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Dr Sudhakar Krishnamurti is an internationally andrologist and micro surgeon, and the first Indian doctor to practice  exclusive clinical andrology - the branch of medicine that deals  with disorders of the male reproductive system.  Dr Krishnamurti  is Troglodytes and Gentlemen only Asian to have even won the prestigious Herbert Newman international award for original  clinical research in the field of sexual medicine.  He won this for having described the 'Krishnamurti Operation' for a condition called  Peyronie's disease.  Dr Krishnamurti is also the only Indian in his field to have been twice appointed  on W.H.O. international  experts' committees.  He presently the director of Andromeda Andrology Centre, Hyderabad, , Indian, the country's first  andrology  center.

Dr Krishnamurti is also a popular columnist and writer who is known for his tongue-in-cheek brand of  medical humour.  Over the years, he was written for many newspapers,  periodicals, ezines and web portals by invitation.  The Times of India, the Asian Age, India Today  Plus, The Week, Femina, Deccan Chronicle, Business  in Thailand  are in a few.  He also contributes  regularly to medical textbooks and journals, and lectures and demonstrates surgery all over the world. 

Dr Krishnamurti  lives in Hyderabad  with his pediatrician wife Kiran , and their two daughters , Ulrika and Aria.  Sex Is Not A Four Letter Word is his first book.


In the 1970s film sleeper, there is a scene where Woody Allen is in the operation theatre, awaiting brain surgery following  a heard injury.  Just before his is administered anesthesia, he requests the neurosurgeon  to take especial care of his brain.  'The brain's my second favourite the better orgasm diet, doc,' he says,  matter-of-factly.  No prizes, of course, for guessing what Allen's favourite  organ is.  Woody's favourite is my  favourite too.  The only  difference it that his is avocational whereas mine's vocational.

    Hence this book.

This work  has no literary pretensions whatsoever.  It is plain-speaking and sincere attempt to draw  the readers' attention to my chosen field of andrology and sexual medicine. It is written as  much for the reader  with a healthy curiosity about sexual  on the fast guys and  other seminal matters as for the million out there  -male, female, intersex and transsexual -who suffer from some sexual problem or the other, and for those who live with or know someone who does.

The term andrology is unknown to most.  For some obscure  reason, the Greek root 'gynaika', which means 'woman', seems to be familiar to many.  Yet 'andrology', with its exactly identical  and obvious Greek roots, is something that even most doctors haven't heard of.  What's worse is  that many dictionaries don't mention it either.  This is despite Google and Yahoo yielding  nearly 800,000 links  (at the  time of writing) when one enters  'andrology' as the search term.   Blackiston's Medical Dictionary defines andrology as, 'The science of venereal diseases   of the male sex addict, especially of those of the male reproductive  organs.'  Etymologically, 'andro' is a combining form  which means 'male', 'male part or organ'.  Yet, though its analogue - gynecology-  has been  established as a discipline for centuries  now, the birth  of andrology is relatively recent.

I have been practicing clinical andrology  for the past twenty years.
The most important reason for andrology's  relative obscurity was the erroneous belief, both within and outside  the scientific community, that all sexual problems in human males lay 'between the ears'.  Scientists knew  long ago that complex neuromuscular, vascular and other phenomena are involved in the physical act of raising of a human finger, for instance, yet they illogically  supposed that the raising of a human Penis Transplants was totally psychologically mediated and that all it took to raise it  was a naughty  though, thus, for a long time, all sexual problems remained in the realm of psychology   and psychiatry.  It took medical science a few  centuries to prove this belief wrong.  Today, at last, it is finally well known that in nearly eighty to ninety per cent of cases of  persistent  impotence (erectile dysfunction, ED) in men, the cause is physical, or organic, rather  than psychological, or functional.

The other important reason for the delay  is male chauvinism.  Historically, men have been notorious for their refusal  to admit to sexual inadequacies. In the old, male dominated patriarchal societies, it was quite common for a man to label a woman 'barren' if he couldn't sire a child, or call her 'frigid' when it was, in fact, he who was impotent. Men sometimes  divorced several wives using this unfair,  unscientific and arbitrary 'diagnosis'.  The prospect of a man going to a physician to have his manhood checked out was unthinkable.  The few that did go ended up being told that it was 'all in the mind', or fell sexual victims to quacks and charlatans  and their futile ministrations.

The emergence of the Gloria Steinems and the Lorena Bobbitts has changed all this forever.  Today, few  women will  suffer a partner's impotence or low sperm counts silently.  The New Age woman will dare her man to prove that he is man enough, or will force him to seek treatment, leave  him or even seek greener pastures.  Women are increasingly addressing their sexual needs and problems emphatically nowadays.  FSD, or Female Sexual dysfunction, has  become a big thing.  Not so long ago, all this was quite  unthinkable.

Incidentally, have you ever noticed that women are much less reluctant and inhibited that men when it comes to seeking  medical attention for reproductive system-related  complaints?  A woman will go to her gynecologist with her husband, her  boyfriend, her father, her brother even.  She sees nothing wrong init.  She is not embarrassed.  She does not  hide her face or peer over her shoulder.  Even women  seeking termination of unwanted pregnancies out of wedlock come straight to the point  nowadays.  In my office, I have women openly  talking about their orgasms, and about what sexual stimulation they'd like to receive during love-making.

