamydia infection, genital herpes, hepatitis B, genital warts, and trichomoniasis.

    Almost anyone who is sexually active is also at risk of contracting HIV, the virus that causes AIDS. The number of older people with HIV/AIDS is increasing. You are at risk for HIV/AIDS if you or your partner have more than one sexual partner, if you are having unprotected sex, or if you or your partner share needles or syringes. To protect yourself, always use a condom during sex that includes vaginal or anal penetration.

    Men need to have a full erection before putting on a condom.

    Talk to your sexologist in Rajendra Nagar about ways to protect yourself from all sexually transmitted diseases and infections. Get regular checkups and tests. Talk to your partner. A person is never too old to be in a risky situation.

    Can emotions play a role?

    Often sexuality is a delicate balance of emotional and physical issues. The way a person feels can affect what they can do and what they want to do. Many older couples find greater satisfaction in their sex life than they did when they were younger. In many cases, they have fewer distractions, more time and privacy, don’t worry about causing a pregnancy, and enjoy greater intimacy with a person who has been their life partner.

    As we age, our bodies change, including our weight, skin, and muscle tone, and some older adults are not very comfortable with their aging bodies. Older adults, both men and women, may worry that their partners no longer find them attractive. Aging-related sexual problems like the ones mentioned above can cause stress and worry. This concern can make it difficult for a person to enjoy a fulfilling sex life.

    Older couples face the same daily stresses that affect people of any age. They can also bring additional concerns of illness, retirement, and lifestyle changes, all of which can lead to sexual difficulties. Talk openly with your partner and try not to blame yourself or your partner. It may also help to talk to a sex therapist, either alone or with your partner. Some therapists have special training to help with sexual problems. If you feel changes in your partner’s attitude toward sex, don’t assume it’s because they’re no longer interested in you or an active sex life. Talk to your partner about the situation. Many of the things that cause sexual problems in older adults can be remedied.

    What I can do?

    There are things you can do for yourself to have an active and enjoyable sex life. If you have a partner you’ve been with for a long time, take time to enjoy each other and understand the changes you’re both facing.

    Don’t be afraid to talk to your doctor if you have a problem that affects your sex life. The sexologist in Delhi can suggest a treatment. For example, the most common sexual difficulty in older women is painful intercourse caused by vaginal dryness. Your sexologist in Uttam Nagar may suggest that you use over-the-counter vaginal lubricants or moisturizers. Water-based lubricants come in handy when needed to make sex more comfortable. Moisturizers are used regularly, every 2-3 days. Or, the doctor might suggest a type of vaginal estrogen.

    If the problem is erectile dysfunction, it can often be managed and perhaps even reversed with medication or other treatments. There are pills that can help, but they should not be used by men taking medications that contain nitrates, such as nitroglycerin. The pills have possible side effects. Be wary of dietary or herbal supplements that promise to treat erectile dysfunction. Always talk to your sexologist in Delhi before taking any herb or supplement.

    Physical problems can change your sex life as you get older. If you’re single, going out and meeting new people may be easier later in life when you’re more sure of yourself and what you want. If you’re in a relationship, you and your partner may discover new ways to be together as you get older. Talk to your partner or partners about your needs. You may find that displays of affection, such as hugging, kissing, touching, and spending time together, may be just what you need, or they may be a pathway to greater intimacy and sexual relationships.

  • What is chronic kidney failure?

    We call kidney failure the condition in which the kidneys lose the ability to carry out their basic functions. Kidney failure can be acute, when there is a sudden and rapid loss of kidney function, or chronic, when this loss is slow, progressive and irreversible.

    Therefore, chronic kidney failure, also called chronic kidney disease (CKD), is a disease characterized by the slow and continuous loss of kidney function, a fact that causes, among other changes, the progressive accumulation of toxins and metabolic waste in the blood. It is currently a worldwide public health problem, due to its increasingly high incidence in the population.

    The kidneys are complex organs, responsible for multiple functions in our body. Among the main ones, we can mention:

    • Elimination of toxins.
    • Elimination of useless or excess substances in the bloodstream.
    • Control of levels of electrolytes (mineral salts) in the blood.
    • Control of body water level.
    • Blood pH control.
    • Production of hormones that control blood pressure.
    • Vitamin D production.
    • Production of hormones that stimulate the production of red blood cells by the bone marrow.

    According to the best nephrologist in Delhi, patient with chronic kidney disease has deficiencies in each of these functions, which leads to serious health problems in the advanced stages of the disease.


    As the onset of chronic renal failure usually occurs slowly, our body has time to adapt to this kidney malfunction, meaning that we do not have signs or symptoms until the very late stages of the disease. The main characteristic of chronic kidney disease is that it is a silent disease.

    Many people think they can identify a diseased kidney by pain or a decrease in urine volume. Nothing more false. The kidney has little innervation for pain, so it only hurts when it is inflamed or dilated. As in most cases of chronic renal failure neither one nor the other occurs, the patient may very well find out that he needs dialysis without ever having felt a single kidney pain in his life.

