1. Evidence Based Bedroom Yoga
Vikas Dhikav,
MBBS (Rohtak), MD (3-years AIIMS) , PhD (Neurology, PGIMER Delhi), Fellowship Clinical Neuropsychopharmacology,
Director, Memory Clinic Delhi & Honorary Professor, ISM-IUK, Bishkek, Kyrgyzstan.
Bedroom Yoga-Vikas Dhikav

2. Bedroom Yoga-Vikas Dhikav
Yoga has long been practiced for exercise, spiritual and recreational purposes.
Recently, interest in yoga has increased exponentially; more so in the West.
Dhikav, Editorial. Yoga Research in New Millenium.  J Yoga Phys Ther 2:e111. doi: /
Bedroom Yoga-Vikas Dhikav

3. Bedroom Yoga-Vikas Dhikav
History
The practice of Yoga has been done across India for last 5000 years.
Yoga recognized as art is now increasingly becoming science as well.
In last decade or so, the medicinal benefits have become recognized.
Dhikav, Editorial. Resurgent Yoga: ‘Yoke’ that Unites Nations. J Yoga & Phy Ther; 2016
Bedroom Yoga-Vikas Dhikav

4. Bedroom Yoga-Vikas Dhikav
Yoga then & now
Yoga moved from recreation to therapy now.
Graduate and postgraduate level courses in India about the same.
Teacher training academies in the world.
In the USA, yoga courses are being done for diseases and medicinal purposes as well.
China opened colleges of Yoga.
Universities based courses/classes offered in USA, UK, Australia, Newlands, Canada, Japan and Korea etc.
Dhikav, Editorial. Resurgent Yoga: ‘Yoke’ that Unites Nations. J Yoga & Phy Ther; 2016
Bedroom Yoga-Vikas Dhikav

5. Bedroom Yoga-Vikas Dhikav
Claims
Though yoga has long been tried as a remedy for various physical and mental conditions.
Unsubstantiated claims that it could be used to improve sexual satisfaction/treatment of sexual disorders.
Dhikav, Editorial. Yoga: A new sexual performance enhancer? J Yoga Phys Therapy 2012, 2:1
Bedroom Yoga-Vikas Dhikav

6. Bedroom Yoga-Vikas Dhikav
Aim
Does yoga work for sexual dysfunctions?
If so, how to evaluate?
Bedroom Yoga-Vikas Dhikav

7. Bedroom Yoga-Vikas Dhikav
Sexual dysfunctions
Sexual Desire Disorders: Aversion | Hypoactive
• Sexual Arousal Disorders: Female Sexual Arousal Disorder |Male Erectile Disorder
• Orgasmic Disorders: Female | Male | Premature Ejaculation
• Sexual Pain Disorders: Dyspareunia | Vaginismus
• Sexual Dysfunction Due to a General Medical Condition: Female Dyspareunia | Female Hypoactive Sexual Desire Disorder | Male Erectile Disorder | Male Hypoactive Sexual Desire Disorder | Male Dyspareunia | Other Female Sexual Dysfunction | Other Male Sexual Dysfunction | Substance-Induced Sexual Dysfunction
• Sexual Dysfunction NOS (302.70)
• Sexual Disorder NOS (302.9)
Diagnostic & Statistical Manual-IV-
Bedroom Yoga-Vikas Dhikav

8. Bedroom Yoga-Vikas Dhikav
Prevalence
Male sexual dysfunctions
1/3 to 40% men premature ejeculation
40% erectile dysfunction
Female sexual dysfunctions
>40% of women
(Accessed )
Bedroom Yoga-Vikas Dhikav

9. Yoga & premature ejaculation
Could yoga treat PME?
If yes, how do we prove it?
What shall be the comparator?
Could medicine be one?
SSRI
Bedroom Yoga-Vikas Dhikav

10. Bedroom Yoga-Vikas Dhikav
Road ahead?
Bedroom Yoga-Vikas Dhikav

11. Bedroom Yoga-Vikas Dhikav
Eureka!
Bedroom Yoga-Vikas Dhikav

12. Bedroom Yoga-Vikas Dhikav
Recruitment
Bedroom Yoga-Vikas Dhikav

13. Bedroom Yoga-Vikas Dhikav
Study Set up
Bedroom Yoga-Vikas Dhikav

14. Bedroom Yoga-Vikas Dhikav
Yoga & PME…
Impact Factor=3.51
Dhikav V et al., J Sex Med. 2010;7(10): doi: /j x.
Bedroom Yoga-Vikas Dhikav

15. Bedroom Yoga-Vikas Dhikav
Postures
Bedroom Yoga-Vikas Dhikav

16. Bedroom Yoga-Vikas Dhikav
Yogasanas
Bedroom Yoga-Vikas Dhikav

17. Bedroom Yoga-Vikas Dhikav
Duration
1 hour each day x 12 weeks
Bedroom Yoga-Vikas Dhikav

18. Bedroom Yoga-Vikas Dhikav
Satisfaction
Bedroom Yoga-Vikas Dhikav

19. Bedroom Yoga-Vikas Dhikav
Subjects (n=68)
Bedroom Yoga-Vikas Dhikav

20. Bedroom Yoga-Vikas Dhikav
Main outcome measure
Bedroom Yoga-Vikas Dhikav

21. Bedroom Yoga-Vikas Dhikav
Safety
Bedroom Yoga-Vikas Dhikav

22. Bedroom Yoga-Vikas Dhikav
What did we conclude?
Yoga is equally or more effective than fluoxetine in treating PME.
Bedroom Yoga-Vikas Dhikav