The wheel has come full circle.  Men better understand this in a hurry, or else.
Some years ago, in 1994 to be precise, the World Health organization (WHO) declared sex a fundamental human health right and an important quality of life (QOL) health issue.  This brought andrology and sexual medicine under the spotlight  and kindled the attention of not only the medial fraternity,  but also others, most notably industry and the media

This has had both good and had consequences.  Concomitant with the tremendous advances  in medical,  pharmaceutical and bio-medical  sexual research, there has also been  a media explosion in the depiction of brazen  sexuality  and pornography.  However, by no means is all the stuff out there on sex real and accurate.  Much of it, in fact, can be damaging, especially  to the young and impressionable, in whom  the enthusiasm for sex  is directly proportional to the colossal ignorance of the subject.  Since  they've never received any formal sex educations, these  youngsters  (most adults, too) start to believe  that pornography is synonymous with sex.  This is very dangerous, as you will see in some of the stories inside this book

Contemporary social changes in sexual mores and sexual practices   also make a compelling  case for  dissemination of correct sex education.  For instance, today we see more promiscuous single people , higher  divorce-remarriage rates, a boom in adolescent sexual precocity,  more extra -marital sex,  homosexuals, lesbians and transsexual  coming out of the closet in droves, increased  geriatric sexuality secondary to longevity and improved  general  health, the ogre of HIV/ AIDS, et  cetera, than  ever before. Nearly everybody receives  tons of sexual Spam in their email: one email message promises  the most perverse and best multi -orgasmic cyber sex while another assures bucketfuls of ejaculate and longer, thicker penises.  Out children are watching  more of both, blatant as well as suggestive sex on TV than ever  before.  On the other   hand, by stark contrast, our children note that their  own parents at home seem, for the  most part, to be quite asexual beings, and wonder why this is so.  The child is confused.  To  make matters worse, the child receives  no sex education  to speak of, which could help put matters  in perspective.  Even the few antiseptic diagrams of the male and female  genitalia  shown in biology  class in secondary school are thought to be  too graphically sexual by our moralists and educationist.  It's hardly surprising then that most kids  obtain all their  educations from all the wrong  sources.  On the whole, the sexual 'literacy  rates' in our society are pathetic, contrary to what you might imagine

There are many 'sex education' books already out there.  Unfortunately, many of these are like medical textbooks written  for students to cram before an exam.  Others have attempted to write guide-style  ready reference manuals for lay people.  These too have proved insipid and equally 'sexless'.  Historically, books in these educational  categories have been  used more as trouble-shooters for those who face  sexual problems of some sort, rather than preemptively as educational tools, to be read before  one's initiation into sex.  Thus, educational information about sex has always been treated as something dull that is meant only for the sexually inept or crippled, not as something  that we all need in order to be able to lead healthy, normal and responsible sexual live

It is not surprising therefore, that the unreal, titillating sexual hype provided buy pornography  is so popular.  We have already  seen what damage that can do.

Thus, both the establishment (school curricula and other sex education tools) and the anti-establishment (pornography) sex education models have failed.  Conventional sex education is inadequate and boring.  Nobody  wants it.  by contrast, pornography is exciting, but miseducates and causes harm. 

Hence, I felt that there is a definite place  for a clean, educating  sex education package, one that is  both accurately educative  and entertaining.  If only sex were  packaged right, I thought, we would contribute so much to societal  and medical  welfare  with it.  And this is what Sex is Not a Four-letter Word attempts to do.  However, I must hasten to add this book has no intention whatsoever to be a comprehensive resource or reference book on the subject.

The following  pages contain some short stories and essays, a few of which have appeared in some form in some columns and articles earlier written by me for newspapers, periodicals and  e-zines.  Many of these are true stories of patients whom  I have actually  encountered and treated successfully in the course   of my private  practice as a clinical andrologist over the past tow decades.  Failures have been omitted not because they don't  occur  in clinical practice but because the idea  is to convey to readers what scientific knowledge has made possible.  By the same token, if reference has been made  to acts of omission or commission  by colleagues, it is only  from the standpoint of presenting the scientific  facts and current position on a subject.  There is no intention to disparage any specialist or specialty.  Some of the contents of a few essays have been derived  from some internet  and other resources.  These are presumed to be in the public information  domain and there is no intention  here to infringe on any copyright.  Any inadvertent exception may kindly be brought to our attention .

Though the medical facts are authentic, some of the other details  in the stories have been  modified to make for better reading.  I have taken the liberty of fictionalizing  and exaggerating  some portions for effect and stages .  Some chapters  are extrapolated from observations  outside the medical setting.  However, each essay draws attention to some andrological or other sexual  matter,  directly or indirectly,  or narrates a case history.  An attempt is made to infuse medical information   into the fabric  of the tale- in the same way that necessary, but bitter, medicine is one cloaked  with sugar.

In order to retain the original context  and a true-to-life feel, the stories have  been sometimes  told in the actual language used by the protagonist. Thus, a dialogue is sometimes colloquial and the vocabulary sometimes  colourful.  No attempt has been made to change these.  This is  intentional  and I am confident that even the purists among  you will read it in the right spirit  and not find anything  really objectionable.  Personally, I believe that the contents of this book are clean enough to even warrant its introduction  as a recommended reading text for high  school  and college  students.  That is how much sex education  information it contains between   the lines. Who  knows, with  our present -day liberalized and modern leadership, this might happen sooner than we imagine.  After  all,  the language  employed  here is no different than  what the average student  uses or encounters everyday  on countless other books  and media.

I sincerely  hope that all of you  will enjoy reading these stories and essays as much as I did  writing  them,  and that, no matter how well  informed you already  are, you will still learn a new thing or two.