    Urine volume is also not a good indicator of kidney health. Unlike acute renal failure (ARF), in which reduced urine production is an almost always present factor, in chronic renal failure, as the loss of function is slow, the kidney adapts well, and the ability to eliminate water remains stable until very advanced stages of the disease. In fact, most patients who need to go on dialysis still urinate at least 1 liter a day.

    Therefore, in most cases, until very advanced stages of the disease, chronic renal failure does not cause any symptoms or signs, says the best nephrologist in Delhi.

    Patients with CRF in advanced stages may present with anemia and worsening blood pressure values ​​and lower limb edema. When the kidney enters the terminal phase, the symptoms that arise are fatigue, nausea and vomiting, loss of appetite, weight loss, shortness of breath, strong breath (with the smell of urine) and generalized edema.


    As there are no symptoms until advanced stages of the disease, chronic renal failure is usually detected through blood tests, through the dosage of urea and creatinine.

    Creatinine is the best marker of kidney function. When the kidneys start to lose function, your blood values ​​rise. However, an elevated creatinine value can occur in acute contexts and alone is not enough to define the diagnosis of chronic kidney disease.

    For confirmation of CKD, there must be alterations in renal function or structure, maintained for at least three months. Among these changes we can highlight:

    • Presence of protein loss in the urine (proteinuria or albuminuria).
    • Changes in the simple urine test, such as hematuria.
    • Changes in the structure of the kidneys detected in imaging tests or anomalies in renal biopsy.
    • Changes in blood electrolytes related to renal tubular disease.
    • Presence of reduced glomerular filtration rate below 60ml/min.
    • Presence of kidney transplant.

    Blood urea and creatinine research give us information about kidney function, while urine tests, imaging and kidney biopsy provide important data about structural changes in the kidney tissue, which when present for a longer period than three months, are also sufficient to classify the patient as chronic renal failure. 

    Urinalysis may indicate kidney disease by revealing protein leakage, bleeding, or inflammation of the urinary tract.

    Laboratory analyzes also make it possible to detect complications of chronic kidney disease early, such as initial degrees of anemia, changes in electrolytes (mainly calcium, phosphorus and potassium), changes in the PTH hormone (which controls bone health), blood pH values, etc.

    Ultrasonography of the kidneys is also an important exam, as it shows the renal morphology, which can indicate whether the kidneys already have signs of atrophy or anomalies such as polycystic kidney disease. However, it is important to point out that a renal ultrasonography without alterations is in no way sufficient to rule out the hypothesis of CKD.

    Finally, we have the renal biopsy that can confirm the involvement of the renal tissue even when the urea and creatinine values ​​are still at normal levels.

    Risk factors

    Several diseases can attack the kidneys and lead to permanent loss of their function. In general, chronic kidney disease appears when the kidney suffers continuous and prolonged aggression, as in the cases of patients with diabetes or poorly controlled arterial hypertension.

    The diseases that most often lead to chronic kidney failure are:

    • Arterial hypertension.
    • Diabetes mellitus.
    • Kidney polycystic disease.
    • Glomerulonefrites.
    • Recurrent urinary tract infections.
    • Recurrent kidney stones.
    • Multiple myeloma.
    • Lupus and other autoimmune diseases.
    • Abusive use of anti-inflammatory drugs.
    • Amyloidosis.

    If you have any of the above conditions, it is imperative that you regularly monitor your creatinine. At least once a year, creatinine and urea should be measured and a simple urine test should be performed, suggest kidney specialist in Delhi.

    When should a patient with CKD be followed up by a nephrologist?

    Early referral to a nephrologist in Delhi can change the natural history of the disease. When comparing the evolution of patients referred in stage 3 with those referred only in the final stages of stage 4 or in stage 5, it is noted that:

    •  A reduction in the rate of loss of kidney function (3.4 ml/min per year versus 12 ml/min per year), i.e. patients not monitored by a nephrologist in Delhi lose kidney function up to 4 times faster.
    • Better control of hypertension and, consequently, less damage to other organs.
    • Lower incidence of bone lesions.
    • Lower incidence of malnutrition and weight loss.
    • Lower mortality rate.


    There is no cure for chronic kidney disease as it is a reflection of irreversible damage to parts of the kidneys. There is also no medicine that makes the kidneys work well again.

    Generally, the goal of CKD treatment is to prevent disease progression or, at worst, to slow the rate of loss of kidney function.

    Blood pressure control is essential. Values ​​persistently above 140/90 mmHg are aggressive for the kidney, accelerating the loss of renal function. In patients with diabetes, glucose control is also very important. In patients with proteinuria (loss of protein in the urine), controlling it with medication helps preserve kidney function, says kidney specialist in Delhi.

    Patients with CKD should avoid nephrotoxic drugs, such as anti-inflammatories and some antibiotics, especially those from the aminoglycoside class.

    Even though there is no cure or specific treatment to improve kidney function, follow-up with a nephrologist in Delhi is important to avoid complications of chronic kidney disease. There are remedies to control anemia, changes in electrolytes, bone metabolism, edema, etc. In the final stages of the disease, when the kidney no longer works, the indicated treatment is hemodialysis, peritoneal dialysis or kidney transplant in Delhi.

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