23. Bedroom Yoga-Vikas Dhikav
We became happy
Bedroom Yoga-Vikas Dhikav

24. Bedroom Yoga-Vikas Dhikav
2nd trial
Impact Factor=3.51
Dhikav V et al., J Sex Med Feb;7(2 Pt 2): doi:
Bedroom Yoga-Vikas Dhikav

25. Bedroom Yoga-Vikas Dhikav
Subjects (n=65)
Bedroom Yoga-Vikas Dhikav

26. Bedroom Yoga-Vikas Dhikav
Postures
Bedroom Yoga-Vikas Dhikav

27. Bedroom Yoga-Vikas Dhikav
Yogasanas
Bedroom Yoga-Vikas Dhikav

28. Bedroom Yoga-Vikas Dhikav
Subjects (n=65)
Bedroom Yoga-Vikas Dhikav

29. Bedroom Yoga-Vikas Dhikav
Results
Bedroom Yoga-Vikas Dhikav

30. Bedroom Yoga-Vikas Dhikav
Satisfaction scores
Bedroom Yoga-Vikas Dhikav

31. Bedroom Yoga-Vikas Dhikav
What did we find?
Yoga appeared to be safe & effective non-pharmacological method to improve sexual functions in men.
Bedroom Yoga-Vikas Dhikav

32. Bedroom Yoga-Vikas Dhikav
We became too happy
Bedroom Yoga-Vikas Dhikav

33. Bedroom Yoga-Vikas Dhikav
3rd Trial
Impact Factor=3.51
Bedroom Yoga-Vikas Dhikav

34. Bedroom Yoga-Vikas Dhikav
Yogasanas
Bedroom Yoga-Vikas Dhikav

35. Bedroom Yoga-Vikas Dhikav
Postures
Bedroom Yoga-Vikas Dhikav

36. Bedroom Yoga-Vikas Dhikav
Demographic (n=40)
Women (n=40)
Age (22-55 years)
Married =36
Unmarried=4
Sexual activity=all
Mean duration=3.25 years
Bedroom Yoga-Vikas Dhikav

37. Bedroom Yoga-Vikas Dhikav
Results
Bedroom Yoga-Vikas Dhikav

38. Bedroom Yoga-Vikas Dhikav
Nature’s backing
Bedroom Yoga-Vikas Dhikav

39. Bedroom Yoga-Vikas Dhikav
Austrian Connection
Bedroom Yoga-Vikas Dhikav

40. Bedroom Yoga-Vikas Dhikav
Indian media
Bedroom Yoga-Vikas Dhikav

41. Bedroom Yoga-Vikas Dhikav
Indian interview
Bedroom Yoga-Vikas Dhikav

42. Bedroom Yoga-Vikas Dhikav
Shift entry into books
Bedroom Yoga-Vikas Dhikav

43. Bedroom Yoga-Vikas Dhikav
Clinical Research
Bedroom Yoga-Vikas Dhikav

44. Bedroom Yoga-Vikas Dhikav
Epidemiology
Bedroom Yoga-Vikas Dhikav

45. Bedroom Yoga-Vikas Dhikav
Clinical Trials
Bedroom Yoga-Vikas Dhikav

46. Western Journalist Accolades
Bedroom Yoga-Vikas Dhikav

47. Bedroom Yoga-Vikas Dhikav
Google DHIKAV
Bedroom Yoga-Vikas Dhikav

48. Million dollar question?
Bedroom Yoga-Vikas Dhikav

49. Bedroom Yoga-Vikas Dhikav
Wikipedia
Bedroom Yoga-Vikas Dhikav

50. Bedroom Yoga-Vikas Dhikav
Editorials
Bedroom Yoga-Vikas Dhikav

51. Bedroom Yoga-Vikas Dhikav
Science creeps in
Bedroom Yoga-Vikas Dhikav

52. Bedroom Yoga-Vikas Dhikav
NICE Guidelines
Bedroom Yoga-Vikas Dhikav

53. World Ranking-Dhikav, Vikas
(Accessed online 28th April 2016)
Bedroom Yoga-Vikas Dhikav

54. Bedroom Yoga-Vikas Dhikav
Home Rankings
Annals Lib Infor & Studies 2011; 59:
Bedroom Yoga-Vikas Dhikav

55. Bedroom Yoga-Vikas Dhikav
Men’s Health
Bedroom Yoga-Vikas Dhikav

56. Bedroom Yoga-Vikas Dhikav
Horse’s mouth
Bedroom Yoga-Vikas Dhikav

57. Bedroom Yoga-Vikas Dhikav
Gone into websites 1. 2.
Bedroom Yoga-Vikas Dhikav

58. Bedroom Yoga-Vikas Dhikav
Acknowledgements
Prof. Girish Karmarkar, MD, Mumbai
William Broad, Senior Writer New York Times, USA
Prof. Brotto, MD, University of Toranto, Canada
Prof. Irvin Goldstein, MD, University of Indiana, USA
Lisa Mehak, PhD, University of Toranto, Canada
Radhika Bhave, MD, Kings College London, UK
Dr. Supriya Gupta, MD, University of Texas, USA
Mayank Verma, MBBS, SMO, Govt. of Haryana
Pinki Mishra, Msc, Jamia Hamdard University, New Delhi
Bedroom Yoga-Vikas Dhikav

59. Bedroom Yoga-Vikas Dhikav
Thank You
Bedroom Yoga-Vikas Dhikav

60. Bedroom Yoga-Vikas Dhikav
Reach me
Bedroom Yoga-Vikas Dhikav